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The Dilemma of Revealing Sensitive Information on Paternity Status in Arabian Social and Cultural Contexts

Telling the Truth About Paternity in Saudi Arabia

A Symposium to this article was published on 22 November 2012

A Symposium to this article was published on 13 November 2012

A Symposium to this article was published on 13 November 2012

Abstract

Telling the truth is one of the most respected virtues in medical history and one of the most emphasized in the code of medical ethics. Health care providers are frequently confronted with the dilemma as to whether or not to tell the truth. This dilemma deepens when both choices are critically vicious: The choice is no longer between “right and right” or “right and wrong,” it is between “wrong and wrong.” In the case presented and discussed in this paper, a research team in Saudi Arabia unintentionally uncovered information regarding misattributed paternity. In such a situation and in the context of a tribal cultural system, what should the team do with this information? This case analysis demonstrates the joint application of ethical resources originating from within and outside the Saudi Arabian context. The article analyses the case based on the moral problems involved, relevant medical application, and the impact of such information in the Saudi tribal and Islamic domains. The most pertinent relevant values and secular debates on similar matters are discussed. Finally, the article aims to provide an Islamic dimension of family, fatherhood, and adultery.

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Notes

  1. 1.

    Interestingly, Ross (1996) suggests telling the truth despite the opinion of the majority of her survey sample. She believes that this information is too serious to be hidden. Not telling the truth may lead to a series of un-favoured consequences.

References

  1. Abudabbeh, N. 1996. Arab families. In Ethnicity and family therapy, 2nd ed, ed. M. McGoldrick, J. Giordano, and J.K. Pearce, 333–346. New York: Guiford.

    Google Scholar 

  2. Abu-Odeh, L. 1996. Crimes of honour and the construction of gender in Arab societies. In Feminism and Islam: Legal and literary perspectives, ed. M. Yamani, 141–194. New York: NYU Press.

    Google Scholar 

  3. Al Abed, I., and P. Hellyer. 2001. United Arab Emirates: A new perspective. London: Trident Press.

    Google Scholar 

  4. Al-Krenawi, A., and J.R. Graham. 1999. Gender and biomedical/traditional mental health utilization among the Bedouin-Arabs of the Negev. Culture, Medicine and Psychiatry 23(2): 219–243.

    PubMed  Article  CAS  Google Scholar 

  5. Davies, H. 2008. Constituting family: Children’s normative expectations and lived experiences of close relationships. Ph.D. diss., University of Warwick.

  6. Edwin, A.K. 2008. Don’t lie but don’t tell the whole truth: The therapeutic privilege—is it ever justified? Ghana Medical Journal 42(4): 156–161.

    PubMed  Google Scholar 

  7. Griffiths, P. 2006. Being a research participant: The nurse’s ethical and legal rights. British Journal of Nursing 15(7): 386–390.

    PubMed  Google Scholar 

  8. Lucassen, A., and M. Parker. 2001. Revealing false paternity: Some ethical considerations. The Lancet 357(9261): 1033–1035.

    Article  CAS  Google Scholar 

  9. Lucast, E.K. 2007. Informed consent and the misattributed paternity problem in genetic counseling. Bioethics 21(1): 41–50.

    PubMed  Article  Google Scholar 

  10. Nahas, M.K. 1954. The family in the Arab world. Marriage and Family Living 16(4): 293–300.

    Article  Google Scholar 

  11. Ross, L.F. 1996. Disclosing misattributed paternity. Bioethics 10(2): 114–130.

    PubMed  Article  Google Scholar 

  12. Sahih al-Bukhari. 1993. No. 6368. Saheh by Abu Hurairah, narrated by al-Bukhari. In Book of Fara’edh, by al-Bukhari, Dar Ibn Katheer.

  13. Sev’er, A., and G. Yurdakul. 2001. Culture of honor, culture of change. Violence Against Women 7(9): 964–998.

    Article  Google Scholar 

  14. Wright, L., S. MacRae, D. Gordon, et al. 2002. Disclosure of misattributed paternity: Issues involved in the discovery of unsought information. Seminars in Dialysis 15(3): 202–206.

    PubMed  Article  Google Scholar 

Download references

Acknowledgments

This article was prepared for ETH 512: Advanced Selected Topic KAIMRC, Master of Bioethics, 2010. The main instructors were Professor Amin Kashmeery and Dr. Ghiath Al Ahmad, both associated with the bioethics section of King Abdullah International Medical Research Centre (KAIMRC), King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

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Correspondence to Abdallah A. Adlan.

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Adlan, A.A., ten Have, H.A.M.J. The Dilemma of Revealing Sensitive Information on Paternity Status in Arabian Social and Cultural Contexts. Bioethical Inquiry 9, 403–409 (2012). https://doi.org/10.1007/s11673-012-9390-y

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Keywords

  • Islam
  • Islamic culture
  • Paternity
  • Saudi Arabia
  • Trust
  • Truth-telling