Sterilizations reconsidered?

Cowdin and Tuohey argue for a rethinking of Catholic bioethical principles and the Church's moral authority. Citing the Second Vatican Council for support, they argue that if the Church were to respect the proper autonomy of medicine, it would allow sterilizations. In this essay I argue against Cowdin and Tuohey's understanding that the Church has derived its moral laws independent of consultation with medicine and that it treats medicine simply as a source of technical expertise. I also argue that they misunderstand that nature of autonomy as well as the Church's position regarding the type of autonomy they request for medicine. I will especially argue against their understanding of the principles of totality and double effect as "dispensations" from the moral order. I conclude that they have provided no grounds to cause the Church to reconsider its condemnation of all sterilizations.     

Medical Ethics Research Between Theory and Practice

The main object of criticism of present-day medical ethics is the standard view of the relationship between theory and practice. Medical ethics is more than the application of moral theories and principles, and health care is more than the domain of application of moral theories. Moral theories and principles are necessarily abstract, and therefore fail to take account of the sometimes idiosyncratic reality of clinical work and the actual experiences of practitioners. Suggestions to remedy the illnesses of contemporary medical ethics focus on re-establishing the connection between the internal and external morality of medicine. This article discusses the question how to develop a theoretical perspective on medical ethical issues that connects philosophical reflection with the everyday realities of medical practice. Four steps in a comprehensive approach of medical ethics research are distinguished: (1) examine health care contexts in order to obtain a better understanding of the internal morality of these practices; this requires empirical research; (2) analyze and interpret the external morality governing health care practices; sociological study of prevalent values, norms, and attitudes concerning medical-ethical issues is required; (3) creation of new theoretical perspectives on health care practices; Jensen's theory of healthcare practices will be useful here; (4) develop a new conception of bioethics that illuminates and clarifies the complex interaction between the internal and external morality of health care practices. Hermeneutical ethics can be helpful for integrating the experiences disclosed in the empirical ethical studies, as well as utilizing the insights gained from describing the value-contexts of health care practices. For a critical and normative perspective, hermeneutical ethics has to examine and explain the moral experiences uncovered, in order to understand what they tell us.     

Ethics,policy, and rare genetic disorders: the case of Gaucher disease in Israel

Gaucher disease is a rare, chronic,ethnic-specific genetic disorder affecting Jewsof Eastern European descent. It is extremelyexpensive to treat and presents difficultdilemmas for officials and patients in Israelwhere many patients live. First, high-cost,high-benefit, but low volume treatment forGaucher creates severe allocation dilemmas forpolicy makers. Allocation policies driven bycost effectiveness, age, opportunity or needmake it difficult to justify funding. Processoriented decision making based on terms of faircooperation or decisions invoking the ``rule ofrescue' risk discriminating against minoritieswho may already suffer from inequitabledistribution of heath care resources. Apartfrom cost, Gaucher disease prompts questionsabout abortion. Unlike severe geneticdisorders, Gaucher offers no grounds forabortion and, in many ways, is analogous togender based abortions that are prohibitedregardless of fetal age. Finally, Gaucherraises concerns about the disclosure of geneticinformation. These affect potential carriersasked to participate in population studies andcarriers and patients who must considerdisclosure to others. These concerns weigh theright to privacy against communal interests andbilateral commitments.     

Conflict of interest from a Romanian geneticist’s perspective

This paper examines Romanian bioethics regulations for biomedical sciences, looking in particular at the genetics area as a source for conflict of interest. The analysis is focused on the organizational level, national regulations, the sources for generating conflicts of interest, and management of conflicts. Modern biotechnology and gene technology are among the key technologies of the twenty-first century. The application of gene technology for medical and pharmaceutical purposes is widely accepted by society, but the same cannot be said of the development and application of gene technology in agriculture and food processing. Because the use of a technology in the production and processing of food is regarded more sceptically than in the production of biomedical products, there can be areas of conflict in many cases when communication is undertaken about gene technology in the agro-food sector. Ethical concerns play an important factor in this, but a society’s attitude to a developing technology is an amalgam of many effects which are beyond ethics as such. This paper contains a study carried out by the author for the Romanian Association for Consumer Protection about the attitudes of consumers towards genetically modified (GM) foods. This study revealed that in Romania more than 98% of consumers did not know anything about GM foods and frequently were confused about the definitions of these terms. In conclusion, it is necessary to say that there is a low level of knowledge regarding biotechnology in Romania and this is an important reason why there is neither public acceptance of gene technology products nor is there a rejection. An earlier version of this paper was presented at an International Conference on “Conflict of Interest and its Significance in Science and Medicine” held in Warsaw, Poland on 5–6 April, 2002. Ioana Ispas, MD in Molecular Biology, is a scientific researcher and Member of the Romanian Association for Consumer Protection, NCP for FP5-Quality of life and management of living resources.     

