Physician-assisted death: doctrinal develoment vs. Christian tradition.

Physician-assisted suicide offers a moral and theological Rorschach test. Foundational commitments regarding morality and theology are disclosed by how the issue is perceived and by what moral problems it is seen to present. One of the cardinal differences disclosed is that between Western and Orthodox Christian approaches to theology in general, and the theology of dying and suicide in particular. Confrontation with the issue of suicide is likely to bring further doctrinal development in many of the Western Christian religions, so as to be able to accept physician-assisted suicide and euthanasia.     

The Church and the World: Are There Theological Resources for a Common Conversation?

Abortion is an especially salient issue for considering thegeneral problematic of religiously based conversation in thepublic square. It remains deeply divisive, fully thirty-fouryears after Roe v. Wade. Such divisiveness cannot be interpretedas merely an expression of profound differences between "secular"and "religious" voices, because differences also emerge amongChristian denominations, reflecting different sources of moralauthority, different accounts of moral discernment, and differentjudgments about the appropriate relations between law and moralityin the context of pluralism. As this paper explores, however,despite those differences, a generally identifiable "Christian"position concerning the moral status of abortion can be distinguishedfrom secular philosophical judgments on the issue, which isimportant for Christian engagement with public policy debate.     

The ecumenical and non-ecumenical dialectic of Christian bioethics.

Non-ecumenical Christian bioethics will seem a strange category for many. The category relies on the recognition that bioethics mediates morality and ethics in healthcare. As such bioethics will have particular content. It is the content of a moral vision that both divides and unites. The enterprise of non-ecumenical Christian bioethics explores how Christians are both divided and united on the issue of bioethics. Non-ecumenical Christian bioethics is opposed to a facile ecumenism that reduces the content of Christian morality to the lowest common denominator.     

Under the Spell of the Ring

Among orthodox reformed Christians in the Netherlands fierce debates have occurred on moral aspects of Christian life. This essay discusses three major controversial moral issues that are related to conceptions of sex, gender, and sexuality: divorce/remarriage, women’s ordination, and homosexuality. By analysing several contributions to debates on these issues, it proposes and explores a hypothesis that concerns the role of a particular understanding of marriage as characterized by a hermeneutical construct: a communal, deeply rooted and subconscious normative principle that drives our interpretations of texts and practices. This essay illustrates the problems of both the dominance of marriage within Christian communities and lived faith, as well as the modern, romantic aspects of this particular understanding of marriage.     

Moral knowledge: some reflections on moral controversies, incompatible moral epistemologies, and the culture wars.

An authentic Christian bioethical account of abortion must take into consideration the conflicting epistemologies that separate Christian moral theology from secular moral philosophy. Moral epistemologies directed to the issue of abortion that fail to appreciate the orientation of morality to God will also fail adequately to appreciate the moral issues at stake. Christian accounts of the bioethics of abortion that reduce moral-theological considerations to moral-philosophical considerations will not only fail to appreciate fully the offense of abortion, but morally mislead. This article locates the bioethics of abortion within the theology of the Church of the first millennium, emphasizing that abortion was prohibited, whether or not one considered the embryo or fetus to be ensouled.     

Health, fortune, and moral authority in medicine.

The Christian conviction about Divine Providence encourages a novel account of the moral content of health and authority in the health care context. While health can be understood as the disposition of a living body to be able to proceed in the world well, as a species of freedom it is informed by the particular projects and concerns that Christians hold deepest. This is due to the fact that health acquires content, and thus becomes desirable as a particular type of good, only in relation to judgments about the good life. Aquinas' reflections concerning the good of health and its partial slavery to fortune reveal a Christian past that dwelt on the intrinsic and instrumental good of health. A rich Christian tradition in which health as intrinsically good, a good of the body, is ordained to the interests of right Christian virtue. Each of these factors affects the character of the health to be pursued and the authority of the physician as determining the ends and means of medicine.     

Universalism, particularism and the ethics of dignity.

This paper explores the problem of universalism and particularism in contemporary ethics, and its relationship to Christian bioethics in particular. An ethic of human dignity is outlined, which, it is argued, constrains moral discourse in the broad sense--thus meeting the demands of universalism--but which is at the same time amenable to a variety of particularist interpretations--thus acknowledging the current shift toward historicism, traditionalism, and culture. The particularist interpretations that are of central concern here are those provided by historic Christianity. The eventual goal is to indicate how a Christian conception of human dignity can have universal normative relevance both as a standard against which to assess competing particularist conceptions, and as a practical guide for everyday living. A Christian conception of dignity will in turn have significant implications when addressing contemporary issues in bioethics. These are ambitious goals, and a full explication of the ideas presented will not be possible in this context. Nevertheless, there is value in getting a bird's-eye view of the landscape before one goes about scaling the mountains and exploring the valleys. The present essay is intended as a general geography of the moral terrain in which an ethic of dignity in general, and a Christian perspective on dignity in particular, can provide normative guidance.     

