Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, 402 E. 67th St., New York, NY 10065, USA.
Bioethics. 2012 May;26(4):224-30. doi: 10.1111/j.1467-8519.2010.01849.x. Epub 2010 Oct 6.
In a recent article, Alasdair Cochrane argues for the need to have an undignified bioethics. His is not, of course, a call to transform bioethics into an inelegant, pathetic discipline, or one failing to meet appropriate disciplinary standards. His is a call to simply eliminate the concept of human dignity from bioethical discourse. Here I argue that he fails to make his case. I first show that several of the flaws that Cochrane identifies are not flaws of the conceptions of dignity he discusses but rather flaws of his, often problematic, understanding of such conceptions. Second, I argue that Cochrane's case against the concept of human dignity goes too far. I thus show that were one to agree that these are indeed flaws that require that we discard our ethical concepts, then following Cochrane's recommendations would commit us not only to an undignified bioethics, i.e. a bioethics without dignity, but to a bioethics without much ethics at all.
在最近的一篇文章中,阿拉斯代尔·科克伦(Alasdair Cochrane)主张有必要进行不体面的生命伦理学研究。当然,他并不是呼吁将生命伦理学变成一门不优雅、可怜的学科,或者一门不符合适当学科标准的学科。他呼吁的是,干脆从生命伦理学论述中消除人类尊严的概念。在这里,我认为他没有提出自己的观点。我首先表明,科克伦指出的几个缺陷并不是他所讨论的尊严概念的缺陷,而是他对这些概念的理解常常存在问题。其次,我认为科克伦反对人类尊严概念的理由过于牵强。因此,我表明,如果有人认为这些确实是需要我们抛弃伦理概念的缺陷,那么按照科克伦的建议,不仅会使我们陷入不体面的生命伦理学,即没有尊严的生命伦理学,而且会使我们陷入几乎没有伦理学的生命伦理学。