CONTENTS |
Preface ix |
|
Introduction |
|
1. MEDICINE IN SELF-REFLECTION AND INTERDISCIPLINARY DIALOGUE 1 |
1 |
Knowledge of man: the basis of ethics |
6 |
2. THEOLOGY'S CONTRIBUTION TO MEDICAL ETHICS |
11 |
3. THE ETHOS OF THE ETHICIST IN MODERN MEDICINE |
15 |
4. ETHOS, ETHICAL CODE AND THE MORALITY OF THE PHYSICIAN |
23 |
A. The differentiation of ethos, ethical code, medical ethics and the morality of the physician |
23 |
B. The traditional ethos and changing emphases |
25 |
C. The ethos of the physician in view of the new situation |
27 |
D. Ethos versus ethical code |
32 |
E. The medical ethics of the Church and the conscience of the physician |
35 |
F. The conscience of the physician versus the conscience of the patient |
38 |
5. HUMAN NATURE AND THE UNDERSTANDING OF MEDICINE |
42 |
A. 'Nature': the crux of theology, philosophy and medicine |
42 |
1. The concept of nature in theology |
42 |
2. The concept of nature in philosophy |
46 |
3. The concept of nature in medicine |
48 |
B. The concept of the human body and the embodied spirit |
49 |
C. Is there a nature in which we can read God's will? |
53 |
D. Medical manipulation: the search for valid criteria |
58 |
6. THE LIFE OF MAN |
65 |
A. The meaning of bodily life |
66 |
B. Man's stewardship of his life |
69 |
C. Life entrusted to the love and justice of others |
73 |
D. The beginning of human life |
75 |
1. The origin of the genotype |
77 |
2. The time of segmentation |
78 |
3. Implantation |
80 |
4. The cerebral cortex and hominization |
81 |
E. Birth regulation as a medical problem |
85 |
1. Contraception is not abortion |
85 |
2. Biological processes |
86 |
3. Therapy and birth regulation |
87 |
4. Medical enlightenment |
89 |
5. Sterilization |
90 |
6. Artificial insemination |
91 |
F. Abortion |
94 |
1. The malice of abortion |
96 |
2. The certainty of the presuppositions of the Catholic doctrine |
98 |
3. The Catholic position in a pluralistic society |
102 |
4. A sharper distinction between abortion and contraception |
104 |
5. Clearer distinctions of the malice of abortion |
106 |
6. Human being defined |
109 |
7. Moral principles and pastoral counselling |
112 |
8. The morality of legislation |
115 |
7. THE DEATH OF MAN |
120 |
A. The meaning of death |
121 |
B. The doctor and the moribund patient |
125 |
1. The fullness of freedom |
125 |
2. A spirited quest for meaning |
126 |
3. The patient's right to truth |
127 |
4. The physician's rôle following the patient's death |
131 |
C. The moment of death |
131 |
1. Medical breakthroughs |
132 |
2. Brain death = human death |
132 |
3. Biological life prolonged |
133 |
4. Death redefined |
134 |
5. Mechanical support for transferable organs |
136 |
D. Organ transplant |
137 |
E. The prolongation of life |
138 |
1. The newness of the problem |
138 |
2. The ethical right to die in dignity |
140 |
3. Criteria for prolonging life |
140 |
F. Euthanasia |
144 |
1. Distinctions needed |
144 |
2. Negative euthanasia: problems |
145 |
3. 'No' to positive euthanasia |
148 |
G. Merciless killing |
150 |
8 . THE HEALTH OF MAN |
152 |
A. The concept of health and illness |
152 |
1. Health: more than physical fitness |
153 |
2. Health and the pursuit of holiness |
155 |
3. The sense and nonsense of illness |
157 |
4. Illness and temptation |
160 |
5. Sinful failure to accept the meaning of illness |
163 |
6. Redemption and healing |
165 |
B . Psychopathology and psychotherapy |
167 |
1. Psychopathology: neurosis-psychosis |
167 |
2. Psychosomatic illness |
171 |
3. Psychoanalysis and psychotherapy |
172 |
(a) Psychoanalysis |
172 |
(b) Logotherapy |
173 |
(c) The dangers of psychoanalysis |
176 |
4. Psychotherapy and secular pastoral care |
178 |
5. Psychiatry and moral problems |
180 |
6. Therapy: homosexuality and similar disturbances |
184 |
(a) Sex deviants differ |
184 |
(b) Is homosexuality an illness? |
186 |
(c) Therapy |
187 |
7. The therapy of drug addiction and alcoholism |
189 |
(a) The various forms of addiction |
190 |
(b) Crime or sickness? |
191 |
(c) The main causes of the actual situation in drug addiction |
192 |
(d) Therapy |
197 |
C. Various ethical issues in therapy |
198 |
1. The physician-patient relationship |
199 |
2. Professional secrecy |
201 |
3. Informing the patient responsibly |
203 |
4. Treatment constituting a moral risk for the patient |
204 |
5. Painless childbirth |
205 |
6. Plastic (cosmetic) surgery |
206 |
7. Who shall have priority for treatment? |
206 |
D. Experimentation with human beings |
208 |
1. The medical code on experimentation |
209 |
2. Decisive ethical perspectives |
212 |
3. The patient as experimental subject |
213 |
4. Conditions for non-therapeutic experimentation on human beings |
214 |
Bibliography |
219 |
Analytical index |
236 |
Name index |
249 |