Autonomy and interdependence: quandaries in research ethics

Abstract

The autonomy of research participants is crucial in research ethics without which it will be difficult to carry out research. Central to the concept of autonomy is the debate on whether the cultural norms of individuals (particularly women) should be given priority in settings where these norms require that researchers should go through male heads such as husbands and traditional leaders. This paper examines issues relating to the autonomy of women in research ethics. It highlights the far-reaching implications of autonomy for women participating in research using Islam as a religion and Africa as case studies. The paper takes a look at what obtains in Ghana and Nigeria as African countries with diverse religious sects highlighting at the same time the extent to which women are autonomous in some Islamic parts of India and Pakistan. The paper stresses that in spite of certain factors limiting the autonomy of women in Africa and Islam, there is need for a more robust account of autonomy. It takes a relational approach to autonomy concluding at the same time that the best way to do bioethics is to be culture-sensitive.

Share and Cite:

Lanre-Abass, B. (2012) Autonomy and interdependence: quandaries in research ethics. Health, 4, 173-184. doi: 10.4236/health.2012.44026.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Beauchamp, T.L. and Childress, J.F. (2001) Principles of biomedical ethics. 5th Edition, Oxford University Press, Oxford, 59.
[2] MacKenzie, C. and Natalie, S. (2000) Relational autonomy: Feminist perspectives on autonomy agency and the social self. Oxford University Press, New York, 4-5.
[3] Dyson, T. and Moore, M. (1983) On the kinship structure, female autonomy and demographic behaviour in India. Population and Development Review, 9 , 35-60. doi:10.2307/1972894
[4] Dixon (1978) Rural women at work: Strategies for development in South Asia. John Hopkins University Press, Baltimore, 6.
[5] Beauchamp, T.L. and Childress, J.F. (2001) Principles of biomedical ethics. 5th Edition, Oxford University Press, Oxford, 63.
[6] Childress, J.F. (1990) The Place of autonomy in bioethics. The Hastings Centre Report, 20, 12-17. doi:10.2307/3562967
[7] Dworkin, G. (1976) Autonomy and behaviour control. The Hastings Centre Report, 6, 23-28. doi:10.2307/3560358
[8] Yezzi, R. (1980) Medical ethics: Thinking about unavoidable questions. Holt, Rinehart and Winston, New York.
[9] Friedman, M. (2003) Autonomy, gender and politics. Oxford University Press, Oxford, 45. doi:10.1093/0195138503.001.0001
[10] Churchill, L.R. (2005) Toward a more robust autonomy: Revisiting the belmont report. In: Childress, J.F, Meslin, E. and Shapiro, H., Eds., Belmont Revisited: Ethical Principles for Research with Human Subjects, Georgetown University Press, Washington D.C, 118.
[11] Kant, I. (1959) Foundations of the metaphysics of morals, trans. Lewis White Beck, Indianapolis.
[12] Schneider, A. (2010) Kantian Ethics: What Immanuel Kant was talking about. www.helium.com/items
[13] Mill, J.S. (1806-1873) The context in America. Harper’s New Monthly Magazine, 24, 683-684.
[14] David, B. and Resnik, J.D. (2010) What is research ethics and why is it important? http://www.niehs.nih.gov/research/resources/bioethics/whatis.cfm
[15] Shamoo, A and Resnik, D. (2009) Responsible conduct of research, 2nd Edition, Oxford University Press, New York. doi:10.1093/acprof:oso/9780195368246.001.0001
[16] Gould, C. (1983) Beyond domination: New perspectives on women and philosophy. Littlefield Adams, Toronto, 14.
[17] Omonzejele, P.F. (2008) African women as clinical research subjects: Unaddressed issue in global bioethics, Ethno-Medicine, 2, 121-126.
[18] Tarisayi (2002) African gender in Zimbabwe. Critical Gender Discourse in Africa, Hope Publications, Ibadan, 123.
[19] Omonzejele, P.F. (2008) African women as clinical research subjects: Unaddressed issue in global bioethics, Ethno-Medicine, 2, 123.
[20] Tindana, P.O., Kass, N. and Akweongo, P. (2006) The Informed consent process in a rural African setting: A case study of the Kassena-Nankana district of northern Ghana. IRB: Ethics and Human Research, 28, 1-6.
[21] Hashim, I. (1999) Reconciling islam and feminism. Gender and Development, 7, 7-14. doi:10.1080/741922938
[22] Offenhauer, P. (2005) Women in Islamic societies: A selected review of social scientific literature, a report prepared by the federal research division. Library Research Division, Washington, D.C.
