This article deals with theological criterions of medical ethics which depends on biblical anthropology and Christian doctrine for the Creation. It criticizes the assertion that life is not disposible as an example of wrong deduction from is to ought. The article also deals with the concept of person and the moral status of embryos and discusses the consequences for medical genetics and prenatal diagnostics.

In the ecumenical discussion, the lingering differences between the concessions are realised more generally again. Not only does this apply for dogmatics, but also for ethics. Eberhard Schockenhoff’s critical inquiries are recognised as a helpful impulse for the self-control of protestant ethics in the sense of an »ecumenism of objection«. However, Schockenhoff’s allegation of breaking with traditions in this respect calls for closer examination. Besides that, unsolved questions have to be put to Catholic moral theology. Some of these include the (...) role of the Christian teaching authority, and the exposure to plurality. (shrink)

Das Phänomen des Ethischen ist dem Konflikt der Interpretationen ausgesetzt. Er äußert sich nicht nur in ethischen Kontroversen, sondern auch als Konflikt ethischer Grundkonzeptionen und Menschenbilder. Verstärkt wird in jüngster Zeit über das spezifische Profil evangelischer Ethik und Urteilsbildung nachgedacht. Die Beiträge dieses Buches konfrontieren entsprechende Bemühungen mit der provokanten These R. Bultmanns, es gebe gar keine christliche Ethik, sofern darunter einer Theorie über das verstanden werde, was Christen zu tun und zu lassen haben.

For the political, the theological and church discussion about reproductive medicine and genetics in Germany it might be helpful to take a Iook on the situation in other European countries. The above article informs about the discussion in Austria, which has a law of reproductive medicine since 1992. The focus of analysis lies on the legal and moral status of the embryo. It is questionable to argue that an embryo is a person. Concerning the protection of the embryo there are (...) general philosophical reasons but also reasons of theological anthropology which lead to a position of tutiorism. In general a strict protection of the embryo must be granted, but under certain circumstances there are valid reasons for a balance of ethical goods. Detailed questions which are discussed are new indications for in-vitro-fertilization and the ethical issues of preimplantation diagnosis, of research on embryonie stem cells and of therapeutic cloning. (shrink)

ZUSAMMENFASSUNGWas ist eigentlich »die« Schrift bzw. »die Bibel«, auf welche sich das sogenannte reformatorische Schriftprinzip beruft? Der kanongeschichtliche Befund, wonach die Bibel der Reformation ein Hybrid mit antirömischer Stoßrichtung ist, scheint auf die endgültige Dekonstruktion des reformatorischen Schriftprinzips hinauszulaufen. Leserorientierte bzw. rezeptionsästhetische Texttheorien verleihen dem sola scriptura jedoch neue Plausibilität. Dazu ist es allerdings erforderlich, die klassische Inspirationslehre als Theorie des inspirierten Lesers zu erneuern. Auf ihrem Hintergrund lässt sich auch die Frage, wieweit die Kirche Subjekt oder Objekt des Kanons (...) ist, einer neuen Lösung zuführen. Auch nach der Aufklärung braucht die Skriptologie eine pneumatologische Grundlegung. Außerdem hat der christliche Kanon implizit eine trinitarische und eine christologische Struktur, die ebenso inkarnationslogisch wie kreuzestheologisch zu rekonstruieren ist.SUMMARYWhat is actually “the” Scripture, or “the Bible”, which the Reformation Principle addresses? The canonical-historical result, which brought together the Bible of the Reformation with an anti-Roman direction of impact, seems to amount to the final deconstruction of the Reformation principle. Reader-oriented, and reception-aesthetic text theories accord to “sola scriptura” new plausibility. Here it is essential to renew the classic doctrine of inspiration as theory of the inspired reader. In this regard, the question offers itself as to how far the church is the subject or object of the canon itself. Also after the Enlightenment Bibliology needs a pneumatological foundation. Besides this, the Christian canon has an implicit Trinitarian and a Christological structure, which is always to be reconstructed with the logic of the Incarnation and Cross. (shrink)

(2001). The Challenge of Genetic Engineering to Medical Anthropology and Ethics. Human Reproduction & Genetic Ethics: Vol. 7, No. 1, pp. 21-25.

