Journal of Bioethical Inquiry

, Volume 13, Issue 1, pp 117–132 | Cite as

Guidelines for Teaching Cross-Cultural Clinical Ethics: Critiquing Ideology and Confronting Power in the Service of a Principles-Based Pedagogy

Original Research

Abstract

This paper presents a pedagogical framework for teaching cross-cultural clinical ethics. The approach, offered at the intersection of anthropology and bioethics, is innovative in that it takes on the “social sciences versus bioethics” debate that has been ongoing in North America for three decades. The argument is made that this debate is flawed on both sides and, moreover, that the application of cross-cultural thinking to clinical ethics requires using the tools of the social sciences (such as the critique of the universality of the Euro-American construct of “autonomy”) within (rather than in opposition to) a principles-based framework for clinical ethics. This paper introduces the curriculum and provides guidelines for how to teach cross-cultural clinical ethics. The learning points that are introduced emphasize culture in its relation to power and underscore the importance of viewing both biomedicine and bioethics as culturally constructed.

Keywords

Medical education Clinical ethics Cultural competency Critical bioethics 

Supplementary material

11673_2015_9679_MOESM1_ESM.doc (118 kb)
ESM 1(DOC 118 kb)

References

  1. Antommaria, A.H.M., K.L. Weise, M.E. Fallat, et al. 2013. Conflicts between religious or spiritual beliefs and pediatric care: Informed refusal, exemptions, and public funding. Pediatrics 132(5): 962–965.CrossRefGoogle Scholar
  2. Armstrong, D. 1983. Political anatomy of the body: Medical knowledge in Britain in the twentieth century. Cambridge: Cambridge University Press.Google Scholar
  3. Ashby, M.A., and L.E. Rich. 2012. Cases and culture: The benefits and risks of narrating “life as lived.” Journal of Bioethical Inquiry 9(4): 371–376.Google Scholar
  4. Au, C. 2002. Cultural factors in preventive care: Asian-Americans. Primary Care 29(3): 495–502.PubMedCrossRefGoogle Scholar
  5. Barkan, E. 1992. The retreat of scientific racism: Changing concepts of race in Britain and the United States between the world wars. Cambridge University Press.Google Scholar
  6. Beauchamp, T.L., and J.F. Childress. 2001. Principles of biomedical ethics, 5th ed. Oxford University Press.Google Scholar
  7. Betancourt, J.R. 2003. Cross‐cultural medical education: Conceptual approaches and frameworks for evaluation. Academic Medicine 78(6): 560–569.PubMedCrossRefGoogle Scholar
  8. Betancourt, J.R. 2006. Cultural competence and medical education: Many names, many perspectives, one goal. Academic Medicine 81(6): 499–501.PubMedCrossRefGoogle Scholar
  9. Bourdieu, P. 1977. Outline of a theory of practice. Cambridge University Press.Google Scholar
  10. Bourdieu, P. 1984. Distinction: A social critique of the judgement of taste. Harvard University Press.Google Scholar
  11. Bowman, K.W., and E.C. Hui. 2000. Bioethics for clinicians: 20. Chinese bioethics. Canadian Medical Association Journal 163(11): 1481–1485.PubMedPubMedCentralGoogle Scholar
  12. Brach, C., and I. Fraser. 2000. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review 57(Suppl 4): 181–217.PubMedCrossRefGoogle Scholar
  13. Bradby, H. 2003. Describing ethnicity in health research. Ethnicity and Health 8(1): 5–13.PubMedCrossRefGoogle Scholar
  14. Brunger, F., and P.S. Duke. 2012. The evolution of integration: Innovations in clinical skills and ethics in first year medicine. Medical Teacher 34(6): e452–e458.PubMedCrossRefGoogle Scholar
  15. Brunger, F., and A. Lippman. 1995. Resistance and adherence to the norms of genetic counseling. Journal of Genetic Counseling 4(3): 151–167.PubMedCrossRefGoogle Scholar
