Personhood and Health Care PDF
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PERSONHOOD AND HEALTH CARE INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Editors DAVID C. THOMASMA, Loyola University, Chicago, U.S.A. DAVID N. WEISSTUB, Universite de Montreal, Canada THOMASINE KIMBROUGH KUSHNER, University ofCalifornia, Berkeley, U.S.A. Editorial Board SOLLY BENATAR, University ofCape Town, SouthAfrica JURRIT BERGSMA, Rijksuniversiteit Utrecht, The Netherlands TERRY CARNEY, University ofS ydney, Australia UFFE JUUL JEN SEN, Universitet Aarhus, Denmark GERRIT K. KIMSMA, Vrije Universiteit, Amsterdam, The Netherlands EVERT VAN LEEUWEN, Vrije Universiteit, Amsterdam, The Netherlands DAVID NOVAK, University ofToronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University ofP adua, Italy ROBYN SHAPIRO, Medical College ofWisconsin, Milwaukee, U.S.A. VOLUME7 PERSONHOOD AND HEALTH CARE by DAVID C. THOMASMA Loyola University Chicago Medical Center; Maywood, IL, U.S.A. and DAVID N. WEISSTUB University ofM ontreal School ofM edicine, Montreal, Quebec, Canada and CHRISTIAN HERVE Universite Paris Rene Descartes, Paris, France ... " SPRINGER-SCIENCE+BUSINESS MEDIA, B.V. A C.I.P. Catalogue record for this book is available from the Library of Congress. ISBN 978-90-481-5858-4 ISBN 978-94-017-2572-9 (eBook) DOI 10.1007/978-94-017-2572-9 Printed on acid-jree paper All Rights Reserved © 2001 Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 2001 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner. TABLE OF CONTENTS DEDICATION ACKNOWLEDGMENTS CONTRIBUTORS PREFACE ............................................................ 1 David C. Thomasma, David N. Weisstub, Christian Herve HOMAGE TO YVES PELICIER .......................................... 9 Christian Herve PART ONE: Concepts 0/ the Person CHAPTER 1: The Development ofthe Concept ofPersonhood .................. 13 Jean Delumeau CHAPTER 2: Persons .................................................. 19 Lenn E. Goodman CHAPTER 3: The Human Person as The Image of God ....................... 43 DavidNovak CHAPTER 4: The Person ............................................... 55 Jean Bernard CHAPTER 5: The Failure ofTheories ofPersonhood .......................... 59 Tom L. Beauchamp CHAPTER 6: Personhood: The Vain and Pointless Quest for aDefinition ......................................... 71 Edmund L. Erde CHAPTER 7: Genetic Knowledge and Our Conception ofOurselves as Persons .................................. 91 Tuija Takala CHAPTER 8: The Concept ofthe Person and the Value ofLife .................. 99 JohnHarris vi PART TWO: Theories ofP ersonhood in Medicine and Bioethics CHAPTER 9: The Just and Medical Ethics 115 Paul Ricoeur CHAPTER 10: The Concept ofPerson in Bioethics: Impasse and Beyond ......... 121 Hubert Doucet CHAPTER 11: Towards a Social Concept ofPerson ......................... 129 Ruud H.J ter Meulen CHAPTER 12: A Key Term in Ethics: Tbe Person and His Dignity .............. 137 Simonne Plourde CHAPTER 13: The Confucian Relational Concept of the Person and Its Modem Predicament .............................. 149 Jiwei Ci CHAPTER 14: Tbe Traditional African Perception ofa Person ................. 165 Godfrey B. Tangwa CHAPTER 15: Tbe Anthropological Concept ofModem Medicine in the Perspective of Tbeological Ethics ..................... 173 Ulrike Kostka PART THREE: Person and Identity CHAPTER 16: The Pro ce dural Morphing ofthe Person: From Selfto Property ................................... 191 Judith Lee Kissell CHAPTER 17: Personal Identity and Mental Health .......................... 203 Eric Matthews CHAPTER 18: Tbe Person, Filiation, Possession: Conceming Dissociative Identity Disorder (DID) ....................... 213 Jean Guyotat CHAPTER 19: Moral and Metaphysical Reflections on Multiple Personality Disorder ............................. 221 David C. Thomasma vii CHAPTER 20: Personhood and a Paradox About Capacity .................... 243 Jeffrey Spike CHAPTER 21: Precedent Autonomy and Personal Identity .................... 