Bresnahan James F
Christ Bioeth. 1995 Dec;1(3):256-84. doi: 10.1093/cb/1.3.256.
Roman Catholic moral theology follows a centuries-old tradition of moral reflection. Contemporary Roman Catholic moral theory applies these traditional arguments to the realm of medical ethics, including the issues of active euthanasia and physician-assisted suicide. Unavoidable moral limits on licit medical intervention sometimes require that the moral duty to treat cede to the duty to cease treatment when measures become more harmful than beneficial to the patient. This does not reduce the need for the compassionate use of palliative care in response to suffering. However, it does mean that rather than being excessively committed to maintaining mere biological human life, or actively seeking death, that we learn a sober realism about the limits of human life. Catholic moral analysis examines an act objectively, both in its relation to the agent and as a material event in the world. This allows both the virtuous or vicious intentions of the agent and the effects of the action to be included in its moral evaluation. Thus, Catholic moral analysis is both quasi-deontological and quasi-consequentialist. Objectively, active euthanasia and physician-assisted suicide, as acts of deliberate killing, are seen as repugnant, in that they fail to incarnate a benign inner intention or to form an agent in virtue. Catholic moral theology is extremely skeptical that an act of intending death directly can be consonant with a sincere compassion for the dying, suffering person and views it as a direct negation of the precious gift of human life.
罗马天主教道德神学遵循着有着数百年历史的道德反思传统。当代罗马天主教道德理论将这些传统论点应用于医学伦理领域,包括主动安乐死和医生协助自杀等问题。合法医疗干预中不可避免的道德限制有时要求,当治疗措施对患者的伤害大于益处时,治疗的道德义务要让位于停止治疗的义务。这并不减少出于同情使用姑息治疗以应对痛苦的必要性。然而,这确实意味着,我们不应过度执着于维持仅仅是生物意义上的人类生命,也不应积极寻求死亡,而是要对人类生命的限度有清醒的现实认识。天主教道德分析客观地审视一个行为,既考虑其与行为主体的关系,也将其视为世界上的一个物质事件。这使得行为主体的善恶意图以及行为的后果都能纳入其道德评价之中。因此,天主教道德分析既是准义务论的,也是准结果论的。客观地说,主动安乐死和医生协助自杀作为蓄意杀人行为,被视为令人厌恶的,因为它们未能体现出善意的内在意图,也未能塑造出有德行的行为主体。天主教道德神学极其怀疑直接意图导致死亡的行为能够与对濒死的、受苦的人的真诚同情相一致,并将其视为对人类生命这一珍贵礼物的直接否定。