Christian Bioethics - recent issues

The Infinite without God: Modernity, Christianity, and Bioethics, Or Why Christianity must be Counter-Cultural in the Contemporary World

Hinkley, A. E. — Thu, 19 Nov 2009 04:01:08 PST

The Failed Search for the Neutral in the Secular: Public Bioethics in the Face of the Culture Wars

Iltis, A. S. — Thu, 19 Nov 2009 04:01:08 PST

Public bioethics focuses on deliberating about, recommending, or establishing social policies or practices concerning health care and biotechnology. A brace of premises underlies much of the work of public bioethics. First, there is the view that, if one approaches reality and human life as if both were without ultimate significance, one will find that one shares a common public bioethics. That is, if one abstains not only from any religious concerns, but even from philosophical reflections on the circumstance that life might have ultimate meaning, one will be able to articulate a common neutral moral perspective that all persons can share and that can be the basis of a common public bioethics. The second premise is that the controversies in bioethics arise from the presence of religious belief, especially Christian belief, which supports a set of moral commitments that generate controversies that make the framing of public policy difficult. The view is that there is significant disagreement among persons who hold religious positions, particularly Christians, and that in public bioethics we should strive to eliminate these controversies by relying on a neutral moral framework. This paper documents and challenges these premises. It demonstrates that Christian bioethics finds itself already embedded in the field of secular moral controversy before it adds the perspectives it brings.

Moral Pluralism, the Crisis of Secular Bioethics, and the Divisive Character of Christian Bioethics: Taking the Culture Wars Seriously

Engelhardt, H. T. — Thu, 19 Nov 2009 04:01:08 PST

Moral pluralism is a reality. It is grounded, in part, in the intractable pluralism of secular morality and bioethics. There is a wide gulf that separates secular bioethics from Christian bioethics. Christian bioethics, unlike secular bioethics, understand that morality is about coming into a relationship with God. Orthodox Christian bioethics, moreover, understands that the impersonal set of moral principles and goals in secular morality gives a distorted account of the moral life. Therefore, Traditional Christian bioethics is separated from bioethics by a radical difference in paradigms.

Biopsychosociospiritual Medicine and Other Political Schemes

Bishop, J. P. — Thu, 19 Nov 2009 04:01:09 PST

In the mid-1970s, the biomedical model of medicine gave way to the biopsychosocial model of medicine; it was billed as a more comprehensive and compassionate model of medicine. After more than a century of disentangling medicine from religion, the medicine and spirituality movement is attempting to bring religion and spirituality back into medicine. It is doing so under a biopsychosociospiritual model. I unpack one model for allowing religion back into medicine called the RCOPE. RCOPE is an instrument designed to categorize religion and spirituality as psychological coping mechanisms. I explore how such instruments are related to the history of statistical measurement and demonstrate the political impetus that governs such enterprises. The biopsychosociospiritual medicine is billed as a more holistic and comprehensive model. This new model of medicine offers total care. However, I demonstrate how this total care becomes totalizing, indeed totalitarian, admitting religion and spirituality back into the fold of medicine under a new secularized medical control.

Religion without God, Social Justice without Christian Charity, and Other Dimensions of the Culture Wars

Cherry, M. J. — Thu, 19 Nov 2009 04:01:09 PST

A truly Christian bioethics challenges the nature, substance, and application of secular morality, dividing Christians from non-Christians, accenting central moral differences, and providing content-full forthrightly Christian guidance for action. Consequently, Christian bioethics must be framed within the metaphysical and theological commitments of Traditional Christianity so as to provide proper orientation toward God. In contrast, secular bioethicists routinely present themselves as providing a universal bioethics acceptable to all reasonable and rational persons. Yet, such secular bioethicists habitually insert their own biases and prejudices into their moral conclusions, ethical consultations, and political aspirations, without any real justification. As this article explores, the ideologically driven anti-Christian commitments, including commitments to human rights and social justice, embodied within contemporary bioethics routinely illustrate the increasing gap between the traditionally Christian and the devoutly secular, further deepening the culture wars.

