The Woman and the Physician Facing Abortion
The Role of Correct Science in the Formation of Conscience and the Moral
Decision Making Process
Presented at "The Guadalupan Appeal: The Dignity and Status of the Human
Embryo", Mexico City, Mexico, October 28, 1999.
Reproduced with permission.
© Dianne N. Irving, M.A., Ph.D.
*
Representing the Catholic
Medical Association of the United States and the
International Federation of Catholic Medical
Associations.
Without . . .correct
scientific information we are all precluded from
forming our consciences correctly or making morally
correct decisions . . .The use of the correct
science is indeed the starting point for thinking
about all of this . . .
One of the most urgent yet least discussed
dilemmas concerning the woman, the physician, and a
host of others facing abortion today, is access to
the correct basic scientific information regarding
the human embryo -- scientific information which
demonstrates empirically that normally every human
being begins at fertilization as a single-cell
embryo, the zygote 1.
Without this correct scientific information we are
all precluded from forming our consciences
correctly 2 or making
morally correct decisions 3
about abortion, human embryo research, human
embryonic stem cell research, cloning, formation of
interspecies chimeras, germ-line DNA recombinant
gene research and therapy, and other related current
medical and scientific issues.4
The use of the correct science is indeed the starting point for thinking about all of this,
short of Divine Revelation.5
One philosopher's favorite dictum would seem
quite appropriate here: "A small error in the
beginning leads to a multitude of errors at the end"
(paraphrased).6 Nowhere
is this more fundamental than here. Any error in the
science will have a rippling effect on the
philosophical anthropology,7
ethics,8 sociology,
politics, law, and theology -- degrading our
knowledge and understanding of the real dignity and
status of the human embryo. To complicate the matter
further, also facing us is the fact that the human
embryo is per se a multi-faceted creature,
and thus must be studied from the perspective of
several different academic disciplines
simultaneously.9 Even
one's choice of philosophical schools to use (e.g.,
rationalist, empiricist, idealist, realist,
existentialist, etc.) alone can be problematic, as
each defines "being" differently (and therefore
"human being" and "material being" differently),10
and uses different starting points and
criteria of truth -- hence arriving at different
conclusions about reality. This is not, however, to
be taken as an excuse for claiming that we can never
know "reality", that all philosophies are relative,
or simply "different ways of looking at the same
reality". Rather, it would be more to the point to
say that some philosophies match reality and some
don't; some philosophies are actually looking at
quite different realities or cosmologies than
others; and some philosophers are right and some
philosophers are wrong -- not a particularly
"politically correct" statement, but true
nonetheless.
A realist philosopher's starting point for
doing philosophy at all is a posteriori
(outside the mind), i.e., in our experiences of
material things (or natural philosophy)11,
rather than starting with purely subjective ideas in
the mind. Thus all concepts are originally derived
inductively, and must correspond with
or match the material things outside our
minds which caused those concepts in order to be
judged as true.
This is so as well for St. Thomas' philosophy (on
whose holistic philosophical anthropology, among
others, many of the Church's teachings and documents
are philosophically based),12
including his philosophical anthropology. For
him a "human person" is defined as one single whole multi-faceted composite substance of 3
different principles or causes: immaterial form (the
rational soul, which always contains virtually
the sensitive and vegetative powers),
"undesignated matter" (the human body), and esse
(the act of existing of this one human substance)13.
The name of "person", St. Thomas states, does
not refer to the rational soul alone, nor to the
whole soul alone, but to the entire subsistens
-- that is, the soul (form), body (matter), and act
of existing (esse) all together as one whole
existing human substance14.
Thus the whole existing human substance is one
person for St. Thomas -- no splits, either within
the soul itself, or between the whole soul and the
body. Further, every human person is simultaneously
a human being, and vice versa, since it is
through the whole rational soul that a human body is
specifically human, and animated (i.e., alive,
existing).
But because of its multi-faceted
composition, in studying each one of these several
facets of a human person it is necessary and
essential to use the content of different academic
"sciences" and therefore different epistemologies or
methods, in the process. Thus the question as to
when a human person begins is a philosophical (or using a different discipline,
a theological) question -- and a realist philosopher would begin by deriving his or her
philosophical concept of "person" inductively
from the correct natural philosophy, which in turn
is derived from the correct basic sciences. The
question as to when the physical material dimension
of a human being begins is a strictly scientific question, and it is the basic science
of human embryology which properly studies this
question, because it alone has the proper subject
matter and epistemology to do so.
Today, however, the very content or
subject
matter of the basic sciences has been corrupted,
15
in turn leading to the use of the wrong
epistemologies or methods, in turn leading to the
wrong "scientific" conclusions about whether or not
the human embryo or fetus are in fact human beings,
and when these human beings begin their lives as
individual persons.
To know that the human embryo is indeed a
personal human being16
is central to forming our consciences, and therefore
to knowing what actions are right or wrong in a
specific situation. While conscience is the
subjective norm in philosophical natural law theory,
it must be a correctly formed conscience --
one in accord with objective reality and objective
truth17 -- starting
with and including this objective scientific truth.
Thus any scientific error in this regard precludes
us from forming our consciences correctly.
An erroneous conscience literally enslaves us,
and erodes our freedom.18
Much of the error is usually referred to as
"culpable" ignorance -- things we can do something
about, and therefore for which we are responsible
and accountable. But what I am pointing to is "inculpable"
ignorance -- things we really can't do anything
about -- such as access to the correct basic
scientific information about the human embryo in
order to inform our consciences correctly.
The moral decision making process itself is also
therefore corrupted. Although the moral and
theological virtues are critical in the moral
decision making process,19
the intellectual virtues are the starting
point for this process.20
Yet they too seem to be frequently neglected in
these discussions -- especially the intellectual
virtue of "science".21
Given that it is the intellectual virtues which in
general help us attain correct information as to
what the good (end) is that we should desire, the
intellectual virtue of scientia also
helps us to think well, e.g., to know our material
reality correctly -- including at least what the
physical material dimension of a human embryo is and
when it begins. Thus knowing that correct scientific
information is part of the very starting point of
the moral decision making process facing the mother,
the physician and a multitude of others. This right
starting point, in turn, is essential for then
rightly deliberating about the means to our good
(end), choosing those means, willing them, and
performing such actions as are necessary to reach
our proper human end or goal. So any scientific
error in the beginning of this moral decision making
process also precludes us from making morally
correct decisions in the end.
Even given the very
best of scenarios, it is
next to impossible these days for anyone to acquire
the proper and correct basic scientific information
about when the physical dimension of the human
embryo or fetus begin -- a situation due mostly to
the inordinate influence of the scientific fraud so
prominent in the
secular bioethics
22
and related literatures -- a real cacophony of chaos
-- which has been silently foisted upon the rest of
us and now pervades our entire societies. And it is
not just "the woman" who is a victim.
Consider the young teenagers or college students
in today's society -- let's say they are all
basically good and decent people -- male and female
-- and all come from loving, caring, practicing
Catholic families. We'll call one of them Margaret.
For whatever reason, Margaret suspects that she
might be pregnant, and being the honest and diligent
person she is, she sincerely begins to try to inform
her conscience so that she can make a morally right
decision about whether or not to seek an abortion.23
She starts this process by seeking the advice of
others whose knowledge and work she respects.
Based on recent "scientific" articles and
documentaries in the media24,
her parents are convinced that whatever is there is
"just a bunch of loosely connected cells that don't
know how many people they will be yet", so it is
really "OK" and prudent to have an abortion. Her
grandparents reluctantly concur, embarrassed that
they are not up on the most recent cutting edge
scientific advancements which prove that it is just
a "piece of the mother's tissues". Her boy friend is
convinced that it is just simply a "neutral blob".
And her big sister teaches her that in terms of
evolution it is probably still just a mouse, a fish,
or a frog. Even her family lawyer assures her that
it is just a piece of her own tissues, a part of her
body, her own personal property that has "symbolic
value" only25-- and,
she reminds Margaret that abortion is legal now. The
only viable issue left is "choice".
The health clinic nurse in her high school
instructs Margaret that pregnancy doesn't even begin
until "conception", i.e., which takes place,
she explains, when the "egg" implants into
the uterus.26 And if a
condom was used she could not even get pregnant.
Just to make sure, the nurse had slipped her a fresh
supply of morning-after pills -- for emergency use
only, of course. Her local pharmacist assures her
that morning-after pills are only
contraceptive, and definitely never abortifacient -- or so the pharmaceutical companies
had assured him27.
Even her sociology professor assures her that
ridiculous claims that this could be a real human
being are just remnants of a passe cultural
or religious "belief system".
In her high school library Margaret nervously
scans the pages of the various medical textbooks,
and the numerous pamphlets from Planned Parenthood
-- no sign anywhere that what she might be carrying
now inside of her is a real human being yet. Same
with the one medical textbook she grabbed from the
shelf in the medical school library down the street.28
She checks the internet and pulls up the web
site for the National Institutes of Health (NIH),
clicking into the page where information is provided
to the researchers and the public about human
embryonic stem cell research. There she finds the
official testimony of the Director of NIH to the
United States Senate: these early "entities" are
only totipotent stem cells, not a human
being; a human being doesn't even exist until after
birth and young adulthood.29
The Senators and their staff race off to spread the
good news to other Congressmen and their staffs, and
even hold several press conferences to educate the
public.
Further checking at the Kennedy Institute of
Bioethics Library at Georgetown University in
Washington, D.C. -- the only source of
"ethical" information feeding into the National
Library of Medicine and NIH for researchers and
interested others from around the world -- confirms
that not only is there is no human being
there, there is no human person there yet
either. It is just a "potential person" -- so all
the bioethics and philosophy articles seemed to say.30
"Phew -- where are those pills?" Margaret sighs. Oh,
no -- they are all mixed up in her pocket now with
the ones for sexually transmitted diseases (which
she also recently contracted).31
Margaret seeks the advise of her family
physician, who quickly confirms to her all of the
above.32 "Not to
worry," he advises her, as he helps her sort out the
pills. "That's all absolutely correct scientific
information -- the very latest from our professional
medical associations!" "Besides," he smiles
reassuringly, "these morning-after pills are
essential for 'emergency contraception'. After all,"
he reminds her, "you do want to be able to go on to
college next fall, don't you? Trust me," he winks,
as he urges her to quickly take those morning-after
pills, before it is too late -- although she could
still elect for an abortion if it is.
The most comforting of all, as always, is her
pastor. He assures her that there is nothing there
but a "pre-embryo"33--
hardly a human person with an immortal soul!
"Right now all that is there is just a sort of
'vegetable'," he explains to her. "The rational part of the soul can't be infused by God until
the matter is 'appropriately organized' -- about
14-days after fertilization. After that, twinning
cannot take place, so then God is sure, and finally
agrees to slip the rational part of the soul right
in there and create a real live human person. How
else would theologians ever be certain about how
many souls there were there to baptize?," he quips.
"Besides," he advises her, getting serious, "theologians
tell us that only the cells from the inner
layer of this 'pre-embryo-thing' become the later
fetus and adult human being, not the cells from the
outer cell layer. The cells from the outer cell
layer are the ones that are all discarded after
birth. That's why it is perfectly fine to use those
morning-after pills," he assures her. "They would
only attack the outer cell layer, not the inner cell
layer from which the real human being will later arise. No," he concludes pensively, "a
real person would not be so totally disconnected
and confused. This 'pre-embryo-thing' must just be
sort of like a 'being-on-the-way'34--
just a potential human person. So, Margaret,
either the morning-after pills, or later even
abortion, would be morally acceptable -- given the
proportionate circumstances and intentions,
of course.35 Thanks to
modern science," her spiritual advisor advises, "we
pastors can be much more pastoral these days. When
is the Church ever going to get with it?," he
mumbles. "No guilt, my child. Go in peace."
