Present Lessons from Past Infractions: STD Research in Guatemala in the 1940s as an Ethics Case Study

Karen Meagher & Kayte Spector-Bagdady, Present Lessons from Past Infractions: STD Research in Guatemala in the 1940s as an Ethics Case Study, 14(2) Teaching Ethics: the Journal for the Society for Ethics Across the Curriculum 53 (Spring 2014)

24 Pages Posted: 28 Feb 2014 Last revised: 9 Jun 2016

See all articles by Karen Meagher

Karen Meagher

Presidential Commission for the Study of Bioethical Issues

Kayte Spector-Bagdady

University of Michigan at Ann Arbor - Medical School

Date Written: 2014

Abstract

The case study of sexually transmitted infection (STI) research conducted by the U.S. Public Health Service (PHS) in Guatemala from 1946-48 is an excellent teaching tool for ethics education. By providing insight into the complexity of the ethical infractions that allowed the Guatemala experiments to occur, this case study helps to integrate four central lessons into an ethics course: (1) casuistry as a form of ethical analysis, (2) the complexities of research with vulnerable populations, (3) the ethical values embedded in current regulatory oversight and external review, and (4) the conceptual and practical difficulties of assigning shared responsibility and culpability. Designed with the intention to assist educators experienced and new, this article examines how educators can explore the contours of current research contexts through an introduction to casuistry, and ask students to translate their understanding of the Guatemala case into lessons for present research practices.

The findings and conclusions in this Article are those of the authors and do not necessarily represent the official position of the Presidential Commission for the Study of Bioethical Issues or the Department of Health and Human Services.

Keywords: Guatemala and STD; Guatemala and STI; teaching ethics; research ethics; casuistry; case study; public health ethics

Suggested Citation

Meagher, Karen and Spector-Bagdady, Kayte, Present Lessons from Past Infractions: STD Research in Guatemala in the 1940s as an Ethics Case Study (2014). Karen Meagher & Kayte Spector-Bagdady, Present Lessons from Past Infractions: STD Research in Guatemala in the 1940s as an Ethics Case Study, 14(2) Teaching Ethics: the Journal for the Society for Ethics Across the Curriculum 53 (Spring 2014), Available at SSRN: https://ssrn.com/abstract=2401742

Karen Meagher (Contact Author)

Presidential Commission for the Study of Bioethical Issues ( email )

1425 New York Avenue, NW
Suite C-100
Washington, DC 20005
United States
2022333979 (Phone)

HOME PAGE: http://www.bioethics.gov

Kayte Spector-Bagdady

University of Michigan at Ann Arbor - Medical School ( email )

Ann Arbor, MI
United States

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