This paper offers a critical commentary on the essentialist concept of ethnicity, which, it is argued, underpins the discourse of transcultural health‐care. Following a consideration of the difficulties that ensue from the way in which ethnicity has been theorised within transcultural nursing in particular, the paper turns to a consideration of alternative ways of thinking about ethnicity, which have emerged from more recent social anthropology and postmodernism. It addresses the question of how to therorise ethnicity in a (...) way that does not entail its reification as a set of fixed cultural properties, and makes some tentative suggestions for the possibility of a critical culturalist approach to difference and healthcare practice, which must include a consideration of racisms. (shrink)

This article comments on the treatment of critical-care ethics in four preceding articles about critical-care medicine and its ethical challenges in mainland China, Hong Kong, Japan, and the Philippines. These articles show how cultural values can be in both synchrony and conflict in generating these ethical challenges and in the constraints that they place on the response of critical-care ethics to them. To prevent ethical conflict in critical care the author proposes a two-step approach to the (...) ethical jus tification of critical-care management: (1) the decision to resuscitate and initiate critical-care management, which is based on the obligation to prevent imminent mortality without permanent loss of consciousness; and (2) the decision to continue critical-care management, which is based on the obligation both to prevent imminent death without permanent loss of consciousness and to avoid unnecessary, significant iatrogenic costs to the patient and psychosocial costs to the family when the reduction of morta lity risk is marginal. Physicians and hospitals should restore the critical-care physician's authority and power - against prevailing cultural values, if necessary - to control when critical-care intervention is offered, when it is recommended to continue, and when it is recommended to be discontinued and the patient allowed to die. (shrink)

Many Turkish people migrated to Germany between 1955 and 1975. This study was carried out in Göttingen, Germany. Fifty Turkish people (described as patients) were asked about the care they had received from German health care personnel, and 50 German nurses and 50 German physiotherapists were questioned about care they had given to Turkish patients. Significant findings were the needs of the Turkish patients for good communication, physical contact and understanding of their culture-based expressions of illness. The (...) German nurses and physiotherapists expressed the need for language barriers to be minimized and for education in the specific culture of Turkish patients. Our findings are discussed from an ethical viewpoint. The International Council of Nurses’ code of ethics is used to guide the ethical debate about the findings within the context of transcultural and multicultural care. Suggestions for better transcultural health care paradigms are made for relating to patients from different cultures when patients and care providers have little understanding of each other’s needs and expectations. (shrink)

Drawing from a wide range of primary historical and sociological sources, this book presents medical ethics in China from a Chinese-Western comparative perspective, and in doing so it provides a fascinating exploration of cultural differences and commonalities exhibited by China and the West in medicine and medical ethics. The book focuses on a number of key issues in medical ethics including: attitudes towards foetuses; disclosure of information by medical professionals; informed consent; professional medical ethics; and human rights. This careful examination (...) not only provides insights into Chinese viewpoints, but also sheds light on the appropriate methods for comparative culture and ethical research. Through its analysis, Jing-Bao Nie seeks to put forward a theory of "transcultural bioethics", an ethical paradigm which upholds the primacy of morality whilst resisting cultural stereotypes, and appreciating the internal plurality, richness, dynamism and openness of medical ethics in any culture. Medical Ethics in China will be of particular interest to students and academics in the fields of Medical Law, Bioethics and Medical Ethics as well as Chinese/Asian Studies and Comparative (Chinese-Western) Cultural Studies. (shrink)

The aim of this study was to explore the meaning of experience for home‐care nurses in a multicultural area of Sweden. Interviews and group discussions with a team of five home‐care nurses were interpreted in accordance with a hermeneutical perspective. The meaning was expressed in connection with the complexities of place, and space for care. Contradictions developed from diversities of perspectives incorporated in this particular multicultural area. Nurses saw themselves as mediators and allowed complexity to be considered (...) in order to manage care. They took on responsibility of creating a ‘space of care’, while the organizational structures of home care were perceived as something outside the care praxis. Making contradictions evident renders an intermediary caring strategy feasible. (shrink)

This book focuses on yoga’s transcultural dissemination in the twentieth and twenty-first centuries. In the course of this process, the term “yoga” has been associated with various distinctive blends of mental and physical exercises performed in order to achieve some sort of improvement, whether understood in terms of esotericism, fitness, self-actualization, body aesthetics, or health care. The essays in this volume explore some of the turning points in yoga’s historico-spatial evolution and their relevance to its current appeal. The (...) authors focus on central motivations, sites, and agents in the spread of posture-based yoga as well as on its successive (re-)interpretation and diversification, addressing questions such as: Why has yoga taken its various forms? How do time and place influence its meanings, social roles, and associated experiences? How does the transfer into new settings affect the ways in which yogic practice has been conceptualized as a system, and on what basis is it still identified as (Indian) yoga? The initial section of the volume concentrates on the re-evaluation of yoga in Indian and Western settings in the first half of the twentieth century. The following chapters link global discourses to particular local settings and explore meaning production at the micro-social level, taking Germany as the focal site. The final part of the book focuses on yoga advertising and consumption across national, social, and discursive boundaries, taking a closer look at transnational and deterritorialized yoga markets, as well as at various classes of mobile yoga practitioners. (shrink)

