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Christian bioethics: Non-Ecumenical Studies in Medical Morality最新文献

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A Theological Framework for Understanding Hope in the Clinic 理解诊所希望的神学框架
Pub Date : 2024-08-09 DOI: 10.1093/cb/cbae012
Andrea Thornton
Appeals to the miraculous are common in healthcare, and arguments about end-of-life decision-making can quickly become theological. Assessments of hope have been recommended within the biopsychosocialspiritual model of medicine, but these assessments fail to account for the theological dimension of hope. Examples of failed assessments include recent efforts in palliative care and classic works, such as On Death and Dying by Elisabeth Kübler-Ross. To adequately address the patient’s and family members’ hopes without patronizing or harming the patient, assessments must be done by a person trained in theology.
在医疗保健领域,对奇迹的诉求很常见,而关于临终决策的争论很快就会变得神学化。生物-心理-社会-精神医学模式建议对希望进行评估,但这些评估未能考虑到希望的神学维度。失败评估的例子包括最近在姑息治疗方面所做的努力以及经典著作,如伊丽莎白-库伯勒-罗斯(Elisabeth Kübler-Ross)的《论死亡与临终》(On Death and Dying)。为了在不袒护或伤害病人的情况下充分满足病人和家属的希望,评估工作必须由受过神学训练的人来完成。
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引用次数: 0
Responding Faithfully to Women’s Pain: Practicing the Stations of the Cross 忠实地回应妇女的痛苦:实践十字架的受难
Pub Date : 2023-07-11 DOI: 10.1093/cb/cbad015
Sarah Barton
This essay explores the contemporary experiences of women who live with pain, given the complex responses they encounter within Western medical systems, including pervasive stigma, bias, clinician disbelief, and poor health outcomes. In response to these realities, as highlighted within recent literature and exemplified in a first-person account provided by the paper’s author, this essay explores the Christian practice of the Stations of the Cross as a faithful response to women living with pain. The Stations provide a distinctive Christian practice that invites women living with pain, as well as their clinicians and loved ones, into faithful care marked by prayer, solidarity, and hospitable listening. Practicing the Stations provides one faithful response that Christian clinicians and those who live with pain might engage in the clinic and beyond.
这篇文章探讨了与疼痛共存的女性的当代经历,考虑到她们在西方医疗系统中遇到的复杂反应,包括普遍的耻辱、偏见、临床医生的怀疑和不良的健康结果。作为对这些现实的回应,正如在最近的文献中所强调的,并在论文作者提供的第一人称叙述中举例说明的那样,本文探讨了基督教在十字架上的实践,作为对生活在痛苦中的女性的忠实回应。该站提供了一种独特的基督教实践,邀请生活在痛苦中的妇女,以及她们的临床医生和亲人,通过祈祷,团结和热情的倾听来忠实地照顾她们。实践这些站提供了一种忠实的回应,基督教临床医生和那些生活在痛苦中的人可能会在诊所和其他地方参与其中。
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引用次数: 0
Responding to People in Pain with Jane Austen’s Mansfield Park 用简·奥斯汀的《曼斯菲尔德庄园》回应痛苦中的人们
Pub Date : 2023-07-08 DOI: 10.1093/cb/cbad018
Jaime Konerman-Sease
Eliminating pain is problematic when it comes to caring for people with disabilities or chronic pain. This paper locates the drive to completely eliminate pain as a project of the Enlightenment and contrasts it with the tradition of interpreting suffering throughout the Christian tradition. I introduce Jane Austen’s novel Mansfield Park as a way to continue the tradition of interpretative suffering after the Enlightenment. Using textual analysis of Jane Austen’s Mansfield Park, I demonstrate how the novel’s heroine, Fanny Price, is able to resist the drive to eliminate pain through her contemplative reflection on suffering which allows her to participate in right relationships with others and God. Finally, I offer twenty-first century applications of Mansfield Park by addressing changes we can make in the church and the clinic to understand better the role pain plays in Christian life and community.
