scholarly journals A Cross-Cultural Study of Filial Piety and Palliative Care Knowledge: Moderating Effect of Culture and Universality of Filial Piety

2021 ◽  
Vol 12 ◽  
Author(s):  
Wendy Wen Li ◽  
Smita Singh ◽  
C. Keerthigha

Filial piety is a Confucian concept derived from Chinese culture, which advocates a set of moral norms, values, and practices of respect and caring for one’s parents. According to the dual-factor model of filial piety, reciprocal and authoritarian filial piety are two dimensions of filial piety. Reciprocal filial piety is concerned with sincere affection toward one’s parent and a longstanding positive parent-child relationship, while authoritarian filial piety is about obedience to social obligations to one’s parent, often by suppressing one’s own wishes to conform the demands of the parent. The primary aim of this study is to investigate the moderating effect of culture on the relationships between filial piety and palliative care knowledge. The secondary aim is to investigate whether filial piety is a universal construct across Singaporean and Australian cultures. A total of 508 participants living in Singapore and Australia were surveyed between May and October 2020. The final sample comprised of 406 participants, with 224 Singaporeans and 182 Australians. There were 289 females (71.1%), 115 males (28.3%), and two unspecified gender (0.6%) in the sample, with an average age of 27.27 years (SD = 9.79, range = 18–73). Results indicated a significant effect of culture on authoritarian filial piety and palliative care knowledge. Singaporeans showed higher authoritarian filial piety and higher palliative care knowledge than Australians. However, no effect of culture was found on reciprocal filial piety. Overall, no significant correlation existed between palliative care knowledge and reciprocal filial piety and authoritarian filial piety. For Singaporeans, a weak negative correlation was found between palliative care knowledge and authoritarian filial piety. In contrast, Australians and Singaporeans indicated a positive, moderate correlation between reciprocal and authoritarian filial piety. Further, culture moderated the relationship between authoritarian filial piety and palliative care knowledge. High authoritarian filial piety was associated with increased palliative care knowledge among Australians, while high authoritarian filial piety was associated with decreased palliative care knowledge among Singaporeans. The results support the conceptualization of filial piety as a possible psychological universal construct. In addition, the results point out an important implication that public health programs should target the appropriate filial piety types to enhance palliative care knowledge among Singaporeans and Australians.

Author(s):  
Magdalena Wong

The chapter both stretches out from and synthesizes the husband-wife and father-child dyads. The term 'a real man' is reprised and the different ways this is understood by unmarried partners who combine modern attitudes, such as female rights and independence, with traditional behaviour is contrasted. Men are shown to be simultaneously navigating the roles of father, son/son-in-law, and husband, with big changes in their spousal roles due to ideological changes in women's power, and to enjoy the new role of a more nurturing father. Filial piety is shown to be the single most crucial ideology that governs the parent-child relationship in Chinese culture, both historically and in the present. However, reciprocity now flows both ways and the trend is for prolonged parenting and delayed reciprocation.


2017 ◽  
Vol 4 (2) ◽  
pp. 197-214 ◽  
Author(s):  
Denisa Latić ◽  
Hans-Georg Wolf

Abstract Hong Kong culture blends paradoxes: In it, life and death, the real and the other world coexist in the traditions of its inhabitants, which eventually surface in the variety of English spoken in this Special Administrative Region of China. Our corpus-linguistic analysis, on the basis of ICE-HK and the GloWbE (Davies 2013) corpus,1 demonstrates the centrality of the family concept and its ramifications as well as its relation to the concept of money in Hong Kong English. The conceptualization children are an investment does not only show the conceptual network family and money belong to, but also lucidly shows the dynamics within the parent-child relationship, which is governed by filial piety and elderly care when the investment bears fruit. Collocations such as ‘hungry ghost,’ ‘hell money,’ and ‘worship ancestors’ are combinations of common core English terms that underwent semantic extension under the influence of the local Hong Kong cultural context. Our data shows how tightly language and culture are linked and that culture and cultural changes are the main factors to influence language and its development.


Author(s):  
Sihan SUN

LANGUAGE NOTE | Document text in Chinese; abstract also in English.緩解癌痛是終末期癌症患者安寧療護的重要目標之一。世界衛生組織提出,嗎啡等鴉片類藥物被列為癌症止痛和安寧療護的首選或必備藥物。而談起嗎啡時,人們常常聯想到毒品。尤其在中國這樣一個深受兩次鴉片戰爭影響的國家,人們畏懼嗎啡,並更加謹慎地使用嗎啡。在臨床上,嗎啡的確能夠有效地緩解患者臨終前因癌症引起的疼痛,但不合理地使用也會引起患者的呼吸抑制,導致其死亡。那麼,臨床上到底應該如何正確地使用嗎啡?嗎啡的使用有哪些制度上的支援?嗎啡被當作主動安樂死的一種手段又是否能夠得到儒家倫理學上的辯護?筆者認為,無論在臨床中,還是在制定嗎啡的相關法律法規中,都應將嗎啡的兩種作用:合理劑量的鎮痛作用和加大劑量的主動安樂死作用嚴格的區分開來。用嗎啡安樂死的行為違背了儒家的孝道、弘毅美德以及儒家生命觀和仁愛的思想。本文將通過探究嗎啡的歷史、臨床使用、政策和儒家倫理四個方面,對嗎啡的使用進行具體的研究和分析。Pain control is one of the most important goals of end-of-life care for cancer patients in the terminal phase. The World Health Organization recommends that morphine be considered optimal and even indispensable as a means of relieving pain and providing palliative care. However, people often associate this opioid with illicit drugs, particularly in the context of Chinese culture, due to its close association with the two Anglo–Chinese Opium Wars of the mid-19th century. In clinical settings, morphine is usually the preferred treatment for moderate or severe cancer-related pain. However, excessive morphine use may result in respiratory depression and death. Exploring morphine’s history and clinical usage, relevant policies, and Confucian ethics, this essay shows that a clear distinction must be made between relieving pain and performing active euthanasia in cases of morphine use in current Chinese palliative care and bioethics. The essay offers an approach based on Confucian ethics to analyze how euthanasia via morphine use violates the principles of filial piety (xiao) and humaneness (ren), two virtues emphasized in Confucian tradition.DOWNLOAD HISTORY | This article has been downloaded 432 times in Digital Commons before migrating into this platform.


2020 ◽  
Author(s):  
Jingyi Wang ◽  
Hao Wang ◽  
Haijiang Lin ◽  
Marcus Richards ◽  
Shuyue Yang ◽  
...  

Abstract Background Little is known about the prevalence of and risk factors for adolescent mental health problems during the COVID-19 outbreak. We aimed to investigate the prevalence of depressive symptoms, their association with study-relevant problems, and the moderating effect of parent-child relationship among Chinese adolescents during the school closures.Results Using data from 6435 adolescents, we found that the prevalence of depressive symptoms was 17.7%. All the study problem measures were associated with more severe depressive symptoms. There was a moderating effect of the parental relationship on the associations between study problems and depressive symptoms. The association between number of study problems and depressive symptoms was stronger in adolescents with a poor parent-child relationship (regression coefficient 4.34 [95% CI 2.97, 5.72]) than those with a good or normal relationship (2.55 [2.35, 2.75]), p for interaction 0.002, on multivariable adjustment.Conclusions Study problems due to school closures were particularly problematic for adolescents who had poor parent-child relationships. Public health initiatives could help students to adjust study habits and improve parent-child relationships, thereby protecting against the development of depression.


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