{"title":"Capturing the Lived Experience of Bioethics","authors":"Graeme T. Laurie","doi":"10.1007/s41649-026-00411-6","DOIUrl":"10.1007/s41649-026-00411-6","url":null,"abstract":"","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"225 - 230"},"PeriodicalIF":1.1,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661882","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":"How a Zhuangzian Lens Might Shape the Doctor-Patient Relationship—A Critical Analysis","authors":"Alexa Nord-Bronzyk, Kathryn Muyskens","doi":"10.1007/s41649-025-00404-x","DOIUrl":"10.1007/s41649-025-00404-x","url":null,"abstract":"<div><p>In this paper, we set out to examine the implications of a Daoist philosophical perspective within the clinical encounter. Specifically, we will explore how the unique and sometimes radical views of the Ancient Daoist philosopher Zhuangzi (and the concepts of <i>ziran</i> 自然 “nature” or “spontaneity”, the fasting of the “heart-mind” <i>cheng xin</i> 成心, and <i>wuwe</i>i 無為 “non-action”) can invite us to reframe and reconceptualize some of the common assumptions that currently govern the doctor-patient relationship, as well as prompt us to reflect anew upon the proper goals and scope of medical practice itself. We take the view that ethics need not be limited to a set of rules. Ethics can be thought of as a set of skills and abilities that include perspective taking, tolerance and openness to experiences. This allows us to explore and critically engage with Zhuangzi’s unique philosophy and appreciate its contribution to the bioethics literature, in particular with its applications in caring for patients with disability and chronic illness. Our analysis leads us to coin the term “reciprocal-emerging” to express the dynamic and transformational of nature of the doctor-patient relationship through a Zhuangzian lens.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"413 - 432"},"PeriodicalIF":1.1,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661889","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":"Global Horrendous Evil: A Cautionary Tale Against Procreation","authors":"Tianxiang Lan","doi":"10.1007/s41649-025-00382-0","DOIUrl":"10.1007/s41649-025-00382-0","url":null,"abstract":"<div><p>The philosophical debate over whether procreation is morally justified, given the sufferings of procreated humans, finds renewed significance amidst global crises. In this paper, I argue that procreation as a collective human endeavour inevitably perpetuates horrendous, life-ruining evil on a global scale. I also show that horrendous evil is unavoidable even under optimistic assumptions about the prospect of the progress of civilisation. Moreover, I argue that such evil cannot be outweighed by the favourable outcomes experienced by the procreated humans. This makes procreation pro tanto morally wrong. Since much of the literature focuses on individual procreative acts and non-life-ruining evil, my argument makes a novel contribution by drawing the focus of the debate to (1) humans’ collective procreative practice and (2) how it sustains horrendous evil across the globe. This analysis invites further reflection on the ethics of bringing life into a world fraught with profound suffering and encourages consideration of antinatalism as a serious philosophical proposition.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"489 - 507"},"PeriodicalIF":1.1,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661884","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":"Relational Autonomy, Dementia, and AI-Based Care Robots: Ethical Aspects of Using Machines to Care for People with Dementia","authors":"Mario Kropf","doi":"10.1007/s41649-025-00363-3","DOIUrl":"10.1007/s41649-025-00363-3","url":null,"abstract":"<div><p>In the care sector, professionals face numerous challenges, for example due to a lack of resources, overburdened wards, or stressful situations with patients. In order to counter these and other stress factors, technical means have been increasingly assigned for some years, including care robots. These machines are intended to counteract staff shortages, relieve the burden on nurses, or generally consider the technical component of care. Numerous authors have dealt with ethical aspects surrounding these machines. However, the thematization of people with dementia and the associated question of relational autonomy through the use of AI-based care robots has been neglected so far. To this end, the first step is to consider dementia with reference to relational autonomy. These people are dependent on help, particularly due to the physical and mental impairments that become increasingly apparent in the course of dementia. In this context, a relational understanding of autonomy seems useful. In a second step, AI-based care robots and their current capabilities are presented. In the third step, ethical challenges and opportunities that arise from the integration of these machines for people with dementia are presented. To this end, the notion of relational autonomy is used on the one hand, and on the other hand, special reference is made to (1) a new interaction, (2) mobility, and (3) communication. It will be shown that relational aspects of autonomy can be realized to a certain extent by these robot companions, thus contributing to the care for people with dementia.