当涉及到照顾残疾人或慢性疼痛时,消除疼痛是有问题的。这篇论文将完全消除痛苦的动力定位为启蒙运动的一个项目,并将其与整个基督教传统中对痛苦的解释进行了对比。我介绍简·奥斯丁的小说《曼斯菲尔德庄园》,认为它延续了启蒙运动后解读苦难的传统。通过对简·奥斯汀的小说《曼斯菲尔德庄园》的文本分析,我展示了小说的女主角范妮·普莱斯是如何通过对痛苦的沉思来抵制消除痛苦的欲望的,这种欲望使她能够与他人和上帝建立正确的关系。最后,我提出了《曼斯菲尔德庄园》在21世纪的应用,通过解决我们可以在教堂和诊所做出的改变,以更好地理解痛苦在基督徒生活和社区中所扮演的角色。
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引用次数: 0
Reclaiming Broken Bodies (or, This Is Gonna Hurt Some): Pain, Healing, and the Opioid Crisis 修复破碎的身体(或者,这会伤害一些人):疼痛,愈合和阿片类药物危机
Pub Date : 2023-07-02 DOI: 10.1093/cb/cbad017
J. Shuman
I argue here that the ways we experience, think about, and treat pain are bound up with sociocultural and technological phenomena that shape our desires and expectations. I propose a way of imagining caring for and offering healing to those who suffer pain informed by the Christian theological tradition. This way does not aspire to replace the care and healing made possible by modern medicine, but rather to place it within the common life of a community of mutual love, hospitality, and reciprocal care.
我认为,我们体验、思考和治疗疼痛的方式与塑造我们欲望和期望的社会文化和技术现象密切相关。我提出了一种方法来想象照顾和治疗那些遭受痛苦的人,这是由基督教神学传统所提供的。这种方式并不希望取代现代医学所提供的护理和治疗,而是将其置于一个相互关爱、热情好客和相互照顾的社区的共同生活中。
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引用次数: 0
Health Care in Service of Life: Preventative Medicine in Light of the Analogia Entis 为生命服务的卫生保健:基于类比实体的预防医学
Pub Date : 2023-06-02 DOI: 10.1093/cb/cbad012
Mary L. Hirschfeld
The medicalization of risk rests on foundational assumptions shared by economics and public health. Economists, however, think in terms of pursuing an array of goods, and hence, they offer useful critiques of the irrationality involved in trying to subordinate all goods to one narrow good, like avoiding death from a particular disease. Many of our approaches to health do not appear to be fully rational, suggesting that the deeper motivation lying behind our concerns about health are to be found in something other than the impulse to extend human lives as much as possible. This paper draws on the theology of St. Thomas Aquinas to sketch a richer way of thinking about the goods we pursue in health care that can help us to avoid the pitfalls associated with the medicalization of risk.
风险的医疗化依赖于经济学和公共卫生共同的基本假设。然而,经济学家从追求一系列利益的角度进行思考,因此,他们对试图将所有利益从属于一种狭隘利益(比如避免死于某种特定疾病)的非理性行为提出了有益的批评。我们对待健康的许多方法似乎并不完全合理,这表明,我们对健康的关注背后更深层的动机是除了尽可能延长人类寿命的冲动之外的其他东西。本文借鉴圣托马斯·阿奎那(St. Thomas Aquinas)的神学思想,以一种更丰富的方式思考我们在医疗保健中追求的好处,这可以帮助我们避免与风险医疗化相关的陷阱。
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引用次数: 0
The Tree of Life, Health, and Risk Through the Lens of Biblical Wisdom 从圣经智慧的角度看生命、健康和风险之树
Pub Date : 2023-05-22 DOI: 10.1093/cb/cbad009
Bradley C. Gregory
As a way forward in assessing how the Old Testament wisdom tradition might speak to decisions in a modern medical context, in this paper, I propose exploring the iconographic function of the “tree of life” in the Old Testament, which is consistently associated with both wisdom as well as life and health, in order to tease out two-related issues that can help in providing a Christian theological framework for thinking about the problem of the medicalization of risk: first, how should the natural and good human desire for health and long life be framed in terms of the pursuit of wisdom? And, second, how might a sapientially formed character approach risk and uncertainty in making medical decisions? The answers to these questions help establish a framework in which more specific questions related to the medicalization of risk can be assessed. As such, this paper is deliberately programmatic and perspectival rather than prescriptive.
