Skip to main content
×
Home

Cultural Aspects of Nondisclosure

  • Celia J. Orona (a1), Barbara A. Koenig (a2) and Anne J. Davis (a3)
Abstract

A basic assumption in current western medicine is that good healthcare involves informed choices. Indeed, making informed choices is not only viewed as “good practice” but a right to which each individual is entitled, a perspective only recently developed in the medical field.

Moreover, in the case of ethical decisions, much of the discussion on the role of the family is cast within the autonomy paradigm of contemporary bioethics; that is, family members provide emotional support but do not make decisions for the competent adult patient. The family Is uniformly viewed as an Important proxy decision maker for incompetent patients; but most bioethicists would eschew any decision-making role for the family of mentally competent adult patients. Underlying the discussion of autonomy is the basic assumption in western medicine that good healthcare Involves choices by Informed individuals.

Copyright
References
Hide All

Notes

1. Veatch RM. Defining the family's role in treatment decisions. Health Progress 1986; 67: 50–2.

2. Callahan S. Ethical decision making: a family affair? Health Progress 1988; 69: 22–3.

3. Munoz Silva JE, Kjellstrand CM. Withdrawing life support: do families and physicians decide as patients do? Nephron 1988; 48: 201–5.

4. Englehardt HT Jr. Taking the family seriously: beyond best interests. In: Kopelman LM, Moskop JC, eds. Children and Health Care: Moral and Social Issues. Boston: Kluwer Academic, 1989: 231–7.

5. Thomasma DC, Pellegrino ED. The role of the family and physicians in decisions for incompetent patients. Theoretical Medicine 1987; 8: 283–92.

6. Brock DW. The ideal of shared decision making between physicians and patients. Kennedy Institute of Ethics Journal 1991; 1: 2847.

7. Kass L. Practicing ethics: where's the action? Hastings Center Report 1990; 20: 512.

8. Siegler M. Decision analysis and clinical medical ethics: beginning the dialogue. Medical Decision Making 1987; 7: 124–6.

9. Barnard D. Unsung questions of medical ethics. Social Science and Medicine 1985; 21: 243–9.

10. Kawaga-Singer M. Bamboo and Oak: Differences in Adaptation to Cancer between Japanese-American and Anglo-American Patients. (Dissertation). Los Angeles: University of California, 1989.

11. Kawaga-Singer M. A comparison of the effects of cultural beliefs on adaptation to cancer treatment between Japanese-American and Anglo-American patients. Presented at the American Cancer Society, Conference on Nursing,Atlanta,November 1989.

12. Salcido RM. Mexican-Americans: illness, death and bereavement. In: Parry JK, ed. Social Work Practice with the Terminally III. Springfield, Illinois: Charles C Thomas, 1990: 99112.

13. Kurtz RA, Chalfant HP. The Sociology of Medicine and Illness. Boston: Allyn and Bacon, 1991.

14. See note 12. Salcido . 1990:99112.

15. Kleinman A, Eisenberg L, Good B. Culture, illness and care: clinical lessons from anthropological and cross-cultural research. Annals of Internal Medicine 1978; 88: 251–8.

16. Clark MM. Cultural context of medical practice. Western Journal of Medicine 1983; 139: 811–9.

17. Qureshi B. Transcultural Medicine: Dealing with Patients from Different Cultures. Boston: Kluwer Academic, 1989.

18. See note 10. Kawaga-Singer . 1989.

19. See note 11. Kawaga-Singer . 1989.

20. Long SO, Long BD. Curable cancers and fatal ulcers: attitudes toward cancer in Japan. Social Science and Medicine 1982; 16: 2101–8.

21. See note 16. Clark . 1983; 139: 811–9.

22. Novack DH, Plumer R, Smith RL et al. , Changes in physicians' attitudes toward telling the cancer patient. Journal of the American Medical Association 1979; 241: 897900.

23. See note 15. Kleinman , Eisenberg , Good . 1978; 88: 251–8.

24. Gordon DR, Allamini A. Not to tell, not to know: culture, cancer and communication in Italy. Presented at the American Anthropology Annual Meeting,Washington, D.C.,1989.

25. See note 12. Salcido . 1990: 99112.

26. Soto AR, Villa J. Una platica: Mexican-American approaches to death and dying. In: Parry JK, ed. Social Work Practice with the Terminally III. Springfield, Illinois: Charles C Thomas, 1990: 113–28.

27. Blustein J. The family in medical decisionmaking. Hastings Center Report 1993; 23(3): 613.

28. Blanchard CG, Labrecque MS, Ruckdeschel JC et al. , Information and decision making preferences of hospitalized adult cancer patients. Social Science and Medicine 1988; 27: 1139–45.

29. See note 28. Blanchard , Labrecque , Ruckdeschel et al. , 1988;27: 1139–45.

30. See note 27. Blustein . 1993;23(3): 613.

31. Thorne S. The family cancer experience. Cancer Nursing 1985; 8: 285–91.

32. Jennings B. Ethics and ethnography in neonatal intensive care. In: Weisz G, ed. Social Science Perspectives on Medical Ethics. Dordrecht, The Netherlands: Kluwer Academics, 1990: 261–72.

33. Rasinski-Gregory DC, Miller RB, Kutner FR. Improving hospital ethics committees: cross cultural concerns and their procedural implications. HEC Forum 1989; 1: 137–50.

34. Kunstadter P. Medical ethics in cross-cultural and multi-cultural perspectives. Social Science and Medicine 1980; 14B: 289–96.

35. Englehardt HT Jr. Bioethics in pluralist societies. Perspectives in Biology and Medicine 1982; 26: 6478.

36. Sturm D. Contextuality and convenant: the pertinence of social theory and theology to bioethics. In: Shelp EE, ed. Theology and Bioethics: Exploring the Foundations and Frontiers. Boston: Reidel, 1985: 135–61.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cambridge Quarterly of Healthcare Ethics
  • ISSN: 0963-1801
  • EISSN: 1469-2147
  • URL: /core/journals/cambridge-quarterly-of-healthcare-ethics
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 34 *
Loading metrics...

Abstract views

Total abstract views: 265 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 21st November 2017. This data will be updated every 24 hours.