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Assisted Suicide and Euthanasia: A Natural Law Ethics Approach [Pehme köide]

As medical technology advances and severely injured or ill people can be kept alive and functioning long beyond what was previously medically possible, the debate surrounding the ethics of end-of-life care and quality-of-life issues has grown more urgent. In this lucid and vigorous book, Craig Paterson discusses assisted suicide and euthanasia from a fully fledged but non-dogmatic secular natural law perspective. He rehabilitates and revitalises the natural law approach to moral reasoning by developing a pluralistic account of just why we are required by practical rationality to respect and not violate key demands generated by the primary goods of persons, especially human life. Important issues that shape the moral quality of an action are explained and analysed: intention/foresight; action/omission; action/consequences; killing/letting die; innocence/non-innocence; person/non-person. Paterson defends the central normative proposition that ’it is always a serious moral wrong to intentionally kill an innocent human person, whether self or another, notwithstanding any further appeal to consequences or motive’.

Arvustused

'At a time when the issues of euthanasia and assisted suicide are before legislators and the courts, and when public debate is dominated by religious advocates and anti-religious secularists, it is particularly welcome to have a careful and well constructed presentation of a purely philosophical defence of the idea that it is always wrong to intentionally kill an innocent person as a means to an end, even an otherwise benign one. Craig Paterson sets out an account of moral reasoning that is of broad interest and shows how it can be applied in cases relating to the end of life. A very clear, useful and timely contribution.' John Haldane, University of St Andrews, UK 'There are few more significant contemporary public policy debates than the debate about whether voluntary euthanasia and/or physician-assisted suicide should be decriminalised. Sadly, much of the literature amounts to little more than an emotional polemic in favour of decriminalisation; there are relatively few books which advance a philosophical case against decriminalisation. This is one of the few. Building on the recent renaissance of natural law theory, the book advances a serious, secular natural law argument against decriminalisation. Not all its arguments will attract universal assent (even from natural law theorists) but the book is, nevertheless, a welcome contribution to the debate.' John Keown, Rose F. Kennedy Professor of Christian Ethics, Georgetown University, USA 'Dr. Paterson is writing on a question of undoubted practical importance - and considerable theoretical importance as well. His argument is dispassionate, thorough, theoretically sophisticated, and usually convincing. In the course of making his case against euthanasia and assisted suicide, he makes a provocative case for a determinedly secular version of natural law. I highly recommend the book to all those interested in either bioethics or natural law moral theory.' Professor Philip Devine, Providence College, USA

Preface and Acknowledgments ix
Introduction
1(14)
Contemporary Debate
1(1)
Natural Law Ethics
2(5)
Suicide, Assisted Suicide and Euthanasia
7(6)
Subsequent Arrangement of the Book
13(2)
Justifications for Suicide, Assisted Suicide and Euthanasia
15(26)
Introduction
15(1)
Invalid Religious Arguments
16(1)
Inconsistency in Killing
17(1)
A Life Worth Living
17(4)
Arguments from Self-Determination
21(6)
Rejection of Double Effect Reasoning
27(5)
Politics, Anti-Perfectionism and Neutrality
32(9)
A Revised Natural Law Ethics
41(32)
Introduction
41(1)
Secular not Supernatural
41(2)
Non-natural not Natural
43(5)
Whose Practical Rationality?
48(1)
The First Principle of Practical Rationality
48(2)
The Primary Goods of Persons
50(5)
Non-Primary or Secondary Goods
55(4)
Pluralism and Normative Theory
59(4)
Key Requirements of Practical Rationality
63(10)
The Good of Human Life
73(30)
Introduction
73(1)
Action Types
74(2)
Elements of an Action
76(1)
Normative Demands
77(4)
Negative Demands and Concrete Moral Absolutes
81(4)
Killing and Double Effect Reasoning
85(10)
Disaster Escape Clauses
95(8)
Suicide, Assisted Suicide and Voluntary Euthanasia
103(26)
Introduction
103(1)
Species of Homicide
103(2)
Better Off Dead?
105(1)
Quality-of-Life
106(3)
Killing and Letting Die
109(3)
Intentional Killing and Personal Autonomy
112(8)
Some Interesting Cases from the Literature
120(9)
Non-voluntary and Involuntary Euthanasia
129(26)
Introduction
129(1)
Already Dead
129(3)
Not All Humans Beings Are Persons
132(7)
Anencephalic Infants, PVS Patients and Non-voluntary Euthanasia
139(9)
Involuntary Euthanasia
148(7)
State Intervention and the Common Good
155(26)
Introduction
155(1)
Anti-Perfectionism and State Authority
156(9)
Liberal Perfectionism
165(2)
Natural Law Ethics and the Common Good
167(6)
Slippery Slopes
173(8)
Conclusion 181(4)
Bibliography 185(26)
Index 211
Craig Paterson is a Fellow of the Royal Society of Arts (FRSA), a fellow of the Royal Society of Medicine and an independent scholar. Previously he was engaged in Information Science research at the University of California, Los Angeles, USA and was previously an Assistant Professor of Philosophy at Providence College, USA.