Elaborating decolonial and intersectional methods, aesthetics has developed rich tools for tackling power differences. A philosophical question arises about the nature of gendered embodied experience and materiality: How to comprehend the cultural field if it is at once a site of heinous expropriation and violence and one of vital social and political possibility? This essay explores this question through a reading of Claudia Llosa's film The Milk of Sorrow ( La teta asustada ) (2009). The film, we show, reworks racial, (...) gendered, and colonial logics and supplants a model of transculturation, magical realism, and syncretism and its attendant figuration of resistance by a cultural vision of a web of multivalent, pluri-directional aesthetic promises and threats. Thus it presents a young Indigenous woman as a contemporary decolonial actor who, in encounter with popular culture and the global marketplace, renders memory livable and opens up unforeseen futures for her young town and country. We signal the implications for the positioning of the decolonial feminist spectator or culture maker and for a decolonial aesthetics. Aesthetic existence at the intersection of oppression and liberation, although impure and troubled, functions as a bountiful font of feminist energy and sustenance and a site of communal caring and imagination. (shrink)

Contemporary bioethical issues are inherently cross-cultural and global in their scope. This is not surprising, as bioethical matters touch everyone in one way or another. Moral quandaries in health-care, life sciences, and biotechnology do not respect natural and human boundaries, the boundaries between and within nation-states, ethnicities, cultures, communities, and social groups. In addition, the simultaneously large-scale and intimate interactions between and within different cultures and civilizations and the rapid pace at which they change are phenomena that distinguish our (...) times from previous eras. Bioethics—as a particular domain of public discourse and an academic discipline—has thus been rapidly... (shrink)

Clinical exchange: one model to achieve culturally sensitive care This paper reports on a clinical exchange programme that formed part of a pre‐registration European nursing degree run by three collaborating institutions in England, Holland and Spain. The course included: common and shared learning including two summer schools; and the development of a second language before the students went on a three‐month clinical placement in one of the other base institutions’ clinical environments. The aim of the course was to enable (...) students to become culturally sensitive carers. This was achieved by developing a programme based on transcultural nursing principles in theory and practice. Data were gathered by interview, focus groups, and questionnaires from 79 exchange students, fostering the strategies of illuminative evaluation. The paper examines: how the aims of the course were met; the factors that inhibited the attainment of certain goals; and how the acquisition of a second language influenced the students’ learning about nursing. A model is presented to illustrate the process of transformative learning from the exchange experience. (shrink)

Introduction: Ethical conflict is a phenomenon that has been under study over the last three decades, especially the types moral dilemma and moral distress in the field of nursing care. However, ethical problems and their idiosyncrasies need to be further explored. Aim: The objectives of this study were, first, to obtain a transcultural Portuguese-language adaptation and validation of the Ethical Conflict Nursing Questionnaire–Critical Care Version and, second, to analyse Portuguese critical care nurses’ level of exposure to (...) ethical conflict and its characteristics. Methods: A cross-cultural validation and descriptive, prospective and correlational study. The sample was made for 184 critical care nurses in 2016. Ethical Considerations: The study was authorised by Bioethics Commission of the University of Barcelona, the Associaçâo de Apoio ao Serviço de Cuidados Intensivos do Centro Hospitalar do Porto and the Sociedade Portuguesa de Enfermagem de Saúde Mental. Findings: The Portuguese version of the Ethical Conflict Nursing Questionnaire–Critical Care Version was a valid and reliable instrument to measure exposure to conflict. Moral outrage was the most common type of conflict. The most problematic situations were the ineffectiveness of analgesic treatments, the administration of treatments considered futile and the mismanagement of resources. (shrink)

Scholars increasingly point toward schools as meaningful contexts in which to provide psychosocial care for refugee children. Collaborative mental health care in school forms a particular practice of school-based mental health care provision. Developed in Canada and inspired by systemic intervention approaches, collaborative mental health care in schools involves the formation of an interdisciplinary care network, in which mental health care providers and school partners collaborate with each other and the refugee family in a (...) joint assessment of child development and mental health, as well as joint intervention planning and provision. It aims to move away from an individual perspective on refugee children’s development, toward an engagement with refugee families’ perspectives on their migration histories, cultural background and social condition in shaping assessment and intervention, as such fostering refugee empowerment, equality, and participation in the host society. Relating to the first stage of van Yperen’s four-stage model for establishing evidence-based youth care, this article aims to engage in an initial exploration of the effectiveness of a developing school-based collaborative mental health care practice in Leuven, Belgium. First, we propose a detailed description, co-developed through reflection on case documents, written process reflections, intervision, an initial identification of intervention themes, and articulating interconnections with scholarly literature on transcultural and systemic refugee trauma care. Second, we engage in an in-depth exploration of processes and working mechanisms, obtained through co-constructed clinical case analysis of case work collected through our practice in schools in Leuven, Belgium. Our descriptive analysis indicates the role of central processes that may operate as working mechanisms in school-based collaborative mental health care and points to how collaborative mental health care may mobilize the school and the family-school interaction as a vehicle of restoring safety and stability in the aftermath of cumulative traumatization. Our analysis furthermore forms an important starting point for reflections on future research opportunities, and central clinical dynamics touching upon power disparities and low-threshold access to mental health care for refugee families. (shrink)

