I was not impressed by Dr Geggie’s article offering a survey of the attitudes of newly appointed consultants towards research fraud (J. Med. Ethics 2001; 27:344-346). Indeed, by mixing up categories of misconduct from what is at most “bad behaviour” to the very serious, he is not entirely beyond reproach himself. I remind readers that Dr Geggie suggested that 55.7% of the respondents had observed (from the tit...
I was not impressed by Dr Geggie’s article offering a survey of the attitudes of newly appointed consultants towards research fraud (J. Med. Ethics 2001; 27:344-346). Indeed, by mixing up categories of misconduct from what is at most “bad behaviour” to the very serious, he is not entirely beyond reproach himself. I remind readers that Dr Geggie suggested that 55.7% of the respondents had observed (from the title) “research fraud”.
If the term “research fraud” is to have any meaning, it must be
reserved for conduct that consciously and deliberately attempts to impose
a fraud on others. The U.S. National Academy of Sciences report “On
Being a Scientist: Responsible Conduct in Research” distinguishes clearly
between “misallocation of credit, honest errors and errors caused through
negligence” and “deception, making up data or results, changing or
misreporting data or results, and plagiarism”. The former are “ethical
transgressions … that generally remain internal to the scientific
community .. dealt with locally through peer review, administrative
action and the system of appointments and evaluations”. The latter
“strike at the heart of the values on which science is based”. The White
House’s Office of Science and Technology Policy reached similar
conclusions, restricting research misconduct to “fabrication,
falsification and plagarism”. I agree with these assessments.
In Dr Geggie’s paper, deception would include deliberate falsification of
data (category 3 of Dr Geggie’s table 1), cheating (4A) and deliberately
plagiarising without attribution (4D). We then move into fairyland,
because Dr Geggie next asks “have you ever been an author on a paper for
which any of the authors have not made a sufficient contribution to
warrant credit for the work” or “has your name ever been omitted from a
paper for which you had made a substantial contribution”, and, surprise,
surprise, over half answered yes. These are examples of, at worst,
ethical transgressions (but more often examples of delusions of grandeur
on the part of the offended) but are not research fraud.
Those of us who run large research groups know from experience that
authorship of any paper poses problems. I have never met anyone, from
the cleaner to the director, who undervalued his/her own contribution to
the work! The issue arises with such consistency that many labs
(including my own) have long documents on how to resolve the problem of
who goes on, and who stays off, the authors’ list. But research
fraud? Give me a break!
Of those who responded, approximately 10% had personal knowledge of
research fraud, and 5% at most (it is not possible to tell if there is
overlap between those answering different questions) admitted to acts
that could be regarded as research fraud. This corresponds to my own
experience. I have spent more than 40 years in human molecular genetics,
a very competitive field, of which 25 years has been spent running very
large groups. I know the work of over 1000 scientists well. I have
personal knowledge of one case of serious research fraud and perhaps
three or four cases where the reporting of data was so careless as to
verge on misconduct (though without intent to commit fraud). I also know
of one case of plagiarism. To blur the boundaries between “research
fraud”, “research misconduct”, “possible future misconduct”, and
complaining about not getting your name on a paper does no one any good,
and certainly does not help any rational discussion about research ethics.
Further research is needed into the effects of alcohol and drugs, and in particular opiates on suppressing morality. Alcohol is often involved in emotionally charged acts of violence where as opiates in calculated, 'callous' acts of violence. Therefore, substance misuse or susceptibility to dependency are factors that need specific attention when assessing the risk for unethical behaviour.
Could I make a request of the newly installed editor, whose first
editorial is titled 'Future directions of the journal'? A direction I
would not wish to see is towards more and more abbreviations. They serve
little purpose other than to save printer's ink. [1] Looking through
volume 27, issue 3, there are a number of abbreviations better replaced by
the parent phrase or a contraction of it. Embryonic and f...
Could I make a request of the newly installed editor, whose first
editorial is titled 'Future directions of the journal'? A direction I
would not wish to see is towards more and more abbreviations. They serve
little purpose other than to save printer's ink. [1] Looking through
volume 27, issue 3, there are a number of abbreviations better replaced by
the parent phrase or a contraction of it. Embryonic and fetal tissue
transplantation can be referred to as 'transplantation' on later
occurrences, instead of the awkward EFTT. There is no reason why
Parkinson's disease should not be written out each time in full; in other
contexts PD means peritoneal dialysis. A topic so central to medical
ethics as informed consent must not be contracted to ICP, which in the
article stands for informed consent from patients, but is more commonly
intra-cranial pressure. Apart from its explanation on first use, AMI for
acute myocardial infarction was used only once.
