Abstract
In this chapter, Molefe reflects on the bioethical question of euthanasia in light of the African personhood-based view of dignity. He structures the chapter as follows. In the first section, he begins by defining crucial terms and proceeds to contextualise the discussion in light of the South African legal literature on the question of euthanasia. In the second section, Molefe propounds an account of a good death in the light of personhood by considering the normative idea of an elder in African cultures. In the final section, Molefe rehearses the view of dignity associated with personhood and then applies it to the question of euthanasia, where he ultimately argues that it is permissible.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
I am aware that Abrams (1978) argues convincingly that there is a distinction between the passive and active euthanasia, at least when one considers positive cases that are truly analogous with euthanasia, unlike the negative ones discussed by Rachels (1975) and Thomson (1976). I find this comment to endorse the kind of approach I take in this chapter regarding euthanasia—“Therefore, there does seem to be moral significance to the distinction between active and passive euthanasia. In addition, once death is regarded as a desirable result, the agent should choose that course of behavior (i.e. active euthanasia) in which he will most effectively and with the least suffering cause the positive consequence, and should accept and welcome responsibility for the ‘better’ end” (1978: 263). The point to be taken away from this comment is that, if we come to the position that euthanasia is a positive thing for the patient, then the patient should choose the option, either passive or active, relative to the one that is the best for the patient in terms of securing relief speedily.
- 2.
- 3.
There is still space for coping with disease with the courage and composure particularly if it is remediable.
- 4.
In their book, Doris Schroeder and Abol-Hassan Bani-Sadr (2017) dedicated to the idea of dignity comment about the type of dignity they capture in terms of comportment. They call forth as an example of a talented writer that stopped writing when his daughter drowned and passed away after he wrote a poem that spoke about a person drowning. They make the following comment about this author:
According to Paul Auster, those who knew the French author who had lost his daughter looked upon him with awe. This awe stemmed from admiration of his strength to deal with suffering in a dignified manner: to stick steadfastly to his belief that he should no longer write, while carrying his burden with poise. (Ibid.: 14)
I think part of being a person or moral maturity involves the strength to deal with suffering in a dignified manner. The quality of one’s humanity is also expressed through the ability to cope with suffering and burdens of life in a poise. This is the case precisely because some suffering offers us an opportunity to strengthen one’s character and it can also serve as opportunity to test the quality of our humanity. We should be suspicious of the strength of character of an individual that flinches and complains over any minor vexations or even major problems in life.
References
Abrams, N. (1978). Active and Passive Euthanasia. Philosophy, 53, 257–263.
Alli, A. (2016). The “murder or mercy” Debate Surrounding Euthanasia in South Africa: A Discussion of the Current South African Legal Position in the Light of Case Law, a Comparative Study of Foreign Jurisdictions and Recommendations Made by the South African Law Reform Committee. Masters dissertation, University of Kwa-Zulu Natal, Pietermaritzburg.
Allmark, P. (2002). Death with Dignity. Journal of Medical Ethics, 28, 255–257.
Beauchamp, T., & Davidson, A. (1978). The Definition of Euthanasia. The Journal of Medicine and Philosophy, 4, 294–312.
Benatar, D. (2011). A Legal Right to Die: Responding to Slippery Slope and Abuse Arguments. Current Oncology, 18(5), 206–207.
Bikopo, B., & van Bogaert, L. (2009). Reflection on Euthanasia: Western and African Ntomba Perspectives on the Death of a Chief. Developing World Bioethics, 10, 42–48.
Brock, D. (1993). Voluntary Active Euthanasia. Hastings Center Report, 22(2), 10–22.
Bujo, B. (1998). The Ethical Dimension of Community: The African Model and the Dialogue Between North and South (C. Namulondo, Trans.). Nairobi: Pauline’s Publications Africa.
Bujo, B. (2001). Foundations of an African Ethic: Beyond the Universal Claims of Western Morality. New York, NY: Crossroad Publishing.