FOSTER J, CHIANG F, HILLARD RC, HALL P and HEATH A. Nursing Inquiry 2010; 17: 309–316 Team process in community‐based participatory research on maternity care in the Dominican RepublicA cross‐cultural team consisting of US trained academic midwife researchers, Dominican nurses, and Dominican community leaders have partnered in this international nursing and midwifery community‐based participatory research (CBPR) project in the Dominican Republic to understand the community experience with publicly funded maternity services. The purpose of the study was to understand community (...) perceptions of maternity services. This article highlights the activities that the research team carried out during each phase of the research process, and how they established team identity, team trust, and team efficacy. This research has created a platform for new avenues for health providers and community to partner to improve maternal‐newborn care. Community‐based participatory research is one way forward to address the past and present inequities constitutive of global health disparities. (shrink)

Truth-telling in healthcare practice can be regarded as a universal communicative virtue; however, there are different views on what consequence it has for giving or diminishing hope. The aim of this article is to explore the relationship between the concepts of truth-telling and hope from a relational ethics approach in the context of healthcare practice. Healthcare staff protect themselves and others to preserve hope in the care of seriously sick patients and in end-of-life care. This is done by (...) balancing truth-telling guided by different conditions such as the cultural norms of patients, family and staff. Our main conclusion is that the balancing of truth-telling needs to be decided in a mutual understanding in the caring relationship, but hope must always be inspired. Instead of focusing on autonomy as the only guiding principle, we would like to propose that relational ethics can serve as a meaningful perspective in balancing truth-telling. (shrink)

This chapter contains sections titled: What Is Culture? Bioethics Today: Present Realities The Universality of Bioethics The Challenge of Transcultural Bioethics Practice Principles and Rules Cultural Imperialism and Value Absolutism Cultural Pluralism and Value Relativism Transculturalism and the Idea of Shared Values References Further reading.

This book provides an analysis of the debate surrounding cultural diversity, and attempts to reconcile the seemingly opposing views of "ethical imperialism," the belief that each individual is entitled to fundamental human rights, and cultural relativism, the belief that ethics must be relative to particular cultures and societies. The author examines the role of cultural tradition, often used as a defense against critical ethical judgments. Key issues in health and medicine are explored in the context of cultural diversity: the physician-patient (...) relationship, disclosing a diagnosis of a fatal illness, informed consent, brain death and organ transplantation, rituals surrounding birth and death, female genital mutilation, sex selection of offspring, fertility regulation, and biomedical research involving human subjects. Among the conclusions the author reaches are that ethical universals exist, but must not be confused with ethical absolutes. The existence of ethical universals is compatible with a variety of culturally relative interpretations, and some rights related to medicine and health care should be considered human rights. Illustrative examples are drawn from the author's experiences serving on international ethical review committees and her travels to countries in Africa, Asia, and Latin America, where she conducted educational workshops and carried out out her own research. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ethics & the Environment 7.2 (2002) 1-11 [Access article in PDF] On Ecofeminist Philosophy Chris Cuomo In the heat of a historical moment when the interwoven nature of imperialism, ecological degradation, exploitation of workers, racism, and women's oppression is painfully obvious to many, ecofeminism appears to be gaining in popularity. As Karen Warren's book Ecofeminist Philosophy (2000) illustrates, a key insight of ecological feminism is captured by the phrase (...) "it's all connected." In more precise terms, ecofeminism stresses the depth to which human realities are embedded in ecological realities, and the fact that we are all composed of physical and conceptual connections and relationships. Ecofeminists also make strong normative claims about those connections, and they find present ecological and social relationships to be far more morally troubling than "we" modern thinkers tend to acknowledge.Karen Warren's work has been incredibly influential in the development of ecofeminism, especially as a philosophical perspective. In her 1987 essay "Feminism and Ecology: Making Connections," she argued for a basic ecofeminist position: that feminists ought to pay attention to environmental issues and ecological interdependencies, and that environmentalists ought to attend to the connections among ecological degradation, sexism, and other forms of social oppression. A wealth of ecofeminist poetry, fiction, and political writing had been published in the seventies and early eighties, before "Feminism and Ecology" appeared on the pages of [End Page 1] the journal Environmental Ethics. But Karen Warren was the among the first to use the tools of analytic philosophy to articulate and argue for ecofeminism as a philosophical position, ethical approach, and political movement.In fact, Mary Daly's Gyn/Ecology: The Metaethics of Radical Feminism (1978) was arguably the first work in contemporary academic philosophy to engage ecofeminism (my first acquaintance with ecofeminist theory was made through a special issue of the feminist magazine Heresies, on feminism and ecology). But Daly's emphasis was on the plight of females in patriarchal social environments. Karen Warren and Australian philosopher Val Plumwood brought full focus to the eco in ecofeminism, applying feminist philosophy (and especially feminist ethics) to our relations with the more than human world, and in turn articulating a broader theory of oppression and liberation. Their analytic approaches resulted in philosophy that synthesizes as it clarifies, taking seriously the value of nature, the history of philosophy, the power of culture, and the insights of good science.In Ecofeminist Philosophy Karen Warren presents ecofeminism as a general school of thought, though she also argues for a particular set of ecofeminist principles, values, methodologies, and practices. In terms of both her method and her conclusions, it is important to note that her emphasis on clearly articulated principles is by no means a defense of an absolutist or falsely universalizing ethic. Rather, Warren's ecofeminist philosophy emerges from her reading of a wide and diverse array of theoretical and political examples. Like Noël Sturgeon's Ecofeminist Natures: Race, Gender, Feminist Theory and Political Action (1997), which focuses on feminist ecological movements, Warren's project is to look for and describe the family resemblances among diverse examples of ecofeminism. This approach allows her to articulate epistemic, moral, and political positions that are pluralist, yet do not avoid making bold truth-claims. For example, Warren argues that "something is a feminist issue if an understanding of it helps one understand the oppression, subordination, or domination of women" (Warren 2000, 1).In a sense such a definition is wide open, taking various approaches and issues to be worthy of feminist attention. At the same time, it certainly does not allow just any perspective to count as feminist. Throughout Ecofeminist Philosophy, Warren defends multicultural ethics while clearly advocating specific transcultural values, such as justice and caring: [End Page 2] If we dare to care, if we dare to enter into community with others through an honest recognition of our commonalities and differences, we will be poised to create generally respectful, nonviolent, care-based, intentional communities where commonalities and differences are just that... Such intentional communities are a creative alternative to violence-prone communities where order is imposed from outside through unjustified... (shrink)