Finally, assured by every kind of personal friend,
family, and professional expert from whom she could
possibly seek advice, Margaret is truly convinced
that this "thing" inside of her is essentially
insignificant and has no inherent or real value. The
only "choice" left for her to make is whether she
takes the morning-after pills now, or waits a while
and gives her legal informed consent for an
abortion. "How silly of me," she reproaches herself.
"And to think, I had actually almost decided to call
him
Baby John!" The deed is done. No guilt.
36
This scenario would be funny if it were not
repeated a million times a week around the world.
Virtually all of the basic "scientific" facts of
human embryology provided to all of these victims
are false. Contrary to reports in the media, and
contrary to such "scientific" claims in the
literatures of Planned Parenthood, the
pharmaceutical industry, medical and research
professional organizations, governmental
institutions, bioethics textbooks and journals,
laws, regulations, international guidelines, and
pastoral and theological "debates", the early human
embryo is not "just a bunch of loosely connected and
confused cells that don't know how many people they
will be yet", "a neutral blob", "a piece of the
mother's tissues", a "seed-on-the-way", a
"fish-on-the-way"37 --
or a "pre-embryo". None of these claims have any
bases in the object scientific facts of human
embryology. There is no such thing as a
"pre-embryo", and the term itself is specifically
rejected by human embryologists.38
Furthermore, if fertilization has already taken
place, the "morning-after" pill, or "emergency
contraception", could possibly be abortifacient.39
Every individual human being produced via
normal sexual reproduction begins as a human embryo
at fertilization40--
when normal pregnancy actually begins41
-- or in in vitro fertilization, with
the initial fusion of the sperm and the oocyte. This
is not just a "faith position", a "personal
opinion", or a "pro-life radical's" misguided
fantasy. This is an objective
scientific fact -- Biology 101 -- agreed to by
every human embryologist around the world. Like 2 +
2 = 4.
At fertilization the matter is "appropriately
organized",42 and
this single-cell human zygote -- in vivo or
in vitro -- is an already existing human
being,43 with his or
her own unique genetic composition (from both the
mother and the father), genetically already a
girl or a boy.44
Immediately this tiny human being directs his or her
own growth and development.45
The embryo grows continuously from a single-cell
zygote, to the 12-16 cell morula stage, to the 5-6
day blastocyst stage, and on. The whole
embryonic blastocyst is the human embryo (the human
being), not just the cells from the inner cell
layer.46 Specifically
human proteins and enzymes are produced,47
and later specifically human tissues and
organs are formed -- long before some isolated "pure
rational soul" might be "infused" to try to direct
such operations and functions. All biologists know
empirically that function does follow being
(or form).48 Therefore
these specifically human functions and
activities could only be produced by a human
agent, a human being i.e., who must possess a
human rational form -- (which form itself
cannot be divided, or exist separately from the
body). We also know empirically that carrot
and frog enzymes, proteins, tissues and organs are
not produced, and that carrots and frogs do
not produce specifically human enzymes
and proteins, organs and tissues!
If there is a human being there, which the
correct basic science surely demonstrates, we can
reason directly from these correct objective
scientific facts to the realist philosophical
conclusion that there must be simultaneously a human
person present as well -- whole soul, body
and esse in ONE single composite human
being. There is no such thing as a pure "rational
soul" alone; the rational soul must always contain
virtually the sensitive and vegetative powers, and
must always exist in one composite with the
material body. If the vegetative powers are
empirically observable, which they are, then the
sensitive and rational powers must also be present
as well.49
Probably the most influential argument for
"delayed personhood" has been the "individuality"
argument of McCormick and Grobstein that grounds
their concept of a "pre-embryo".50
There may be a human being present at
fertilization, they claim, but it is just a "genetic"
individual, not a "developmental" individual,
i.e., a person. Only a "developmental" individual
can be a person, i.e., when the rational soul
can then be infused. They base this "developmental
individuality" claim on their following
interpretation of "human embryology": These early
entities, they claim, are just a "loose collection
of cells" which "have not yet made up their minds as
to how many individuals they will become". There are
two essentially independent and separate
layers in the blastocyst, they state, but only the
inner cell layer (embryoblast) is the source of
cells for the real future fetus and future adult
human being. The cells of the outer cell layer
(trophoblast) are the only ones discarded after
birth as the placenta, etc, and none of these cells
ever become part of the future embryo or fetus, etc.
Also, twinning can still take place before 14-days,
producing more than one individual. So there is
no developmental individual there yet -- which
means that there is no human person
there yet. At 14-days the primitive streak begins to
form, and twinning cannot take place any more. It is
only then that there is finally a "developmental"
individual present, and therefore a person there. So
for McCormick and Grobstein, the developing human
embryo up to the 14-day biological marker is not a
person yet, but instead is a "pre-embryo".
In sum, the "pre-embryo" is "human", and a genetic individual, so therefore it deserves
"respect". But the "pre-embryo" is not a developmental individual yet, and therefore not
a human person yet - it is just a "potential
person". So it does not deserve the same respect
as that due a real human person. Therefore it can be
used in experimental human embryo research, cloning,
some abortifacients are allowed, etc. -- for "proportionate
reasons", of course.
However, this "human embryology" is erroneous and
seriously misconstrued. No human embryologist would
agree with such an interpretation. For example, the
cells of the early human embryo are not so "loosely
connected", but in fact are biologically all part of
one and the very same whole individual human
organism. Nor are they so psychologically "confused"
and "undecided". And to cast the early blastocyst as
essentially consisting of two separate, disconnected
and isolated cell layers is empirically incorrect.
There is constant and continuous interaction between
and among the cells and tissues of the developing
human being at any one time right from the
beginning.51 Nor it is
true that only the cells from the outer cell layer
of the blastocyst are discarded after birth. Many of
the tissues discarded after birth are derived from
the inner embryoblast cell layer.52
And cells from the outer trophoblast cell layer do
become part of the embryo (e.g., the blood cells
derived from the chorion, which originates from the
outer trophoblast layer of the blastocyst). Nor are
the cells of these two layers necessarily naturally "fated" to be one kind of cell or
another.53 Furthermore,
the dramatic experiments with Dolly the sheep, and
those using adult stem cells in both medical
research and therapy (including humans) have clearly
demonstrated that the "fate" of any cell in the
human body is capable of being artificially
diverted, converted, and "de-programmed" back to
even the single-cell embryonic zygote stage. As
reported in a recent article on adult stem
cell research using mice:
In a bizarre experiment that
demonstrates the surprising plasticity of the body"s
cells, scientists have converted mice"s brain cells
into blood cells ... [U]ntil now, the stem cells
were thought to be committed to their own organ type
and unable to cross over. ... A team of Italian and
Canadian scientists, led by Angelo L. Vescovi ... in
Milan, has now found that the neural stem cells can
metamorphose into the blood-making stem cells of the
bone marrow. ... The conversion of neural stem cells
into blood cells is particularly surprising because
brain and blood come from different germ layers
created in the early embryo. ... The brain develops
from the ectoderm and blood from the mesoderm. Dr.
Vescovi"s work defies the widely held assumption
that cells in the three lineages are permanently
committed to their fate. ... Dr. McKay said the new
result showed that differentiation, the commitment
of a cell to a specific fate, is not irreversible.54
These startling current experiments continue to
be rapidly reported, and surely cast profound doubt
on any further claims such as McCormick"s and
Grobstein"s that the two cell layers of the
blastocyst are so "isolated" and so permanently
"fated",55-- either
naturally or artificially.
Furthermore, twinning can take place after
14-days and the formation of the primitive
streak,56 as in
Siamese twins and in fetus-in-fetu twins (which can
form many weeks, indeed months, after the
14-day marker). And about one third of monozygotic
twins are formed before the 14-day marker.57
Would they not be persons -- then, or now? No
need to baptize them either? And what about twins
who form after the 14-day marker -- are they
also not persons either?
Why the phenomenon of "twinning" has taken on
such gargantuan proportions is surely an enigma --
especially among scientists. The response in
biological terms is rather simple. In monozygotic
twinning, the first twin begins to exist at normal
sexual fertilization -- in vivo or in vitro. Since the twinning process itself is
an asexual process of reproduction, the
second twin begins to exist at fission, when the
cells of the original embryo are split off --
naturally or mechanically. Because the cells of this
early embryo are "totipotent", the embryo has a
built-in mechanism of repair and survival in the
event of such injury. Thus under normal conditions,
the first "twin" begins at fertilization as a human
being (human person), and the second twin begins at
fission as a human being (human person). It is
really no more complicated than that.58
If McCormick and Grobstein (and all those who
follow them) ground their "philosophical" (or
theological) concept of "pre-embryo" on so much
erroneous "human embryology", then the very concept
of the "pre-embryo" itself is rendered completely
and totally invalid -- as well as their
justification for using live human embryos in any
experimental research.
I would seriously suggest that in these arguments of
McCormick and Grobstein -- as well as in all of the
other arguments for "delayed personhood" -- certain
kinds of philosophical, theological or political
concepts have simply been
imposed on the
empirical human embryological data, and if the data
don"t fit these preconceived concepts, then the
empirical data are simply changed and manipulated
accordingly. Considering the evidence, it would seem
that a lot of documents, regulations, laws,
professional codes, pharmaceutical licenses and
literatures, national and international guidelines,
standard medical treatments, IVF procedures and
patient information literatures, pastoral
directives, and bioethics textbooks and journals
need to be cleaned up! And it also looks like the
Church
is with it!
If we, as individuals in our personal lives, and
as experts in our various professional fields, are
so systematically precluded from knowing
correctly these basic human embryological facts,
this surely renders us schizophrenic between our
lived experiences and our abilities to think and act
well. The basic objective scientific truth is
that these tiny vulnerable helpless defenseless
human embryos are indeed real live human beings, and
therefore real live human persons.
Without knowledge of this objective truth, how
can we possibly form our consciences correctly or
make good moral decisions in the face of abortion or
human embryo research? How are advisors to counsel
and minister to us truthfully and objectively? How
are we to make, or help others make, these very
complex and difficult choices? How can societies
come to grips with this simple objective reality, or
legal systems interpret the "common good" correctly,59
or vigorously protect all of its citizens?
How are we to recognize this tiny human being as our
neighbor -- someone to love not just for his or her
own sake, but also for the sake of God -- Who
Himself created this tiny child in His own image and
likeness, from whence comes this child"s true
dignity and status?60
He has commanded us to "choose life". But how are we
to usher in the "culture of life", when we cannot
even define "human life" correctly ourselves,
and therefore know how to think and act correctly
towards this life? We have ample historical examples
of the kinds of devastations that flow from the
de-constructions and re-definitions of vulnerable
"human beings" -- deceiving us with an arbitrary and
fabricated two-tier caste of humanity to be eagerly
relished as "objectively true".61
Nowhere is the need to evangelize greater in our
contemporary technological society than in
the basic sciences -- not only for the personal
conversions of these scientists, but also to appeal
to them to at least remain intellectually honest
in their chosen fields of science, regardless of
outside political or economic pressures.62
Margaret, her parents and grandparents, her sister,
her boy friend, media professionals of all types,
physicians, nurses, all health care workers,
pharmacists -- teachers and professors in the lower
schools, high schools, colleges, graduate, medical,
nursing and dental schools -- social workers and
sociologists, lawyers, judges, public policy makers,
Congressmen, institutional leaders, librarians,
bioethicists, philosophers, parish priests, nuns,
theologians -- and even other bench researchers in
the same or different fields of science -- all
depend on their intellectual honesty. So does
Baby John. A small error in the beginning has
certainly lead to a multitude of errors in the end.
