医生协助自杀和安乐死:神学和伦理回应

D. Sulmasy
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摘要

在古代,安乐死和理性自杀在某些地方是可以接受的。随着希波克拉底、犹太教、基督教和穆斯林信仰在欧洲和近东扎根,这些做法几乎消失了。然而,到了19世纪晚期,一场要求安乐死和医生协助自杀合法化的政治运动在欧洲和美国开始了。最初,大麻合法化的道路充满了障碍,尤其是在美国。然而,在过去的几十年里,一些西方国家已经将安乐死合法化,一些美国司法管辖区现在已经将PAS合法化,给予这些曾经被禁止的做法国家制裁。随着接受PAS的社会和政治压力的增加,基督徒需要了解如何从明确的基督教角度来思考这个问题。除了合法化问题之外,还有重要的神学和伦理问题。本期特刊旨在解决这些问题,包括:PAS或安乐死的做法如何影响我们对死亡的态度,以及“死得好”意味着什么?作为治疗者,医生是否应该参与帮助那些希望结束自己生命的病人?这些方法与其他在道德上合理的临终关怀中也会导致一个人死亡的做法有显著区别吗?基督徒,无论是作为病人还是作为从业者,都能证明使用这些方法来减轻痛苦是符合信仰的吗?虽然这些问题在辩论中并不新鲜,但随着PAS实践的普及,这些争议得到解决变得越来越重要。
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Physician-Assisted Suicide and Euthanasia: Theological and Ethical Responses
Euthanasia and rational suicide were acceptable practices in some quarters in antiquity. These practices all but disappeared as Hippocratic, Jewish, Christian, and Muslim beliefs took hold in Europe and the Near East. By the late nineteenth century, however, a political movement to legalize euthanasia and physician-assisted suicide (PAS) began in Europe and the United States. Initially, the path to legalization was filled with obstacles, especially in the United States. In the last few decades, however, several Western nations have legalized euthanasia, and several US jurisdictions have now legalized PAS, giving state sanction to these once forbidden practices. With increasing social and political pressure to accept PAS, Christians need to understand how to think about this issue from an explicitly Christian perspective. Independent of the question of legalization, there are significant theological and ethical questions. This special issue aims to address those concerns, including: how does the practice of PAS or euthanasia impact our attitudes toward death, and what does it mean to “die well?” Should physicians, as healers, be involved in assisting patients who wish to bring about their own death? Are these methods significantly distinguished from other ethically justified practices in end-of-life care that also lead to a person’s death? Can Christians, both as patients and practitioners, justify the use of these methods to relieve suffering in this manner as compatible with the faith? Although these questions are not new to the debate, it is increasingly important that these controversies are addressed as the practice of PAS is popularized.
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