Theology And Bioethics

We who live in this post-modern late twentieth century culture are still children of dualism. For a variety of rather complex reasons we continue to split apart and treat as radical opposites body and spirit, medicine and religion, sacred and secular, private and public, love and justice, men and women. Though this is still our strong tendency, we are beginning to discover both the futility and the harm of such dualistic splitting. Peoples of many ancient cultures might smile at the belatedness of our discovery concerning the commonalities of medicine and religion. A cur sory glance back at ancient Egypt, Samaria, Babylonia, Persia, Greece, and Rome would disclose a common thread - the close union of religion and medicine. Both were centrally concerned with healing, health, and wholeness. The person was understood as a unity of body, mind, and spirit. The priest and the physician frequently were combined in the same individual. One of the important contributions of this significant volume of essays is the sustained attack upon dualism. From a variety of vantage points, virtually all of the authors unmask the varied manifestations of dualism in religion and medicine, urging a more holistic approach. Since the editor has provided an excellent summary of each article, I shall not attempt to comment on specific contributions. Rather , I wish to highlight three 1 broad themes which I find notable for theological ethics.

Theologians and theologically educated participants in discussions of bioethics have been placed on the defensive during recent years. The dominance of religious perspectives and theological voices that marked the emergence and establishment of "bioethics" in the late 1960s and 1970s has eroded steadily as philosophers, lawyers, and others have relativized their role and influ ence, at best, or dismissed it entirely, at worst. The secularization of bioethics, which has occurred for a variety of reasons, has prompted some prominent writers to reflect on what has been lost. Daniel Callahan, for example writes, " . . . whatever the ultimate truth status of religious perspectives, they have provided a way of looking at the world and understanding one's own life that has a fecundity and uniqueness not matched by philosophy, law, or political theory. Those of us who have lost our reli gious faith may be glad that we have discovered what we take to be the reality of things, but we can still recognize that we have also lost something of great value as well: the faith, vision, insights, and experience of whole peoples and traditions who, no less than we unbelievers, struggled to make sense of things. That those goods are part of a garment we no longer want to wear does not make their loss anything other than still a loss; and it is not a neglible one" ([2], p. 2).

Medicine, ethics, and theology embrace various ideas and concepts regarding human suffering - ranging from pain, suffering from loneliness, a lack of meaning or finitude, to a religious understanding of suffering, grounded in a suffering and compassionate God. In the practices of clinical medical ethics and health care chaplaincy, these diverse concepts overlap. What kind of conflicts arise from different concepts in patient care and counseling, and how should they be dealt with in a reflective way? Fostering international interdisciplinary scientific conversations, the book aims to deepen the discussion in medical ethics concerning the understanding of suffering, and the caring and counseling of patients.

Bioethical issues are rarely out of view in Western societies. New developments in areas such as human embryology continually raise new ethical questions, while more familiar issues frequently reappear in public debate. These are issues of central concern for Christians and for a wider public, because they raise questions about the value of life, the meaning of suffering and death and humanity’s place in the natural world.

Cahill, a theological ethicist and progressive Catholic calls for progressive religious thinkers and believers to join in the effort to reclaim the best of their traditions by engaging political forces at both community and national levels to ensure that access to health care is the top priority of "participatory bioethics." Georgetown University Press

This fourth edition of Health Care Ethics provides a contemporary study of broad and major issues affecting health care and the ethics of health care from the perspective of Catholic teachings and theological investigation. It aims to help Christian, and especially Catholic, health care professionals solve concrete problems in terms of principles rooted in Scripture and tested by individual experience. Since the last edition of Health Care Ethics, there have been many changes in the fields of health care medicine and theology that have necessitated a fourth edition. Ashley and O'Rourke have revised their seminal work to address the publication of significant documents by the Church and the restructuring of the health care system. Features of the revised fourth edition: - Discusses significant Church documents issued since the third edition includes "The Splendor of Truth" (Veritatis Splendor), and the "Gospel of Life" (Evangelium Vitae); the "Instruction on the Vocation of Theologians"; the Catechism of the Catholic Church; and the Revised Ethical and Religious Directives for Catholic Health Services. - Examines the implications of managed care techniques. - Probes such changes in the practice of medicine as the new emphasis on preventive care, the involvement of individuals in their own care, greater use of pharmaceuticals in psychiatry, and the greater role of genetics in diagnosis and prognosis. - Explores the quest for more compassionate care of the dying. - Updates the bibliography.

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.

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.