1. See Dianne Nutwell Irving, Philosophical and Scientific Analysis of the Nature
of the Early Human Embryo, Washington, D.C.:
Georgetown University Graduate School, Doctoral
Dissertation, Department of Philosophy, 1991; C.
WARD KISCHER and DIANNE N. IRVING (eds.), The
Human Development Hoax: Time To Tell The Truth!,
distributed by the American Life League, Stafford,
VA, 1997 [this book is a collection of previously
peer reviewed and published articles in academic
journals written independently by both Dr. Kischer
and by Dr. Irving]; D.N. IRVING, "When do human
beings begin? 'Scientific' myths and scientific
facts", International Journal of Sociology and
Social Policy 1999, 19:3/4:22-47; for direct
quotations and references from human embryology
textbooks respected worldwide, see notes 37-41, 44,
46-48, 51-58, infra.
2. For a few readings on the
correct formation of conscience, see ST. THOMAS
AQUINAS, Summa Theologica, (Fathers of the
English Dominican Province, trans.), Westminster,
MD: Christian Classics, 1981, Ia, q. 79, art. 13,
ans. p. 408; ibid., Ia IIae, q. 6, art. 8,
ans., p. 621-622; ibid., Ia IIae, q. 19,
arts. 5,6, pp. 674-676; AUSTIN FAGOTHEY, Right
and Reason, St. Louis, MO: The C.V. Mosby
Company, 1963, p. 48-51 (note: later editions do not
always follow the original text, and are not
recommended); VERNON J. BOURKE, Ethics, New
York: The Macmillan Company, 1953, pp. 197-208 ;
JOSEPH CARDINAL RATZINGER, Conscience and Truth,
Braintree, MA: Pope John XXIII Medical-Moral
Research and Education Center, 1991, esp. pp. 4,
7-8, 11, 17-18.
3. For additional readings on the
moral decision making process, see ARISTOTLE, Ethica Nichomachea, in Richard McKeon (trans.),
The Basic Works of Aristotle, New York:
Random House, 1941, pp. 1030-1036; FAGOTHEY (1963),
pp. 23-30; BOURKE (1953), pp. 212-213, 243-254. For
the relationship between the virtues and the moral
decision making process, see ST. THOMAS AQUINAS, ST, Ia IIae, q. 58, 59, pp. 833-841; ARISTOTLE,
Ethica Nicomachea, esp. 6.12.1144a, 34-37, p
1035 . As applied to science, see D.N. IRVING and
ADIL E. SHAMOO, "Which ethics for science and
public policy?", Accountability in Research
1993, 3:77-100; D.N. IRVING, "Quality assurance
auditors: Between a rock and a hard place",
Quality Assurance: Good Practice, Regulation, and
Law, March 1994, 3:1:33-52.
4. D.N. IRVING, "Post abortion
syndrome: Getting the facts straight", Linacre
Quarterly 1994, 61:1:3-6; ibid., "Academic
fraud and conceptual transfer in bioethics:
Abortion, human embryo research and psychiatric
research", in Joseph W. Koterski (ed.), Life
and Learning IV 1995, Washington, D.C.:
University Faculty For Life, pp. 193-215; ibid.,
"Individual testimony before the NIH Human Embryo
Research Panel -- March 14, 1994", Linacre
Quarterly, May 1994, 61:2:42-62; ibid., "Testimony
on Cloning: House of Representatives -- Feb. 12,
1998", Linacre Quarterly, May/June 1999,
66:2:26-40; ibid., "The impact of scientific
'misinformation on other fields: Philosophy,
theology, biomedical ethics and public policy",
Accountability in Research 1993, 2:4:243:272; ibid., (my
amicus curiae briefs on "fetal
personhood" to the U.S. Supreme Court) Alexander
Loce v. The State of New Jersey, and
Krail v. The State of New Jersey cert
denied_U.S._(1994)(No. 93-1149) -- and J.M.
v. V.C. July 3, 1993; ibid., " Stem
cell research: Some pros and cons", UFL PRO
VITA: Newsletter of the University Faculty for Life,
Oct. 1999, 10:1:1-2.
5. E.g., St. Thomas, following
Aristotle, makes a distinction between the subject
matters and epistemologies of philosophy and
theology. These are two different (but related)
"sciences". The subject matter of philosophy is
"being in general" or ens commune, known
through the light of reason alone, and the method is
separatio (the negative judgment); God is not
the subject matter of philosophy, but rather the
object of it. The subject matter of theology is God,
and the epistemology or method is faith, Divine
Revelation and the teachings of the Magisterium:
see, ST. THOMAS AQUINAS, The Division and Method
of the Sciences, Armand Maurer (trans.),
Toronto: The Pontifical Institute of Mediaeval
Studies, 1986, ftnt. 21, p. xxii. Relevant to this
distinction, and to further discussions below, the
Moral Law is composed of both natural law
(philosophy) and Divine Revelation (theology). As Humanae Vitae explains: "It is, in fact,
indisputable, as our predecessors have many times
declared, that Jesus Christ, when communicating to
Peter and to the apostles His divine authority and
sending them to teach all nations His commandments,
constituted them as guardians and authentic
interpreters of all the moral law, not only, that
is, of the law of the Gospel, but also of the
natural law, which is also an expression of the will
of God [i.e., participates in the Eternal Law], the
faithful fulfillment of which is equally necessary
for salvation." (Humanae Vitae, Boston:
Pauline Books and Media, 1968, p. 2.).
6. ST. THOMAS AQUINAS, ST
(1981), Ia IIae q. 19, art. 7, ans. 3, p. 676; ibid.,
De Ente et Essentia, Armand Mauer
(trans.), Toronto: Pontifical Institute of Mediaeval
Studies, 1983, p. 28; ARISTOTLE, De Coelo, in
The Basic Works of Aristotle (McKeon, 1941),
1.5.271b, 9-10, p. 404.
7. E.g., the subject of this
Conference.
8. Not only can the use of
incorrect science as our starting point negatively
impact our understanding of philosophical
anthropology (i.e., the study of human nature), but
using different ethical principles from different
philosophical schools of ethics can also lead to
contradictory conclusions about which actions are
right or wrong. There seems to be a general sense
that secular "bioethics" is equivalent to "medical
ethics in general", but this is not accurate.
Secular bioethics is actually a very recent
phenomenon -- a specific academic theory of
ethics which was originated by the National
Commission for the Protection of Human Subjects of
Biomedical and Behavioral Research, and articulated
in their 1979 Belmont Report. The bioethical
principles they defined (which are their starting
points for determining which actions are ethical or
unethical) are "autonomy", "justice" and
"beneficence". On the other hand, the ethical
principles used by the Roman Catholic Church are
philosophical natural law, Divine Revelation, and
the teachings of the Magisterium (or, the Moral
Law). Obviously this explains why these two
different ethical systems come to often
contradictory ethical conclusions. For a very short
history of academic secular bioethics, its
theoretical and practical deficiencies, and its
comparison with Roman Catholic medical ethics, see
DIANNE N. IRVING, "Which ethics for the 21st
century?: A comparison of secular bioethics and
Roman Catholic medical ethics", paper presented
at the John Carroll Society Rose Mass, Washington,
D.C., Mar. 14, 1999 (available upon request); ibid., D. IRVING, "Which ethics for science
and public policy?", Accountability in Research
1993, 3:2-3:77-99; ibid., "Quality
assurance auditors: Between a rock and a hard place",
Quality Assurance: Good Practice, Regulation, and
Law 1994, 3:1:33-52; ibid., "Maryland
State proposed statute for research using
'decisionally incapacited' human subjects: The
legalization of a defunct normative bioethics theory",
Accountability in Research (in press).
For other short histories and concerns "pro" and
"con" about secular bioethics as a viable academic
field, see, e.g.: H. TRISTRAM ENGELHARDT, JR., "Bioethics
in the Third Millennium: Some critical anticipations",
Kennedy Institute of Ethics Journal 1999,
9:3:225-244; EDWIN DUBOSE, RONALD HAMEL, and
LAWRENCE O'CONNELL (eds.), A Matter of
Principles? Ferment in U.S. Bioethics, Valley
Forge, PA: Trinity Press International, 1994; RAANAN
GILLON (ed.), Principles of Health Care Ethics,
New York: Wiley, 1994; ALBERT JONSEN, "Preface",
in DuBose et al 1994; DANIEL CALLAHAN, "Bioethics:
Private choice and common good", Hastings Center
Report 1994, 28-31; GILBERT C. MEILAENDER, Body,
Soul, and Bioethics, Notre Dame, IN: University
of Notre Dame Press, 1995.
9. See, e.g., H.E. Mons. ELIO
SGRECCIA, "Introduction to the work of the
task-force", in Juan de Dios Vial Correa and
Elio Sgreccia (eds.), Pontificia Academia Pro Vita:
The Identity and Status of the Human Embryo",
Vatican City: Libreria Editrice Vaticana, 1999, pp.
25-27.
10. E.g., see ETIENNE GILSON,
Being And Some Philosophers, Toronto: The
Pontifical Institute of Mediaeval Studies, 1963; for
a general history of philosophy, see, Frederick
Copleston, A History of Philosophy, New York:
Image Books, Vols. 1-9.
11. ST. THOMAS AQUINAS, The
Division and Method of the Sciences (Fathers of
the English Dominican Province, 1981), q.6, art. 1,
ans. 1, pp. 65-66; ibid., q.6, ans.3, pp.
71-72; ibid., q. 6, art. 2, pp. 176-178; ibid., q. 6, art. 4, p. 90;
ibid., q. 5,
art. 3, p. 35, and note 21 In I Post. Anal.
lect. 1-3, and in De Veritate I.1; ARISTOTLE,
Categories, in Sir David Ross, New York:
Random House, 1985, 20-21; ibid., Analytica Posteriora 2.19, 100a 3-9, (McKeon,
1941); see also GEORGE KLUBERTANZ, Introduction
to the Philosophy of Being, New York:
Appleton-Century-Crofts, 1963, pp. 293-298.
12. E.g., see PAUL VI, enc. Human vitae (July 25, 1968), 1.10, ftnt. 9;
CONGREGATION OF THE DOCTRINE OF THE FAITH,
Instruction of Respect for Human Life in its Origin
and on the Dignity of Procreation Donum vitae
(February 22, 1987), 3; JOHN PAUL II, enc. Veritatis Splendor (August 6, 1993), Intro. 4;
1.48 49, 50; 3.67; JOHN PAUL II, enc. Evangelium
vitae (March 25, 1995), 3.10; PONTIFICAL COUNCIL
FOR PASTORAL ASSISTANCE, Charter For Health Care
Workers (1994), 1.18, 2.35, 38, 39, 40, 41.
13. The major philosophical
issue here is whether or not there is a "mind/body" split (as found, e.g., in Platonic,
neoplatonic, many scholastic -- and even some
empiricist and existentialist philosophies). A "mind/body split" is both theoretically and
practically indefensible, but it seems to have been
recycled lately, especially within secular
bioethics. A "mind/body split" is, by the
way, a theoretical requirement for any
argument for "delayed personhood". For realist
philosophers, e.g., St. Thomas, Aristotle, etc.,
there is no mind/body split. A human being comes
into existence spontaneously and simultaneously, and
dies spontaneously and simultaneously. For a more in
depth treatment of this issue, see D.N. IRVING, "Scientific
and philosophical expertise: An evaluation of the
arguments on 'personhood'", Linacre Quarterly
1993, 60:18-47, also in KISCHER and IRVING (eds.),
The Human Development Hoax: Time To Tell The
Truth! (1997), pp.129-184.
