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Updated: Jun 22, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
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Published on: July 4, 2013

'Total disability' and the wrongness of killing.

Adam Omelianchuk

    Journal of Medical Ethics
    |October 18, 2014
    PubMed
    Summary
    This summary is machine-generated.

    The wrongness of killing may not apply to totally disabled patients, according to Sinnott-Armstrong and Miller. However, this argument is challenged due to ambiguity in defining total disability and its relevance to personhood and human worth.

    Keywords:
    DeathKillingLifePersonsTransplantation

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    Area of Science:

    • Bioethics
    • Philosophy of Medicine

    Background:

    • Walter Sinnott-Armstrong and Franklin G Miller propose that the harm to the victim is the primary reason killing is wrong.
    • They suggest 'total disability' defines this harm, implying killing totally disabled patients is not immoral.

    Purpose of the Study:

    • To critically evaluate the argument that killing totally disabled patients is not wrong.
    • To examine the ambiguity of 'total disability' and its implications for personhood and human worth.

    Main Methods:

    • Conceptual analysis of the term 'total disability'.
    • Philosophical critique of the harm-based explanation for the wrongness of killing.
    • Examination of the relationship between disability, personhood, and human worth.

    Main Results:

    • The notion of 'total disability' as presented is ambiguous.
    • The argument potentially begs the question regarding residual abilities relevant to personhood and human worth.
    • If abilities relevant to personhood remain, death entails a greater loss than 'total disability'.

    Conclusions:

    • The harm-based explanation for the wrongness of killing may be insufficient when applied to 'total disability'.
    • Further clarification on 'total disability' is needed to assess its ethical implications.
    • The argument's validity hinges on whether 'total disability' is equivalent to death.