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Beyond Bodily Integrity 超越身体完整性
Pub Date : 2024-05-14 DOI: 10.3384/de-ethica.2001-8819.248142
M. Shildrick
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.
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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引用次数: 0
Vulnerability, Conscience, and Integrity 脆弱、良知和正直
Pub Date : 2024-05-14 DOI: 10.3384/de-ethica.2001-8819.248110
James F. Keenan
This essay explores how vulnerability, understood not as precarity but as capacious responsiveness, much as the Philosopher Judith Butler identifies it, and recognition are key moral concepts that are prior conditions for the expression of conscience. Appreciating Thomas Aquinas' argument that conscience is neither a power or a habit, but rather an act, the essay argues that Aquinas' inclination synderesis, that prompts us to the good and away from evil, functions in a way similar to vulnerability. Fundamentally, vulnerability prompts us to recognize the neighbor who needs our response.
正如哲学家朱迪斯-巴特勒(Judith Butler)所指出的那样,"脆弱性 "不是被理解为不稳定,而是被理解为宽广的反应能力,本文探讨了 "脆弱性 "和 "认可 "是如何成为表达良知的先决条件的关键道德概念。托马斯-阿奎那认为良知既不是一种力量,也不是一种习惯,而是一种行为,文章对此表示赞赏,并认为阿奎那的 "倾向同步"(in inclination synderesis)与 "脆弱性 "的作用类似,都是促使我们趋善避恶。从根本上说,脆弱性促使我们认识到邻居需要我们的回应。
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引用次数: 0
Overcoming vulnerability by editing the germline? 通过编辑种系克服脆弱性?
Pub Date : 2024-05-14 DOI: 10.3384/de-ethica.2001-8819.248159
Michael Braunschweig
The concept of vulnerability has become widely acknowledged as a fundamental concept for medical ethics and research ethics, yet rarely considered with respect to ethical assessments of human germline genome editing. A first aim of this paper is to make vulnerability ethics considerations fruitful for issues related to these technical innovations. The possibility of altering the genome promises to overcome forms of vulnerability inherently connected to our existence as physical beings and would hence allow to increase the resilience of human nature or even to move evolution forward by equipping people with new character traits and enhanced capabilities. I suggest a more fine-grained distinction of various applications purposes than the dichotomy of therapeutic and enhancement. I support the rejection of most application purposes as ‘therapeutic’ and claim that framing them as ‘therapeutic’ in the context of the current discursive constellation runs the risk of accentuating existing vulnerabilities. With respect to intergenerational responsibilities, I reject the view that editing the germline necessarily leads to corrupt intergenerational relations based on which it must be categorically excluded. I conclude that it is nevertheless important to take a very close look at the challenges that arise, especially from a vulnerability perspective, before irreversible facts are created overhastily.
脆弱性概念已被广泛认为是医学伦理和研究伦理的一个基本概念,但在人类种系基因组编辑的伦理评估中却很少得到考虑。本文的首要目的是使脆弱性伦理考虑在与这些技术创新相关的问题上取得成效。改变基因组的可能性有望克服与我们作为有形生命的存在相关的各种形式的脆弱性,从而提高人类的适应能力,甚至通过赋予人类新的性格特征和更强的能力来推动进化。我建议对各种应用目的进行更细致的区分,而不是治疗和增强的二分法。我支持将大多数应用目的摒弃为 "治疗性 "目的,并认为在当前的话语体系中,将应用目的界定为 "治疗性 "目的有可能加剧现有的脆弱性。关于代际责任,我反对编辑种系必然导致腐败的代际关系,并据此断然排除编辑种系的观点。我的结论是,尽管如此,重要的是要认真审视所出现的挑战,特别是从脆弱性的角度来 看,不要草率地造成不可逆转的事实。
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引用次数: 0
Theological and Ethical Perspectives on Rethinking the Co-existence of Flourishing and Vulnerability 从神学和伦理学角度重新思考富足与脆弱的共存问题
Pub Date : 2024-05-14 DOI: 10.3384/de-ethica.2001-8819.248125
Martina Vuk
The aim of this article is to explore the evolving discussion surrounding vulnerability and flourishing. This conversation has gained significant relevance in the aftermath of the COVID-19 pandemic and amid global uncertainties, including the effects of violence and war-trauma. The central idea here is to reconsider vulnerability and flourishing not simply as universal experiences tied to one's own humanity and social context, but rather as co-existing, interdependent, and contingent aspects of human existence. Without proposing that human flourishing is conditioned by vulnerability, this perspective seeks to challenge the notion that vulnerability and flourishing are fundamentally separate. The following discussion will not only examine vulnerability and flourishing as theoretical concepts but will also address their practical significance as integral components of the human experience, and how they intersect in a real-life situation. It's important to note that both vulnerability and flourishing are influenced by specific contexts and circumstances, including personal, social, economic and cultural factors. In the course of this discussion, I will provide examples to illustrate these points. The first section will focus on vulnerability, while the second will delve into the concept of flourishing from a Christian perspective, drawing on Miroslav Volf's ideas about a flourishing life.
