{"title":"残疾、主体依赖和不良差异观。","authors":"Shu Ishida, Mitsuru Sasaki-Honda, Tsutomu Sawai","doi":"10.1111/bioe.70012","DOIUrl":null,"url":null,"abstract":"<p><p>Philosophers have debated on the \"mere-difference\" view of disability, according to which disability as such is neutral in terms of well-being, just like race and gender. It is contrasted with the \"bad-difference\" view, which holds that disability is bad for its possessor even in a non-ableist situation. We first illustrate how neither view can be sensitive to the diversity of disabled people and their disabilities. Subsequently, we propose an alternative outlook-the conditional bad-difference view of disability: a disability is bad for its possessor if and only if it hampers her aspired way of life, even without ableism. In addition to being theoretically moderate and thus more plausible than the existing outlooks, this view also offers a robust ethical case for policies and practices catering to the varying needs and values of disabled people, such as personalized healthcare and the user-led research of assistive technologies.</p>","PeriodicalId":55379,"journal":{"name":"Bioethics","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Disability, Subject-Dependence, and the Bad-Difference View.\",\"authors\":\"Shu Ishida, Mitsuru Sasaki-Honda, Tsutomu Sawai\",\"doi\":\"10.1111/bioe.70012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Philosophers have debated on the \\\"mere-difference\\\" view of disability, according to which disability as such is neutral in terms of well-being, just like race and gender. It is contrasted with the \\\"bad-difference\\\" view, which holds that disability is bad for its possessor even in a non-ableist situation. We first illustrate how neither view can be sensitive to the diversity of disabled people and their disabilities. Subsequently, we propose an alternative outlook-the conditional bad-difference view of disability: a disability is bad for its possessor if and only if it hampers her aspired way of life, even without ableism. In addition to being theoretically moderate and thus more plausible than the existing outlooks, this view also offers a robust ethical case for policies and practices catering to the varying needs and values of disabled people, such as personalized healthcare and the user-led research of assistive technologies.</p>\",\"PeriodicalId\":55379,\"journal\":{\"name\":\"Bioethics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bioethics\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1111/bioe.70012\",\"RegionNum\":2,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ETHICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bioethics","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1111/bioe.70012","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ETHICS","Score":null,"Total":0}
Disability, Subject-Dependence, and the Bad-Difference View.
Philosophers have debated on the "mere-difference" view of disability, according to which disability as such is neutral in terms of well-being, just like race and gender. It is contrasted with the "bad-difference" view, which holds that disability is bad for its possessor even in a non-ableist situation. We first illustrate how neither view can be sensitive to the diversity of disabled people and their disabilities. Subsequently, we propose an alternative outlook-the conditional bad-difference view of disability: a disability is bad for its possessor if and only if it hampers her aspired way of life, even without ableism. In addition to being theoretically moderate and thus more plausible than the existing outlooks, this view also offers a robust ethical case for policies and practices catering to the varying needs and values of disabled people, such as personalized healthcare and the user-led research of assistive technologies.
期刊介绍:
As medical technology continues to develop, the subject of bioethics has an ever increasing practical relevance for all those working in philosophy, medicine, law, sociology, public policy, education and related fields.
Bioethics provides a forum for well-argued articles on the ethical questions raised by current issues such as: international collaborative clinical research in developing countries; public health; infectious disease; AIDS; managed care; genomics and stem cell research. These questions are considered in relation to concrete ethical, legal and policy problems, or in terms of the fundamental concepts, principles and theories used in discussions of such problems.
Bioethics also features regular Background Briefings on important current debates in the field. These feature articles provide excellent material for bioethics scholars, teachers and students alike.