Introduction: The Christian confronts bioethics -- Foundations of bioethics -- Christianity and health care in a fallen world -- Theological doctrines -- Christian virtues -- The beginning of life -- Marriage, procreation, and contraception -- Assisted reproduction -- The human embryo -- The end of life -- Approaching death : dying as a way of life -- Suicide, euthanasia, and the distinction between killing and letting die -- Accepting and forgoing treatment.
Preface -- How brave a new world? : God, technology, and medicine -- A theological reflection on reproductive medicine -- Are our genes our fate? : genomics and Christian theology -- Persons, neighbors, and embryos : some ethical reflections on human cloning and stem cell research -- Extending human life : to what end? -- What is Christian about Christian bioethics? -- Revitalizing medicine : empowering natality vs. fearing mortality -- The future of the human species -- Creation, creatures, (...) and creativity : the Word and the final Word. (shrink)
Christians, health care, and basic moral reasoning -- When life ends -- Chronic illness, suffering, and Christian responses -- Organ donation and heroic medicine -- Scarce resources and Christian compassion -- Abortion -- Assisted reproduction and embryo selection -- Embryo research and cloning -- What happened to the neighbors? global health care -- The global challenge of HIV/AIDS -- Concluding thoughts.
Esta obra está organizada en tres partes, en las que se indaga la plausibilidad del discurso de la Bioética y Teológica. En la primera de ellas, se estudia el vínculo que existe entre esta disciplina científica, el mensaje evangélico y la tradición cristiana, punto de partida y origen de todo este entramado bioético que aspira a sal-vaguardar valores humanos fundamentales. En la segunda, se trata de la relación que debe regir entre esta rama de la Teología y el polifacético mundo (...) científico (biomedicina, bioderecho, etc.). Por su parte, en la tercera, se analiza el estatuto epistemológico que configura a la Bioética Teológica, es decir, sus señas de identi-dad; asimismo, en esta sección, se indaga igualmente acerca del papel que, por derecho propio, corresponde en la vida pública a esta disciplina científica. (shrink)
Cloning, gene therapy, stem-cell harvesting—are we on the path to a Huxley-like Brave New World? Not really, argues political philosopher and Kass Commission member Peter Augustine Lawler in Stuck with Virtue: The American Individual and Our Biotechnological Future, even as he admits that we will likely become more obsessive and anxious and will be subjected to new forms of tyranny. Rather, he contends, human nature is such that the biotechnological world to come, despite the best efforts of its proponents, will (...) still fail to make it possible to feel good without being good. It will be harder, Lawler warns, to be virtuous in the future, because we will be more detached than ever from the natural sources of happiness. But we may take some solace in the fact that virtue will still be the best way to live well with what we really know. With irony and wit, Lawler delivers the good news about the future of the American individual: We’re going to remain free, because the modern effort to make increasingly individualistic human beings at home with themselves and their environments through technological progress cannot succeed. That is the truth and promise, concludes Lawler, of a genuinely postmodern conservatism. (shrink)
The “eutopia” vision of the future, promulgated by technoscientists and libertarian thinkers, could herald the coming of a third axial age that could reshape and reformulate the legacy of the Great Religions and their transcendental moral imperatives, and of Modernity and the democratic imperative of equality of social conditions. A sociological diagnosis of a third, technosomatic, morality, is not a matter of supporting or rejecting such a possibility, but a matter of detecting its rise and regulating its impact.