  16. Brunger, F., P.S. Duke, and R. Kenny. 2014. Matching physicians to newly arrived refugees in a context of physician shortage: Innovation through advocacy. International Journal of Migration, Health and Social Care 10(1): 36–51.CrossRefGoogle Scholar
  17. Bruni, T., and C. Weijer. 2015. A misunderstanding concerning futility. The American Journal of Bioethics 15(7): 59–60.PubMedCrossRefGoogle Scholar
  18. Butler, P.D., M. Swift, S. Kothari, et al. 2011. Integrating cultural competency and humility training into clinical clerkships: Surgery as a model. Journal of Surgical Education 68(3): 222–230. doi:10.1016/j.jsurg.2011.01.002.PubMedCrossRefGoogle Scholar
  19. Cahill, H.A. 2001. Male appropriation and medicalization of childbirth: An historical analysis. Journal of Advanced Nursing 33(3): 334–342.PubMedCrossRefGoogle Scholar
  20. Callahan, D. 1999. The social sciences and the task of bioethics. Daedalus 128(4): 275–294.PubMedGoogle Scholar
  21. Carrese, J.A., and L.A. Rhodes. 1995. Western bioethics on the Navajo reservation. The Journal of the American Medical Association 274(10): 826–829.PubMedCrossRefGoogle Scholar
  22. Chang, E.S., M. Simon, and X. Dong. 2012. Integrating cultural humility into health care professional education and training. Advances in Health Sciences Education: Theory and Practice 17(2): 269–278. doi:10.1007/s10459-010-9264-1.CrossRefGoogle Scholar
  23. Comaroff, J. 1985. Body of power, spirit of resistance: The culture and history of a South African people. Chicago: University of Chicago Press.Google Scholar
  24. Conrad, P. 1992. Medicalization and social control. Annual Review of Sociology 18: 209–232.CrossRefGoogle Scholar
  25. Conrad, P., and A. Angell. 2004. Homosexuality and remedicalization. Society 41(5): 32–39.CrossRefGoogle Scholar
  26. Coward, H., and T. Sidhu. 2000. Bioethics for clinicians: 19. Hinduism and Sikhism. Canadian Medical Association Journal 163(9): 1167–1170.PubMedPubMedCentralGoogle Scholar
  27. Crawford, R. 1984. Cultural account of “health”: Control, release, and the social body. In Political economy of health care, edited by J.B. McKinlay, 60–103. London: Tavistock.Google Scholar
  28. Crosson, J.C., W. Deng, C. Brazeau, L. Boyd, and M. Soto-Greene. 2004. Evaluating the effect of cultural competency training on medical student attitudes. Family Medicine 36(3): 199–203.PubMedGoogle Scholar
  29. d’Agincourt-Canning, L. 2001. Experiences of genetic risk: Disclosure and the gendering of responsibility. Bioethics 15(3): 231–247.PubMedCrossRefGoogle Scholar
  30. Daniel, E. Valentine. 1984. Fluid signs: Being a person the Tamil way. Berkeley: University of California Press.Google Scholar
  31. Devisch, R. 1985. Polluting and healing among the northern Yaka of Zaire. Social Science & Medicine 21(6): 693–700.CrossRefGoogle Scholar
  32. Dharamsi, S. 2011. Moving beyond the limits of cultural competency training. Medical Education 45(8): 764–766. doi:10.1111/j.1365-2923.2011.04044.x.PubMedCrossRefGoogle Scholar
  33. Dykes, D.C., and A.A. White. 2011. Culturally competent care pedagogy: What works? Clinical Orthopaedics and Related Research 469(7): 1813–1816. doi:10.1007/s11999-011-1862-6.PubMedPubMedCentralCrossRefGoogle Scholar
  34. Ehrenreich, B., and J. Ehrenreich. 1978. Medicine and social control. In The cultural crisis of modern medicine, edited by John Ehrenreich, 39–79. New York: Monthly Review Press.Google Scholar
  35. Ellerby, J.H., J. McKenzie, S. McKay, G.J. Gariépy, and J.M. Kaufert. 2000. Bioethics for clinicians: 18. Aboriginal cultures. Canadian Medical Association Journal 163(7): 845–850.PubMedPubMedCentralGoogle Scholar
  36. Etchells, E., G. Sharpe, C. Elliot, and P.A. Singer. 1996. Bioethics for clinicians: 3. Capacity. Canadian Medical Association Journal 155(6): 657–664.PubMedPubMedCentralGoogle Scholar
  37. Flores, G. 2000. Culture and the patient-physician relationship: Achieving cultural competency in health care. The Journal of Pediatrics 136(1): 14–23.PubMedCrossRefGoogle Scholar
