SOCIAL
SCIENCE & MEDICINE on internotionol
PART
MEDICAL
F
8c SOCIAL
VOLUME LIST OF CONTENTS
PERGAMON OXFORD
journol
ETHICS
15F, 1981 AND AUTHOR
PRESS
* NEW YORK - TORONTO PARIS - FRANKFURT
- SYDNEY
INDEX
SOCIAL
SCIENCE
& MEDICINE
Editor-in-Chief (Parts A-F) PETER J. M. McEWAN Glengarden, Ballater, Aberdeenshire AB3 5UB, Scotland Senior Editors Part B
Part A
.Wedical
Medical Sociology PETER
Anti7ropolop~~
CHARLESLESLIE University of Delaware Newark, DE 1971 I, U.S.A.
J. M. M&WAN
Part C Medical Economics
Part D
DAVID DUNLOP Department of Community and Family Medicine Dartmouth Medical School Hanover, NH 03755, U.S.A.
.Medical Geograph_tB
GERALD F. PYLE Department of Geography & Earth Science University of Carolina at Charlotte UNCC Station Charlotte, NC 28213, U.S.A.
Part E
Part F
Medical Psychology
,bfedical Erhies
PETER J. M. MCEWAN
PETER J. M. MCEWAN Book Reviews
JOHN STOECKLE,Massachusetts A. Antonovsky, Beer-Sheva, Israel F. J. Bennett, Nairobi, Kenya E. Hoist, Inst. of Social Medicine, Copenhagen, Denmark R. Illsley, University of Aberdeen, Aberdeen, Scotland
General Hospital, Boston, Regional Editors M. Knobel, SHo Paulo, Brazil D. Maddison, University of Newcastle, Australia A. Mathe, Paris, France D. McQueen, Baltimore, U.S.A. Venkoba Rao, Madurai, India 1. Sieerist. MarburaiLahn. West Germany -’
MA 02114, U.S.A. M. Sokolowska, Polish Academy of Sciences, Warsaw, Poland A. 4. Strauss, San Francisco, CA, U.S.A. E. D. Wittkouer, Montreal, Quebec, Canada M. Yamamoto,
Tokyo, Japan
Advisory Editors I. S. Ak$el. Capa-Istnnbul. Turkey D. Armstrong, London, England R. Badgley, Toronto, Canada C. R. Bagley, Calgary. Canada F. Barnaby, Stockholm, SHeden (3. Beck. Saskatchewan, Canada S. Boyden, Canberra, Australia D. Callahan. Hastings-on-Hudson. U.S.A. J. Campos. Barcelona, Spain Lucv Cohen. Washington,,S~.A~.A. S. H. Croog, Hartford, U D. D. Daskalov. Sofia, BIllgaria J. H. Davis, Washington U.S.A. A. El-Koussy. Giza..Egy-*‘V. H. J. Engelhardt, Washi twton. _ U.S.A. 1. Fletcher, Belmont. U.S.A. Rcnee C. Fox. Philadelphia, U.S.A. A. 1. Gcbert, Bern. Swit7ertand ..-__.-..rM. Gclfand. Salisbur) I, Zimbabwe J. Girt, Ottawa, Canaua>_ S. Graham, Buffalo, U.S.A.. J.-P. Harroy, Brussels, Belgium
M. Jahoda. Hassocks. England M. Jelferys; London, g”gi&d 0. Kuty, Libge. Belgium T. A. Lambo, WHO, Switzerland A. Learmonth, Milton Keynes, England L. Levi, Stockholm, Sweden P. Leyhausen. Wuppcrtal. West Germany K. Lissak, Pea, Hungary F. M. Mbwu, Nairobi, Kenya E. Mcndelsohn. Cambridge, U.S.A. 1. J. Menges. Amsterdam, The Netherlands V. Milanovic. Belgrade. Yugoslavia F. J. W. Miller. Newcastle-upon-Tyne, England G. Mooney, Aberdeen, Scotland I. K. Myers, New Haven, U.S.A. V. Olesen, San Francisco, U.S.A. C. M. Parkes, London. England 1. Polunin, Outram Hill, Singapore J. Powles. Victoria. Australia G. C. Reader,, New York. U.S.A. B. Ritson, Edtnburgh, Scotland
B. L. Sadler. La Jolla, U.S.A. F. T. Sai. Accra. Ghana M. Sakamoto-tiomlyama. Tokyo, Japan 1. T. Sanders. Boston, U.S.A. J. Shuval. Jerusalem, Israel K. Singer, Pokfulam, Hong Kong T. Sjovall. Stockholm, Sweden A. Smith, Manchester. England H. Smith, Dxham, U.S.A. R. Squier, Hailsham. England M. Stacey, Coventry, England J. Stromberg, Denver. U.S.A. G. Teeling-Smith. London, England A. C. Twaddle, Columbia, U.S.A. P. Unschuld, Munich. West Germany Y. Verhasselt. Brussels, Belgium H. Waitrkin, Oakland. U.S.A. A. F. Wessen, Providence, U.S.A. K. Winter, Berlin, East Germany P. N. Wood. Manchester. England A. Young. Cleveland. U.S.A. I. C. Young, Leicester, England I. K. Zola, Waltham. U.S.A.