This article seeks to identify some of the major perspectives in Eastern Orthodox Christianity which provide direction for bioethical-decision making. The article first identifies some historical, theological, and liturgical sources in the Eastern Orthodox tradition which have implications for bioethics. The manuscript also seeks to address the question of the place of religious bioethics within public discussion of issues in bioethics and health care policy. Keywords: bioethics, Eastern Orthodox, faith, liturgy, secular, tradition CiteULike Connotea Del.icio.us (...) What's this? (shrink)
What role should religion play in a religiously pluralistic liberal society? Public bioethics unavoidably raises this question in a particularly insistent fashion. As the 20 papers in this collection demonstrate, the issues are complex and multifaceted. The authors address specific and highly contested issues as assisted suicide, stem cell research, cloning, reproductive health, and alternative medicine as well as more general questions such as who legitimately speaks for religion in public bioethics, what religion can add to our understanding (...) of justice, and the value of faith-based contributions to healthcare. Christian (Catholic and Protestant), Jewish, Islamic, and Buddhist viewpoints are represented. The first book to focus on the interface of religion and bioethics, this collection fills a significant void in the literature. (shrink)
Integrative bioethics is a brand of bioethics conceived and propagated by a group of Croatian philosophers and other scholars. This article discusses and shows that the approach encounters several serious difficulties. In criticizing certain standard views on bioethics and in presenting their own, the advocates of integrative bioethics fall into various conceptual confusions and inconsistencies. Although presented as a project that promises to deal with moral dilemmas created by modern science and technology, integrative bioethics does (...) not contain the slightest normativity or action-guiding capacity. Portrayed as a scientific and interdisciplinary enterprise, integrative bioethics displays a large number of pseudoscientific features that throw into doubt its overall credibility. (shrink)
Since the 1980s, Islamic scholars and medical experts have used the tools of Islamic law to formulate ethico-legal opinions on brain death. These assessments have varied in their determinations and remain controversial. Some juridical councils such as the Organization of Islamic Conferences' Islamic Fiqh Academy (OIC-IFA) equate brain death with cardiopulmonary death, while others such as the Islamic Organization of Medical Sciences (IOMS) analogize brain death to an intermediate state between life and death. Still other councils have repudiated the notion (...) entirely. Similarly, the ethico-legal assessments are not uniform in their acceptance of brain-stem or whole-brain criteria for death, and consequently their conceptualizations of, brain death. Within the medical literature, and in the statements of Muslim medical professional societies, brain death has been viewed as sanctioned by Islamic law with experts citing the aforementioned rulings. Furthermore, health policies around organ transplantation and end-of-life care within the Muslim world have been crafted with consideration of these representative religious determinations made by transnational, legally-inclusive, and multidisciplinary councils. The determinations of these councils also have bearing upon Muslim clinicians and patients who encounter the challenges of brain death at the bedside. For those searching for ‘Islamically-sanctioned’ responses that can inform their practice, both the OIC-IFA and IOMS verdicts have palpable gaps in their assessments and remain clinically ambiguous. In this paper we analyze these verdicts from the perspective of applied Islamic bioethics and raise several questions that, if answered by future juridical councils, will better meet the needs of clinicians and bioethicists. (shrink)
This article details the relationship between history and bioethics. I argue that historians' reluctance to engage with bioethics rests on a misreading of the field as solely reducible to applied ethics, and overlooks previous enthusiasm for historical perspectives. I claim that seeing bioethics as its practitioners see it – as an interdisciplinary meeting ground – should encourage historians to collaborate in greater numbers. I conclude by outlining how bioethics might benefit from new histories of the field, (...) and how historians can lend a fresh perspective to bioethical debates. (shrink)
Bioethics and the stages on life's way -- Bioethical challenges in the new millennium -- The covenantal aspect of Christian marriage -- The use and abuse of human embryos -- The sacredness of newborn life -- On addictions and family systems -- The hope of glory : from a physical to a spiritual body -- Care in the final stage of life.