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Mon, 10 Aug 2009 16:31:22 PDT

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Diakonia II: Caretaking in the Medical Realm and its Political Implementation

Delkeskamp-Hayes, C. — Mon, 10 Aug 2009 16:31:22 PDT

This introduction to Christian Bioethics 15/2 focuses on the challenges which secular moral reconstruction and secular political implementation presents for Christian diakonia. It summarises the various Roman Catholic, Protestant, and Orthodox ways in which Christians’ loving service to the world have been integrated either into the secular state's provision of social welfare or into the Church's liturgical life by the authors of this issue. This summary centres on questions concerning the political nature of Christian charity, its role within the church, the implication of public funding for the integrity of the Christian service, the relationship between love and justice, and the impact of different kinds of feminism on Christian diaconic work.

Love as Evidence for the Truth and the Humanity of Faith: A Roman Catholic Perspective on the Significance of "Caritas" in the Life of the Church

Mette, N. — Mon, 10 Aug 2009 16:31:22 PDT

The article summarizes and critically analyzes the encyclical letter of Pope Benedict XVI "Deus Caritas est." This document discusses "diaconia" in the Roman Catholic Church in view of its biblical and theological foundations, its characteristics, and the position of works of mercy within the general self-understanding of the church. In going beyond the text, the author emphasizes the political dimension of church-based charity, the need to respond to the challenge of the principle of solidarity by contemporary neoliberal tendencies, and the relationship of the church to those employed in the service of her diaconia.

A Commentary to Norbert Mette: "Love as Evidence for the Truth and The Humanity of Faith: On the Significance of 'Caritas' in the Life of the Church"

Reber, J. — Mon, 10 Aug 2009 16:31:22 PDT

This commentary explains how the ecclesiological significance of charity is linked with the Christian option for the poor. It explores reasons for the obvious division of the church into two more or less isolated organizations ("pastoral church" and "caritas church") and looks for ways of bringing these two parts closer together. Secondly, the text emphasizes why spiritual formation among people working for Christian charity organizations is so important, and it specifies under which conditions such a formation (formation of the heart) probably can succeed.

Health and Nurturing for Body, Mind, and Soul: The German Muttergenesungswerk between Family Politics and Health Care

Hofmann, B. — Mon, 10 Aug 2009 16:31:22 PDT

The article argues for a strong connection of spiritual and physical care and investigates the question of state- versus church-related social work through the example of a Lutheran women's organization that offers mothers’ recuperation. Through this example, it becomes obvious that too much involvement of the government is as much an obstacle as too little involvement that leaves the question of standards and regulations to the economic competition of social services.

Majority Church and Welfare in Sweden: Some Reflections on Results from Two Swedish Research Projects: A Response to Beate Hofmann

Leis-Peters, A. — Mon, 10 Aug 2009 16:31:22 PDT

Answering Beate Hofmann's article on mothers’ recuperation in Germany, this response uses the results of two Sweden-based research projects on the changed role of the Church of Sweden and seven more West-European majority churches in welfare society. Special attention is given to the interdependence of national welfare system and theology and to current changes in European welfare systems.

Justice in Care--With Special Regard to Long-Term Care

Johannessen, K. I. — Mon, 10 Aug 2009 16:31:22 PDT

In this article, the relevance of justice in care is discussed, with special regard to long-term care. After a short introduction laying out the conceptual framework of justice and care, followed by an exploration of some special challenges within long-term care, this article consists of two main parts. The first part deals with justice as a general (secular) philosophical phenomenon and draws especially upon principles of justice as developed by John Rawls. Both the principle of fair equality of opportunity and the difference principle, according to which an unequal treatment may be justified, provided that those "worst off" benefit mostly and are relevant within the field of care. The feminist debate about an ethics of care is also considered since its more recent contributions offer interesting attempts to mediate between justice and care. The second part of the article introduces a Christian perspective on justice, with relevance for (long-term) care. From a Christian point of view, one will even more strongly than Rawls argue for a conception of justice, which gives priority to those worst off. It is also argued that justice and care converge in the practice of diakonia. Diakonia, in many traditions synonymous with the caring dimension of the church, always had a special focus on long-term care. In this kind of church-based practice, justice and care are reconciled.

