David E. Guinn

What role should religion play in a religiously pluralistic liberal society? Public bioethics unavoidably raises this question in a particularly insistent fashion. As the 20 papers in this collection demonstrate, the issues are complex and multifaceted. The authors address specific and highly contested issues as assisted suicide, stem cell research, cloning, reproductive health, and alternative medicine as well as more general questions such as who legitimately speaks for religion in public bioethics, what religion can add to our understanding of justice, and the value of faith-based contributions to healthcare. Christian (Catholic and Protestant), Jewish, Islamic, and Buddhist viewpoints are represented. The first book to focus on the interface of religion and bioethics, this collection fills a significant void in the literature.

Alzheimer's disease and other forms of dementia are among the fastest growing health problems in America. Dementia incidence tends to increase with age, and the elderly are the fastest growing segment of the population. Medical and social sciences research on dementia involving demented patients is both ongoing and necessary. However, as noted in a report of the Office for Human Subjects Research, “while research with intellectually impaired people generates valuable … data, it also provides significant ethical challenges

The Foundations of Christian Bioethics is Tristram Engelhardt’s long awaited sequel to his 1996 (2d ed) The Foundations of Bioethics. It is a passionate, probing and passionate work of “Orthodox theology” (p.199) by one of our most powerful and provocative thinkers. In this Foundations Engelhardt revisits many of the arguments raised in his earlier works. However, this time they are framed with a more explicit focus on Christian bioethics as the alternative: secular bioethics, an ethics of consent and contract between moral strangers, is unable to offer a contentful ethic, which requires the shared values exhibited by Christian bioethics; libertarian cosmopolitan bioethics, with its emphasis on freedom, is acceptable to traditional Christians because it allows them to live according to their beliefs; liberal bioethics violates its own premises of neutrality by asserting values of individual equality rejected by traditional Christians who are “a vexatious thorn in the side of secular bioethics” (2) because they reject these standards and assert the primacy of God. In this book, Engelhardt enlarges on these themes and attempts to establish “traditional” or “first millennium Christianity”(1) as the source of the one true bioethics. He criticizes virtually all of Western Christianity as corrupt versions of secular ethics, ruptured from the Christianity of the first millennium by the emergence of scholasticism, the Protestant reformation and the Enlightenment. Engelhardt argues that Western Christianity, with its emphasis upon natural law and rational discourse are focused not on God but on the “truly human” (134). They have made humanity the measure of all things - and humanity doesn’t measure up. In its place, Engelhardt posits a Christianity based upon the noetic experience - a radical opening up of the person to the transcendent personal God who endows that person with the knowledge of the truth of God’s commandments. While reflection and spiritual guidance are necessary to overcome the corrupting influences of human desires resulting from the Fall of Adam, traditional Christianity is liturgically based. True knowledge rests not on reason but in the experience of a personal and loving God encountered through prayer and ascetic practice. Nonetheless, the believer does not act directly out of that experience. Engelhardt permits no personal revelation or individual conscience. Engelhardt’s Christian follows the guidance offered by the scriptures and selected Saints within the Eastern Orthodox tradition. The noetic experience simply assures the believer that the revealed principles of traditional Christianity are true.

Concerns about caregivers providing religious or spiritual care arise, in large part, out of a misunderstanding about religion and spirituality and what those terms really mean. Many people treat religion and spirituality as special and unique. This chapter argues that religion and spirituality are basic human facts as inseparable from what it means to be human in the same way as our sex, our age, our ethnicity or the other social and cultural factors that caregivers routinely address. The chapter begins by offering a functionalist definition of religion and spirituality. It then examines research on the needs of patients at the end of life and suggests how these express religious and spiritual concerns. Finally, it offers guidelines as to how the caregiver may meet those needs of a patient.

What role should religion play in a religiously pluralistic liberal society? Public bioethics unavoidably raises this question in a particularly insistent fashion. As the 20 papers in this collection demonstrate, the issues are complex and multifaceted. The authors address specific and highly contested issues as assisted suicide, stem cell research, cloning, reproductive health, and alternative medicine as well as more general questions such as who legitimately speaks for religion in public bioethics, what religion can add to our understanding of justice, and the value of faith-based contributions to healthcare. Christian, Jewish, Islamic, and Buddhist viewpoints are represented. The first book to focus on the interface of religion and bioethics, this collection fills a significant void in the literature.