For St. Thomas, as well as for Aristotle, the
"rational soul" is a form, and therefore
cannot be divided or separated. Thus the rational
soul always includes virtually the sensitive and
vegetative powers -- no splits. Thus there can
be no pure "rational" power alone, waiting to
belatedly join its proper vegetative and sensitive
powers -- i.e., no "delayed personhood". And it must
exist together with the body (matter). So the
whole soul exists simultaneously as one single
whole composite with the body -- no splits. For
references that the "rational soul" must include
virtually the sensitive and vegetative powers: ST.
THOMAS AQUINAS, ST, Ia, q.45, art.4, ans.2,
p. 235; ARISTOTLE, De Anima, 1.5.411b, 14-18
and 24-28, p. 554. That the soul (form) must exist
with the body (matter) as one composite substance:
ST. THOMAS AQUINAS, Summa Theologica (Fathers
of the English Dominican Province, 1981) (Vol. 1) Ia
q.29, art.1, ans., ad.2,3,5, p. 156; ibid.,
art2, ans. p. 157; ibid., q.45, art.4, ans.2,
p. 235; ibid., q.75, art.4, ans., p. 366; see
also KEVIN DORAN, "Person -- a key concept for
ethics", Linacre Quarterly (1989), 56:4:39; for
ARISTOTLE: Physica 2.1.193ab, 3-5, p. 238, in
McKeon (1941); ibid., 2.2.194b, 12-14, p.
240; ibid., 2.2.193b, 33-37, p. 239; Categories 5.2a,11-13, p. 9;
Metaphysica
7.11.1036b, 3-7, p. 800; ibid. 8.1.1042a,
30-31, p. 812; De Anima 1.5.411b, 14-18 and
24-28, p. 554; ibid., 2.1.412b, 6-10, p. 555;
ibid. 2.1413a, 3-4, p. 556, in McKeon (1941);
also in Ross (1985), p. 24. That "undesignated
matter" in included in St. Thomas' formal definition
of a "human being" (which should hold serious
significance in medical and bioethics
considerations): ST. THOMAS AQUINAS, ST, Ia
q.29, art.1, ans. ad.2,3,5, p. 156; ibid.,
art.2, ans., p. 157; ibid., IIIa q.19, art.1,
ans. 4, p. 2127; see also KEVIN DORAN, "Person -
a key concept for ethics", Linacre Quarterly
1989, 56:4:39.
Oddly, St. Thomas, blushingly following Aristotle
in his own self-contradictory claims, argued for
"delayed personhood" (thus contradicting himself!).
However, scholars have resolved this contradiction
for centuries, explaining that: systematically, they
both would have been required to argue for
"immediate personhood" (as evidenced above); they
still considered that there were only four basic
material elements (air, earth, fire and water); and,
had they access to contemporary biology they would
have had to argue for "immediate personhood". For a
more in-depth investigation of St. Thomas, see:
STEPHEN HEANEY, "Aquinas and the presence of the
human rational soul in the early human embryo",
The Tomist Jan. 1992, 56:1:19-48; MARK JOHNSON, "Quaestio
Disputata: Delayed hominization; Reflections on some
recent Catholic claims for delayed hominization",
Theological Studies 1995, 56:743-763; BENEDICT
ASHLEY, "Delayed hominization: Catholic
theological perspectives", in R.E. Smith (ed.),
The Interaction of Catholic Bioethics and Secular
Society, Braintree, MA: The Pope John Center,
1992, esp. pp. 165, 176; A. REGAN, "The human
conceptus and personhood", Studia Moralis 1992,
30:97-127; Jean de Siebenthal, "L'animation selon
Thomas d'Aquin: Peut-on affirmer qui l'embryon est
d'abord autre chose qu'un homme en s'appuyant sur
Thomas d'Aquin?", in L'Embryon: Un Homme.
Actes du Congres de Lausanne 1986, Lausanne:
Societe suisse de bioethique, 1986, 91-98. For
discussions on Aristotle's self-contradictions, see:
my dissertation (note 1, supra), Appendix B,
"Aristotle: A question of substance", pp.
296-381. For some contemporary philosophers'
studies, see: MARY LOUISE GILL, Aristotle on
Substance, Princeton: Princeton University
Press, 1989; also, CHARLOTTE WITT, Substance and
Essence in Aristotle, New York: Cornell
University Press, 1989; MARJORIE GRENE, A
Portrait of Aristotle, Chicago: The University
of Chicago Press, 1963.
14. SAINT THOMAS AQUINAS, ST,
Ia q.29, art.1, ans. ad.2,3,5, p. 156; ibid.,
art.2, ans., p. 157; ibid., IIIa q.19, art.1,
ans. 4, p. 2127; see also KEVIN DORAN, "Person - a
key concept for ethics", Linacre Quarterly 1989,
56:4:39.
15. Specifically, in human
embryology, see: D. IRVING, doctoral dissertation,
and book (note 1, supra); ibid., "Human
embryonic stem cell research: Are official positions
based on scientific fraud?", Communique
(American Life League) July 27, 1999; ibid.,
"Testimony against the use of human biological
materials in experimental research", in National
Bioethics Advisory Commission Report, The Use of
Human Biological Materials in Research: Ethical
Issues and Policy Guidance, Appendix, Government
Printing Office, 1999; ibid., "The
immediate product of human cloning is a human being:
Claims to the contrary are scientifically wrong",
Scientific Panel on "Cloning: Legal, Medical,
Ethical, and Social Issues", Hearing before the
Subcommittee on Health and Environment of the
Committee on Commerce, U.S. House of
Representatives, Washington, D.C., February 12,
1998; ibid., "Academic Fraud and
Conceptual Transfer in Bioethics: Abortion, Human
Embryo Research and Psychiatric Research", in
Joseph W. Koterski (ed.), Life And Learning IV
, Washington, D.C.: University Faculty for Life,
1995, pp. 193-215; ibid., "Individual
testimony before the NIH Human Embryo Research Panel",
Linacre Quarterly Nov. 1994, 61:4::82-89; ibid.,
"Embryo research: A call for closer scrutiny",
Linacre Quarterly, July 17, 1994; ibid.,
"'New age' embryology text books: 'Pre-embryo',
'pregnancy' and abortion counseling: Implications
for fetal research", Linacre Quarterly
May 1994, 61:2:42-62; ibid., "The impact
of scientific 'misinformation' on other fields:
Philosophy, theology, biomedical ethics and public
policy", Accountability in Research April
1993, 2:4:243-272; C. WARD KISCHER, "In defense
of human development", Linacre Quarterly 1992,
59:68-75; ibid., "Human development and
reconsideration of ensoulment", Linacre
Quarterly 1993, 60:57-63; ibid., "A new wave
dialectic: The reinvention of human embryology",
Linacre Quarterly 1994, 61:66-81; ibid., "The
big lie in human embryology: The case of the
preembryo", Linacre Quarterly 1997, 64:53-61.
16. See CONGREGATION OF THE
DOCTRINE OF THE FAITH, Instruction of Respect for
Human Life in its Origin and on the Dignity of
Procreation Donum vitae, (February 22, 1987),
Intro. 5, 1.1; JOHN PAUL II, enc. Evangelium vitae
(March 25, 1995), 3.59, 60; PONTIFICAL COUNCIL FOR
PASTORAL ASSISTANCE, Charter For Health Care
Workers (1994), 2.35, 38, 39, 40, 41, 42, 46.
17. See notes 2, 3, 5, 11 supra., and notes 18 and 36,
infra.
18. See, e.g., JOSEPH CARDINAL
RATZINGER, Conscience and Truth, Braintree,
MA: Pope John XXIII Medical-Moral Research and
Education Center, 1991, esp. pp. 4, 7-8, 11, 17-18;
JOHN PAUL II, enc. Veritatis Splendor (August
6, 1993), 1.46, 47, 48; 2.54-64; 3.68; JOHN PAUL II,
enc. Evangelium vitae (March 25, 1995),
1.19-24; 3.58-60.
19. SAINT THOMAS AQUINAS, ST,
Ia IIae, q.58-62, pp. 833-853, in Fathers of the
English Dominican Province 1981; ROMANUS CESSARIO,
The Moral Virtues and Theological Ethics,
Notre Dame, IN: University of Notre Dame Press,
1991; FAGOTHEY (1963), pp. 200-205; BOURKE (1953),
pp. 256-289.
20. SAINT THOMAS AQUINAS, ST,
Ia IIae, q. 57, pp. 827-833. For understanding the
reciprocal influence between the possession of
virtuous habits and acting, see: ST. THOMAS AQUINAS,
ST, Ia IIae, q. 58, 59, pp. 833-841;
ARISTOTLE, Ethica Nicomachea, esp. 6.12.1144a,
34-37, p 1035.
21. FAGOTHEY (1963): "Science:
the habit of conclusions drawn by demonstrations
from first principles, the habitual knowledge of the
particular sciences.", p. 198.
22. I analyzed 28 of the most
representative and influential current arguments for
"delayed personhood" (and therefore "pro" human
embryo research, abortion, etc.) by secular
bioethicists which they use to justify human embryo
research in my doctoral dissertation (see note 1, supra). Although there are many excellent works
arguing against "delayed personhood", space
considerations here allow only for referencing
mostly the arguments "pro". For more in-depth
referencing of arguments against "delayed
personhood", see note 1, supra; see also Juan
de Dios Vial Correa and Elio Sgreccia (eds.),
Pontificia Academia Pro Vita: The Identity and
Status of the Human Embryo", Vatican City:
Libreria Editrice Vaticana, 1999.
The arguments for "delayed personhood"
addressed in my dissertation included: RICHARD
MCCORMICK, "Who or what is the 'preembryo'?",
Kennedy Institute of Ethics Journal 1991, 1:1:3-15;
CLIFFORD GROBSTEIN, "The early development of
human embryos", Journal of Medicine and
Philosophy 1985, 10:213-236; H. TRISTRAM ENGLEHARDT,
The Foundations of Bioethics, New York:
Oxford University Press, 1985, 111; WILLIAM A.
WALLACE, "Nature and human nature as the norm in
medical ethics", in Edmund D. Pellegrino, John
P. Langan and John Collins Harvey (eds.), Catholic Perspectives on Medical Morals,
Dordrecht: Kluwer Academic Publishing, 1989, pp.
23-53; NORMAN FORD, When Did I Begin?, New York:
Cambridge University Press, 1988, p. 298; JOHN A.
ROBERTSON, "Extracorporeal embryos and the
abortion debate", Journal of Contemporary Health
Law and Policy 1986, 2;53;53-70; ANTOINE SUAREZ, "Hydatidiform
moles and teratomas confirm the human identity of
the preimplantation embryo", Journal of Medicine
and Philosophy 1990), 15:627-635; CARLOS BEDATE AND
ROBERT CEFALO, "The zygote: to be or not be a
person", Journal of Medicine and Philosophy
1989, 14:6:641; THOMAS J. BOLE, III, "Metaphysical
accounts of the zygote as a person and the veto
power of facts", Journal of Medicine and
Philosophy 1989, 14:647-653; ibid., "Zygotes,
souls, substances, and persons", Journal of
Medicine and Philosophy 1990, 15:637-652;
HANS-MARTIN SASS, "Brain life and brain death: A
proposal for normative agreement", Journal of
Medicine and Philosophy 1989, 14, (same article also
in Bioethics News 1990, 9:3:9-20); PETER SINGER AND
D. WELLS, in D. GARETH JONES, "Brain birth and
personal identity", Journal of Medical Ethics
1989, 15:175; MICHAEL LOCKWOOD, "When does life
begin?", in Michael Lockwood (ed.), Moral
dilemmas in Modern Medicine, New York: Oxford
University Press, 1985, p. 10; ibid., "Warnock
versus Powell (and Harradine): When does
potentiality count?", Bioethics 1988,
2:3:187-213; MICHAEL C. SHEA, "Embryonic life and
human life", Journal of Medical Ethics 1985,
11:205-209; R.M. HARE, "When does potentiality
count? A comment on Lockwood", Bioethics 1988,
2:3:214; KAREN DAWSON, "Segmentation and moral
status", in Peter Singer, Helga Kuhse, Stephen
Buckle, Karen Dawson, Pascal Kasimba, Embryo
Experimentation, New York: Cambridge University
Press, 1990, p. 58; STEPHEN BUCKLE, KAREN DAWSON AND
PETER SINGER, "The syngamy debate: When precisely
does an embryo begin?", in Singer et al, Embryo Experimentation, New York: Cambridge
University Press 1990, pp. 213-226; STEPHEN BUCKLE,
"Biological processes and moral events",
Journal of Medical Ethics 1988, 14:3:144-147; .
