Research with the Doubly Vulnerable Population of Individuals who Abuse Alcohol: An Ethical Dilemma
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Feature Articles
Research with the Doubly Vulnerable Population of Individuals who Abuse Alcohol: An Ethical Dilemma

Journal of Psychosocial Nursing and Mental Health Services   Vol. 48 No. 2   February 2010

By Priscilla Gage Gwyn, PhD, ARNP-BC, OCN; Jessie M. Colin, PhD, RN

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Abstract

Individuals who have maladaptive patterns of drinking alcohol fall into the category of vulnerable research participants for many reasons, not the least of which includes the stigma often placed on individuals who abuse alcohol. Vulnerable subgroups within the population of people who abuse alcohol include women; older adults; incarcerated, socioeconomically disadvantaged, and mentally ill individuals; as well as people from racial minorities. Thus, as research participants, individuals who abuse alcohol can be labeled a doubly vulnerable population. Belonging to more than one population simultaneously can lead to a compromised ability to protect one’s own interests or greater susceptibility to harm related to participating in research studies. Arguments against including people who abuse alcohol as research participants will be presented, followed by the argument for including these individuals, which is suggested as the more ethically sound of the two points of view.

AUTHORS

Dr. Gwyn is Assistant Professor, Department of Nursing, Florida Hospital College of Health Sciences, Orlando, and Dr. Colin is Professor and Director, Nursing PhD, Nursing Administration, and Nursing Education Programs, Barry University, Division of Nursing, Miami Shores, Florida.

The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support. The authors acknowledge Rev. Lewis R. Gwyn, III, and Barry University’s Writing Center for their guidance and editorial support in preparing the manuscript.

Address correspondence to Priscilla Gage Gwyn, PhD, ARNP-BC, OCN, Assistant Professor, Department of Nursing, Florida Hospital College of Health Sciences, 671 Winyah Drive, Orlando, FL 32803; e-mail: gage.gwyn@fhchs.edu.

Received: March 22, 2009

Accepted: October 5, 2009

Posted: January 22, 2010

doi:10.3928/02793695-20100108-01