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)

Medical, legal, and Islamic views on abortion, fertilization in vitro, euthanasia, kidney transplant, and sex change operation; results of discussions.

Pain medication is one of the responses to the mercy argument that utilitarian ethicists use for justifying active euthanasia on the grounds of prevention of cruelty and appeal to beneficence. The researcher reinforces the significance of pain medication in meeting this challenge and considers it the most preferred response among various other responses. It is because of its realism and effectiveness. In exploring the mechanism and considerations related to pain medication, the researcher briefly touches the Catholic ethical position on (...) the issue, a position that cannot be ignored in the development of contemporary bioethics. The researcher particularly deliberates on the contemporary Islamic discourse on the issue; by furthering the debate in line with the Islamic legal maxims and general guidance from the primary sources of Islamic law and ethics. The resolution on the issue is sought by synthesizing the views and legal maxims (al-Qawaid al-Fiqhiyyah) on the issue, which in conclusion provide justification for pain medication by considerably regarding pain as necessity and pressing need. However, such resolution allows pain medication to the limit and proportion that removes the pain and prohibits overdosing the patient with medication that may directly cause the death. (shrink)

Survival is obviously important, but sometimes, under particular circumstances, life can become miserable, difficult, or intolerable; at that point, survival can seem like a punishment or misfortune. A patient who is in a vegetative state, unable to sustain life with dignity, and who is suffering from a terminal illness, has freedom to choose between life and death. The practice of "mercy killing," or euthanasia is an ongoing debate in the discussion of medical ethics. When it comes to making (...) class='Hi'>euthanasia decisions for their incompetent patients, medical practitioners are faced with a problem. The moral dilemma of whether something is morally acceptable or not is moral in nature. The "end of life" issue is related to euthanasia should be legally acceptable under specific circumstances, such as when a patient is terminally sick, death is imminent, and treatment is unsuitable and ineffective. It is morally acceptable when a patient makes the autonomous decision to end his life or asks someone else to help him. In order to make an informed decision, the patient needs to be thoroughly informed about the diagnosis and prognosis of an incurable, deadly condition. However, in the context of a Muslim-majority population, where any argument for the legality of suicide (and, by extension, physician-assisted suicide) would be automatically rejected as contrary to Islamic moral and jurisprudential principles, this is an extraordinary request for the health service authorities of a developing country to consider. This paper discusses mainly non-voluntary active euthanasia. The discussion is conducted by giving a case study from Bangladesh. The situation in Bangladesh will also be examined in the paper's last section with regard to the permissibility of active euthanasia, specifically whether it can be done in our state given the socio-cultural-religious practices that are now in place. (shrink)

Looking Beneath the Surface explores Arab-Islamic and Western perspectives on medical ethical issues: genetic research and treatment, abortion, organ donation, and palliative sedation and euthanasia. The contributions in this volume discuss the state of the art, the role of laws, counseling, and spiritual counseling in the decision-making process. The different approaches to the ethical issues, ways of moral reasoning, become clear in these contributions, especially the role of tradition for Islam and the importance of autonomy for the West. (...) Beneath the differences, however, the reader will also discover common values, such as the role of dignity and the value of life, and similar practices. Some of the main differences are sociocultural in nature, rather than religious as such. Well-known experts in the fields of medicine and ethics have contributed to this volume from different religious and secular backgrounds. The book offers a carefully written introduction and final chapter on intercultural comparisons. Looking Beneath the Surface is more than a collection of writings on issues in medical ethics: it helps the reader to compare different paradigms of accountability and moral reasoning. (shrink)

One of the most challenging issues in medical ethics is a permission or prohibition of euthanasia. Is a patient with an incurable disease who has lots of pain permitted to kill oneself or ask others to do that? The main reason advanced by the opponents is the absolute prohibition of murder. Accordingly, the meaning of murder plays a key role in determining the moral judgment of euthanasia. The aim of this paper is to confirm the role of intention (...) in moral judgment of euthanasia and eliminate the name of unjust murder from voluntary euthanasia. The Intention of an agent determines the name of the act and whether it is right or wrong. An important point that dose not taken into account in the definitions of murder, killing as well as their ethical judgment is considering the attributes of being unjust and forcible. Killing a human being is neither intrinsically good nor bad, but its ethical judgment depends on the way that happens, i.e. just or unjust. Every killing is neither bad nor unethical except unjust one which is both bad and unethical. The attribute of “unjust” has been mentioned in the definition of murder in Islamic jurisprudence, law, traditions, and Quran. Owing to this argument, on one hand, it is true to state that voluntary euthanasia is not unjust and forcible murder (the test of correct negation), and on the other hand, it is not true to say that voluntary euthanasia is unjust and forcible murder (the test of incorrect predication). It can be concluded that voluntary euthanasia is an independent title other than unjust murder and does not have its judgment. (shrink)

