MISSION CREEPS IN REBS
John Muller
It is a
common ritual among today's academics to submit one's research proposal
to a
group of colleagues, the Research Ethics Board (REB ).
At its outset some 30 years ago, this
research ethics committee had the mandate to decide whether the public
is at
more than everyday risk from your project, and it was understood that
this
would be a rare event in social sciences and humanities research. However, the domain of review has expanded
greatly, especially in the social sciences and humanities, and forums
to
meaningfully discuss concerns with this enterprise are very limited
compared to
the ubiquitous and increasingly obligatory "how-to-comply" workshops.
The
reasonable concept of everyday risk has been distorted into euphemisms
for
"zero risk" (e.g., optimal risk, minimal risk), thus expanding the
mandate by fiat to effectively do away with the reasonable categories
of review
such as proportional, expedited, and exempt (PEE). Institutions freely
add
legal liability to REB deliberations, as if there were any life
situations
where litigation cannot occur. Concepts such as "good clinical
practice" are borrowed from medical research reviews, even though in
the
social sciences our subjects are very seldom "patients," nor do we
have treatment as the primary objective of our research.
The notion of a rigid "protocol" is
also borrowed from medical research, notably the Consumer Reports style
clinical trials. Such a priori specifications
are an impossibility in ethnographic research, for example, where the
patterns
emerge as the observations are made.
Likewise the notion of a protocol or recipe deludes outsiders
into
thinking they can accurately assess good methodology in your proposal.
Campus
ideologues freely add "social worth" to the review criteria, as if
this can be determined without first collecting and examining the data.
The
meaning of "research" has been expanded to more or less include any
interpersonal interaction of an academic with another person. Trained
academics
are thus constrained from doing what ordinary citizens do without
seeking
permission. Perhaps as part of a general cultural trend to make
everyone a
victim (Furedi, 2002; Sommers & Satel, 2005; Wright & Cummins,
2005),
"vulnerable populations" has been paternalistically expanded to take
away self-determination from mainstream adults.
Once is
not enough, we must have annual re-reviews, even if nothing has
changed.
Likewise, approval elsewhere is never sufficient, it must be
re-reviewed
locally -- one incident in Australia involved 60
applications (Whiteman, Webb, Purdie, &
Green, 2003). The absence of repeat-reliability is actually celebrated
as
revealing different ethical voices.
Requiring the review of classroom activities effectively puts
the REB in
charge of the academic mission of the university.
Many of
these creeps seem designed mainly to establish authority, sometimes
gently ala
Furedy's (1997) velvet totalitarianism.
Public safety is either a forgotten objective, or a notion
defined so
broadly as to be useless. The fact that
most applications are approved with revision does not contradict a
charge of
censorship -- books need not be burned for censorship to have occurred. In fact, the worst censorship, and the most
effective, is the self-censorship which the REB industry has produced. It is true that many of these creeps are due
to local decisions, rather than federal regulations, but the silence of
the
federal regulators to the overkill seems to speak clearly.
The lack
of accountability in the research ethics industry is a long-standing
sore
point. Some recent developments in the USA deserve note
because they involve criticism from the legal
community. First, the question of
censorship and its legality has recently been examined by Philip
Hamburger
(2005), a legal scholar at Northwestern University. Although the legal
specifics are somewhat different in Canada and the USA, this paper
is intriguing.
Another group has produced a white paper criticizing mission
creep as
diverting resources and thus actually diluting the protection of human
participants (Gunsalus, et al., 2005, 2006; see also Haggerty, 2004).
Perhaps
the first creep was the extension from funded research to unfunded
research,
which takes us to a third development in the USA. The federal
grant agencies in the USA originally
developed the research ethics regulations to
cover projects they funded. Fair enough perhaps, but university
administrators
obligingly extended the mandate to review unfunded projects as well. Over time the voluntary nature of this
expansion was forgotten, and most researchers in the social sciences
and
humanities, where most research is unfunded, did not realize that it
was
actually their employer making them do it rather than the federal
agencies. A
recent Freedom of Information Act inquiry to the Office of Human Research
Protection (OHRP) by the
American Association of University Professors (AAUP) reveals that over
170
organizations have recently renegotiated their Federal Wide Assurance
agreements so that the legal separation of federally funded and
unfunded
research review is reinstated. This does not mean that unfunded
research goes
unreviewed, but that the nature of the review and the committee that
does it is
a local decision, as I understand it. I am told we can expect a report
on this
from the AAUP, perhaps as soon as September. With such a history of
mission
creep by local committees, it will be interesting whether the
re-invented reviews
make any more sense than the present process.
The
funded-unfunded distinction in Canada is not as
clear in its legal basis. The TCPS (2004)
interpretation tries to deny
any distinction between funded and unfunded research. It is one thing
for the
grantor to claim dominion over that which is paid for, but it seems to
me
unreasonable to claim authority over what one has not paid for. It is not unusual for a bureaucracy to expand
its reach in such a manner, especially when not challenged, but this
interpretation
seems to invite further examination, on the grounds of ethics if not
technical
legality.