Rosamond Rhodes makes a persuasive case for the view that medical ethics does not derive from common morality.1 Rhodes identifies the challenge that immediately arises and its corollary: Whence the origin of medical ethics? And, should we understand medical ethics as autonomous? From the perspective of professional ethics in medicine, the first question can now be restated: Whence the origin of the ethical concept of medicine as a profession, the basis of the ethical obligations of physicians in patient care, (...) research, medical education, and in advocacy and healthcare policy? The history of Western philosophy offers us two pathways to address this question. The first is the quest for certainty,2 a quest fulfilled by using methods designed to discover concepts that are independent of human thought and judgement and thus intellectually and morally authoritative for everyone. Such concepts are timeless and therefore transcultural, transreligious and transnational. Examples include Plato’s Forms,3 PF Stawson’s ‘our conceptual structure’,4 Edmund Pellegrino’s ‘fact of illness’ and the ‘act of profession’ in response to the vulnerability that illness creates,5 and common morality.6 Thought experiments, using what Rhodes characterises as ‘the hypethetico-deductive method’,1 aim to discover timeless concepts. Discovering timeless concepts must address their ontological and epistemological status. Plato’s ontology of Forms,2 for example, is not clear, as …. (shrink)

Emmanuel Levinas's concept of "the face of the Other" involves an ethical mandate that is presumably transcultural or, in his terms, "precultural." His essay "Meaning and Sense" provides his most explicit defense of the idea that the face has a meaning that is not culturally relative, though it is always encountered within some particular culture. Levinas identifies his position there as a "return to Platonism." Through a careful reading of that essay, exploring Levinas's use of religious terminology and the (...) (sometimes implicit) relationships of the essay to the work of other phenomenologists and of Saussure, the author seeks to clarify (1) what Levinas retains and what he rejects in returning to Platonism "in a new way," (2) the sense in which this return constitutes an "overcoming" of relativism, and (3) the nature of the phenomenological warrant that he offers for his position. (shrink)

