Abstract
Hinduism is considered one of the most ancient religions in the world. Although the technological innovation of modernization has undermined the reliance on their traditions, Hindus may still rely on Hindu Scripture when making decisions. From their standpoint, contrary to Western medicine, human lives cannot be reduced to statistical and empirical facts. They focus more on preserving the spirit, rather than considering survival as one of the goals of medicine. Consequently, when a preterm infant is born, Hindu parents might struggle to understand the goals of Western neonatologists. This divergence may create misunderstandings when discussing end-of-life decisions. Since they value relational aspects to be of utmost importance, they may accept treatments only in the likelihood of good neurological outcomes. Being able to interact allows Hindus to act virtuously with the aim of purifying their soul toward moksa. When it comes to end-of-life decisions on behalf of newborns, Hindu parents may opt to forgo treatments and let the baby peacefully die, while praying for their soul to have a better rebirth. This paper aims to evaluate quality-of-life assessment in the Hindu tradition in comparison with the Catholic tradition. It draws parallelisms between these two different religions to investigate whether an inter-religious dialogue is possible. This work will help Catholic, and more broadly Western, doctors to have a better understanding of the Hindu end-of-life views.
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Genesis, 1:27.
References
Bretzke, James T. 2006. A burden of means: Interpreting recent Catholic magisterial teaching on end-of-life issues. Journal of the Society of Christian Ethics 26 (2): 183–200. https://doi.org/10.5840/jsce20062628.
Clooney, F.X. 1995. Back to the basics: reflections on moral discourse in a contemporary Hindu community. Journal of Medicine and Philosophy 20 (4): 439–57. https://doi.org/10.1093/jmp/20.4.439.
Congregation of the Doctrine of the Faith. 2020. Letter “Samaritanus bonus” of the Congregation for the Doctrine of the Faith on the care of persons in the critical and terminal phases of life. Bollettino Sala Stampa della Santa Sede (N. 0476):1–25.
Coward, H.G. 1989. Purity in Hinduism: with particular reference to Patañjali’s Yoga Sūtras. In Hindu ethics. Purity, abortion, and euthanasia, ed. H.G. Coward, J.J. Lipner and K.K. Young, 9–39. Albany, NY: State University of New York Press.
Crawford, Cromwell. 1995. Dilemmas of life and death. Hindu ethics in North American context. Albany, NY: State University of New York Press.
Crawford, Cromwell. 2003. Hindu Bioethics for the Twenty-first Century. Albany, NY: State University of New York Press.
Das, A. 2012. Withdrawal of life-sustaining treatment for newborn infants from a Hindu perspective. Early Human Development 88 (2): 87–88. https://doi.org/10.1016/j.earlhumdev.2011.12.004.
Desai, P.N. 1988. Medical ethics in India. Journal of Medicine and Philosophy 13 (3): 231–255. https://doi.org/10.1093/jmp/13.3.231.
Dewar, R., N. Cahners, C. Mitchell, and L. Forrow. 2015. Hinduism and death with dignity: historic and contemporary case examples. Journal of Clinical Ethics 26 (1): 40–7.
Faggioni, Maurizio Pietro. 2010. Salute e Qualità della Vita dei Minori. In L’Interesse del Minore tra Bioetia e Biodiritto, edited by Laura Palazzani, 36–43. Roma: Edizioni Studium.
Firth, S. 2005. End-of-life: A Hindu view. Lancet 366 (9486): 682–686. https://doi.org/10.1016/s0140-6736(05)67141-3.
Gera, Anjali, Bimla Sharma, and Jayashree Sood. 2023. Legal issues in end-of-life care: Current status in India and the road ahead. Current Medicine Research and Practice 13 (1): 32. https://doi.org/10.4103/cmrp.cmrp_108_22.
Gielen, Joris. 2020. Normative bioethics in Hinduism. In Dealing with bioethical issues in a globalized world: Normativity in bioethics, ed. Joris Gielen, 75–93. Cham: Springer International Publishing.
Gielen, J., S. Bhatnagar, S. Mishra, A.K. Chaturvedi, H. Gupta, A. Rajvanshi, S. Van den Branden, and B. Broeckaert. 2011. Can curative or life-sustaining treatment be withheld or withdrawn? The opinions and views of Indian palliative-care nurses and physicians. Medical Health Care and Philosophy 14 (1): 5–18. https://doi.org/10.1007/s11019-010-9273-0.
Heim, M. 2005. Differentiations in Hindu ethics. In The Blackwell companion to religious ethics, ed. W. Schweiker, 341–354. Oxford: Blackwell.
Jonsen, Albert R. 1998. Bioethics as a discipline. In The birth of bioethics, 325–351. New York, NY: Oxford University Press.