For additional arguments for "delayed
personhood" not addressed in my dissertation,
see, e.g.: CLIFFORD GROBSTEIN, "The status and
uses of early human developmental stages", in
Darwin Cheney (ed.), Ethical Issues in Research,
Frederick, MD: The University Publishing Group,
Inc.; ibid., "The early development of human
embryos", Journal of Medicine and Philosophy
1985, 10:213-236; ibid., Science and the
Unborn, New York: Basic Books, 1988, p. 61; ibid., "When does life begin?",
Psychology Today 1989, pp. 43-46; ibid., "External
human fertilization", Scientific American 1979,
240:57-67; ANNE MCLAREN, "Why study early human
development?", New Scientist 1986, 24:49; ibid., "Where to draw the line?", Proceedings of
the Royal Institute of Great Britain 1984,
56:101-120; PAUL RAMSEY, "Reference points in
deciding about abortion", in J.T. Noonan (ed.),
The Morality of Abortion, Cambridge, MA:
Harvard University Press, 1970, pp. 60-100; CHARLES
E. CURRAN, "Abortion: Contemporary debate in
philosophical and religious ethics", in W.T.
Reich (ed.), Encyclopedia of Bioethics 1,
London: The Free Press, 1978, pp. 17-26; CAROL
TAUER, The Moral Status of the Prenatal Human
1981, Dissertation in Philosophy, Washington, D.C.:
Georgetown University (Sister Tauer later went on to
become the ethics co-chair of the NIH Human Embryo
Research Panel 1994); ibid., "The
tradition of probabilism and the moral status of the
early embryo", in Patricia B. Jung and Thomas A.
Shannon, Abortion and Catholicism 1988, New
York: Crossroad, pp. 54-84; LISA S. CAHILL, "Abortion,
autonomy, and community", in Jung and Shannon,
Abortion and Catholicism 1988, pp. 85-98;
JOSEPH F. DONCEEL, "A liberal Catholic's view",
in Jung and Shannon, Abortion and Catholicism
1988, pp. 48-53; JAMES F. CHILDRESS, "Human fetal
tissue transplantation", Kennedy Institute of
Ethics Journal 1991, 1:2:93-122; RICHARD MCCORMICK,
"The preembryo as potential: A Reply to John A.
Robertson", Kennedy Institute of Ethics Journal,
1991, 1:4:303-306; ibid., "Health and
Medicine in the Catholic Tradition, New York:
Crossroad, 1984 (the "Catholic tradition" is defined
here mostly in terms of "proportionalism"; contains
references to other Catholic theologians arguing for
"delayed personhood"); ANDRE E. HELLEGERS, "Fetal
development", Theological Studies 1970, 31:3-9;
KEVIN WILDES, "Book Review: Human life: Its
beginning and development", L'Harmattan, Paris:
International Federation of Catholic Universities
1988; JOHN A. ROBERTSON, "What we may do with
preembryos: A response to Richard A. McCormick",
Kennedy Institute of Ethics Journal 1991,
1:4:293-302; ibid., "The case of the
switched embryos", The Hastings Center Report
1995, 25:6:13-24; ibid., "Symbolic issues
in embryo research", The Hastings Center Report
1995, Jan./Feb. 37-38; RUTH MACKLIN, "Personhood
in the bioethics literature", Milbank Memorial
Fund Quarterly Health and Society 1983, 61:1:37;
R.M. HARE, "Embryo experimentation: Public policy
in a pluralistic society", in Proceedings of
the IVF Conference, Australia: Center for Human
Bioethics, Monash University, 1987, pp. 106-123;
ROBERT C. CEFALO, "Book Review: Embryo
Experimentation, Peter Singer et al (eds.); 'Eggs,
embryos and ethics'", Hastings Center Reports
1991, 21:5:41; MARIO MOUSSA and THOMAS A. SHANNON, "The
search for the new pineal gland: Brain life and
personhood", The Hastings Center Report 1992,
22:3:30-37; MICHAEL SHEA, "Embryonic life and
human life", Journal of Medical Ethics 1985,
11:205-209; JOHN M. GOLDENRING, "The brain-life
theory: Towards a consistent biological definition
of humanness" Journal of Medical Ethics 1985,
11:198-204; TOMASINE KUSHNER, "Having a life
versus being alive", Journal of Medical Ethics
1984, 10:5-8; MICHAEL V.L. BENNETT, "Personhood
from a neuroscientific perspective", in Edd
Doerr and James Prescott (eds.), Abortion Rights
and Fetal "Personhood", Long Beach: Crestline
Press, 1989, pp. 83-85.
See also these additional arguments for
"delayed personhood": KAREN DAWSON, "Introduction:
An outline of scientific aspects of embryo research",
in Singer et al, Embryo Experimentation 1990,
p. 3; ibid., "A scientific examination of some
speculations about continuing human pre-embryo
research", in Singer et al, Embryo
Experimentation 1990, p. 26; ibid., "Fertilization
and moral status: A scientific perspective",
Journal of Medical Ethics 1987, 13:173-177; PETER
SINGER, "Technology and procreation: How far
should we go?", Technology Review, 1985; PETER
SINGER and KAREN DAWSON, "IVF technology and the
argument from potential", Philosophy and Public
Affairs 1988, 17:87-104; PETER SINGER AND HELGA
KUHSE, "The ethics of embryo research", Law,
Medicine and Health Care 1986, 14:3-4:133-138; HELGA
KUHSE and PETER SINGER, "Individuals, humans and
persons: The issue of moral status", in Peter
Singer et al, Embryo Experimentation 1990;
MICHAEL TOOLEY, "Abortion and infanticide",
in Marshall Cohen et al (eds.), The Rights and
Wrongs of Abortions, New Jersey: Princeton
University Press, 1974, pp. 59, 64; Helga Kuhse, "Thinking
about destructive embryo experimentation", in Proceedings of the IVF Conference, Australia:
Center for Human Bioethics, Monash University, 1987,
pp. 96-105; Dame Mary. Warnock, "Do human cells
have rights?", Bioethics 1987, 1:10-12; MICHAEL
LOCKWOOD, "Human identity and the primitive
streak", The Hastings Center Report 1995,
Jan./Feb., p. 45; ALAN TROUNSON, "Why do research
on human pre-embryos?", in Singer et al, Embryo Experimentation 1990, pp. 14-25; STEPHEN
BUCKLE, "Arguing from potential", in Singer
et al, Embryo Experimentation 1990, pp.
90-108.
23. See CONGREGATION FOR THE
DOCTRINE OF THE FAITH Declaration on Procured
Abortion (November 18, 1974).
24. See, e.g., C. WARD KISCHER,
"The big lie in human embryology: The case of the
preembryo", "The media and human embryology",
and "Quid sit veritas? The odyssey of one human
embryologist as a modern Diogenes", in Kischer
and Irving (eds.), The Human Development Hoax:
Time To Tell The Truth!", distributed by
American Life League 1997, pp. 71-81, 89-98, and
99-124.
25. Bioethics pervades most
academic fields by now, including the law, where
legal arguments, based essentially on "delayed
personhood" premises, have been constructed and
successfully set legal precedents. See, e.g., the
"pre-embryo" arguments by JOHN A. ROBERTSON (found
in note 22, supra), which have been used in a
number of frozen embryo legal cases. See also: JOHN
A. ROBERTSON, "What we may do with preembryos: A
response to Richard A. McCormick", Kennedy
Institute of Ethics Journal 1991, 1:4:293-302; ibid., "The case of the switched embryos",
The Hastings Center Report 1995, 25:6:13-24; ibid.,
"Symbolic issues in embryo research", The
Hastings Center Report 1995, Jan./Feb. 37-38.
Robertson represented the father in the Tennessee
frozen embryo case, and referred to these human
embryos as "pre-embryos", quoting extensively from
Clifford Grobstein's "human embryology". The lower
court found with internationally reknown Dr. Jerome
Lejeune's scientific testimony, and concluded that
there was no such thing as a "pre-embryo" [see lower
court testimony of Lejeune in Davis v. Davis, Tennessee court of Appeals at Knoxville,
No. 190, slip op. at 5-6 (Sept 13, 1990)]. However,
on appeal to the Tennessee Supreme Court, the judge
held that Lejeune's testimony "revealed a profound
confusion between science and religion" [Sec. 34,
ftnt. 12], accepted the "pre-embryo" arguments of
Robertson, and reversed the lower court ruling [842
S.W.2d 588 (Tenn. 1992)]. Interestingly, the judge
also stated: "Left undisturbed, the trial court's
ruling would have afforded preembryos the legal
status of 'persons' and vested them with legally
cognizable interests separate from those of their
progenitors. Such a decision would doubtless have had the effect of outlawing IVF programs in the
state of Tennessee" (emphasis mine).
For other court cases in which the "pre-embryo"
argument has succeeded, see, e.g., Kass v. Kass, 673 N.Y.S.2d 350, 91 N.Y..2d 554 (1998),
in which the embryos were actually referred to as
"pre-zygotes"; A.Z. v. B.Z., a
Massachusetts frozen embryo case on appeal now to
the Supreme Judicial Court of Massachusetts; J.B.
v. M.B. on appeal now to the Superior Court
of New Jersey Appellate Division (Docket No.
A-1544--98 T3). Of course, Roe v. Wade [410 U.S. 113 (1973)] referred several times to the
fetus as a "potential human being" and as a "potential
human person" -- another form of a "delayed
personhood" argument. In Webster v. Reproductive Health Services, 492 U.S. 490
(1989), Justice O'Conner argued that viability was
"far removed, both qualitatively and quantitatively,
from that of the four- to eight-cell preembryos in
this case." [ ftnt. 17].
See also similar reasoning for "delayed
personhood" in the work of: PASCAL KASIMBA, "Regulating IVF human embryo experimentation: The
search for a legal basis", Australian Law
Journal 1988, 62:128-138; B. GAZE and KAREN DAWSON,
"Who is the subject of IVF research"?,
Bioethics 1989, vol. 3; MAX CHARLESWORTH, "Community
control of IVF and embryo experimentation", in
Peter Singer et al, Embryo Experimentation,
New York: Cambridge University Press, 1990, pp.
147-152; BETH GAZE and PASCAL KASIMBA, "Embryo
experimentation: The path and problems of
legislation in Victoria", in Peter Singer et al,
Embryo Experimentation 1990, pp. 202-212;
R.M. HARE, "Public policy in a pluralist society",
in Peter Singer et al, Embryo Experimentation
1990, pp. 183-194. For arguments counter these legal
precedents, see, e.g., my two amicus curiae
briefs on "fetal personhood" submitted to the U. S.
Supreme Court, note 4, supra.