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"299 - 319"},"PeriodicalIF":1.1,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-025-00363-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promoting Dialogue and Debate in Bioethics","authors":"Graeme T. Laurie","doi":"10.1007/s41649-025-00401-0","DOIUrl":"10.1007/s41649-025-00401-0","url":null,"abstract":"","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 1","pages":"1 - 6"},"PeriodicalIF":1.1,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146001978","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":"Correction to: Knowledge and Perceptions of Members and Staff of Ethics Committees and Investigators in China toward Conflicts of Interest in Clinical Research","authors":"Dan Liu, Jiyin Zhou","doi":"10.1007/s41649-025-00405-w","DOIUrl":"10.1007/s41649-025-00405-w","url":null,"abstract":"","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 1","pages":"53 - 53"},"PeriodicalIF":1.1,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146001970","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}
Muhammad Faiz E. Suasono, Muhammad Safwan Harun, Nurzatil Sharleeza Mat Jalaluddin
{"title":"Assessing the Benefits and Harms of RNAi-Based Pesticides Through the Lens of Islamic Bioethics","authors":"Muhammad Faiz E. Suasono, Muhammad Safwan Harun, Nurzatil Sharleeza Mat Jalaluddin","doi":"10.1007/s41649-025-00370-4","DOIUrl":"10.1007/s41649-025-00370-4","url":null,"abstract":"<div><p>RNA interference (RNAi)–based pesticide technology is an alternative to synthetic pesticides or transgenic plants that are able to control, repel, or eliminate pests that could cause harm to crops or livestock. A notable example is Calantha™, the first commercially approved sprayable RNAi biopesticide, which received approval from the US Environmental Protection Agency (EPA) in 2024. Although RNAi technology holds promise with many potential benefits, there are still uncertainties about potential risks to humans and the environment. This study applies the <i>Maslahah-Mafsadah</i> (benefit-harm) framework from <i>Maqasid al-Shari’ah</i> (Islamic bioethics) to evaluate RNAi-based pesticides, analysing their implications through evidence-based, impact-based, and priority-based approaches. By addressing universal bioethical principles such as beneficence and non-maleficence, this study highlights how Islamic bioethical concepts can contribute to broader ethical discussions on emerging biotechnologies. The analysis considers pest management, environmental sustainability, human health, and socio-economic impacts, concluding that RNAi-based pesticides may be categorised as zanniyyah (probable) in terms of their benefits and risks. Consequently, the study underscores the ethical obligation to establish rigorous regulatory oversight, taking into considerations appropriate scientific evidence, environmental impact studies, and health assessments when evaluating the technology.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"449 - 469"},"PeriodicalIF":1.1,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661888","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":"Medical Profession in Medical Disputes: Redefining Indonesia Malpractice Terminology","authors":"Rangga Hotman Hasibuan","doi":"10.1007/s41649-025-00376-y","DOIUrl":"10.1007/s41649-025-00376-y","url":null,"abstract":"<div><p>It is common to say that the term malpractice is unclear in Indonesia as legal officers do not have sufficient knowledge regarding its full understanding. We can see the inconsistent rulings from Pengadilan Negeri to Mahkamah Agung. These inconsistencies do not merely rely on the officers’ ability to comprehend the issues assigned to them but also on regulations that do not provide enough clarity regarding the matters. To put an end to this inconsistency, I propose dividing the term malpractice into three categories, namely general malpractice, which is malpractice in its original meaning a—non-fulfillment of the standard of care; management malpractice or maladministration, which is caused by a person with a non-therapeutic relationship with the patient; and maltreatment, which contains intention—mens rea. Additionally, to clarify this division, I want to reintroduce the peer-review method by professional organizations as primary evidence in medical disputes, not only as support evidence.