The ‘multicultural clinical interaction’ presents itself as a dilemma for the mental health practitioner. Literature describes two problematic areas where this issues emerges - how to make an adequate distinction between religious rituals and the rituals that may be symptomatic of ‘obsessive compulsive disorder’ (OCD), and how to differentiate ‘normative’ religious or spiritual beliefs, behaviours, and experiences from ‘psychotic’ illnesses. When it comes to understanding service user’s ‘idioms of distress’, beliefs about how culture influences behaviour can create considerable confusion and (...) ‘normative uncertainty’ for mental health practitioners. In the absence of clear diagnostic and assessment criteria on distinguishing between ‘culture’ and ‘psychopathology’, practitioners have had to rely on their own intuition and seek out possible ‘strategies’ or ‘procedures’ from a contradictory and cross-disciplinary evidence base. Decontextualisation of service users’ experiences may result in the pathologisation of culturally ‘normative’ phenomenon, ‘category fallacy’ errors, and poor health care experiences and outcomes for service users. This paper situates this dilemma within a wider debate that has concerned both the biomedical and social sciences, namely, the unresolved question of ‘normality’ or ‘abnormality’. Indeed, issues that arise from dilemmas surrounding the question of ‘culture’ or ‘psychopathology’ are intimately tied to wider cultural ideas about what is considered ‘normal’. The disciplines of psychiatry, psychology, and medical anthropology have struggled to establish workable criteria against which to judge behaviour as ‘normal’, ‘abnormal’, or ‘pathological’. Three models for understanding mental ‘abnormality’ are evident in ‘transcultural psychiatry’ (what is now commonly known as ‘cultural psychiatry’), and these models have corresponded closely to the interpretive models used by anthropologists attempting to make sense of the apparent diversity of human societies. The three models of ‘absolutism’, ‘universalism’ and ‘cultural relativism’ have not only important consequences for the nature and conduct of research enquiry, but also have implications for how the dilemma of ‘culture’ or ‘psychopathology’ is attended to in clinical practice. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ethics & the Environment 7.2 (2002) 1-11 [Access article in PDF] On Ecofeminist Philosophy Chris Cuomo In the heat of a historical moment when the interwoven nature of imperialism, ecological degradation, exploitation of workers, racism, and women's oppression is painfully obvious to many, ecofeminism appears to be gaining in popularity. As Karen Warren's book Ecofeminist Philosophy (2000) illustrates, a key insight of ecological feminism is captured by the phrase (...) "it's all connected." In more precise terms, ecofeminism stresses the depth to which human realities are embedded in ecological realities, and the fact that we are all composed of physical and conceptual connections and relationships. Ecofeminists also make strong normative claims about those connections, and they find present ecological and social relationships to be far more morally troubling than "we" modern thinkers tend to acknowledge.Karen Warren's work has been incredibly influential in the development of ecofeminism, especially as a philosophical perspective. In her 1987 essay "Feminism and Ecology: Making Connections," she argued for a basic ecofeminist position: that feminists ought to pay attention to environmental issues and ecological interdependencies, and that environmentalists ought to attend to the connections among ecological degradation, sexism, and other forms of social oppression. A wealth of ecofeminist poetry, fiction, and political writing had been published in the seventies and early eighties, before "Feminism and Ecology" appeared on the pages of [End Page 1] the journal Environmental Ethics. But Karen Warren was the among the first to use the tools of analytic philosophy to articulate and argue for ecofeminism as a philosophical position, ethical approach, and political movement.In fact, Mary Daly's Gyn/Ecology: The Metaethics of Radical Feminism (1978) was arguably the first work in contemporary academic philosophy to engage ecofeminism (my first acquaintance with ecofeminist theory was made through a special issue of the feminist magazine Heresies, on feminism and ecology). But Daly's emphasis was on the plight of females in patriarchal social environments. Karen Warren and Australian philosopher Val Plumwood brought full focus to the eco in ecofeminism, applying feminist philosophy (and especially feminist ethics) to our relations with the more than human world, and in turn articulating a broader theory of oppression and liberation. Their analytic approaches resulted in philosophy that synthesizes as it clarifies, taking seriously the value of nature, the history of philosophy, the power of culture, and the insights of good science.In Ecofeminist Philosophy Karen Warren presents ecofeminism as a general school of thought, though she also argues for a particular set of ecofeminist principles, values, methodologies, and practices. In terms of both her method and her conclusions, it is important to note that her emphasis on clearly articulated principles is by no means a defense of an absolutist or falsely universalizing ethic. Rather, Warren's ecofeminist philosophy emerges from her reading of a wide and diverse array of theoretical and political examples. Like Noël Sturgeon's Ecofeminist Natures: Race, Gender, Feminist Theory and Political Action (1997), which focuses on feminist ecological movements, Warren's project is to look for and describe the family resemblances among diverse examples of ecofeminism. This approach allows her to articulate epistemic, moral, and political positions that are pluralist, yet do not avoid making bold truth-claims. For example, Warren argues that "something is a feminist issue if an understanding of it helps one understand the oppression, subordination, or domination of women" (Warren 2000, 1).In a sense such a definition is wide open, taking various approaches and issues to be worthy of feminist attention. At the same time, it certainly does not allow just any perspective to count as feminist. Throughout Ecofeminist Philosophy, Warren defends multicultural ethics while clearly advocating specific transcultural values, such as justice and caring: [End Page 2] If we dare to care, if we dare to enter into community with others through an honest recognition of our commonalities and differences, we will be poised to create generally respectful, nonviolent, care-based, intentional communities where commonalities and differences are just that... Such intentional communities are a creative alternative to violence-prone communities where order is imposed from outside through unjustified... (shrink)

