Child Welfare Versus Parental Autonomy: Medical Ethics,The Law,and Faith-Based Healing

Over the past three decades more than 200 children have died in the U.S. of treatable illnesses as a result of their parents relying on spiritual healing rather than conventional medical treatment. Thirty-nine states have laws that protect parents from criminal prosecution when their children die as a result of not receiving medical care. As physicians and citizens, we must choose between protecting the welfare of children and maintaining respect for the rights of parents to practice the religion of their choice and to make important decisions for their children. In order to make and defend such choices, it is essential that we as health care professionals understand the history and background of such practices and the legal aspects of previous cases, as well as formulate an ethical construct by which to begin a dialogue with the religious communities and others who share similar beliefs about spiritual healing. In this paper, we provide a framework for these requirements.     

Taking care of one's own: justice and family caregiving

This paper asks whether adult children have aduty of justice to act as caregivers for theirfrail, elderly parents. I begin (Sections I.and II.) by locating the historical reasons whyrelationships within families were not thoughtto raise issues of justice. I argue that thesereasons are misguided. The paper next presentsspecific examples showing the relevance ofjustice to family relationships. I point outthat in the United States today, the burden ofcaregiving for dependent parents fallsdisproportionately on women (Sections III. andIV.). The paper goes on to use Rawls'theoretical tool of the veil of ignorance toargue that caring for parents should not belinked to a person's sex and more generally,that there is no duty of justice to assume therole of caregiver for dependent parents(Sections V.). Although justice does notprovide the moral foundations for parent care,I show that it nonetheless places importantlimits on the instinct to care. I concludethat the voice of justice should be audible,and is intrinsically present, withinfamilies.     

A Synthetic Approach to Bioethical Inquiry

This paper attempts to sort out some of the current tensions and ambiguities inherent in the field of bioethics as it continues to mature. In particular it focuses on the question of the methodological relevance of theory or ethical principles to the domain of clinical ethics. I offer an approach to reasoning about moral conflict that combines the insights of contemporary moral theorists, the philosophy of American pragmatism, and the skills of rhetorical deliberation. This synthetic approach locates a proper role for moral theory in the practice of clinical ethics, thus linking abstract philosophical ideas about morality, humanity, suffering, and health to specific deeds, actions, and decisions in the concrete lives of particular individuals. The aim of this synthetic approach of bioethical inquiry is a rapprochement between theoretical knowledge in moral philosophy and the contextualized, relational, and practical understanding of what morality demands of us in our daily lives. I argue for a conception of bioethical inquiry that takes morality to be a study of certain practical, socially embedded concerns about matters of right and wrong, good and evil, as well as a study of the moral theories by which these actual concerns can be explored and critically evaluated.     

Gene therapy: ethical issues

To discern the ethical issues involved incurrent gene therapy research, to explore theproblems inherent in possible future genetherapies, and to encourage debate within thescientific community about ethical questionsrelevant to both, we surveyed American Societyof Human Genetics scientists who engage inhuman genetics research. This study of theopinions of U.S. scientific experts about theethical issues discussed in the literature ongene therapy contributes systematic data on theattitudes of those working in the field as wellas elaborative comments. Our survey finds thatrespondents are highly supportive of thepotential use of somatic cell gene therapy tocure serious diseases in adults and children aswell as prospective offspring. A clearmajority, however, believe that using suchgenetic techniques for enhancement purposes isunacceptable. Delineating the line betweendisease/disorder and improvement/enhancementposes a problem not easily resolved and oneconducive to the growth of slippery-slopeapprehensions. The majority of respondents alsoadvocate germ-line therapy, in theory at least,and under similar restrictions, but theyrecognize the roadblock that the existence ofunanticipated negative consequences currentlypresents. Another complex matter involvestrying to determine appropriate reasons forchoosing target diseases for research, forwhich the dichotomy between rare single-geneand common multifactorial diseases reveals anongoing dilemma.     

