{"title":"Proposed Changes to the Text of the Ethical and Religious Directives","authors":"","doi":"10.5840/ncbq202323219","DOIUrl":"https://doi.org/10.5840/ncbq202323219","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Genesis of Gender: A Christian Theory by Abigail Favale","authors":"K. T. Brizek","doi":"10.5840/ncbq202323229","DOIUrl":"https://doi.org/10.5840/ncbq202323229","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This essay argues that Catholic bioethicists and moral theologians need an expanded theology of technological or technical domination. It describes five variants of the concept: (1) domination of persons over others, (2) prideful assertion of mastery over nature, (3) ambition to usurp the will of God, (4) over-emphasis on technical solutions to human problems, and (5) an ideology of utility, efficiency, and effectiveness. It is argued, however, that a sixth variant is needed in regard to twenty-first century technologies. Dietrich von Hildebrand’s observations of “the useful” can be employed to show how the instrumental rationality of technologies often gains a false motivational force. This preference for utility is encouraged by the complex, opaque, and autonomous structures of contemporary technologies.
本文认为，天主教的生命伦理学家和道德神学家需要一个技术或技术支配的扩展神学。它描述了这一概念的五种变体:(1)个人对他人的统治，(2)对自然的主宰的骄傲主张，(3)篡夺上帝意志的野心，(4)过分强调人类问题的技术解决方案，以及(5)实用、效率和有效性的意识形态。然而，有人认为，就21世纪的技术而言，需要第六种变体。迪特里希·冯·希尔德布兰德(Dietrich von Hildebrand)对“有用”的观察可以用来说明技术的工具理性如何经常获得一种虚假的动机力量。现代技术的复杂、不透明和自治结构鼓励了这种对效用的偏好。
{"title":"Technological Domination","authors":"Christopher M. Reilly","doi":"10.5840/ncbq20232313","DOIUrl":"https://doi.org/10.5840/ncbq20232313","url":null,"abstract":"This essay argues that Catholic bioethicists and moral theologians need an expanded theology of technological or technical domination. It describes five variants of the concept: (1) domination of persons over others, (2) prideful assertion of mastery over nature, (3) ambition to usurp the will of God, (4) over-emphasis on technical solutions to human problems, and (5) an ideology of utility, efficiency, and effectiveness. It is argued, however, that a sixth variant is needed in regard to twenty-first century technologies. Dietrich von Hildebrand’s observations of “the useful” can be employed to show how the instrumental rationality of technologies often gains a false motivational force. This preference for utility is encouraged by the complex, opaque, and autonomous structures of contemporary technologies.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70949889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cervical insufficiency is present in up to 1 percent of pregnancies and is involved in a significant portion of pregnancy losses in the second trimester. The first line of treatment for most women with this condition is transvaginal cerclage. However, for some this is not sufficient, and a transabdominal cerclage must be performed. In a subset of women who receive transabdominal cerclage, there has been documented concern about subfertility. To the lay person, this may raise concerns that this approaches a contraceptive effect which would have implications on the liceity of the treatment; however, consideration of the current research on the procedure indicates that the subfertility is not a result of cerclage on its own, and ethical analysis through the principle of double effect further affirms the morality of this treatment.
{"title":"The Ethics of Transabdominal Cerclage Placement","authors":"E. Kramer","doi":"10.5840/ncbq20232314","DOIUrl":"https://doi.org/10.5840/ncbq20232314","url":null,"abstract":"Cervical insufficiency is present in up to 1 percent of pregnancies and is involved in a significant portion of pregnancy losses in the second trimester. The first line of treatment for most women with this condition is transvaginal cerclage. However, for some this is not sufficient, and a transabdominal cerclage must be performed. In a subset of women who receive transabdominal cerclage, there has been documented concern about subfertility. To the lay person, this may raise concerns that this approaches a contraceptive effect which would have implications on the liceity of the treatment; however, consideration of the current research on the procedure indicates that the subfertility is not a result of cerclage on its own, and ethical analysis through the principle of double effect further affirms the morality of this treatment.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70949900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Part One of the ERDs addresses the balance Catholic health care institutions must strike between their mission to carry out the healing ministry of Christ and the demands of the US health care system. Divided into two sections, the commentary begins by proposing revisions to the Part One introduction focusing on enhanced application of Catholic social teaching principles and a renewed call for robust conscience and religious liberty protections. It then proposes additions to the Part One directives designed to help Catholic health care respond with integrity to the many contemporarychallenges it faces, and to more full live out its mission and identity.
{"title":"Commentary on Revisions to the Ethical and Religious Directives, Part One","authors":"Jozef D. Zalot","doi":"10.5840/ncbq202323220","DOIUrl":"https://doi.org/10.5840/ncbq202323220","url":null,"abstract":"Part One of the ERDs addresses the balance Catholic health care institutions must strike between their mission to carry out the healing ministry of Christ and the demands of the US health care system. Divided into two sections, the commentary begins by proposing revisions to the Part One introduction focusing on enhanced application of Catholic social teaching principles and a renewed call for robust conscience and religious liberty protections. It then proposes additions to the Part One directives designed to help Catholic health care respond with integrity to the many contemporarychallenges it faces, and to more full live out its mission and identity.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"307 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The use of growth attenuation therapy (GAT) is becoming more common in order to enable a family to care for a child with profound cognitive and physical disabilities (PCPD) as they age into adulthood. The first published study on the use of GAT was done with the family of a six-year-old girl with PCPD by Daniel Gunther and Douglas Diekema in Pediatrics in 2006. The ethical application of GAT generated considerable discussion on the use among children with PCPD in the medical and ethics communities. This paper discusses the use of GAT for children with profound cognitive and physical disabilities from a Catholic bioethics perspective.