Christian bioethics as non-ecumenical.

A community's morality depends on the moral premises, rules of evidence, and rules of inference it acknowledges, as well as on the social structure of those in authority to rule knowledge claims in or out of a community's set of commitments. For Christians, who is an authority and who is in authority are determined by Holy Tradition, through which in the Mysteries one experiences the Holy Spirit. Because of the requirement of repentance and conversion to the message of Christ preserved in the Tradition, the authority of the community must not only exclude heretical teaching but heretical communities from communion. Understanding Christian bioethics requires a focus on the content of that bioethics in terms of its social context within a right-believing, right-worshipping community. Christian bioethics should be non-ecumenical by recognizing that true moral knowledge has particular moral content, is communal, and is not fully available outside of the community of right worship. The difficulty with Roman Catholicism's understandings of bioethics lies not just in its continued inordinate accent on the role of reason apart from repentance (as well as in its defining novel doctrines), but in Roman Catholicism's not recognizing that the contemporary, post-Christian age is in good measure the consequence of its post-Vatican II failure to call for a return to the traditional pieties and asceticisms of the Fathers so that all might know rightly concerning the requirements of Christian bioethics.     

Christians,Muslims, Jews,and their religions

Depending on the context, Christians, Muslims and Jews have constructed their own religion, perceived the religions of others, and articulated relations between religions in different ways. This paper examines the rise in history of the three communities, which came to identify themselves through their religions and have been highly sensitive to differences. It indicates common features and parallels of which adherents may have been more or less conscious. The central question in such research is what persons and groups mean in particular situations when they call themselves Christian, Muslim or Jewish. The variety of personal and group identities in the three religious communities has been concealed partly by religious leaderships concerned with the survival of their flocks, and partly by the use of the general concepts of Christianity, Islam and Judaism with which believers have been called to identify. These concepts have shut people into separate religious pigeonholes and could thus be used to support ethnic, social and other rivalries. This pigeonholing has also confronted more spiritually‐oriented people with problems of social identity, religious belonging and spiritual authenticity.     

Addressing Guilt within the Religious Community: Cyprian of Carthage,Reconciliation, and the Science of Emotion

This article looks at guilt, forgiveness, and “in-group” behavior using Cyprian of Carthage’s response to the third-century persecutions in dialogue with modern psychology and the science of guilt. Using Cyprian’s writings, we see the foundation of much of Christian behavior in regard to inclusion in a Christian community and the theology of penance. The broader issue of inclusivity and forgiveness connects to what evolutionary science presents on the issue regarding guilt and shame, and recent psychological work on achieving reconciliation and forgiveness between persons or in a community. By placing the Christian tradition into dialogue with these modern scientific studies, we find that a fruitful dialogue is possible which enriches both the religious and scientific communities.     

Homosexuality and the Practices of Marriage

The essay considers gay and lesbian relationships in terms of Christian practices of marriage. It treats marriage on three levels as it is understood within the Christian tradition: marriage as a set of practices which contribute to the common good, the morality of the sexual act, and Scripture. The essay concludes that sexual orientation is not a sufficient category for judgments about homosexual relationships, and that the practices of marriage provide clearer moral determinations of particular cases.     

Exemplarity Between Tradition and Critique

Moral exemplarism, which insists on the centrality of particular embodiments of exemplary virtue to the moral life, is currently receiving significant attention within moral philosophy as well as theological and religious ethics. This introductory essay situates the contributions made by this focus issue on moral exemplarity in relation to the history of attention to moral exemplars, the twentieth‐century turn to virtue, philosopher Linda Zagzebski’s exemplarist moral theory, Stanley Hauerwas’s particularist embrace of Christian discipleship, Foucauldian turns to critique and self‐cultivation, and the significance of exemplars in Jeffrey Stout’s democratic piety. Arguing for the critical importance of articulating the authority of exemplars, this essay points to the ways in which the present focus can assist us to navigate between the shoals of nostalgic deference to tradition and dismissive critiques of authoritarianism.     

Feminism and Postmodernism in Susan Frank Parsons

Reviewing The Ethics of Gender, Feminism and Christian Ethics, and The Cambridge Companion to Feminist Theology, the author suggests that Susan Parsons responds to questions postmodernism has posed to both feminism and Christian ethics by using insights gained from various accounts of the moral subject found in feminist philosophy, ethics, and theology. Hesitant to embrace postmodernism's critique of the possibility of ethics, Parsons redefines ethics by establishing a moral point of view within discursive communities. Yet in her brief treatment of Emmanuel Levinas, Parsons does not explore the postmodern option he offers feminists: an understanding of moral responsibility that can be critical of ethics. Parsons also ignores some feminist perspectives in the physical and natural sciences, thereby missing valuable insights of feminists who insist upon the materiality of the body.     

