Beyond Bodily Integrity

M. Shildrick
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Abstract

My focus on vulnerability and bioethics – which acknowledges but goes beyond mainstream feminist ethics - will take a phenomenological perspective that understands the self as having no meaning or existence beyond its embodiment. As such we are always open, and therefore vulnerable, to the constant changes of embodied experience. The transformations in embodiment are both necessary for development and continuous over the life course, but it is only when something breaks the cycle of normative development that the intimation of vulnerability and disorder arise. Corporeal disorder operates in a highly individual and differentiated way as it manifests, for example, in the experience of disability, pain, ageing and dying. These are not exceptional moments of vulnerability in a life otherwise secure and predictable, but they do clearly set out the limits of the western imaginary, and more particularly of modern western biomedicine and conventional healthcare. In offering a critique of the positivist enterprise of biomedicine, I want to suggest a different understanding of the embodiment that has radical implications for bioethics.
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超越身体完整性
我对脆弱性和生命伦理学的关注--承认但超越了主流的女权主义伦理学--将从现象学的角度出发,把自我理解为在其体现之外没有任何意义或存在。因此,我们始终是开放的,因而也是脆弱的,容易受到具身体验不断变化的影响。体现的变化对于发展来说是必要的,而且在生命过程中是持续的,但只有当某些东西打破了规范发展的循环时,才会产生脆弱和混乱的暗示。肉体失调以一种高度个性化和差异化的方式运作,例如,它表现在残疾、疼痛、衰老和死亡的体验中。在原本安全和可预见的生活中,这些并不是特殊的脆弱时刻,但它们确实清楚地阐明了西方想象的局限性,尤其是现代西方生物医学和传统医疗保健的局限性。在对生物医学的实证主义事业进行批判的同时,我想提出一种对体现的不同理解,这种理解对生命伦理学有着根本性的影响。
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