作为评估旧约智慧传统如何在现代医学背景下对决策说话的一种方式,在本文中,我建议探索旧约中“生命之树”的图像功能,它始终与智慧、生命和健康联系在一起,以便梳理出两个相关的问题,这些问题可以帮助提供一个基督教神学框架来思考风险的医学化问题:首先,人类对健康和长寿的自然和良好的愿望应该如何在追求智慧的条件下被框定?其次,在做出医疗决定时,一个有智慧的人如何应对风险和不确定性?这些问题的答案有助于建立一个框架,在这个框架中,可以评估与风险医疗化有关的更具体的问题。因此,这篇论文是故意程序化和透视性的,而不是规定性的。
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引用次数: 0
Sin as Intellectual Evil: Refusal of Insight in the Contemporary Debate on the Ends of Marriage 罪是智力上的邪恶:在当代关于婚姻终结的辩论中拒绝洞察
Pub Date : 2023-04-28 DOI: 10.1093/cb/cbad007
M. Hogan
This paper focuses on the possibility of sin as intellectual evil as operative in the contemporaneous culture in the debate over the essential nature of marriage and the accomplishment of the ends of marriage. It presents an account of theology as a science and the application of this understanding and its canons of operation to the issues presented in two recent documents—the Statement of the Wijngaards Institute for Catholic Research and the Affirmation of the Church’s Teaching on the Gift of Sexuality, each of which addresses the encyclical Humanae vitae on the occasion of its 50th anniversary. The paper concludes with an examination of the essential nature of marriage to guide the fulfillment of its ends now described as intrinsic/essential and intrinsic/contingent.
本文关注的是,在关于婚姻的本质和婚姻目的的实现的辩论中,罪作为智力邪恶在当时文化中发挥作用的可能性。它将神学描述为一门科学,并将这种理解及其操作规范应用于最近两份文件中提出的问题——《维恩加兹天主教研究所的声明》和《教会关于性恩赐的教导的肯定》,每一份文件都在《人类生命通谕》发布50周年之际发表。本文最后对婚姻的本质进行了考察,以指导实现其现在被描述为内在/必要和内在/偶然的目的。
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引用次数: 0
Sources for Christian Bioethics: The Orthodox Discourse on Sin 基督教生命伦理学的来源:正教关于罪的论述
Pub Date : 2023-04-13 DOI: 10.1093/cb/cbad003
R. Tarabrin, Tatiana Tarabrina
The article discusses ways of developing bioethical guidance in the Orthodox Christian discourse. Here, “ethical” refers to what contributes to holiness, “un-ethical” refers to sin as what hinders man’s foundational calling to holiness. To explore the development of guidance for emerging bioethical issues, we use the “therapeutic” understanding of treatment for sin in two senses. (1) It refers to the spiritual means provided by the “hospital” of the Orthodox Church for healing the fallenness of human nature in general; and (2) it helps identify in particular cases both what counts as transgression of unconditional boundaries (defining what is illicit for everyone) and what is advisable in order to help particular persons to choose rightly within the area of the “more or less licit” (or “permissible”). Sources of the Orthodox faith that frame the general understanding of the boundaries between the permissible and the impermissible reflect the work of the Holy Spirit in the Church framing her Sacred (Holy) Tradition. In Holy Tradition, prayers, as communion with God, occupy a central position. This is why Orthodox moral reasoning, and thus also Orthodox bioethics, takes the form of liturgical bioethics. Penalties of excommunication determine hard boundaries that believers should not overstep: when crossing such boundaries, they enter on a spiritually dangerous path that completely distracts them away from God. Many minor sins, by contrast, have not been codified in Canons. They are not taken to remove the sinner completely from contact with the Lord. Within this realm of actions, it depends on a person’s spiritual maturity whether such actions are classified as sinful. Thus, an act can be counted merely as a small offense if committed by a beginner, while that same act can become a grave sin for an advanced believer. Due to acceleration of the technological progress, Orthodox recourse to Holy Tradition encounters ever-new challenges. There are bioethical issues that had not surfaced at the time of the Fathers of the Church. Today, Bishops gathered at a local council can supply the guidance lacking on a newly emerging bioethical problem. Even if ratified only by such local councils, the resulting decrees can also be regarded as the expression of the Holy Spirit working within a local Church and conveying His guidance. The article illustrates this source of Christian bioethics by reference to how the Russian Orthodox Church orients and develops its position on the ethics of reproductive technologies.
