Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force

Abstract

The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient’s ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities.     

Beyond the Boundaries of Current Human Nature: Some Theological and Ethical Reflections on Transhumanism

Following a brief overview of the emerging transhumanist vision, Childs turns to a theological and ethical assessment. He recommends that there take place a community‐wide conversation over the prospects of a post‐human future that includes both nerds and theologians along with all stakeholders in a healthy human future. Christians should be guided by the eschatological values that inform love's commitment to the common good. How does the common commitment to justice take concrete shape in public policies governing the mounting advances in science and technology? How does the commitment to life and healing speak to the ethical distinction between the uses of biomedical technology for therapy versus for enhancement?     

The Theological Misappropriation of Christianity as a Civilizing Force

The theological misappropriation of Christianity as a civilizing force occurs when individuals convert to Christianity due to deception that ignores the faith-based aspect of Christianity. The history of Western education in India illustrates the hidden curriculum that Christian missionaries employed to disrupt the Indian educational system. This unnerving pedagogy points to the need for a postcolonial theoretical framework that relates the inescapable hybridity of religion and culture where Orientalism has the potential to occur. To press the ongoing urgency of this discussion, I convey how the history of British India connects to my lived-reality as an American Hindu. Overall, I point to hybridity as a lived paradox of ambiguous conflict that embraces interfaith relations. I offer implications for Christian missionaries today to foster authentic interfaith connections without engaging in colonizing ideologies.     

The Destiny of Creation: Theological Ethical Reflections on Laudato Si'

In this essay, I ask what the precise relation is between Laudato si's theology and its claims about our individual and corporate responsibility for the environment and the plight of the poor. To do so, I first clarify the relationship between the theological claims and its account of moral norms, situating the text within the history of western ethical theory. I then turn to reconstruct the submerged theology of the encyclical, focusing on Pope Francis's accounts of the techno‐economic paradigm and the possibility of an “integral ecology” paradigm. I end by assessing the text in terms of the coherence and plausibility of its argument as an ethical and theological statement.     

Contextuality and Catholicity: The Task of Orthodox Theology in Ecumenical Theological Education

The essay unfolds theological foundations for theological education in ecumenical perspective from Orthodox perspectives seeing it as a worldwide enterprise fundamental to the mission of the church, not in its institutional character, but in its eschatological awareness of being a foretaste of the Kingdom of God. The relation between early ecumenical optimism and enthusiasm towards the goal of the visible unity of the church and the wide application of contextuality, i.e. the recognition of the contextual character of theology as a method from the 1970s onwards is discussed. According to the Orthodox perspectives, the ecumenical movement has lost its momentum and coherence and its determination for the quest of visible unity with the predominant acceptance of contextuality as the guiding principle in ecumenical discussions and theological education. The author argues that Orthodox theology has to deepen the understanding of its own contextuality and soften the existing antithesis between contextuality and catholicity of theology and theological education. Orthodox perspectives should underline the relevance of a fundamental unity of divine revelation, as represented in the broad understanding of Christian tradition, which is for the entire created world, not only for believers and which is challenging both a potential distortion, wherein unity is identified with the maintenance of denominational loyalty, as well as all contextual expressions of Christian theology with regard to their relation to the overall goal of church unity. The paper concludes with a plea for all Orthodox theological education to be of some real service to the church in deciding to deal both with current issues (to be contextual) and not to lose sight of the past (to be oriented to catholicity and church unity), to both open up to ecumenical theological education while at the same time maintaining a strong commitment to the common church tradition.     

Sculpted Shame: Experiential Learning and Pastoral Theology's Role as a Reconciling Force in Theological Education

Pastoral Psychology -     

The Ethical, Legal, and Social Implications Research Program at the National Human Genome Research Institute

Organizers of the Human Genome Project (HGP) understood from the beginning that the scientific activities of mapping and sequencing the human genome would raise ethical, legal, and social issues that would require careful attention by scientists, health care professionals, government officials, and the public. The establishment of the ELSI (ethical, legal, and social implications) programs at the National Human Genome Research Institute (NHGRI) and the Department of Energy (DOE) was thought to be vital to the success of the HGP in the United States. It also provided a novel approach to the simultaneous study of ethical, legal, and social issues and basic scientific issues. Eric Juengst, the first director of the ELSI program, described its origins in a previous issue of the Kennedy Institute of Ethics Journal (Juengst 1991). Now in its seventh year, the ELSI program has accomplished much. This article summarizes the evolution and goals of the ELSI program at NHGRI, outlines the program's current research priorities with examples of activities within each priority area, and provides a look to the future, including the initiation of a strategic planning process.     