本文旨在探讨围绕脆弱性和蓬勃发展展开的讨论。在 COVID-19 大流行之后,在全球不确定因素(包括暴力和战争创伤的影响)的影响下,这一讨论变得更加重要。这里的中心思想是重新考虑脆弱性和繁荣,而不是简单地将其视为与自身人性和社会背景相关的普遍经验,而是将其视为人类存在的共存、相互依存和偶然的方面。这一观点并不认为人类的繁荣是以脆弱性为条件的,而是试图挑战脆弱性与繁荣从根本上是分离的这一观念。下面的讨论不仅会把脆弱性和繁荣作为理论概念来研究,还会探讨它们作为人类经验不可或缺的组成部分的实际意义,以及它们在现实生活中是如何交织在一起的。需要注意的是,脆弱性和蓬勃发展都受到特定环境和条件的影响,包括个人、社会、经济和文化因素。在讨论过程中,我将举例说明这些观点。第一部分将重点讨论脆弱性,第二部分将借鉴米罗斯拉夫-沃尔夫(Miroslav Volf)关于兴旺人生的观点,从基督教的角度深入探讨兴旺的概念。
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引用次数: 0
Helping Refugees Build a Home 帮助难民建立家园
Pub Date : 2023-10-27 DOI: 10.3384/de-ethica.2001-8819.237375
Hansjörg Schmid
This study focuses on the question of how Muslim chaplains can, through their interventions, exert an influence on the situation of refugees, characterised by vulnerability and loss of home. Based on definitions in social work and anthropology studies, home can be conceptualised as a key anthropological need, comprised of spatial, temporal, relational and spiritual dimensions. Referring to an empirical study on asylum chaplaincy in Switzerland, this study analyses how five Muslim chaplains accompany refugees, how their styles of chaplaincy differ in practice and what effects their interventions have. These empirical results are then brought into conversation with a theoretical framework, to explore the connections between counselling and vulnerability. While it could be argued that referring to the vulnerable situation of refugees reinforces an image of passivity, the co-construction of a home represents a collaborative effort and empowers refugees by mobilising both forces and resources. Chaplains, in particular, can contribute to the relational and spiritual dimensions of home. For refugees, articulating their religious concerns and working together with Muslim chaplains, means they can address the limits of the existing asylum system and demand recognition of cultural diversity.
这项研究的重点是穆斯林牧师如何通过他们的干预对难民的处境产生影响,难民的特点是脆弱和失去家园。根据社会工作和人类学研究的定义,家可以被概念化为一个关键的人类学需求,由空间、时间、关系和精神维度组成。本研究以瑞士庇护牧师的实证研究为基础,分析了五位穆斯林牧师如何陪伴难民,他们的牧师风格在实践中有何不同,以及他们的干预有何影响。然后将这些实证结果与理论框架进行对话,以探索咨询与脆弱性之间的联系。虽然有人认为,提及难民的脆弱处境会强化一种被动的形象,但共同建设家园代表了一种合作的努力,并通过调动力量和资源赋予难民权力。尤其是牧师,他们可以为家庭的关系和精神层面做出贡献。对难民来说,表达他们的宗教关切,并与穆斯林牧师合作,意味着他们可以解决现有庇护制度的局限性,并要求承认文化多样性。
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引用次数: 0
Vulnerability in Times of War 战争时期的脆弱性
Pub Date : 2023-10-27 DOI: 10.3384/de-ethica.2001-8819.23737
Hille Haker
Vulnerability as a critique of the one-sidedness of the principle of autonomy is at risk of overemphasizing the positive dimension of vulnerability. Moreover, in the discourse on vulnerability, the threat of dehumanization (or moral vulnerability) has not been scrutinized enough ethically. Therefore, the ethics of vulnerability is insufficient when faced with the force of war that requires the conceptualization of vulnerability for political-ethics. The Russian war in Ukraine demonstrates this weakness in a striking way: the called-for openness to the other as well as an active form of nonviolence, as promoted by Judith Butler, may not be an option in times of war. Continuing Jessica Benjamin’s psychoanalytic approach to mutual recognition, the essay shows that the task of morality does not rest upon broadening one’s vulnerability, but rather in understanding vulnerable agency as the dialectic of vulnerability and agency. For the further development of this dialectic, the triadic figuration is emphasized, complementing the dyadic relation of self and other. While the Third can take multiple figurations in the psychoanalytical setting, I understand the Third within the political-ethical context as the possibility of a “moral world” of nonviolence and respect. During war, the role of the bystander is to become a witness who, through the process of witnessing, advocacy, diplomacy, and justice, allows for the moral Third to reemerge. Among others, the ethics of vulnerability must spells out the price for the failure of taking on this responsibility, namely the eclipse of morality.
