Islamic and Christian Viewpoints on Biomedical Aspects of ‎Life Beginning and Terminal Stage

Document Type : Original Article

Author

Assistant Professor, Islamic Azad University of Medical Sciences, Tehran, Iran.‎

Abstract

Islam, Christianity, and Judaism, as the major Abrahamic religions, are grounded in belief in one Almighty God who created the world and sent messengers to guide humanity. Despite differences in theology and practice, these religions share common moral foundations that extend to medical ethics. Ethics, as a discipline, examines moral character and moral status, determining what rights and responsibilities are due to human beings and other living creatures. Medical ethics, as an applied branch, provides professional codes and value-based frameworks that help practitioners manage moral dilemmas in clinical practice and reduce moral distress in decision-making. In recent decades, particularly in the third millennium, Islamic and Christian scholars have increasingly engaged in dialogue to develop guidelines that address ethical challenges arising from modern medical technologies, especially at the beginning and end of life. The present study aims to review Islamic and Christian ethical guidelines for healthcare professionals encountering such dilemmas. Using content analysis, the study examines contemporary medical guidelines, professional codes, and academic materials, focusing on countries where healthcare systems are highly influenced by modern technologies, such as Britain, Australia, the United States, and several European nations. Findings show that these regions have developed extensive literature on ethical issues related to assisted reproduction and end-of-life care, where Muslims, Christians, and Jews alike face comparable moral challenges. The analysis reveals significant similarities between Islamic and Christian ethical perspectives, particularly in their shared opposition to induced abortion and euthanasia, both grounded in the belief that life is a sacred gift from God. These shared values influence not only clinical practice but also establish moral boundaries for biomedical research.

