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      • Ethics, Culture and Relativism : Some Reflections on Teaching Medical Ethics in Contemporary Sri Lanka

        S.N. Arseculeratne,R. Simpson,P.D. Premasiri,P.V.R. Kumarasiri EWHA INSTITUTE FOR BIOMEDICAL LAW & ETHICS 2008 BIOMEDICAL LAW & ETHICS Vol.2 No.1

        This paper is the first of two that set out to explore issues that arise at the interface between globalised systems of biomedicine and bioethics on the one hand and non-western traditions of medicine, healing and ethics on the other. At this interface, fundamental questions of relativism and context are in evidence. Here we offer a preliminary overview of these questions in relation to medical education in Sh Lanka and attempts by local scholars to develop curricula that incorporate indigenous traditions in ways that are both appropriate and realistic, In the paper, we argue for approaches that go beyond simply accumulating and juxtaposing knowledge of different traditions. The strategy we advocate takes the experience of the medical student as the starting point for pedagogical enquiry into different ethical traditions with an emphasis placed on their translation, evaluation and comparison. The promise of such an approach is a bioethics that makes beneficence, respect for life, honesty, truthfulness, dignity and respect central but, through on-going dialogue, connects these values to the local moralities that inform all cultures of healing and care.

      • Centres of Ethical Gravity : A Comparison of Responses to Contemporary Biomedical Dilemmas Among Young People in Sri Lanka and England

        P.V.R. Kumarasiri,S.N. Arseculeratne,P.D. Premasiri,B. Simpson EWHA INSTITUTE FOR BIOMEDICAL LAW & ETHICS 2008 BIOMEDICAL LAW & ETHICS Vol.2 No.2

        The achievements of contemporary biomedicine and biotechnology are now widely communicated across the globe. Yet, across different cultures and belief systems, the relationship between the possible and the acceptable when it comes to biomedical advance is highly variable and draws justification from a wide range of sources: culture, religion, 'common sense', family values, ideas of what is 'natural', ideas of what is progress etc. Students' attitudes towards science and by extension toward the new biotechnologies have been extensively researched western contexts. However, relatively little is known about how this relationship plays out in different cultural contexts and there is even less by way of empirical research in this area. In this paper, we are interested in two related questions, the answers to which, we hope will begin to fill these gaps. First, we consider how culture and religion feed into bioethical deliberation among an emerging generation of 'bioethical citizens' drawn from Sri Lanka; the contrast that we go on to make with students from the UK is both illuminating and instructive. Second, we consider the points of bioethical conver-gence and divergence between the two groups. We conclude by offering some observations about what we have coine centres of ethical gravity' and what these might tell us about cultural relativism and the operation of bioethical sensibilities in different cultural contexts.

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