脆弱性作为一种对自主性原则的片面性的批判,有过分强调脆弱性的积极方面的危险。此外,在关于脆弱性的论述中,非人化(或道德脆弱性)的威胁还没有得到足够的伦理审查。因此,当面对战争的力量时,脆弱性伦理是不够的,这需要政治伦理对脆弱性进行概念化。俄罗斯在乌克兰的战争以一种惊人的方式展示了这种弱点:朱迪思·巴特勒(Judith Butler)倡导的对对方开放的呼吁,以及积极的非暴力形式,在战争时期可能不是一种选择。本文延续了杰西卡·本杰明的精神分析方法,表明道德的任务不在于扩大一个人的脆弱性,而在于将脆弱的代理理解为脆弱性和代理的辩证法。为了进一步发展这一辩证法,强调三位一体的形象,补充了自我与他者的二元关系。虽然在精神分析的背景下,“第三”可以有多种形式,但我把“第三”理解为政治伦理背景下非暴力和尊重的“道德世界”的可能性。在战争期间,旁观者的角色是成为一个见证人,通过见证、倡导、外交和正义的过程,允许道德的第三个人重新出现。其中,脆弱的伦理必须阐明未能承担这一责任的代价,即道德的衰落。
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引用次数: 0
From the Guest Editors 来自客座编辑
Pub Date : 2023-10-27 DOI: 10.3384/de-ethica.2001-8819.23732
Michael Coors, Lea Chilian
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引用次数: 0
Vulnerable Integrity 脆弱的完整性
Pub Date : 2023-10-27 DOI: 10.3384/de-ethica.2001-8819.237347
Tabea Ott, Peter Dabrock
This paper presents a social-theologically informed interpretation of the term integrity, as it occurs in fundamental law. It explores the manifestations of integrity violations and proceeds to draw an inference: an integrity violation can directly emanate from a misconception regarding integrity itself, as well as the implementation of protective measures that follow it. Integrity in its wholeness dimension is understood as open-endedness and non-seclusion rather than as a substantial, clearly definable characteristic of a person. This open-endedness and non-seclusion results from the relational constitution of an individual. Consequently, it follows that a violation of integrity occurs when the open-endedness and non-seclusion of a person and their relational Becoming is hindered. The new definition of integrity is particularly important when it comes to the governance of new health technologies, especially Digital Twins that can become representatives of a person. Human integrity is non-violated only when it is understood as open to relational Becoming and this Becoming shows its expression in the mutual enabling and support of self-articulation.
