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THE CONCEPT “LIFE” AND ITS OPPOSITE: THEORETICAL AND PRACTICAL REFLECTIONS Jose Mario C. Francisco, SJ Loyola School of Theology, Ateneo de Manila University Manila, Philippines THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_19 THE CONCEPT“LIFE”AND ITS OPPOSITE: THEORETICAL AND PRACTICAL REFLECTIONS Jose Mario C. Francisco, SJ | Loyola School of Theology, Ateneo de Manila University Manila, Philippines Introduction I have set before you life and death… Choose life, then, that you and your descendants may live.” (Deut 30:19) This quotation from the Book of Deuteronomy, chapter 30, verse 19, has always struck me when read as part of the first reading (Deut 30, 15-20) during the Feast of St. Ignatius. It expresses in very stark terms the contrast between blessing and curse, between life and death. I suppose it was chosen for this feast not only to suggest that the life of Ignatius and all that developed from it is life-affirming and life-giving, but also because Ignatian spirituality is anchored on many such contrasts such as “The Standard of Satan” and “The Standard of Christ” in the Spiritual Exercises (nos. 136-48) or consolation 20_생명연구 27집 versus desolation in the discernment of spirits (Spex nos. 313-36). These stark contrasts are similarly found in ordinary discourse―up and down, left and right, light and darkness. The list could go on. Though we may not pay too much attention to them and may accept them simply as a normal part of ordinary discourse, these contrasts shape not only our way of speaking but also our way of seeing the world. This realization forms the fundamental insight behind the thought of Ferdinand de Saussure and its subsequent systematication in the many variants of structuralism. As articulated in structuralist thought, these contrasts or, more technically, binary opposition consists of related terms or concepts that are opposite and therefore, mutually exclusive in meaning. More than just accidents of language and discourse identified by the linguist Suassure, these binary pairs organize how we see, understand and act in our world. Each element is defined against what it is not. For instance, we are hard put to conceive of the 'good' if we do not understand 'evil'. In Derrida’s words, "unless a distinction can be made rigorous and precise it isn't really a distinction. "This deceptively simple insight provided much impetus in the development of contemporary thought in the social sciences as well as the humanities and given birth to the almost catch-all realm of cultural studies. As expected, reactions and critiques to the different forms of THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_21 structuralisms soon followed with labels like post-structuralism, deconstruction and even post-post-structuralism. They pointed out that structuralist thought was wedded to “Western” civilization. Ideology critique unmasked the often dominant role of one element over the other, and the consequent legitimation of ethno- or andro-centrism. There is no intent here to arbitrate between the varieties of structuralism on the one hand and the responses to it on the other. What is intended is simply to call attention to the use of binary opposites in both ordinary and technical discourse and to set the platform for this presentation. We are have been gathered by the Institute of Life and Culture for this conference on the theme “the Meaning of Life”. As individuals and institutions, we are committed to life, promoting a culture of life and fighting against forces of death. In the intensity of this commitment, we might just run the risk of taking for granted how we in fact use “life” and “death” in opposition to each other. Given such a risk, this presentation interrogates the concepts “life” and “death” as a binary pair, and how they function in our moral discourse. This interrogation involves both theoretical and practical considerations from the perspective of one from a context where life is constantly threatened. In this presentation, the use of the binary pair “life” and “death” is discussed in the relation to different areas of major ethical concerns 22_생명연구 27집 such as the end or beginning of life. These discussions will not evaluate particular moral positions but investigate how the binary pair is employed in moral discernment and reasoning. On End-of-Life Issues The binary opposites of life and death prove most useful in end-of=life issues. As one side of a binary pair, death is defined as the cessation of whatever is defined as life, and the ethical concerns center around the causes and circumstances of death. The cause of the cessation of life may be the death-dealing act of an individual as in a stabbing or of a nation-state as in the execution of a criminal or in a war against another nation-state. Here moral considerations focus on the intention and legitimacy of the act: the stabbing could be self-defense against a pickpocket, and the death of a person could be part of what would constitute “a just war”. Additional considerations could include how proportionate the act is under the circumstances:the pickpocket turned violent when caught, and the war casualty could be a civilian hit by a sniper.In the case of state-imposed death penalty, it could be asked whether the execution of the criminal based on due process and a fair trial is commensurate to the crime and indeed “protects the rest of society.” Moreover, because of new circumstances, there may arise further questions such THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_23 as “Can a nuclear war ever be just?” or “Is the so-called war on terror really a war and therefore subject to the same moral considerations as conventional warfare?”