Published 26 rimes a yew. Published by the Journals Productmn Unit, Hennock Road. Marsh Barton, Exe&, Devon EX2 ERP. England (Tel. Exeter (0392) 51558; Telex 42749) Adwrtising O&e: Pergamon Press Ltd. Headington Hill Hall, Oxford, OX3 OBW, England (Te/. Oxford 64881) American Ofice: Maxwell House. Fairview Park, Elmsford. New York 10523. U.S.A. Annual Subscriprion Rates 1981 (including postage and insurance): For Libraries, University Departments, Government Laboratories, Industrial and other multiple-reader Institutions-US 5450.00 per annum; 2 years-US $855.00 (Combined subscription Parts A-F): Part A (Medical Sociology), Part B (Medical Anthropology). Part C (Medical Economics), Part D (Medical Geography). Part E (Medico/ Psychology), Part F (Medical Ethics). Part F (Medical Ethics) is available separately to fprmer subscribers to Ethics in Science & Medicine-US S65.00 per annum; 2-years-US $123.50. Specially reduced rows lo Indiiciduals: In the interests of maximizing the dissemination of the research results published in this inwortant international journal we have established a two-tier price structure. Any individual whose institution takes out a library subscription may purchase a second or additional subscription to Parts A-F for personal use at a much reduced rate of US $90.00. Subscriprion enquiries from cusromerr in North Am&co should be sent to: Pergamon Press Inc., Maxwell House. Fairview Park, Elmsford. NY 10523, U.S.A. and the remainder o/the world to: Pergamon Press Ltd. Headington Hill Hall. Oxford, OX3 OBW, England. Microform Subscriptions and Back Issues: Back Issues of all previously published volumes are available in the regular editions and on microfilm and microfiche. Current subscriptions are available on microfiche simultaneously with the paper edition and microfilm on completion of the annual index at the end of the subscription year.
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CONTENTS VOLUME SPECIAL
THE
ETHICS
15
ISSUE:
OF PSYCHOLOGICAL
RESEARCH
Number 1
J. D. KEEHN: Introduction
1
Part I. General ethical considerations
D. E. BLACKMAN: Some recent ethical concerns JERI A. SECHZER: Historical States
issues concerning
of psychologists
animal
experimentation
in the United 13
GRAHAM F. REED: On being moral H. A. BASSFORD: The moral
in immoral
role differentiation
places
19
of experimental
psychologists
Part II. On research with special populations DAVID L. WIESENTHAL: Sweating at night: some ethical paradoxes psychological research
W. ANTHONY NORTON: Ethics, and the work of psychologists justice
considerations
confronting
27
social
33
in the field of criminal
39
on higher animals
51
in the aversive control of behaviour
61
MICHAEL W. Ross: The ethics of experiments HANK DAVIS: Ethical
3
in Britain
Part III. On applications of scient$c knowledge NANCY K. INNIS: Ethics of behavior modification: behavioral D. ADRIAN WILKINSON: Legal and ethical
implications
and medical psychology
of treatment
of minors
69 75
Part IV. Morality as an experimental subject
J. D. KEEHN: To do or not to do: dimensions with animal Numbers
and human
of value and morality
in experiments
subjects
81
213
Editorial Comments ALONZO L. PLOUGH: Medical clinical legitimation HARVEY D. LOMAS: Paternalism:
85 technology
and the crisis of experience:
89 medical
or otherwise
103
JACKOR M. NAJMAN and SOL LEVINE: Evaluating the impact technologies on the quality of life: a review and critique HELGA KUHSE: Extraordinary
the costs of
means and the intentional
of medical
termination
care and
107 of life
117
Book Reviews WILLIAM A. AYER : The social context of denristry, by Peter Davis
123
KENNETH
BRUMMEL-SMITH : Family medicine: the medical fife histories by F. J. A. Huygen Dekker and Van De Vegt NijMeggen
of ,ftimiIies,
123
RAYMOND T. GARZAand HOWARDS. FRIEDMAN:Conrmunity psychology: theoretical undempiricalupproaches, edited by Margaret S. Gibbs, Juliana Rasic Lachenmeyer and Janet Sigal ALLAN
YOUNG:Patients and healers in the context
borderland Number
between anthropology,
of culture:
medicine, uncf psychiatr.l.,
an exploration
124
of the
by Arthur Kleinman
124
4 SPEClAL
ETHICAL
ASPECTS
ISSUE:
OF ACCESS TO MEDICAL
CARE
MICHAELB. KLEIMAN: Introduction
127
NORMANDANIELS:What is the obligation of the medical profession in the distribution of health care ?
129
DAVIDT. OZAR: Justice and a universal right to basic health care
135
JAMESM. HUMBER: The involuntary persons
143
commitment
and treatment of mentally ill
NORAK. BELL: Triage in medical practices :-an unacceptable model ?
151
CAROLINEL. KAUFMANN:The right to health care: some cross-national comparisons and U.S. trends in policy
157
CLIFTONPERRY:The right of public access to cadaver organs
163
AUTHOR INDEX
Ayer W. A. 123 (BR)
Innis N. K. 69
Plough A. L. 89
Bassford H. A. 27 Bell N. K. 151 Blackman D. E. 3 Brumnel-Smith K. 123 (BR)
Kaufmann C. L. 157 Keehn J. D. 1, 81 Kuhse H. 117
Ross M. W. 51 Reed 6. F. 19
Daniels N. 129 Davis H. 61 Friedman
H. S. 124 (BR)
Levine S. 107 Lomas H. D. 103 Najman Norton
J. M. 107 W. A. 39
Garza R. T. 124 (BR)
Otar D. T. 135
Humber
Perry C. 163
J. M. 143
Sechzer
J. A. 13
Wiesenthal D. L. 33 Wilkinson D. A. 75 Young A. 125 (BR)
(BR) = Book Review