Kamble, S., R. Ahmed, P.C. Sorum, and E. Mullet. 2014. The acceptability among young Hindus and Muslims of actively ending the lives of newborns with genetic defects. Journal of Medical Ethics 40 (3): 186–191. https://doi.org/10.1136/medethics-2012-100934.
Kamei, R.K. 2003. Why dying doesn’t seem to matter: The influence of culture on physicians in Bali Indonesia. Academic Medicine 78 (6): 635. https://doi.org/10.1097/00001888-200306000-00016.
Kelly, David F. 2007. Ordinary and extraordinary means. In Medical care at the end of life: a Catholic perspective, 1–11. Washington, D.C.: Georgetown University Press.
Lipner, J. J. 1989. The classical Hindu view on abortion and the moral status of the unborn. In Hindu ethics. Purity, abortion, and euthanasia, edited by H. G. Coward, J. J. Lipner and K. K. Young, 41–69. Albany, NY: State University of New York Press.
Miljeteig, I., and O.F. Norheim. 2006. My job is to keep him alive, but what about his brother and sister? How Indian doctors experience ethical dilemmas in neonatal medicine. Developing World Bioethics 6 (1): 23–32. https://doi.org/10.1111/j.1471-8847.2006.00133.x.
Mishra, Sudhir, Kanya Mukhopadhyay, Satish Tiwari, Rajendra Bangal, Balraj S. Yadav, Anupam Sachdeva, and Vishesh Kumar. 2017. End-of-life care: Consensus statement by Indian Academy of Pediatrics. Indian Pediatrics 54 (10): 851–859. https://doi.org/10.1007/s13312-017-1149-4.
Monius, A.E. 2005. Origins of Hindu ethics. In The Blackwell companion to religious ethics, ed. W. Schweiker, 330–340. Oxford: Blackwell.
Pandya, S.K. 1999. Medical ethics in India: Then and now. Acta Neurochirurgica Supplement 74: 35–46. https://doi.org/10.1007/978-3-7091-6387-0_8.
Pant, Stuti. 2022. Ethical issues around death and withdrawal of life support in neonatal intensive care. Indian Journal of Pediatrics 89 (3): 274–278. https://doi.org/10.1007/s12098-021-03810-9.
Perrett, R.W. 2005. Hindu ethics? In The Blackwell companion to religious ethics, ed. W. Schweiker, 323–329. Oxford: Blackwell.
Pontifical Council for Pastoral Assistance to Health Care Workers. 2016. New charter for health care workers. Città del Vaticano: Libreria Editrice Vaticana.
Prabhu, J. 2005. Trajectories of Hindu ethics. In The Blackwell companion to religious ethics, ed. W. Schweiker, 355–367. Oxford: Blackwell.
Sarma, D. 2008. “Hindu” bioethics? Journal of Law, Medicine & Ethics 36 (1): 51-3–3. https://doi.org/10.1111/j.1748-720X.2008.00236.x.
Scott-Joynt, Michael. 2012. Withdrawal of life-sustaining treatment for newborn infants from a Christian perspective. Early Human Development 88 (2): 89–90. https://doi.org/10.1016/j.earlhumdev.2011.12.011.
Seetharam, Sridevi. 2013. Dharma and medical ethics. Indian Journal of Medical Ethics 10 (4): 226–231. https://doi.org/10.20529/IJME.2013.070.
Smith, B.K. 1989. Reflections on resemblance, ritual, and religion. New York: Oxford University Press.
Sugarman, Jeremy, and Daniel P. Sulmasy. 2001. The many methods of medical ethics (or, thirteen ways of looking at a blackbird). In Methods in medical ethics, ed. Jeremy Sugarman and Daniel P. Sulmasy, 3–18. Washington D.C.: Georgetown University Press.
United States Conference of Catholic Bishops. 2018. Ethical and religious directives for Catholic health care services, 6th ed. Washington, DC: USSCB.
Young, K. K. 1989. Euthanasia. Traditional Hindu views and the contemporary debate. In Hindu ethics. Purity, abortion, and euthanasia, ed. H.G. Coward, J.J. Lipner and K.K. Young, 71–130. Albany, NY: State University of New York Press.
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I sincerely thank Dr Joris Gielen (Director of the Center for Global Health Ethics at Duquesne University in Pittsburgh, PA) who inspired me to write this paper.
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Dinicola, G.A. A Dialogue between Hindu and Catholic Perspectives in Taking Care of Newborns at their End-of-Life. ABR 16, 233–248 (2024). https://doi.org/10.1007/s41649-023-00275-0
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DOI: https://doi.org/10.1007/s41649-023-00275-0