Barugahare John
Department of Philosophy, Makerere University, P. O. Box 7062, Kampala, Uganda.
BMC Med Ethics. 2018 Dec 27;19(1):98. doi: 10.1186/s12910-018-0338-6.
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.
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.
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.
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。
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。
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。