Paul T. Schotsmans; The Ethical Claim of a Dying Brother, Christian bioethics: Non-Ecumenical Studies in Medical Morality, Volume 9, Issue 2-3, 1 January 2003.

The case of Mrs A is a provocative example of euthanasia by advance directive to avoid increasingly severe dementia. It is also a ‘perfect storm’ of a disturbing case, revealing both the challenges that can arise with advance euthanasia directives generally and particular issues in the Dutch procedures. Kim, Miller and Dresser have done a distinct service to bioethics in detailing the case, in explaining the basis of the regional euthanasia review committee reprimand of the administering geriatrician and in highlighting (...) some significant deficiencies in Dutch procedures.1 Many readers, after encountering the case, may find themselves sceptical that AEDs can be an ethically viable vehicle for avoiding living into severe dementia. I will argue that caution and care, not resistance to AEDs for dementia, is in order. Real dilemmas of implementation are inherent in advance directives, to be sure, dilemmas that can be aggravated by a patient’s dementia. Yet much can be done in writing an AED to make its implementation in dementia less problematic, and the Dutch emphasis on intolerable suffering as a necessary condition for euthanasia is not the appropriate legal framework. The difficulties in the case begin with the directive itself. Any advance directive, whether for refusing lifesaving treatment or for physician-assisted death, needs to be clear about what is and is not to happen and when. At first Mrs A’s directive seems to provide a trigger point: ‘I want to make use of the legal right to … euthanasia when I am still at all mentally competent and am no longer able to live at home with my husband. I absolutely do not want to be placed in an institution for elderly dementia patients’. In a revision added a year before her death, the time had become ‘whenever I think the time …. (shrink)

In using quality of life as a guide to rationing health services, Oregon laid itself open to charges of bias against the disabled—charges that cannot be dismissed out of hand.

Since it may seem strange for a new series to begin with volume 3, a word of explanation is in order. The series, Philosophy and Technology, inaugurated in this form with this volume, is the official publication of the Society for Philosophy & Technology. Approximately one volume each year is tobe published, alternating between proceedings volumes - taken from contributions to biennial international conferences of the Society - and miscellaneous volumes, with roughly the character of a professional society journal. The (...) forerunners of the series in its present form were two proceedings volumes: Philosophy and Technology (1983), edited by Paul T. Durbin and Friedrich Rapp, and Philosophy and Technology //: Information Technology and Computers in Theory and Practice (1986), edited by Carl Mitcham and Alois Huning - both published (as volumes 80 and 90, respectively) in the series, Boston Studies in the Philosophy of Science. The Society for Philosophy & Technology, now more than ten years old, is devoted to the promotion of philosophical schalarship that deals in one way or another with technology and technological society. "Philosophical scholarship" is interpreted broadly as including contribu tions from any and all perspectives; the one requirement is that the schalarship be sound, and all contributions to the series are subject to rigorous blind refereeing. "Technology," the other half of the philos ophy-and-technology pairing, is also construed broadly. (shrink)

Refusal of lifesaving treatment, and such refusal by advance directive, are widely recognized as ethically and legally permissible. Voluntarily stopping eating and drinking is not. Ethically and legally, how does VSED compare with these two more established ways for patients to control the end of life? Is it more questionable because with VSED the patient intends to cause her death, or because those who assist it with palliative care could be assisting a suicide?In fact the ethical and legal basis for (...) VSED is virtually as strong as for refusing lifesaving treatment and less problematic than the basis for refusing treatment by advance directive. VSED should take its proper place among the accepted, permissible ways by which people can control the time and manner of death. (shrink)

Volume 20, Issue 8, August 2020, Page 80-82.

