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Final answer:Using prisoners as participants inclinical researchis problematic due to ethical considerations outlined in the Belmont Report, which mandates special protection for individuals with limited ability to refuse participation. Additionally, the design of the study, which involves sleep deprivation, could pose significant risks to the health and wellbeing of the participants.Explanation:Using prisoners as participants for Dr. Kushner's sleep deprivation study presents several ethical concerns. According to theBelmont Report, individuals with a constrained ability to refuse participation, such as prisoners, deserve additional protections when involved in research. This principle, which represents a significant aspect of modern ethical guidelines for research, helps to ensure that individuals who may feel coerced into participating are adequately protected.In the context of the prison environment, being unable to refuse may arise from multiple factors. For example, prisoners may feel obliged to participate due to perceived benefits or pressures within the confined prison environment. This underscores the importance of taking precautionary measures when considering recruiting participants from such vulnerable groups. Dr. Kushner must ensure that his recruitment methods, informed consent procedures, and overall study design respect the rights and welfare of potential prisoner participants._Moreover, his study's design - selectively depriving participants of REM sleep and then administering a cognitive test - presents additional ethical considerations. Evidence suggests that sleep deprivation can lead to numerous negative physiological andpsychologicalconsequences, such as reduced cognitive function, increased stress hormone levels, and impairments in mood and judgement. Therefore, Dr. Kushner's study could potentially pose risks to the health and wellbeing of his participants, especially taking into account the already challenging conditions in a prison setting.Learn more aboutEthical issues in Clinical Researchhere:brainly.com/question/33250217#SPJ11...