. Nevertheless, the binary opposition between life and death serves moral discernment well. In fact, it sharpens the moral weight of intention and circumstances in these cases.This applies as well in the more complex cases of suicide and euthanasia in the form of deliberate and direct intervention to end life by an act or omission. Such is deemed morally questionable because of the intent to kill, even if for “a good cause” as in the case of the self-immolation of Buddhist monks during the Vietnam war or for “a humane reason” as in the case of a terminally ill patient. The binary opposition between life and death, however, begins to show cracks in other end-of-life issues related to the care of the terminally infirm, in particular, those involving the prolongation of life. Here the questions no longer revolve around the prevention of death but the quality of life that is being prolonged and the effect of that prolongation on those giving care. For instance in the case of the terminally ill, the nature and extent of the medical means to prolong life is weighed in relation to the quality of the person’s vital functions like consciousness, the ease and availability of the medical means in the patient’s circumstances (that is, whether they are extraordinary or not under these circumstances), and the impact of these means on the overall life of those who carry the burden of care. Even in the more 24_생명연구 27집 specific issues regarding the use of painkillers which could lead to death and the obligation to provide artificial nutrition and hydration (ANH), moral judgment is made in the light of how these efforts actually achieve their ends to ease pain or sustain life. In these cases then, the binary pair of life and death proves an inadequate tool for moral discernment, because their opposition is no longer stark. Life here needs qualifications, even degrees, and the relation between death and the varying quality of life is no longer binary. Thus moral discernment depends on elements other than the stark opposition between life and death. Here the inadequacy of the binary pair is revealed as questions about the quality of life of the terminally ill as well as the impact of the prolongation of life on the quality of life on the family of the ill begin to be considered. On Beginning-of-Life Issues The binary opposition between life and death has also been employed in the ethical discussion of beginning-of-life issues. Its use is most evident and helpful in the ethical discussion on abortion. Here the rejection of interventions that end life is clear, as it brings about death. This is further reinforced by the distinctions between a miscarriage where there is no intervention, an induced abortion where THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_25 there is direct intervention through different means, and a therapeutic abortion where the intervention aims to save the life of the mother. The binary opposition between life and death functions analogously in the complex and controversial discussion about the beginning of human life. Though the discussion centers on the transition to life from non-existence which is not the same as death, the determination of when human life begins serves to identify a clear boundary when intervention causes the cessation of human life. Different views locate this boundary at different points. Some identify the instance of conception or implantation of the fertilized ovum; others peg it somewhere along the biological process of development from single-cell zygote to an embryo. For many Catholic theologians, this point when human life begins corresponds to the infusion, whether considered immediate or delayed, of what is called the “soul” (anima), and therefore deliberate cessation of life after this point is morally unacceptable. The binary opposition between life and death does not function as effectively in issues related to the facilitation or prevention of the formation of a human life. In cases of facilitation as in artificial insemination or in-vitro fertilization (IVF), the only moral consideration related to the life-and-death binary opposition focuses on whether fertilized ova, considered by some as human life, are discarded and thus their life ended. But beyond this, the more central moral questions deal with the role of sexual union and procreation 26_생명연구 27집 within marriage. In the case of preventing the formation of a human life, here understood as strict contraception and therefore excluding the use of any abortifacients, the moral considerations transcend the dichotomy between life and death. Here the formation of life is prevented and no life is ended. Thus relevant considerations center on the intent and means in preventing the formation of human life―concerns more properly related to issues of sexuality. On Sexuality Issues The binary opposition between life and death is relevant to moral considerations of issues related to sexuality. After all, sexuality is closely linked to reproduction and therefore the formation of life, and this link remains a fundamental, though not an exclusive, basis for sexual ethics. Thus specific issues concerning sexuality such as sexual behavior between men and women or between the same sex must come to terms with this link. The link of sexuality to procreation is evident in the sexual union between a man and a woman, and remains integral to any moral discussion of sexual relationships between men and women. However, this biological given can be construed differently. As an end of marriage together with its unitive purpose, procreation has been THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_27 construed normative either in terms of the totality of the bond between man and woman or of each and every act of sexual intercourse. Because of the fundamental status of the link between sexuality and procreation, moral discussions on contraception are first concerned about the intent of preventing the formation of human life. There could be medical contraindications such as the health of the woman or economic obstacles such as the inability of parents to provide minimum human living conditions for additional children. These provide legitimate grounds for avoiding pregnancy. The question of the means for the avoiding pregnancy follows. Some means are permanent like a medically indicated hysterectomy, freely-chosen tubal ligation or irreversible vasectomy; most are temporary like abstinence from sexual union or the use of a condom during intercourse. The conflicting views regarding the use of “natural” or “artificial” means of contraception are founded not only on what proponents consider to be natural or not but on how sexuality is construed to be constitutive of the human person and human relationships.In these moral discussions, the binary opposition between life and death does not play a key role unless the prevention of pregnancy is conflated with abortion as some prolife groups do. Such is also the case in the issue of same sex attraction (SSA) and its expression in behavior. Moral discussions are not framed in terms of the life-and-death opposition. They focus on the etiology of same 28_생명연구 27집 sex attraction, whether it is a condition or a choice, whether it is rooted in nature understood in general or genetic terms or in