  38. Foucault, M. 1973. The birth of the clinic: An archeology of the human sciences. London: Tavistock Publication.Google Scholar
  39. Foucault, M. 1980. Power/knowledge: Selected interviews and other writings, 1972–1977. New York: Pantheon.Google Scholar
  40. Fox, R. 1990. The evolution of American bioethics: a sociological perspective. In Social science perspectives on medical ethics, edited by George Weiss, 201–220. Dordrecht, The Netherlands: Kluwer Academic Publishers.CrossRefGoogle Scholar
  41. Fox, R.C., and J.P. Swazey. 1984. Medical morality is not bioethics—medical ethics in China and the United States. Perspectives in Biology and Medicine 27(3): 336–360.PubMedCrossRefGoogle Scholar
  42. Frank, B., and A. MacLeod. 2005. Beyond the “Four Ds of multiculturalism”: Taking difference into account in medical education. Medical Education 39(12): 1178–1179. doi:10.1111/j.1365-2929.2005.02351.x.PubMedCrossRefGoogle Scholar
  43. Frankenberg, R. 1986. Sickness as cultural performance: Drama, trajectory, and pilgrimage root metaphors and the making social of disease. International Journal of Health Services 16(4): 603–626.PubMedCrossRefGoogle Scholar
  44. Friedman, A., and C. Lee. 2013. Producing knowledge about racial differences: Tracing scientists’ use of “race” and “ethnicity” from grants to articles. The Journal of Law, Medicine & Ethics 41(3): 720–732.CrossRefGoogle Scholar
  45. Fuscaldo, G., S. Russell, and C. Delany. 2010. Enhancing cross-cultural understandings of ethical issues in medical education. AJOB Primary Research 1(1): 28–33.CrossRefGoogle Scholar
  46. Gallagher, C.M., and R.F. Holmes. 2012. Handling cases of “medical futility.” HEC Forum 24(2): 91–98.PubMedCrossRefGoogle Scholar
  47. Gbadegesin, S. 1993. Bioethics and culture: An African perspective. Bioethics 7(2–3): 257–262.PubMedCrossRefGoogle Scholar
  48. Geertz, Clifford. 1974. From the native’s point of view: On the nature of anthropological understanding. Bulletin of the American Academy of Arts and Sciences 28(1): 26–45.CrossRefGoogle Scholar
  49. Gilligan, C. 1983. Do the social sciences have an adequate theory of moral development? In Social science as moral inquiry, edited by N. Haan, R.N. Bellah, P. Rabinow, and W.M. Sullivan, 33–51. New York: Columbia University Press.Google Scholar
  50. Gillon, R. 2003. Ethics needs principles—four can encompass the rest—and respect for autonomy should be “first among equals.” Journal of Medical Ethics 29(5): 307–312.Google Scholar
  51. Gordon, D. 1988. Tenacious assumptions in Western medicine. In Biomedicine examined, edited by M. Lock and D. Gordon, 19–56. Dordrecht: Reidel.CrossRefGoogle Scholar
  52. Gordon, D.R., and M. Lock, eds. 1988. Biomedicine examined. New York: Springer.Google Scholar
  53. Gordon, J.S. 2011. Global ethics and principlism. Kennedy Institute of Ethics Journal 21(3): 251–276.PubMedCrossRefGoogle Scholar
  54. Gramsci, A. 1971. Selections from the prison notebooks. Edited and translated by Q. Hoare and G.N. Smith. New York: International.Google Scholar
  55. Gregg, J., and S. Saha. 2006. Losing culture on the way to competence: The use and misuse of culture in medical education. Academic Medicine 81(6): 542–547.PubMedCrossRefGoogle Scholar
  56. Hacking, I. 1990. The taming of chance. Cambridge University Press.Google Scholar
  57. Hafferty, F.W., and R. Franks. 1994. The hidden curriculum, ethics teaching, and the structure of medical education. Academic Medicine 69(11): 861–871.PubMedCrossRefGoogle Scholar
  58. Harris, G.G. 1989. Concepts of individual, self, and person in description and analysis. American Anthropologist 91(3): 599–612.CrossRefGoogle Scholar
  59. Healy, D. 2003. Let them eat Prozac. Toronto: James Lorimer & Company.Google Scholar
