Tan Kiak Min Mark
a St. Mary's University , Twickenham , United Kingdom.
New Bioeth. 2017 Jul;23(2):154-164. doi: 10.1080/20502877.2017.1345091. Epub 2017 Jul 8.
Despite flourishing as a multidisciplinary subject, the predominant view in bioethics today is based on Anglo-American thought. This has serious implications for a global bioethics that needs to be contextualized to local cultures and circumstances in order to be relevant. Being the largest continent on the earth, Asia is home to a variety of cultures, religions and countries of different economic statuses. While the practice of medicine in the East and West may be similar, its ethical practices do differ. Thus, the Western understanding of autonomy may not be wholly applicable in the Asian setting, especially in the setting of breaking bad news, giving consent, determining best interests and deciding on end-of-life care. This article explores these topics in depth, attempting to find shared integrating factors, but at the same time arguing for a modified ethical application of autonomy, based on Asian beliefs.
尽管生物伦理学作为一门多学科主题蓬勃发展，但如今生物伦理学的主流观点是基于英美的思想。这对全球生物伦理学有着严重影响，因为全球生物伦理学需要根据当地文化和情况进行情境化处理，才能具有相关性。亚洲是地球上最大的大陆，拥有各种各样的文化、宗教以及经济状况各异的国家。虽然东西方的医疗实践可能相似，但其伦理实践确实存在差异。因此，西方对自主性的理解可能并不完全适用于亚洲背景，尤其是在传达坏消息、给予同意、确定最大利益以及决定临终关怀等方面。本文深入探讨这些主题，试图找到共同的整合因素，但同时也主张基于亚洲信仰对自主性进行修正后的伦理应用。