Bujo, B. (2005). Differentiations in African Ethics. In W. Schweiker (Ed.), The Blackwell Companion to Religious Ethics (pp. 419–434). Oxford: Blackwell Publishing.
Bujo, B. (2009). Ecology and Ethical Responsibility from an African Perspective. In F. Murove (Ed.), African Ethics: An Anthology of Comparative and Applied Ethics. Pietermaritzburg: UKZN Press.
Darwall, S. (1977). Two Kinds of Respect. Ethics, 80, 36–49.
De Vos, P. (2015). Euthanasia: An Imperative in a Constitutional Democracy. Daily Maverick. Retrieved October 30, 2019, from https://www.dailymaverick.co.za/opinionista/2015-05-11-euthanasia-an-imperative-in-a-constitutional-democracy/.
Dimmock, M., & Fisher, A. (2017). Ethics for A-Level: For AQA Philosophy and OCR Religious Studies. Cambridge: Open Book Publishers.
Donnelly, J. (1982). Human Rights and Human Dignity: An Analytic Critique of Non-Western Conceptions of Human Rights. The American Political Science Review, 76, 303–316.
Donnelly, J. (2015). Normative Versus Taxonomic Humanity: Varieties of Human Dignity in the Western Tradition. Journal of Human Rights 14, 1–22.
Donnelly, J. (2009). Human Dignity and Human Rights. Denver: Josef Korbel School of International Studies.
Feinberg, J. (1978). Voluntary Euthanasia and the Inalienable Right to Life. Philosophy & Public Affairs, 7(2), 93–123.
Foot, P. (1977). Euthanasia. Philosophy and Public Affairs, 6, 85–112.
Garrard, E., & Wilkinson, S. (2005). Passive Euthanasia. Journal of Medical Ethics, 31, 64–68.
Gonsalves, M. A. (1985). Fagothey’s Right and Reason: Ethics in Theory and Practice. St. Louis, MO: Times Mirror Mosby College Publishing.
Grey, W. (1999). Right to Die Or Duty to Live? The Problem of Euthanasia. Journal of Applied Philosophy, 16, 19–32.
Gyekye, K. (1992). Person and Community in African Thought. In Person and Community: Ghanaian Philosophical Studies, 1 (pp. 101–122). Washington, DC: Council for Research in Values and Philosophy.
Hosking, M., Whiting, G., Brathwate, C., Fox, P., Boshoff, A., & Robbins, L. (2000). Cultural Attitudes Towards Death and Dying: A South African Perspective. Palliative Medicine, 14, 437–439.
Ikuenobe, P. (2015). Relational Autonomy, Personhood, and African Traditions. Philosophy East and West, 65, 1005–1029.
Imafidon, E. (2013). On the Ontological Foundation of a Social Ethics in African Traditions. In E. Imafidon & J. Bewaji (Eds.), Ontologized Ethics: New Essays in African Meta-Ethics (pp. 37–54). New York, NY: Lexington Books.
Iroegbu, P. (2005). Do All Persons Have a Right to Life? In P. Iroegbu & A. Echekwube (Eds.), Kpim of Morality Ethics: General, Special and Professional (pp. 78–83). Ibadan: Heinemann Educational Books.
Jacobs, K. (2018). Legalising Physician-Assisted Suicide in Africa: Should It Even Be Considered? South African Journal of Bioethics and Law, 11, 66–69.
Koenane, J. (2017). Euthanasia in South Africa: Philosophical and Theological Considerations. Verbum et Ecclesia, 38, 1–9.
Kuhse, H. (1993). Euthanasia. In P. Singer (Ed.), A Companion to Ethics (pp. 294–302). Oxford: Blackwell.
Lewis, P. (2007). Assisted Dying and Legal Change. Oxford: Oxford University Press.
Lukhaimane, A. (1997). The Right to Die: Does the Constitution Protect This Right? Master’s Dissertation, University of South Africa, Pretoria.