26. These are claims stated by
many proponents of "emergency contraception", e.g.,
by Janet Benshoof, President, The Center for
Reproductive Law and Public Policy (New York), when
I debated her on T.V. (Cable Network New York, "News
Talk Television", July 2, 1996; also, CBS News, "Up
to the Minute", July 1, 1996). Several groups and
organizations are defining "pregnancy" as beginning
at implantation (6-7 days after fertilization), and
hence now even defining "conception" at implantation
as well, e.g., The American Fertility Society, the
American College of Obstetricians and Gynecologists.
Even the federal regulations for the use of human
subjects in research define "pregnancy" as beginning
at implantation (1991 OPRR Reports, U.S. Code of
Federal Regulations: Protection of Human Subjects 45
CFR 46, pp. 11-12. These federal regulations
also erroneously define "fetus" as beginning at
implantation; however, the fetal stage does not even
begin until the end of the 8th week post
fertilization.
27. According to the web site
for "Preven", "They [the "emergency contraception"
pills] may also act by altering tubal transport of
sperm and/or ova (thereby inhibiting fertilization),
and/or possibly altering the endometrium (thereby
inhibiting implantation)
[http://www.preven.com/product/02-06.html]. Again, "
... they may produce changes in the lining of the
uterus that could prevent implantation of a
fertilized egg"
[http://www.preven.com/product/02-01.html]. Searle
pharmaceutical company communicated to me via their "senior scientist" that they, like all the
American pharmaceutical companies, claim that the
"morning-after pill" could not possibly be
abortifacient since there is only a "pre-embryo"
there -- and that they base this "science" on the
book by Australian theologian, Fr. Norman Ford, When Did I Begin?, (which I addressed in my
dissertation, note 1, supra; also see note
22, supra) (Personal communication, April 30,
1996, and August 30, 1996). Ford explicitly bases
his own argument on the "human embryology" of
McCormick and Grobstein.
28. Medical texts are not
necessarily as accurate as the basic science texts.
It is the basic scientists' confirmed and detailed
scientific work which is in turn used in medical
texts by physicians, etc., often with watered-down
and thus inaccurate definitions and unfounded
claims. All basic human embryology textbooks state
clearly that the human being or embryo begins at
fertilization (or fission, etc., using different
processes). However, one exception is the 5th
edition of Keith Moore's popular human embryology
textbook, The Developing Human: Clinically
Oriented Embryology (Philadelphia: W.B. Saunders
Company, 1993). In this edition Moore used the
scientifically invalid term "pre-embryo" for the
first time (and there were other very extensive
scientific contradictions and irregularities in this
edition as well). When confronted independently and
vigorously by both Kischer and by myself with the
fact that scientifically there is no such thing as a
"pre-embryo", Moore finally agreed, and removed the
term from his 6th edition (1998). It is important
that the proper edition of his text be used. At this
time only the corrected 6th edition of his textbook
is accurate enough. For my comparative analysis of
Moore's 3rd and 5th editions, see: D. IRVING, "'New
Age' human embryology text books:
'Pre-embryo', 'pregnancy', and abortion counseling:
Implications for fetal research", Linacre
Quarterly 1994, 61:42-62.
29. HAROLD VARMUS, "The
Director's Congressional Testimony on Stem Cell
Research" (which may be found at
http://www.nih.gov/news/stemcell/statement.htm); see
also, "A Primer for Stem Cell Research"
[http://www.nih.gov/news/stemcell/primer.htm]. For a
response to these official statements of the
National Institutes of Health (NIH), see D. IRVING,
"Human embryonic stem cell research: Are official
positions based on scientific fraud?",
Communique (American Life League), July 24, 1999.
The issue here is how "scientific" terms
referring to the early human embryo are misused --
what do they signify, what policy agendas do they
advance? Often these terms are used to mean that the
early human embryo is not a human being or not a
human person yet -- and therefore they may ethically
be used in destructive experimental research. NIH
has adopted this type of erroneous definition of the
early human embryo since at least 1979, when the
term "pre-implantation embryo" was used by RICHARD
MCCORMICK and CLIFFORD GROBSTEIN in the then-DHEW
Ethics Advisory Board meetings [Report and
Conclusions: HEW Support of Research Involving Human
In Vitro Fertilization and Embryo Transfer,
Washington, D.C: United States Department of Health,
Education and Welfare, p. 101]. The similar term
"pre-embryo" was possibly coined about the same time
by CLIFFORD GROBSTEIN ["External human
fertilization", Scientific American 1979,
240:57-67].
Subsequently the term "pre-embryo" has been used
specifically -- or by implication, by using the same
erroneous "human embryology" used originally to
justify that term -- as normative in decades of
bioethics articles and books (see note 22, supra),
population control, public policy, philosophical and
theological literatures, and many national and
international medical and research documents, e.g.:
the American Fertility Society, "Ethical
considerations of the new reproductive technologies",
Fertility and Sterility (Supplement 1) 1986, 46:27S;
British Royal College of Obstetricians and
Gynaecologists (RCOG), Report of the RCOG Ethics
Committee on in Vitro Fertilization and Embryo
Replacement or Transfer 1983, London: RCOG; Canadian Royal Commission on New Reproductive
Technologies 1993, Canada; DAME MARY WARNOCK, Report of the Committee of Inquiry into Human
Fertilization and Embryology, 1984, London: Her
Majesty's Stationary Office, pp. 27, 63; National
Institutes of Health: Report of the Human Fetal
Tissue Transplantation Research Panel 1988,
Washington, D.C.: Government Printing Office; National Institutes of Health: Report of the Human
Embryo Research Panel 1994, Washington D.C.:
Government Printing Office, esp. pp. 48-51.
It is interesting that the only major references
given in the NIH Human Embryo Research Panel Report
(1994) to ground their conclusion that the early
human embryo has only a "reduced moral status" were
those citing the works of McCormick and Grobstein
(Sister Carol Tauer, co-chair of the Panel's ethics
committee, did her dissertation on fetal personhood
under McCormick), and of Australians Norman Ford,
Peter Singer, Karen Dawson,, Stephen Buckle, and D.
Wells (Report, p. 49)(see note 22, supra).
Also, the NIH Panel's Report included an appendix
with a scientific chart of human
embryological terms, referenced only by one
bioethics book written by these Australian
bioethicists [PETER SINGER, HELGA KUHSE, STEPHEN
BUCKLE, KAREN DAWSON, PASCAL KASIMBA, Embryo
Experimentation, New York: Cambridge University
Press, 1990]. For an analysis of this NIH Panel and
its Report, see D. IRVING, "NIH and human embryo
research revisited: What is wrong with this picture?",
in KISCHER AND IRVING (eds.), The Human
Development Hoax: Time To Tell The Truth!",
1997, pp. 267-282.
30. See, e.g., note 22, supra.
31. Scar tissue formed from
abortions and sexually transmitted diseases is one
of the major causes of infertility in young women
today, and therefore one of the major reasons for
the need for in vitro fertilization (IVF).
See: "The 1998 Guidelines for the Treatment of
Sexually Transmitted Diseases", The Center for
Disease Control and Prevention, Division of STD
Prevention, National Center for HIV, STD, and TB
Prevention, Atlanta, GA.
32. Note the use of the term
"pre-embryo", and the redefinition of "pregnancy" as
beginning at implantation (6-7 days) by the major
medical professional societies, e.g., The American
Fertility Society, The American College of
Obstetricians and Gynecologists, etc. See also notes
26 and 29, supra.
33. See specifically, RICHARD
MCCORMICK, "Who or what is the 'preembryo'?",
Kennedy Institute of Ethics Journal 1991, 1:1:3-15;
CLIFFORD GROBSTEIN, "The early development of
human embryos", Journal of Medicine and
Philosophy 1985, 10:213-236; see also other Catholic
secular bioethics writers, note 22, supra.
34. See, e.g., WILLIAM A.
WALLACE, "Nature and human nature as the norm in
medical ethics", in EDMUND D. PELLEGRINO, JOHN
P. LANGAN and JOHN COLLINS HARVEY (eds.), Catholic Perspectives on Medical Morals,
Dordrecht: Kluwer Academic Publishing, 1989, pp.
23-53.
35. For discussions about
applying "proportionalism" to some of these issues,
see: EDWARD COLLINS VACIK, "Catholic 'natural
law' and reproductive ethics", Journal of
Medicine and Philosophy 1992, 17:329-346; JAMES L.
WALSH and MOIRA M. MCQUEEN, "The morality of
induced delivery of the anencephalic fetus prior to
viability", Kennedy Institute of Ethics Journal
1993, 3:4:357-369. But see JOHN PAUL II, enc. Veritatis splendor, 3.65-68; 4.73-78; JOHN PAUL
II, enc. Evalgelium vitae, 1.20.
36. See, JOSEPH CARDINAL
RATZINGER, Conscience and Truth, Braintree,
MA: The Pope John XXIII Medical-Moral Research and
Education Center, 1991, esp. pp. 4-5.
37. To quote from Ronan
O'Rahilly and Muller: "The theory that successive
stages of individual development (ontogeny)
correspond with ("recapitulate") successive adult
ancestors in the line of evolutionary descent
(phylogeny) became popular in the 19th century as
the so-called biogenetic law. This theory of
recapitulation, however, has had a 'regrettable
influence on the progress of embryology' [citing de
Beer] ... Furthermore, during its development an
animal departs more and more from the form of other
animals. Indeed, the early stages in the development
of an animal are not like the adult stages of other
forms, but resemble only the early stages of those
animals." [See O'RAHILLY AND MULLER, Human
Embryology & Teratology, New York: Wiley-Liss,
1994, pp. 8-9.]
38. See, RONAN O'RAHILLY AND
FABIOLA MULLER, 1994): "The ill-defined and
inaccurate term pre-embryo, which includes the
embryonic disc, is said either to end with the
appearance of the primitive streak or ... to include
neurulation. The term is not used in this book."
(p. 55). (emphases mine).
39. KEITH MOORE and T.V.N.
PERSAUD, The Developing Human: Clinically
Oriented Embryology (6th eds.), Philadelphia:
W.B. Saunders Company, 1998:
"Inhibition of Implantation: The administration
of relatively large doses of estrogens ("morning-after pills") for several days,
beginning shortly after unprotected sexual
intercourse, usually does not prevent fertilization
but often prevents implantation of the blastocyst.
Diethylstilbestrol, given daily in high dosage for 5
to 6 days, may also accelerate passage of the
dividing zygote along the uterine tube (Kalant et
al., 1990). Normally, the endometrium progresses to
the secretory phase of the menstrual cycle as the
zygote forms, undergoes cleavage, and enters the
uterus. The large amount of estrogen disturbs the
normal balance between estrogen and progesterone
that is necessary for preparation of the endometrium
for implantation of the blastocyst. Postconception
administration of hormones to prevent implantation
of the blastocyst is sometimes used in cases of
sexual assault or leakage of a condom, but this
treatment is contraindicated for routine
contraceptive use. The 'abortion pill' RU486 also destroys the conceptus by interrupting
implantation because of interference with the
hormonal environment of the implanting embryo.
"A intrauterine device (IUD) inserted into the
uterus through the vagina and cervix usually interferes with implantation by causing a local
inflammatory reaction. Some IUDs contain
progesterone that is slowly released and interferes
with the development of the endometrium so that
implantation does not usually occur." (p. 58)
"... [Question 2-5 for students]: #5. A young
woman who feared that she might be pregnant asked
you about the so-called 'morning after pills'
(postcoital birth control pills). What would you
tell her? Would termination of such an early
pregnancy be considered an abortion?" (p. 45)
... [Answer #5 for students]: "#5. Postcoital birth
control pills ('morning after pills') may be
prescribed in an emergency (e.g., following sexual
abuse). Ovarian hormones (estrogen) taken in large
doses within 72 hours after sexual intercourse usually prevent implantation of the blastocyst,
probably by altering tubal motility, interfering
with corpus luteum function, or causing abnormal
changes in the endometrium. These hormones
prevent implantation, not fertilization.
