Abstract
This chapter evaluates the universality of the Universal Declaration on Bioethics and Human Rights from a Confucian perspective. It aims to show that although the Declaration may appear to be accommodating to diverse moral communities, its neutrality is in fact founded on moral presumptions that are central to mainstream bioethics but not essentially so to other moral communities. To explicate the case, this chapter discusses the common practice of informed consent in Confucian societies that is different from that advanced by the Declaration and explains the Confucian ethical reasoning behind it. On the whole, this chapter contends that open and ongoing exchanges between moral communities should not be confined by the aspiration for universal bioethical principles.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Beauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed.). New York: Oxford University Press.
Brennan, A., & Fan, R. (2007). Autonomy and interdependence: A dialogue between liberalism and confucianism. Journal of Social Philosophy, 38(4), 511–535.
Brock, D. (2001). Quality of life measures in health care and medical ethics. In J. Harris, (Ed.) Bioethics (pp. 387–428).
Chan, W.-T. (1963). A source book in Chinese philosophy. Princeton: Princeton University Press.
Chan, H.-M. (2004a). Long-term care: Dignity, autonomy, family integrity, and social sustainability: The Hong Kong experience. Journal of Medicine and Philosophy, 32(5), 401–424.
Chan, H.-M. (2004b). Informed consent Hong Kong style: An instance of moderate familism. Journal of Medicine and Philosophy, 29(2), 195–206.
Chen, X., & Fan, R. (2010). The family and harmonious medical decision making: Cherishing an appropriate Confucian moral balance. Journal of Medicine and Philosophy, 35(5), 573–586.
Cong, Y. (2004). Doctor-family-patient relationship: The Chinese paradigm of informed consent. Journal of Medicine and Philosophy, 29(2), 149–178.
Daniels, N. (1981). Health care needs and distributive justice. Philosophy and Public Affairs, 10(2), 146–179.
Engelhardt, H. T. (1996). The foundations of bioethics (2nd ed.). New York: Oxford University Press.
Fan, R. (1997). Self-determination vs. family-determination: Two incommensurable principles of autonomy. Bioethics, 11(3–4), 309–322.
Fan, R. (2000). Informed consent and truth telling: The Chinese Confucian moral perspective. H E C Forum, 12(1), 87–95.
Fan, R. (2002). Reconsidering surrogate decision-making: Aristotelianism and Confucianism on ideal human relations. Philosophy East & West, 52(3), 346–372.
Fan, R. (2011). The Confucian bioethics of surrogate decision making: Its communitarian roots. Theoretical Medicine and Bioethics, 32(5), 301–313.
Hospital Authority. (2002).HA guidelines on life-sustaining treatment in the terminally ill, http://www.ha.org.hk/haho/ho/cc/clinicalethicreport_eng_graphic.pdf. Accessed on 24 April 2011.
Hospital Authority. (2010). Hospital authority homepage, http://www.ha.org.hk/visitor/ha_visitor_index.asp?Content_ID=10008&Lang=ENG&Dimension=100&Parent_ID=10004. Accessed on 22 April 2011.
Hu, X. (2002). On relational paradigm in bioethics. In J. L. P.-W. Tao (Ed.), Cross-cultural perspectives on the (Im) possibility of global bioethics. Boston: Kluwer Academic Publishers.
Hui, E. C. (2005). The contractual model of the patient-physician relationship and the demise of medical professionalism. Hong Kong Medical Journal, 11(5), 420–422.
Kerstein, S. J. (2009). Autonomy, moral constraints, and markets in kidneys. Journal of Medicine & Philosophy, 34(6), 573–585.
Lau, D. C. (1992). Analects (Trans.). The Chinese University Press.
Lau, D. C. (2003). Mencius (Trans.). The Chinese University Press.
Legge, J. (1975). The four books: the Great learning, the doctrine of the mean, Confucian analects, and the words of Mencius (Trans.). Taipei: Wen Hua Publishing.
Legge, J. (1976). The sacred books of China: the texts of Confucianism: Vol. 4 (Trans.). New York: Gordon Press.
Li, E.-C., & Wen, C.-F. (2010). Should the Confucian family-determination model be rejected? A case study. Journal of Medicine and Philosophy, 35(5), 587–599.
Nuyen, A. T. (2004). The contemporary relevance of the Confucian idea of Filial Piety. Journal of Chinese Philosophy, 31(4), 433–450.
Somerville, M. (2009). Defining human dignity. Montreal Gazette (Canada) November 22, 2009.
Tai, M. C.-T., & Tsai, T.-P. (2003). Who makes the decision? Patient’s autonomy vs paternalism in a Confucian society. Coratian Medical Journal, 44(5), 558–561.
Tao, J. L. P.-W. (2004). Confucian and Western Notions of Human Need and Agency: Health care and biomedical ethics in the twenty-first century. In R.-Z. Qiu (Ed.), Bioethics: Asian perspectives – a quest for moral diversity. Boston: Kluwer Academic Publishers.
Tao, J. L. P.-W. (2007). Dignity in long-term care for elder persons: A confucian perspective. Journal of Medicine and Philosophy, 32(5), 1–17.
Taylor, J. S. (2009). Autonomy and organ sales, revisited. Journal of Medicine & Philosophy, 34(6), 632–648.
Tse, C.-Y., & Tao, J. (2004). Strategic ambiguities in the process of consent: Role of the family in decisions to forgo life-sustaining treatment for incompetent elderly patients. Journal of Medicine and Philosophy, 29(2), 207–223.
United Nations Educational, Scientific and Cultural Organization, UNESCO Universal Declaration on Bioethics and Human Rights, October 19, 2005. http://portal.unesco.org/en/ev.php-URL_ID=31058&URL_DO=DO_TOPIC&URL_SECTION=201.html. Accessed 10 February 2011.
Wear, S. (2007). Truth telling to the sick and dying in a traditional Chinese culture. In S. C. Lee (Ed.), The family, medical decision-making, and biotechnology. Dordrecht: Springer.
Yu, E., & Fan, R. (2007). A Confucian view of personhood and bioethics. Bioethical Inquiry, 4(3), 171–179.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media Dordrecht
About this entry
Cite this entry
Yu, E. (2014). Confucianism. In: ten Have, H., Gordijn, B. (eds) Handbook of Global Bioethics. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2512-6_90
Download citation
DOI: https://doi.org/10.1007/978-94-007-2512-6_90
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-2511-9
Online ISBN: 978-94-007-2512-6
eBook Packages: Humanities, Social Sciences and Law