Mahomed, I., Olivier, P. J. J., Mokgoro, Y., Nhlapo, R. T., Gauntlett, J. J., Mojapelo, P., & Seedat, Z. (1998). Euthanasia and the Artificial Preservation of Life. Report. South African Law Commission. Retrieved October 30, 2019, from http://www.justice.gov.za/salrc/reports/r_prj86_euthen_1998nov.pdf.
Manyonga, H., Howarth, G., Dinwoodie, M., Nisselle, P., & Whitehouse, S. (2014). From Informed Consent to Shared Decision-Making. South African Medical Journal, 8, 561–562.
Matolino, B. (2019). Democracy as Consensus in Africa. Grahamstown: NISC [Pty]Ltd.
McKaiser, E. (2019). Why I Support Active Euthanasia. Retrieved October 30, 2019, from https://mg.co.za/article/2019-07-05-00-why-i-support-active-euthanasia.
McMahan, J. (2002). The Ethics of Killing: Problems at the Margins of Life. New York, NY: Oxford University Press.
Menkiti, I. (1984). Person and Community in African Traditional Thought. In R. A. Wright (Ed.), African Philosophy: An Introduction (pp. 171–181). Lanham, MD: University Press of America.
Menkiti, I. (2004). On the Normative Conception of a Person. In K. Wiredu (Ed.), A Companion to African Philosophy (pp. 324–331). Oxford: Blackwell Publishing.
Metz, T. (2009). African and Western Moral Theories in Bioethical Context. Developing World Bioethics, 10, 49–58.
Metz, T. (2010). Human Dignity, Capital Punishment and an African Moral Theory: Toward a New Philosophy of Human Rights. Journal of Human Rights, 9, 81–99.
Metz, T. (2012). African Conceptions of Human Dignity: Vitality and Community as the Ground of Human Rights. Human Rights Review, 13(1), 19–37.
Michael, L. (2014). Defining Dignity and Its Place in Human Rights. The New Bioethics: A Multidisciplinary Journal of Biotechnology and the Body, 20(1), 12–34.
Miller, S. (2017). Reconsidering Dignity Relationally. Ethics and Social Welfare, 11, 108–121.
Mokgoro, Y. (1998). Ubuntu and the Law in South Africa. Potchefstroom Electronic Law Journal, 1, 1–11.
Molefe, M. (2016). Revisiting the Debate Between Gyekye-Menkiti: Who Is a Radical Communitarian? Theoria, 63, 37–54.
Molefe, M. (2017). Euthyphro Problem and African Ethics. Acta Academica, 49, 22–38.
Molefe, M. (2018). Personhood and Rectification Justice in African Thought. Politikon, 45, 217–231.
Molefe, M. (2019a). Personhood and Partiality in African Philosophy. African Studies, 78, 309–231.
Molefe, M. (2019b). An African Philosophy of Personhood, Morality and Politics. New York, NY: Palgrave Macmillan.
Molefe, M. (2019c). Ubuntu and Development: An African Conception of Development. Africa Today, 66, 85–105.
Ncayiyana, D. (2012). Euthanasia – No Dignity in Death in the Absence of an Ethos of Respect for Human Life. South African Medical Journal, 102, 334–335.
Paleker, F. (2016). Euthanasia in South Africa: A Normative Analysis and Application of Dignity. Masters Dissertation, University of the Witwatersrand, Parktown.
Paris, P. (1995). The Spirituality of African Peoples: The Search for a Common Moral Dis-course. Minneapolis, MN: Fortress Press.
Rachels, J. (1975). Active and Passive Euthanasia. New England Journal of Medicine, 292, 78–80.
Rachels, J. (1986). The New England Journal of Medicine 292: 78–80.
Ramose, M. (2003). The Ethics of Ubuntu. In P. Coetzee & A. Roux (Eds.), The African Philosophy Reader (pp. 324–331). New York, NY: Routledge.
Rosen, M. (2012). Dignity: Its History and Meaning. Cambridge, MA: Harvard University Press.
Sakali, F. (2013). The Contemporary Euthanasia Debate in the Light of African Worldview and Ethics. SEGi Review, 6, 5–15.
