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The Doctrine of Double Effect and Medical Ethics: A New Formulation 双重效应学说与医学伦理学:一种新的提法
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.4
R. Sharifzadeh
The standard version of the doctrine of double effect, a significant doctrine in applied ethics particularly medical ethics, not only fails to capture some morally significant components of Aquinas’ view, but it does not resort to proper complementary features in order to accommodate the doctrine to our moral intuitions. We attempt to offer a new formulation of the doctrine incorporating the main components of Aquinas’ view and also to extend the view using some complementary features. We will examine the strength of the formulation applying it into some ethically controversial situations, mainly in medical ethics.
双重效应学说的标准版本,在应用伦理学特别是医学伦理学中是一个重要的学说,不仅没有捕捉到阿奎那观点中一些道德上重要的成分,而且它没有诉诸适当的互补特征,以使学说适应我们的道德直觉。我们试图提供一种包含阿奎那观点的主要成分的学说的新表述,并使用一些互补的特征来扩展这一观点。我们将研究将其应用于一些有伦理争议的情况下的配方的强度,主要是在医学伦理方面。
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引用次数: 0
Ars Moriendi. Ethical Challenges of the Ultimate Realities of Life 阿尔斯·莫里恩迪。生命终极现实的伦理挑战
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.1
Sara Sgarlata, Alicja Dłużewicz, Karolina Napiwodzka
The aim of this issue of Ethics in Progress is to provide a provisional, open-ended view on the ultimate realities of life and the ethical challenges they pose in medical, sociological, and existential contexts. The issue explores axiologies and meta-ethical narratives related to the art of dying, or in other words the moral domain encompassing the quest for a good life and a good death. Two problematic aspects emerge from the latest body of research: (1) the difficulty involved in tackling ethical challenges in medical and sociological contexts; and (2) the marginal role of the patient’s agency and narrative-ownership of end-of-life decision-making. A direction is pointed out that suggests that interventions across interdisciplinary groups involved in medical aid to dying should focus on promoting ethical behaviour on the side of healthcare personnel. Finally, attention to language, discourse, communication, and the narratives of death and dying call this edition of Ethics in Progress to examine the ontological and epistemological categories that underlie the study of lifeworlds and ‘discourse communities’, which are those associated with moral agents interlacing historical motives, language, communication, normative beliefs, social norms and roles, power relations, hard clinical evidence, and contested values in the context of medical practices and, broadly speaking, practices surrounding death.
本期《进步中的伦理学》的目的是对生命的最终现实及其在医学、社会学和存在主义背景下提出的伦理挑战提供一个临时的、开放式的观点。这个问题探讨了与死亡艺术相关的价值论和元伦理叙事,或者换句话说,包含对美好生活和美好死亡的追求的道德领域。从最新的研究中出现了两个问题:(1)在医学和社会学背景下解决伦理挑战所涉及的困难;(2)患者代理和叙事所有权在临终决策中的边缘作用。指出了一个方向,即涉及死亡医疗援助的跨学科团体的干预措施应侧重于促进保健人员方面的道德行为。最后,关注语言,话语,交流,以及死亡和临终的叙述呼吁这一版的《进步中的伦理学》来检查本体论和认识论的类别,这些类别是生活世界和“话语社区”研究的基础,这些与道德行为有关,交织着历史动机,语言,交流,规范信仰,社会规范和角色,权力关系,确凿的临床证据,在医疗实践的背景下有争议的价值观,从广义上讲,与死亡有关的实践。
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引用次数: 0
Language, Time, and Death. An Ethico-Philosophical Perspective Following Hegel, Heidegger, Lévinas, and Blanchot 语言、时间和死亡。继黑格尔、海德格尔、兰萨纳斯和布朗肖之后的伦理哲学视角
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.2
S. Kaushal
Our daily existence is affected by how we perceive death, be it our own’s death tocome or others’ death. The intimidating nature of death has the potential to affect our daily ethical existence in relation to the other, as is seen in various crises in human history. In such a context, since expansive literature in various approaches such as biological, sociological, psychological, and political addressing the question of death is already available, this essay presents an ethico-philosophical perspective on death and argues if death should be seen as the worst event that is to be experienced by being. In this essay, I correlate language, time, and death, contrasting popular analogies, i.e., death is possibility of impossibility (Hegel and Heidegger), and death is impossibility of possibility (Lévinas and Blanchot). Firstly, the essay stages the discussion with contrasting synchronic and diachronic perspectives of language, i.e., historical understanding of language and time in Hegelian terms and the messianic time in Lévinasian terms, to see how sensibility, i.e., universal meaning, is expressed through concept. Secondly, the essay sees how sensibility is expressed through a concept beyond dialectic opposition and negativity while acknowledging that the question of ethics arises only after the end of philosophy, for something is always inexpressible through expression; there is always remnant beyond philosophical significance. This essay not only argues language, time, and death as the ethical responsibility of the self towards the other, but also contributes to the understanding of language as ethics beyond philosophy, and death as passivity beyond ontology following Lévinas’s idea of messianic time and Blanchot’s views on literature and death.
