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Exploring ethical justification for self-demand amputation.

Floris Tomasini1

  • 1Institute for the Environment, Philosophy and Public Policy, Furness College, Lancaster University, Lancaster, UK.

Ethics & Medicine : a Christian Perspective on Issues in Bioethics
|November 23, 2006
PubMed
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This study explores the ethics of self-demand amputation, where individuals desire healthy limb removal. It finds that current ethical frameworks struggle to justify this procedure, highlighting a need for deeper recognition of embodied differences.

Area of Science:

  • Bioethics
  • Medical Ethics
  • Philosophy of Medicine

Background:

  • Self-demand amputation involves the desire to surgically remove healthy limbs or digits to align with one's body identity.
  • This condition presents significant medical and ethical controversies due to the obsessive nature of the desire for amputation.

Purpose of the Study:

  • To examine normative and professional ethical perspectives on justifying surgery for self-demand amputees.
  • To analyze the limitations of existing ethical theories, such as Kantian and Utilitarian approaches, in addressing this issue.

Main Methods:

  • A dialogical approach moving between empirical context and normative theory.
  • Critical examination of Kantian and Utilitarian ethical frameworks.
  • Exploration of underlying normative assumptions (the 'natural attitude') that limit justification.
Keywords:
Analytical ApproachHealth Care and Public HealthPhilosophical Approach

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Main Results:

  • Neither Kantian nor Utilitarian ethical traditions can fully accommodate the experience of self-demand amputees.
  • Existing ethical justification falls short in recognizing the core problem presented by the desire for amputation.
  • The 'natural attitude' reveals ethical limits to justifying such procedures.

Conclusions:

  • A new meta-ethical concept, 'the struggle for recognition,' is introduced.
  • Proposes a 'hermeneutics of recognition' preceding ethical justification to address radical embodied differences.
  • Suggests current ethical frameworks are insufficient for understanding and potentially justifying self-demand amputations.