本文提出了一个社会神学信息的解释,完整性一词,因为它发生在基本法。它探讨了违反完整性的表现形式,并得出结论:违反完整性可能直接源于对完整性本身的误解,以及随之而来的保护措施的实施。完整性在其整体维度上被理解为开放性和非封闭性,而不是作为一个人的实质的、明确的特征。这种开放性和非封闭性源于个体的关系构成。因此,当一个人的开放性和非隔离性以及他们的关系成为受到阻碍时,就会发生对完整性的侵犯。当涉及到新医疗技术的治理时,尤其是可以成为一个人的代表的数字双胞胎,完整性的新定义尤为重要。只有当人类的完整性被理解为对关系的形成开放时,它才不会被侵犯,而这种形成在自我表达的相互支持和支持中表现出来。
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引用次数: 0
Integrity, Vulnerability, and Temporality 完整性、脆弱性和时间性
Pub Date : 2023-10-27 DOI: 10.3384/de-ethica.2001-8819.237330
Cristina Traina
This paper asks how to account for vulnerable integrity in the temporal dynamism of human lives without relying on a subtractive vision of integral human nature, borrowing from presumed past or future rationality and maturity, or depending on an external attribution of dignity. Illustrating the challenges with vignettes from the author’s life, it argues inductively that human integrity includes morally inviolable vulnerability to others with whom we are in interdependent relationship and without whom we cannot develop or maintain our selves. Others reside at the core of our integrity, for better and for worse, and we reside at theirs. Augustine’s accounts of memory, time, and the narrative self; Whiteheadian process thought’s understanding of continuity through change; and feminist theories of narrative all provide theological and philosophical justifications for this vision of integrity. John Wall’s and Johan Brännmark’s non-foundational approaches to integrity and human rights lead us to the same conclusion without entailing theological anthropological claims, ensuring its relevance in a pluralist culture.
本文询问如何在人类生活的时间动态中解释脆弱的完整性,而不依赖于对整体人性的减法性看法,借用假定的过去或未来的理性和成熟度,或依赖于尊严的外部归因。用作者生活中的小插曲来说明挑战,它归纳地认为,人类的完整性包括道德上不可侵犯的脆弱性,我们与他人处于相互依存的关系中,没有他们,我们就无法发展或维持自我。不管是好是坏,其他人都是我们正直的核心,而我们则是他们的核心。奥古斯丁对记忆,时间和叙事自我的描述;怀特黑德过程思想对通过变化实现连续性的理解;女权主义的叙事理论都为这种完整的观点提供了神学和哲学上的理由。约翰·沃尔和约翰·Brännmark对完整性和人权的非基础方法使我们得出了同样的结论,而没有涉及神学人类学的主张,确保了它在多元文化中的相关性。
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引用次数: 0
Self-determined Sex Work as Care Work Between Experiences of Integrity and Vulnerability 自我决定的性工作是在完整与脆弱体验之间的照顾工作
Pub Date : 2023-10-27 DOI: 10.3384/de-ethica.2001-8819.237361
Sarah Jäger
Sex work or prostitution marks a controversial topic for Protestant sexual ethics. It is also a multifaceted phenomenon because it can occur in very different forms: the spectrum ranges from poverty, emergency and procurement prostitution to the self-determined and insured sex worker with all imaginable shades in between. In the current economic system, goods and services are exchanged, traded, sold, acquired and paid for, so sex work can also be understood as work. For the purposes of this article, we will therefore start from an understanding of sex work as care work. Care work can be understood as the satisfaction of needs and interests of third parties and the self. If sex work is discussed as care work, this has a variety of consequences. These include the fact that questions of vulnerability and integrity come to the fore. Integrity can be comprehended as self-realisation or autonomy and thus as potentially vulnerable, taking up Axel Honneth’s early reflections on the issue of recognition. Integrity in Axel Honneth’s sense can - according to a first approximation - play a role for sex work on three levels: physical or corporeal level, structural level and lifestyle or way of life level. Finally, the essay discusses the concept of negotiated or consensual morality as a contribution of Protestant ethics.
性工作或卖淫标志着新教性伦理的一个有争议的话题。这也是一个多方面的现象,因为它可以以非常不同的形式发生:范围从贫穷、紧急和采购性卖淫到自主和有保险的性工作者,以及介于两者之间的各种各样的阴影。在当前的经济体系中,商品和服务是交换、交易、出售、获得和支付的,因此性工作也可以理解为工作。因此,为了本文的目的,我们将从对性工作作为护理工作的理解开始。护理工作可以理解为满足第三方和自我的需求和利益。如果把性工作当作护理工作来讨论,就会产生各种各样的后果。其中包括脆弱性和完整性问题变得突出的事实。诚信可以被理解为自我实现或自主,因此可能是脆弱的,这是阿克塞尔·霍尼特(Axel Honneth)早期对承认问题的思考。按照Axel Honneth的说法,诚信可以在三个层面上对性工作起到作用:身体层面、结构层面和生活方式或生活方式层面。最后,本文讨论了协商或共识道德的概念,作为新教伦理的贡献。
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引用次数: 0
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