The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm

With increasing calls for global health research there is growing concern regarding the ethical challenges encountered by researchers from high-income countries (HICs) working in low or middle-income countries (LMICs). There is a dearth of literature on how to address these challenges in practice. In this article, we conduct a critical analysis of three case studies of research conducted in LMICs. We apply emerging ethical guidelines and principles specific to global health research and offer practical strategies that researchers ought to consider. We present case studies in which Canadian health professional students conducted a health promotion project in a community in Honduras; a research capacity-building program in South Africa, in which Canadian students also worked alongside LMIC partners; and a community-university partnered research capacity-building program in which Ecuadorean graduate students, some working alongside Canadian students, conducted community-based health research projects in Ecuadorean communities. We examine each case, identifying ethical issues that emerged and how new ethical paradigms being promoted could be concretely applied. We conclude that research ethics boards should focus not only on protecting individual integrity and human dignity in health studies but also on beneficence and non-maleficence at the community level, explicitly considering social justice issues and local capacity-building imperatives. We conclude that researchers from HICs interested in global health research must work with LMIC partners to implement collaborative processes for assuring ethical research that respects local knowledge, cultural factors, the social determination of health, community participation and partnership, and making social accountability a paramount concern.     

A Note Concerning Analysis of Error Scores from Motor-Memory Research

Exception is taken to the statistical analysis for motor memory research suggested by Roy (1976) in his paper on “Measuring change in motor memory. “ The hazardous effects of multicollinearity which result from using AE(or E), CE, and VE as multiple dependent variables in MANOVA are explained and an alternate strategy for statistical analysis is suggested. I would like to express my appreciation to Ken Brewer, Program of Evaluation and Research Design at Florida State University, for his assistance with the major points of this paragraph.     

Construction of Circumplex Scales for the Inventory of Interpersonal Problems

We constructed a set of circumplex scales for the Inventory of Interpersonal Problems (IIP; Horowitz, Rosenberg, Baer, Ureno, & Villasenor, 1988). Initial scale construction used all 127 items from this instrument in two samples of university undergraduates (n = 197; n = 273). Cross-sample stability of item locations plotted against the first two principal components was high. A final set of eight 8-item circumplex scales was derived from the combined sample (n = 470) and cross-validated in a third university sample (n = 974). Finally, we examined the structural convergence of the IIP circumplex scales with an established measure of interpersonal dispositions, the Revised Interpersonal Adjective Scales (IAS-R; Wiggins, Trapnell, & Phillips, 1988). Although both circumplex instruments were derived independently, they shared a common Circular space. Implications of these results are discussed with reference to current research methods for the study of interpersonal behavior.     

Delusions and Hallucinations as a Reflection of the Subcultural Milieu Among Psychotic Patients of the 1930s and 1980s

Delusions and hallucinations reported in the social histories of 150 patients admitted to an East Texas state hospital during the 1930s and of 150 patients admitted during the 1980s were examined for content that would characterize and contrast the patient subcultural milieu of the two time periods. Patients admitted during the 1930s tended to reflect the material deprivation and personal powerlessness of the great depression in delusions of great wealth and positive “special powers.” The hallucinatory visions and voices of the 1980s patients reflected a more threatening and negative subcultural milieu, with more visions of blood, snakes, and dead people or animals. Command hallucinations to hurt, to kill, or to do “perverse things” would also suggest that the subculture milieu of the 1980s had become more dangerous.     

When Good Things Feel Closer and Bad Things Feel Farther: The Role of Perceived Control on Psychological Distance Perception

Prior research has found that people perceive positive objects and locations as physically closer than negative ones. Yet, other work has found the opposite to be true for perceptions of temporal distance, where negative future events feel closer than positive ones. Motivated by this seeming discrepancy, we propose that (a) feelings of control can differentially influence how far away valenced (i.e., positive or negative) targets feel in space and time and that (b) the difference in perceived control over space versus time can account for these opposite findings. First, across four studies, we show that high (vs. low) control makes positive targets feel closer and negative targets feel more distant in both physical space (Studies 1 and 1a) and time (Studies 2 and 2a). Then, in Studies 3 and 4, we simultaneously examine perceptions of spatial and temporal distance and show that baseline differences in perceived control between these domains can explain the prior discrepant findings. Finally, a within‐paper meta‐analysis offers further support to these findings.     

Beliefs About Faith and Work: Development and Validation of Honoring God and Prosperity Gospel Scales

Disputes over the connection between beliefs and behaviors, coupled with the relative paucity of survey measures of specific theological beliefs related to work and its association with financial success, motivated the development of two beliefs scales: beliefs about work as a means to honor God and beliefs about God promising prosperity for believers. Analyses demonstrated these two scales to be distinct from one another and reliable. Using a national sample of over 1,000 working adults, we assessed the relationship of the specific belief scales to Lynn et al.’s (J Bus Ethics 85(2):227–241, 2009) faith at work scale, Mirels and Garrett’s (J Consul Clin Psychol 36(1):40–44, 1971) Protestant Work Ethic scale, two personality scales (Conscientiousness and Neuroticism), entrepreneurial behavior, helping behavior, and religious tradition. Results indicate convergent and divergent validity and demonstrate the potential utility of these beliefs scales for predicting work-related attitudes and practices.