An assumed core of normative ethical principles may constitute a philosophically proper framework within which public policy should be formulated, but it seldom provides any substantive solutions. To generate public policy on bioethical issues, participants still need to confront underlying philosophical controversies. Professional philosophers' proper role in that process is to clarify major philosophical options, to press wider-ranging concistency questions, and to bring more parties into the philosophical debate itself by arguing for particular substantive claims. Though questions of fact that (...) mediate final policy conclusions frequently fall outside philosophical competence, one sort of fact, lack of political support, should seldom cause philosophers to stand aside; philosophers still have an important role as critics of culture, politics, and profession. They have no authority, however, on even the philosophical presuppositions of public policy. Keywords: bioethics, philosophy, public policy CiteULike Connotea Del.icio.us What's this? (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 285 than" which is both immanent and transcendent, a kind of "coincidentia oppositorum" beyond logic and definition. It is the realm of the "person" within which, although the tragic conflict is not resolved, there arises the free self from whose non-dual perspective the unity and eternity of life are seen. Within this realm the individual gains an illumination the result of which is "amor fad," his free (...) decision to affirm his being. In this act of decision lies the "meaning" and "value" of life. The substance and point of Miss Bauer's book is to show the connection between the metaphysical ground of Simmel's concept of the tragic and its manifestations in different aspects of human experience. Her account is especially interesting in her chapter on the "tragic opposition" in which as an example of a tragic personality she cites Socrates who, by his refusal to flee from his prison, freely embraced his fate and, by choosing to die, confirmed his decisive, binding truth that the heavenly powers remain silent to the questions asked by a doubting and despairing humanity. His act declares that the individual must really stand alone in the world, taking counsel only from himself. Miss Bauer's book is written with a sympathetic understanding of Simmel's philosophy. By opening our eyes to the significant in human existence she succeeds in showing file relevance of his thought to our time. RIA STAVR1DES Vassar College Dialogo con Maurizio Blondel. By Michele Federico Sciacca. (Milano: Carlo Marzorati Editore, 1962. Pp. 159. L. 1300.) Sciacca has gathered here various articles which he had written about Blondel as well as new notes about this French thinker. Blondel struggled against the cult of science seeking to vindicate man's religious needs. Man longs for an end which transcends the natural order. Hence philosophy cannot ignore religion which points to a supernatural human destiny. According to Blondel, God is the only Word which answers the search of man and makes his action both fruitful and progressive. PAUL T. FUHRMANN Columbia Theological Seminary Essays in Ontology. By E. G. Allaire, M. Brodbeck, R. Grossman, H. Hochberg, R. G. Turnbull. Vol. I, Iowa Publications in Philosophy. (The Hague: Martinus Nijhoff, 1963. Pp. 216.) Essays in Ontology is the introductory volume of a new series of monographs to be published by the Department of Philosophy at the University of Iowa. The first volume, as its title indicates, is a collection of essays whose authors are closely affiliated with the Iowa Philosophy Department, being faculty members there now (Allaire and Turnbull) or former students (Hochberg, Grossman, and Brodbeck). Considered as a representative display of talent, the collection is somewhat unbalanced, since twelve of the fourteen papers are by three of the contributors, Allaire, Grossman, and Hochberg, while the other two are contributed by Brodbeck and Turnbull. It is also a matter of some disappointment that eleven of the fourteen papers have seen the light of print elsewhere; although this feeling is somewhat offset by the impact of sustained inquiry into one philosophical problem which the papers make when brought together in this way. The three new papers are "Particulars and... (shrink)

The business ethics field contains a number of explanations for the imagination’s influence on decision-making. This has benefited moral theorizing because approaches that utilize the imagination tend to acknowledge important biological and psychological forces that influence the way we understand situations, develop strategies for problem-solving, and choose courses of action. But, I argue, the broad range of approaches has also served as an obstacle to theory development in the field. Given the variety of theoretical and disciplinary approaches, coupled with the (...) diversity of applications, it would be fair to judge the current state of theory as fractured. To bring focus to theory development, this conceptual study of the moral imagination is grounded in the work of one discipline, one theorist, one text: Plato’s Republic. The primary outcome of this study is the demonstration of the conditions under which the imagination serves to augment and support rationality rather than serving as an impediment. The systematic nature of Plato’s theory aids in the formation of more coherent conceptual grounding than currently available in the field. A final contribution of this study is the positioning of Plato as a proper beginning or foundation to any further theory development in the moral imagination. (shrink)