253 Michael Quante CHAPTER 22: Some Reflections on the Problem of Advance Directives, Personhood, and Personal Identity ......................... 265 HelgaKuhse PART FOUR: Personhood and fts Relations CHAPTER 23: Cloning, Naturalness and Personhood ........................ 281 Matti Häyry and Tuija Takala CHAPTER 24: Vulnerable Persons ....................................... 299 Michel Silber/eid CHAPTER 25: Human Dignity, Vulnerability, Personhood ., .................. 317 David N. Weisstub and David C. Thomasma CHAPTER 26: Personhood and Relational Persons .......................... 333 Constance K. Perry CHAPTER 27: Professionalism and Personhood ............................. 347 M Gregg Bloche and Kevin P. Quinn CHAPTER 28: Autonomy and Dialogue: About the Patient-Doctor Relationship ............................... 355 JohnNessa CHAPTER 29: The Medical Interpretation ofPain and the Concept ofPerson ................................ 363 Guillermo Diaz Pintos CHAPTER 30: Suffering, Time, Narrative and the Self ....................... 373 Lazare Benaroyo INDEX ............................................................. 383 DEDICATION To our children and grandchildren, that they may be blessed by good friends and loves to grow in stature as human persons. ACKNOWLEDGMENTS We could not have assembled this book without the help of four essential people. Judith Lee KisseB, Ph.D., of Creighton University, aided us in editing key chapters while Diane Kondratowicz, M.A., Ph.D. (Cand.); at Loyola, helped edit the entire manuscript and formulated our Introduction. Of course, we remain responsible for any errors. George Tomossy, lD., of the International Academy of Law and Mental Health, assisted us by helping plan the International Preconference in Paris hosted by Professor Herve that led to the development ofthis book. Last, but not least, Robbin Hiller, senior secretary at Loyola, also helped copyedit and worked her magic to get the manuscript ready for publication. She was our principal agent in working with all our contributors and the Press. We also want to thank our Universities and the donors of our respective Chairs for the support that makes our collaboration possible. We are grateful as weIl for our editor at the Press, Anne Ultee, and her assistant, Helen van der Stelt, who were so supportive of this book and the series itself. Thank you to aB! David C. Thomasma Chicago, I1Iinois David N. Weisstub Montreal, Quebec Christian Herve Paris, France CONTRIBUTORS Tom L. Beauchamp, Ph.D. Hubert Doucet, Ph.D. Senior Research Scholar Director, Program in Bioethics Kennedy Institute ofEthics Professor Professor of Philosophy Faculty ofMedicine and Theology Georgetown University University ofMontreaI Washington, DC., USA Canada Lazare Benaroyo, M.D. Edmund L. Ede, Ph.D. Charge de cours cl la Faculte de medecine Professor Mectecine generale FMH Departrnent ofFamiIy Medicine Switzerland University of Medicine & Dentistry ofNew Jersey Jean Bernard, M.D. School of Osteopathic Medicine Professeur de Medecine New Jersey, USA Membre de l' Academie Fran9aise France Jean Guyotat, M.D. Professeur honoraire de psychiatrie M. Gregg Bloche, M.D., J.D. Universite LYON I Professor of Law France Georgetown University Adjunct Professor John Harris, Ph.D. Department ofHealth Policy Sir David Alliance Professor Johns Hopkins University of Bioethics Washington, D.C., USA Director Centre for Social Ethics and Policy Jiwei Ci, Ph.D. Director Associate Professor Institute ofMedicine Law and Bioethics Department ofPhilosophy University of Manchester University of Hong Kong England Hong Kong Matti Häyry, Ph.D. Jean Delumeau, Ph.D. Professor Professeur au College de France Department of Philosophy France University of Helsinki Senior Research Fellow Guillermo Diaz Pintos, J.D., Ph.D. Academy of Finland Professor Helsinki, Finland Titular de Filosofia deI Derechio Facultad de Perecho y Ciencia Sociales University ofCastilla-La Mancha La Mancha, Spain
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