Diakonia, the State, and Ecumenical Collaboration: Theological Pitfalls

Delkeskamp-Hayes, C. — Mon, 10 Aug 2009 16:31:22 PDT

This essay questions the way in which continental Western Christians welcome political implementation (i.e., integration into the publicly funded welfare network and collaboration with heterodox Christians, members of other religions, or irreligious humanitarians) when offering their diaconic services. Among the theological assumptions underlying such reliance from outside the Church, this essay takes special issue with the idea that Christianity's "ethical" commitment to charity can be separated from its spiritual (e.g., liturgical, ascetical, missionary) concerns. Such separation suggests prioritizing charity recipients’ needs over against the framing character of charity providers’ Christian love. On the philosophical level, this same separation refashions Christian philanthropy in terms of a secularly construed "human dignity." This dignity, even though nominally endorsed by the welfare bureaucracy, is however shown to get repudiated by the objectifying and depersonalizing implications of publicly funded social services. On the theological level, the potentially anti-Christian implications of secularly implemented "diakonia" are pointed out. The scriptural bases usually invoked for the prioritizing of needs are exposed as unfit to offer the hoped-for justification. As a result, only, and at most, a very limited, reserved, and watchful material cooperation with the secular state and with those outside the Church is recommended for Christian "diakonia."

Problematic Ideas about Caring: A Mother's Bioethical Notes from Australia

Judd, S. R. — Mon, 10 Aug 2009 16:31:22 PDT

Contemporary ideas about caring in welfare states can wreak havoc if applied to one's own life. In this essay, a mother offers a personal commentary on the debate regarding diakonia and caring. She identifies three concepts, popular in contemporary caring discourse, that threaten her ability to genuinely and effectively care for those around her, particularly her family. The first problematic concept is that the state ought to provide care on our behalf. The second is that people have rights to claim, but no one in particular bears the responsibility. The third is that the Church is responsive rather than normative in the social setting.

European Bioethics II--Disparate Hopes and Fears: An Introduction

Delkeskamp-Hayes, C. — Wed, 08 Apr 2009 09:05:12 PDT

This introduction supplies further bearing points for the conceptual map, which the introduction to the previous issue on European bioethics (2008/1) had provided for sorting out the various dimension in which the essays collected in these issues resemble and differ from each other. Special attention is devoted to communication, as diverse Christianities attend to different purposes, problems, and opportunities for normatively engaging (persuading, influencing, ruling, opposing, and converting) their surrounding secularized cultures. These differences reflect incompatible ways of conceiving Christ's acts of healing, as these provide a model for His disciples' bioethics. These differences also reflect diversely rationalist and noetic epistemologies. The subtext concerns the haunting question about the enduring sustainability of a specifically Christian bioethics in Europe. As Schotsmans opts for a Roman Catholicism that is not recognized as such by his Magisterium, as Muller transforms Protestantism into a religiously nonhostile laicity, as Messer and Silva da Barbosa hope for the prophetic impact of communal "cities on the hill," and as the Orthodox pursue the conversion of Western Europe in Greek, Russian, and Rumanian, ongoing Divine miracles present the most realistic hope.

Christian Bioethics in Europe: In Defense against Reductionist Influences from the United States

Schotsmans, P. T. — Wed, 08 Apr 2009 09:05:13 PDT

Christian ideas have continued to inspire European bioethics until now. The central thesis of this essay is that the open-mindedness of Roman Catholic and other Christian denominations in Europe is crucial for understanding why Christian ethics is so well integrated in the European culture. The essay describes first the institutional frameworks in which these Christian mainly Roman Catholic ideas are developed. It analyzes further the difference between the secular Anglo-American and European bioethics as it has been influenced by these Christian ideas. It finally summarizes the challenges to which Europe's Christian bioethical identity is presently exposed to. The essay states that the Christian inspiration of European bioethics is mainly connected with the ideologically moderate, tolerant, and dialogical participation of Christian bioethicists in the bioethical debate in Europe.

