Common principles and multiculturalism
Abstract
Judgment on rightness and wrongness of beliefs and behaviors is a main issue in bioethics. Over centuries, big philosophers and ethicists have been discussing the suitable tools to determine which act is morally sound and which one is not. Emerging the contemporary bioethics in the West has resulted in a misconception that absolute westernized principles would be appropriate tools for ethical decision making in different cultures. We will discuss this issue by introducing a clinical case. Considering various cultural beliefs around the world, though it is not logical to consider all of them ethically acceptable, we can gather on some general fundamental principles instead of going to the extremes of relativism and absolutism. Islamic teachings, according to the presented evidence in this paper, fall in with this idea.
Meleis AI, Jonsen A. Ethical crises and cultural differences. West J Med 1983; 138 (6): 889-93.
Hathout MM. Comment on "ethical crises and cultural differences. West J Med 1983; 139(3): 380–1.
Brannigan M, Boss J. Healthcare Ethics in a Diverse Society. New York: McGraw-Hill; 2001, pp. 486-87.
Anonymous. Johns Hopkins; American Healthways. Defining the patient-physician relationship for the 21st century. Dis Manag 2004; 7(3): 161-179.
Rumi MJM. The Masnavi I Ma'navi. Abridged and Translated by Whinfield EH. http://www.sacred- texts.com/isl/masnavi/ (accessed on May 2009)
Macklin R. Against Relativism: Cultural Diversity and the Search for Ethical Universals in Medicine. New York: Oxford University Press; 1999.
Bowman K. What are the limits of bioethics in a culturally pluralistic society? J Law Med Ethics 2004; 664 -9.
Buken NO. Truth-telling information and communication with cancer patients in Turkey. JISHIM 2003; 3: 31-6.
Brannigan M. Connecting the dots in cultural competency: Institutional Strategies and Conceptual. Camb Q Healthc Ethics 2008; 17: 173-84.
Taylor SL, Lurie N. The role of culturally competent communication in reducing ethnic and racial healthcare disparities. Am J Manag Care 2004; 10 Spec No: SP1-4.
Jafari MT. The Mystery of Life: a Secret inside Secrets. Tehran: Allameh Jafari Institute; 2005, pp. 141-2.
Larijani B, Zahedi-Anaraki F. Islamic principles and decision making in bioethics. Nat Genet 2008; 40(2): 123.
Powell T. Culture and communication: medical disclosure in Japan and the U.S. Am J Bioeth 2006; 6 (1): 18-20.
Larijani B, Zahedi F. Medical ethics activities and plans in Iran at a glance. Iran J Allergy Asthma Immunol 2007; 6 (Suppl. 5): 1-4.
Larijani B, Malek–Afzali H, Zahedi F, Motevaseli E. Strengthening medical ethics by strategic plan in Islamic Republic of Iran. Dev World Bioeth 2006; 6(2): 106–110.
| Files | ||
| Issue | Vol 2 (2009) | |
| Section | Articles | |
| Keywords | ||
| Principlism, Ethical relativism, Informed consent, Truth disclosure. | ||
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