Embodying Bioethics

Direct outcome of a meeting sponsored by the International Association of Bioethics in 1992--Preface.

Catholic health care is one of the key places where the church lives Catholic social teaching (CST). Yet the individualistic methodology of Catholic bioethics inherited from the manualist tradition has yet to incorporate this critical component of the Catholic moral tradition. Informed by the places where Catholic health care intersects with the diverse societal injustices embodied in the patients it encounters, this book brings the lens of CST to bear on Catholic health care, illuminating a new spectrum of ethical issues and practical recommendations from social determinants of health, immigration, diversity and disparities, behavioral health, gender-questioning patients, and environmental and global health issues.

Medical therapy, research and technology enable us to make our bodies, or parts of them, available to others in an increasing number of ways. This is the case in organ, tissue, egg and sperm donation as well as in surrogate motherhood and clinical research. Bringing together leading scholars working on the ethical, social and cultural aspects of such bodily exchanges, this cutting-edge book develops new ways of understanding them. Bodily Exchanges, Bioethics and Border Crossing both probes the established giving and selling frameworks for conceptualising bodily exchanges in medicine, and seeks to develop and examine another, less familiar framework: that of sharing. A framework of sharing can capture practices that involve giving up and giving away part of one’s body, such as organ and tissue donation, and practices that do not, such as surrogacy and research participation. Sharing also recognizes the multiple relationalities that these exchanges can involve and invites inquiry into the context in which they occur. In addition, the book explores the multiple forms of border crossing that bodily exchanges in medicine involve, from the physical boundaries of the body to relational borders – as can happen in surrogacy – to national borders and the range of ethical issues that these various border-crossings can give rise to. Engaging with anthropology, sociology, philosophy, and feminist and postcolonical perspectives, this is an original and timely contribution to contemporary bioethics in a time of increasing globalization. It will be of use to students and researchers from a range of humanities and social science backgrounds as well as medical and other healthcare professionals with an interest in bioethics.

This volume collects essays by the late bioethicist John D. Arras, best known for his many contributions to the methodology of bioethics. Always open-minded, Arras did not favor a single theory or view of method in bioethics, eschewing labels such as "casuist" or "pragmatist." He was conversant with the main philosophical methods that have dominated bioethics since the field's origin, including principlism, Gert's common morality, the "new casuistry", pragmatism, and others. Rather than defending any particular theory or method, though, Arras rigorously investigated those methods - and how they both expand and limit our field of vision. He sought, in the tradition of Kierkegaard, to make life "harder" for bioethics, by uncovering challenges to the field's analytical methods. His favorite mode of exploration and expression was the thoughtful essay. The essays collected here reveal him thinking through new problems and new possibilities, and they invariably yield fresh and valuable insights.

Bioethics tells a heroic story about its origins and purpose. The impetus for its contemporary development can be traced to concern about widespread paternalism in medicine, mistreatment of research subjects used in medical experimentation, and questions about the implication of technological developments in medical practice. Bioethics, then, began as a defender of the interests of patients and the rights of research participants, and understood itself to play an important role as a critic of powerful interests in medicine and medical practice. Autonomy and the Situated Self argues that, as bioethics has become successful, it no longer clearly lives up to these founding ideals, and it offers a critique of the way in which contemporary bioethics has been co-opted by the very institutions it once sought (with good reason) to criticize and transform. In the process, it has become mainstream, moved from occupying the perspective of a critical outsider to enjoying the status of a respected insider, whose primary role is to defend existing institutional arrangements and its own privileged position. The mainstreaming of bioethics has resulted in its domestication: it is at home in the institutions it would once have viewed with skepticism, and a central part of practices it would once have challenged. Contemporary bioethics is increasingly dominated by a conception of autonomy that detaches the value of choice from the value of the things chosen, and the central role occupied by this conception makes it difficult for the bioethicist to make ethical judgments. Consequently, despite its very public successes, contemporary bioethics is largely failing to offer the ethical guidance it purports to be able to provide. In addition to providing a critique, this book offers an alternative framework that is designed to allow bioethicists to address the concerns that led to the creation of bioethics in the first place. This alternative framework is oriented around a conception of autonomy that works within the ethical guidelines provided by a contemporary form of virtue ethics, and which connects the value of autonomous choice to a conception of human flourishing.

A Companion to the Anthropology of the Body and Embodiment offers original essays that examine historical and contemporary approaches to conceptualizations of the body. In this ground-breaking work on the body and embodiment, the latest scholarship from anthropology and related social science fields is presented, providing new insights on body politics and the experience of the body Original chapters cover historical and contemporary approaches and highlight new research frameworks Reflects the increasing importance of embodiment and its ethnographic contexts within anthropology Highlights the increasing emphasis on examining the production of scientific, technological, and medical expertise in studying bodies and embodiment

Pt. I. The Right to Reproduce: Limits and Caveats. 1. Genetics and Reproductive Risk: Can Having Children Be Immoral? 2. Loving Future People. 3. What Can Progress in Reproductive Technology Mean for Women? 4. Are Pregnant Women Fetal Containers? -- pt. II. Abortion and the Right Not to Reproduce. 5. Is Abortion Murder? / Laura M. Purdy and Michael Tooley. 6. Abortion, Potentiality, and Conferred Claims: A Response to Langerak. 7. Abortion and the Argument from Convenience. 8. Abortion, Forced Labor, and War. 9. Abortion and the Husband's Rights: A Reply to Teo -- pt. III. New Worlds: Collaborative Reproduction. 10. The Morality of New Reproductive Technologies. 11. Surrogate Mothering: Exploitation or Empowerment? 12. Another Look at Contract Pregnancy. 13. Children of Choice: Whose Children? At What Cost?

We will all die, but few of us discuss it with those who are important to us. Many will also be confronted by disability, illness, grief and loss. How we respond to suffering says much about empathy, love and who we are. There is no doubt many people have much to endure, but illness and disability are not all doom and gloom, just different, and calling on us, perhaps, to surrender to dependence on others, and place trust in God, and trust in our love for each other. In this volume the author reflects on being pleasantly surprised with doors that have been opened through illness, that he did not know existed. There was also the discovery of resilience and a deepening and strengthening of love. The book reflects on issues that arise in illness, such as the right to know and refusal of treatment, issues at the end of life, euthanasia, artificial feeding, pain management, representation and advanced directives. It also includes discussion of the care of those with mental illness, and finally the issue of health resource allocation. While considering the range of views on these issues, this book is also very frank about the author's experiences of illness, pain and threats to life.