我们的日常生活受到我们如何看待死亡的影响,无论是我们自己的死亡还是他人的死亡。死亡令人生畏的本质有可能影响我们与他人的日常道德存在,正如在人类历史上的各种危机中所见。在这样的背景下,由于各种方法的广泛文献,如生物学、社会学、心理学和政治学,已经可以解决死亡问题,本文提出了一个关于死亡的伦理哲学观点,并争论死亡是否应该被视为生命所经历的最糟糕的事件。在这篇文章中,我将语言,时间和死亡联系起来,对比流行的类比,即,死亡是不可能的可能性(黑格尔和海德格尔),死亡是可能性的不可能性(lsamuvinas和Blanchot)。首先,本文从共时性和历时性两种语言视角,即黑格尔式的对语言和时间的历史理解和拉西亚式的对弥赛亚式时间的理解,来探讨感性即普遍意义是如何通过概念来表达的。其次,在认识到伦理问题只有在哲学结束之后才会出现的同时,本文也认识到感性是如何通过一种超越辩证法对立和否定性的概念来表达的,因为通过表达总是无法表达的;总有一些超出哲学意义的残余。本文不仅论证了语言、时间和死亡是自我对他者的伦理责任,而且遵循了lsamicvinas的弥赛亚时间观和Blanchot的文学与死亡观,将语言理解为超越哲学的伦理,将死亡理解为超越本体论的被动性。
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引用次数: 1
Go Unattended. A Review of Anthony Stavrianakis’ Book “Leaving. A Narrative of Assisted Suicide” (2019) 无人值守。Anthony Stavrianakis《离开:协助自杀的叙事》(2019)书评
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.10
Karolina Napiwodzka
This is a review of Anthony Stavrianakis’ book Leaving. A Narrative of Assisted Suicide (University of California Press, 2019). Medically-assisted suicide still raises many issues and controversies of various types: ethical, legal, organizational and institutional. The situation varies greatly between countries, and depends on health care policies and socially recognised values. However, the overriding question is as follows: under what conditions should this form of death be allowed? Among the arguments that are well known, recognized and now tame, Stavrianakis’ research brings new light and perspective. The author goes deeper and searches for the real motives driving people to choose this manner of death. He sees the nuances and recounts the difficulties. In this article, I highlight aspects of Stavrianakis’ work that I find relevant and crucial for the issues considered.
这是对Anthony Stavrianakis的书《离开》的评论。协助自杀的叙述(加州大学出版社,2019)。医疗辅助自杀仍然引发了许多不同类型的问题和争议:伦理、法律、组织和制度。各国之间的情况差别很大,取决于卫生保健政策和社会公认的价值观。然而,最重要的问题是:在什么条件下应该允许这种形式的死亡?在那些众所周知的、公认的、如今已被驯服的观点中,斯塔夫里亚纳基斯的研究带来了新的曙光和视角。作者深入探究了促使人们选择这种死亡方式的真正动机。他看到了其中的细微差别,并叙述了其中的困难。在这篇文章中,我强调了Stavrianakis的工作中我认为与所考虑的问题相关且至关重要的方面。
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引用次数: 0
Limits of and Alternatives to Conventional Medicine in the Context of Terminal Illness (e.g., Palliative Care) 在绝症的情况下,传统医学的局限性和替代方法(例如,姑息治疗)
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.5
S. Bastianello, D. Cattaneo
This paper aims at analysing the evolution of palliative care in the international context and their role in the path of care for the patient and the family. Method: born in 1967 by Cicely Saunder, palliative care were aimed at assisting the terminally ill, accommodating both the needs of the patient and the family. Not only to be cured or healed, but to be taken care of. The paper examines the definitions of palliative care provided by the World Helth Organization. We observe that palliative care is not only an effective and timely response to the clinical, psychological, social and spiritual needs of the sick person and their family in an advanced and terminal stage, but an integrated care to support specialist treatment in the presence of an advanced disease picture; a space for in-depth study for the sick person and the family so that the sick person can consciously and freely choose the available treatment proposals, their limits and their consequences. A treatment path in which the transparency of the proposals is a condition for building a shared consensus with the patient and adequate communication with the family. Palliative care has acquired its own identity, its own role in the path of care for the patient and the family, pursuing the proportionality of therapeutic options and the support of the patient and the family without discrimination, with equity and equality.