The Price of Being Conciliatory: Remarks about Mellon's Model for Hospital Chaplaincy Work in Multi-Faith Settings

The intimate connection, within Christianity, of theology andethics is invoked, and the ethical differences between Christiandenominations are exposed, as they present themselves inMellon'scase studies, in order to call attention to the unsolvable dilemmain which hospital chaplains find themselves, if they understandtheir role in a merely conciliatory fashion as that of a "comforter,mediator, educator, ethicist, and counselor". As witnessed bythe Calvinist and Anabaptist traditions Mellon introduces, conceptssuch as "the patient's good" can mean radically different thingsin these theological contexts. Attempting to merely mediatebetween such positions in a spirit of merely generic prayerand on the basis of a merely psychological notion of well-beingposes a risk to chaplains' spiritual integrity and faithfulnessto their mission.     

At Port and at Sea: Early Muslim Presence along the Australian Coastline, 1880–1939

ABSTRACT

This article surveys contact between Muslims and Anglo-Australian settlers from 1880 to 1939 as observed and reported in English-language press by anonymous writers unfamiliar with Islam. The approach is text-based and discursive, and uses previously unresearched archival material to illustrate how Muslims were engaged with and ‘othered’ on the basis of both their races and religion. Content is organized according to state geography – Northern Territory, South Australia, Queensland, New South Wales and Western Australia – rather than chronologically, to better distinguish between Muslim experiences in distinct coastal colonies. Muslim communities clustered around major Australian ports. Ports are boundaries between regions, separated by seas and straits. Their intermediate nature facilitates encounters between persons and groups that are unfamiliar with one another and foreign to each other, who would otherwise not have ongoing contact. Australia may be geographically remote but it is nevertheless a significant theatre for historical encounters between Christians and Muslims.     

Christians and Muslims in Southeast Asia: Attitudes Inherited,Transmitted, Consolidated and Challenged

ABSTRACT

Christians and Muslims have been interacting to varying degrees in Southeast Asia since the fifteenth century. The formative phase of the relationship between the two drew to some extent on attitudes inherited from other regions and other eras. Because of this, narratives of suspicion and hostility have been evident from the earliest interactions up to the present. However, towards the end of the European colonial era, more open and tolerant attitudes were expressed in various literary records, providing the foundations for greater mutual acceptance in the twentieth century.     

The remaining few: Christian Zionists making sense of a changed ecclesiastic landscape

Using a hermeneutical method, this study seeks to understand Christian Zionism as a meaningful practice in late modern Sweden. We visited four Christian Zionist conferences where we observed, analysed the sermons, and conducted interviews. The conferences are almost entirely attended by elderly people and the style is characterized by an old-time revivalist nostalgia. Results show that Israel is seen as a key to understanding a general conflict that the informants experience in late modern Swedish society and in relation to the majority church. Supporting Israel is intertwined with support for conservative values and theology and Israel becomes a nodal point that puts the greater conflict in a new perspective: identifying with Old Testament prophecies and God’s dealings with Israel gives hope and a sense of continuity to a revivalist movement that has become out of date. In Israel, Christian Zionists connect with both the past and the future, personally and as a movement.     

‘To Whom Say You Your Pater Noster?’: Prayer on the Eve of the Scottish Reformation

In 1551, a resident English Dominican, Richard Marshall, sparked a fierce controversy in St Andrews, Scotland, by arguing in a sermon that the Lord’s Prayer, the ‘Our Father’, should be prayed to God only and not to the saints. According to John Foxe, the dispute led to much cursing, a regional synod, and one Franciscan fleeing the city in disgrace. The St Andrews quarrel was one of many controversies about prayer in sixteenth-century Europe. Why was prayer such a contentious topic? Scottish prayer controversies revealed a fundamental struggle between traditional and reformist views over the value of ritual in relating to God. Protestants like George Wishart, Catholic reformers like Marshall and Archbishop John Hamilton, and more radical ‘devotional humanists’ like the poet, Sir David Lindsay, proclaimed new understandings of prayer that undermined the structures of traditional devotion by pitting the personal and vernacular aspect of prayer against priestly Latin ritual.     

Chinese Christian communism in the early twentieth century

This article deals with a unique period in Chinese Christianity in the early twentieth century. During this period a number of Christian theologians engaged actively with communism and Marxist theory. We focus on the work of Wu Leichuan (1870–1944), Wu Yaozong (1893–1979) and Zhu Weizhi (1905–1999), who creatively sought engagements between Christianity and historical materialism and thereby articulated a unique Chinese development, albeit engaged with international currents of thought. The article analyses their varying methods of doing so, their reconstructions of the figure of Jesus and early Christianity, and the efforts to see both the links and differences between Christianity and communism.