Reckoning with the last enemy
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Developing the ethics of palliative sedation, particularly in contrast to terminal sedation, requires consideration of the relation between body and soul and of the nature of death and dying. Christianly considered, it also requires attention to the human vocation to immortality and hence to the relation between medicine (as aid for the body) and discipline (as aid to the soul). Leaning on Augustine’s rendering of the latter, this paper provides a larger anthropological and soteriological frame of reference for the ethics of palliative sedation, organized by way of nine briefly expounded theses. It argues that palliative sedation, like other elements of medicine, is appropriate where, and only where, it properly orders care for the body to the requirements of care for the soul.
KeywordsPalliative care Continuous deep sedation (CDS) Medical aid in dying (MAID) Assisted suicide Euthanasia Patient autonomy Conscience rights Augustine Anselm Irenaeus
- 1.Weigel, George. 2016. Catholicism’s empty quarter. First Things, September 7. http://www.firstthings.com/web-exclusives/2016/09/catholicisms-empty-quarter.
- 2.Anselm of Canterbury. 1998. Monologion. In Anselm of Canterbury: The major works, ed. Brian Davies and G.R. Evans, 5–81. New York: Oxford University Press.Google Scholar
- 3.Anselm of Canterbury. 1998. Why God became man. In Anselm of Canterbury: The major works, ed. Brian Davies and G.R. Evans, 260–356. New York: Oxford University Press.Google Scholar
- 4.Tolkien, J.R.R. 1993. Athrabeth Finrod ah Andreth. In Morgoth’s ring, ed. Christopher Tolkien, 303–366. Boston: Houghton Mifflin.Google Scholar
- 5.Carroll, William. 2015. Souls matter. Public Discourse, March 11. http://www.thepublicdiscourse.com/2015/03/14534.
- 6.Farrow, Douglas. 2011. Ascension theology. London: T&T Clark.Google Scholar
- 7.Kass, Leon R. 2001. L’Chaim and its limits: Why not immortality? First Things 113: 17–24.Google Scholar
- 8.John Paul II. 1995. Evangelium vitae, Encyclical letter, March 25. Vatican City: Libreria Editrice Vaticana. http://w2.vatican.va/content/john-paul-ii/en/encyclicals/documents/hf_jp-ii_enc_25031995_evangelium-vitae.html.
- 9.Weigel, George. 2015. Letters to a young Catholic. New York: Basic Books.Google Scholar
- 10.Augustine of Hippo. 1872. Of the morals of the Catholic church. Trans. Richard Stothert. In The works of Aurelius Augustine, Vol. 5: Writings in connection with the Manichaean heresy, ed. Marcus Dods, 7–50. Edinburgh: T&T Clark.Google Scholar
- 11.John Paul II. 1993. Cerimonia di congedo, Lithuania, September 8. https://w2.vatican.va/content/john-paul-ii/it/speeches/1993/september/documents/hf_jp-ii_spe_19930908_congedo-lituania.html.
- 12.Tertullian. 1903. On the resurrection of the flesh. Trans. Peter Holmes. In The Ante-Nicene fathers: The writings of the fathers down to A.D. 325, Vol. 3; Latin Christianity: Its founder Tertullian, ed. Alexander Roberts and James Donaldson, 545–595. New York: Charles Scribner.Google Scholar
- 13.Farrow, Douglas. 2007. Resurrection and immortality. In Oxford handbook of systematic theology, ed. John Webster, Kathryn Tanner, and Iain Torrance, 212–235. New York: Oxford University Press.Google Scholar
- 14.Medicine. 1994. In American heritage dictionary of the English language, 3rd ed, ed. Anne H. Soukhanov. Boston: Houghton Mifflin.Google Scholar
- 15.O’Donovan, Oliver, and Joan Lockwood O’Donovan (eds.). 1999. From Irenaeus to Grotius: A sourcebook in Christian political thought. Grand Rapids: Eerdmans.Google Scholar
- 17.John Paul II. 1993. Veritatis splendor, Encyclical letter, June 8. http://w2.vatican.va/content/john-paul-ii/en/encyclicals/documents/hf_jp-ii_enc_06081993_veritatis-splendor.html.
- 18.Anselm of Canterbury. 1998. On free will. In Anselm of Canterbury: The major works, ed. Brian Davies and G.R. Evans, 175–192. New York: Oxford University Press.Google Scholar
- 19.Augustine of Hippo. 1881. The works of Aurelius Augustine, Vol. 2: The city of God, ed. Marcus Dods. Edinburgh: T&T Clark.Google Scholar
- 20.Baumgarten, Elias. 1999. The concept of patient autonomy. Medical Updates 2: 1–6.Google Scholar
- 21.Banner, Michael. 1999. Christian anthropology at the beginning and end of life. In Christian ethics and contemporary moral problems, 47–85. Cambridge: Cambridge University Press.Google Scholar
- 22.Farrow, Douglas. 2018. Theological negotiations: Proposals in soteriology and anthropology. Grand Rapids: Baker.Google Scholar
- 23.Farrow, Douglas. 2015. Desiring a better country: Forays in political theology. Montreal: McGill-Queen’s University Press.Google Scholar
- 24.Farrow, Douglas. 2016. The acid of autonomy. Convivium, June 1, 13–18. https://convivium.ca/articles/the-acid-of-autonomy.
- 25.Meilaender, Gilbert. 2018. Comforting when we cannot heal: The ethics of palliative sedation. Theoretical Medicine and Bioethics. https://doi.org/10.1007/s11017-018-9445-0.
- 26.Irenaeus. 1905. Against heresies. Trans. Marcus Dods. In The Ante-Nicene fathers: The writings of the Fathers down to A.D. 325, Vol. 1; The apostolic fathers with Justin Martyr and Irenaeus, ed. Alexander Roberts and James Donaldson, 309–567. New York: Charles Scribner.Google Scholar