Miyasaka Michio
School of Health Sciences, Faculty of Medicine, Niigata University, Asahimachi-dori 2-746, Niigata City 951-8518, Japan.
Med Health Care Philos. 2005;8(1):19-27. doi: 10.1007/s11019-005-0103-8.
This essay roughly sketches two major conceptions of autonomy in contemporary bioethics that promote the resourcification of human body parts: (1) a narrow conception of autonomy as self-determination; and (2) the conception of autonomy as dissociated from human dignity. In this paper I will argue that, on the one hand, these two conceptions are very different from that found in the modern European tradition of philosophical inquiry, because bioethics has concentrated on an external account of patient's self-determination and on dissociating dignity from internal human nature. However, on the other hand, they are consistent with more recent European philosophy. In this more recent tradition, human dignity has gradually been dissociated from contextual values, and human subjectivity has been dissociated from objectivity and absolutized as never to be objectified. In the concluding part, I will give a speculative sketch in which Kant's internal inquiry of maxim of ends, causality and end, and dignity as iirreplaceability is recombined with bioethics' externalized one and used to support an extended human resourcification.
(1)作为自我决定的狭义自主性观念;(2)与人类尊严相脱离的自主性观念。在本文中,我将论证,一方面,这两种观念与现代欧洲哲学探究传统中的观念截然不同,因为生物伦理学专注于对患者自我决定的外部描述,并将尊严与人类内在本质相分离。然而,另一方面,它们与欧洲更近时期的哲学是一致的。在这一更近的传统中,人类尊严逐渐与情境价值相脱离,人类主体性与客观性相脱离并被绝对化,以至于不再被客观化。在结论部分,我将给出一个推测性的概述,其中康德对目的准则、因果性和目的以及作为不可替代性的尊严的内在探究与生物伦理学的外部化探究重新结合起来,以支持一种扩展的人类资源化。