Terms such as ‘cultural competence’ and ‘transcultural nursing’ have comfortably taken their place in the lexicon of health care. Their high profile is a reflection of the diversity of western societies and health care’s commitment to provide care that is responsive to the values and beliefs of all who require treatment. However, the relationship between cultural competence and familiar ethical concepts such as patient autonomy has been an uneasy one. This article explores the moral foundations of (...) cultural competence, ultimately locating them in patient autonomy and patient good. The discussion of patient good raises questions about the moral relevance of a value’s rootedness in a particular culture. I argue that the moral justification for honoring cultural values has more to do with the fact that patients are strongly committed to them than it does with their cultural rootedness. Finally, I suggest an organizational approach to cultural competence that emphasizes overall organizational preparedness. (shrink)

The increase in violence in South African schools, as elsewhere, has been associated with a general 'decline in moral values'. There have been three different responses that emphasise the decline in religious teaching at schools, the loss of traditional values like ubuntu , communalism and the like; and humankind's increasing alienation from nature. In other words, in terms of teaching and learning initiatives, we should turn to religion, community and the common good and nature (the natural environment and nonhuman animals) (...) in order to feel the force of morality and, consequently, to counteract human violence and cruelty. After critically examining these responses, the present article focusses on the third as the most promising, albeit one that is in need of re-conceptualisation. We need to teach not as if nature mattered but that it matters. Concepts and principles like justice, equality and rights have worked in the past. They have been useful in governing and regulating relations between human individuals. Indeed, it is the recognition of and respect for rights that best exemplifies the transculturality of values. Taking these concepts and principles seriously requires extending and employing them beyond the human realm. This may well be the most reliable way of halting the rapid deterioration of the world. Humane education, insofar as it incorporates guidance in moral reasoning and critical thinking - over and above nurture of appropriate feelings in individuals - and engages both rationality and individual responsibility, consists of transmission as well as in transcendence of our moral and cultural heritage. 'Decline in moral values', then, is counteracted by an approach that combines caring with respect for rights, in order to contribute towards erasing what has been called 'the ultimate evil', namely human violence and abuse. Environmental education and humane education, so re-conceived, arguably have long-term benefits for both humans and nonhumans. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Critical Forum Introduction:Cultural Encounters and Textual Speculations in the MediterraneanBurcu Kayışcı Akkoyun, Emrah Atasoy, and Merve TaburThis issue's Critical Forum takes its point of departure from two paradigm shifts. The first one has already occurred in utopian studies, as attested by the increasingly evident interest in non-Western conceptions of utopianism and representations of speculative fiction. Scholars of utopian studies such as Lyman Tower Sargent and Jacqueline Dutton have been (...) writing on utopias from other cultural traditions. The 2013 special issue of Utopian Studies (vol. 24, no. 1), which was introduced by Sargent and Dutton, included articles that reflected Iranian, Chinese, and Korean narratives and perspectives. During the first decade of the twenty-first century, monographs1 and journal special issues2 began examining literary and visual cultures of the Global South and transcultural expressions of the utopian imagination alongside a surge of speculative fiction from the Global South. A rising number of symposiums, anthologies, and critical works on Afrofuturism and Latinx and Arabic speculative fiction also contributed to today's widening discussions.3 This special section in Utopian Studies advocates shifting from Western-centric approaches to more nuanced modes of interpretation with a specific focus [End Page 127] on the Mediterranean, which has itself been a contested discursive site in Mediterranean studies, demanding the formation of new critical paradigms.According to Peregrine Horden and Nicholas Purcell, "It hardly needs stating that the Mediterranean, as an area seldom clearly defined but often subconsciously reduced to Italy and Greece, has been the perceived center of European civilization since the Renaissance, and in many respects since classical antiquity."4 Our set of articles challenges such reductionist views by exploring speculative configurations in the Mediterranean through literary representations of cultural encounters, social conflicts, and environmental crises. Offering analyses of various narratives that present dystopian articulations of the past and figurations of the present along with utopian aspirations for the future, the five contributions in this special section aim to expand the predominantly Eurocentric/Anglophone understanding of the Mediterranean by bringing together scholars and texts from diverse countries: Türkiye, Egypt, Morocco, and Tunisia. They demonstrate the cultural interactions between different traditions, conventions, styles, and narratives, all within the broad domain of "speculative" visioning. As Franco Cassano points out, the Mediterranean "becomes the root that we need to rediscover today," but one that is "constitutionally plural. … The Mediterranean that emerges is not a monolithic identity, but a multiverse that trains the mind to grasp the complexities of the world: hybridity, crossroads, and identities that do not love purity and cleanliness, but have been mixed for a long time."5 Cassano's emphasis on plurality as much as rootedness is relevant to the scope and purposes of our contributions as well.The articles here refrain from creating new hierarchies by simply inverting the East-West dichotomy, or by consolidating the center-margin debate within the context of the Mediterranean. While using familiar Western hermeneutical tools to understand utopian and/or dystopian narratives produced in the Mediterranean, this special section underscores historical, political, social, and literary particularities, engaging with various manifestations of power on both textual and contextual grounds. Gabriele Proglio's introduction to Decolonising the Mediterranean (2016) informs the critical orientation of our approach. Decolonizing the Mediterranean "means deconstructing the power relations at play," he writes, "viewing the Mediterranean as an excess space of signification in order to reconsider the past and present stories and subjectivities erased by Eurocentric, nationalist historical discourse."6 Such reconsiderations are essential to imagining future utopian possibilities not [End Page 128] only for fictional narratives but also for the many types of discursive practices shaping the material world.Following Proglio's lead, Ceyhun Arslan examines utopian possibilities that the Mediterranean, whether taken as a context or as a framework, generates for artists and scholars. He argues for the utopian potential of the Mediterranean's longue-durée history, underlining the importance of identifying and resisting discriminatory notions and practices of Western imperialism throughout that history. Drawing on recent approaches to Mediterranean studies, he envisions what he calls a "disciplinary utopia," wherein critics, scholars, and artists carefully attend to linguistic and historical differences in... (shrink)

