Respecting relational agency in the context of vulnerability: What can research ethics learn from the social sciences?

Author:

Roest Jennifer1ORCID,Nkosi Busisiwe23ORCID,Seeley Janet245,Molyneux Sassy6,Kelley Maureen1

Affiliation:

1. Nuffield Department of Population Health, Ethox Centre and Wellcome Centre for Ethics & Humanities University of Oxford Oxford UK

2. Africa Health Research Institute KwaZulu‐Natal South Africa

3. School of Law University of KwaZulu‐Natal Durban South Africa

4. Department of Global Health and Development London School of Hygiene and Tropical Medicine London UK

5. School of Nursing and Public Health University of KwaZulu‐Natal Durban South Africa

6. Department of Tropical Medicine University of Oxford and KEMRI Wellcome Trust Research Programme Kilifi Kenya

Abstract

AbstractDespite advances in theory, often driven by feminist ethicists, research ethics struggles in practice to adequately account for and respond to the agency and autonomy of people considered vulnerable in the research context. We argue that shifts within feminist research ethics scholarship to better characterise and respond to autonomy and agency can be bolstered by further grounding in discourses from the social sciences, in work that confirms the complex nature of human agency in contexts of structural and other sources of vulnerability. We discuss some of the core concepts and critiques emerging from the literature on women and children's agency in under‐resourced settings, highlighting calls to move from individualistic to relational models of agency, and to recognise the ambiguous, value‐laden, and heterogeneous nature of the concept. We then draw out what these conceptual shifts might mean for research ethics obligations and guidance, illustrating our analysis using a case vignette based on research ethics work conducted in South Africa. We conclude that if research practices are to be supportive of agency, it will be crucial to scrutinise the moral judgements which underpin accounts of agency, derive more situated definitions of and responses to agency, and enable people and participants to influence these based on their own experiences and self‐perceptions.

Publisher

Wiley

Subject

Health Policy,Philosophy,Health (social science)

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