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"343 - 355"},"PeriodicalIF":1.1,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661885","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":"Gaps and Gains in Informed Consent for Surgery in a Non-Western Context: Beyond the Signatures of Iranian Patients","authors":"Malihesadat Taghriri, Maryam Modabber, Alireza Parsapour, Shirzad Nasiri, Ayat Ahmadi, Ehsan Shamsi Gooshki","doi":"10.1007/s41649-025-00372-2","DOIUrl":"10.1007/s41649-025-00372-2","url":null,"abstract":"<div><p>Informed consent is essential for protecting patients’ rights and ensuring ethical medical practices. This study aimed to evaluate the quality and identify deficiencies in the informed consent forms of surgical patients at Shariati Hospital in Tehran. This descriptive cross-sectional study, conducted in 2022, reviewed the medical records of 288 surgical patients at Shariati Hospital from 2017 to 2021. A researcher-made checklist assessed demographic data, disease specifics, informed consent information, and completeness. Deficiencies in the forms and patients’ understanding were evaluated using a Likert scale, with checklist validity confirmed by a pilot study (Cronbach’s alpha = 0.75). Data analysis was performed using SPSS v.24. This study of 288 patient records found that while 93.4% had consent forms, only 2.2% were adequately informative and 4.5% understandable. Wound infection was the most discussed complication (89.6%), with no significant link to surgery type. Third-party consent was rare (2.8%), and 83% of forms had witnessed signatures. Residents obtained 98.5% of consents. This study identifies significant gaps in the informed consent process at a hospital, particularly in the disclosure and understanding of risks, benefits, and alternatives. While it does not assess voluntariness or decision-making capacity, it shows positive trends, such as increased healthcare team involvement and reduced third-party authorization, especially for female patients. The findings highlight a shift toward legal protections over ethical considerations, with implicit safeguards, like fingerprints and witness signatures, replacing explicit waivers.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"239 - 263"},"PeriodicalIF":1.1,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-025-00372-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling the Potential of Ethical Portfolios in Promoting Ethical Reasoning and Development: Experiences of Allied Health Students","authors":"Sama’a Almubarak","doi":"10.1007/s41649-025-00375-z","DOIUrl":"10.1007/s41649-025-00375-z","url":null,"abstract":"<div><p>The complex and evolving nature of ethical dilemmas in healthcare underscores the importance of teaching ethics to health college students. As teaching ethics became an integral part of education curricula, previous studies have mainly examined teaching ethics to medical students with a focus on teaching content. To address this gap, the study examined students’ ethical awareness and confidence levels before and after an ethics course for allied health students in a Saudi university. It also presented the development of an ethics portfolio as an assessment method. Through a virtue ethics perspective, the mixed-methods study employed content analysis of students’ ethics portfolios as well as descriptive analysis of survey responses. The Mann–Whitney <i>U</i> test was used to analyze the differences in the median scores of students’ assessment in the pre and post surveys. The study found that the majority of students chose fidelity as the ethical concept to improve. Most of the students chose the ethical concept based on their current behaviors and practices, or interactions with others. Attending professional courses was the most common evidence provided by students. The majority of students provided positive responses reflecting their ethical awareness and confidence in the pre survey. Students’ positive assessment of their awareness of ethics related to the profession and their ability to handle ethical dilemmas professionally decreased in the post survey. The study findings contribute to current literature on teaching ethics within health disciplines and extends it to discuss differences associated with allied health. The study introduces implications for students, academicians and healthcare providers, while highlighting the interplay between virtue ethics and Islamic ethics within the sociocultural context of Saudi Arabia.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"18 2","pages":"391 - 411"},"PeriodicalIF":1.1,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661894","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}