Thomas Aquinas is one of the foremost thinkers in Western philosophy and Christian scholarship, recognized as a significant voice in both theological discussions and secular philosophical debates. Alongside a revival of interest in Thomism in philosophy, scholars have realized its relevance when addressing certain contemporary issues in bioethics. This book offers a rigorous interpretation of Aquinas's metaphysics and ethical thought, and highlights its significance to questions in bioethics. Jason T. Eberl applies Aquinas's views on the seminal topics of (...) human nature and morality to key questions in bioethics at the margins of human life - questions which are currently contested in the academia, politics and the media such as: · When does a human person's life begin? How should we define and clinically determine a person's death? · Is abortion ever morally permissible? How should we resolve the conflict between the potential benefits of embryonic stem cell research and the lives of human embryos? · Does cloning involve a misuse of human ingenuity and technology? · What forms of treatment are appropriate for irreversibly comatose patients? How should we care for patients who experience unbearable suffering as they approach the end of life? · What ethical mandates and concerns underlie the practice of organ donation? Thomistic Principles and Bioethics presents a significant philosophical viewpoint which should motivate further dialogue amongst religious and secular arenas of inquiry concerning such complex issues of both individual and public concern. It will be illuminating reading for scholars, postgraduate and research students of philosophy, metaphysics, ethics, bioethics and moral theology. (shrink)
Before asking what U.S. bioethics might learn from a more comprehensive and more nuanced understanding of Islamic religion, history, and culture, a prior question is, how should bioethics think about religion? Two sets of commonly held assumptions impede further progress and insight. The first involves what “religion” means and how one should study it. The second is a prominent philosophical view of the role of religion in a diverse, democratic society. To move beyond these assumptions, it helps to (...) view religion as lived experience as well as a body of doctrine and to see that religious differences and controversies should be welcomed in the public square of a diverse democratic society rather than merely tolerated. (shrink)
Carson Strong has recently argued that wide reflective equilibrium (WRE) is an unacceptable method of justification in bioethics. In its place, Strong recommends a methodology in which certain foundational moral judgments play a central role in the justification of moral beliefs, and coherence plays a limited justificatory role in that the rest of our judgments are made to cohere with these foundational judgments. In this paper, I argue that Strong’s chief criticisms of WRE are unsuccessful and that his proposed (...) alternative is in fact just another version of WRE. In the course of doing so, I specify which theses are central to WRE and which are not, and thus, provide a response to an additional objection, advanced by Peter Singer, that WRE is vacuous. I conclude by arguing that there may be better prospects for advancing the debate regarding methodology in bioethics if we focus on restricted epistemic and methodological theses rather than broad approaches, such as WRE, that come in many different varieties. (shrink)
A rich literature in public health has demonstrated that health is strongly influenced by a host of environmental factors that can vary according to social, economic, geographic, cultural or physical contexts. Bioethicists should, we argue, recognize this and – where appropriate – work to integrate environmental concerns into their field of study and their ethical deliberations. In this article, we present an argument grounded in scientific research at the molecular level that will be familiar to – and so hopefully more (...) persuasive for – the biomedically-inclined in the bioethics community. Specifically, we argue that the relatively new field of molecular epigenetics provides novel information that should serve as additional justification for expanding the scope of bioethics to include environmental and public health concerns. We begin by presenting two distinct visions of bioethics: the individualistic and rights-oriented and the communitarian and responsibility-oriented. We follow with a description of biochemical characteristics distinguishing epigenetics from genetics, in order to emphasize the very close relationship that exists between the environment and gene expression. This then leads to a discussion of the importance of the environment in determining individual and population health, which, we argue, should shift bioethics towards a Potterian view that promotes a communitarian-based sense of responsibility for the environment, in order to fully account for justice considerations and improve public health. (shrink)
