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Remaking the moral person = recreating the moral person?

 
 
Reply Thu 1 Apr, 2010 08:29 pm


Context:

Remaking the moral person in China: implications for health

By 2020 China's economy is predicted to become the world's largest. That year almost half a billion Chinese will qualify as middle class"a spectacular and unprecedented instance of poverty reduction and the building of widespread prosperity over just four decades. China now holds US$2·4 trillion in foreign revenues. Chinese will have soon become the dominant language on the internet. Now the largest manufacturer of global goods, China will, by 2020, become the largest domestic market too. And its political, military, and cultural power is growing apace. Demographically, an ancient agrarian society has entered an increasingly urban modernity. Now, for the very first time, more Chinese are older than 60 years than are under 5 years of age. And the one-child-per-family policy places a greater and greater burden of security and care of the elderly on an ever-narrowing number of workers.
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Type: Question • Score: 0 • Views: 1,064 • Replies: 5
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sullyfish6
 
  1  
Reply Fri 2 Apr, 2010 08:19 am
The context does not match your question.

Where is the discussion on the "moral" citizen?

oristarA
 
  1  
Reply Fri 2 Apr, 2010 08:36 am
@sullyfish6,
Full context:

Remaking the moral person in China: implications for health

By 2020 China's economy is predicted to become the world's largest. That year almost half a billion Chinese will qualify as middle class"a spectacular and unprecedented instance of poverty reduction and the building of widespread prosperity over just four decades. China now holds US$2·4 trillion in foreign revenues. Chinese will have soon become the dominant language on the internet. Now the largest manufacturer of global goods, China will, by 2020, become the largest domestic market too. And its political, military, and cultural power is growing apace. Demographically, an ancient agrarian society has entered an increasingly urban modernity. Now, for the very first time, more Chinese are older than 60 years than are under 5 years of age. And the one-child-per-family policy places a greater and greater burden of security and care of the elderly on an ever-narrowing number of workers.
China, still officially an atheistic state controlled by the Communist Party of China (CPC), is also experiencing something of a revolution in religion and morality. There are millions of families reviving Chinese folk religion"a popular blend of Buddhism, Confucianism, and Taoism centred on reverence of ancestors"while Buddhist temples and worship have returned to popularity. There are between 70 million and 100 million Christians, and more than 100 million Muslims living in China. At the same time, the newspapers are filled with accounts of official corruption, the marketing of unsafe medication and tainted food, and a crescendo of distrust of local cadres. Mistrust of physicians is also at an all-time high, and malpractice and malfeasance litigation against doctors, hospitals, and also teachers is rising. Empty political rhetoric, continuing resentment over the repression of the radical-Maoist past, and disgust with the re-emergence of prostitution, crime, and violence have fuelled an epidemic of cynicism"popularised by such sayings as “What is Communism? The longest and most painful road to Capitalism”. Raw nationalism, intensified Han chauvinism, worsening relations with ethnic minorities, and rising frustration with Europe and the USA indicate that moral change is occurring.
One change of potentially far-reaching significance for health and medicine has to do with the remaking of the moral life of Chinese individuals. To begin with, there is increasing evidence from social science research that under the pressure of globalisation, individualisation is rapidly occurring with the emergence of deepening autonomy, materialistic consumer desire, and overt self-interest. Alongside such change is a concomitant emphasis on conjugal over parental relations, the development of an urban youth culture, and rising rates of certain behavioural problems, for example, depression, eating disorders, attention deficit hyperactivity, substance misuse, sexually transmitted diseases, and suicide.
Yet, the making of a modern subjectivity in China is not all negative. There is also substantial evidence of greater altruism, critical self-reflection on the roots and results of corruption and other social problems, and protest and advocacy concerning environmental issues, food safety, and public health. For example, against the expectations of the CPC, Shenzhen and other Chinese cities have shifted from a blood supply based on coercion and paying professional blood donors (associated with a tragic HIV/AIDS epidemic caused by illegal and government blood-purchasing practices) to one based on voluntary donation by citizens. Another instance is the huge number of volunteers who responded to the Sichuan earthquake. There is also a great increase in non-governmental organisations, few of which are officially registered and regulated. The rise of a large middle class who use the internet, travel abroad, and demand world-quality services and goods is matched by the state's ideological transformation from the central tenant of the era of radical Maoism that the Chinese individual owes his or her life to the party-state to the seemingly ordinary, but for the Chinese truly extraordinary, proposition that the state owes the individual a chance at a good life.
Viewers of the Beijing Olympics saw thousands of ordinary Chinese just enjoying themselves"a situation largely without precedent in modern Chinese history. The quest for personal happiness, at least among the middle class, who are expected to number 500 million in 2020, is now normative and normal, replacing the quest to endure the bitterness of hard times that had been China's folk wisdom for centuries. Grievances over past humiliation by the West are being replaced by a gathering sense that it may be the moment, as one China watcher titles his recent book, When China Rules the World.
