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以杀戮之名:仁慈的死亡?

Killing in the name of: A merciful death?

机构信息

Institute for Bioethics and Health Humanities, The University of Texas Medical Branch at Galveston, Galveston, Texas, USA.

出版信息

Bioethics. 2022 Jul;36(6):613-620. doi: 10.1111/bioe.13017. Epub 2022 Mar 10.

Abstract

"Mercy" holds a well-established place in the discourse on assisted death (AD), with mercy rhetoric used by both proponents and opponents of AD alike. In this paper, I interrogate the relationship between mercy, mercy killing and AD. Appeals to mercy introduce an ambiguity that carries implications for the enduring debate about healthcare professionals' participation in this controversial practice. The term "mercy killing" is used at different times to mean all of the following: killings that are acts of punitive leniency, killings motivated by pity, killings motivated by compassion, and acts of voluntary, involuntary and nonvoluntary euthanasia. I argue that killings that are acts of punitive leniency "track" a conceptually useful understanding of mercy and, by extension, mercy killing. However, if mercy is understood in this way, then "mercy killing" is a problematic way of characterizing physician-AD. While reference to mercy killing has been weeded out of AD legislation over time, the same cannot be said of public discourse, where the debate about physicians' character-and the locus of power with respect to who gets to decide when a life can rightly be ended-continues.

摘要

“怜悯”在辅助死亡(AD)的论述中占有一席之地,支持和反对 AD 的人都使用怜悯修辞。在本文中,我探讨了怜悯、怜悯杀人与 AD 之间的关系。对怜悯的呼吁引入了一种模糊性,这对医疗保健专业人员参与这一有争议的实践的持久争论产生了影响。“怜悯杀人”一词在不同的时间用于以下所有含义:出于惩罚性宽大的杀人行为、出于怜悯的杀人动机、出于同情的杀人动机,以及自愿、非自愿和非自愿安乐死行为。我认为,出于惩罚性宽大的杀人行为“追踪”了对怜悯的一种概念上有用的理解,进而对怜悯杀人行为也是如此。然而,如果以这种方式理解怜悯,那么“怜悯杀人”就是一种描述医生协助自杀的有问题的方式。虽然随着时间的推移,怜悯杀人的说法已经从 AD 立法中剔除,但在公共话语中却并非如此,关于医生的角色以及谁有权决定何时可以合法结束生命的权力问题的争论仍在继续。

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