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Updated: May 13, 2025

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Some Asian Value Reflections on Children's Autonomy.

Daniel Fu-Chang Tsai1, Yu-Chen Chou1

  • 1Graduate Institute of Medical Education and Bioethics, National Taiwan University College of Medicine, Taipei, Taiwan.

Asian Bioethics Review
|April 14, 2025
PubMed
Summary
This summary is machine-generated.

This study examines children's autonomy in cross-cultural bioethics, particularly in Asian contexts. It proposes a framework to balance individual rights with family values in medical decision-making.

Keywords:
Children’s autonomyConfucian relationshipsCultural differencesSubjectivity

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Area of Science:

  • Bioethics
  • Cross-cultural studies
  • Pediatric ethics

Background:

  • Western and non-Western cultural differences impact children's autonomy claims.
  • Asian cultural values, like relational personhood, traditionally emphasize family over individual autonomy.
  • Legal regulations on children's medical decisions vary significantly across nations, even within similar cultural spheres.

Purpose of the Study:

  • To ethically reflect on children's autonomy from a cross-cultural bioethics perspective, focusing on Asian values.
  • To explore the influence of cultural theories on children's medical decision-making.
  • To propose a theoretical framework for resolving bioethical controversies between individual autonomy and family determinism.

Main Methods:

  • Comparative legal analysis of children's medical decision-making regulations in the USA, UK, Japan, and Taiwan.
  • Application of theoretical frameworks: Tsai's "Confucian two-dimensional personhood theory" and Markus and Kitayama's "Construal of Self" theory.
  • Ethical reflection on the interplay between cultural values, legal systems, and bioethical principles.

Main Results:

  • Legal systems demonstrate national differences in children's medical decision-making, despite shared Asian cultural influences.
  • Family or parental determinism often limits individual autonomy and children's medical choices in Asian societies.
  • Global human rights values and bioethical principles are driving legal and practical shifts towards respecting individual autonomy.

Conclusions:

  • Tsai's two-dimensional personhood theory offers a balanced approach to reconcile individual autonomy with family determinism and paternalism.
  • This framework provides a rational resolution for cross-cultural bioethical debates concerning autonomy and family influence.
  • The study offers valuable insights for pediatric ethics and children's medical decision-making within Asian cultural contexts.