Islamic bioethics
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Islamic bioethics, or Islamic
medical ethics Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. T ...
, ( ar, الأخلاق الطبية ''al-akhlaq al-tibbiyyah'') refers to Islamic guidance on
ethical Ethics or moral philosophy is a branch of philosophy that "involves systematizing, defending, and recommending concepts of right and wrong behavior".''Internet Encyclopedia of Philosophy'' The field of ethics, along with aesthetics, concerns ma ...
or
moral A moral (from Latin ''morālis'') is a message that is conveyed or a lesson to be learned from a story or event. The moral may be left to the hearer, reader, or viewer to determine for themselves, or may be explicitly encapsulated in a maxim. ...
issues relating to medical and scientific fields, in particular, those dealing with human life.Shomali, Mohammad Ali. "Islamic Bioethics: A General Scheme." Journal of Medical Ethics and History of Medicine. 1.1 (2008): 3.


Introduction

In Islam, human life is regarded as an invaluable gift from
God In monotheistic thought, God is usually viewed as the supreme being, creator, and principal object of faith. Swinburne, R.G. "God" in Honderich, Ted. (ed)''The Oxford Companion to Philosophy'', Oxford University Press, 1995. God is typically ...
, and should therefore be both respected and protected.Younis, Huda. "Islamic Bioethics." O&G Winter 2008: 24. This is evident in many
Qur’an The Quran (, ; Standard Arabic: , Quranic Arabic: , , 'the recitation'), also romanized Qur'an or Koran, is the central religious text of Islam, believed by Muslims to be a revelation from God. It is organized in 114 chapters (pl.: , sin ...
ic verses or '' ayat'', one of the most important being:
"if anyone slays a human being, unless it be
n punishment N, or n, is the fourteenth letter in the Latin alphabet, used in the modern English alphabet, the alphabets of other western European languages and others worldwide. Its name in English is ''en'' (pronounced ), plural ''ens''. History ...
for murder or spreading corruption on earth, it shall be as though he had slain all mankind; whereas, if anyone saves a life, it shall be as though he had saved the lives of all mankind."(Qur’an 5:32)
It is this verse which has ultimately fueled the interest in Islamic bioethics and within it exist two basic principles which ensure that the sanctity of human life is preserved: # Saving a life is obligatory. # Unjustified taking of a life is classified as
murder Murder is the unlawful killing of another human without justification or valid excuse, especially the unlawful killing of another human with malice aforethought. ("The killing of another person without justification or excuse, especially the ...
and, thus, forbidden. Though
Muslim Muslims ( ar, المسلمون, , ) are people who adhere to Islam, a monotheistic religion belonging to the Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God of Abrah ...
s recognize and maintain that Allah is the ultimate source of life (Qur’an 2:258), the Qur’an illustrates that God has instilled in them
reason Reason is the capacity of consciously applying logic by drawing conclusions from new or existing information, with the aim of seeking the truth. It is closely associated with such characteristically human activities as philosophy, science, lang ...
,
free will Free will is the capacity of agents to choose between different possible courses of action unimpeded. Free will is closely linked to the concepts of moral responsibility, praise, culpability, sin, and other judgements which apply only to ac ...
, the ability to distinguish between what is morally acceptable and what is unacceptable (Qur’an 91:8) while also supplying the provisions of nature (Qur’an 45:13). With these things, Muslims are held responsible for maintaining health and preventing illness. In the event that illness occurs, Muslims are obliged to seek medical treatment in a manner which is Islamically appropriate and permissible.