Even if somebody considers inappropriate any geographic adjective for Bioethics, nevertheless we think that there are some specific features of “Mediterranean” Bioethics that could distinguish it from a “Northern-European and Northern-American” one. First of all we must consider that medical ethics was born and grew in Mediterranean area. First by the thought of great Greek philosophers as Aristotle (that analyse what ethics is), then by Hippocrates, the “father” of medical ethics. The ethical pattern of Aristotle was based on (...) “virtues” and their practice. In this perspective we can already note a strong difference with actual North-European or American principialist ethics. But a second consideration concerns the role that great Mediterranean religions (Judaism, Christianity and Islam) had in the construction of the ethical thought especially on the matter of life and its respect. So, in our pluralistic and multicultural society is absolutely necessary to rescue an approach that considers both “lungs” of ethical thought (Mediterranean and Northern one) and highlights the role that Mediterranean Ethics still has in this way. (shrink)
Machine generated contents note: Abbreviations; Preface; Introduction; Part I. How are we to do Bioethics?: Section 1. Context: Challenges and Resources of a New Millennium: 1. Sex and life in post-modernity; 2. Catholic engagement with the culture of modernity; 3. Promising developments; 4. Conclusion; Section 2. Conscience: The Crisis of Authority: 5. The voice of conscience; 6. The voice of the magisterium; 7. Conscience in post-modernity; 8. Where to from here?; Section 3. Cooperation: Should we ever Collaborate with Wrongdoing?: (...) 9. Traditional example; 10. Five modern examples; 11. Some fundamental issues raised by these examples; 12. Why it matters so much; 13. Conclusion; Part II. Beginning-of-Life: Section 4. Beginnings: When do People Begin?: 14. Method, thesis and implications; 15. A closer look at Ford's science; 16. A closer look at Ford's philosophy; 17. Individuality criteria; 18. Conclusions; Section 5. Stem Cells: What's all the Fuss About?: 19. Scientific potential and concerns about stem cells; 20. Ethical concerns about embryonic stem cells; 21. Social concerns about embryonic stem cells; Section 6. Abortion - and the New Eugenics: 22. The perennial debate about abortion; 23. Pre-natal screening: a search and destroy mission?; 24. The new abortion debate; Part III. Later Life: Section 7. Transplants: Bodies, Relationships and Ethics: 25. Love beyond death; 26. Conceptions of the body and relationships in organ transplantation; 27. Fashionable bioethical approaches to organ procurement; 28. Better bioethical approaches to organ procurement; 29. Ethical issues in organ reception; 30. Conclusion; Section 8. Artificial Nutrition: Why do Unresponsive Patients Matter?: 31. Civilisation after Schiavo?; 32. Why the unresponsive still matter: a philosophical account; 33. Why the unresponsive still matter: a theological account; 34. Some final questions; Section 9. Endings: Suicide and Euthanasia in the Bible: 35. The problem of suicide and euthanasia in the Bible; 36. Suicides and euthanasias in the Bible; 37. The Scriptural basis of Judeo-Christian opposition to suicide and euthanasia; Part IV. Protecting Life: Section 10. Identity: What Role for a Catholic Hospital?: 38. A tale of two hospitals; 39. Current challenges for Catholic hospitals; 40. Catholic hospitals as diakonia; 41. Catholic hospitals as martyria; 42. Catholic hospitals as leitourgia; 43. Conclusion: six tasks for a new century; Section 11. Regulation: What Kinds of Laws and Social Policies?: 44. A tale of three politicians; 45. Catholic principles for politicians; 46. Reasonable stances for a pro-life politician; 47. Some virtues of a pro-life politician. (shrink)
In recent years there has been a wealth of literature arguing the need for empirical and interdisciplinary approaches to bioethics, based on the premise that an empirically informed ethical analysis is more grounded, contextually sensitive and therefore more relevant to clinical practice than an ‘abstract’ philosophical analysis. Bioethics has (arguably) always been an interdisciplinary field, and the rise of ‘empirical’ (bio)ethics need not be seen as an attempt to give a new name to the longstanding practice of interdisciplinary (...) collaboration, but can perhaps best be understood as a substantive attempt to engage with the nature of that interdisciplinarity and to articulate the relationship between the many different disciplines (some of them empirical) that contribute to the field. It can also be described as an endeavour to explain how different disciplinary approaches can be integrated to effectively answer normative questions in bioethics, and fundamental to that endeavour is the need to think about how a robust methodology can be articulated that successfully marries apparently divergent epistemological and metaethical perspectives with method. This paper proposes ‘Reflexive Bioethics’ (RB) as a methodology for interdisciplinary and empirical bioethics, which utilizes a method of ‘Reflexive Balancing’ (RBL). RBL has been developed in response to criticisms of various forms of reflective equilibrium, and is built upon a pragmatic characterization of Bioethics and a ‘quasi-moral foundationalism’, which allows RBL to avoid some of the difficulties associated with RE and yet retain the flexible egalitarianism that makes it intuitively appealing to many. (shrink)