The Role of Memory in the Tower of London Task

The Tower of London (TOL) task is widely used as a neuropsychological test of planning. Relatively little is known of the cognitive components of the task, and in particular the role of memory in performance. The current studies on normal adults looked at the role of verbal and spatial working memory in the TOL. The effects of verbal and visuospatial dual-task manipulations on TOL performance were examined in an experiment with 36 participants. Both verbal and visuospatial executive secondary tasks caused poorer performance on the TOL; however, concurrent articulatory suppression enhanced performance. The results suggest that executive and spatial components are important in the task, and raise questions about the role of preplanning in the TOL.     

“The Only Safe Guide is Love”: Models of Engaging Luther's Ethical Hermeneutic for Theological Responses to the Affirmation of Same‐Sex Sexuality

Lutheran theological discussions over the morality of same‐sex sexuality not only raise “ethical” questions, but point to deeper interpretive tensions that arise when resources of the tradition are interpreted in new contexts. Responding to these debates, in this article I propose that Luther's application of the law to challenging ethical situations provides a historically situated hermeneutic that can redirect theological discussions on same‐sex sexuality. Drawing upon feminist Lutheran and queer theological work, I consider how we may reengage with Luther in a way that is both faithful to his commitments, and also takes queer people seriously as moral subjects.     

The Role of Organization in the Learning of a Sensori-Motor Task

Two experiments investigated the ability of five- and six-month-old Guatemalan infants to discriminate human faces visually and to associate faces and voices differing in age and sex. The 32 infants in Experiment I discriminated between photographs of a man, a woman, and a seven-year-old boy. They did not, however, discriminate between photographs of two men, two women, or of two seven-year-old boys. The 24 infants in Experiment II were presented three different pairs of photographs of faces. One pair consisted of a man and a woman, another of a woman and a child, and the third of a man and a child. Voices appropriate to each pair of photographs accompanied the presentation of the visual stimulus. Looking at the woman and child seemed to be influenced by the presentation of a woman's voice and a boy's voice. Appropriate voices did not alter looking behavior with regard to the woman and man or the man and child.     

视觉感觉记忆在字音选取作业中的作用

该研究通过四项实验探讨了视觉感觉记忆(VSM)在字音选取作业中的作用。实验材料为48个汉字。实验结果表明:当被试只能利用短时记忆(STM)中的信息进行选取作业时,能选取的汉字数与转换到STM中的汉字数之间无显著性差异;当被试可以同时利用VSM和STM中的信息时,能选取的汉字数要显著多于转换到STM中的汉字数。这表明,人能根据字音特征从VSM信息中选取字符。     

The Effects of Force and Direction Uncertainty on Choice Reaction Time in an Isometric Force Production Task

The two experiments reported examined the temporal organization of force and direction motor-programming processes in a step-input tracking type task. Both experiments observed a reduction in reaction time in the direction-uncertain conditions compared to the direction-certain ones. Thus it seems as though the direction decision does not have to precede the selection of the proper amount of force. Experiment 2 observed an underadditive interaction between levels of direction uncertainty (certain or uncertain) and levels of force uncertainty (certain or uncertain). This interaction was interpreted as support for a parallel organization of the processes responsible for the programming of force and direction and thus, strongly supports the parallel model of programming recently proposed by Klapp (1977a, b).     

The Human Mind in This World and the Next: Scientific and Early Theological Perspectives

The understanding of the mind usually adopted within the current science-theology dialogue is questionable. It fails to take into account something necessary to provide a non-reductionist understanding of religious faith: what in ancient and medieval theology was termed the nous. While this concept may require re-interpretation for our present age in terms of a different philosophical framework, any recognition of its reality will have a major impact on two aspects of current discussion: our response to philosophical idealism and our understanding of the eschatological state.     

The Last Shall Be First: Human Potential in Genetic and Theological Perspectives

The notion of “human potential” provides a fruitful window through which to explore the competing conceptual frameworks of contemporary genetics and Christianity. The contemporary cultural frame of genetics conceives of human potential in a broadly positive manner: the source of personal and societal flourishing is located within individual bodies, waiting to be identified and unleashed by genetic science and medicine for the good of persons and society. In the Judeo-Christian narrative, human individual, biological potential is far less relevant—and, in fact, may be construed as an impediment to the achievement of personal and social flourishing. Implications for the dialogue between genetics and religion are discussed.