Point and counterpoint. Should academic ethics committees be available to review lapses in scientific integrity?
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PURPOSE: To present principles for accurately representing research for evidence-based practice and health care policies, and to evaluate how original research results indicated adherence to those principles in literature reviews of therapeutic touch. ORGANIZING CONSTRUCTS: Critical thinking and scientific integrity. SOURCES: Reviews of therapeutic touch literature published in nursing journals between 1994 and 1998 and the research studies cited in those reviews. METHODS: Statements made in reviews about the efficacy of therapeutic touch were compared with the results and conclusions of the research cited. General conclusions reported in reviews were evaluated against a broad range of therapeutic touch (TT) research studies, including many not cited in reviews. How accurately reviewers represented the research studies was evaluated by comparing reviewers' conclusions with those of the researchers. Findings were organized into principles to guide evidence-based reviews. FINDINGS: Literature reviews about therapeutic touch often cited only research with favorable findings. When citing studies with contradictory findings, only the favorable findings were usually mentioned. In many reviews, research cited as indicating the efficacy of therapeutic touch indicated it was ineffective. Every review examined had at least one significant mistake concerning how research studies were represented. CONCLUSIONS: Accurate presentation of original research results is needed to make evidence-based decisions and to ensure that limited healthcare resources are used effectively and safely. Evidence-based principles should be followed in reviewing therapies and practices, including alternative therapies.
The author discusses the legal principles that could assist in the design and administration of the official response to conduct found to threaten the integrity of the scientific process. The primary emphasis is on the principles that shape decisions about punishment. In the present climate of uncertainty about misconduct, it is difficult to adopt fair and consistent approaches to the selection of sanctions and other remedial actions. Officials have taken a variety of actions in response to unacceptable research behavior. Some federal actions have involved proceedings to recover the offending grant recipients' federal funds, prohibiting them from receiving federal grants or contracts for a set period, terminating or withholding ongoing grant support, and mandating future supervision of the offenders' research conduct; and universities have denied or revoked tenure, required or accepted retirement, and disclosed misconduct findings to potential future employers. Three types of legal remedies seem to have influenced the selection of sanctions in past cases: (1) the quasi-contractual legal remedy of restitution, (2) the philosophy of "just deserts," or retribution, based on the largely intuitive idea that the individual who engages in criminal conduct deserves punishment, and (3) deterrence of misconduct. Each type has a range of considerations and implications, and officials should thoughtfully consider the appropriate role of each, because their selection of sanctions will probably have a significant effect on the research community's perceptions of the system's fairness and efficacy.
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In the spring of 1999, a storm of controversy arose at the local, state, and national levels surrounding an article on the effects of child sexual abuse published in 1998 in Psychological Bulletin. The article was vehemently denounced by various media outlets, conservative grassroots organizations, members of the general public, state legislatures, and ultimately by the United States Congress. The authors chronicle these unprecedented events and related challenges faced by the American Psychological Association. The authors also describe the Association's efforts to resolve the crisis, while staunchly upholding academic freedom and scientific integrity, and review the lessons learned for the field of psychology.
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