Theological Ethics, Moral Philosophy, and Natural Law

The article deals with the relationship between theological ethics and moral philosophy. The former is seen as a theoretical reflection on Christian ethics, the latter as one on secular ethics. The main questions asked are: (1) Is there one and only one pre-theoretical knowledge about acting rightly? (2) Does philosophy provide us with the theoretical framework for understanding both Christian and secular ethics? Both questions are answered in the negative. In the course of argument, four positions are presented: theological ‘unificationism’, philosophical ‘unificationism’, theological ‘separationism’ and Lutheran ‘dualism’. It is argued that the latter position is most convincing. It is dual in the sense of being both a theory of Christian ethics and of including a recognition of natural law. Hence, it unites a particularistic and a universalistic point of view. In the last section a reformulation of the Lutheran position is attempted in making use of the ethical theory of Knud E. Løgstrup's The Ethical Demand.     

Academic Theology Centered on Practical Theology

This article argues that there are considerable advantages for society, university, theology and the church to conduct theological research and education of pastors at a secular state university like the University of Copenhagen. The disadvantage is foremost that learning from a practice‐theory‐practice model is not found in theological education at the secular university. In the case of Denmark, this is, however, more due to the theology and set up of the church than to the university, where it is commonplace to integrate practice in academic studies.     

The Politics of Human Embryonic Stem Cell Research in South Korea: Contesting National Sociotechnical Imaginaries

To many commentators outside South Korea, the Hwang Woo Suk scandal involving human embryonic stem cell (hESC) research was just another spectacular case of misconduct in the life sciences. As such, it is generally assumed to have revealed the drawbacks of research in scientifically and ethically less-developed societies. Such thinking ignores the history, sophistication, and distinctive features of the public debate over hESC research in South Korea. Disputes over the social and ethical implications of hESC research had taken place for some time before the scandal erupted. Moreover, unlike in some other countries, where resistance to hESC research was prompted by religious conservatives, the most serious critique of the country's rapid move into the field came from progressive social movement activists—including feminists and environmentalists. These activists were, in fact, part of the non-governmental organization coalition to impose stricter social controls on biotechnology. This campaign was motivated by broader political and social concerns beyond specific biosafety or bioethical issues. The activists involved in the coalition feared that the capitalist–developmentalist drive toward biotechnology would threaten the public interest and democracy, and ultimately block South Korea's road to becoming a democratic nation founded on the values of social justice, equality, participation, and sustainability. In contesting South Korea's prevailing approaches to hESC research, they challenged, albeit unsuccessfully, the dominant ‘national sociotechnical imaginary’ that articulates the role of science and technology in relation to the future survival and well-being of the nation primarily in terms of its industrial competitiveness.     

Religion and rights: Is there still room for Christianity at the table?

Drawing on recent discussions about issues relating to sexual and reproductive rights in the Jamaican print and broadcast media, this article highlights the interplay between Christianity, activism and rights talk. This interplay is being framed in the local print media as a debate between two dominating hegemonic forces: on the one hand, between more ‘conservative’ and ‘fundamentalist’ Christian theological beliefs and, on the other hand, those who subscribe to what may be characterised as more ‘liberal secular fundamentalist’ viewpoints. This polarisation ignores some conciliatory scenarios that exist within other segments of Caribbean societies, theology included, that provide beneficial approaches to rights talk and work. The endeavours of some Jamaican church folks have converged with those of progressive right defenders, or, where such endeavours predate contemporary rights activism or have no direct contact with it, they might at least be viewed as benign by those who espouse such activism.     

Exploring identities between the religious and the secular through the attendees of an ostensibly ‘Atheist Church’

The Sunday Assembly has a complex relationship with atheism and religion. It holds events which look and feel like religious worship, but uses this format to create a ‘godless congregation’. Described as an ‘atheist church’ by the media, members prefer to talk about inclusive communities. If the Sunday Assembly simultaneously embraces and rejects both atheism and religion, then how do attendees identify and describe themselves? We add to the growing literature exploring identities between the religious and the secular, presenting a qualitative study based on interviews with Sunday Assembly attendees. We interrogate three concepts: non-religion, the secular sacred and indifferentism to examine how the identity of Sunday Assembly attendees can be better understood. Our findings show that a significant number of attendees publicly identify as indifferent towards religion, while privately maintaining a more strongly non-religious identity, thus suggesting that for Sunday Assembly attendees, inclusivity is imperative.     

SSSR Presidential Address Public Religions and the Postsecular: Critical Reflections

The term “postsecular” is proliferating in the writings of scholars working in the humanities and social sciences. This article assesses the variety of meanings attributed to the term, groups them in six clusters of ideas, and raises questions about the tensions that exist between some of its different meanings. Taking the central idea that religions enjoy relatively high visibility in the public sphere of postsecular societies, the article then considers how well this applies to the case of Britain. It argues that the visibility of religion in Britain's public sphere—far from being postsecular in any of the current meanings of the term—is actually associated with the state's “interpellation” of selected religions as partners in the delivery of public policies for managing diversity, combating inequality, and promoting social enterprise.