Abstract
The controversial Phoenix Hospital case demonstrates that there is significant disagreement in Catholic casuistry on what constitutes intention. Some hold that a causal closeness entails intention, while others deny that there is any necessary connection between causal closeness and intention. One of the strongest supporters of the causal closeness thesis was Elizabeth Anscombe. It will be argued, however, that her works on intention provide support for a position on certain types of cases, such as the Phoenix Hospital case and the termination of an ectopic pregnancy, which contradict intentional killing.