Christian Engagement with Public Bioethics in Britain: The Case of Human Admixed Embryos

Messer, N. — Wed, 08 Apr 2009 09:05:13 PDT

This paper offers an assessment of the prospects for Christian engagement with public bioethical debates in a contemporary British context. One recent example, the debate provoked by proposed legislation for research involving human admixed embryos, is examined briefly. It is argued that this debate has some problematic features that are characteristic of public ethical debates in this context. Next, a proposal is offered as to how such bioethical questions may be approached from within a Christian theological tradition (specifically, a Reformed Protestant tradition). This proposed approach makes use of four "diagnostic questions" to assess whether technological proposals and practices such as the creation of human admixed embryos can be consistent with the distinctive Christian narrative of creation, sin, salvation through Christ, and promised future hope. The final section offers some reflections on how Christians and churches might engage, on the basis of this theological approach, with public ethical debates such as the one about admixed embryos.

How Christian Norms Can Have an Impact on Bioethics in a Pluralist and Democratic Europe: A Scandinavian Perspective

Barbosa da Silva, A. — Wed, 08 Apr 2009 09:05:13 PDT

This article assesses the similarity and difference between the Western European style of doing bioethics and the Scandinavian one. First, it reviews the introductory article by the editor, C. Delkeskamp-Hayes in the first issue of Christian Bioethics (2008), devoted to the possibility of a specifically Christian bioethics in Europe. Second, it analyses bioethics debates in Scandinavian today. In light of Delkeskamp-Hayes' article, the main similarity is that both regions are facing secularization as a threat to basic Christian values, for example, to the Christian view of the sanctity and dignity of the human life. But the Scandinavian tends to reduce Christian bioethics to Luther's concept of the worldly kingdom, supposed to foster a dialogue between Christians and non-Christians on controversial ethical issues. Despite the positive value of the dialogue, this strategy renders Christian ethics powerless. Third, from an evangelical theological standpoint, it proposes some strategies for enhancing the influence of Christian commitments on bioethical laws and policies.

Open "Laicity" and Secularity versus Ideological Secularism: Lessons from Switzerland

Muller, D. — Wed, 08 Apr 2009 09:05:13 PDT

In order to avoid both religious intolerance and religious indifference, we need to develop a positive notion of an open laicity or secularity that permits us to respect our religiously plural as well as secular contemporary situation. Open laicity or secularity is the practical and political consequence of a Protestant theology and spirituality. It represents a critical answer to the disaster of secularism and laicism. Most of the difficulties in the discussion between traditionalist Christians (Orthodox, Catholic, or Evangelical!) and modern, critical Christians (Protestant, Catholic, and maybe some Orthodox too!) come from a confusion between the danger of secularism and laicism, that this article criticizes very deeply, and the positive reality of a secular world, grounded in the very biblical and theological understanding of a created world, in which God has given to all human beings the task to behave in a rational, responsible, creative, and respectful way.

Christian Bioethics in a Western Europe after Christendom

Engelhardt, H. T. — Wed, 08 Apr 2009 09:05:13 PDT

Europe has taken on a new, post-Christian, if not a somewhat anti-Christian character. The tension between Western Europe's ever more secular present and its substantial Christian past lies at the heart of Western Europe's current struggle to articulate a coherent cultural and moral identity. The result is that Western European mainline churches are themselves in the midst of an identity crisis, thus compounding Western Europe's identity crisis. Christian bioethics in Europe exists against the backdrop of these profound cultural cross currents that define the European condition, engender conflicts regarding the meaning of being Western European and being Christian, and bring the public significance and role of Western European bioethics, especially Western European Christian bioethics, into question. The dominant culture of the public forum is post-Christian and post-traditional, although traditional Christianity still asserts its voice. Denis Müller in his paper has clarified the choice between a traditional-fundamentalist Christian Bioethics and a revisionist, progressive Christian Bioethics.