本文旨在分析国际背景下姑息治疗的演变及其在患者和家庭护理道路上的作用。方法:Cicely Saunder于1967年出生,姑息治疗旨在帮助绝症患者,同时满足患者和家庭的需求。不仅要被治愈或治愈,还要被照顾。本文研究了世界卫生组织提供的姑息治疗的定义。我们观察到,姑息治疗不仅是对处于晚期和晚期的患者及其家人的临床、心理、社会和精神需求的有效和及时的回应,而且是在出现晚期疾病的情况下支持专科治疗的综合护理;为病人及其家人提供一个深入研究的空间,以便病人能够有意识地自由选择可用的治疗方案、其局限性及其后果。在治疗路径中,提案的透明度是与患者建立共同共识和与家人充分沟通的条件。姑息治疗已经获得了自己的身份,在照顾患者和家人的道路上发挥了自己的作用,追求治疗选择的相称性,并在公平和平等的情况下无歧视地支持患者和家人。
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引用次数: 0
Palliative Care and Physician Assisted Death 姑息治疗和医生协助死亡
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.6
Sándor Kőmüves
In the recent decade quite a few countries and regions legalised physician assisted death. While palliative care is already or becoming the standard end of life care in many countries, the increased availability of physician assisted death coupled with the secularisation of hospice in more settings require – where this has not happened yet – a clear response of palliative care specialists to patients’ requests for physician assisted death. The paper analyses the World Health Organisation’s current description of palliative care with a special focus on its prohibition of hastening death. Some palliative care professionals do not agree with the ban on hastening death, and these professionals’ non-conventional interpretation of palliative care actually seems to meet the wishes of some patients.
近十年来,不少国家和地区将医生协助死亡合法化。虽然在许多国家,姑息治疗已经或正在成为标准的临终关怀,但医生协助死亡的可用性的增加,加上临终关怀在更多环境中的世俗化,要求姑息治疗专家对患者要求医生协助死亡的明确回应。本文分析了世界卫生组织目前对姑息治疗的描述,特别关注其对加速死亡的禁止。一些姑息治疗专业人员并不赞同禁止加速死亡,这些专业人员对姑息治疗的非传统解释实际上似乎符合一些患者的意愿。
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引用次数: 0
Anthropos Metron versus Bous Metron? The Significance and Suffering of Animals in Regard to Sacrificial Rituals Anthropos Metron vs . boous Metron?祭祀仪式中动物的意义与苦难
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.9
D. Perliński
Humanity has practised animal sacrifice for the greater part of its history, from the time of the Neolithic Revolution. The ritual forms have varied, depending on the culture. They have also been subject to change, in connection with the development of human understanding and knowledge of animals, which is reflected in the ontological, cultural and moral status assigned to animals in the human world. Sacrificing animals involved not only killing them in a particular way – their treatment was sometimes sophisticated or ‘ritualistic’; often it was simply cruel. Human attitudes towards non-human living beings have also evolved in the context of animal killing and sacrifice. The treatment of animals reveals a great deal about human beings – in terms of their culture, beliefs, and morals. The article outlines this issue in a historical manner, referring to the practices adopted in selected cultural circles (in the Mediterranean Basin): ancient Mesopotamia and Greece, as well as in Judaism and Islam. The key findings of researchers are presented, along with the evaluations of philosophers, ethicists and anthropologists.
自新石器时代革命以来,人类在其历史的大部分时间里都在进行动物祭祀。仪式形式因文化而异。随着人类对动物的理解和认识的发展,它们也会发生变化,这反映在人类世界赋予动物的本体论、文化和道德地位上。祭祀动物不仅涉及以特定的方式杀死它们——有时对它们的处理是复杂的或“仪式性的”;通常情况下,这简直就是残忍。人类对非人类生物的态度也在动物杀戮和牺牲的背景下进化。对待动物的方式揭示了人类在文化、信仰和道德方面的许多方面。这篇文章以历史的方式概述了这个问题,提到了在选定的文化圈(在地中海盆地)中采用的做法:古代美索不达米亚和希腊,以及犹太教和伊斯兰教。本书介绍了研究人员的主要发现,以及哲学家、伦理学家和人类学家的评价。
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引用次数: 0
The Outline of Communal ‘Ars Moriendi’ in Egalitarian Transhumanism 论平等主义跨人本主义中的公共“阿尔斯·莫里恩迪”
Q3 Arts and Humanities Pub Date : 2022-12-23 DOI: 10.14746/eip.2022.2.3
Łukasz Paweł Polowczyk
This paper outlines the proposal for an egalitarian, transhumanist, and communal version of ars moriendi that should be coherent and meet the consequentialist criteria of the principle of minimizing anti-values and maximizing values, especially the ethical values of freedom and happiness. Transhuman-ist augmented dying (AD) refers to the extended body-mind, free from harmful religious and political ideologies. At present, a feasible art of dying can be systematically supported by anesthetics and psy-chedelics (entheogens), computer games, virtual reality, and good death machines. Its egalitarian form requires a deeply democratic society, and its progress may need a transition to a type 1 society on the Kardashev scale.