Consequently, they should not be called
contraceptive pills. Conception occurs but the
blastocyst does not implant. It would be more
appropriate to call them 'contraimplantation pills'.
Because the term 'abortion' refers to a premature
stoppage of a pregnancy, the term 'abortion' could
be applied to such an early termination of pregnancy."
(p. 532)
"[Question 3-2 for students]: A woman who was
sexually assaulted during her fertile period was
given large doses of estrogen [i.e., as in
the morning-after pill] twice daily for five
days to interrupt a possible pregnancy. If
fertilization had occurred, what do you think would
be the mechanism of action of this hormone? What do
lay people call this type of medical treatment? Is
this what the media refer to as the 'abortion pill'?
If not, explain the method of action of the hormonal
treatment. How early can a pregnancy be detected?"
(p. 59) ...[Answer 3-2 for students:]:
"Diethylstilbestrol (DES) appears to affect the
endometrium by rendering it unprepared for
implantation, a process that is regulated by a
delicate balance between estrogen and progesterone.
The large doses of estrogen upset this balance.
Progesterone makes the endometrium grow thick and
succulent so that the blastocyst may become embedded
and nourished adequately. DES pills are referred to
as 'morning after pills' by lay people. When
the media refer to the 'abortion pill', they are
usually referring to RU-486. This drug, developed in
France, interferes with implantation of the
blastocyst by blocking the production of
progesterone by the corpus luteum. A pregnancy can
be detected at the end of the second week after
fertilization using highly sensitive pregnancy
tests. Most tests depend of the presence of an early
pregnancy factor (EPF) in the maternal serum. Early
pregnancy can also be detected by ultrasonography."
(p. 532)
40. KEITH MOORE AND T.V.N.
PERSAUD, The Developing Human: Clinically
Oriented Embryology (6th ed.), Philadelphia:
W.B. Saunders Company, 1998: "Human development
is a continuous process that begins
when an oocyte (ovum) from a female is fertilized
by a sperm (or spermatozoon) from a male. (p. 2); ibid.: ... but the
embryo begins to
develop as soon as the oocyte is fertilized.
(p. 2); ibid.: Zygote: this cell results from
the union of an oocyte and a sperm. A zygote is
the beginning of a new human being (i.e., an embryo).
(p. 2) [Note the use of the term "being" here. Thus
this term is not restricted to philosophical
or religious discussions only as some have argued,
but is also used commonly in scientific discussions
as well -- as demonstrated here in this human
embryology textbook]; ibid.: Human
development begins at fertilization, the process
during which a male gamete or sperm ... unites with
a female gamete or oocyte ... to form a single cell
called a zygote. This highly specialized,
totipotent cell marks the beginning of each of us
as a unique individual." (p. 18). (emphases
mine); BRUCE M. CARLSON, Human Embryology and
Developmental Biology, St. Louis, MO: Mosby,
1994:" ... finally, the fertilized egg, now
properly called an embryo, must make its way
into the uterus ...." (p. 3). (emphases mine);
WILLIAM J. LARSEN, Human Embryology, 1997:
"In this text, we begin our description of the
developing human with the formation and
differentiation of the male and female sex cells or
gametes, which will unite at fertilization to
initiate the embryonic development of a new
individual. ... Fertilization takes place
in the oviduct ... resulting in the formation of a
zygote containing a single diploid nucleus.
Embryonic development is considered to begin at
this point. (p. 1); ibid.: This moment of
zygote formation may be taken as the
beginning or zero time point of embryonic
development." (p. 17). (emphases mine); RONAN
O'RAHILLY AND FABIOLA MULLER, Human Embryology &
Teratology, New York: Wiley-Liss, 1994: "Fertilization
is an important landmark because, under ordinary
circumstances, a new, genetically distinct human
organism is thereby formed. (p. 5); ibid.:
Fertilization is the procession of events
that begins when a spermatozoon makes contact
with a secondary oocyte or its investments ... (p.
19); ibid.: The zygote ... is a
unicellular embryo." (p. 19) (emphases mine).
41. CARLSON 1994: "Human
pregnancy begins with the fusion of an egg
and a sperm." (p. 3). (emphases mine).
42. As Klubertanz has expressed
it, the human soul, being a form, cannot be divided.
The ovum and sperm unite, "thus giving rise to a
single cell with the material disposition required
for the presence of a soul"; (GEORGE KLUBERTANZ, The Philosophy of Nature, New York:
Appleton-Century-Crofts, Inc, 1953, p. 312); see
also, D. IRVING, "Scientific and philosophical
expertise: An evaluation of the argument on
"personhood'", Linacre Quarterly 1993, 60:18-47,
in C. WARD KISCHER and DIANNE N. IRVING (eds.), The
Human Development Hoax: Time To Tell The
Truth!", 1997, p. 140, distributed by American Life
League.
43. The realist
philosophical concepts which best match this very
dramatic physical change at fertilization, and the
subsequent growth and development of the embryo and
fetus, are "substantial change" and "accidental
change". That is, one would say that before
fertilization there are two gametes (the sperm
and the oocyte), each of which have only 23
chromosomes, neither of which are human beings
per se, but are only "parts" of human beings,
and neither of which would grow if implanted singly
in the womb. However, when these two gametes come
together at fertilization and fuse, a totally
different kind of thing comes into existence --
i.e., a new unique individual human being, with 46 chromosomes (the normal number required for
any individual of the human species). This would be
an example of "substantial change" -- i.e., a
change in natures, or kinds of things. On the
other hand, once this human being is formed, no
further change in natures takes place. All that
happens is simply that the already existing human
being grows and develops bigger and bigger. This
would be an example of "accidental change" --
i.e., simply a change in secondary properties
of the very same individual human being. In
fact, this is substantiated by empirical evidence.
The same number (46) and quality of chromosomes
exist in each and every cell of the new human being,
regardless of which growth and developmental stage
he or she is in. For explanations of these
philosophical concepts of "substantial and
accidental change", see: GEORGE KLUBERTANZ, The
Philosophy of Human Nature, New York:
Appleton-Century-Crofts, 1953, pp. 124ff; also
KLUBERTANZ, The Philosophy of Being, ibid.,
pp. 98-100 (and THOMAS AQUINAS, Commentary on
Aristotle's Metaphysics, Bk. VIII, lect.1 (ed.)
Cathala, Nos. 1688-1689, as quoted p. 118);
ARISTOTLE, Physica, 1.7.191a, 15-18, pp.
232-233; ibid., 2.3.194b, 23-35, pp.,
240-241. See also HENRY VEATCH, Aristotle: A
Contemporary Approach, Indiana: Indiana
University Press, 1974, Chaps. 2 and 3; D. IRVING, "Philosophical
and scientific expertise ...", Linacre Quarterly
1993, 60:18-47, in KISCHER AND IRVING (eds.), The
Human Development Hoax ... 1997, p. 136.
44. MOORE AND PERSAUD 1998:
"The zygote is genetically unique
because half of its chromosomes come from the mother
and half from the father. The zygote contains a new
combination of chromosomes that is different from
that in the cells of either of the parents. This
mechanism forms the basis of biparental inheritance
and variation of the human species. Meiosis allows
independent assortment of maternal and paternal
chromosomes among the germ cells. ... The
embryo's chromosomes sex is determined at
fertilization by the kind of sperm (X or Y) that
fertilizes the ovum; hence it is the father rather
than the mother whose gamete determines the sex of
the embryo. (p. 37)." (emphases mine); CARLSON 1994:
"The sex of the future embryo is determined by the chromosomal complement of the
spermatozoon ... Through the mingling of
maternal and paternal chromosomes, the zygote is
a genetically unique product of chromosomal
reassortment ...". (p. 31) (emphases mine).
O'RAHILLY AND MULLER (1994): "Fertilization
is an important landmark because, under ordinary
circumstances, a new, genetically distinct human
organism is thereby formed." (p. 5) (emphases
mine).
45. The philosophical concept
which matches this empirical reality is "potency".
This is precisely the term which has been so misused
and corrupted in many of the bioethics arguments for
"delayed personhood", probably due to a lack of
understanding of the correct historical origin and
use of this very technical philosophical term. In
these bioethics articles, the terms "potential
human being" or "potential human person"
are used to indicate a human being or human person
who is not there yet, but who will begin to
exist at some particular (arbitrary) biological or
psychological marker later. (Sometimes the term "possible"
human being is also used in the same sense).
However, the term "potency" actually refers
to a human being who already exists, e.g.,
the single-cell zygote at fertilization. By virtue
of the kind of nature this already existing
embryo possesses (i.e., "human"), this embryo has
the capacity or power or potency to
express that human nature. The embryo also has the
potential to grow bigger and bigger, to
become an adult human being, to play the violin, or
to discover new scientific theories. Thus in this
proper sense, the term "potential" also
refers to an already existing human being.
(See same references for substantial and accidental
change, note 43, supra; D. IRVING, "Philosophical
and scientific expertise ...", in KISCHER and
IRVING (eds.), The Human Development Hoax ..., p. 137).
46. Some try to argue that only the inner cell mass of the early 6-7 day
blastocyst is the human embryo or human being, while
the outer cell layer is not. (See, e.g., EDWARD J.
FURTON and MICHELINE M. MATHEWS-ROTH, "Stem cell
research and the human embryo", Ethics and
Medics 1999, 24:8, also posted on their web site:
http://www.ethicsandmedics.com/specials/stemcell1.html.
My analysis of their article is available upon
request). Many confuse the terms "embryo" and
"embryo proper", or are unaware of current research
which refutes the dictum that cells are permanently
"fated" (see notes 52-55, infra).
Unfortunately, this erroneous "human embryology" has
led others to then argue that the use of some
abortifacients would therefore not constitute a direct abortion, because the chemical would only
act on this outer cell layer, and not directly
on the "real" human embryo (human being) which is
constituted, they claim, only by the inner cell
layer. (See these implications, e.g., in ALBERT
MORACZEWSKI, "Managing tubal pregnancies, Parts I
and II", Ethics and Medics, June and August 1996,
21:6 and 21:8. The correct human embryology is that
the whole blastocyst is the human being, the
human embryo, not just the inner cell layer of the
blastocyst: CARLSON 1994: "About 4 days after
fertilization, a fluid-filled space begins to form
inside the embryo. The space is known as the
blastocoele and the embryo as a whole is called a
blastocyst." (p. 34) (emphases mine); O"RAHILLY
AND MULLER: "During the first week the embryo becomes a solid mass of cells and then acquires a
cavity, at which time it is know as a
blastocyst." (p. 23) (emphases mine).
47. This has been demonstrated
by recent experiments using transgenic animals,
e.g., G. KOLLIAS et al, "The human beta-globulin
gene contains a downstream developmental specific
enhancer", Nucleic Acids Research 1987,
15:14:5739-47; R.K. HUMPHRIES et al, "Transfer of
human and murine globin-gene sequences into
transgenic mice", American Journal of Human
Genetics 1985, 37:2:295-310; A. SCHNIEKE et al, "Introduction
of the human pro alpha 1 (I( collagen gene into pro
alpha 1 (I)-deficient Mov-13 mouse cells leads to
formation of functional mouse-human hybrid type I
collagen", Proceedings of the National Academy
of Science - USA 1987, 84:3:764-768.
