title: The problem of privacy in transcultural research: reflections on an ethnographic study in Sri Lanka.
abstract: Western laws and codes of ethics frequently require that private health information be treated confidentially. However, cross-cultural research shows that it is not always easy to determine what members of a culture consider to be private or how they wish private information to be handled. This article begins by presenting an ethnographic study of patient-healer relationships in Sri Lanka; researchers were surprised to find that participants' views of health and privacy differed greatly from typical Western views, and that the privacy protections they had put in place caused discomfort among participants. Building on this ethics case study, the article explores two main questions. First, can a single definition of privacy possibly do justice to the cultural variations that exist, or does a conceptual definition inevitably run the risk of ethnocentrism? Second, to what extent is strict compliance with research regulations or ethics codes ethically justifiable when following the rules will obviously cause unease in international participants?
authors.affiliation: Hietzinger Hauptstrasse 115/7, 1130 Vienna, Austria. monshi@zieglmayer.at
authors.forename: Bardia
authors.initials: B
authors.lastname: Monshi
authors.forename: Verena
authors.initials: V
authors.lastname: Zieglmayer
mesh_terms: D000884:Anthropology, Cultural; D035841:Behavioral Research / Q000941:ethics*; D003431:Cross-Cultural Comparison; D018864:Cultural Diversity; D028781:Ethical Relativism; D006801:Humans; D038622:Internationality; D007407:Interviews as Topic; D008515:Medicine, Ayurvedic; D018907:Privacy / Q000331:legislation & jurisprudence / Q000523:psychology*; D011369:Professional-Patient Relations / Q000941:ethics; D035844:Researcher-Subject Relations / Q000941:ethics; D013188:Sri Lanka; D019366:Western World