Sam Ujewe

Although the principle of “respect for personal autonomy” is largely conceptualized against the background of values of societies that espouse individual liberty, not all societies in the world place a high premium on the place of the individual person. This chapter examines the value of autonomy in bioethics and determines whether other values, such as “communal responsibility” dominant in African settings, are equally valuable in the context of healthcare and health research. It uses elderly care, as a case example, to explore the subtleties of personal autonomy and determine its valuableness in African contexts. In African settings, the care of elderly persons is binding on families and considered a responsibility of their communities. Elderly persons enjoy the privilege of being cared for, and families and communities are responsible for providing care. While some individual persons may choose not to provide the care and some elderly persons may reject care offered, the question remains whether the refusal is morally acceptable or if rejection removes the moral responsibility to provide similar care to others. This chapter will examine the value and place of autonomy in African socio-cultural contexts, barring its already presumed universal value in bioethics.

Those whom the gods wish to destroy, they first make mad, says a Nigerian proverb. These words of wisdom re-echo in traditional approaches to mental health ethics in sub-Saharan Africa. Among many cultures in Nigeria, it is customary to subject persons with mental health illness, especially those who present with violent behavior, to physical restraint and beatings. The belief is that such subjugation could restore mental health in the early stages of madness. Physical restraint and beatings only form a part of the healing process, as it also has communitarian cum spiritual aspects. The healing process is carried out by family members or community, who share in the life of the mentally ill person. Their...