  60. Hedgecoe, A.M. 2004. Critical bioethics: Beyond the social science critique of applied ethics. Bioethics 18(2): 120–143.PubMedCrossRefGoogle Scholar
  61. Hester, R.J. 2012. The promise and paradox of cultural competence. HEC Forum 24(4): 279–291.PubMedCrossRefGoogle Scholar
  62. Hoffmaster, B. 1992. Can ethnography save the life of medical ethics? Social Science & Medicine 35(12): 1421–1431.CrossRefGoogle Scholar
  63. Government of Canada. 2002. Bill C-56. An Act Respecting Assisted Human Reproduction. C-56. 1 sess.Google Scholar
  64. Jenks, A.C. 2011. From “lists of traits” to “open-mindedness”: Emerging issues in cultural competence education. Culture, Medicine and Psychiatry 35(2): 209–235. doi:10.1007/s11013-011-9212-4.PubMedCrossRefGoogle Scholar
  65. Jennings, B. 1998. Autonomy and difference: The travails of liberalism in bioethics. In Bioethics and society: Constructing the ethical enterprise, edited by R. DeVries and J. Subedi, 258–269. New Jersey: Prentice Hall.Google Scholar
  66. Jones, A.H. 1999. Narrative based medicine: Narrative in medical ethics. BMJ: British Medical Journal 318(7178): 253–256.PubMedPubMedCentralCrossRefGoogle Scholar
  67. Kale, R. 2012. “It’s a girl!”—could be a death sentence. Canadian Medical Association Journal 184(4): 387–388.PubMedPubMedCentralCrossRefGoogle Scholar
  68. Kamaka, M.L. 2010. Designing a cultural competency curriculum: Asking the stakeholders. Hawaii Medical Journal 69(6 Suppl 3): 31–34.PubMedPubMedCentralGoogle Scholar
  69. Kaufert, P.L. 1990. The “box-ification of culture”: The role of the social scientist. Sante Culture Health: Culture and Health Services: A Challenge to Canadian Society 7(2–3): 139–148.Google Scholar
  70. Kaufert, P.A., and P. Gilbert. 1986. Women, menopause, and medicalization. Culture, Medicine and Psychiatry 10(1): 7–21.PubMedCrossRefGoogle Scholar
  71. Kitney, L., R. Kanani, and C. De Souza. 2012. A Jehovah’s Witness adolescent with pancytopenia. Canadian Medical Association Journal 184(9): 1055–1059.PubMedPubMedCentralCrossRefGoogle Scholar
  72. Kleinman, A., and P. Benson. 2006. Anthropology in the clinic: The problem of cultural competency and how to fix it. PLoS Medicine 3(10): e294. doi:10.1371/journal.pmed.0030294.PubMedPubMedCentralCrossRefGoogle Scholar
  73. Kleinman, A. 1999. Moral experience and ethical reflection: Can ethnography reconcile them? A quandary for “the new bioethics.” Daedalus 128(4): 69–97.Google Scholar
  74. Kripalani, S., J. Bussey-Jones, M.G. Katz, and I. Genao. 2006. A prescription for cultural competence in medical education. Journal of General Internal Medicine 21(10): 1116–1120. doi:10.1111/j.1525-1497.2006.00557.x.PubMedPubMedCentralCrossRefGoogle Scholar
  75. Kumagai, A.K., and L.L. Monica. 2009. Beyond cultural competence: critical consciousness, social justice, and multicultural education. Academic Medicine: Journal of the Association of American Medical Colleges 84(6): 782–787.CrossRefGoogle Scholar
  76. La Fontaine, J.S. 1985. Person and individual: Some anthropological reflections. In The category of the person: Anthropology, philosophy, history, edited by M. Carrithers, S. Collins, and S. Lukes, 123–140. New York: Cambridge University Press.Google Scholar
  77. Latour, B., and S. Woolgar. 1979. Laboratory life: The social construction of scientific facts. Beverly Hills: Sage.Google Scholar
  78. Leflar, R.B. 1997. The cautious acceptance of informed consent in Japan. Medicine and Law 16(4): 705–720.PubMedGoogle Scholar
  79. Levin, S.J., R.C. Like, and J.E. Gottlieb. 2000. ETHNIC: A framework for culturally competent ethical practice. Patient Care 34(9): 188–189.Google Scholar
  80. Lie, D.A., J. Boker, S. Crandall, et al. 2008. Revising the Tool for assessing Cultural Competence Training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus. Medical Education Online 13: 11. doi:10.3885/meo.2008.Res00272.PubMedCentralCrossRefGoogle Scholar
