Still Waiting for St. Benedict: Christianity and Bioethics in Matthew Vest’s Ethics Lost in Modernity

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Abstract In this article, we engage critically with Matthew Vest’s book Ethics Lost in Modernity. We outline its argument, highlighting Vest’s use of the work of Ludwig Wittgenstein. The book presents Wittgenstein’s notoriously difficult philosophy in a comprehensible way and draws on it in a compelling critique of contemporary mainstream bioethics as a “language game.” Vest explains well why bioethics is simultaneously boring and capricious, accommodating its language to whatever regime of power prevails. His arguments helpfully enable Christians to show how and why secular bioethics fails to secure its normative principles with rational certainty and thus, perhaps, to break through its hegemony in contemporary discourse. Yet, we also point out a tension in Vest’s stance toward modernity itself. Vest calls for a return to “premodern” ways of thinking and being, but his own fruitful encounter with Wittgenstein shows the benefits that can arise when Christians enter into dialogue with modernity rather than rejecting it. We argue that a “shadow-seeing” attitude toward modernity, which recognizes its deviations from Christian orthodoxy while patiently reorienting it toward Christ as the true source of its genuine moral advances, befits those of us Christians who, like Vest, believe that bioethics has lost its way.

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Predominant among the terminological ambiguities that plague contemporary bioethics is confusion attending the meaning of the term "human dignity," particularly as it applies to so-called end-of-life discussions. This study surveys current trends in treatment of the concept of dignity, examining relevant thinkers who see dignity as redundant or as capability-dependent. These inadequate views are contrasted with an attitude, based theologically in Mark 5, that understands human dignity to represent an absolute characteristic that is donated graciously to all bearers of imago Dei. Human dignity must thus be affirmed as inviolable and independent of autonomy, rationality, or capability. A specific task of the Christian Church is to faithfully recognize and proclaim this dignity. This investigation is particularly relevant in the face of contemporary discussions regarding euthanasia and physician-assisted death. Lay Summary: Much of the polarization within the contemporary bioethical discussion proceeds out of confusion regarding how we ought to define the terms of the debate. If we may take the existing debates regarding euthanasia and physician-assisted death as an example, we may understand the vital need for a sensible definition of the term that stands at the heart of the arguments of both sides of the debate: "human dignity." As such, this study seeks to define dignity in a logical, theological, deeply personal, and highly practical fashion, and to outline the critical role of the Church within such an understanding. Sometimes, when I walk into the room, he ignores me. Sometimes he thinks I am someone else. Most often he is asleep, subjugated by drugs designed to prevent agitation, although "agitation" is the sterilized hospital word for what I would call unbridled panic, total disorientation. The night he had the stroke, they had to tie him to the bed just to keep him in the hospital. And they wouldn't let me see him because he had been calling my name. Very dramatic, but most of his suffering, and our grief, is not dramatic. It is just the mundane process of one man slowly fading, becoming, every day, more of a stranger to himself and to those he loves.

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