Suppr超能文献

非洲生物伦理学:方法上的疑问与见解

African bioethics: methodological doubts and insights.

作者信息

Barugahare John

机构信息

Department of Philosophy, Makerere University, P. O. Box 7062, Kampala, Uganda.

出版信息

BMC Med Ethics. 2018 Dec 27;19(1):98. doi: 10.1186/s12910-018-0338-6.

Abstract

BACKGROUND

A trend called 'African bioethics' is growing on the continent due to perceptions of existing bioethics, especially guidelines for international collaborative research, as 'ethical imperialism'. As a potential alternative to 'Western Principlism,' 'African bioethics' is supposed to be indigenous to Africa and reflective of African identity. However, despite many positive insights in the on-going discussions, it is feared that the growth of bioethics in Africa lacks a clear direction. Some of the views threaten to distort the essence of bioethics and its development on the continent.

MAIN TEXT

This paper presents some of the dominant views on 'African bioethics', an examination of which reveals some valuable insights into the direction bioethics in Africa ought to take, but at the same time confirms some methodological challenges in some contributions to the discussion. On top of acknowledging critical insights in the discussion, the paper reveals that some views are characterized by arbitrariness and rhetorical discussions based on a strong negative and yet hard-to-accept assumption; doubtful designation; lack of a clearer problem being addressed and consequently obscure question(s) and aim(s) of the discourse. Finally, some methodological insights are proposed to guide bioethics research and scholarship in Africa. Specifically, the paper proposes that in search for the legitimacy of bioethics in Africa, we ought to protect the essence of bioethics by giving considerable attention to the utility of subsequent bioethics. To achieve this we need to specify the problem and proper designation for the discourse; focus on principles qua principles with impartiality and how to ensure their strict implementation; and encourage critical thinking as part of bioethics.

CONCLUSION

In cultivating bioethics in Africa, the pursuit of identity is legitimate but must be conditional in light of other competing considerations. We should focus on an objective search for bioethical principles that can be effective in responding to African and global health challenges of moral significance, irrespective of the origin of the principles and at the same time focus more on strategies for ensuring compliance with resulting principles.

摘要

背景

由于人们认为现有的生物伦理学,尤其是国际合作研究指南是“伦理帝国主义”,一种名为“非洲生物伦理学”的趋势正在非洲大陆兴起。作为“西方原则主义”的潜在替代方案,“非洲生物伦理学”被认为是非洲本土的,反映了非洲特色。然而,尽管在正在进行的讨论中有许多积极的见解,但人们担心非洲生物伦理学的发展缺乏明确的方向。一些观点有可能扭曲生物伦理学的本质及其在非洲大陆的发展。

正文

本文介绍了一些关于“非洲生物伦理学”的主流观点,对这些观点的审视揭示了一些关于非洲生物伦理学应朝哪个方向发展的宝贵见解,但同时也证实了在该讨论的一些贡献中存在的方法上的挑战。除了承认讨论中的批判性见解之外,本文还揭示,一些观点具有随意性,是基于一个强烈的负面且难以接受的假设进行的言辞讨论;存在可疑的命名;没有更明确地解决问题,因此讨论的问题和目标模糊不清。最后,本文提出了一些方法上的见解,以指导非洲的生物伦理学研究和学术工作。具体而言,本文建议,在寻求非洲生物伦理学的合法性时,我们应该通过充分关注后续生物伦理学的实用性来保护生物伦理学的本质。为了实现这一点,我们需要明确讨论的问题和恰当的命名;公正地关注原则本身以及如何确保其严格执行;并鼓励批判性思维作为生物伦理学的一部分。

结论

在非洲培育生物伦理学,追求特色是合理的,但鉴于其他相互竞争的考虑因素,必须是有条件的。我们应该专注于客观地寻找能够有效应对具有道德重要性的非洲和全球健康挑战的生物伦理原则,无论这些原则的来源如何,同时更多地关注确保遵守由此产生的原则的策略。