  81. Lie, D., J. Shapiro, F. Cohn, and W. Najm. 2010. Reflective practice enriches clerkship students’ cross-cultural experiences. Journal of General Internal Medicine 25(Suppl 2): S119–S125. doi:10.1007/s11606-009-1205-4.PubMedCrossRefGoogle Scholar
  82. Like, R.C. 2011. Educating clinicians about cultural competence and disparities in health and health care. The Journal of Continuing Education in the Health Professions 31(3): 196–206.PubMedCrossRefGoogle Scholar
  83. Lock, M. 1993. Education and self reflection: Teaching about culture, health and illness. In Health and cultures: Exploring the relationships, edited by R. Masi, L.L. Mensha, and K. McLeod, 139–158. Oakville, Ontario: Mosaic Press.Google Scholar
  84. Lock, M. 1995. Contesting the natural in Japan: Moral dilemmas and technologies of dying. Culture, Medicine and Psychiatry 19(1): 1–38.PubMedCrossRefGoogle Scholar
  85. López, J. 2004. How sociology can save bioethics. Sociology of Health & Illness 26(7): 875–896.CrossRefGoogle Scholar
  86. Lupton, D. 1995. The imperative of health: Public health and the regulated body. London: Sage.Google Scholar
  87. Mancuso, L. 2011. A customized, integrated approach to cultural competence education. Journal for Nurses in Staff Development: JNSD: Official Journal of the National Nursing Staff Development Organization 27(4): 170–180.CrossRefGoogle Scholar
  88. Marshall, P.A. 1992. Anthropology and bioethics. Medical Anthropology Quarterly 6(1): 49–73.PubMedCrossRefGoogle Scholar
  89. Marshall, P., and B. Koenig. 2004. Accounting for culture in globalized bioethics. The Journal of Law, Medicine & Ethics 32(2): 252–266.CrossRefGoogle Scholar
  90. Melamed, E., E.W. Lacey, T. Padilla, and J.F. Robert. 2008. Patient-based cultural competency curriculum for pre-health professionals. Family Medicine 40(10): 726–733.PubMedPubMedCentralGoogle Scholar
  91. Morioka, M. 2001. Reconsidering brain death: A lesson from Japan’s fifteen years of experience. The Hastings Center Report 31(4): 41–46.PubMedCrossRefGoogle Scholar
  92. Osborne, N.G., and M.D. Feit. 1992. The use of race in medical research. The Journal of the American Medical Association 267(2): 275–279.PubMedCrossRefGoogle Scholar
  93. Paasche-Orlow, M. 2004. The ethics of cultural competence. Journal of Medical Education 79(4): 347–350.Google Scholar
  94. Padela, A.I., and P.R. del Pozo. 2011. Muslim patients and cross-gender interactions in medicine: An Islamic bioethical perspective. Journal of Medical Ethics 37(1): 40–44. doi:10.1136/jme.2010.037614.PubMedCrossRefGoogle Scholar
  95. Pottie, K., C. Greenaway, J. Feghtier, et al. 2011. Evidence based clinical guidelines for immigrants and refugees. Canadian Medical Association Journal 183(12): 824–925.CrossRefGoogle Scholar
  96. Pullman, D., C. Bethune, and P. Duke. 2005. Narrative means to humanistic ends. Teaching and Learning in Medicine 17(3): 279–284.PubMedCrossRefGoogle Scholar
  97. Ratanakul, P. 1988. Bioethics in Thailand: The struggle for Buddhist solutions. Journal of Medicine and Philosophy 13(3): 301–312.PubMedCrossRefGoogle Scholar
  98. Sargent, C., and C. Smith-Morris. 2006. Questioning our principles: Anthropological contributions to ethical dilemmas in clinical practice. Cambridge Quarterly of Healthcare Ethics 15(2): 123–134.PubMedCrossRefGoogle Scholar
  99. Scheper-Hughes, N. 1990. Three propositions for a critically applied medical anthropology. Social Science & Medicine 30(2): 189–197.CrossRefGoogle Scholar
  100. Schneider, J.W. 1978. Deviant drinking as disease: Alcoholism as a social accomplishment. Social Problems 25(4): 361–372.CrossRefGoogle Scholar
  101. Seeleman, C., J. Suurmond, and K. Stronks. 2009. Cultural competence: A conceptual framework for teaching and learning. Medical Education 43(3): 229–237.PubMedCrossRefGoogle Scholar