It probably makes sense to use abbreviations for public bodies (eg,
NHS, RECs, PCGs, PCTs), and for abbreviations that are familiar throughout
medicine (eg, AIDS: although it is SIDA in French). There are some phrases
that repeat awkwardly, contract uneasily, and whose abbreviations (eg,
QALYs, CPR, DNR) are probably well enough known that readers will not have
to try to remember them just for the one article. But otherwise they
impede, rather than improve, communication.
To use examples from the new editor's own article, [2] they also
generate nonsense. Savulescu writes of "LTOP of pregnancies" and "ETOP of
early pregnancies". I am sure he would not have done this if, instead of
using the unnecessary abbreviations LTOP and ETOP, he had used the phrases
"late termination" and "early termination".
References
(1) Goodman NW, Kay C. Abbreviations impede communication. British
Journal of General Practice 1998;48:1204-1205.
(2) Savulescu J. Is current practice around late termination of
pregnancy eugenic and discriminatory? Maternal interests and abortion.
Journal of Medical Ethics 2001;27:165-71.
Neville W Goodman DPhil FRCA
Consultant Anaesthetist
Southmead Hospital
North Bristol NHS Trust
Bristol
BS10 5NB
Prof. Fulford endorsed Dr. Thomas Szasz's book THE MEANING OF MIND:
"Within the broad church of anti-psychiatry, Thomas Szasz has been
foremost in challenging a narrowly biological conception of human nature.
Provocative, thoughtful, and highly readable, The Meaning of Mind extends
his arguments to the bleak redunctionism implicit in modern neuroscience.
This is a timely stand against what C....
Prof. Fulford endorsed Dr. Thomas Szasz's book THE MEANING OF MIND:
"Within the broad church of anti-psychiatry, Thomas Szasz has been
foremost in challenging a narrowly biological conception of human nature.
Provocative, thoughtful, and highly readable, The Meaning of Mind extends
his arguments to the bleak redunctionism implicit in modern neuroscience.
This is a timely stand against what C.S. Lewis called the 'abolition of
man.' Thomas Szasz is a true Socratic gadfly of our modern Athens."
I don't know why Prof. Fulford endorsed a book whose premise he does
not agree with. Fulford's "plea for mental disorder" makes no sense if he
takes Dr. Szasz's contention seriously, that "mind" is only a metaphor.
There is no "mental disorder" if there is no "mind".
If Dr. Szasz is wrong then what is the meaning of mind?
"It is clear that in the strict meaning of 'disease' only the body
can suffer lesions; the intellect as such cannot be diseased, though it
can be affected by a diseased body."
This supports Dr. Thomas Szasz's interpretation of mental illness as
a metaphor.
Adler, M.J. 1937. WHAT MAN HAS MADE OF MAN, page 204
"It is clear that in the strict meaning of 'disease' only the body
can suffer lesions; the intellect as such cannot be diseased, though it
can be affected by a diseased body."
This supports Dr. Thomas Szasz's interpretation of mental illness as
a metaphor.
Adler, M.J. 1937. WHAT MAN HAS MADE OF MAN, page 204
I was not impressed by Dr Geggie’s article offering a survey of the attitudes of newly appointed consultants towards research fraud (J. Med. Ethics 2001; 27:344-346). Indeed, by mixing up categories of misconduct from what is at most “bad behaviour” to the very serious, he is not entirely beyond reproach himself. I remind readers that Dr Geggie suggested that 55.7% of the respondents had observed (from the tit...
Further research is needed into the effects of alcohol and drugs, and in particular opiates on suppressing morality. Alcohol is often involved in emotionally charged acts of violence where as opiates in calculated, 'callous' acts of violence. Therefore, substance misuse or susceptibility to dependency are factors that need specific attention when assessing the risk for unethical behaviour.
Sir,
Could I make a request of the newly installed editor, whose first editorial is titled 'Future directions of the journal'? A direction I would not wish to see is towards more and more abbreviations. They serve little purpose other than to save printer's ink. [1] Looking through volume 27, issue 3, there are a number of abbreviations better replaced by the parent phrase or a contraction of it. Embryonic and f...
Dear Editor,
Prof. Fulford endorsed Dr. Thomas Szasz's book THE MEANING OF MIND:
"Within the broad church of anti-psychiatry, Thomas Szasz has been foremost in challenging a narrowly biological conception of human nature. Provocative, thoughtful, and highly readable, The Meaning of Mind extends his arguments to the bleak redunctionism implicit in modern neuroscience. This is a timely stand against what C....
Dr. Mortimer J. Adler says:
"It is clear that in the strict meaning of 'disease' only the body can suffer lesions; the intellect as such cannot be diseased, though it can be affected by a diseased body."
This supports Dr. Thomas Szasz's interpretation of mental illness as a metaphor.
Adler, M.J. 1937. WHAT MAN HAS MADE OF MAN, page 204
Szasz, T.S. 1961 THE MYTH OF MENTAL ILLNESS...
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