[23] Jejeebhoy, S.J. and Sathar, Z.A. (2001) Women’s autonomy in India and Pakistan: The influence of religion and region. Population and Development Review, 27, 687-712. doi:10.1111/j.1728-4457.2001.00687.x
[24] Jejeebhoy, S.J. and Sathar, Z.A. (2001) Women’s autonomy in India and Pakistan: The Influence of religion and region. Population and Development Review, 27, 68.
[25] Shaheed, F. (1995) Networking for Change: The role of women’s group in initiating dialogue on women’s issues. In: Afkhami, M., Ed., Faith and Freedom: Women’s Human Rights in the Muslim World, I.B. Taurus, London and New York.
[26] Bhatty, Z. (1993) Socio-economic status of muslim women. Indian Journal of Social Science, 7, 335-340.
[27] Omonzejele, P.F. (2008) African women as clinical research subjects: Unaddressed issue in global bioethics. Ethno-Medicine, 2, 124.
[28] Hashim, I. (1999) Reconciling islam and feminism. Gender and Development, 7, 11. doi:10.1080/741922938
[29] An-Naim, A. (1995) The dichotomy between religious and secular discourse in Islamic societies. In: Afkhami, M., Ed., Faith and Freedom: Women’s Human Rights in the Muslim World, I.B. Taurus, London and New York
[30] Afkhami, M. (1997) Promoting women’s rights in the Muslim world. Journal of Democracy, 8, 157-166. doi:10.1353/jod.1997.0015
[31] Olweny, C. (1994) The ethics and conduct of cross-cultural research in developing countries. Psycho-oncology, 3, 11- 20. doi:10.1002/pon.2960030104
[32] Fisher, N.L. (1996) Cultural and ethnic diversity: A guide for genetic professionals. John Hopkins University Press, Baltimore.
[33] Kagawa-Singer, M. (2003) A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes. Academic Medicine, 78, 577-587. doi:10.1097/00001888-200306000-00006
[34] Kagawa-Singer, M. and Blackhall, I.J. (2001) Negotiating cross-cultural issues at the end of life. JAMA, 286, 2993-3001. doi:10.1001/jama.286.23.2993
[35] Surbone, A. (2004) Cultural Competence, Why? Annals of Oncology, 15, 689-699. doi:10.1093/annonc/mdh194
[36] Callahan, D. (2004) Bioethics. In: Post S.G., Ed., Encyclopedia of Bioethics, 3rd Edition, Macmillan Publishing, New York, 278-287.
[37] Gbadegesin, S. (2001) Bioethics and cultural diversity. In: Kuhse, H. and Singer, P., Eds., A Companion to Bioethics, BlackWell Publishers, Oxford, 24-32.
[38] Seibert, P.S., et al. (2002) A checklist to facilitate cultural awareness and sensitivity, Journal of Medical Ethics, 28, 143-146. doi:10.1136/jme.28.3.143
[39] Omonzejele, P.F. (2008) African women as clinical research subjects: Unaddressed issue in global bioethics. Ethno-Medicine, 2, 124.
[40] Beauchamp, T.L. and Childress, J.F. (2001) Principles of biomedical ethics. 5th Edition, Oxford University Press, Oxford, 60.
[41] Parekh, B. (1992) The cultural particularity of liberal democracy. Political Studies, XL, 160-175.
[42] Code, L. (1991) What can she know? Feminist theory and the construction of knowledge. Cornell University Press, Ithaca, 67.
[43] Meyers, D.T. (1989) Self, society and personal choice. Columbia University Press, New York.
[44] Calhoun, C. (1992) Emotional work. In: Cole, E.B. and Coultrap-McQuin, S., Eds., Explorations in Feminist Ethics: Theory and Practice, Indiana University Press, Bloomington, 118-129.
[45] Keller, J. (1997) Autonomy, relationality and feminist ethics. Hypatia, 12, 152-164. doi:10.1111/j.1527-2001.1997.tb00024.x
[46] Helroyd, J. (2009) Relational autonomy and paternalistic interventions. Res Publica, 15.
[47] Beauchamp, T.L. and Childress, J.F. (2001) Principles of biomedical ethics, 5th Edition, Oxford University Press, Oxford, 61.
[48] MacDonald, F. (2006) Relational group autonomy: Ensuring agency and accountability in the group rights paradigm. A paper presented at the Annual Meeting of the Canadian Political Science Association, 6-8.
[49] Nedelsky, J. (1989) Reconceiving autonomy: Sources, thoughts and possibilities. Yale Journal of Law and Feminism, 1, 7-36.
[50] MacKenzie, C. and Natalie, S. (2000) Relational autonomy: Feminist perspectives on autonomy agency and the social self. Oxford University Press, New York.
[51] Keller, F. (1985) Reflections on gender and science. Yale University Press, New Haven, 96-97.
[52] Westlund, A.C. (2010) Rethinking relational autonomy. http://pantherfile.uwm.edu/westlund/www.rra
[53] Fan, R. (2006) Bioethics: Globalization. Communitization or localization. In: Engelhardt, H.Y., Ed., Global Bioethics: The Collapse of Consensus. M and M Scrivener Press, 271-299.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.