  102. Senikas, V., and L. Perron. 2012. Policy statement: Female genital cutting/mutilation. Ottawa: Society of Obstetrics and Gynecology Canada.Google Scholar
  103. Shanley, M.L., and A. Asch. 2009. Involuntary childlessness, reproductive technology, and social justice: The medical mask on social illness. Signs 34(4): 851–874.CrossRefGoogle Scholar
  104. Sherwin, S. 2000. A relational approach to autonomy in health care. In Readings in health care ethics, edited by E. Boetzkes and W.J. Waluchow, 69–87. Mississauga, Ontario: Broadview Press.Google Scholar
  105. Shweder, R.A. 1982. Beyond self-constructed knowledge: The study of culture and morality. Merrill-Palmer Quarterly 28(1): 41–69.Google Scholar
  106. Shweder, R.A., and E.J. Bourne. 1982. Does the concept of the person vary cross-culturally? In Culture theory: Essays on mind, self and emotion, edited by R.A. Shweder and R.A. Levine, 158–199. Cambridge: Cambridge University Press.Google Scholar
  107. Stonington, S., and P. Ratanakul. 2006. Is there a global bioethics? End-of-life in Thailand and the case for local difference. PLoS Medicine 3(10), e439. doi:10.1371/journal.pmed.0030439.PubMedPubMedCentralCrossRefGoogle Scholar
  108. Tangwa, G.B. 1996. Bioethics: An African perspective. Bioethics 10(3): 183–200.PubMedCrossRefGoogle Scholar
  109. Tervalon, M., and J. Murray-Garcia. 1998. Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved 9(2): 117–125.PubMedCrossRefGoogle Scholar
  110. Tervalon, M. 2003. Components of culture in health for medical students’ education. Academic Medicine: Journal of the Association of American Medical Colleges 78(6): 570–576.CrossRefGoogle Scholar
  111. Thom, D.H., M.D. Tirado, T.L. Woon, and M.R. McBride. 2006. Development and evaluation of a cultural competency training curriculum. BMC Medical Education 6: 38. doi:10.1186/1472-6920-6-38.PubMedPubMedCentralCrossRefGoogle Scholar
  112. Turner, L. 2009. Anthropological and sociological critiques of bioethics. Journal of Bioethical Inquiry 6(1): 83–98. doi:10.1007/s11673-008-9130-5.CrossRefGoogle Scholar
  113. Ulrich, C.M., A.B. Hamric, and C. Grady. 2010. Moral distress: A growing problem in the health professions? The Hastings Center Report 40(1): 20–22.PubMedCrossRefGoogle Scholar
  114. Vogt, H.B. 2011. Cultural humility in the practice of medicine. South Dakota Medicine: The Journal of the South Dakota State Medical Association 64(7): 238–239.Google Scholar
  115. Vries, R. 2004. How can we help? From “sociology in” to “sociology of” bioethics. The Journal of Law, Medicine & Ethics 32(2): 279–292.CrossRefGoogle Scholar
  116. Wachtler, C., and M. Troein. 2003. A hidden curriculum: Mapping cultural competency in a medical programme. Medical Education 37(10): 861–868.PubMedCrossRefGoogle Scholar
  117. Wright, P., and A. Treacher, eds. 1982. The problem of medical knowledge: Examining the social construction of medicine. Edinburgh: Edinburgh University Press.Google Scholar
  118. Young, A. 1982. The anthropologies of illness and sickness. Annual Review of Anthropology 11: 257–285.CrossRefGoogle Scholar
  119. Young, A. 1993. A description of how ideology shapes knowledge of a mental disorder (posttraumatic stress disorder). In Knowledge, power, and practice: The Anthropology of Medicine and Everyday Life, edited by S. Lindenbaum and M.M. Lock, 108–128. Berkeley: University of California Press.Google Scholar
  120. Young, A. 1990. (Mis)applying medical anthropology in multicultural settings. Santé Culture Health 7(2–3): 197–208.Google Scholar

Copyright information

© Journal of Bioethical Inquiry Pty Ltd. 2015

Authors and Affiliations

  1. 1.Division of Community Health and Humanities, Faculty of MedicineMemorial University, Health Sciences CentreSt. John’sCanada

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