期刊论文详细信息
BMC Medical Ethics
Are there morally relevant differences between hymen restoration and bloodless treatment for Jehovah’s Witnesses?
Niels Lynøe1  Niklas Juth1 
[1] Stockholm Centre for Healthcare Ethics, Karolinska Institutet, LIME, 171 77 Stockholm, Sweden
关键词: Virginity;    Hymen reconstruction;    Honour;    Obstetrics and Gynaecology;    Applied and Professional Ethics;   
Others  :  1089937
DOI  :  10.1186/1472-6939-15-89
 received in 2014-09-16, accepted in 2014-12-18,  发布年份 2014
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【 摘 要 】

Background

Hymen reconstruction is a controversial measure performed to help young females under threat of honour-related violence. Official guidelines often reject offering hymen reconstructions. On the other hand, extraordinary measures in order to enable operations of Jehovah’s Witnesses who want a bloodless operation in order to avoid religiously related sanctions are often considered praiseworthy. The aim is thus to examine whether or not there are relevant differences between these two measures.

Discussion

We identified twelve potential differences. One difference could be considered relevant (patient-safety), but in favour of hymenoplastic operations.

Summary

Since we did not identify enough relevant differences to justify offering bloodless operations to Jehovah’s Witnesses but not offering hymen reconstruction due to honour-related norms, we conclude that these two groups of patients should be treated equally. This means that neither of the patient groups should be offered these extraordinary operations or that both groups of patients should be offered such operations. Similarly, there are no reasons for judging those who perform the operations differently.

【 授权许可】

   
2014 Juth and Lynøe; licensee BioMed Central.

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【 参考文献 】
  • [1]Tännsjö T: Hedersmoral – ett problem i västerländsk sjukvård? [Honour morality - a problem in Western healthcare?]. Tidskrift för politisk filosofi 2011, 1:6-26.
  • [2]Pinto-Gouveia J, Matos M, Castilho P, Xavier A: Differences between depression and paranoia: the role of emotional memories, shame and subordination. Clin Psychol Psychot 2014, 21:49-61.
  • [3]Juth N, Hansson SO, Tännsjö T, Lynøe N: Honour-related threats and human rights: a qualitative of study Swedish healthcare providers’ attitudes towards young women requesting virginity certificates or hymen reconstruction. Eur J Contracep Repr 2013, 18:451-459.
  • [4]van Moorst BR, van Lunsen RH, van Dijken DK, Salvatore CM: Backgrounds of women applying for hymen reconstruction, the effects of counselling on myths and misunderstandings about virginity, and the results of hymen reconstruction. Eur J Contracep Repr 2012, 17:93-105.
  • [5]Sabuni N, Heimer G: Läkare ska inte göra “oskuldsoperationer”. Svenska Dagbladet/Brännpunkt; 2011. [[Physicians should not perform “virginity operations”]]
  • [6]Nationellt Centrum för Kvinnofrid [National Centre for Knowledge on Men’s Violence Against Women]: Att möta patienter som söker för oro kring oskuld och heder. Uppsala; 2011. [[To encounter patients with concerns regarding virginity and honour]] Accessed 28 August 2014 from: http://kunskapsbanken.nck.uu.se/nckkb/nck/publik/fil/visa/296/NCK-rapport_2011-2_Att_mota_patienter_www.pdf webcite
  • [7]UNFPA: State of world population 2000: Chapter 3: “Honour” killings. ending violence against women and girls. A human rights and health priority. Accessed 28 August 2014 from: http://www.unfpa.org/swp/2000/english/index.html webcite
  • [8]Singelenberg R: The blood transfusion taboo of Jehovah’s Witnesses: origin, development and function of a controversial doctrine. Soc Sci Med 1990, 31:515-523.
  • [9]Beauchamp TL, Childress JF: Principles of Biomedical Ethics. 6th edition. New York: Oxford University Press; 2009:chapter 3.
  • [10]McCartney S, Guinn N, Roberson R, Broomer B, White W, Hill S: Jehovah’s Witnesses and cardiac surgery: a single institution’s experience. Transfusion 2014. May 9. doi:10.1111/trf.12696. [Epub ahead of print]
  • [11]Saito Y, Fukuda I, Fukui K, Minakawa M, Daitoku K, Suzuki Y: Hybrid operation for combined aortic arch aneurysm and aortic root dilation in a Jehovah’s Witness patient. Ann Vasc Surg 2014. doi:10.1016/j.avsg.2014.04.015. [Epub ahead of print]
  • [12]Narita T, Hamano I, Kusaka A, Murasawa H, Tokui N, Imanishi K, Okamoto T, Yamamoto H, Imai A, Hatakeyama S, Yoneyama T, Hashimoto Y, Koie T, Ohyama C, Hakamada K: Surgery without Blood Transfusion for Giant Paraganglioma in a Jehovah’s Witness Patient. Case Reports Oncol 2014, 7:233-238.
  • [13]Hare R: Justice and Equality. In Justice and Economic Distribution. Edited by Arthur J, Shaw W. New Jersey: Prentice-Hall; 1991:118-132.
  • [14]Putney LJ: Bloodless cardiac surgery: not just possible, but preferable. Crit Care Nursing Quart 2007, 30:263-270.
  • [15]World Medical Association: World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013, 310:2191-2194.
  • [16]Earp BD, Sandberg A, Savulescu J: The medicalization of love. Camb Q Healthc Ein press. Available at: https://www.academia.edu/7066855/The_medicalization_of_love webcite
  • [17]Eriksson S, Andersson L: Autonomi och religion - Jehovas vittnen och blodtransfusioner [Autonomy and religion - Jehovah’s Witnesses and religion and blood transfusions]. Socialmedicinsk Tidskrift 2001, 5:436-448.
  • [18]Svensson T, Müssener U, Alexanderson K: Pride, empowerment, and return to work: on the significance of promoting positive social emotions among sickness absentees. Work 2006, 27:57-65.
  • [19]Swedish Government Bill Prop. (1996/97:60): Prioritizations Within Health Care. Stockholm: Department of Health and Welfare; [[Prioriteringar inom hälso-och sjukvården]]
  • [20]Lynøe N, Juth N: Zero tolerance against patriarchal norms? A cross-sectional study of Swedish healthcare staffs’ restrictive attitudes towards young females who request virginity certificates or hymen restoration. J Med Ethics 2014. doi:10.1136/medethics-2013-101675. [Epub ahead of print]
  • [21]Wilkinson S: Choosing Tomorrow’s Children: The Ethics of Selective Reproduction. Oxford: Clarendon; 2010:148-185.
  • [22]Earp BD: Hymen ‘restoration’ in cultures of oppression: how can physicians promote individual patient welfare without becoming complicit in the perpetuation of unjust social norms? J Med Ethics 2014, 40:431.
  • [23]Brusa M, Barilan YM: Cultural circumcision in EU public hospitals – an ethical discussion. Bioethics 2009, 23:470-482.
  • [24]Rawls J: A Theory of Justice. Oxford: Oxford University Press; 1972.
  • [25]Norredam M, Album D: Prestige and its significance for medical specialties and diseases. Scand J Public Health 2007, 35:655-661.
  • [26]Lynøe N, Wessel M, Olsson D, Alexanderson K, Tännsjö T, Juth N: Duelling with doctors, restoring honour and avoiding shame? A cross-sectional study of sick-listed patients’ experiences of negative healthcare encounters with special reference to feeling wronged and shame. J Med Ethics 2013, 39:654-657.
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