J Med Ethics. 2018 Feb;44(2):128-132. doi: 10.1136/medethics-2017-104374. Epub 2017 Aug 3.
Applied ethics is home to numerous productive subfields such as procreative ethics, intergenerational ethics and environmental ethics. By contrast, there is far less ethical work on ageing, and there is no boundary work that attempts to set the scope for 'ageing ethics' or the 'ethics of ageing'. Yet ageing is a fundamental aspect of life; arguably even more fundamental and ubiquitous than procreation. To remedy this situation, I examine conceptions of what the ethics of ageing might mean and argue that these conceptions fail to capture the requirements of the desired subfield. The key reasons for this are, first, that they view ageing as something that happens only when one is old, thereby ignoring the fact that ageing is a process to which we are all subject, and second that the ageing person is treated as an object in ethical discourse rather than as its subject. In response to these shortcomings I put forward a better conception, one which places the ageing person at the centre of ethical analysis, has relevance not just for the elderly and provides a rich yet workable scope. While clarifying and justifying the conceptual boundaries of the subfield, the proposed scope pleasingly broadens the ethics of ageing beyond common negative associations with ageing.
应用伦理学包含许多富有成效的子领域,如生殖伦理学、代际伦理学和环境伦理学。相比之下,关于衰老的伦理研究要少得多,也没有边界工作试图确定“衰老伦理”或“衰老的伦理”的范围。然而,衰老是生命的一个基本方面;可以说,它甚至比生殖更基本、更普遍。为了弥补这一情况,我考察了衰老伦理学可能意味着什么的概念,并认为这些概念未能捕捉到期望的子领域的要求。造成这种情况的主要原因有二,一是它们将衰老视为只有在年老时才会发生的事情,从而忽略了这样一个事实,即衰老是一个我们都要经历的过程;二是在伦理话语中,老年人被视为伦理分析的对象,而不是主体。针对这些缺点,我提出了一个更好的概念,它将老年人置于伦理分析的中心,不仅与老年人有关,而且提供了一个丰富但可行的范围。在澄清和证明该子领域的概念边界的同时,所提议的范围令人愉悦地拓宽了衰老的伦理范围,超越了与衰老相关的常见负面联想。