ABSTRACTModern medical practice is becoming increasingly pluralistic and diverse. Hence, cultural competency and awareness are given more focus in physician training seminars and within medical school curricula. A renewed interest in describing the varied ethical constructs of specific populations has taken place within medical literature. This paper aims to provide an overview of Islamic Medical Ethics. Beginning with a definition of Islamic Medical Ethics, the reader will be introduced to the scope of Islamic Medical Ethics literature, from that aimed at (...) developing moral character to writings grounded in Islamic law. In the latter form, there is an attempt to derive an Islamic perspective on bioethical issues such as abortion, gender relations within the patient‐doctor relationship, end‐of‐life care and euthanasia. It is hoped that the insights gained will aid both clinicians and ethicists to better understand the Islamic paradigm of medical ethics and thereby positively affect patient care. (shrink)

The purpose of the study was to develop an understanding of how nursing students gained perspective on nursing care of diverse populations through watching documentaries in a cultural diversity course. The basis of this paper is our analyses of students’ written responses and reactions to documentaries viewed in class. The guiding theoretical frameworks for the course content and the study included postcolonial feminism, Foucauldian thought, and cultural safety. Krathwohl's Taxonomy of the Affective Domain was used to identify themes and (...) determine how undergraduate nursing students were progressing in achieving learning outcomes. Our findings suggest that while the use of documentaries serves as a tool for deepening students’ understanding of the realities of various populations, this activity, in the absence of critical reflection, may inadvertently promote stereotypes and further marginalize different people groups. Even though nursing students reflected on the importance of cultural safety in nursing, our findings indicate that their actions may not reflect this, especially since these students are in the early stages of the nursing program. Students need to be provided with a space where they can explore implicit biases evoked by exposure to new information about different people groups as a way of enhancing culturally safe care. (shrink)

In today’s pluralistic society, clinical ethics consultation cannot count on a pre-given set of rules and principles to be applied to a specific situation, because such an approach would deny the existence of different and divergent backgrounds by imposing a dogmatic and transcultural morality. Clinical ethics support (CES) needs to overcome this lack of foundations and conjugate the respect for the difference at stake with the necessity to find shared and workable solutions for ethical issues encountered in clinical practice. (...) We argue that a pragmatist approach to CES, based on the philosophical theories of William James, John Dewey, and Charles Sanders Peirce, can help to achieve the goal of reaching practical solutions for moral problems in the context of today’s clinical environment, characterized by ethical pluralism. In this article, we outline a pragmatist theoretical framework for CES. Furthermore, we will show that moral case deliberation, making use of the dilemma method, can be regarded an example of a pragmatist approach to CES. (shrink)

There exists a serious shortage of organs for transplantation in China, more so than in most Western countries. Confucianism has been commonly used as the cultural and ethical reason to explain the reluctance of Chinese and other East-Asian people to donate organs for medical purposes. It is asserted that the Confucian emphasis on xiao (filial piety) requires individuals to ensure body intactness at death. However, based on the original texts of classical Confucianism and other primary materials, we refute this popular (...) view. We base our position on the related Confucian norms of filial piety and ren (humaneness, humanity or benevolence), the tension between differentiated love and universal love, and belief in the goodness of human nature. In light of this, we argue that the Confucian ethical outlook actually calls for organ donation at an individual level, and supports an opt-out (presumed consent) system at the level of social policy. Furthermore, because the popular view is based on a number of dominant but misleading modes of thinking about cultural differences, our revisionist account of Confucian moral duties regarding organ donation has implications for developing a more adequate transcultural and global bioethics. These will be discussed and expanded upon. (shrink)