The Big Bang is a myth, says Paul Brockelman in this fascinating look at the spiritual side of modern cosmology. But it is a myth in the best sense--a fully realized creation story, one that, for all its scientific origins, has the power to transform us spiritually. In Cosmology and Creation, philosopher and religious scholar Brockelman seeks to bridge the gap between the scientific and the spiritual, to bring together the head and the heart. We have isolated the two (...) realms from each other for so long, he argues, that we have begun to lose a mystical sense of our place in the universe. But Brockelman believes that contemporary physics has advanced far beyond the mechanical view of nature, as propagated in the Enlightenment; the cosmology of the Big Bang has fostered a new way of understanding existence itself. To illustrate, he examines creation myths of the past, showing how they transcend simple explanations of the world to provide a deeper understanding of what our lives mean. And the fifteen-billion-year tale of the universe embraced by scientific cosmology serves precisely the same purpose, Brockelman claims; it bears a close resemblance to classic creation myths--and, indeed, it can transform our inner relationship with nature. The new scientific cosmology, Brockelman argues, offers something never before seen in human history: a scientifically accurate understanding of the entire universe and a spiritual vision of a "wider order of being" to which we all belong. Passionate and provocative, Cosmology and Creation promises to spark a lively debate about the new links between science and religion. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 125 to such a future contingent event, not only does such an event not exist now, it does not even exist in its causes now, and this for the reason that no sufficient causes of the event exist now. Accordingly, if someone were merely to make a guess to the effect that the sea-fight will occur tomorrow, and the fight actually does occur, it still could not (...) be maintained that the original guess at the time it was made was therefore true. It simply could not have been true, because at the time of its assertion there literally was no evidence of any kind that could have rendered it true. Nevertheless, modern logicians have generally been so dead set against the notion that the truth or falsity of a proposition could ever be relative to the time when the proposition was uttered that they seem scarcely to have taken account of a consideration such as the foregoing. Nor is it likely that with the publication of this excellent translation of St. Thomas's commentary, such critics will begin to take account of this Thomistic argument even now. Somehow, one is reminded of Dr. Johnson's purported remark, "Sir, I can only give a man a reason, not an intelligence!" HENRY VEATCtt Northwestern University Pascal e Nietzsche. Scritti di E. Castelli, H. Gouhier, A. del Noce, H. Birault, K. Takeno, K. LSwith, J. D~lhomme, G. Vattimo, R. Boehm, G. Morra. (Padova: Cedam; Casa Editrice Dott. Antonio Milani, 1962. Pp. 218. = Archivio di Filosofia. Organo dell'Istituto di Studi Filosofici. Anno 1962. No 3. L. 2000.) This issue of the Archivio di Filosofia offers essays by the various authors indicated in the title above. Pascal and Nietzsche are here brought together because of what they have in common, that is, suffering, restlessness, dissatisfaction with the human condition, the historical sorrow of post-Copernican man, a paradoxical and chaotic thought. Both Pascal and Nietzsche urge man to measure the real by the possible and not the possible by the real and to risk the present certainties for the uncertainty of the future. They dislodge man from his ordinary seat and launch him on the risky adventure and great experiment of real existence. PA~L T. FUHRMANN Columbia Theological Seminary Pierre Bayle and Voltaire. By H. T. Mason. (Cambridge: Oxford University Press, 1963. Pp. xv -k 163.) Pierre Bayle and Voltaire confronts the ideas of the two philosophers and formulates some prudent conclusions about their relationship. Since Bayle's works run to nine long folio volumes and Voltaire's come to fifty quartos in the Moland edition, one cannot help but be impressed by the magnitude of Professor Mason's undertaking and by his ability to reduce his findings to a book of just over one hundred and fifty pages. In the case of Bayle and Voltaire, the basic facts concerning influence are readily available. We know what works of Bayle's were in the library at Ferney; we can see the pages the Enlightenment philosopher marked as he read; we have almost two hundred references to Bayle in Voltaire's works and letters (listed chronologically by Mason in an appendix); and critical editions, such as Morize's Candide and Lanson's Lettres philosophiques, have disclosed how consistently Voltaire turned to the Dictionnaire historique et critique or other works from Bayle's pen for information. Yet, when dealing with passages that seem to rely on Bayle for factual content, a scholar runs into many hazards. Voltaire may draw his data from Bayle, from Bayle's source, from an intermediary, or from an outside source. We know that he consulted Richard Simon, Spinoza, Dora Calmet, and Dr. Astruc as well as Bayle for his Biblical criticism. Therefore, it is very frequently impossible to be sure just how much Bayle's thinking... (shrink)