Sources

The fundamental basis of Islamic bioethics is that all rulings and actions must fall into accordance with Islamic law (
shari’a Sharia (; ar, شريعة, sharīʿa ) is a body of religious law that forms a part of the Islamic tradition. It is derived from the religious precepts of Islam and is based on the sacred scriptures of Islam, particularly the Quran and the H ...
) and
Islamic ethics Islamic ethics (أخلاق إسلامية) is the "philosophical reflection upon moral conduct" with a view to defining "good character" and attaining the "pleasure of God" (''raza-e Ilahi''). It is distinguished from " Islamic morality", which pe ...
. By evaluating bioethical issues from and ethical and legal standpoint, jurists can issue decrees or
fatwa A fatwā ( ; ar, فتوى; plural ''fatāwā'' ) is a legal ruling on a point of Islamic law (''sharia'') given by a qualified '' Faqih'' (Islamic jurist) in response to a question posed by a private individual, judge or government. A jurist ...
s regarding the permissibility of the pertaining subject. Any rule that has not been explicitly outlined in the religious texts or formulated from them by jurists is referred to as
bid‘ah In Islam, bid'ah ( ar, بدعة; en, innovation) refers to innovation in religious matters. Linguistically, the term means "innovation, novelty, heretical doctrine, heresy". In classical Arabic literature ('' adab''), it has been used as a for ...
(innovation) and, therefore, is
haram ''Haram'' (; ar, حَرَام, , ) is an Arabic term meaning 'Forbidden'. This may refer to either something sacred to which access is not allowed to the people who are not in a state of purity or who are not initiated into the sacred knowle ...
(impermissible). For this reason, all medical procedures and treatments, as well as conduct between patient and medical professional must be legitimized by the sources of Islamic law, * Qur’an, *
Hadith Ḥadīth ( or ; ar, حديث, , , , , , , literally "talk" or "discourse") or Athar ( ar, أثر, , literally "remnant"/"effect") refers to what the majority of Muslims believe to be a record of the words, actions, and the silent approva ...
or
Sunnah In Islam, , also spelled ( ar, سنة), are the traditions and practices of the Islamic prophet Muhammad that constitute a model for Muslims to follow. The sunnah is what all the Muslims of Muhammad's time evidently saw and followed and passed ...
*
Ijtihad ''Ijtihad'' ( ; ar, اجتهاد ', ; lit. physical or mental ''effort'') is an Islamic legal term referring to independent reasoning by an expert in Islamic law, or the thorough exertion of a jurist's mental faculty in finding a solution to a l ...
** In
Sunni Sunni Islam () is the largest branch of Islam, followed by 85–90% of the world's Muslims. Its name comes from the word '' Sunnah'', referring to the tradition of Muhammad. The differences between Sunni and Shia Muslims arose from a dis ...
Islam, ijtihad includes
qiyas In Islamic jurisprudence, qiyas ( ar, قياس , " analogy") is the process of deductive analogy in which the teachings of the hadith are compared and contrasted with those of the Quran, in order to apply a known injunction ('' nass'') to a ...
(analogy),
ijma ''Ijmāʿ'' ( ar, إجماع , " consensus") is an Arabic term referring to the consensus or agreement of the Islamic community on a point of Islamic law. Sunni Muslims regard ''ijmā as one of the secondary sources of Sharia law, after the Qur' ...
(consensus),
maslaha Maslaha or maslahah ( ar, مصلحة, lit=public interest) is a concept in shari'ah ( Islamic divine law) regarded as a basis of law.I. Doi, Abdul Rahman. (1995). "Mașlahah". In John L. Esposito. ''The Oxford Encyclopedia of the Modern Islamic W ...
(public welfare) and ‘ urf (customary practice) ** In
Shi’a Shīʿa Islam or Shīʿīsm is the second-largest branch of Islam. It holds that the Islamic prophet Muhammad designated ʿAlī ibn Abī Ṭālib as his successor (''khalīfa'') and the Imam (spiritual and political leader) after him, most n ...
Islam it is composed solely of al-
'aql ‘Aql ( ar, عقل, meaning "intellect"), is an Arabic language term used in Islamic philosophy or theology for the intellect or the rational faculty of the soul or mind. It is the normal translation of the Greek term '' nous''. In jurisprudenc ...
(reason)


