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Prenatal diagnosis, personal identity, and disability
Kennedy Institute of Ethics Journal
|October 20, 2001
Summary
Prenatal testing and abortion may not convey a disparaging message to people with disabilities. The expressivist argument fails to distinguish abortion from therapy for disabilities.
Area of Science:
- Bioethics
- Disability Studies
- Philosophy of Medicine
Background:
- Prenatal diagnosis of disabling traits raises ethical concerns regarding abortion.
- The "expressivist" argument posits that such abortions send a morally disparaging message to individuals with disabilities.
Purpose of the Study:
- To critique and refine the expressivist argument against abortion following prenatal diagnosis.
- To argue that abortions prompted by prenatal testing do not function as meaningful communicative acts.
- To explore the limitations of distinguishing between reasons for abortion and between abortion and therapeutic interventions.
Main Methods:
- Philosophical argumentation and conceptual analysis.
- Examination of the semantic and pragmatic aspects of abortion practices.
- Comparative analysis of abortion and therapeutic modalities.
Main Results:
- Abortions following prenatal diagnosis lack the semantic structure to convey a specific "disparaging" message.
- Even if expressive, distinguishing abortion reasons (disability vs. socioeconomic factors) is problematic.
- The expressivist argument struggles to differentiate abortion from therapy in responding to potential disabilities.
Conclusions:
- The expressivist critique of abortion based on prenatal diagnosis is fundamentally flawed.
- The practice of abortion in this context is not a sufficiently "well-behaved" sign to communicate a disparaging message.
- The argument fails to establish a clear distinction between abortion and therapy as responses to disability.
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