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Medical Ethics in Russia Before the October Revolution (1917)

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Author(s)
Lichterman, Boleslav L.
Yarovinsky, Michail
Keywords
Disease
Doctors
Ethics
Evolution
Ethical Codes
Human Experimentation
Life
Literature
Medical Ethics
Medicine
Morality
Paternalism
Politics
Privacy
History of Health Ethics / Bioethics
Codes of / Position Statements on Professional Ethics
Sociology of Health Care
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URI
http://hdl.handle.net/20.500.12424/262480
Online Access
http://hdl.handle.net/10822/979099
http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Medical+ethics+in+Russia+before+the+October+Revolution&title=Journal+International+de+Bioéthique+=+International+Journal+of+Bioethics+&volume=16&issue=3-4&date=2005-09&au=Lichterman,+Boleslav+L.;+Yarovinsky,+Michail
https://dx.doi.org/10.3917/jib.163.0015
Abstract
The evolution of medical ethics in Russia was determined by several factors. First, such Russian concepts as "obshina" (community" and "sobornost" (counciliarism) determined the supremacy of the collective body over the individual body, the state over a person etc. There is no analogue for "privacy" in the Russian language. Second, Russian medical doctors with university degrees appeared only in the 18th century after the politics of westernization by Peter the Great (1672-1725). Medical ethics probably starts from Prof. Matvei Mudrov (1776-1831) of Moscow who followed the Hippocratic credo "to treat not a disease but a patient". Third, after serfdom had been abolished in 1861 medical care in many rural regions was provided by zemstva (local elected councils). Zemskie medical doctors had idealistic views of self-sacrificing for the service to society and to the people. On the other hand, while dealing with illiterate peasants paternalism was a necessity. Ethical problems of healthcare and medicine were a subject of intense discussions both in professional and popular literature. A weekly periodical "Vrach" edited by V. Manassein played an important role in this discourse. Local medical societies adopted their own ethical codes but an All-Russian code of medical ethics was never formulated because the country lacked a national medical society. "Confessions of a physician" by Vikenty Veresaev published in 1901 put problems of doctor-patient relationship and human experimentation in the centre of public debates both nationally and internationally. Two Russian editions of "Aerztliche Ethik" by Albert Moll also contributed to the discourse on medical ethics in Russia. Medicine as a money-making activity was criticized and ridiculed in Russian literature (see, for example, Tolstoy's novels and Chekhov's stories). Medical morality was generally understood as moral life in action when deeds are much more important than words (e.g. formal codes of medical ethics).
Date
2016-01-08
Identifier
oai:repository.library.georgetown.edu:10822/979099
doi:10.3917/jib.163.0015
Journal International de Bioéthique = International Journal of Bioethics 2005 September-December; 16(3-4): 17-32, 166-167
http://hdl.handle.net/10822/979099
http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Medical+ethics+in+Russia+before+the+October+Revolution&title=Journal+International+de+Bioéthique+=+International+Journal+of+Bioethics+&volume=16&issue=3-4&date=2005-09&au=Lichterman,+Boleslav+L.;+Yarovinsky,+Michail
http://dx.doi.org/10.3917/jib.163.0015
DOI
10.3917/jib.163.0015
ae974a485f413a2113503eed53cd6c53
10.3917/jib.163.0015
Scopus Count
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Health Ethics
Research Ethics Philosophical

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