Markwell H J, Brown B F
Centre for Clinical Ethics, Providence Centre, St. Joseph's Health Centre and St. Michael's Hospital, Toronto, Ont.
CMAJ. 2001 Jul 24;165(2):189-92.
There is a long tradition of bioethical reasoning within the Roman Catholic faith, a tradition expressed in scripture, the writings of the Doctors of the Church, papal encyclical documents and reflections by contemporary Catholic theologians. Catholic bioethics is concerned with a broad range of issues, including social justice and the right to health care, the duty to preserve life and the limits of that duty, the ethics of human reproduction and end-of-life decisions. Fundamental to Catholic bioethics is a belief in the sanctity of life and a metaphysical conception of the person as a composite of body and soul. Although there is considerable consensus among Catholic thinkers, differences in philosophical approach have given rise to some diversity of opinion with respect to specific issues. Given the influential history of Catholic reflection on ethical matters, the number of people in Canada who profess to be Catholic, and the continuing presence of Catholic health care institutions, it is helpful for clinicians to be familiar with the central tenets of this tradition while respecting the differing perspectives of patients who identify themselves as Catholic.
在罗马天主教信仰中,存在着悠久的生命伦理推理传统,这一传统体现在圣经、教会博士的著作、教皇通谕文件以及当代天主教神学家的思考中。天主教生命伦理学关注广泛的问题,包括社会正义和医疗保健权、保护生命的义务及其限度、人类生殖伦理和临终决策。天主教生命伦理学的核心是相信生命的神圣性以及将人视为身体与灵魂复合体的形而上学观念。尽管天主教思想家之间存在相当大的共识,但哲学方法的差异在特定问题上引发了一些不同意见。鉴于天主教对伦理问题思考的影响深远的历史、加拿大自称天主教徒的人数以及天主教医疗机构的持续存在,临床医生在尊重自认为是天主教徒的患者的不同观点的同时,熟悉这一传统的核心原则是有益的。