Teaching ethical dilemmas in biotechnology and the biomedical sciences:

a perspective from a study of teachers in England and Wales.

 

Ralph Levinson

Summary:

The importance of contemporary developments in biotechnology and biomedicine raise ethical concerns which, arguably, should be addressed in the school curriculum. An empirical study of teachers’ views from across the curriculum suggests that science teachers address the substantive science concepts whereas humanities teachers discuss the moral and ethical issues. However, this compartmentalised approach has substantial drawbacks. Focused training on teaching ethical issues is suggested, highlighting the teaching of ethical concepts.

Key Words: Ethics, curriculum, science, humanities, biomedicine, biotechnology.

 

Ralph Levinson

Science and Technology Group

The Institute of Education

University of London

20 Bedford Way

London WC1H 0AL

E_mail: r.levinson@ioe.ac.uk

 

Introduction

If headlines in the press are a reflection of public concerns then developments in the biomedical sciences are having a major impact on western society at the turn of the millennium. Hardly a day goes by in the British press without an editorial or headline highlighting controversies, or reporting on debates in parliamentary committees, about the current implications of the new genetic, reproductive and biomedical technologies. These issues are aired beyond the broadsheets: One of Britain’s best selling tabloids, the Daily Mail, ran a series of feature articles springing from Prince Charles’ intervention in the debate over genetically-modified (GM) foods, ‘Charles: My Fears Over the Safety of GM Foods’1 Other long-running issues during 1999 and 2000 have covered the cloning of human tissue, genetic testing, pre-implantation diagnosis, xeno-transplantation and the artificial creation of new life. Shortly the Human Genome Project will have achieved its primary objective of sequencing the human genome providing an enormous amount of new genetic information and new opportunities.

These developments raise major questions about rights and responsibilities such as the rights of employers or insurance companies to have access to genetic data about individuals. Genetic testing can have implications for insurance policies although there is little evidence at present to show that insurance companies are systematically discriminating against people with genetic conditions.2 Pre-implantation diagnostic techniques open up the possibility of prospective parents selecting embryos with enhanced physical characteristics such as height. In vitro fertilisation treatment can influence perceptions on forms of family life and parenthood with consequent implications for legal judgements.3 Traditional family orientations can be maintained but new possibilities are opened up. These issues are complex both in the underpinning science and technology and in developing moral and ethical perspectives; indeed, the rate of development of research is such that even these perspectives are shifting with bewildering rapidity. Given the dominance of the popular press there is a need for students to appreciate the complexity of simplistic positions. Young people, at present in schools or further education, will encounter these new technologies in some form and will need to be equipped with the necessary skills, and an awareness of the social and ethical impacts, to contribute to the emerging dialogue between policy-makers and citizens4, as well as the skills and knowledge to make personal choices that become available to them. These are major challenges for the school curriculum.

The teaching of social and ethical issues arising from biotechnology and the biomedical sciences will not however have an impact only on the science curriculum and on science teaching. Issues of broad social concern are covered in sociology, human geography and history. Ethical issues are addressed by teachers of Religious Education, English and psychology. Acknowledging the complex interrelationship of science with social policy, Jenkins points to the need for science teachers to develop skills more commonly associated with English or History teachers, ‘in which debate and controversy constitute more familiar territory5’., a point reinforced by a comparative study of history and science teachers6. Scientific issues could be addressed from a variety of non-science perspectives7. It may then be appropriate to find out how the broader curriculum can be used as a resource for teaching controversial issues in science.

While the science curriculum undoubtedly provides an important site to discuss ethical issues it does not follow that science teachers have, or ought to have, the expertise to address them. There are many discussions of the relationship between science and ethics and the implications for science education, condensed, for example, by Michael Reiss8, focusing on the distinction between the empirical what is and the ethical what ought to be. Arguments certainly proliferate on the need to humanise the science curriculum but this is distinct from any conceptualisation of epistemological coherence in ethical and scientific enquiries. Others argue that the study of science is inherently value-laden9, 10and therefore ethical discourse may form a part of what science teaching should look like.

Teaching aspects of ethical enquiry may find a more natural home in, say, religious education, political science or psychology and the humanities in general; on the other hand humanities teachers may lack knowledge of the substantive science to formulate the appropriate ethical questions that arise from the new technologies. While there have been accounts of the problems that teachers are likely to encounter when teaching ethical issues in a science context 11there needs to be an empirical account of teachers’ perceptions of these problems. This article explores the different ways in which science and humanities teachers approach the teaching of ethical aspects of biotechnological and biomedical issues.

The project

1 Daily Mail, 1st June 1999
2 Lawrence Low et al, "Genetic discrimination in life insurance: empirical evidence from a cross sectional survey of genetic support groups in the United Kingdom". British Medical Journal, vol. 317, 1998 pp. 1632-35
3 Marilyn Strathern "Enabling Identity? Biology, Choice and the New Reproductive Technologies" in Stuart Hall and Paul Du Gay (eds) Questions of Cultural Identity, London - Thousand Oaks - New Delhi, Sage Publications, 1996, pp37-52
4 Nuffield Council on Bioethics, Genetically modified crops: the ethical and social issues, London, Nuffield Council on Bioethics, May 1999
Edgar.Jenkins, "School science, citizenship and the public understanding of science", Int.J.Sci.Ed., vol 21 (7), 1999, pp. 703-10
5 Jim Donnelly, "Interpreting differences: the educational aims of teachers of science and history, and their implications". J. Curriculum Studies, vol 31, no 1, 1999, pp.17-41.
6 Paul Black, "The purposes of Science Education" in Richard Hull, (ed) ASE Science Teachers Handbook (Secondary), Hemel Hempstead: Simon and Schuster, 1992, pp 6-22.
7 Michael Reiss, Teaching Ethics in Science, Studies in Science Education, Volume 34, 1999, pp115-140.
8 Mary Midgely, Science as Salvation, London, Routledge, 1996
9 Michael Poole, Beliefs and values in science education, Buckingham: Open University Press, 1995
10 Michael Reiss, op cit
11. PSE was thought to be a promising area to deal with ethical issues in a science context because it ostensibly brings together different areas of the curriculum in one lesson. However, findings from the project suggested that PSE has low status in English schools. Very little time is dedicated to it, PSE is not examined and both teachers and students see it as somewhat peripheral to the curriculum. Few bioethical issues were addressed in PSE and then only marginally.
12 Guy Claxton. "Science of the times: a 2020 vision of education", in Ralph Levinson and Jeff Thomas (eds) Science Today, Problem or Crisis? London: Routledge, 1997, pp 71-86
13 Rosalind Driver, John Leach, Robin Millar and Phil Scott. Young People's Images of Science, Buckingham: Open University Press, 1996