Schulman, A. (2008). Bioethics and the Question of Human Dignity. In The President’s Council on Bioethics, Human Dignity and Bioethics: Essays Commissioned by the President’s Council (pp. 2–19). Washington DC: President’s Council on Bioethics.
Schroeder, D., & Bani-Sadr, A. (2017). Dignity in the 21st Century Middle East and West. New York: SpringerOpen.
Sebidi, J. (1988). Towards the Definition of Ubuntu as African Humanism (Paper). Private Collection.
Shaw, B. (2014). Killing and Letting Die: The Irrelevant Distinction. Honours Thesis, University of Nevada, Las Vegas, NV.
Shutte, A. (2001). Ubuntu: An Ethic for a New South Africa. Pietermaritzburg: Cluster Publications.
Singer, P. (1994). Rethinking Life and Death: The Collapse of Our Traditional Ethics. Melbourne: Text Publishing.
Strohwald, A. (2014). Dignity in Death: A Critical Analysis of Whether the Right to Human Dignity Serves as Appropriate Justification for the Legalisation of Assisted Death. Master’s Dissertation, Stellenbosch University, Stellenbosch.
Sulmasy, D. (2008). Dignity and Bioethics: History, Theory, and Selected Applications. In The President’s Council on Bioethics, Human Dignity and Bioethics: Essays Commissioned by the President’s Council (pp. 469–501). Washington DC: President’s Council on Bioethics.
Sumner, L. (2011). Assisted Death: A Study in Ethics and Law. Oxford: Oxford University Press.
Sumner, L. (2017). Physician-Assisted Death: What Everyone Needs to Know. New York, NY: Oxford University Press.
Tangwa, G. (1996). Bioethics: An African Perspective. Bioethics, 10, 183–200.
Tempels, P. (1959). Bantu Philosophy (C. King, Trans.). Paris: Présence Africaine.
Thipanyane, T., & Makane, F. (2019). SA Must Take the Lead in Legalising Euthanasia. Retrieved October 30, 2019, from https://citypress.news24.com/Voices/sa-must-take-the-lead-in-legalising-euthanasia-20190315.
Thomson, J. (1976). Killing, Letting Die, and the Trolley Problem. Monist, 59, 20–28.
Tutu, D. (1999). No Future Without Forgiveness. New York, NY: Random House.
Waldron, J. (2012). Dignity and Rank. Archives Européenes de Sociologie, 48, 201–237.
Wiredu, K. (1980). Philosophy and an African Culture. Cambridge: Cambridge University Press.
Wiredu, K. (1992). Moral Foundations of an African Culture. In K. Wiredu & K. Gyekye (Eds.), Person and Community: Ghanaian Philosophical Studies, 1 (pp. 192–206). Washington, DC: The Council for Research in Values and Philosophy.
Wiredu, K. (1996). Cultural Universals and Particulars: An African Perspective. Indianapolis, IN: Indiana University Press.
Wiredu, K. (2009). An Oral Philosophy of Personhood: Comments on Philosophy and Orality. Research in African Literatures, 40, 8–18.
Wreen, M. (1988). The Definition of Euthanasia. Philosophy and Phenomenological Research, 48, 637–653.
Young, R. (2007). Medically Assisted Death. Cambridge: Cambridge University Press.
Young, R. (2019). Voluntary Euthanasia. In E. N. Zalta (Ed.), The Stanford Encyclopedia of Philosophy. Retrieved October 30, 2019, from https://plato.stanford.edu/archives/fall2019/entries/euthanasia-voluntary/.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2020 The Author(s)
About this chapter
Cite this chapter
Molefe, M. (2020). Personhood and Euthanasia in African Philosophy. In: An African Ethics of Personhood and Bioethics. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-46519-3_4
Download citation
DOI: https://doi.org/10.1007/978-3-030-46519-3_4
Published:
Publisher Name: Palgrave Macmillan, Cham
Print ISBN: 978-3-030-46518-6
Online ISBN: 978-3-030-46519-3
eBook Packages: Religion and PhilosophyPhilosophy and Religion (R0)