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你应埋葬他:埋葬、自杀与天主教法律和神学的发展。

You shall bury him: burial, suicide and the development of Catholic law and theology.

机构信息

Health, Medicine and Society, University of Cambridge, Cambridge, United Kingdom

出版信息

Med Humanit. 2020 Sep;46(3):299-310. doi: 10.1136/medhum-2018-011622. Epub 2019 Jul 26.

Abstract

Whether physician-assisted dying should be legalised is a major debate in medical ethics and much has been written on it from both secular and religious perspectives. Less, however, has been written on one of the potential consequences of legalised physician-assisted death: whether those who undergo this procedure will be given funerals by religious groups who oppose the practice. This article investigates the Catholic Church's attitude to the burial of suicides, and how Catholic canon law has approached the question of ecclesiastic funerals for suicides throughout its history. From the sixth through the late 20th century, the Church technically did not bury anyone who willfully committed suicide. Broad shifts in the cultural attitude towards suicide, due in large part to new understandings of mental illness as disease, had a powerful effect on Catholic thought and practice in modernity, and the Church eventually dropped the ban on funerals for suicides from its law code altogether in the 1980s. The legalisation of physician-assisted death, however, raises again the possibility of a prohibition on funerals. The Church was able to drop its restrictions on funerals since suicide was seen as an act beyond the control of the deceased and thus worthy of mercy and compassion. In cases of physician-assisted dying, the patient must have consciously and willingly agreed to the procedure, undermining this understanding of suicide. The history of canon law on suicide funerals reveals the complexity of the Catholic attitude towards suicide and provides an important context to the current debate around physician-assisted death, and conflicts between medicine and religion more broadly.

摘要

医生协助自杀是否应该合法化是医学伦理中的一个主要辩论点,从世俗和宗教的角度来看,已经有很多相关的讨论。然而,关于合法化医生协助自杀的一个潜在后果却鲜有人提及:那些接受这一程序的人是否会得到反对该做法的宗教团体的葬礼。本文探讨了天主教会对自杀者葬礼的态度,以及天主教教规在其历史上是如何处理自杀者的教会葬礼问题的。从六世纪到 20 世纪后期,教会在技术上不埋葬任何故意自杀的人。由于对精神疾病作为疾病的新理解,导致人们对自杀的文化态度发生了广泛转变,这对现代天主教思想和实践产生了巨大影响,教会最终在 20 世纪 80 年代完全从其法典中删除了对自杀者葬礼的禁令。然而,医生协助自杀的合法化再次引发了禁止葬礼的可能性。教会之所以能够取消对葬礼的限制,是因为自杀被视为死者无法控制的行为,因此值得怜悯和同情。在医生协助自杀的情况下,患者必须有意识地、自愿地同意该程序,这破坏了对自杀的这种理解。教会法关于自杀葬礼的历史揭示了天主教会对自杀的复杂态度,并为当前围绕医生协助死亡以及更广泛的医学与宗教之间的冲突的辩论提供了重要背景。

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