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African Traditional Medicine: Autonomy and Informed Consent

This book focuses on informed consent in African Traditional Medicine (ATM). ATM forms a large portion of the healthcare systems in Africa. WHO statistics show that as much as 80% of the population in Africa uses traditional medicine for primary health care. With such a large constituency, it follow...

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Main Author: Ikechukwu Osuji, Peter. (Author, http://id.loc.gov/vocabulary/relators/aut)
Corporate Author: SpringerLink (Online service)
Language:English
Published: Cham : Springer International Publishing : Imprint: Springer, 2014.
Edition:1st ed. 2014.
Series:Advancing Global Bioethics, 3
Subjects:
Ethics.
Medical ethics.
Theory of Medicine/Bioethics.
Online Access:https://doi.org/10.1007/978-3-319-05891-7
Table of Contents:
  • CHAPTER 1: INTRODUCTION: INFORMED CONSENT IN A COMMUNAL CULTURE
  • 1.1. Dominant Cultural Perspectives of Informed Consent
  • 1.2. Informed Consent in a Communal Culture
  • 1.3. Focusing On ATM
  • 1.4. Scope of the Study
  • 1.5. Focusing on Ethics of Care
  • 1.6. Focusing on Ethics Committee
  • 2. CHAPTER TWO- HISTORICAL CONTEXT OF THE WESTERN BIOETHICS APPROACH TO AUTONOMY
  • 2.1. History and Origin of Informed Consent
  • 2.1.1. Legal Origin
  • 2.1.2. Bioethical Origin
  • 2.1.3. Reaction against Paternalism
  • 2.2. Autonomy and Informed Consent
  • 2.2.1. Meaning of Autonomy.-  2.2.2. Informed Consent and the Principle of Respect for Autonomy
  • 2.2.3. Autonomy and Trust
  • 2.3. The Concept of Person and Autonomy
  • 2.3.1. Individual Independence
  • 2.3.2. Reason as Opposed to Emotion
  • 2.3.3. Individual Patient Rights
  • 2.3.4. Individual Autonomy.- 2.3.5. Subjective Conception of the Good
  • 2.4. Summary
  • 3. CHAPTER THREE- SYSTEMATIC ANALYSIS OF ETHICS OF CARE
  • 3.1. The History and Origin of Ethics of Care
  • 3.1.1. Feminist Movement and Some Male Voices
  • 3.1.2. Ethics of Care and Alternative Feminist Moral Theories
  • 3.2.  The Meaning of Ethics of Care
  • 3.2.1. Care as Labor
  • 3.2.2. Care as Practice and Value
  • 3.2.3. Caring Relations
  • 3.2.4. Care as Justice
  • 3.2.5. Criticism of Ethics of Care
  • 3.3.  The Concept of Person and Autonomy
  • 3.3.1. Relational Being, Family, and the Patient
  • 3.3.1.1. Ethics of Care Critique of the Social Contract Theories
  • 3.3.1.2. The Social Contract Theories
  • 3.3.1.3. The Critique
  • 3.3.2. The Ethics of Care Concept of Dependency and Interdependency of Persons and Human Existence
  • 3.3.3. The Ethics of Care Concept of Relational Autonomy in Informed Consent (RAIC)
  • 3.3.4. Emotion as Essential Part of Human Nature in Moral Decision-Making
  • 3.3.5. The Ethics of Care Concept of Individual Patient Rights
  • 3.4.  Summary
  • 4. CHAPTER FOUR- COMPARATIVE ANALYSIS OF ATM WITH ETHICS OF CARE
  • 4.1. An Overview of ATM
  • 4.1.1. Meaning and History and Interesting Developments in ATM
  • 4.1.1.1. Meaning and History of ATM
  • 4.1.1.2. Interesting Developments in ATM
  • 4.1.2. ATM and African Traditional Religion (ATR)
  • 4.1.2.1. African Traditional Religion (ATR)
  • 4.1.2.2. Community in Understanding ATM & ATR
  • 4.1.3. ATM Doctors: Types, Vocation and Training
  • 4.1.3.1. Diviners
  • 4.1.3.2. Herbalists
  • 4.1.3.3. Traditional birth attendants (TBA)
  • 4.1.3.4. Priests Healers
  • 4.1.3.5. Traditional Surgeons
  • 4.1.4. Health and Illness: the Need to Seek Healing
  • 4.1.4.1. Concept of Health & Illness
  • 4.1.4.2. The Need to Seek Healing
  • 4.1.5. Decision-Making in Traditional African Societies
  • 4.1.5.1. Decision-making among the Akan
  • 4.1.5.2. Decision-making among the Hausa-Fulani
  • 4.1.5.3. Decision-making among the Igbo
  • 4.1.5.4. Decision-making among the Yoruba
  • 4.1.5.5. Decision-Making and Women
  • 4.2. The Concept of Person and Autonomy: ATM and Ethics of Care Contrasted
  • 4.2.1. Relational Being: Individual (Patient) Versus Community.-  4.2.2. The African Concept of Dependency and Interdependency of Person and Human Existence
  • 4.2.3. The African Concept of Relational Autonomy in Informed Consent (RAIC)
  • 4.2.4. Support for the Objective Concept of the (Common) Good
  • 4.2.5. The African Concept of Individual Patient Rights
  • 4.3. Summary
  • 5. CHAPTER FIVE- APPLIED ANALYSIS OF ATM’S RAIC TO HEALTHCARE ETHICS COMMITTEES IN AFRICA
  • 5.1. General Description of Healthcare Ethics Committees
  • 5.2. Situation of Healthcare Ethics Committees in Africa
  • 5.2.1. A Brief History of Ethics Committees in Africa
  • 5.2.2. Healthcare Ethics Committees in Hospitals
  • 5.2.3. Healthcare Ethics Committees in ATM
  • 5.2.4. The Type of HEC Suitable for ATM
  • 5.2.4.1. Being Organizationally Integrated
  • 5.2.4.2. Being Proactive and Using Preventive Ethics
  • 5.2.4.3. Ethical Leadership
  • 5.2.4.4. Being Accountable
  • 5.3. The Implications of Applying RAIC to Healthcare Ethics Committees in Africa on Decision-Making Process for Informed Consent of the Patient
  • 5.3.1. Integration of Elements of Traditional Decision-Making Methods into Healthcare Ethics Committees
  • 5.3.2. A Flexible Understanding of Confidentiality
  • 5.3.3. A Nuanced Understanding of Advance Directive
  • 5.3.4. Emphasis on Solidarity
  • 5.4. Summary
  • 6. CHAPTER SIX- CONCLUSION
  • 6.1. Grand Summary.-  6.2. Contribution of the Book
  • 6.3. RAIC and Global Bioethics
  • BIBLIOGRAPHY.

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