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1
Bioethics of the refusal of blood by Jehovah's Witnesses: Part 1. Should bioethical deliberation consider dissidents' views?耶和华见证人的拒输血行为的生物伦理学:第一部分。生物伦理学考量应纳入异议者的观点吗?
J Med Ethics. 1998 Aug;24(4):223-30. doi: 10.1136/jme.24.4.223.
2
Jehovah's Witnesses' refusal of blood: obedience to scripture and religious conscience.耶和华见证会对输血的拒绝:对经文和宗教良知的遵从。
J Med Ethics. 1999 Dec;25(6):469-72. doi: 10.1136/jme.25.6.469.
3
Bioethics of the refusal of blood by Jehovah's Witnesses: Part 2. A novel approach based on rational non-interventional paternalism.耶和华见证人的拒血行为的生物伦理学:第二部分。基于理性非干预家长主义的新方法。
J Med Ethics. 1998 Oct;24(5):295-301. doi: 10.1136/jme.24.5.295.
4
Bioethics of the refusal of blood by Jehovah's Witnesses: Part 3. A proposal for a don't-ask-don't-tell policy.耶和华见证人的拒输血生物伦理学:第三部分。关于“不问不说”政策的提议。
J Med Ethics. 1999 Dec;25(6):463-8. doi: 10.1136/jme.25.6.463.
5
Bioethics and religious bodies: refusal of blood transfusions in Germany.生命伦理学与宗教团体:德国的输血拒绝现象。
Soc Sci Med. 2013 Dec;98:271-7. doi: 10.1016/j.socscimed.2013.02.043. Epub 2013 Mar 14.
6
Medical confidentiality and the protection of Jehovah's Witnesses' autonomous refusal of blood.医疗保密与耶和华见证者自主拒绝输血的保护
J Med Ethics. 2000 Oct;26(5):381-6. doi: 10.1136/jme.26.5.381.
7
Refusal of treatment by an adolescent: the deliverances of different consciences.青少年拒绝治疗:不同良知的裁决
HEC Forum. 1998 Mar;10(1):9-23. doi: 10.1023/a:1008802516670.
8
Refusal of potentially life-saving blood transfusions by Jehovah's Witnesses: should doctors explain that not all JWs think it's religiously required?耶和华见证人拒绝接受可能挽救生命的输血:医生是否应解释并非所有耶和华见证人都认为这是宗教所要求的?
J Med Ethics. 2000 Oct;26(5):299-301. doi: 10.1136/jme.26.5.299.
9
Transfusion-free treatment of Jehovah's Witnesses: respecting the autonomous patient's rights.对耶和华见证人的无输血治疗:尊重自主患者的权利。
J Med Ethics. 1998 Oct;24(5):302-7. doi: 10.1136/jme.24.5.302.
10
Jehovah's Witnesses and blood transfusion: physicians' attitudes and legal precedents.耶和华见证人及输血问题:医生的态度与法律先例
South Med J. 1984 Apr;77(4):473-8. doi: 10.1097/00007611-198404000-00016.

引用本文的文献

1
Between Autonomy and Paternalism: Attitudes of Nursing Personnel Towards Jehovah's Witnesses' Refusal of Blood Transfusion.在自主与家长主义之间:护理人员对耶和华见证人拒绝输血的态度。
Int J Public Health. 2023 Aug 3;68:1606291. doi: 10.3389/ijph.2023.1606291. eCollection 2023.
2
Autonomy-Centered Healthcare.以自主性为中心的医疗保健。
HEC Forum. 2018 Sep;30(3):297-318. doi: 10.1007/s10730-018-9355-6.
3
Reflections on Cultural Preferences and Internal Medicine: The Case of Jehovah's Witnesses and the Changing Thresholds for Blood Transfusions.关于文化偏好与内科医学的思考:耶和华见证人的案例以及输血阈值的变化
J Relig Health. 2017 Apr;56(2):732-738. doi: 10.1007/s10943-016-0353-1.
4
A Jehovah's Witness adolescent with pancytopenia.一名患有全血细胞减少症的耶和华见证人青少年。
CMAJ. 2012 Jun 12;184(9):1055-9. doi: 10.1503/cmaj.111873. Epub 2012 May 14.
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Preferences for life-prolonging medical treatments and deference to the will of god.对延长生命的医疗治疗的偏好和对上帝旨意的尊重。
J Relig Health. 2009 Dec;48(4):418-30. doi: 10.1007/s10943-008-9205-y. Epub 2008 Aug 20.
6
Medical emergencies in children of orthodox Jehovah's Witness families: Three recent legal cases, ethical issues and proposals for management.耶和华见证会正统派家庭中儿童的医疗急救:近期三起法律案件、伦理问题及管理建议
Paediatr Child Health. 2006 Dec;11(10):655-8. doi: 10.1093/pch/11.10.655.
7
Surgery and religiosity.手术与宗教信仰。
J Natl Med Assoc. 2001 Mar;93(3):109-12.
8
Bioethical aspects of the recent changes in the policy of refusal of blood by Jehovah's witnesses.耶和华见证人拒绝输血政策近期变化的生物伦理问题。
BMJ. 2001 Jan 6;322(7277):37-9. doi: 10.1136/bmj.322.7277.37.
9
Medical confidentiality and the protection of Jehovah's Witnesses' autonomous refusal of blood.医疗保密与耶和华见证者自主拒绝输血的保护
J Med Ethics. 2000 Oct;26(5):381-6. doi: 10.1136/jme.26.5.381.
10
Why some Jehovah's Witnesses accept blood and conscientiously reject official Watchtower Society blood policy.为何一些耶和华见证人接受输血,却又刻意拒绝守望台圣经书社的官方输血政策。
J Med Ethics. 2000 Oct;26(5):375-80. doi: 10.1136/jme.26.5.375.