{"title":"Growth-Attenuation Therapy for Children with Profound Cognitive and Physical Disabilities","authors":"Joseph O’Neil, Derryl Miller","doi":"10.5840/ncbq20232317","DOIUrl":"https://doi.org/10.5840/ncbq20232317","url":null,"abstract":"The use of growth attenuation therapy (GAT) is becoming more common in order to enable a family to care for a child with profound cognitive and physical disabilities (PCPD) as they age into adulthood. The first published study on the use of GAT was done with the family of a six-year-old girl with PCPD by Daniel Gunther and Douglas Diekema in Pediatrics in 2006. The ethical application of GAT generated considerable discussion on the use among children with PCPD in the medical and ethics communities. This paper discusses the use of GAT for children with profound cognitive and physical disabilities from a Catholic bioethics perspective.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70950132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alan Donagan, in The Theory of Morality, famously claims that the principles of “common morality” (i.e., the morality of the Judeo-Christian tradition) form a consistent system that can be derived from a single fundamental principle: It is impermissible not to respect every human being, oneself or any other, as a rational creature. In particular, I want to show that the prohibition contained in the fundamental principle is interpreted by appeal to prior convictions about particular sorts of cases, whether they involve the violation of “respect” or not, and that this has unfavorable consequences for Donagan’s claim that the principles of common morality form a truly deductive system of morality.
{"title":"Alan Donagan and the Fundamental Principle of Judeo-Christian Morality","authors":"T. Furlan","doi":"10.5840/ncbq20232319","DOIUrl":"https://doi.org/10.5840/ncbq20232319","url":null,"abstract":"Alan Donagan, in The Theory of Morality, famously claims that the principles of “common morality” (i.e., the morality of the Judeo-Christian tradition) form a consistent system that can be derived from a single fundamental principle: It is impermissible not to respect every human being, oneself or any other, as a rational creature. In particular, I want to show that the prohibition contained in the fundamental principle is interpreted by appeal to prior convictions about particular sorts of cases, whether they involve the violation of “respect” or not, and that this has unfavorable consequences for Donagan’s claim that the principles of common morality form a truly deductive system of morality.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70949810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicine","authors":"John S. Sullivan","doi":"10.5840/ncbq202323226","DOIUrl":"https://doi.org/10.5840/ncbq202323226","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135159166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catholic health care has long been focused on the needs of the poor, yet its primary interaction with the poor is in the delivery of health care and not within leadership. The preferential option for the poor is one tool that leads to greater participation. Especially important is the hermeneutic element that Pope Francis emphasizes. While some government programs already include those who are poor in leadership, Catholic health care is only starting to grapple with the Pope’s challenge. This essay explores inclusion of the poor in governance and strategic planning, revealing a better way to engage with those who are poor and give a better witness to the Gospel mandate for Catholic health care.
{"title":"The Preferential Option for the Poor and Participation","authors":"W. Hubbard","doi":"10.5840/ncbq20232316","DOIUrl":"https://doi.org/10.5840/ncbq20232316","url":null,"abstract":"Catholic health care has long been focused on the needs of the poor, yet its primary interaction with the poor is in the delivery of health care and not within leadership. The preferential option for the poor is one tool that leads to greater participation. Especially important is the hermeneutic element that Pope Francis emphasizes. While some government programs already include those who are poor in leadership, Catholic health care is only starting to grapple with the Pope’s challenge. This essay explores inclusion of the poor in governance and strategic planning, revealing a better way to engage with those who are poor and give a better witness to the Gospel mandate for Catholic health care.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70950198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The proposed revisions to Part Three of the Ethical and Religious Directives (ERDs)—on the professional-patient relationship—call attention to a number of timely, culturally relevant issues that require an understanding of the dignity of the human person and the true health of body, mind, and spirit. Several key issues newly discussed in these proposed revisions include transgender policies, the question of referrals for unethical clinical interventions, and triage and limited-resource allocation protocols for crisis situations. This paper draws on the theological and philosophical basis forunderstanding the professional-patient relationship, especially in light of the metaphor of Christ the physician, in order to consider how the ERDs effectively address these key issues and promote true healing in Catholic health care.
{"title":"Healing, Wholeness, and the Professional-Patient Relationship","authors":"Columba Thomas","doi":"10.5840/ncbq202323222","DOIUrl":"https://doi.org/10.5840/ncbq202323222","url":null,"abstract":"The proposed revisions to Part Three of the Ethical and Religious Directives (ERDs)—on the professional-patient relationship—call attention to a number of timely, culturally relevant issues that require an understanding of the dignity of the human person and the true health of body, mind, and spirit. Several key issues newly discussed in these proposed revisions include transgender policies, the question of referrals for unethical clinical interventions, and triage and limited-resource allocation protocols for crisis situations. This paper draws on the theological and philosophical basis forunderstanding the professional-patient relationship, especially in light of the metaphor of Christ the physician, in order to consider how the ERDs effectively address these key issues and promote true healing in Catholic health care.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135506730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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