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Reading Caplan in Karachi.

Farhat Moazam1

  • 1Professor and Chairperson, Center of Biomedical Ethics and Culture, Sindh Institute of Urology and Transplantation, Dewan Farooq Medical Complex, Karachi, 74200, Pakistan., famoz@mindspring.com.

Indian Journal of Medical Ethics
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Summary
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Bioethics education often relies on a narrow philosophical framework. A culturally inclusive approach is vital for bioethics to be relevant and impactful, moving beyond mere academic exercises.

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Philosophy of Medicine

Background:

  • Current bioethics education frequently oversimplifies ethical dilemmas using a limited set of philosophical principles.
  • This approach, known as Principlism, often neglects the diverse cultural and experiential factors influencing moral reasoning.
  • A culturally myopic view can render bioethical discourse abstract and disconnected from lived realities.

Purpose of the Study:

  • To highlight the limitations of a purely principle-based approach in bioethics education.
  • To advocate for a more inclusive, reflective, and socially relevant bioethics that incorporates diverse moral perspectives.
  • To demonstrate how cultural context shapes the understanding of bioethical issues.

Main Methods:

  • Comparative analysis of ethical case studies.
  • Examining differing interpretations of bioethical dilemmas by Western bioethicists and students from a specific cultural context (Pakistan).
  • Qualitative assessment of student engagement with bioethical concepts.

Main Results:

  • Bioethicist Arthur Caplan's analyses of polio vaccination blockades and posthumous insemination were contrasted with Pakistani bioethics students' more nuanced, contextualized discussions.
  • Students demonstrated a deeper understanding when bioethical issues were framed within their socio-cultural and historical contexts.
  • The limitations of applying universal principles without considering local values and experiences were evident.

Conclusions:

  • Bioethics education requires a shift from a rigid, principle-centered model to a more inclusive and context-aware approach.
  • Integrating diverse moral lenses and lived experiences is crucial for making bioethics meaningful and impactful.
  • Bioethics should be viewed as a dynamic, socially engaged discipline rather than a purely academic pursuit.