Keywords


Abdulrahman Al-Matary, J. A. (2014). Controversies and considerations regarding the termination of pregnancy for Foetal Anomalies in Islam. BMC Medical Ethics, 15(10). https://doi.org/10.1186/1472-6939-15-10
Abulafia, A. S. (2019). The Abrahamic religions. London.
Afshar, L. (2015). The moral position and dignity of the human embryo. Tehran: Shahid Beheshti University of Medical Sciences. [In Persian]
American Association of Colleges of Nursing. (n.d.). Moral distress. In Clinical resources. Retrieved July 21, 2023, from https://www.aacn.org/ clinical-resources/moral-distress
Assarroudi, A., Heshmati Nabavi, F., Ebadi, A., & Esmaily, H. (2017). Do-not-resuscitate order: The experiences of Iranian cardiopulmonary resuscitation team members. Indian Journal of Palliative Care, 23(1), pp. 88–92. https://doi.org/10.4103/0973-1075.197946
Bishop definition. (n.d.). Merriam-Webster Dictionary Online. Retrieved July 24, 2023, from https://www.merriam-webster.com/dictionary/bishop
Bourricaud, F. (1984). The Sociology of Talcott Parsons: The social relation of action. Chicago University Press.
Brendan Pierson. (2022). U.S. can't punish Christian hospitals ]Reuters Inc[. Retrieved June 22, 2023, from Reuters Health
Britannica. (n.d.). Nicaea, Council. Retrieved June 20, 2023, from https://en.wikisource.org/wiki/1911_Encyclop%C3%A6dia_Britannica/Nicaea,_Council_of
Childress, J. F., & Beauchamp, T. L. (2009). Principles of biomedical ethics. New York: Oxford University Press.
Cheney, D. M. (n.d.). Second Vatican Council. Retrieved June 20, 2023, from
Committee, I. N. (2020). ETHICS Committee: Establishment process. Retrieved July 23, 2023, from Iran National Committee for Ethics in Biomedical Research. https://ethics.research.ac.ir/docs/ETHICS-Committee-Establishment-Process.pdf
Dabrock, P. (2009). Playing God? Synthetic biology as a theological and ethical. Systems and Synthetic Biology, 3(1-4), pp. 47–54.  https://doi.org /10.1007/s11693‑009‑9038‑5
Davey, P. A. R. (2017). Medical ethics, law and communication at a glance. Sussex, UK: John Wiley and Sons, Ltd.
Doyle, D. (2015). The papal encyclical: What is an "encyclical"? USA Today. https://www.usatoday.com/story/news/world/2015/06/16/pope-francis-encyclical/28814437/
Dyer, C. (2008). GMC: Put patients’ needs ahead of your beliefs. BMJ, 336, 685.
Eberle, E. J. (2013). Church and state in Western society: Established church, cooperation and separation. Ashgate Publishing, Ltd.
Esposito, J. L. (2014). The Oxford Dictionary of Islam. Oxford University Press.
Galen, L. W. (2016). The Nonreligious: Understanding Secular People and Societies. Oxford University Press.
Grove, G. (2022). Perspectives of major world religions regarding euthanasia. Journal of Religion and Health, 61(2),  pp. 1034–1050.  https://doi.org/10.1007/s10943‑021‑01393‑0
Chamsi Pasha, H. M. A. (2013). Western and Islamic bioethics: How close is the gap? Avicenna Journal of Medicine, 3(1), pp. 8–14.  https://doi.org /10.4103/2231‑0770.112788
Hendrickson, J. (2013). The Princeton Encyclopedia of Islamic Political Thought: Fatwa. Princeton University Press.
Herranz, G. (2004). The ethics of medical research: A Christian view. Bulletin of Medical Ethics, 200, pp. 13–19. https://doi.org/10.1136/ bmje.2004.000025
House of Lords. (n.d.). House of Lords. UK Parliament. Retrieved July 24, 2023, from https://www.parliament.uk/business/lords/
Iranian Medical Council (IRIMC). (2017). Iranian Medical Council: General code of conduct. https://irimc.ir. [In Persian]
Khalaj Zadeh, S. F. (2011). Bioethics in Abrahamic Religions. Bioethics Quarterly, 1(1). [In Persian]
Khan, M. (n.d.). Sahih al-Bukhari. Retrieved July 16, 2023, from  https://sunnah.com/bukhari
Khitamy, B. A. (2013). Divergent views on abortion and the period of ensoulment. Sultan Qaboos University Medical Journal, 13(1), pp. 26–31. https://doi.org/10.12816/0003192
Lawrence, P. F. (2019). Essentials of general surgery and surgical specialties (6th ed.). Wolters Kluwer.
Leeds, G. C. (1990). Liberalism, republicanism, and the abortion controversy. Villanova Law Review, 35(3), Art. 2.
McDougall, J. F., & Gorman, M. (2008). Contemporary world issues: Euthanasia. ABC-CLIO.
Mohaghegh Damaad, S. M. (2012). Medical Figh. Tehran: Research Center of Medical Law & Ethics. [In Persian]
Namazi, H. (2016). The doctor-patient relationship: Toward a conceptual re-examination. Journal of Medical Ethics and History of Medicine,  9, pp. 1–8. https://doi.org/10.5812/jmehm.33777
Padella, A. (2007). Islam Medical Ethics: a primer. Bioethics, 21(3), pp. 169–178. https://doi.org/10.1111/j.1467-8519.2007.00540.x
Patrick Davey, A. R. (2017). Medical Ethics, Law and Communication at a Glance. Sussex, UK: John Wiley and Sons, Ltd.
Pierson, B. (2022). U.S. can't punish Christian hospitals. Reuters Health. Retrieved June 22, 2023, from https://www.reuters.com/legal/government /us-cant-punish-christian-hospitals-refusing-do-abortions-gender-surgery-2022-08-29/
Rabb, I. A. (2008). The Oxford Encyclopedia of the Islamic World. Oxford University Press.
Riahi, H., Bazmi, S., Enjoo, S. A., Ahmadnia, S., & Afshar, L. (2020). The physician-patient relationship: How it is represented in Iranian national television. Journal of Medical Education for Future Demands, 19(1), e107905. https://doi.org/10.5812/jme.107905
Rogers, K. (n.d.). Zygote. In Encyclopaedia Britannica. Retrieved June 20, 2023, from https://www.britannica.com/science/zygote
Sachedina, A. (2009). Islamic biomedical ethics: Principles and applications. New York: Oxford University Press.
Scheitle, C. P. (2005). In God we trust: Religion and optimism toward biotechnology. Social Science Quarterly, 86(4). Retrieved from
Stewart, M. Y. (2010). Science and religion in dialogue. Wiley.
Swan, R. (2020). Faith-based medical neglect: For providers and policymakers. Journal of Child & Adolescent Trauma,13(3), pp. 343–353.  https://doi.org/10.1007/s40653‑019‑00286‑x
The Four Principles of Biomedical Ethics. (n.d.). Healthcare Ethics and Law Made Simple. Retrieved June 20, 2023, from
Thigpen, C. L., Johnson, C., & Funk, C. (2020). On the intersection of science and religion. Pew Research Center. https://www.pewresearch.org/ religion/2020/08/26/on-the-intersection-of-science-and-religion/
Waddington, C. H. (n.d.). Embryo—human and animal. In Encyclopaedia Britannica.
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human  subjects. World Medical Association. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/