Bayne Tim, Levy Neil
Department of Philosophy, Macquarie University, Sydney, NSW 2109 Australia.
J Appl Philos. 2005;22(1):75-86. doi: 10.1111/j.1468-5930.2005.00293.x.
Should surgeons be permitted to amputate healthy limbs if patients request such operations? We argue that if such patients are experiencing significant distress as a consequence of the rare psychological disorder named Body Integrity Identity Disorder (BIID), such operations might be permissible. We examine rival accounts of the origins of the desire for healthy limb amputations and argue that none are as plausible as the BIID hypothesis. We then turn to the moral arguments against such operations, and argue that on the evidence available, none is compelling. BIID sufferers meet reasonable standards for rationality and autonomy: so as long as no other effective treatment for their disorder is available, surgeons ought to be allowed to accede to their requests.
如果患者要求，外科医生应该被允许截肢健康肢体吗？我们认为，如果这类患者因一种名为身体完整性认同障碍（BIID）的罕见心理障碍而承受巨大痛苦，那么这种手术可能是可以接受的。我们审视了对健康肢体截肢欲望起源的不同解释，并认为没有一种比BIID假说更合理。然后我们转向反对这种手术的道德论据，并认为根据现有证据，没有一个是令人信服的。BIID患者符合合理性和自主性的合理标准：所以只要没有其他针对他们这种疾病的有效治疗方法，就应该允许外科医生同意他们的请求。
