The Lost Voice: How Libertarianism and Consumerism Obliterate the Need for a Relational Ethics in the National Health Care Service

This article analyzes the contribution Christian ethics mightbe able to make to the ethical debate on policy and caregivingin health and social care in the United Kingdom. The articledeals particularly with the concepts of solidarity and subsidiaritywhich are essential in Christian social ethics and health careethics, and which may be relevant for the ethical debate onhealth and social caregiving in the United Kingdom. An importantargument in the article is that utilitarian and market-drivenpolicies in the National Health Service (NHS) and the socialcare system have marginalized the position of the elderly andhave seriously impoverished the quality of care for the elderly.The neglect of the elderly and other vulnerable groups is alsothe result of widespread consumerist attitudes among patientsand of libertarian models of noninterference which are affirmedby a public ethos of self-sufficiency and counter-dependency.Those who need care dare not make their need known to othersand ask for help, while simultaneously those who could helpare so intimidated by the public affirmation of privacy andnegative rights that they do not dare to offer help except ifthis is explicitly demanded. This distant and standoffish attitudeis in an important way responsible for the fact that the voiceof those in need is altogether lost to the public forum. Christianethics puts much emphasis on responsibility and solidarity withthe needy other but is not able to have much impact on the deliveryof care in a secularized society and health care system likethe NHS. Nonetheless, Christianity still has a powerful andrespected voice, by speaking up for those who cannot speak forthemselves, such as the elderly and the handicapped. Christianscan find allies in the ethics of care and other relational approachesin health care ethics in order to combat libertarianism, consumerism,and utilitarianism.     

Luther's Small and Large Catechisms: Defining and Confessing Christian Faith From the Centre in a Religiously Plural World

Abstract : In this article, the author argues that in his Small and Large Catechisms, which were both written in 1529, Martin Luther centres the Christian faith in a way that others can recognise as authentic and faithful to the Gospel vis‐à‐vis the relativism that is posited as the appropriate Christian articulation of the Gospel in a world of religious diversity. Luther's non‐negotiable centring on God for us in Jesus Christ, through whom God is uniquely and decisively revealed, speaks to the contemporary intra‐Christian and inter‐religious questions. The author finds evangelical and persuasive resonance in Lesslie Newbigin's call to indwell the Christian story and George Lindbeck's argument to attend to the grammar of the faith.     

Recognition and Social Justice: A Roman Catholic View of Christian Bioethics of Long-Term Care and Community Service

Contemporary Christian ethics encounters the challenge to communicategenuinely Christian normative orientations within the scientificdebate in such a way as to render these orientations comprehensible,and to maintain or enhance their plausibility even for non-Christians.This essay, therefore, proceeds from a biblical motif, takesup certain themes from the Christian tradition (in particularthe idea of social justice), and connects both with a compellingcontemporary approach to ethics by secular moral philosophy,i.e. with Axel Honneth's reception of Hegel, as based on Hegel'stheory of recognition. As a first step, elements of an ethicsof recognition are developed on the basis of an anthropologicalrecourse to the conditions of intersubjective encounters. Theseconditions are then brought to bear on the idea of social justice,as developed in the social-Catholic tradition, and as systematicallyexplored in the Pastoral Letter of the United States Conferenceof Catholic Bishops, Economic Justice For All (1986). Proceedingfrom this basis, aspects of a Christian ethics of communityservice with regard to long-term care can be defined.     

Why ecumenism fails: taking theological differences seriously.

Contemporary Christians are separated by foundationally disparate understandings of Christianity itself. Christians do not share one theology, much less a common understanding of the significance of sin, suffering, disease, and death. These foundational disagreements not only stand as impediments to an intellectually defensible ecumenism, but they also form the underpinnings of major disputes in the culture wars, particularly as these are expressed in healthcare. There is not one Christian bioethics of sin, suffering, sickness, and death. In this article, the character of the moral-theological visions separating the various Christianities and thus their bioethics is examined. Particular emphasis is placed on the differences that set contemporary Western theology at odds with the theology of the Christianity of the first millennium. As is shown, the ground for this gulf lies in the divide between traditional and post-traditional views of the appropriate role of philosophy in theology, a difference rooted in disparate understandings of the meaning of church and of the meaning of the logos, the Son of God.     

