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John H. Noble, Jr., Ph.D., retired in
August, 2005, from his position as Endowed Professor for Social Justice,
The Catholic University of America. He has been Professor Emeritus since
1993 at the State University of New York at Buffalo, where he held joint
appointments in the School of Social Work and in Rehabilitation
Medicine. Over the years, his research and analytic interests have
focused on the evaluation of public policy as it furthers or hinders the
autonomy of disabled people. These interests converge on the human
rights mission of the Alliance for Human Research Protection.
In the early 1970s when the federal government was reacting to the Tuskegee
scandal and the involvement of the Public Health Service in the
unethical investigation of the sequelae of syphilis in human beings, he
was exploring the strengths and weaknesses of peer review. He concluded
that peer review as conducted by government agencies failed to probe the
quality and ethics of research proposals because it did not follow
through with an evaluation of the products of research. Failure to
evaluate the outcome of government-funded research has resulted in
unjustifiable, duplicative, even trivial research. Dr. Noble recommended
that government agencies invest in end-product evaluation of research
and dissemination of the results. See John H. Noble, Jr. (September 13, 1974). Peer
review: Quality control of applied social research. Science,
185:916-921. Go to: http://faculty.cua.edu/noble/PeerReview74.pdf
In a 1977 article, he probed
the limits of cost-benefit analysis as a guide for assessing the design
of government R&D programs and rehabilitation services. The autonomy
interests of persons with disabilities, he found, were undermined
by a combination of unacknowledged assumptions and values pursuant
to an utilitarian agenda. See John H. Noble, Jr. (1977). The limits
of cost-benefit analysis as a guide to priority‑setting in rehabilitation.
Evaluation Quarterly, 1:347-380. Go to: http://faculty.cua.edu/noble/LimitsB-C77.pdf
Throughout the 1970s and
to the present time, the concepts of disability and rehabilitation
have suffered from oversimplification. Dr. Noble turned to cross-national
investigation of government systems and policies to develop a disability
and rehabilitation model that identifies the combination of societal
and individual variables that influence the outcomes of rehabilitation.
See John H. Noble, Jr. (1979). Rehabilitating the severely disabled:
The foreign experience. Journal of Health Politics, Policy and
Law, 4:221-249. Go to: http://faculty.cua.edu/noble/Foreignexp79.pdf
In 1984, he turned to the
influence that competing systems of ethics have on policy deliberations
and decision-making affecting the lives and even the chance for life
of persons with severe disabilities. He concluded that those who wished
to promote the best interests of such people were advised to adopt
John Rawls' theory of social justice as antidote to the prevailing
utilitarian theory. See John H. Noble, Jr. (1985). Ethical considerations
facing society in rehabilitating severely disabled persons. In F.
Ferrari & M. Sussman (Eds.), Childhood disability and family
systems, special edition of Marriage and Family Review,
11(1/2):65-82, 1987. Go to:
http://faculty.cua.edu/noble/EthicalConsid87.pdf
More recently, Dr.
Noble explored the influence worldwide of economics, culture, and forms
of government on the chance for survival and life quality of persons
with disabilities and suggests ways for governments and non-governmental
organizations to leverage development assistance to promote their human
rights. See John H. Noble, Jr. (2003). The economics of equality: An
exploration of country differences.
In L.O. Gostin & H.H. Koh (Eds), Different
but equal: The rights of persons with intellectual disabilities,
Chapter 15. New York: Oxford University Press.
As AHRP board member, Dr. Noble has turned attention to factors
influencing the quality of research involving human subjects in the
behavioral and biomedical sciences. His review, Meta-analysis: Methods,
strengths, weaknesses, and political uses, that appeared in the Journal
of Laboratory and Clinical Medicine (2006; 147:7-20) advocates use of
meta-analytic techniques to measure the extent of potential bias in scientific reports
caused by the detected conflicts of interest of their authors.
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