Almost all jurisdictions where physician-assisted death is legal require that the requesting individual be competent to make medical decisions at time of assistance. The requirement of contemporary competence is intended to ensure that PAD is limited to people who really want to die and have the cognitive ability to make a final choice of such enormous import. Along with terminal illness, defined as prognosis of death within six months, contemporary competence is regarded as an important safeguard against mistake and abuse, (...) arguably the strongest objections to legalizing PAD.The insistence on contemporary competence is problematic. It means that someone who has dementia is ruled out as a candidate for PAD, even if she is terminally ill and suffering terrible and unrelievable pain. It also rules out individuals with strong and unwavering desires not to end their life in dementia. (shrink)

A Time for Wisdom is for a beleaguered audience that wants to cultivate this virtue and elevate themselves above the noise and toxicity of the modern world. Written by a pair of psychologists, it unpacks the research that has been conducted on the subject in recent years but that hasn't been communicated to readers in a relevant way. What's more, the book takes our current scientific understanding and integrates it with timeless concepts of wisdom that have, for millennia, guided men (...) and women through life's troubles. With this as their foundation, the authors lay out four practices to pursue wisdom in our daily lives. These include receiving knowledge; practicing detachment; experiencing tranquility, and cultivating transcendence. These are profound and spiritual ideas that can quiet the shallow cacophony of the crowd and bring us inner peace. The authors make these practices clear and accessible and show us the immense satisfaction we can enjoy by aspiring to live by them. A Time for Wisdom is an invitation to step outside the circus of contemporary life, to break free from its fanfare of foolishness. It commends a course of action towards the Good, the True, and the Beautiful, towards calm and clear moral reasoning. And it gives us a recipe for self-transcendence so that we-like the great sages and scientists before us-can rise above the immediacy of the moment and a taste of the numinous and the infinite. (shrink)

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Competent patients have considerable legal authority to control life‐and‐death care. They may refuse medical life support, including medically delivered food and fluids. Even when they are not in need of any life‐saving care, they may expedite death by refusing food and water by mouth—voluntarily stopping eating and drinking, or VSED. Neither right is limited to terminal illness. In addition, in four U.S. states, competent patients, if terminally ill, may obtain lethal drugs for aid‐in‐dying.For people who have dementia and are no (...) longer competent, however, control over the end of life is much less extensive. They may have written a clear advance directive for refusing life‐saving care in specified circumstances yet subsequently find themselves living for years in severe dementia with no need for life‐saving care that could be refused. Chronic progressive dementia is not itself life threatening until its very final stage. Even in jurisdictions that permit active aid‐in‐dying, individuals with advanced dementia are not eligible; they lack the required current competence, and they are seldom deemed terminally ill. As for the right to VSED, its very name—voluntarily stopping eating and drinking—is seen as excluding noncompetent persons.One option for ensuring that one does not live years in severe dementia is to use advance directives to withhold food and water by mouth. The driving element behind VSED is that forcing people to ingest food is as objectionable an intrusion on bodily integrity, privacy, and liberty as imposing unwanted medical treatment. Thus, if incompetent people do not lose their rights to refuse life‐saving treatment, and if people when competent have just as strong a right to VSED as they do to refuse life‐saving treatment, then people do not lose their right to VSED when incompetent either. They only have to exercise it by AD. (shrink)