Diverse Ethnic (diverse + ethnic)

Distribution by Scientific Domains

Terms modified by Diverse Ethnic

  • diverse ethnic background

  • Selected Abstracts


    Challenging the Bioethical Application of the Autonomy Principle within Multicultural Societies

    JOURNAL OF APPLIED PHILOSOPHY, Issue 1 2004
    Andrew Fagan
    abstract,This article critically re-examines the application of the principle of patient autonomy within bioethics. In complex societies such as those found in North America and Europe health care professionals are increasingly confronted by patients from diverse ethnic, cultural, and religious backgrounds. This affects the relationship between clinicians and patients to the extent that patients' deliberations upon the proposed courses of treatment can, in various ways and to varying extents, be influenced by their ethnic, cultural, and religious commitments. The principle of patient autonomy is the main normative constraint imposed upon medical treatment. Bioethicists typically appeal to the principle of patient autonomy as a means for generally attempting to resolve conflict between patients and clinicians. In recent years a number of bioethicists have responded to the condition of multiculturalism by arguing that the autonomy principle provides the basis for a common moral discourse capable of regulating the relationship between clinicians and patients in those situations where patients' beliefs and commitments do or may contradict the ethos of biomedicine. This article challenges that claim. I argue that the precise manner in which the autonomy principle is philosophically formulated within such accounts prohibits bioethicists' deployment of autonomy as a core ideal for a common moral discourse within multicultural societies. The formulation of autonomy underlying such accounts cannot be extended to simply assimilate individuals' most fundamental religious and cultural commitments and affiliations per se. I challenge the assumption that respecting prospective patients' fundamental religious and cultural commitments is necessarily always compatible with respecting their autonomy. I argue that the character of some peoples' relationship with their cultural or religious community acts to significantly constrain the possibilities for acting autonomously. The implication is clear. The autonomy principle may be presently invalidly applied in certain circumstances because the conditions for the exercise of autonomy have not been fully or even adequately satisfied. This is a controversial claim. The precise terms of my argument, while addressing the specific application of the autonomy principle within bioethics, will resonate beyond this sphere and raises questions for attempts to establish a common moral discourse upon the ideal of personal autonomy within multicultural societies generally. [source]


    The Menopause Experience: A Woman's Perspective

    JOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 1 2002
    Sharon A. George PhD
    Objective: To understand the complexities of the experience of menopause in American women from diverse ethnic and socioeconomic backgrounds. The specific aims of this phenomenologic study were to (a) examine and interpret the reality of the menopausal transition as experienced by American women and (b) identify common elements and themes that occur as a result of the complexities of this experience. Design: Data for this qualitative study were gathered through semistructured interviews with 15 women who experienced natural menopause. Participants: A multiethnic sample of 15 menopausal American women in Massachusetts was selected from a pool of voluntary participants from the Boston area. Data Analysis: The interviews were analyzed to identify themes pertinent to the personal experience of menopause. Those themes, extracted from the similarities and differences described, represent broad aspects of these women's experiences. Results: Three major themes or phases were identified: expectations and realization, sorting things out, and a new life phase. Although some women expressed similar thoughts in particular categories, no two women had the same experience of menopause. Conclusions: The data support the premise that the experience of menopause in American women is unique to each individual and that the meaning or perspective differs among women. The data revealed the complexities of this human experience by explicating personal meanings related to experiences, expectations, attitudes, and beliefs about menopause. [source]


    Maternal cultural participation and child health status in a Middle Eastern context: evidence from an urban health study

    CHILD: CARE, HEALTH AND DEVELOPMENT, Issue 2 2007
    M. Khawaja
    Abstract Background, The negative effect of poverty on child health has been well established. However, rapid urbanization in developing countries prompts new research questions relating to socio-cultural practices and other related variables in these settings. Objective, To examine the association between maternal cultural participation and child health status in impoverished neighbourhoods of Beirut, Lebanon. Methods, A cross-sectional survey of 1241 mothers with children aged less than 5 years was conducted from randomly selected households in three impoverished neighbourhoods of diverse ethnic and religious make-up. The outcome variable was child health status (good/bad) as assessed by the mother. Maternal variables, including cultural participation, education, demographic and environmental/structural factors, were studied. Descriptive statistics and bivariate associations were provided using Pearson's chi-square tests. Unadjusted and adjusted odds ratios were then obtained from binary logistic regression models. Results, Two indicators of maternal cultural participation, namely watching entertaining television and attending movies/art exhibitions, were found to be significantly associated with child health status after controlling for other risk factors. The quality of water, the quality of local health services and maternal education were also significantly associated with child health status. Household income, child gender and household dampness had no significant association with child health status in this context. Conclusion, Maternal cultural participation was a significant predictor of child health status in impoverished urban communities. Improving child health through culturally focused interventions for mothers, especially in deprived areas, may be greatly important. [source]


    Children's Sense of Self in Relation to Clinical Processes: Portraits of Pharmaceutical Transformation

    ETHOS, Issue 3 2009
    Elizabeth Carpenter-Song
    This article presents in-depth accounts of pharmaceutical transformation from the perspective of two children diagnosed with behavioral and emotional disorders. These portraits provide the basis for an examination of the complex interrelation between self and clinical processes. Narrative data were collected in the context of a 13-month anthropological study of the lived experiences of children diagnosed with behavioral and emotional disorders and their families living in the northeastern United States. Participating families (N=20) were from diverse racial/ethnic (African American, Euro-American, and Latino) and socioeconomic backgrounds. Psychiatric diagnoses and pharmaceuticals present tangible constraints in the lives of children that call attention to otherwise fluid and ephemeral self processes. These accounts suggest that psychiatric diagnoses and psychotropic medications present dilemmas for children's developing sense of self, revealing limitations to biopsychiatric "pharmaceutical promises." [children, self processes, subjective experience, psychiatric disorder, pharmaceuticals] [source]