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(en) [Fwd: childhood experiments]
From
Graeme Bacque <gbacque@arcos.org>
Date
Wed, 15 Apr 1998 17:16:10 -0400
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Experiments on Children Are Reviewed -- NY Times article
April 15, 1998
Experiments on Children Are Reviewed
By PHILIP J. HILTS
Federal research-ethics officials are investigating several
psychiatric experiments in which 100 New York City boys, many of them
black or Hispanic, were given the now-banned diet drug fenfluramine.
The three experiments took place at the New York State
Psychiatric Institute, which is affiliated with Columbia University,
at Queens College and the Mount Sinai School of Medicine over three
years, ending in 1996. In the experiment at the New Yor k Psychiatric
Institute, 34 children, all of whom were 6- to 10-year-old black or
Hispanic boys, were given intravenous doses of fenfluramine to test a
theory that violent or criminal behavior may be predicted by levels
of certain brain chemicals.
The investigation was prompted by criticism from patient
advocacy groups over whether these children may have been used in
experiments in which they had no hope of medical benefit, but may
have been exposed to substantial risk. Federal regulations
prohibit such experiments except under unusual conditions.
The critics have also asked the investigators to examine
possible bias in the racial makeup of the experiments. "What value
does the President's apology for Tuskegee have when there are no
safeguards to prevent such abuses now?" asked Vera Sharav,
the director of the New York patient advocacy group called Citizens
for Responsible Care in Psychiatry and Research, referring to the
infamous experiment in which black men with syphilis were not treated
but were instead observed.
"These racist and morally offensive studies put minority
children at risk of harm in order to prove they are generally
predisposed to be violent in the future," she said.
The drug given to the children, fenfluramine, was a component
of the diet drugs called Fen-Phen. The drugs were taken off the
market after some adults who had taken them in combination for months
were found to have heart-valve defects. In all thre e experiments,
the children received only small, one-time doses of fenfluramine, so
experts in the use of that drug say it is unlikely their hearts were
damaged.
The boys who were given the drug were the younger brothers of
delinquents. The researchers found them through court records and by
interviewing mothers to find those who had what the scientists
described as "adverse rearing practices." The mothers
were then asked to bring the children into the experiment. In
return, they were given $125.
Articles on the experiments were published in scientific
journals last fall. Later in 1997, Ms. Sharav reported the studies to
the National Bioethics Advisory Commission, a panel that counsels the
President. The commission is now reviewing the Fed eral Government's
rules on experiments with "vulnerable subjects," such as children and
mental patients.
Disability Advocates, Inc., a nonprofit group based in Albany
that helps people with disabilities in human rights cases, referred
the experiments to the Federal Office of Protection from Research
Risks of the Department of Health and Human Service s.
On Monday, Dr. Gary Ellis, chief of the Federal office,
confirmed that a preliminary investigation has begun and estimated
that it would take months to complete.
Researchers at Queens College and Mount Sinai did not offer
extensive comment on the experiments, but said in a statement
yesterday, "Mount Sinai denies that the research conducted at our
institution was in any way illegal, unethical or otherwise improper."
The chief author of the Psychiatric Institute study, Dr.
Daniel Pine, declined to comment, but the director of the Psychiatric
Institute, Dr. John Oldham, said in interviews two weeks ago that
such studies are very important to study the biologica l basis of
behavior.
"Is there or is there not a correlation between certain
biological markers and conduct disorders or antisocial behavior?" Dr.
Oldham said. "This study was an effort to look at this with a
relatively simple method using fenfluramine."
In the two experiments published jointly by researchers from
Queens College and Mount Sinai, the subjects were 66 boys between
ages 7 and 11 with attention-deficit hyperactivity disorder. The boys
were taken off their medication for attention defi cit and
intravenously given fenfluramine to measure for a chemical they
believe is linked to aggression.
A spokesman for Mount Sinai, Mel Granick, would not disclose
what percentage of the boys in the Queens and Mount Sinai studies
were black or Hispanic, saying only that the boys reflected the
"ethnically diverse population of our catchment area."
Copyright 1998 The New York Times Company
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