本文探讨了在东正教话语中发展生命伦理指导的途径。在这里,“道德的”指的是有助于圣洁的东西,“不道德的”指的是罪,它阻碍了人圣洁的基本呼召。为了探索新出现的生物伦理问题的指导发展,我们从两个意义上使用“治疗性”对治疗罪的理解。(1)它指的是东正教会的"医院"提供的精神手段,以治疗一般人性的堕落;(2)它有助于在特定情况下确定什么是违反无条件界限的行为(定义对每个人来说什么是非法的)和什么是可取的,以帮助特定的人在“或多或少合法”(或“允许”)的范围内做出正确的选择。正教信仰的来源构成了对允许和不允许之间界限的一般理解,反映了圣灵在教会中的工作,构成了她的神圣传统。在神圣传统中,祈祷作为与上帝的交流,占据着中心地位。这就是为什么东正教的道德推理,因而也是东正教的生命伦理学,采取了礼仪生命伦理学的形式。被逐出教会的惩罚决定了信徒不应该逾越的硬性界限:当他们越过这样的界限时,他们进入了一条精神上危险的道路,完全使他们远离上帝。相比之下,许多小罪并没有被列入《正典》。它们并不是为了使罪人完全脱离与主的接触。在这个领域的行为,这取决于一个人的精神成熟度,这些行为是否被归类为有罪。因此,一个行为如果是初学者犯下的,可以被视为轻微的罪行,而同样的行为对于一个高级信徒来说可能成为严重的罪。由于技术进步的加速,东正教对神圣传统的依赖面临着新的挑战。有些生物伦理问题在教父时代还没有浮出水面。今天,主教们聚集在一个地方委员会,可以就一个新出现的生物伦理问题提供缺乏的指导。即使只有这样的地方议会批准,由此产生的法令也可以被视为圣灵在当地教会内工作和传达他的指导的表达。本文通过参考俄罗斯东正教如何定位和发展其对生殖技术伦理的立场来说明基督教生命伦理的这一来源。
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引用次数: 0
A Reexamination of In Vitro Fertilization 体外受精的再审视
Pub Date : 2023-03-01 DOI: 10.1093/cb/cbad006
M. G. Muñoz
For the sake of consistency with settled principles from other theological and ethical questions, there is a need for a Christian reexamination of in vitro fertilization (IVF). Both Old and New Testaments demonstrate that human personal life begins at conception or fertilization. Additionally, the Bible teaches that human beings are persons in the image of God from the very beginning of their existence. Thus, it can be concluded that the embryos created via IVF are persons in God’s image. Applying this to the destruction and freezing of embryos, several limitations or restrictions present themselves—embryos should not be purposefully destroyed or wasted, all embryos ought to be implanted, and embryos should not be frozen. Ultimately, however, due to the immense quantity of embryo wastage, it is concluded that Christians should avoid this form of assisted reproductive technology and consider it a pro-life issue.
为了与其他神学和伦理问题的既定原则保持一致,基督教需要重新审视体外受精(IVF)。旧约和新约都表明,人的个人生命始于受孕或受精。此外,圣经教导我们,人类从一开始就按照神的形象存在。因此,可以得出结论,通过体外受精创造的胚胎是具有上帝形象的人。将此应用于胚胎的破坏和冷冻,会出现一些限制或限制——胚胎不应该被故意破坏或浪费,所有的胚胎都应该被植入,胚胎不应该被冷冻。然而,最终,由于大量的胚胎浪费,得出的结论是,基督徒应该避免这种形式的辅助生殖技术,并将其视为反生命问题。
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引用次数: 1
Why Biblical Arguments for Abortion Fail 为什么圣经对堕胎的论证失败了
Pub Date : 2023-03-01 DOI: 10.1093/cb/cbad004
Calum Miller
While the traditional Christian teaching opposing abortion has been relatively unanimous until the twentieth century, it has been claimed in more recent decades that certain Biblical passages support the view that the fetus, or unborn child, has a lesser moral status than a born child, in a way that might support the permissibility of abortion. In this paper, I address the foremost three texts used to argue this point: Genesis 2:7; Exodus 21:22–25; and Numbers 5:11–31. I argue that interpreting the former in the literal way necessary to support abortion leads to untenable moral and exegetical conclusions, indeed straightforwardly contradicting other Biblical texts. I then demonstrate that the most plausible readings of the other passages—on textual and contextual grounds—do not support a lesser moral status, one of the passages plausibly even supporting full moral status, for the unborn child.
虽然传统的基督教反对堕胎的教义在20世纪之前一直是相对一致的,但在最近几十年里,有人声称某些圣经段落支持这样一种观点,即胎儿或未出生的孩子的道德地位低于出生的孩子,在某种程度上可能支持堕胎的可接受性。在本文中,我将讨论用来论证这一观点的最重要的三段经文:创世记2:7;出埃及记21:22-25;民数记5:11-31。我认为,以字面上的方式解释前者是支持堕胎所必需的,这会导致站不住脚的道德和训诂结论,实际上直接与其他圣经文本相矛盾。然后,我论证了对其他段落的最可信的解读——基于文本和上下文——不支持较低的道德地位,其中一段甚至似乎支持未出生的孩子的完全道德地位。
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引用次数: 1
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Christian bioethics: Non-Ecumenical Studies in Medical Morality
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