Suffering, sovereignty, and the purposes of God: Christian convictions and medical killing.

Despite a variety of "non-ecumenical" features in Christian arguments about suicide, assisted suicide, and euthanasia, there are obvious "ecumenical" aspects to be found in the general Christian prohibition of these practices. A fair reading of the Christian tradition requires that we acknowledge both the differences that distinguish particular perspectives and the fundamental themes that allow an identifiably Christian position to emerge in stark contrast to the secular discussion of these issues. Central to Christian interpretations of dying and death are an acknowledgment of God's sovereignty over human life, an understanding of suffering that stresses identification with Christ as the source of Christian hope, and the recognition that God's creative and redemptive purposes are generally (or always) at odds with the deliberate choice of assisted suicide or euthanasia.     

Suffering the Promise of God: Engaging Oswald Bayer

This article examines Oswald Bayer's wide‐ranging constructive appropriation and application of Luther's theology of the Word. Bayer grounds theology in the divine word of promise, understanding theology and the Christian life as a vita receptiva in which human action is, from first to last, responsive. He pits Luther against modern theological evasions of the Word in his insistence on the distinctively Christian pathos of existence, and his ethic of categorical gift reflects this. I conclude with a commendation of Bayer's theology of the Word, a question about the relation between God's revelation and hiddenness and a concern that he may at times compromise the definitive self‐revelation of God in Christ.     

Observations on the rejection of physician-assisted suicide: a Roman Catholic perspective.

Roman Catholic moral theology follows a centuries-old tradition of moral reflection. Contemporary Roman Catholic moral theory applies these traditional arguments to the realm of medical ethics, including the issues of active euthanasia and physician-assisted suicide. Unavoidable moral limits on licit medical intervention sometimes require that the moral duty to treat cede to the duty to cease treatment when measures become more harmful than beneficial to the patient. This does not reduce the need for the compassionate use of palliative care in response to suffering. However, it does mean that rather than being excessively committed to maintaining mere biological human life, or actively seeking death, that we learn a sober realism about the limits of human life. Catholic moral analysis examines an act objectively, both in its relation to the agent and as a material event in the world. This allows both the virtuous or vicious intentions of the agent and the effects of the action to be included in its moral evaluation. Thus, Catholic moral analysis is both quasi-deontological and quasi-consequentialist. Objectively, active euthanasia and physician-assisted suicide, as acts of deliberate killing, are seen as repugnant, in that they fail to incarnate a benign inner intention or to form an agent in virtue. Catholic moral theology is extremely skeptical that an act of intending death directly can be consonant with a sincere compassion for the dying, suffering person and views it as a direct negation of the precious gift of human life.     

Between Hippocrates and God: Ugandan mental health professional's views on suicide

A negative attitude towards suicide is generally assumed to be predominant in low-income countries. In order to understand the negative attitude in general it is necessary to look at how religion and morality influence the attitudes. Our aim in this qualitative interview study was to investigate what attitudes professional mental health workers in Uganda bear towards suicide and suicidal persons. The professionals argue for their attitude by employing religious, communal and medical ethics arguments, which draw both in a negative and positive direction. The professionals are in general unambiguously negative towards suicide and positive towards suicidal people who are mentally ill. In cases other than mental illness non-accepting attitudes surface. This is discussed against previous research showing that effective treatment of suicidal people is to be based on a trusting and accepting relationship.     

God and free speech: A quaker perspective on the Satanic Verses controversy

This paper offers a Quaker perspective on the issues raised for British society by the Satanic Verses controversy. It is argued that the Quaker rejection of coercive power is founded upon the story of Jesus Christ. The origins of Quaker attitudes to free speech are located in seventeenth‐century Puritanism, arguing that Quakers share with Western secular defenders of free speech an internalization of the blasphemy taboo which issues in intolerance of anything held sacred. Furthermore, free speech rhetoric tends to ignore the power relations which sustain free speech in particular contexts. This is a neglect which, coupled with a secularized theory of race relations that ignores religious factors, renders its protagonists incapable of addressing anti‐Islamic prejudice, a phenomenon illustrated from press coverage of the controversy. The implications of this argument for British society and Quakers in particular are then considered. It is argued that an extension of legislation covering incitement to racial hatred to religion is the most appropriate legal response, but the greatest need is educational. Quakers and other Christian groups need to develop their own theological response to avoid passively replicating the dominant view in society.     

Youth suicide: a cross-cultural perspective

Changes in the suicide rate of teenagers and young adults internationally from 1970 to 1980 were examined. Twenty-three nations experienced an increase (with Norway experiencing the largest percentage increase), while six experienced a decrease. Unlike general suicide rates, teenage suicide rates were not related to the quality of life in the nations surveyed.     

God,mother and me: An object relational perspective on religious material

This essay addresses the problem of finding a theologically and psychologically adequate listening perspective from which to interpret religious imagery in counseling contexts. The essay proposes that the revision of psychoanalytic theory broadly termed object relations theory, with its attention to the distinctive inner representational world of each individual, may provide just such a resource. This perspective adopts Freud's basic insights on the genetic origins of the individual's God representation in the family romance, but avoids the reductionism of the Freudian position by positing a different understanding of fundamental human motivation, namely that it involves the creation and maintenance of a sense of being a self-in-relationship. The essay considers how the psychic representation of God may therefore be understood to function in this life of the self and illustrates this by reference to a clinical case from the work of D.W. Winnicott and a case from pastoral work.     

Female suicide and wife abuse: a cross-cultural perspective

Data from a number of societies, including North America, indicate that wife abuse may be one of the most significant precipitants of female suicide. Anthropological analysis indicates that in some societies female suicide is a culturally recognized behavior that enables the weak to influence the strong and/or take revenge on those who oppress them. Case studies from West New Britain Province in Papua New Guinea and comparisons with data from other societies suggest that if a woman's support group does not defend her when she is the victim of violence that passes the bounds of normative behavior, her suicide may be revenge suicide, intended to force others to take vengeance on the abusive husband. Research focused on the relationship between domestic violence and female suicide should be a priority of anthropologists as well as suicidologists.     

Disease, suffering, and sin: one Anglican's perspective.

This article explores some of the implications of understanding sin as failure of perception. The theological underpinning of the argument is the choice made in the Garden of Eden to eat the fruit of the tree of knowledge rather than the fruit of the tree of life, or wisdom. This has led to distorted perception, in which all things are seen as having separate, independent existences rather than joined together by their common divine source and their deep interrelatedness in the covenant made with God. The article discusses the fascination with the principle of respect for autonomy in the light of this theology. It also looks at perceptions of the HIV/AIDS crisis in Africa. It finishes with a definition of repentance that makes right perception possible.     

Evaluation of the effectiveness of suicide prevention programs: a methodological perspective

Many studies that attempt to evaluate the effectiveness of treatment programs for suicidal patients are methodologically deficient in one or more areas. This paper outlines six criteria that should be met in designing such investigations: Patients should be randomly assigned to groups; at least 80% of the subjects who were initially enrolled should be followed up; the results should be both statistically significant and clinically important; all clinically relevant outcomes should be reported; the patients must be adequately described; and the new intervention should be feasible in other settings. It is shown that these criteria are both necessary and achievable.