本文概述了一个平等主义、跨人类主义和社区版的ars-morendi的建议,该版本应连贯一致,并符合最小化反价值和最大化价值原则的后果主义标准,特别是自由和幸福的伦理价值观。跨人类主义的增强死亡(AD)指的是从有害的宗教和政治意识形态中解脱出来的扩展身心。目前,一种可行的死亡艺术可以通过麻醉剂和心理疗法(entheogens)、电脑游戏、虚拟现实和好的死亡机器来系统地支持。它的平等主义形式需要一个深度民主的社会,它的进步可能需要向卡尔达舍夫规模的1型社会过渡。
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引用次数: 0
Reality or Appearance of Ethical Life? 伦理生活的现实还是表象?
Q3 Arts and Humanities Pub Date : 2022-07-28 DOI: 10.14746/eip.2022.1.2
A. Honneth
The article attempts to show that Hegel’s concept of “civil society” is characterized by a deep ambivalence about the value of the new market economy. On the one side, Hegel believed that the economic system represented by “civil society” succeeded like no other in simultaneously giving free reign to the desires of individual subjects and integrating them into a stable structural framework (I). On the other side, Hegel’s reflections are growingly overtaken by doubts as to whether, in light of its self-destructive tendencies, the market system can be as successful in guaranteeing individual freedom as he first envisaged it to be (II). In the course of this essay, it will ultimately become clear that Hegel’s attempt to redefine “civil society” reveals considerably more conceptual indecision and inner conflict than one might have suspected from the great system builder.
本文试图说明黑格尔的“市民社会”概念具有对新市场经济价值的深刻矛盾心理。一方面,黑格尔认为,以“市民社会”为代表的经济体系,在同时给予个体主体的欲望自由支配,并将其整合到一个稳定的结构框架(I)方面,取得了独一无二的成功。另一方面,黑格尔的反思越来越受到质疑,即鉴于其自我毁灭的倾向,市场体系可以像他最初设想的那样成功地保障个人自由(II)。在本文的过程中,我们将最终清楚地看到,黑格尔重新定义“市民社会”的尝试揭示了比人们可能从伟大的体系构建者那里怀疑的更多的概念上的优柔寡断和内部冲突。
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引用次数: 0
Lies, Lies, and Lies. On Truth, Dishonesty, Deception, and Self-Deception 谎言,谎言,谎言。论真理、不诚实、欺骗与自欺
Q3 Arts and Humanities Pub Date : 2022-07-28 DOI: 10.14746/eip.2022.1.9
Guido Löhrer
My considerations are typological in nature. A lie is a disingenuous assertion made to another person with the intent of deceiving the other person into believing both that the assertion is true and that the liar believes it to be true. This definition is morally neutral. It requires a further, moral judgment to determine whether a lie is a good or a bad thing, or whether, in specified circumstances, a lie is morally right or wrong. However, what if the truth is not only occasionally contaminated but lies are spread en masse in order to make the addressees question their ability to judge or to induce collective self-deception? Beginning with small-scale use of lies, related variants of dishonesty – especially large scale, propagandistic uses of lies – are conceptually characterized and evaluated. Lies can be systematically distinguished via their purposes.
我的考虑本质上是有类型的。谎言是对另一个人做出的虚伪断言,目的是欺骗另一个人,让他相信这个断言是真的,而且骗子相信它是真的。这个定义在道德上是中立的。它需要进一步的道德判断来确定谎言是好事还是坏事,或者在特定的情况下,谎言在道德上是对是错。然而,如果真相不仅偶尔被污染,而且谎言被大量传播,以使收件人质疑他们的判断能力或诱导集体自我欺骗,该怎么办?从小规模使用谎言开始,对不诚实的相关变体——尤其是大规模宣传性使用谎言——进行概念表征和评估。谎言可以通过其目的系统地加以区分。
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引用次数: 0
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Ethics in Progress
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