The war on terrorism, say America's leaders, is a war of Good versus Evil. But in the minds of the perpetrators, the September 11 attacks on New York and Washington were presumably justified as ethically good acts against American evil. Is such polarization leading to a violent "clash of civilizations" or can differences between ethical systems be reconciled through rational dialogue? This book provides an extraordinary resource for thinking clearly about the diverse ways in which humans see good and evil. (...) In nine essays and responses, leading thinkers ask how ethical pluralism can be understood by classical liberalism, liberal-egalitarianism, critical theory, feminism, natural law, Confucianism, Islam, Judaism, and Christianity. Each essay addresses five questions: Is the ideal society ethically uniform or diverse? Should the state protect, ban, or otherwise intervene in ethically based differences? How should disagreements on the rights and duties of citizens be dealt with? Should the state regulate life-and-death decisions such as euthanasia? To what extent should conflicting views on sexual relationships be accommodated? This book shows that contentious questions can be discussed with both incisiveness and civility. The editors provide the introduction and Donald Moon, the conclusion. The contributors are Brian Barry, Joseph Boyle, Simone Chambers, Joseph Chan, Christine Di Stefano, Dale F. Eickelman, Menachem Fisch, William Galston, John Haldane, Chandran Kukathas, David Little, Muhammad Khalid Masud, Carole Pateman, William F. Scheuerman, Adam B. Seligman, James W. Skillen, James Tully, and Lee H. Yearley. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Ethics of Death: Religious and Philosophical Perspectives in Dialogue by Lloyd Steffen and Dennis R. CooleySarah MosesThe Ethics of Death: Religious and Philosophical Perspectives in Dialogue Lloyd Steffen and Dennis R. Cooley MINNEAPOLIS: FORTRESS PRESS, 2014. 318 PP. $34.00In The Ethics of Death, religious studies scholar Lloyd Steffen and philosopher Dennis Cooley offer ethical analysis of a variety of topics with an approach they refer to as (...) "dialogic engagement," modeled upon their own interdisciplinary exchange with one another (4). In fact, each of the seven main chapters is explicitly structured as a dialogue: each author laying out his particular approach in two separate sections, which are then followed by a question-and-answer section where the authors pose questions to one another and provide brief responses. Intending to address death as it relates to the moral lives of the living, the chapters cover topics that are of enduring interest to students, scholars, and the general public: abortion, the death penalty, war, suicide, physician-assisted suicide, and euthanasia. To distinguish it from other recent titles that explore the dying experience in contemporary medical contexts, the book might be more accurately described as addressing the ethics of killing. [End Page 218]To set the stage for subsequent topical chapters, the book's first chapter provides a basic introduction to ethics, including outlining prominent ethical theories such as Kantian, utilitarian, virtue, and natural law approaches. Readers will find clear descriptions of key terms such as consequentialism, deontology, and pragmatism. In his section Steffen also addresses the contrast between religious and secular ethics, noting how religious ethical traditions are potentially distinctive (such as divine command theories or use of sacred texts) and potentially overlapping (such as similar practical judgments). In this chapter, the authors also indicate their own preferred normative approach: Steffen identifying with a "natural law hybrid ethic," a natural law approach that "allows the other ethical theories a part but says none has the final say" (22), and Cooley advocating what he calls the "Pragmatic Principle" approach, combining what he considers plausible and helpful from both deontology and consequentialism (32–33). The authors' normative approaches reveal the strengths and limitations of various ethical theories, and the practical usefulness of theoretical hybridity.Each of the topical chapters provides readers with relevant background information, such as the legal and policy history of particular issues. Given the flexible normative approaches taken by the authors, not surprisingly each chapter provides a nonabsolutist position on each form of killing (although Cooley's evaluation of war is strongly negative: "Some may be justified, whereas the vast majority cannot be" [165]). The chapters also provide balanced, thoughtful sections that outline major arguments on opposite sides of ethical debate, sometimes in the form of enumerated "for and against" lists. The chapters thus familiarize readers with important dimensions of contemporary debates, such as just war theory, pacifism, human rights theory, definitions of personhood, and the determination of medical futility. Chapters include useful references to thinkers who have shaped ethical debate such as Don Marquis and Judith Thompson on abortion and Mahatma Gandhi and Douglas Lackey on war and violence. Students of religious ethics will find the sections by Steffen particularly helpful in reviewing various ethical positions from religions such as Buddhism, Islam, Christianity, and Judaism.The book could certainly be effective in a topical survey course at the undergraduate or graduate level, with a major strength that the book's structure illustrates theoretical connections between philosophy and religious studies regarding ethical inquiry. The dialogue questions that conclude each chapter could be used to frame class discussion or even as prompts for student writing assignments. However, for a course focused on comparative religious ethics, instructors would want to supplement with more in-depth ethical analysis from particular religious ethical traditions. [End Page 219]Sarah MosesUniversity of MississippiCopyright © 2017 Society of Christian Ethics... (shrink)