Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-24T03:27:26.150Z Has data issue: false hasContentIssue false

Intercultural Reasoning: The Challenge for International Bioethics

Published online by Cambridge University Press:  29 July 2009

Patricia Marshall
Affiliation:
Assistant Director of the Medical Humanities Program, Loyola University of Chicago, Stritch School of Medicine
David C. Thomasma
Affiliation:
Medical Ethics and Director of the Medical Humanities Program at Loyola University Chicago Medical Center and the Director of the International Bioethics Institute
Jurrit Bergsma
Affiliation:
Director of the Institute for Medical and Psychological Consultations, Utrecht, The Netherlands

Extract

The exportation of Western biomedicine throughout the world has not resulted in a systematic homogenization of scientific ideology but rather in the proliferation of many forms and practices of biomedicine. Similarly, in the last decade, bioethics has become increasingly an international enterprise. Although there may be consensus regarding the inherent value of ethical discourse as it relates to health and medical care, there are disagreements about the nature and parameters of medical morality. This lack of consensus exists because our beliefs about morality are culturally constituted, embedded in social, religious, and political ideologies that influence particular individuals and communities at specific historical moments.

Type
Special Section: Cross-cultural Perspectives in Healthcare Ethics
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Notes

1. Effelsberg, W, Illhardt, FJ. Kultur und Medizin. Curare: Zeitschrift fuer Ethnomedizin und transkulturelle Psychiatrie 1992; 15(3): 161–4.Google Scholar

2. Veatch, RM. Cross Cultural Perspectives in Medical Ethics: Readings. Boston: Jones and Bartlett, 1989.Google Scholar

3. Pellegrino, ED, Mazzarella, P, Corsi, P. Transcultural Dimensions in Medical Ethics. Frederick, Maryland: University Publishing Group, 1992.Google Scholar

4. Fox, RC, Swazey, JP. Medical morality is not bioethics: medical ethics in China and the United States. Perspectives in Biology and Medicine 1984; 27: 336–60.CrossRefGoogle Scholar

5. Marshall, PM. Anthropology and bioethics. Medical Anthropology Quarterly 1992; 6(1): 4973.CrossRefGoogle ScholarPubMed

6. Kunstadter, P. Medical ethics in cross-cultural and multi-cultural perspective. Social Science and Medicine 1980; 14B: 289–96.Google Scholar

7. Fabrega, H. An ethnomedical perspective of medical ethics. Journal of Medicine and Philosophy 1990; 15: 593625.CrossRefGoogle ScholarPubMed

8. Lieban, R. Medical anthropology and the comparative study of medical ethics. In: Weisz, G, ed. Social Science Perspectives on Medical. Philadelphia: University of Pennsylvania Press, 1990: 221–40.CrossRefGoogle Scholar

9. Pellegrino, ED, Thomasma, DC. A Philosophical Basis of Medical Practice. New York: Oxford University Press, 1981.Google Scholar

10. Thomasma, DC. Limitations of the autonomy model for the doctor-patient relationship. The Pharos 1983; 46: 25.Google ScholarPubMed

11. Thomasma, DC. Philosophy of medicine in Europe: challenges for the future. Theoretical Medicine 1985; 6: 115–23.CrossRefGoogle ScholarPubMed

12. Thomasma, DC, Pellegrino, ED. Challenges for a philosophy of medicine of the future: a response to fellow philosophers in the Netherlands. Theoretical Medicine 1987; 8: 187204.CrossRefGoogle ScholarPubMed

13. Engelhardt, HT Jr. Bioethics and Secular Humanism: The Search for a Common Morality. Philadelphia: Trinity Press International, 1991.Google Scholar

14. Rapport van de Commissie Onderzoek Medische Praktijk inzake Euthanasia: Medische beslissingen rond het levenseinde. ‘s-Gravenhage: Sdu Uitgeverij Plantijnstraat, 1991.Google Scholar

15. Scott, D. Euthanasia: America's next challenge to life. The Evangelist (Diocese of Albany, New York) 1992; 67 (4): 4.Google Scholar

16. See note 15. Scott, . 1992; 67 (4): 4.Google Scholar

17. Pellegrino, ED. Intersections of western biomedical ethics and world culture: problematic and possibility. Cambridge Quarterly of Healthcare Ethics 1992; 1: 191–6.CrossRefGoogle ScholarPubMed

18. Murray, RF Jr. Minority perspectives on biomedical ethics. In: Pellegrino, E, Mazzarella, P, Corsi, P, eds. Transcultural Dimensions in Medical Ethics. Frederick, Maryland: University Publishing Group, 1992: 3542.Google Scholar

19. Gergen, K. Social understanding and conceptions of the self. In: Stigler, JW, Shroder, RA, Herdt, G, eds. Cultural Psychology. Cambridge, England: Cambridge University Press, 1990: 596606.Google Scholar

20. Kaufert, JM, O'Neil, JD. Biomedical rituals and informed consent: native Canadians and the negotiation of the clinical trust. In: Weisz, G, ed. Social Science Perspectives on Medical Ethics. Philadelphia: University of Pennsylvania Press, 1990: 4164.CrossRefGoogle Scholar

21. D'Andrade, RG. Cultural meaning systems. In: Shweder, RA, Levine, R, eds. Culture Theory: Essays on Mind, Emotion, Self. Cambridge, England: Cambridge University Press, 1984: 88119.Google Scholar

22. Hatch, E. Culture and Morality: The Relativity of Values in Anthropology. New York: Columbia University Press, 1983.Google Scholar

23. Fabrega, H. Cultural relativism and psychiatric illness. Journal of Nervous and Mental Disease 1989; 177: 415–24.CrossRefGoogle ScholarPubMed

24. Spiro, ME: Cultural relativism and the future of anthropology. Cultural Anthropology 1986; 1: 259–86.CrossRefGoogle Scholar

25. Douglas, M. Morality and culture. Ethics 1983; 93: 786–91.CrossRefGoogle Scholar

26. Geertz, C. Anti anti-relativism. American Anthropologist 1984; 86: 263–78.CrossRefGoogle Scholar

27. Brown, K. Death and access: ethics in cross-cultural health care. In: Friedman, E, ed. Choices and Conflict. Chicago: American Hospital Association, 1992: 8593.Google Scholar

28. Shweder, RA. Ethics relativism: is there a defensible version? Ethos 1990; 18(2): 219–23.CrossRefGoogle Scholar

29. Renteln, AD. Relativism and the search for human rights. American Anthropologist 1988; 90: 5672.CrossRefGoogle Scholar

30. Marshall, PA. Anthropology and bioethics. Medical Anthropology Quarterly 1992; 6(1): 4973CrossRefGoogle ScholarPubMed

31. Conference resolves dispute over rights. Chicago Tribune 1993 06 20:1: 14.Google Scholar

32. Washington Post News Service. U.N. parley backs human rights office. The Sacramento Bee Final 1993 June 26:A10.Google Scholar

33. See note 33. Washington Post News Service. 1993 June 26: A10.Google Scholar