Principles

Principles of
bioethics Bioethics is both a field of study and professional practice, interested in ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biology, me ...
in the Western world were first developed and outlined by two American philosophers and bioethicists,
Tom Beauchamp Tom Lamar Beauchamp (born 1939) is an American philosopher specializing in the work of David Hume, moral philosophy, bioethics, and animal ethics. He is Professor Emeritus of Philosophy at Georgetown University, where he was Senior Research Schola ...
and
James F. Childress James Franklin Childress (; born October 4, 1940) is a philosopher and theologian whose scholarship addresses ethics, particularly biomedical ethics. Currently he is the John Allen Hollingsworth Professor of Ethics at the Department of Religious ...
, in their book, ''Principles of Biomedical Ethics''. The concept of bioethical principles has since been regarded as a purely “Western” innovation which is absent in the Islamic health care system. These bioethical principles:
autonomy In developmental psychology and moral, political, and bioethical philosophy, autonomy, from , ''autonomos'', from αὐτο- ''auto-'' "self" and νόμος ''nomos'', "law", hence when combined understood to mean "one who gives oneself one' ...
, beneficence,
non-maleficence ' () is a Latin phrase that means "first, do no harm". The phrase is sometimes recorded as '. Non-maleficence, which is derived from the maxim, is one of the principal precepts of bioethics that all students in healthcare are taught in school a ...
and
justice Justice, in its broadest sense, is the principle that people receive that which they deserve, with the interpretation of what then constitutes "deserving" being impacted upon by numerous fields, with many differing viewpoints and perspective ...
have been legitimized by Muslims jurists as falling into the sphere of Islamic law and have also been supported by Qur’anic verses (Qur'an 3:104, 16:90 and 17:70). They have subsequently become the foundational spirit underlying the ''Oath of the Muslim Doctor'
Islamset-Islamic Ethics-Islamic Code of Medical Ethics-The Oath of the Doctor
and, thus, dictate the conduct between a Muslim physician and his or her patient.


Authority

Formulations of rulings on bioethical issues in the Islamic context generally arise due to some form of deliberation between medical professionals and religious authority who have been recognized as most qualified individuals of location or time period. After being approached by health care officials, a member of the religious authority (
mufti A Mufti (; ar, مفتي) is an Islamic jurist qualified to issue a nonbinding opinion (''fatwa'') on a point of Islamic law (''sharia''). The act of issuing fatwas is called ''iftāʾ''. Muftis and their ''fatwas'' played an important role ...
) may then consult the religious texts and determine whether or not a specific issue is obligatory (
wajib ' ( ar, فرض) or ' () or fardh in Islam is a religious duty commanded by God. The word is also used in Turkish, Persian, Pashto, Urdu (''spelled farz''), and Malay (''spelled fardu or fardhu'') in the same meaning. Muslims who obey such c ...
/
fard ' ( ar, فرض) or ' () or fardh in Islam is a religious duty commanded by God. The word is also used in Turkish, Persian, Pashto, Urdu (''spelled farz''), and Malay (''spelled fardu or fardhu'') in the same meaning. Muslims who obey such ...
), recommended (
mustahabb ''Mustahabb'' () is an Islamic term referring to recommended, favoured or virtuous actions. ''Mustahabb'' actions are those whose ruling ('' ahkam'') in Islamic law falls between '' mubah'' (neutral; neither encouraged nor discouraged) and '' ...
), neutral (
mubah ''Mubāḥ'' (Arabic: مباح) is an Arabic word meaning "permitted", which has technical uses in Islamic law. In uṣūl al-fiqh (''principles of Islamic jurisprudence''), ''mubāḥ'' is one of the five degrees of approval ( ahkam): # () - ...
), discouraged (
makruh In Islamic terminology, something which is ''makruh'' ( ar, مكروه, transliterated: ''makrooh'' or ''makrūh'') is a disliked or offensive act (literally "detestable" or "abominable"). This is one of the five categories (''al-ahkam al-kham ...
) or forbidden (
haram ''Haram'' (; ar, حَرَام, , ) is an Arabic term meaning 'Forbidden'. This may refer to either something sacred to which access is not allowed to the people who are not in a state of purity or who are not initiated into the sacred knowle ...
).