nurture, that is, upbringing or social influence. Furthermore, following which view is taken on its etiology and on what basis, same sex behavior is judged either morally acceptable or not. Those who consider same sex attraction as “natural” on whatever basis generally accept its behavioral expression acceptable and therefore subject to the same moral standards as heterosexual behavior, that is, a free, mutual and lasting commitment between equals. Those for whom same sex attraction is not “natural” hold that its sexual expression is subject to free choice and therefore can be rejected as morally unacceptable. Such same sex behavior is unacceptable because it is not procreative, that is, not productive of children. However, others counter that the generative dimension of same sex unions is present in other ways such as the creative work of persons with same sex attraction. In this sense, they claim that same sex unions are life-giving as well. On the matter of issues related to sexuality then, concern for life remains present, but it is no longer defined in contrast to death. On Social Issues The binary opposition between life and death does not appear to be THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_29 prominent in the general area of social ethics. Significant social issues such as poverty, injustice and marginalization are surprisingly not discussed under the rubric of the prolife ethic, because this ethic is defined in terms of its opposition to death. These social issues instead are considered under the rubric of human rights and human dignity. Social forces and structures that cause poverty in all its forms and dimensions as well as marginalization on whatever basis like race, ethnicity, class or gender are judged as violating the human rights and dignity of persons and groups. What is then seen as moral imperatives are efforts at empowering all and working towards the development of all, more specifically described as integral human development, that is, the development of persons and groups in all dimensions constitutive of their nature.These imperatives of social ethics logically belong to an ethics of life to the fullest, and yet do not appear so because life has been limited to what is opposed to death. The one area of social ethics where the binary opposition of life and death can be most cogent but is still undeveloped in terms of a life ethic lies in the general area of environmental ethics. After all, the environment is, in the most literal sense, the sphere where the forces of life and death operate. Thus ethical decision and action related to the environment hinges on how life is sustained. Some interpret this as complete non-intervention in the environment. Not only is this “letting nature by itself” a form of intervention, but with the 30_생명연구 27집 competing forces of life and death in the environment, direct human intervention is at times needed for the forces of life to prevail. However, this involves a complex moral calculus that takes into account the empirical structure of ecosystems, the multiple forms of biodiversity, and human construal of what constitutes integral life. Though much has been proposed in environmental ethics, little has been explicitly done in terms of a life ethic. Within such an ethic, the moral valuation of different life forms and the acceptance of death as part of the cycle of life could be central considerations. Concluding Notes This presentation examined how the binary opposition between life and death figured in discussions of some of the main issues in the different domains of ethics. In issues regarding the end and beginning of life, this conceptual tool proved cogent and useful; but in the domains of sexual and social ethics, not so despite the reality that these domains are as much about life as bioethics. This difference is the result of using the binary opposition between life and death as the primary tool in ethical thinking. As noted, end-of and beginning-of life issues are clarified by the stark contrast between life and death. However, in issues of sexuality, this contrast is relevant only to the matters related to procreation; considerations THE CONCEPT “LIFE” AND ITS OPPOSITE : THEORETICAL AND PRACTICAL REFLECTIONS_31 about who the human person is, how constitutive sexuality is to this personhood, and what familial structure best supports human personhood become the more central moral concerns. In a similar way, discussions in social ethics focus on human dignity, rights and integral development rather than on the binary opposition between life and death. It is not surprising then that advocacy and action in the name of the promotion of life have been strongest in ethical issues related to the end and beginning of life and almost silent in social issues. However, if such advocacy and action are to achieve its goal, they must engage social issues and other sexual issues under the rubric of a life ethic. What this entails is a modification and possibly a rejection of the binary opposition between life and death as the primary conceptual tool in moral discourse. The current understanding and use of this binary opposition gives preeminence to life understood in terms of the strictly biological and to death as the cessation of this life. It must be recognized that the concept “life” is an essentially contested concept and includes the fullness of life longed for by humankind and, for the Christian, brought by Jesus Christ. Whether death could be similarly re-conceptualized in moral discourse as the cessation of this fullness remains to be seen. Nevertheless without this new articulation, prolife advocacy and action are doomed to fail in truly promoting life and building a culture of life. 32_생명연구 27집 REFERENCES Cahill, Lisa Sowle and Farley, Margaret A. (eds.). Embodiment, morality and medicine, Dordrecht, Boston, London: Kluwer Academic Publishers, 1995. Kavanaugh, John F., Who count as persons? Human identity and the ethics of killing, Washington. D.C.: Georgetown University Press, 2001. Miranda, Dionisio M. Pagkamakabuhay: on the side of life, prologemena for bioethics from a Filipino-Christian perspective, Manila: Logos Publications, Inc., 1994 McCormick, Richard A., How brave a new world? dilemmas in bioethics, Washington, D.C.: Georgetown University Press, 1981. Sutton, Agneta, Christian bioethics: a guide for the perplexed, London and New York: T and T Clark, 2008. Vaughn, Lewis, Bioethics: principles, issues, and cases, New York and Oxford: Oxford University Press, 2010.