相似文献

1
African bioethics: methodological doubts and insights.
BMC Med Ethics. 2018 Dec 27;19(1):98. doi: 10.1186/s12910-018-0338-6.
2
'Bioethical Realism': A Framework for Implementing Universal Research Ethics.
Dev World Bioeth. 2019 Sep;19(3):128-138. doi: 10.1111/dewb.12207. Epub 2018 Aug 6.
3
Bioethics of life programs: taking seriously moral pluralism in clinical settings.
Eur J Med Res. 2010 Nov 4;15 Suppl 2(Suppl 2):98-101. doi: 10.1186/2047-783x-15-s2-98.
4
Decolonizing Bioethics in Africa.
BEOnline. 2016;3(4):68-90. doi: 10.20541/beonline.2016.0009. Epub 2016 Nov 22.
5
African Bioethics vs. Healthcare Ethics in Africa: A Critique of Godfrey Tangwa.
Dev World Bioeth. 2016 Aug;16(2):98-106. doi: 10.1111/dewb.12082. Epub 2015 Apr 24.
6
8
Beyond the Sterility of a Distinct African Bioethics: Addressing the Conceptual Bioethics Lag in Africa.
Dev World Bioeth. 2017 Apr;17(1):22-31. doi: 10.1111/dewb.12106. Epub 2016 Jan 25.
9
From bioethics to a sociology of bio-knowledge.
Soc Sci Med. 2013 Dec;98:264-70. doi: 10.1016/j.socscimed.2012.12.030. Epub 2013 Feb 1.
10
Following the giant's paces-governance issues and bioethical reflections in China.
BMC Med Ethics. 2014 Oct 31;15:79. doi: 10.1186/1472-6939-15-79.

引用本文的文献

1
Bioethics after the COVID-19 pandemic: More research, fewer committees?
Clin Ethics. 2022 Dec;17(4):327-330. doi: 10.1177/14777509221134243.
3
A Systems-Based Framework for Immunisation System Design: Six Loops, Three Flows, Two Paradigms.
Health Syst (Basingstoke). 2021 Oct 28;12(1):36-51. doi: 10.1080/20476965.2021.1992300. eCollection 2023.
4
Where is knowledge from the global South? An account of epistemic justice for a global bioethics.
J Med Ethics. 2023 May;49(5):325-334. doi: 10.1136/jme-2022-108291. Epub 2023 Jan 19.
5
Epistemic justice, African values and feedback of findings in African genomics research.
Glob Bioeth. 2022 Sep 21;33(1):122-132. doi: 10.1080/11287462.2022.2124019. eCollection 2022.
6
Fairness and accountability of AI in disaster risk management: Opportunities and challenges.
Patterns (N Y). 2021 Nov 12;2(11):100363. doi: 10.1016/j.patter.2021.100363.
7
Cultural Values and Beliefs of Selected Local Communities in Botswana: Implications for Human Subject Research Ethics Practice.
J Empir Res Hum Res Ethics. 2021 Oct;16(4):424-434. doi: 10.1177/15562646211023332. Epub 2021 Jun 7.

本文引用的文献

1
'Bioethical Realism': A Framework for Implementing Universal Research Ethics.
Dev World Bioeth. 2019 Sep;19(3):128-138. doi: 10.1111/dewb.12207. Epub 2018 Aug 6.
2
Decolonizing Bioethics in Africa.
BEOnline. 2016;3(4):68-90. doi: 10.20541/beonline.2016.0009. Epub 2016 Nov 22.
3
Giving voice to African thought in medical research ethics.
Theor Med Bioeth. 2017 Apr;38(2):101-110. doi: 10.1007/s11017-017-9402-3.
4
African and Western moral theories in a bioethical context.
Dev World Bioeth. 2010 Apr;10(1):49-58. doi: 10.1111/j.1471-8847.2009.00273.x. Epub 2009 Dec 3.
6
Bioethics, biotechnology and culture: a voice from the margins.
Dev World Bioeth. 2004 Dec;4(2):125-38. doi: 10.1111/j.1471-8731.2004.00088.x.
8
International research: ethical imperialism or ethical pluralism?
Account Res. 1999;7(1):59-83. doi: 10.1080/08989629908573942.
9
'Bioethics' is subordinate to morality in Japan.
Bioethics. 1996 Jul;10(3):201-11. doi: 10.1111/j.1467-8519.1996.tb00119.x.
10
Bioethics: an African perspective.
Bioethics. 1996 Jul;10(3):183-200. doi: 10.1111/j.1467-8519.1996.tb00118.x.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验