The above article discusses the utilitarian term of speciecism and its consequences for medical ethics. Instead of theological sweeping statement the author pleads for a distinguishing discussion of utilitarian positions. Theological criticism of utilitarianism which merely insists on the holiness of human life is insufficient. Even theological ethics have to discuss the problern of weighing goods in medical conflicts. Yet it is not possible, as utilitarianism argues that we can quantify the goods or the sense of life in a quasi-economic (...) way. (shrink)

Zusammenfassung„Frailty“ ist ein noch junges Konzept in der Geriatrie. Hilfsbedürftigkeit und Verletzbarkeit verweisen letztlich auf anthropologische Grundtatbestände. „Gebrechlichkeit“ ist freilich keine Krankheit und keine unausweichliche Begleiterscheinung des Alters, sondern das Resultat unterschiedlicher Faktoren, die letztlich in einem sozialen Kontext begriffen werden müssen. Das führt zu einer Reihe von individual-, personalund sozialethischen Fragen. Trotz definitorischer Schwierigkeiten ist Frailty ein sinnvolles geriatrisches Konzept, weil es eine ganzheitliche Sichtweise von Multimorbidität und ihren Auswirkungen auf die individuellen Lebensumstände sowie die subjektiv empfundene Lebensqualität alter (...) Menschen fördert. Die Diskussion über Phänomen und Ursachen von Gebrechlichkeit im Alter kann außerdem zu einer kritischen Auseinandersetzung mit modischen Spielarten von Anti- Ageing-Medizin und der latenten Diskriminierung alter Menschen beitragen. (shrink)

In order to secure ethical relevance for phenomenology, Peter Dabrock proposes a synthesis with a Kantian rational ethic. The theological question thus arises concerning the tenability of such a synthesis and the acceptability of the corresponding translation of Protestant anthropology into the language of philosophy. Dabrock argues that man's character as an image of god, understood in the context of a theology of justification, can be translated into the philosophical concept of incarnate reason. Even if the concept of incarnate reason (...) sounds plausible in view of foundational theology and anthropology, its contribution to a foundation for material ethics is very limited because the body itself however has no normative impact when it comes to deciding about the ethical acceptability of concrete medical interventions. Thus, the constitutive significance of our being embodied becomes ethically relevant only insofar as that significance is integrated into a moral philosophical or theological ethical framework theory. (shrink)

ZusammenfassungIm Unterschied zum Christentum haben andere Religionen keine der christlichen vergleichbare Theologie entwickelt. Diese ist keine zufällige historische Erscheinung, sondern hat ihren Grund im Wesen des christlichen Glaubens. Bei der Frage, auf die die Theologie die Antwort ist, handelt es sich um das Problem der Hermeneutik bzw. das Verhältnis von Glaube und Verstehen im Christentum. Genauer gesagt geht es um die Geschichtlichkeit des Glaubens wie des Verstehens. Theologische Hermeneutik hat insbesondere das Verhältnis von Glaube und Skepsis zu bestimmen. Sie kann (...) dabei nicht von der Fraglosigkeit der Gottesfrage ausgehen. Vielmehr besteht zwischen der Skepsis moderner Hermeneutik und der Skepsis des Glaubens eine innere Verwandtschaft, insofern sich die Theologie in reformatorischer Tradition kritisch gegenüber den metaphysischen Absolutheitsprädikaten des Einen, Guten, Wahren und Schönen, aber auch gegenüber ihren geschichtsphilosophischen und ethischen Transformationen in der Moderne verhält.SummaryIn contrast to Christianity, other religions have not developed a theology comparable to Christian theology. This is not a mere accident of history since in Christianity theology has its foundation in the character of Christian faith. The question to which theology is the answer is the problem of hermeneutics, or rather, the relationship between faith and understanding in Christianity, more precisely, the historicity of both believing and understanding. One of the foremost tasks of theological hermeneutics is to reflect on the relationship between faith and scepticism. It cannot proceed from the question of God as an unquestionable basis. Rather, it seems that there is an intrinsic relationship between the scepticism of modern hermeneutics and the scepticism of faith, insofar as theology in the tradition of the Reformation maintains a critical attitude towards the metaphysical claims of unity, goodness, truth and beauty as well as their modern transformations in the philosophy of history and in ethics. (shrink)

