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天主教神学与“死亡权利”

Catholic theology and the "right to die".

作者信息

Coleman G D

出版信息

Health Prog. 1985 Mar;66(2):28-32, 48.

Abstract

Catholic moral theology teaches that life is sacred but not absolute. Because life and all activities are subordinated to spiritual ends, it is moral to allow oneself to die when efforts to prolong life will bring no significant benefit and may even make it more difficult to finish life in peace, composure, and union with God. This is not the moral equivalent of suicide, but rather an acceptance of the human condition. In making such a decision, the distinction between morally ordinary and extraordinary means is crucial and based on the patient's total good. Ordinary means are those which offer a reasonable hope of benefit without excessive expense, pain, or other inconvenience. Extraordinary means are those which cannot be obtained without excessive burden or which, if used, would not offer a reasonable hope of benefit. Whether a medical procedure is standard or experimental does not, from a moral viewpoint, affect whether it is ordinary or extraordinary. In Catholic teaching, the patient has the paramount right to decide whether life-preserving measures will be used. If the patient is unable to make this decision, then the family should make it as the patient's representative.

摘要

天主教道德神学教导说,生命是神圣的,但并非绝对。由于生命和所有活动都从属于精神目的,当延长生命的努力不会带来显著益处,甚至可能使平静、安宁地离世以及与上帝合一变得更加困难时,允许自己死亡是合乎道德的。这并非等同于自杀的道德行为,而是对人类状况的一种接纳。在做出这样的决定时,道德上普通手段与非凡手段之间的区别至关重要,且基于患者的整体福祉。普通手段是指那些在不过度耗费、痛苦或带来其他不便的情况下,能提供合理获益希望的手段。非凡手段是指那些不承受过度负担就无法获得的手段,或者即便使用也不会提供合理获益希望的手段。从道德角度看,一项医疗程序是标准的还是实验性的,并不影响它是普通手段还是非凡手段。在天主教教义中,患者拥有决定是否采用维持生命措施的首要权利。如果患者无法做出这一决定,那么家属应以患者代表的身份做出决定。

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