The Axes of Debt: A Preface to Three Essays

This is a preface to three essays on different aspects of ontological and economic debt as themes in religious ethics. It frames their contribution by arguing that debt is central to traditions of philosophical and religious ethics yet is woefully neglected as a thematic problem and problematic in contemporary iterations of these traditions. In order to situate debt as a central moral concern, it is argued that any consideration of debt must wrestle with how debt exists on two axes. One is the axis of ontological and economic debt. The other is the axis of debt as an expression of mutuality and debt as a mode of domination. These axes generate deep ambiguities regarding the moral status of debt. But contemporary religious and philosophical ethics struggles to articulate, let alone address, this ambiguity due to being wedded to modern conceptions of the autonomous subject. The essay closes by setting out the themes of the three essays, the connections between them, and how they can be a catalyst for further reflection on this vital but under‐researched topic.     

Family demographic profiles and their relationship with the quality of executive functioning subcomponents in kindergarten

Executive functioning (EF), needed for goal‐oriented behaviour, thoughts, and emotions, is important for various life domains. This study examined the relationship between family demographics and EF subcomponents. A kindergarten sample was tested on subcomponents of working memory, inhibition, and cognitive flexibility. Parents provided information on demographic variables. For 78 children both EF and demographic data were available. First, demographic profiles were identified within the sample. Two profiles were found: A low‐risk profile of mainly two‐biological‐parent, high‐income families with a highly educated mother who did not smoke during pregnancy and a high‐risk profile of low‐income families with a young, low‐educated mother who more often smoked during pregnancy. Second, children with different demographic profiles were compared on EF subcomponents. Results indicate differential relations between family demographics and EF subcomponents: Whereas for most EF subcomponents no association with family demographics was found, high‐risk children performed better on response shifting and tended to perform worse on verbal memory than low‐risk children. Parenting stress decreased performance only for high‐risk children. Although this study found limited impact of family demographics for EF, further longitudinal research can provide nuanced insights about which factors influence specific EF subcomponents during which developmental periods and guide targeted prevention of EF difficulties.     

LETTING REALITY BECOME REAL: On Mystery and Reality in Dietrich Bonhoeffer's Ethics

In Dietrich Bonhoeffer's Ethics the notion of reality plays a central role. The present article focuses on the ethical implications of the Chalcedonian Christology underlying this concept. This approach is tied to the debate on the relationship between the universal and specific identity of Christian social ethics in public discourse. In the opening section the article outlines the pertinence of this debate with regard to Bonhoeffer's Christological ethic. In the following section the article analyzes Bonhoeffer's concept of reality and the implied Chalcedonian traits. With this foundation established the article raises the question about its social ethical implications. The final part of the article argues that Bonhoeffer's ethics and ecclesiology cannot be separated from each other, explaining why Bonhoeffer's notion of reality leads to an assertion of the church's role in letting reality become real. In the light of Bonhoeffer's notion of reality the last section argues for the reconciliation of Christian witness and participation in public discourse.     

JEFFREY STOUT ON DEMOCRACY AND ITS CONTEMPORARY CHRISTIAN CRITICS

Jeffrey Stout addresses two of the main criticisms of liberal democracy by its contemporary neotraditionalist Christian critics: that liberal democracy is destructive of social tradition, and thereby of virtue in the citizenry, and that liberal democracy is inherently secular, committed to expunging religious voices from the public arena. I judge that Stout effectively answers these charges: liberal democracy has its own tradition, it cultivates the virtues relevant to that, and it is not inherently hostile to piety. What Stout does not do, I suggest, is take the next step of showing, positively, that Christianity can and should affirm the substance of liberal democratic society. This is due, in good measure, to the fact that Stout never tells us, except in off‐hand comments, what he takes the substance of liberal democracy to be. And this, in turn, is due to his way of employing pragmatism: he uses pragmatism to give an account of human society generally, not of liberal democratic society. I raise some questions about the general account that pragmatism gives of human society, and thus about the account that it would give of liberal democracy.     

Ecumenism in the 21st Century

This article explores the challenges facing the ecumenical movement at the beginning of the 21st century: global demographic trends and a shift in the centre of gravity of Christianity toward the global South; the need for ecumenical structures and institutions to change in response to new realities; the need to widen the ecumenical fellowship so that Roman Catholics, Pentecostals, and evangelicals who have not played a part in the WCC may participate more fully; the urgency of inter‐religious dialogue; and the need to discover a “spirituality of engagement” in interaction with the world and its people.