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Shinmi (): a Distinctive Japanese Medical Virtue?

Reina Ozeki-Hayashi1,2, Dominic J C Wilkinson1,3,4,5

  • 1Oxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, Oxford, UK.

Asian Bioethics Review
|October 14, 2024
PubMed
Summary
This summary is machine-generated.

The Japanese concept of Shinmi describes doctors treating patients with familial closeness. While potentially beneficial, balanced Shinmi is key for ethical medical care and meeting patient emotional needs.

Keywords:
Cultural diversityEmotional involvementPatient-doctor relationshipProfessionalismVirtue ethics

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Area of Science:

  • Medical Ethics
  • Cross-Cultural Healthcare Studies
  • Virtue Ethics in Medicine

Background:

  • Western medical ethics emphasize professional detachment.
  • Cultural norms influence patient-doctor relationships and healthcare delivery.
  • Diverse perspectives on ideal healthcare provider attributes exist globally.

Purpose of the Study:

  • Introduce and analyze the Japanese concept of Shinmi in medical care.
  • Explore the virtue ethics of a Shinmi-na approach.
  • Examine the potential benefits and drawbacks of Shinmi in clinical practice.

Main Methods:

  • Case study analysis.
  • Application of virtue ethics framework.
  • Comparative analysis with Western medical values.

Main Results:

  • Shinmi involves treating patients with emotional closeness, akin to family.
  • Excessive Shinmi can pose challenges for both patients and healthcare providers.
  • Elements of Shinmi may contrast with Western norms of emotional detachment.

Conclusions:

  • A balanced Shinmi-na approach can align with medical goals.
  • The concept of Shinmi offers valuable insights for medical education.
  • Shinmi may enhance patient care in Japanese and other healthcare systems by addressing emotional needs.