表现主义者对应请求协助死亡的关注。

IF 3.4 2区 哲学 Q1 ETHICS
Jonathon VandenHombergh
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引用次数: 0

摘要

表达主义者反对安乐死和/或协助自杀(EAS)的合法化,理由是EAS法律表达了对某些人群的不尊重判断:粗略地说,他们死了会更好。最近,一些伦理学家认为,法律只要求知情的、有能力的和自愿的EAS请求,就可以避免表达主义者的反对意见,因为这种反对意见取决于对无法补救的痛苦的进一步要求。在本文中,我认为,无论好坏,这种回应未能解决表现主义的反对意见。这是因为,与最初的表达主义反对意见平行的推理表明,即使是以知情、有能力和自愿的请求为唯一要求的EAS法律也表达了一种不尊重的判断:有理由相信某些阶层的人死了会更好。对这一论点的反对意见主要依赖于一种自治的概念,这种概念将动机的作用最小化——具体来说,是我们应该认为是合理的动机。尽管这一概念得到了一些生物伦理学家的支持,但它也面临着自身的挑战。因此,在这些挑战得到解决之前,对要求较低的EAS法律的呼吁本身并不能避免表达主义的反对。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Expressivist concerns for assisted dying on request.

The expressivist objection argues against the legalisation of euthanasia and/or assisted suicide (EAS), on the grounds that EAS laws express a disrespectful judgement of certain classes of people: roughly, that they are better off dead. Recently, some ethicists have argued that laws which require only an informed, competent and voluntary request for EAS would avoid the expressivist objection, since that objection depends on the further requirement of irremediable suffering. In this paper, I argue that-for better or for worse-this response fails to address the expressivist objection. This is because reasoning parallel to the original expressivist objection demonstrates that even EAS laws with an informed, competent and voluntary request as the sole requirement express a disrespectful judgement: that it is reasonable to believe that certain classes of people are better off dead. Objections to this argument depend largely on a conception of autonomy which minimises the role of motivations-specifically, motivations which we ought to recognise as reasonable. Although this conception is supported by some bioethicists, it faces challenges of its own. Until those challenges are addressed, therefore, an appeal to less demanding EAS laws does not by itself avoid the expressivist objection.

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来源期刊
Journal of Medical Ethics
Journal of Medical Ethics 医学-医学:伦理
CiteScore
7.80
自引率
9.80%
发文量
164
审稿时长
4-8 weeks
期刊介绍: Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients. Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost. JME is the official journal of the Institute of Medical Ethics.
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