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For medical doctors and nurses, truth telling of fatal disease, such as cancer, to the patient or family is always a painful and ambivalent task. Willingness of accepting truth telling may depend on p...ersonality of individuals, but it can be affected by culture or common views of society as well. This article analyses how and why different acceptance of truth telling is observed in different countries. We conducted two questionnaire surveys for university students in Korea in 2006, and in Japan and China in 2008. The students were asked whether they want to be informed their own disease, and whether they want their family to be informed of the truth in a hypothetical situation that respondents or their family had a cancer. Relatively high proportion of students in Korea, especially female students want their family member not to be informed of the truth. The difference may be attributed to the degree of solidarity in a family or bondage of family members, which is still strong in Korea and China but is subsiding in Japan or may be derived from traditional Japanese ethics. However, in all three countries, the percentage of students who wish themselves to be informed and their families to be informed of their cancer are high. For those who do not wish the truth to be informed to both themselves and family patient the reason was because they do not want to be seen while dying or they do not wish to see their family member to be agonized by truth telling.show more
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