Expanding Horizons In Bioethics

Like its predecessor, New Dimensions in Bioethics, this volume developed out of a series of lectures at Yale University’s Institution for Social and Policy Studies. Each speaker in the Bioethics & Public Policy Seminar Series was invited because of her or his expertise in a given area of bioethics. Each of the more successful participants was invited to contribute a manuscript for publication. The essays are bound together by the application of an ethical analysis to scientific questions, and by consideration of policy implications. At its inception, bioethics was virtually synonymous with medical ethics. As the field grew and attracted new practitioners, it became clear that other applications of this new subject required extension of its scope. For example, environmental ethics, propelled by such authors as Aldo Leopold and Rachel Carson, quickly developed a vigorous literature of its own. More recently, developments in the analysis of the human genome, the enticing medical possibilities offered by the therapeutic use of stem cells, the complexities surrounding the cloning of animals and possibly humans and the development of transgenic agricultural crops have given new impetus to the expansion of traditional bioethical horizons. Bioethics must now adjust to these new realities, for it is clear that public interest in the field is growing as these new challenges appear.

Like its predecessor, New Dimensions in Bioethics, this volume developed out of a series of lectures at Yale University’s Institution for Social and Policy Studies. Each speaker in the Bioethics & Public Policy Seminar Series was invited because of her or his expertise in a given area of bioethics. Each of the more successful participants was invited to contribute a manuscript for publication. The essays are bound together by the application of an ethical analysis to scientific questions, and by consideration of policy implications. At its inception, bioethics was virtually synonymous with medical ethics. As the field grew and attracted new practitioners, it became clear that other applications of this new subject required extension of its scope. For example, environmental ethics, propelled by such authors as Aldo Leopold and Rachel Carson, quickly developed a vigorous literature of its own. More recently, developments in the analysis of the human genome, the enticing medical possibilities offered by the therapeutic use of stem cells, the complexities surrounding the cloning of animals and possibly humans and the development of transgenic agricultural crops have given new impetus to the expansion of traditional bioethical horizons. Bioethics must now adjust to these new realities, for it is clear that public interest in the field is growing as these new challenges appear.

The advances in molecular biology and genetics, medicine and neurosciences, in ethology and environmental studies have put the concept of the person firmly on the philosophical agenda. Whereas earlier times seemed to have a clear understanding about the moral implications of personhood and its boundaries, today there is little consensus on such matters. Whether a patient in the last stages of Alzheimer's disease is still a person, or whether a human embryo is already a person are highly contentious issues. This book tackles the issue of personhood and its moral implications head-on. The thirteen essays are representative of the major strands in the current bioethical debate and offer new insights into humanity's moral standing, its foundations, and its implications for social interaction. While most of the essays approach the issue by drawing on the rich intellectual tradition of the West, others offer a cross-cultural perspective and make available for ethical consideration the philosophical resources and the wisdom of the East. The contributors to this book are highly recognized philosophers, ethicists, theologians, and professionals in health care and medicine from East Asia (China, Japan), Europe, and North America. The first part of the book probes the foundations of personhood. Examining critically the main theories on personhood in contemporary philosophy, the authors offer alternatives that better respond to contemporary challenges and their implications for bioethics. The focus of the second part is firmly on the Confucian relational concept of the person and on the social constitution of personhood in traditional Japanese culture. While the essays challenge the individualistic features of personhood in the Western tradition, they lay the foundations for a richer concept that holds great promise for the resolution of moral dilemmas in modern medicine and health care. The third part of the book enters into a dialogue with the Christian tradition and draws on its spiritual heritage in the search for answers to the contemporary challenges to human dignity and value. Its focus is on the Catholic social thought and Lutheran theology. The fourth part addresses the moral status of persons in view of specific issues such as the effects of brain injury, gene therapy, and human cloning on personhood. It extends the scope of research beyond human beings and inquires also into the moral status of animals.

This book from the Center for Bioethics and Human Dignity provides a faith-based evaluation of recent technologies and trends in bioethics--including the current debate surrounding stem cell research. Fifteen noted scholars and medical practitioners discuss some of today's new and controversial work in biomedicine--xenotransplantation, artificial intelligence, cybernetics, and more--and evaluate from a Christian perspective both the science and the ethical questions it raises. Designed to orient general readers to the current state of biomedical research, Cutting-Edge Bioethics is must reading for anyone wishing to confront and wrestle with the challenging moral issues posed by this ever-advancing field.

Can religions help us tackle the ecological crisis we are now facing? Can we redefine our relationship with the Earth, giving spiritual depth to ecological issues? This book attempts to answer these questions by exploring the relationship between ecology and theology.

​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.

The variety, pace, and power of technological innovations that have emerged in the 21st Century have been breathtaking. These technological developments, which include advances in networked information and communications, biotechnology, neurotechnology, nanotechnology, robotics, and environmental engineering technology, have raised a number of vital and complex questions. Although these technologies have the potential to generate positive transformation and help address 'grand societal challenges', the novelty associated with technological innovation has also been accompanied by anxieties about their risks and destabilizing effects. Is there a potential harm to human health or the environment? What are the ethical implications? Do this innovations erode of antagonize values such as human dignity, privacy, democracy, or other norms underpinning existing bodies of law and regulation? These technological developments have therefore spawned a nascent but growing body of 'law and technology' scholarship, broadly concerned with exploring the legal, social and ethical dimensions of technological innovation. This handbook collates the many and varied strands of this scholarship, focusing broadly across a range of new and emerging technology and a vast array of social and policy sectors, through which leading scholars in the field interrogate the interfaces between law, emerging technology, and regulation. Structured in five parts, the handbook (I) establishes the collection of essays within existing scholarship concerned with law and technology as well as regulatory governance; (II) explores the relationship between technology development by focusing on core concepts and values which technological developments implicate; (III) studies the challenges for law in responding to the emergence of new technologies, examining how legal norms, doctrine and institutions have been shaped, challenged and destabilized by technology, and even how technologies have been shaped by legal regimes; (IV) provides a critical exploration of the implications of technological innovation, examining the ways in which technological innovation has generated challenges for regulators in the governance of technological development, and the implications of employing new technologies as an instrument of regulatory governance; (V) explores various interfaces between law, regulatory governance, and new technologies across a range of key social domains.