Pregnancy causes maternal pathology by combining maternal predispositions with healthy physiology. In maternal cardiovascular collapse, previable induction of labor is justifiable despite the definition of abortion in directive 45 of the Ethical and Religious Directives for Catholic Health Care Services. Central to this conclusion, the placenta is a fetal organ, and pregnancy is a cardiovascular condition placing new demands on the maternal cardiovascular system. Previable delivery, a morally neutral separation, addresses the cause of pathology even if fetal death is anticipated. This is acceptable under double-effect reasoning. Directive 45 defines all previable deliveries as abortions, so this analysis proposes an alternative definition established by obstetrician/gynecologists.
{"title":"Previable Induction of Labor for Life-Threatening Maternal Disease without Placental Pathology","authors":"C. Buskmiller","doi":"10.5840/ncbq202121225","DOIUrl":"https://doi.org/10.5840/ncbq202121225","url":null,"abstract":"Pregnancy causes maternal pathology by combining maternal predispositions with healthy physiology. In maternal cardiovascular collapse, previable induction of labor is justifiable despite the definition of abortion in directive 45 of the Ethical and Religious Directives for Catholic Health Care Services. Central to this conclusion, the placenta is a fetal organ, and pregnancy is a cardiovascular condition placing new demands on the maternal cardiovascular system. Previable delivery, a morally neutral separation, addresses the cause of pathology even if fetal death is anticipated. This is acceptable under double-effect reasoning. Directive 45 defines all previable deliveries as abortions, so this analysis proposes an alternative definition established by obstetrician/gynecologists.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947336","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}
On July 14, 2020, the Congregation for the Doctrine of the Faith (CDF) issued Samaritanus bonus (The Good Samaritan), beckoning the human family to take the Good Samaritan as the ideal in the care of all persons in critical and terminal phases of their lives. The import of this letter is understood best as seen through three prisms: (1) Fratelli tutti, the encyclical of Pope Francis signed at Assisi on October 3, 2020; (2) the Declaration on Euthanasia issued by the CDF in 1980; and (3) “the remarkable progressive development of biomedical technologies [which] has exponentially enlarged the clinical proficiency of diagnostic medicine in patient care and treatment [which] call for growth in moral discernment to avoid an unbalanced and dehumanizing use of the technologies especially in the critical or terminal stages of human life” (CDF, Declaration on Euthanasia, intro)
{"title":"Reading Samaritanus bonus in Light of Magisterial Teaching and Recent Papal Writings","authors":"G. Coleman","doi":"10.5840/NCBQ20212115","DOIUrl":"https://doi.org/10.5840/NCBQ20212115","url":null,"abstract":"On July 14, 2020, the Congregation for the Doctrine of the Faith (CDF) issued Samaritanus bonus (The Good Samaritan), beckoning the human family to take the Good Samaritan as the ideal in the care of all persons in critical and terminal phases of their lives. The import of this letter is understood best as seen through three prisms: (1) Fratelli tutti, the encyclical of Pope Francis signed at Assisi on October 3, 2020; (2) the Declaration on Euthanasia issued by the CDF in 1980; and (3) “the remarkable progressive development of biomedical technologies [which] has exponentially enlarged the clinical proficiency of diagnostic medicine in patient care and treatment [which] call for growth in moral discernment to avoid an unbalanced and dehumanizing use of the technologies especially in the critical or terminal stages of human life” (CDF, Declaration on Euthanasia, intro)","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"21 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947416","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":"Resisting Throwaway Culture: How a Consistent Life Ethic Can Unite a Fractured People by Charles C. Camosy","authors":"Julie Grimstad","doi":"10.5840/ncbq202121232","DOIUrl":"https://doi.org/10.5840/ncbq202121232","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947547","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":"A Fortunate Universe: Life in a Finely Tuned Cosmos, by Geraint F. Lewis and Luke A. Barnes","authors":"T. Sheahen","doi":"10.5840/ncbq202121464","DOIUrl":"https://doi.org/10.5840/ncbq202121464","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947982","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":"Anscombe’s Intention: A Guide, by John Schwenkler","authors":"Brian Welter","doi":"10.5840/ncbq202121465","DOIUrl":"https://doi.org/10.5840/ncbq202121465","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70948439","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":"Mary and Bioethics: An Exploration by Francis Etheredge","authors":"Colten P. Maertens-Pizzo","doi":"10.5840/NCBQ202121116","DOIUrl":"https://doi.org/10.5840/NCBQ202121116","url":null,"abstract":"<jats:p />","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"21 1","pages":"174-177"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70946807","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}
Cooperation in wrongdoing is an everyday matter for all of us, though we need to discern when such cooperation is morally excluded as constituting formal cooperation, as opposed to material (unintended) cooperation whether justified or otherwise. In this paper, I offer examples of formal cooperation such as referral of patients for certain procedures where the cooperating doctor intends an intrinsically wrongful plan of action on the part of the patient and a medical colleague. I also consider a case of formal cooperation where the cooperator intends a choice on the part of another person that is not intrinsically wrong, but wrong in the circumstances because the person believes it will cause serious uncompensated harm.