It is
with glee that REBs offer "It's the law" as a pronouncement intended
to deflect any criticism or prospect of reform. However, it would be
more
accurate to state this as "It's just the law," given that the
law is an arbitrary human construct that changes regularly. Further, to
honor
the REB industry's preoccupation with the Nuremberg trials, we should
all
recall another development in those trials, namely that "Just following
orders" was not deemed a satisfactory defense. I do not know if the
TCPS
interpretation has ever been challenged legally, and not being a lawyer
I have
no idea as to what the probable fate of such a challenge might be.
However, I
doubt that university administrations are likely to display any
initiative or
integrity in this regard, given their dependence on the federal
largesse.
In
passing, another recent development may hold some promise with regard
to if not
reform at least some degree of accountability. O'Brien (2006) describes
a
situation whereby research ethics decisions were made subject to appeal
to the
campus faculty union, rather than just back to the committee that made
the
decision. This possibility follows from the mundane fact that research
is a job
requirement (a part of the holy trinity: teaching, research,
service), as opposed
to the pious
characterization
of research ethics officials that it is somehow a privilege. As such,
anything
that impedes your ability to do your job is grievable. This may or may
not be
the most desirable solution to accountability, but it seems better than
the
kangaroo court that appeals are subject to now.
Finally,
it is of note that a new journal devoted to research on research ethics
has
appeared, The Journal of Empirical Research on Human Research Ethics (http://www.csueastbay.edu/JERHRE/). In its first
issue, van den Hoonaard and Connolly (2006) provide an examination of
how REB
constraints seem to have reduced the complexity of student theses in
anthropology, and there is further work on-going with regard to theses
in other
disciplines. One journalism school in the USA has even
dropped the research requirement from its Master's
requirements following an impasse with the campus ethics committee. The
creeps
are very much on-going.
REFERENCES
Furedi,
F. (2002). The culture of fear: Risk-taking and the morality of low
expectation. London: Continuum.
Furedy,
J.J. (1997). Velvet totalitarianism on Canadian campuses:
Subverting effects on the teaching of, and
research in the discipline of psychology.
Canadian Psychology, 1997, 38, 204-211.
Gunsalus,
C.K., Bruner, E., Burbules, N.C., Dash, L., Finkin, M., Goldberg, J.P.,
Greenough,
W.T., Miller, G.A., Pratt, M.G. (2005). The Illinois White Paper:
Improving the System for Protecting Human
Subjects: Counteracting IRB Mission Creep.
November, 2005, on-line.
http://www.law.uiuc.edu/conferences/whitepaper/
Gunsalus,
C.K., Bruner, E., Burbules, N.C., Dash, L., Finkin, M., Goldberg, J.P.,
Greenough, W.T., Miller, G.A., Pratt, M.G. (2006). Mission creep in
the IRB world. Science, 2006 (9 June),
302 (5779), 1141 (editorial). http://www.sciencemag.org/cgi/content/summary/312/5779/1441.
Hamburger,
P. (2005). The New Censorship: Institutional Review Boards. The Supreme
Court
Review, 2005 (May), 271-354. http://www.law.uchicago.edu/academics/publiclaw/95-ph-censorship.pdf
Haggerty,
K. (2004). Ethics Creep. Qualitative
Sociology, 27(4), 391-414. (also http://www.aapss.org/section.cfm/1058/disc_tpc/48/48/0
O'Brien,
R. (2006). The
Institutional Review Board Problem: Where it came from and what to do
about
it. Journal of Social Distress and
Homeless,
15 (1), 23-46.
Sommers,
C.H. & Satel, S. (2005). One nation under therapy. NY: St. Martin’s Press.
http://www.onenationundertherapy.com/
TCPS
(2004). Applicability of the TCPS to Agency-funded Organizations as
well as
those not Funded by the Agencies. On-line, July, 2004,
http://www.pre.ethics.gc.ca/english/policyinitiatives/interpretations/interpretation011.cfm
van der
Hoonaard, W.C. & Connolly, A. (2006).
Anthropological Research in the Light of Ethics Review: Canadian
Master's Theses, 1995-2004. Journal of
Empirical Research on Human Research Ethics, 2006, 1(2), 59-69.
Whiteman, D.C., Webb, P. M., Purdie, D.M., Green, A.C.
(2003). National ethics committee urgently needed. Medical
Journal of Australia, 178 (4), 187.
http://www.mja.com.au/public/issues/178_04_170203/whiteman_170203.html
Wright,
R.H. & Cummins, N.A. (2005).
Destructive trends in mental health:
The well-intentioned path to harm.
NY: Routledge. See also http://www.narth.com/docs/destructive.html
John Mueller
is professor of applied psychology at the University
of Calgary
and a member of the
SAFS Board. The
author welcomes communications about
research ethics, and concludes by noting that No animals or
ethicists were
harmed during the writing of this essay, nor REBs consulted.