‘Do no harm’? Rethinking risk and harm narratives in abuse-focused research with children

Helen Beckett , Camille Warrington
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Abstract

Despite increasing recognition of children's right to have a say about matters that affect them (Article 12, United Nations Convention on the Rights of the Child), this right is often denied in the context of child abuse research. This article explores the ways in which ethical decision-making can contribute to the denial of this right and the negative implications of this at both an individual and societal level.

Ethical decision-making that stymies the conduct of abuse-focused research with children is usually justified with reference to protecting participants from risk of harm. Whilst in no way suggesting that this is not a critical consideration, the authors question the simplistic and deterministic ways in which this can be understood within ethical decision-making, and the unnecessarily risk-averse decisions that can ensue.

Sharing examples from their cumulative 30 years' experience of engaging children and young people in abuse-focused research, the authors stress the need for a more holistic, nuanced and dynamic approach to assessing and managing risk of harm. This would consider risks of both inclusion and exclusion. Understanding that risk and harm are neither static nor universally experienced concepts, it would recognise the implausibility of the ‘do no harm’ guarantees often expected of social researchers. Instead, informed by rights-respecting and trauma-informed perspectives, it would focus on holistically promoting participant wellbeing in, and through, research. Key to this is permitting, and supporting, researchers to exercise contextually-informed, collaborative decision-making in the field; something the authors share their emerging practice framework for.

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不要伤害"?重新思考以虐待为重点的儿童研究中的风险和伤害叙事
尽管越来越多的人认识到儿童有权对影响自身的事务发表意见(联合国《儿童权利公约》第 12 条),但在虐待儿童研究中,这一权利往往被剥夺。本文探讨了伦理决策如何导致这一权利被剥夺,以及这在个人和社会层面的负面影响。伦理决策阻碍了以虐待儿童为重点的研究的进行,其理由通常是保护参与者免受伤害。作者绝不是说这不是一个重要的考虑因素,但他们质疑在伦理决策中理解这一问题的简单化和决定性方式,以及随之而来的不必要的规避风险的决策。作者分享了他们 30 年来在让儿童和青少年参与以虐待为重点的研究中积累的经验,强调需要一种更加全面、细致和动态的方法来评估和管理伤害风险。这既要考虑包容风险,也要考虑排斥风险。作者认为,风险和伤害既不是静态的概念,也不是普遍经历过的概念,因此需要认识到社会研究人员通常期望的 "不伤害 "保证是不切实际的。取而代之的是,在尊重权利和了解创伤的观点的指导下,它将侧重于在研究中并通过研究全面促进参与者的福祉。这其中的关键是允许并支持研究人员根据实际情况,在实地进行合作决策;作者分享了他们的新兴实践框架。
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