{"title":"Complicity or Justified Cooperation in Evil?","authors":"H. Watt","doi":"10.5840/NCBQ202121222","DOIUrl":"https://doi.org/10.5840/NCBQ202121222","url":null,"abstract":"Cooperation in wrongdoing is an everyday matter for all of us, though we need to discern when such cooperation is morally excluded as constituting formal cooperation, as opposed to material (unintended) cooperation whether justified or otherwise. In this paper, I offer examples of formal cooperation such as referral of patients for certain procedures where the cooperating doctor intends an intrinsically wrongful plan of action on the part of the patient and a medical colleague. I also consider a case of formal cooperation where the cooperator intends a choice on the part of another person that is not intrinsically wrong, but wrong in the circumstances because the person believes it will cause serious uncompensated harm.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947261","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}
In this paper, the author takes the perspective of the patient who is very ill and facing death and examines the traditional ethical question of whether forgoing medical treatment, including artificial hydration and nutrition, is equivalent to suicide. She approaches this question by way of a discussion of St. Thomas Aquinas and Aristotle and via a critical look at David Hume. At the end, she turns to Elizabeth Anscombe for the light that this twentieth-century philosopher sheds on the question.
{"title":"Giving Our Humanity Its Due","authors":"Candace Vogler","doi":"10.5840/ncbq202121339","DOIUrl":"https://doi.org/10.5840/ncbq202121339","url":null,"abstract":"In this paper, the author takes the perspective of the patient who is very ill and facing death and examines the traditional ethical question of whether forgoing medical treatment, including artificial hydration and nutrition, is equivalent to suicide. She approaches this question by way of a discussion of St. Thomas Aquinas and Aristotle and via a critical look at David Hume. At the end, she turns to Elizabeth Anscombe for the light that this twentieth-century philosopher sheds on the question.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947683","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}
Persons who identity as LGBTQ+ should be treated with respect, compassion, and sensitivity. Under the guise of helping such persons, legislation is surreptitiously appearing in several countries seeking to ban so-called conversion therapy. While the definition of the term remains concerningly vague, the terms of enforcement for alleged offences tend to be precisely delineated, often including provisions that curtail Christian catechesis, teaching, and preaching in the areas of human dignity and sexuality. These problematic and repressive initiatives can prevent access to any psychotherapy that is not strictly gender-affirming. This article reviews and assesses conversion therapy in support of a judicious approach to the practice, accurately understood. It reviews past abuses and misunderstandings while considering the merits of conversion therapy and related therapeutic and pastoral approaches. Concerns about gender-affirming interventions are considered, especially for youth and teenagers, and efficacy claims around conversion therapies and related psychotherapies are also discussed.
{"title":"Clarifying Key Issues around Conversion Therapy","authors":"J. McTavish, T. Pacholczyk","doi":"10.5840/ncbq202121453","DOIUrl":"https://doi.org/10.5840/ncbq202121453","url":null,"abstract":"Persons who identity as LGBTQ+ should be treated with respect, compassion, and sensitivity. Under the guise of helping such persons, legislation is surreptitiously appearing in several countries seeking to ban so-called conversion therapy. While the definition of the term remains concerningly vague, the terms of enforcement for alleged offences tend to be precisely delineated, often including provisions that curtail Christian catechesis, teaching, and preaching in the areas of human dignity and sexuality. These problematic and repressive initiatives can prevent access to any psychotherapy that is not strictly gender-affirming. This article reviews and assesses conversion therapy in support of a judicious approach to the practice, accurately understood. It reviews past abuses and misunderstandings while considering the merits of conversion therapy and related therapeutic and pastoral approaches. Concerns about gender-affirming interventions are considered, especially for youth and teenagers, and efficacy claims around conversion therapies and related psychotherapies are also discussed.","PeriodicalId":86269,"journal":{"name":"The national Catholic bioethics quarterly","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70947902","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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