Now, the Real Foundations of BioethicsThe Foundations of Christian Bioethics [Book Review]

Hastings Center Report 31 (6):46 (2001)
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Abstract

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.

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