Epidemics of sexually transmitted disease, substance misuse, obesity-related diabetes and heart disease, cigarette smoking, and mental health problems are directly related to these new subjectivities and behaviours, and hold clear implications for public health. These issues have rightly attracted the concern of many foreign commentators and the Chinese themselves. In what follows, I want to trace the potential implications of individual change for another side of Chinese society: ethics, the development of professionalism, and the quest for meaning in everyday life.
While China possesses a marvellously rich indigenous tradition of Confucian ethics, medical ethics in contemporary Chinese hospitals, medical schools, and biotechnology research institutes is still largely an import of Euro-American procedures and protocols, with a key influence from the US National Institutes of Health (NIH). As such, medical ethics is often grudgingly treated as a necessary afterthought for which cosmetic and highly technical responses are sufficient. This delayed development of a concern for values in medicine was, I would suggest, substantially encouraged in China (and in Japan) by the failure to provide justice for the wartime medical atrocities of the Japanese Imperial Army's extensive biowarfare programme. Instead, the occupying US regime prevented a trial of the doctors and scientists responsible, inter alia, for dropping anthrax bombs on Chinese cities and vivisecting each year, from 1937 to 1945, more than 1000 Chinese research “subjects” in grotesquely inhuman experiments. In return for helping the USA co-opt the Japanese biowarfare expertise, there was no equivalent to the Nuremberg Trials for Nazi doctors. And hence there is no East Asian equivalent of the Nuremberg Code for medical ethics. Lacking that powerful stimulus, medical ethics in China has been anaemic. Yet, there is in this decade deepening interest in professional ethics promoted by both concern for controlling corruption and dangerous and unnecessary medical practices and by a health equivalent to the consumer consciousness movement that is affecting the rest of Chinese society. Students and professionals are drawing on the broadening, society-wide critical reflection on patient"doctor value conflicts and the inadequacy of health and welfare security to build a more robust ethics.
At the same time, the medical profession, like the legal, architectural, engineering, and other professions, is self-consciously professionalising with greater attention to best practices, training standards, and public responsibilities. The work-unit"for example, the hospital"that was both the centre of the micropolitics of Chinese society and of value concerns in the era of collectivism, is giving way to the individual professional as a self-authorising moral agent responsible for quality of practice. Of course, there are, in an authoritarian society, real limits to what can be achieved by individuals and their professional associations; yet something transformative is afoot and the state's newfound concern for good governance is enabling its development, within the acceptable political boundaries of course.
In this respect, China's current “psycho-boom” is instructive. There has been an awakening interest in psychology books, biographical documentary films, counselling, psychological idioms of distress, psychometric methods, and training in psychotherapy. While it is easy to dismiss the superficiality of this popular interest and the absence of standards to authorise clinical competence in this area, it would be a mistake not to recognise that these big city, middle-class interests represent a set of quests for meaning in everyday life among ordinary Chinese that holds the potential to transform Chinese culture and society.
Individuals in today's urban China are connected via the internet, the media, and in the hundreds of ways that globalisation has stitched all of us together into a global culture. Of the many ramifications of this true cultural revolution, perhaps the most telling for Chinese is the emphasis it is placing on a self divided between increasingly anachronistic internalised political and cultural restrictions and inner liberation of meaning, emotions, and aspiration. The tension between one eye open to the world as it is and one eye closed to protect and promote not just self-interest but yearning for a better world is an old idea in Chinese society, one that is enabled by hypocrisy and the greater importance of personal connections over rules. Yet today it gains renewed relevance from an outside world that is more conducive to prosocial moral change and an inner subjectivity that is either less willing to collude in things as they are or freer to imagine and practise different ways of inhabiting that new world.
The upshot is that the Chinese and their practical values are a force for change in many domains, from health and medicine to education and the environment. And society and the new subjectivity are here to stay. Will they change the political reality as they have so visibly altered economic and technological affairs? No one knows. But the profession of medicine will not be the same; nor will the ethics of the doctor"patient relationship and health research. The demand for quality caregiving may well change forever the health-care system.

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60466-7/fulltext
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sullyfish6
 
  1  
Reply Fri 2 Apr, 2010 08:45 am
"One change of potentially far-reaching significance for health and medicine has to do with the remaking of the moral life of Chinese individuals. To begin with, there is increasing evidence from social science research that under the pressure of globalisation, individualisation is rapidly occurring with the emergence of deepening autonomy, materialistic consumer desire, and overt self-interest. Alongside such change is a concomitant emphasis on conjugal over parental relations, the development of an urban youth culture, and rising rates of certain behavioural problems, for example, depression, eating disorders, attention deficit hyperactivity, substance misuse, sexually transmitted diseases, and suicide."

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The article assumes that the Chinese are currently a "moral people" and globalization of their culture may change that. "Remaking" means change, IMHO.

oristarA
 
  1  
Reply Fri 2 Apr, 2010 09:49 am
@sullyfish6,
Changing = remaking?

What does "the moral person" mean?
0 Replies
 
oristarA
 
  1  
Reply Fri 2 Apr, 2010 06:52 pm
@sullyfish6,
I've got it.
Thank you Sullyfish6.
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