本文引用的文献

1
Medical ethics in the treatment of Jehovah's Witnesses.治疗耶和华见证人的医学伦理问题。
Arch Intern Med. 1998 May 25;158(10):1155-6. doi: 10.1001/archinte.158.10.1155.
2
Jehovah's Witnesses leading education drive as hospitals adjust to no blood requests.随着医院适应不再接收输血请求,耶和华见证人组织开展教育活动。
CMAJ. 1996 Feb 15;154(4):557-60.
3
Surgical red blood cell transfusion practice policies. Blood Management Practice Guidelines Conference.外科红细胞输血实践政策。血液管理实践指南会议。
Am J Surg. 1995 Dec;170(6A Suppl):3S-15S. doi: 10.1016/s0002-9610(99)80052-x.
4
Isolating fetal cells in maternal circulation for prenatal diagnosis.在母血循环中分离胎儿细胞用于产前诊断。
Prenat Diagn. 1994 Dec;14(13):1229-42. doi: 10.1002/pd.1970141308.
5
The blood transfusion taboo of Jehovah's Witnesses: origin, development and function of a controversial doctrine.耶和华见证人的输血禁忌:一项有争议教义的起源、发展与作用
Soc Sci Med. 1990;31(4):515-23. doi: 10.1016/0277-9536(90)90048-w.

耶和华见证人的拒输血行为的生物伦理学:第一部分。生物伦理学考量应纳入异议者的观点吗?

Bioethics of the refusal of blood by Jehovah's Witnesses: Part 1. Should bioethical deliberation consider dissidents' views?

作者信息

Muramoto O

机构信息

Kaiser Permanente, Portland, OR, USA.

出版信息

J Med Ethics. 1998 Aug;24(4):223-30. doi: 10.1136/jme.24.4.223.

DOI:10.1136/jme.24.4.223
PMID:9752623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1377670/
Abstract

Jehovah's Witnesses' (JWs) refusal of blood transfusions has recently gained support in the medical community because of the growing popularity of "no-blood" treatment. Many physicians, particularly so-called "sympathetic doctors", are establishing a close relationship with this religious organization. On the other hand, it is little known that this blood doctrine is being strongly criticized by reform-minded current and former JWs who have expressed conscientious dissent from the organization. Their arguments reveal religious practices that conflict with many physicians' moral standards. They also suggest that a certain segment of "regular" or orthodox JWs may have different attitudes towards the blood doctrine. The author considers these viewpoints and argues that there are ethical flaws in the blood doctrine, and that the medical community should reconsider its supportive position. The usual physician assumption that JWs are acting autonomously and uniformly in refusing blood is seriously questioned.

摘要

耶和华见证人的拒输血行为近来在医学界获得了支持,这是因为“无血”治疗日益流行。许多医生,尤其是所谓的“同情派医生”,正在与这个宗教组织建立密切关系。另一方面,鲜为人知的是,这种输血教义正受到思想开明的现任和前任耶和华见证人成员的强烈批评,他们已表达了对该组织出于良心的异议。他们的论点揭示了与许多医生道德标准相冲突的宗教做法。他们还表明,一部分“普通”或正统的耶和华见证人可能对输血教义有不同态度。作者考虑了这些观点,并认为输血教义存在伦理缺陷,医学界应重新审视其支持立场。医生们通常认为耶和华见证人在拒绝输血时是自主且一致行动的这一假设受到了严重质疑。