Imperialism,nationalism and missionaries: Lessons from Sudan for the twenty‐first century

Muslim‐Christian relations in modem Sudanese history involve the tensions created by the transition from imperial rule to independence and by the impact of contemporary processes of globalization. The conflicts between Christian missionaries and the newly‐independent government of Sudan in the early 1960s reflected the tensions between old mission‐station style Christian activities and attempts by a military régime to impose measures of ‘national’ unification. Opportunities for creating institutions for constructive interactions were missed or not even conceived. Lessons from the experiences of the early 1960s emphasize the importance of viewing Muslim‐Christian relations in the 1990s in the context of the actual current conditions rather than imposing out‐of‐date images on existing realities.     

Physicians' values and physician-value neutrality

For years articles have decried the lack of empathy in physicians' relationships with patients. In addition to being empathetic, physicians are called upon to assume the posture of value neutrality, i.e., not imposing one's values when dealing with patients. Empathy is clearly an expression of deeply held values; even the language used to define it is value-laden. Physicians are consistently called upon to exhibit traits which are expressions of their underlying values. However, if proponents of value-neutrality are to be taken literally one must not impose any of one's values on one's patients. But then one wonders how empathy could ever be expressed; further, it is hard to imagine what a truly value neutral physician would be like. It is time we recognize that any relationship between two persons requires the expression of values from both parties. These values help shape that relationship and define its further history. Physicians are not excluded from this process just because they consider themselves professionals. Divulging personal values to patients is both more honest and more in keeping with the concepts of justice, beneficence, non maleficence, and autonomy than to feign value-neutrality. A presentation of some type statement of values is timely and would give patients an idea of where a physician stands on a myriad of issues. Rather than being value-neutral, value non-neutrality seems a more right and reasonable posture for physicians to assume.     

Why a feminist approach to bioethics?

Many have asked how and why feminist theory makes a distinctive contribution to bioethics. In this essay, I outline two ways in which feminist reflection can enrich bioethical studies. First, feminist theory may expose certain themes of androcentric reasoning that can affect, in sometimes crude but often subtle ways, the substantive analysis of topics in bioethics; second, it can unearth the gendered nature of certain basic philosohical concepts that form the working tools of ethical theory.