A Catholic perspective on organ sales.

In this article, I address the issue of the sale of human organs and the moral implications of a market in human organs under the aegis of Christian Bioethics. I argue that moral issues of this kind cannot be adequately be addressed from the point of view of moral frameworks, which point exclusively to procedural norms. Rather, a moral perspective must embody some substantive norms derived from a particular content-full moral or theological perspective. This substantive norms to which I appeal in this article are those of Roman Catholicism. The most important sources cited include the works of Pius XIi (1956) and the works of John Paul II (1985 and 1991). The conclusion reached is that not only is it morally permissible for Catholics to participate in a market in organ sales but it may also be prudent public policy.     

Widows, women, and the bioethics of care.

Widows, women, and the bioethics of care must be understood within an authentic Christian ontology of gender. Men are men and women are women, and their being is ontologically marked in difference. There is an ontology of gender with important implications for the role of women in the family and the Church. The Christian Church has traditionally recognized a role for widows, deaconesses, and female monastics, which is not that of the liturgical priesthood, but one with a special relationship to care and therefore with particular implications for health care and a Christian bioethics of care in the twenty-first century. In the shadow of early male mortality, women as wives should turn to support their husbands and as widows to support those in need. Widows, in becoming authentic Christian monastics, can bring into the world an icon of rightly ordered women providing rightly ordered Christian care for those in need. They can enter the moral vacuum created by misunderstandings of the place of women and the service vacuum created by a disappearance of religious nuns in Western health care facilities with a presence that is at one with the Church of the Fathers.     

Whose tradition? Which Enlightenment? What content? Engelhardt, Hauerwas, Capaldo, and the future of Christian bioethics.

The development of a content-full Christian bioethics requires an analysis of the particular contents and traditions which different Christians bring to morality. For Hauerwas, the content of Christian ethics is the speech and practices of the community. For Engelhardt, only a content-full tradition, such as the Orthodox tradition, will be able to arrive at closure on the moral issues presented by the contemporary practice of medicine. Capaldi calls, in contrast, for a Kantian society of autonomous self-legislators whose responsible freedom is grounded in a cosmic order that must be explicated and retrieved in particular practices. The manner in which we view our own traditions and the shortcomings of modernity determine the content that Christianity brings to bioethics.     

WHETHER SPIES TOO CAN BE SAVED

Spies, like soldiers, do a job and employ tactics that need justifying. I offer an argument for how Christian ethics may handle the moral problems of spying and do so by looking at the morally troubling tactics used by spies through the eyes of those who played an important role in shaping Christian theology and philosophy and have become normative in Christian moral thinking on the use of force. I argue that spying may be justifiable when we conceive the profession as a kind of use of force that is governed by the just war criteria. Spying is a particular kind of use of force that takes its moral character from those who authorize it, with what justification, to what ends, and with what methods. Particular attention is given to the tactics of disregarding the rules of war, the telling and living of lies, running covert operations, and assassinating military and political leaders.     

Growing up gay and religious. Conflict,dialogue, and religious identity strategies

Homosexuality has become a divisive issue in many religious communities. Partly because of that, individuals growing up in such a community and experiencing same sex attractions need to negotiate the messages about homosexuality with their own experiences. This paper explores the identity strategies of religious communities as the background of individual identity struggles. Following a discussion of Bauman's grammars of identity/alterity, it describes four different discourses employed in conservative protestant and evangelical circles: holiness, subjectivity, obedience, and responsibility and four modes of negotiation: Christian lifestyle, gay lifestyle, commuting (compartmentalisation), and integration. By combining an analysis of discourses on the community level with individual strategies, this narrative research helps to better understand the interactions of (group) culture and individual coping.     

Christian bioethics, secular bioethics, and the claim to cultural authority.

Though the papers in this volume for the most part address the question, "What is Christian about Christian Bioethics", this paper addresses instead a closely related question, "How would a Christian approach to bioethics differ from the kind of secular academic bioethics that has emerged as such an important field in the contemporary university?" While it is generally assumed that a secular bioethics rooted in moral philosophy will be more culturally authoritative than an approach to bioethics grounded in the contingent particularities of a religious tradition, I will give reasons for rejecting this assumption. By examining the history of the recent revival of academic bioethics as well as the state of the contemporary moral philosophy on which it is based I will suggest that secular bioethics suffers from many of the same liabilities as a carefully articulated Christian bioethics. At the end of the paper I will turn briefly to examine the question of how, in light of this discussion, a Christian bioethics might best be pursued.