All the medical and bioethical questions, ranging from stem cell research to converging technologies and synthetic biology, touch on the question regarding the image of human beings and their position in the cosmos, by which we are able to orient ourselves. This article argues that the biblical belief in creation and the discourse about humans as created beings by and in the image of God can still be proclaimed as a viable form of human self-interpretation in the present. The distinction (...) between practical knowledge and knowledge of orientation may be of help here. Guidance for how to live and act is not best found in abstract principles, but rather in meaningful stories, in metaphors and symbols. On this level, too, is also where faith in creation and the certainty of our own creatureliness is located. Contribution: This article interprets the doctrine of creation by a hermeneutical theology. It analyses the interdependence between hermeneutics and criticism in the process of reinterpreting the classical propositions about the human being and the world as God’s creation and the relation of anthropology and ethics. The aim is to show what might be the contribution of Christian faith in creation to the approach of an ethics of responsibility in the field of bioethics and ecology. The specific contribution of this article to current debates on an ethics of creation is the thesis that the key to a well-balanced theological approach to all this is the Pauline doctrine of justification as interpreted by the protestant reformers. (shrink)

Over past decades a concept of ecological ethics has taken root, which is often equated with environmental ethics. Church and theology have also responded to the environmental crisis. In the last third of the past century an intense discourse about the concerns and extent of a so-called creation ethics was conducted. In connection with the question of a creation ethics, and the global responsibility of humans for the biosphere of our planet, the topic of creation has also gained new attention (...) in dogmatics. In this way, ecology has also become a topic of systematic theology. The article focuses on the debate in the German speaking context. Occasionally, a quasi-religious elevation of ecology to the status of a doctrine of salvation is observable. Because theology always also has a function of critique of religion, it must also critically engage the sometimes open and sometimes hidden religious contents and claims of eco-ethical concepts. For this purpose, the first step of the present contribution is to more precisely determine the concepts of creation and nature. Thereafter, the problem of anthropocentrism is analysed. In a further step, the concept of sustainability is analysed. In conclusion, the main features of a responsibility-ethics model of ecological ethics are outlined. (shrink)

The article provides an overview of important topics in contemporary medical ethics. Methodologically, it is a literature review. The article addresses only a limited selection of the problematic areas, which are, however, related to each other: digitisation of medicine, genome editing, personalised medicine as well as ethical problems and dilemmas of allocation in healthcare. The global COVID-19 pandemic has emerged as a focus and trigger. Reflections on human rights and justice in medicine are fundamental not only on the individual and (...) social level but also on a global scale. The fundamental question is how society as a whole can be involved in the complex biopolitical and bioethical debate. The social and cultural consequences of life increasingly being understood as a technical product rather than a gift are serious.Contribution: The article also reflects on the specific contribution that Christian theology, and in particular the reformed heritage, can make to bioethical debates in modern society. The distinction between instrumental knowledge [Verfügungswissen] and orientational knowledge [Orientierungswissen] is helpful for its better understanding. A crucial result of this article is that medical treatment is repeatedly faced with ethical dilemmas. Moreover, medical progress not only creates new and better solutions to medical problems, it also raises new ethical questions that did not exist before. The purpose of medical ethics lies in identifying such dilemmas and developing ethical decision-making processes that help us to deal with such dilemmas to some extent. (shrink)