Who are the gatekeepers in bioethics? Does editorial bias or institutional racism exist in leading bioethics journals? We analyzed the composition of the editorial boards of 14 leading bioethics journals by country. Categorizing these countries according to their Human Development Index (HDI), we discovered that approximately 95 percent of editorial board members are based in (very) high-HDI countries, less than 4 percent are from medium-HDI countries, and fewer than 1.5 percent are from low-HDI countries. Eight out of (...) 14 leading bioethics journals have no editorial board members from a medium- or low-HDI country. Eleven bioethics journals have no board members from low-HDI countries. This severe underrepresentation of bioethics scholars from developing countries on editorial boards suggests that bioethics may be affected by institutional racism, raising significant questions about the ethics of bioethics in a global context. (shrink)
Informed consent is a central topic in contemporary biomedical ethics. Yet attempts to set defensible and feasible standards for consenting have led to persistent difficulties. In Rethinking Informed Consent in Bioethics Neil Manson and Onora O'Neill set debates about informed consent in medicine and research in a fresh light. They show why informed consent cannot be fully specific or fully explicit, and why more specific consent is not always ethically better. They argue that consent needs distinctive communicative transactions, by (...) which other obligations, prohibitions, and rights can be waived or set aside in controlled and specific ways. Their book offers a coherent, wide-ranging and practical account of the role of consent in biomedicine which will be valuable to readers working in a range of areas in bioethics, medicine and law. (shrink)
This is the table of contents of and introduction to a textbook entitled Bioethics in Canada. It will be published by Oxford University Press in March of 2013. It is designed mainly for use in Canada. Of the 51 articles that it contains, 26 are written by Canadians. -/- For further information, see http://www.oupcanada.com/catalog/9780195440157.html and http://www.amazon.ca/Bioethics-Canada-Charles-Weijer/dp/0195440153/ref=sr_1_1?s=books&ie=UTF8&qid=1359542985&sr=1-1.
Why has autonomy been a leading idea in philosophical writing on bioethics, and why has trust been marginal? In this important book, Onora O'Neill suggests that the conceptions of individual autonomy so widely relied on in bioethics are philosophically and ethically inadequate, and that they undermine rather than support relations of trust. She shows how Kant's non-individualistic view of autonomy provides a stronger basis for an approach to medicine, science and biotechnology, and does not marginalize untrustworthiness, while also (...) explaining why trustworthy individuals and institutions are often undeservingly mistrusted. Her arguments are illustrated with issues raised by practices such as the use of genetic information by the police or insurers, research using human tissues, uses of new reproductive technologies, and media practices for reporting on medicine, science and technology. Autonomy and Trust in Bioethics will appeal to a wide range of readers in ethics, bioethics and related disciplines. (shrink)
The expanded and revised edition of Bioethics: An Anthology is a definitive one-volume collection of key primary texts for the study of bioethics. Brings together writings on a broad range of ethical issues relating such matters as reproduction, genetics, life and death, and animal experimentation. Now includes introductions to each of the sections. Features new coverage of the latest debates on hot topics such as genetic screening, the use of embryonic human stem cells, and resource allocation between patients. (...) The selections are independent of any particular approach to bioethics. Can be used as a source book to complement A Companion to Bioethics (1999). (shrink)
Issues in reproductive ethics, such as the capacity of parents to ‘choose children’, present challenges to philosophical ideas of freedom, responsibility and harm. This book responds to these challenges by proposing a new framework for thinking about the ethics of reproduction that emphasizes the ways that social norms affect decisions about who is born. The book provides clear and thorough discussions of some of the dominant problems in reproductive ethics - human enhancement and the notion of the normal, reproductive liberty (...) and procreative beneficence, the principle of harm and discrimination against disability - while also proposing new ways of addressing these. The author draws upon the work of Michel Foucault, especially his discussions of biopolitics and norms, and later work on ethics, alongside feminist theorists of embodiment to argue for a new bioethics that is responsive to social norms, human vulnerability and the relational context of freedom and responsibility. This is done through compelling discussions of new technologies and practices, including the debate on liberal eugenics and human enhancement, the deliberate selection of disabilities, PGD and obstetric ultrasound. (shrink)
