{"title":"Der Name der Krankheit: Patienten mit fremden Sprachen im deutschen Krankenhaus","authors":"Hamindokht Klein","doi":"10.30965/29498570-04603002","DOIUrl":"https://doi.org/10.30965/29498570-04603002","url":null,"abstract":"\u0000 Patients from foreign cultures suffer special stress, as their situation as foreigners fosters diseases and causes conflicts. They must live under ambivalent and contradicting circumstances. This situation is exacerbated by not being understood, by using metaphors and drawing on concepts of disease which differ from those commonly used within their new environment. The result is a therapeutic relationship that becomes speechless. Hospitals, which should organize not disrupt the recovery process, may yet cause that effect.\u0000 The first part of the paper analyses the connection between migration and disease through two clinical stories. Often a foreign patient's explication of his/her own disease is misunderstood by nurses and physicians. The next part of the paper describes the vicious circle of cultural, organizational, and individual factors of disease as the attitudes of caregivers that intensify a patient's disease and the background of the uncertainty of many caregivers. The last part provides practical considerations on how nursing should react to this challenge.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121481856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Konsens ohne Begründung?","authors":"Hans Joachim Türk","doi":"10.30965/29498570-04601002","DOIUrl":"https://doi.org/10.30965/29498570-04601002","url":null,"abstract":"\u0000 To anyone who is not a positivist with respect to the law existing bioethical regulations must appear unsatisfactory; for the basic values cited to ground them are neither well defined nor adequately justified. Are they not merely the ones currently held by a majority of people in the Western industrialised nations? Might they not be subject to change either over time or in other cultural contexts? If human rights serve only to preserve people's rationally exercised individual freedom then restrictions like those of the German Embryo Protection Act cannot be adequately justified. Tue best chance for a consensus seems to result from the common experience of events intuitively judged as inhuman. lt appears therefore realistic to predict that legal, political and moral norms with respect to the life sciences are only consensually constituted if a society has had a bad experience in that field.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126977907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L. Honnefelder / C. Streffer (Hrsg.), Jahrbuch für Wissenschaft und Ethik, Bd. 4, Berlin (de Gruyter) 1999, 486 S.","authors":"Editors Zeitschrift für medizinische Ethik","doi":"10.30965/29498570-04601009","DOIUrl":"https://doi.org/10.30965/29498570-04601009","url":null,"abstract":"","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114204441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Präimplantationsdiagnostik (PGD) – Erfahrungen aus den Niederlanden","authors":"Norbert Steinkamp","doi":"10.30965/29498570-04603008","DOIUrl":"https://doi.org/10.30965/29498570-04603008","url":null,"abstract":"","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125506147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zeugung auf Probe? – Selektion vor der Schwangerschaft?","authors":"U. Eibach","doi":"10.30965/29498570-04602005","DOIUrl":"https://doi.org/10.30965/29498570-04602005","url":null,"abstract":"\u0000 Various moral considerations with respect to PGD, i. e. normative ones as well as those about the predictable and possible consequences, clearly converge to provide a persuasive argument against any form of legalising PGD. In particular, what counts against PGD are the affirmation of clearly negative judgments about the quality of life and the selection of embryos according to those judgments; the questioning of the human dignity and human rights of early human embryos; and the resultant qualification of the prohibition to kill. This puts us on a slippery slope and undermines more and more the protection of life for the weakest members of our society. Thus there cannot be a right to a »healthy child« by way of PG D. From a Christian-moral perspective, the government and parliament would be well advised not to leave the regulation of the use of PGD to the professional medical organisations but to outlaw PGD in the planned Reproductive Medicine Act.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131390419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Präimplantationsdiagnostik in Deutschland – ganz oder gar nicht!","authors":"T. Schroeder-Kurth","doi":"10.30965/29498570-04602006","DOIUrl":"https://doi.org/10.30965/29498570-04602006","url":null,"abstract":"\u0000 Through the statement of the Bioethics Commission of the State Rheinland-Pfalz (EK-RhPf) and the draft guidelines for the use of PGD of the Federal Medical Association (REP-BÄK) the debate about PGD in Germany is clearly headed towards an introduction of the technique. Both papers fail to deal adequately with some of the most important medical facts as well as legal and ethical aspects: embryo destruction in the course of diagnostic procedures or necessary research; the initiation of a trial pregnancy conditional on the results of prenatal diagnosis – a practice which contradicts the aims usually stated in favour of PGD; diagnostic indications intended to restrict the use of the technique are impractical in the light of previous experience with prenatal diagnosis. The REPBÄK tries to squeeze PGD techniques, procedures and aims into the existing guidelines for IVF despite profound differences. If PGD is to be introduced then these half-hearted would-be-solutions must be replaced by a clear and complete presentation of the facts as well as the moral problems and legal consequences including the abandonment of embryo protection as we know it. Society needs complete information, honest ethical discussion and legal security for a decision: PGD – yes or no!","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"1986 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125469283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ein gesundes Kind um jeden Preis?","authors":"Eberhard Schockenhoff","doi":"10.30965/29498570-04602004","DOIUrl":"https://doi.org/10.30965/29498570-04602004","url":null,"abstract":"\u0000 This article evaluates the various arguments in favour of a restricted use of PG D in certain cases with the aim of judging the moral acceptability of PGD as a whole. In particular, it asks: whether PGD is no more than an earlier application of prenatal diagnosis; whether there is a danger that the restriction to certain cases will weaken in the future; whether, as the Embryo Protecction Act demandss, only non-totipotent cells are used in PGD; whether and how PGD strengthens the parent’s freedom of choice; whether the duty to prevent human suffering is a reason to employ PGD; and whether the sceptical attitude against PGD leads researchers into a moral dilemma.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125766919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"»Wer fürchtet sich vorm Schwarzen Mann?« Fremde Gefühle bei der Pflege kulturfremder Patienten","authors":"S. Käppeli","doi":"10.30965/29498570-04603003","DOIUrl":"https://doi.org/10.30965/29498570-04603003","url":null,"abstract":"\u0000 It is easy for someone to become marginalised (a »black person« as a German nursery rhyme puts it), i. e. a mixture of knowledge, emotions, hearsay and value judgments. Two observations require attention: 1) People from foreign cultures easily become victims of such judgments. 2) People from one's own culture, too, may come into that position. The phenomenon does not depend on the distance of a culture but on its strangeness. The article lists characteristics of persons from foreign as well as kindred cultures that make them candidates for becoming marginalised. We often meet a climate of prejudice in hospitals. Nursing which is not prepared for transcultural contact can emphasize this situation. Often nurses show feelings towards patients that have not been examined for their inherent prejudices and effects on the patients. Such mechanisms of stigmatisation may influence the practice of nursing. The last part of this paper considers possible solutions to these problems.","PeriodicalId":288000,"journal":{"name":"Zeitschrift für medizinische Ethik","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123372598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}