Modernity

As health care and science have progressed over time, and the Muslim population has also increased to over one billion adherents over every continent on the globe, there have been increasingly prevalent circumstances for the evaluation of technological applications and bioethical issues to determine how they fit into the Islamic sphere. As a result, larger bodies of Islamic committees have been formed to address issues at hand. National Committees of Medical Ethics/Bioethics have been formed in many Islamic countries which work together with
ulema In Islam, the ''ulama'' (; ar, علماء ', singular ', "scholar", literally "the learned ones", also spelled ''ulema''; feminine: ''alimah'' ingularand ''aalimath'' lural are the guardians, transmitters, and interpreters of religious ...
to issue fatwas ensuring that neither the progress of medical science is hindered, nor the Islamic code of
bioethics Bioethics is both a field of study and professional practice, interested in ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biology, me ...
is jeopardized. The importance of Islamic law (sharia’) is so heavily valued that each issue is looked at independently and subsequently deemed permissible or impermissible. Specific issues addressed in the modern scientific era include
abortion Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pre ...
,
fertility treatment Assisted reproductive technology (ART) includes medical procedures used primarily to address infertility. This subject involves procedures such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), cryopreservation of gametes o ...
s,
family planning Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marita ...
,
euthanasia Euthanasia (from el, εὐθανασία 'good death': εὖ, ''eu'' 'well, good' + θάνατος, ''thanatos'' 'death') is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different eut ...
,
genetic research Genetics is the study of genes, genetic variation, and heredity in organisms.Hartl D, Jones E (2005) It is an important branch in biology because heredity is vital to organisms' evolution. Gregor Mendel, a Moravian Augustinian friar wo ...
,
cloning Cloning is the process of producing individual organisms with identical or virtually identical DNA, either by natural or artificial means. In nature, some organisms produce clones through asexual reproduction. In the field of biotechnology, c ...
,
stem cell research In multicellular organisms, stem cells are undifferentiated or partially differentiated cells that can differentiate into various types of cells and proliferate indefinitely to produce more of the same stem cell. They are the earliest type of ...
among many other issues.


Islamic Medical and Scientific Ethics Project

Th
Islamic Medical and Scientific Ethics (IMSE) Project
is a multinational effort to produce a comprehensive collection of Islamic bioethics resources. Project staff members at two
Georgetown University Georgetown University is a private research university in the Georgetown neighborhood of Washington, D.C. Founded by Bishop John Carroll in 1789 as Georgetown College, the university has grown to comprise eleven undergraduate and graduate ...
libraries, the Bioethics Research Library (Washington) and the School of Foreign Service-Qatar Library (Doha), have already compiled over 1,000 relevant written works into the IMSE Special Collection and have entered them into the searchable IMSE Database. The IMSE Project is funded by the
Qatar National Research Fund Qatar Foundation established Qatar National Research Fund (QNRF) in 2006 as part of its ongoing commitment to establish Qatar as a knowledge-based economy. Qatar Foundation views research as essential to national and regional growth; as the means ...
(QNRF), a member of the
Qatar Foundation for Education, Science and Community Development Qatar (, ; ar, قطر, Qaṭar ; local vernacular pronunciation: ), officially the State of Qatar,) is a country in Western Asia. It occupies the Qatar Peninsula on the northeastern coast of the Arabian Peninsula in the Middle East; it sh ...
.http://www.qnrf.org/nl/research_news/index.php?ELEMEID=1646


Notes


References

{{Cite book , title = The Qur'an , publisher = Abulqasim Publishing House , location = Riyadh , year = 1997 , pages = 1–941 , isbn = 9960-792-63-3 Bioethics Islam and science Islamic ethics Philosophy of science