Sasi Aiswarya, Hegde Radhika, Dayal Stephen, Vaz Manjulika
St. John's Medical College, Bangalore, India.
Department of History of Medicine, St. John's Medical College, Bangalore, India.
Asian Bioeth Rev. 2020 Jun 10;12(2):149-172. doi: 10.1007/s41649-020-00117-3. eCollection 2020 Jun.
In India, there has been a shift from using unclaimed bodies to voluntary body donation for anatomy dissections in medical colleges. This study used in-depth qualitative interviews to explore the deeper intent, values and attitudes towards body donation, the body and death, and expectations of the body donor ( = 12), as well as their next of kin ( = 7) and representative religious scholars ( = 12). All donors had enrolled in a body bequest programme in a medical school in South India. This study concludes that body donors are philanthropists with deep-rooted values of altruism and service, who are often willing to forgo traditional religious and cultural death rituals. The next of kin are often uncomfortable with the donor's decision, and this suggests that it is important that dialogue/counselling occurs at the time of the bequest, if the donor's wishes are to be respected. Religious injunctions are often misinterpreted; this implies that religious leaders/scholars can play a significant role in addressing these misconceptions which are barriers to body donation. Body bequest programmes in India may be enhanced by positioning body donation as ''-giving without any expectation of return for a higher purpose, including ceremonies of respect in medical colleges. Furthermore, increased public engagement and awareness about body bequest programmes are also important to enhance participation. When medical students internalise what body donors expect of them, i.e. altruism, empathy with patients and becoming 'good doctors', it will help to ensure that the donation was not in vain and that the dead truly teach the living.
在印度,医学院解剖学教学已从使用无人认领的尸体转向自愿遗体捐赠。本研究采用深入定性访谈,以探究遗体捐赠者(n = 12)、其近亲(n = 7)以及代表性宗教学者(n = 12)对遗体捐赠、身体与死亡的深层意图、价值观和态度,以及遗体捐赠者的期望。所有捐赠者均已登记参加印度南部一所医学院的遗体遗赠计划。本研究得出结论,遗体捐赠者是具有深厚利他主义和服务价值观的慈善家,他们往往愿意放弃传统的宗教和文化死亡仪式。近亲通常对捐赠者的决定感到不安,这表明如果要尊重捐赠者的意愿,在遗赠时进行对话/咨询很重要。宗教禁令常常被误解;这意味着宗教领袖/学者在消除这些作为遗体捐赠障碍的误解方面可以发挥重要作用。印度的遗体遗赠计划可以通过将遗体捐赠定位为“为了更高目标而给予且不期望任何回报,包括在医学院举行尊重仪式”来得到加强。此外,提高公众对遗体遗赠计划的参与度和认知度对于增加参与率也很重要。当医学生将遗体捐赠者对他们的期望内化,即利他主义、对患者的同理心以及成为“好医生”时,这将有助于确保捐赠不会白费,逝者真正能够教导生者。