Race and religion are integral parts of bioethics. Harm and oppression, with the aim of social and political control, have been wrought in the name of religion against Blacks and people of color as embodied in the Ten Commandments, the Inquisition, and in the history of the Holy Crusades. Missionaries came armed with Judeo/Christian beliefs went to nations of people of color who had their own belief systems and forced change and caused untold harms because the indigenous belief systems (...) were incompatible with their own. The indigenous people were denounced as ungodly, pagan, uncivilized, and savage. Hence, laws were enacted because of their perceived need to structure a sense of morality and to create and build a culture for these indigenous people of color. To date bioethics continues to be informed by a Western worldview that is Judeo/Christian in belief and orientation. However, missing from bioethical discourse in America is the historical influence of the Black Church as a cultural repository, which continues to influence the culture of Africans and Blacks. Cultural aspects of peoples of color are still largely ignored today. In attempting to deal with issues of race while steering clear of the religious and cultural impact of the Black Church, bioethics finds itself in the middle of a distressing situation: it simply cannot figure out what to do with race. (shrink)
When philosophers address personal identity, they usually explore numerical identity: what are the criteria for a person's continuing existence? When non-philosophers address personal identity, they often have in mind narrative identity: Which characteristics of a particular person are salient to her self-conception? This book develops accounts of both senses of identity, arguing that both are normatively important, and is unique in its exploration of a range of issues in bioethics through the lens of identity. Defending a biological view of (...) our numerical identity and a framework for understanding narrative identity, DeGrazia investigates various issues for which considerations of identity prove critical: the definition of death; the authority of advance directives in cases of severe dementia; the use of enhancement technologies; prenatal genetic interventions; and certain types of reproductive choices. He demonstrates the power of personal identity theory to illuminate issues in bioethics as they bring philosophical theory to life. (shrink)
In Intimations of Christianity Among the Ancient Greeks , Simone Weil discusses precursors to Christian religious ideas which can be found in ancient Greek mythology, literature and philosophy. She looks at evidence of "Christian" feelings in Greek literature, notably in Electra, Orestes, and Antigone , and in the Iliad , going on to examine God in Plato, and divine love in creation, as seen by the ancient Greeks.
The Elimination of Morality poses a fundamental challenge to the dominant conception of medical ethics. In this controversial and timely study, Anne Maclean addresses the question of what kind of contribution philosophers can make to the discussion of medico-moral issues and the work of health care professionals. She establishes the futility of bioethics by challenging the conception of reason in ethics which is integral to the utilitarian tradition. She argues that a philosophical training confers no special authority to make (...) pronouncements about moral issues, and proposes that pure utilitarianism eliminates the essential ingredients of moral thinking. Maclean also exposes the inadequacy of a utilitarian account of moral reasoning and moral life, dismissing the claim that reason demands the rejection of special obligations. She argues that the utilitarian drive to reduce rational moral judgment to a single form is ultimately destructive of moral judgment as such. This vital discussion of the nature of medical ethics and moral philosophy will be important reading for anyone interested in the fields of health care ethics and philosophy. (shrink)
This book is for those interested in an extensive review of the field of bioethics. It is for philosophers who wish to understand the core conceptual issues in health care ethics, and for bioethicists who wish to better understand classical problems in philosophy that have a bearing on health care ethics. The Handbook of Bioethics: Taking Stock of the Field from a Philosophical Perspective: -presents a comprehensive survey of bioethics in one volume; -has 27 of the most (...) prominent scholars in the field take stock of the issues they helped define; -contains essays that outline areas where future research is needed; -identifies potential areas for fruitful collaboration between traditional philosophers and bioethicists; -is an ideal text for graduate or upper level undergraduate courses. (shrink)
Many people working in bioethics take pride in the subject’s embrace of a wide range of disciplines. This invites questions of what in particular is added by each. In this paper, I focus on the role of philosophy within the field: what, if anything, is its unique contribution to bioethics? I sketch out a claim that philosophy is central to bioethics because of its particular analytic abilities, and defend its place within bioethics from a range of (...) sceptical attacks. (shrink)