Several fields contributing to psychiatric advances, such as psychology, biology, and the humanities, have not yet met to produce a cohesive and integrated picture of human function and dysfunction, strength and vulnerability, etc., despite advances in their own areas. The failure may have its roots in a disagreement on what we mean by the human person and his or her relationship with the world, for which the incommensurate language of these disciplines may be partly to blame. Turns taken by western (...) philosophy over the past 400 years may help to explain this. Language is such an important tool for psychiatrists, that examination of it may afford an insight into the reasons for divisions in the field. This paper aims to examine and compare psychologies (and hence psychiatries) derived from modern western philosophy, with similar concepts in other cultures, through the study of developments in terminology, in terms of the simplest facts about what it means to be human. Terminology used in mental health in western cultures is examined, with particular consideration of the term “self” as it has come to be used in a technical sense. Analogous terms from non-English speaking European languages, and some non-western cultures are studied. Western philosophy and psychology have evolved a meaning for the term “self” which is quite different from equivalent terms in non-western cultures. It is a moot point whether or not the development in western psychiatry of what are now technical terms to describe normal human experience has become needlessly obscure and ambiguous. It is not evident that this “new” language represents a genuine advance in understanding; it distances mental health professionals from those who are not familiar with it; and it makes transcultural dialogue difficult. (shrink)

The goal of the Human Genome Diversity Project (HGDP) was to reconstruct the history of human evolution and the historical and geographical distribution of populations with the help of scientific research. Through this kind of research, the entire spectrum of genetic diversity to be found in the human species was to be explored with the hope of generating a better understanding of the history of humankind. An important part of this genome diversity research consists in taking blood and tissue samples (...) from indigenous populations. For various reasons, it has not been possible to execute this project in the planned scope and form to date. Nevertheless, genomic diversity research addresses complex issues which prove to be highly relevant from the perspective of research ethics, transcultural medical ethics, and cultural philosophy. In the article at hand, we discuss these ethical issues as illustrated by the HGDP. This investigation focuses on the confrontation of culturally diverse images of humans and their cosmologies within the framework of genome diversity research and the ethical questions it raises. We argue that in addition to complex questions pertaining to research ethics such as informed consent and autonomy of probands, genome diversity research also has a cultural–philosophical, meta-ethical, and phenomenological dimension which must be taken into account in ethical discourses. Acknowledging this fact, we attempt to show the limits of current guidelines used in international genome diversity studies, following this up by a formulation of theses designed to facilitate an appropriate inquiry and ethical evaluation of intercultural dimensions of genome research. (shrink)

Partant du constat d’une certaine confusion régnant dans les études sur le néolibéralisme, cette étude entend apporter des éléments de clarification quant au sens et à l’histoire de la doctrine. Pour ce faire, elle s’efforce tout d’abord de dresser une typologie originale des diverses tendances (ordolibérale, néoclassique, autrichienne et française), puis essaie d’éclairer, à la lueur de cette cartographie, les différentes mutations du mouvement jusqu’à aujourd’hui.

In July 1993, the Scottish Highlands Centre for Human Caring sponsored a conference with the title Exploring the Spirituality in Caring. The papers given at the conference and included in this volume are offered as a contribution to the debate that must take place in nursing and in the wider context of health care provision. Ann Bradshaw's paper puts the debate in context arguing that nursing is fundamentally a loving response to the human being created in the image of (...) God. (shrink)

In Decent People, Norman Care explores how we may understand and be reconciled to the fragility of our moral nature. In his highly original vision of what it means to be a decent person, Care claims that our moral-emotional nature pressures us to seek relief from moralized pain - pain that comes from our awareness of our own wrongdoing, the suffering of current or future people, and our experience of indifference to moral imperatives. Care argues that decent (...) people are neither 'pure' nor self-righteous and that they are vulnerable to the need for forgiveness. Decent people may take morality seriously, but they are not guaranteed success at its challenges. (shrink)

A motivation problem may arise when morally principled public policy calls for serious sacrifice, relative to ways of life and levels of well-being, on the part of the meInbers of a free society. Apart from legal or other forms of “external” coercion, what will, could, or should move people to make the sacrifices required by morality? I explore the motivation problem in the context of morally principled public policyconcerning our legacy for future generations. In this context the problem raises special (...) moral-psychological difficulties. My inquiry suggests pessimism regarding our ability to solve the motivation problem relative to what morality requires on behalf of future generations. (shrink)

En el presente artículo investigamos acerca de las reflexiones del filósofo judío Baruch de Spinoza en torno a la noción de mal (de enorme peso tanto para la religión como para el ámbito político). Nos focalizamos, por una parte, en el singular intercambio epistolar que mantiene con Guillermo de Blyenbergh, quien plantea el tema de manera específica, dando lugar a una disputa que exige a Spinoza dar cuenta de las consecuencias éticas de su ontología. Y, por otra parte, profundizamos en (...) la sistematización de sus planteamientos sobre la cuestión a través de un análisis de la Ética. Con este texto, en primer lugar, ahondamos en la filosofía de un autor de gran influencia para la tarea filosófica actual; en segundo lugar, demostramos cómo el problema del mal y su resolución resultan un foco neurálgico que articula las tesis más importantes de la ontología absoluta; en tercer lugar, analizamos cómo la pregunta por mal patentiza el abandono, por parte del filósofo, de una lógica de la sustancia por una lógica de las relaciones modales; y, por último, explicitamos el criterio ético objetivo de la ética spinozista. (shrink)