Ethical Debates (ethical + debate)

Distribution by Scientific Domains


Selected Abstracts


ETHICAL DEBATE OVER ORGAN DONATION IN THE CONTEXT OF BRAIN DEATH

BIOETHICS, Issue 2 2010
MARY JIANG BRESNAHAN
ABSTRACT This study investigated what information about brain death was available from Google searches for five major religions. A substantial body of supporting research examining online behaviors shows that information seekers use Google as their preferred search engine and usually limit their search to entries on the first page. For each of the five religions in this study, Google listings reveal ethical controversy about organ donation in the context of brain death. These results suggest that family members who go online to find information about organ donation in the context of brain death would find information about ethical controversy in the first page of Google listings. Organ procurement agencies claim that all major world religions approve of organ donation and do not address the ethical controversy about organ donation in the context of brain death that is readily available online. [source]


Effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia: a systematic review

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 1 2007
L. Robinson
Abstract Background Wandering occurs in 15,60% of people with dementia. Psychosocial interventions rather than pharmacological methods are recommended, but evidence for their effectiveness is limited and there are ethical concerns associated with some non-pharmacological approaches, such as electronic tracking devices. Objective To determine the clinical and cost effectiveness and acceptability of non-pharmacological interventions to reduce wandering in dementia. Design A systematic review to evaluate effectiveness of the interventions and to assess acceptability and ethical issues associated with their use. The search and review strategy, data extraction and analysis followed recommended guidance. Papers of relevance to effectiveness, acceptability and ethical issues were sought. Results (i) Clinical effectiveness. Eleven studies, including eight randomised controlled trials, of a variety of interventions, met the inclusion criteria. There was no robust evidence to recommend any intervention, although there was some weak evidence for exercise. No relevant studies to determine cost effectiveness met the inclusion criteria. (ii) Acceptability/ethical issues. None of the acceptability papers reported directly the views of people with dementia. Exercise and music therapy were the most acceptable interventions and raised no ethical concerns. Tracking and tagging devices were acceptable to carers but generated considerable ethical debate. Physical restraints were considered unacceptable. Conclusions In order to reduce unsafe wandering high quality research is needed to determine the effectiveness of non-pharmacological interventions that are practically and ethically acceptable to users. It is important to establish the views of people with dementia on the acceptability of such interventions prior to evaluating their effectiveness through complex randomised controlled trials. Copyright © 2006 John Wiley & Sons, Ltd. [source]


Bioethics and the Samoan indigenous reference

INTERNATIONAL SOCIAL SCIENCE JOURNAL, Issue 195 2009
Tupua Tamasese Ta'isi Efi Tui Atua
Bioethical questions are of primary concern to science, religion and traditional or indigenous knowledge. What the indigenous reference can offer the world is a re-appreciation of the rightful place of the spiritual, sacred and tapu (implicit in indigenous cultural rituals) in ethical debates. This article explores what might be the ethical in the Samoan indigenous reference. Two main indigenous Samoan concepts, tapu (the sacred) and tofa sa'ili (the search for wisdom), are considered and situated in contemporary Samoan experiences and understandings of the ethical. If ethics is about moral principles or values, these two Samoan concepts provide the basis for ethical research in a Samoan indigenous context. This article aims at providing a Samoan frame of reference to deliberate about universal codes for bioethical research and the nature of ethical research practice in the Pacific. [source]


Extra embryos: The ethics of cryopreservation in Ecuador and elsewhere

AMERICAN ETHNOLOGIST, Issue 1 2007
ELIZABETH F. S. ROBERTS
Through ethnographic comparison with Ecuador, I localize North American and European ethical debates about embryos. In Ecuador, some in vitro fertilization (IVF) practitioners and patients do whatever they can to preserve the life of embryos through donation or cryopreservation. For this group, embryos are embroiled in debates about life, as they commonly are in North America. However, other Ecuadorians do not view embryos through debates about life. Instead, these IVF practitioners and patients let embryos die rather than freeze them, to regulate the legitimate bounds of kin relations. These contrasting models of life ethics and kin ethics illuminate ideologies of religion, kinship, and personhood in Ecuador. In addition, this comparison demonstrates that the location of embryos in a framework of kinship prevents their circulation and exchange, whereas the North American and European debates about the human life of embryos allow for their continued circulation in the globalized reproductive marketplace. [source]


Conference Review: Notes on the "International Congress of Traditional Medicine, Interculturality, and Mental Health," Takiwasi Center, Tarapoto, Peru, June 7,10, 20091

ANTHROPOLOGY OF CONSCIOUSNESS, Issue 1 2010
BEATRIZ CAIUBY LABATE
ABSTRACT English translation by Glenn H. Shepard Jr. Revision by Matthew Meyer This article reports on the recent "International Congress of Traditional Medicine, Interculturality, and Mental Health" held by the Takiwasi Center in Tarapoto in the Peruvian Amazon. The event united 218 researchers and indigenous and religious representatives from 22 countries to present results of scientific discussions and engage in political and ethical debates surrounding the increasingly globalized, transnational, and biomedicalized reach of indigenous medical practices, especially ayahuasca-based therapy and religious practice. The author interviewed several key researchers and representatives present at the event, and presents several important controversies in the field of ayahuasca and traditional medicine. She also reports on the colorful and eclectic nonacademic sessions at the event which included Inca chiropractics, ayahuasca sessions, and various forms of indigenous medicine. The text also reflects on the tragic events that unfolded in nearby Bagua, Peru, on the evening of the meeting, bringing a special urgency to the event's focus on indigenous cultural heritage. [source]