Health Ethics Symposia

Feature Presentations

When Shift Happens from Ascribed to Achieved Wellness
Madeleine Dion Stout, RN, MA

The old paradigm atikowisi miyw-ayawin, ascribed wellness, where
wellness is shaped and provided by external power sources like
governments has to be shifted to the new paradigm kaskitmasowin
miyw-ayawin-acheived wellness, where wellness is willed and
earned through one's autonomy and creative genius to the fullest
extent possible. The ethical dilemmas arising in this shift will be
examined through a Cree lens, nursing perspective and human
rights frame.

Engaging First Nations, Inuit and Métis Communities in Genetics-based Health Research: Responsibilities in Follow-up
Malcolm King, PhD, FCCP

Thanks to many efforts on the part of First Nations, Inuit and Métis
peoples and the CIHR research community, consensual, informed
research is being carried out on a variety of topics of relevance to
Aboriginal health in Canada. The focus of this presentation is to raise
issues regarding the responsibilities of researchers, sponsors and
communities in the translation of knowledge generated/acquired in
translation of knowledge generated/acquired from such studies.
For example, it has been determined that individuals in a First Nation
who carry a gene variant associated with susceptibility to Type 2
diabetes are at risk to develop diabetes only if they smoke. What
should be done with such information? Whose responsibility is it
to carry forward and apply such information?

Hutterites and Health Care: Communities within and apart
Victoria Seavilleklein, PhD

There are hundreds of Hutterite bruderhöfe or colonies in the North
American northwest, with a large concentration in central and
southern Alberta. Hutterites are a communal people with a distinct
history, culture and religion. While they are impressively self-
sufficient, they rely on public health care for their medical needs.
This presentation offers an exploration of these communities and
their interaction with the health care system as seen through the
lens of ethics consultation.

Cultural Influences -The welcome move towards relational ethics
Eric Wasylenko, MD, BSc

Clinical ethics in North American has been dominated for several
decades by Principlism. Respect for Autonomy has commanded a
revered place for many people, consistent with advantaged societal
beliefs in self-determination and personal rights. Increasingly, we
are exposed to cultures that support relational living and relational
decision-making. Cultural mores of many new Canadians as well as
our own Aboriginal peoples, can inform our understanding of
relational justice and relational autonomy. These notions are
substantially influencing ethics, including some emerging
frameworks for public health ethics.