48. BENJAMIN LEWIN (ed.), Genes III, New York: John Wiley and Sons, 1987,
pp. 11-13, 17-19, 30, 32, 33, 35, 79, 91, 93-93;
ALAN E.H. EMERY, Elements of Medical Genetics,
New York: Churchill Livingstone, 1983, pp. 25, 34,
65, 101-103. Indeed, there are usually sections on
"form and function" at the end of each chapter in
biology textbooks. One sometimes hears today the
erroneous reversal of this phrase, i.e., "form
follows function"; however even in "evolution"
theory the changed form is the cause of the
changed function.
49. See notes 13, 14, 42, 43 and
45, 47-48, supra.
50. RICHARD MCCORMICK, "Who
or what is the "preembryo"?", Kennedy Institute
of Ethics Journal 1991, 1:1:3-15; CLIFFORD
GROBSTEIN, "The early development of human
embryos", Journal of Medicine and Philosophy
1985, 10:213-236
51. CARLSON (1994): "The
transition from morula to blastocyst and the
formation of a fluid-filled blastocoele depends
first on the maintenance of intercommunications
between superficial blastomeres via gap junctions.
In the absence of gap junctions, embryos fail to
cavitate (form a blasocoele). Cavitation involves
the buildup of fluid within the blastocoele. Fluid
accumulation is a function of a sodium transport
system based on Na+, K+ -ATPase that develops in the
outer blastomeres. The net effect of this enzyme is
the movement of Na+ and H2O across the blastomeres
and the buildup of fluid in the spaces forming among
the inner blastomeres." (p. 34) (emphases mine);
O"RAHILLY AND MULLER (1994): "Although the germ
layers are no longer regarded as rigidly specific,
each layer normally makes definite contributions to
the different tissues and organs. ... Most
organs, however, are formed from more than one germ
layer, and, indeed, interactions between germ layers
are necessary for successful morphogenesis." (p.
79); ibid.: "The first overt
indication of cellular differentiation in the embryo
is the appearance of a polarized epithelium, namely
the trophoblast. Reorganization of the cellular
surface, cytocortex, and cytoplasm are thought
to depend on the expression of proteins that
mediate cell-cell and cell-substratum contact.
Cell-cell interactions depend on cell adhesion
molecules." (p. 80); ibid.: "The skin
consists of epidermis and dermis ... As is common
in many organs, epithelio-mesenchymal interaction is
important." (p. 99) (emphases mine); LARSEN
(1997): "During the second week, the extraembryonic mesoderm, cytotrophoblast, and
synctiotrophoblast begin to collaborate with the
uterus to form the placenta." (p. 33)
(emphases mine); MOORE AND PERSAUD (1998): "This broad developmental potential becomes progressively
restricted as tissues acquire the specialized
features necessary for increasing their
sophistication of structure and function. Such
restriction presumes that choices must be made in
order to achieve tissue diversification. At
present, most evidence indicates that these choices
are determined, not as a consequence of cell
lineage, but rather in response to cues from the
immediate surroundings, including the adjacent
tissues. As a result, the architectural
precision and coordination that are often required
for the normal function of an organ appear to be
achieved by the interaction of its constituent parts
during development. ... The interaction of tissues
during development is a recurring theme in
embryology (Guthrie, 1991). The interactions
that lead to a change in the course of development
of at least one of the interactants are termed
inductions. ... The fact that one tissue can
influence the developmental pathway adopted by
another tissue presumes that a signal passes between
the two interactants." (p. 89) (emphases mine).
52. MOORE AND PERSAUD (1998):
"The chorion, amnion, yolk sac, and allantois
constitute the fetal membranes. They develop
from the zygote but do not participate in the
formation of the embryo or fetus, except for
parts of the yolk sac and allantois. Part of
the yolk sac is incorporated into the embryo as the
primordium of the gut. The allantois forms a fibrous
cord that is known as the urachus in the fetus and
the median umbilical ligament in the adult. It
extends from the apex of the urinary bladder to the
umbilicus." (p. 131) (emphases mine); CARLSON
(1994): "The tissues that make up the fetal/maternal
interface (placenta and chorion) are
derivatives of the trophoblast, which
separates from the inner cell mass and surrounds the
cellular precursors of the embryo proper even as the
cleaving zygote travels down the uterine tube on its
way to implanting into the uterine wall. Other
extraembryonic tissues are derived from the inner
cell mass. These include the amnion (an
ectodermal derivative), which forms a protective
fluid-filled capsule around the embryo; the yolk
sac (an endodermal derivative), which in
mammalian embryos no longer serves a primary
nutritive function; the allantois (an
endodermal derivative), which is associated with the
removal of embryonic wastes; and the extraembryonic mesoderm, which forms the bulk of
the umbilical cord, the connective tissue backing of
the extraembryonic membranes, and the blood
vessels that supply them." (p. 87) (emphases are
mine)
53. This claim by McCormick and
Grobstein is essentially stating that past a certain
point in early human embryonic development, the
cells of the developing embryo are permanently
"fated" to be only involved in the
development of the placental tissues or of
the embryo proper. It is essentially a statement
about final, irreversible differentiation -- here,
specifically in the early blastocyst. It would seem
that this leads them to argue for such total
isolation and separation between the two cell layers
-- and thus a claim that the blastocyst is still
just a "genetic individual", a "pre-embryo", and not
a "developmental individual", a person.
However, this is in fact a false distinction. The
human embryo, from fertilization on, is both
a genetic individual and a developmental
individual. Current alternative theories in human
embryology would not see these blastocyst cells so
permanently "fated" and their eventual locations so
irreversibly determined and "isolated". Nor is it so
certain that the extraembryonic mesoderm
derives from the embryo proper, but rather it
derives partially from the cytotrophoblast, which
itself originates from the outer trophoblast cell
layer of the blastocyst.
In support of these statements, I quote from the
following human embryology text books: CARLSON
(1994): "According to the inside-outside
hypothesis, the position of a blastomere
determines its developmental fate (i.e., whether it
will become part of the inner cell mass or
trophoblast)." (p. 49); ibid.: "The
relationship between the position of the blastomeres
and their ultimate developmental fate was
incorporated into the inside-outside hypothesis.
The outer blastomeres ultimately differentiate into
the trophoblast, whereas the inner blastomeres form
the inner cell mass, from which the body of the
embryo arises. ... If marked blastomeres from
disaggregated embryos are placed on the outside of
another early embryo, they typically contribute to
the formation of the trophoblast. Conversely,
if the same marked cells are introduced into the
interior of the host embryo, they participate in
formation of the inner cell mass." (pp. 40-41)
(emphases mine); O"RAHILLY AND MULLER (1994): "The
developmental adnexa, commonly but inaccurately
referred to as the "fetal membranes," include
the trophoblast, amnion, chorion, umbilical
vesicle (yolk sac), allantoic diverticulum, placenta
and umbilical cord. These temporary structures
are interposed between the embryo/fetus and the
maternal tissues. ... The adnexa are
programmed to mature fast, to age more rapidly, and
to die sooner than the embryonic/fetal body. Nevertheless they are genetically a part of the
individual and are composed of the same germ layers."
(p. 51) (emphases mine); LARSEN (1997): "In the
middle of the second week, the inner surface of the
cytotrophoblast and the outer surface of the yolk
sac and amnion become lined by a new tissue, the
extraembryonic mesoderm. The source of this tissue
is debated." (p. 33); ibid.: The formation of the yolk sac and chorionic cavity is
not fully understood. ... The mechanism of
formation of the chorionic cavity and definitive
yolk sac are topics of controversy in human
embryologic research." (pp. 39-40); ibid.:
"Other theories propose different origins for the
extraembryonic mesoderm. Some investigators contend
that the extraembryonic mesoderm arises not from the
embryonic germ disc but rather by delamination from
either Heuser"s membrane or the cytotrophoblast
[which originates from the trophoblast, or
outer cell layer of the blastocyst]. According to
some models, the chorionic cavity is held to arise
by a process of vacuolization of the extraembryonic
mesoderm itself dividing it into an inner and an
outer layer." (pp. 39-40); ibid., "...The extraembryonic mesoderm forming the outer layer
of the yolk sac wall is a major site of hematopoiesis (blood formation)[i.e., which then
circulates within the embryo proper]. Cells giving
rise to these first endotheolial cells and
hematopoietic stem cells migrate into the yolk sac
from the primary ectoderm." (p. 40); ibid.:
"These centrally placed blastomeres are now called
the inner cell mass, while the blastomeres at the
periphery constitute the outer cell mass. Some
exchange occurs between these groups. However,
in general, the inner cell mass gives rise to
most of the embryo proper and is therefore
called the embryoblast. The outer cell mass is the
primary source for the membranes of the
placenta and is therefore called the trophoblast."
(p. 19). (emphases mine)
54. Nicholas Wade, "Cell
experiment offers hope for tissue repair", The
New York Times, Jan. 22, 1999, A21. See Christopher
R.R. Bjornson, et al, "Turning brain into blood:
A hematopoietic fate adopted by adult neural stem
cells in vivo, Science 1999, 283:534-537.
55. For adult human stem cells
studies describing their change to a different organ
system, see, e.g.: (adult human cancerous gonadal
cells become nerve cells in adult human patients)
Daniel Q. Haney, "Scientists try to grow brain
parts, APNews, May 1, 1999; (fetal human neural
stem cells put into mice become mice neural family
cells) "Human neural stem cells advance distant
prospect of reseeding damaged brain", Science
Daily Magazine, Jan. 26, 1999 (Source: Harvard
Medical School). For adult animal stem cells studies
describing their change to a different organ system,
see, e.g.: (adult mice neural stem cells become
mouse blood family cells) Christopher R. Bjornson et
al, "Turning brain into blood: A hematopoietic
fate adopted by adult neural stem cells in vivo",
Science 1999, 283:534-537; Deborah Josefson, "Adult
stem cells may be redefinable", British Medical
Journal 1999, 318:282; "Adult cells undergo
identity switch reported in Science", Science
Daily Magazine (Source: American Association For
The Advancement Of Science); (adult rat bone marrow
stem cells become rat liver cells and pancreatic
cells) B.E. Petersen et al, "Bone marrow as a
potential source of hepatic oval cells", Science 1999, 284:1168-1170 [bone marrow to
liver cells only]; Paul Recer, "Cell used to make
new liver tissue", The Washington Post, May 13,
1999 [bone marrow to liver cells and pancreatic
cells]; (adult vertebrate neural stem cells become
neural family cells and other family cells , e.g.,
skin melanocytes and mesenchymal cells in the head
and neck) M. Murphy et al, "Neural stem cells",
Journal of Investigative Dermatology Symposium
Proceedings 1997 (Aug.), 2:1:8-13.
For studies demonstrating adult human stem cells
which differentiate to the same family of cells,
see, e.g.: (adult human mesenchymal stem cells in
bone marrow change to multilineage family cell line
cells in vitro) Mark F. Pittenger, et al, "Multilineage
potential of adult human mesenchymal stem cells",
Science 1999, 284:143-146; Nicholas Wade, "Discovery
bolsters a hope for regeneration: Biotechnology firm
converts basic cells into bone and cartilage",
New York Times, April 2, 1999, A17; August Gribbin,
"Stem-cell breakthrough offers hope; Baltimore
team hailed for efforts", The Washington Times,
April 2, 1996, A1.
For studies demonstrating adult stems that have
been identifies in humans and animals, see, e.g.:
(adult brain stem cells identified in monkeys and
humans) "Rodent brain stem cells regenerate after
stroke", UniSciScience and Research News, Feb.
8, 1999; (adult mouse brain stem cells identified)
A. Gritti et al, "Multipotential stem cells from
the adult mouse brain proliferate and self-renew in
response to basic fibroblast growth factor",
Journal of Neuroscience 1996, 16:3:1091-1100; (adult
mammalian neural stem cell identified) Class B.
Johansson et al, "Identification of a neural stem
cell in the adult mammalian central nervous system",
Cell 1999, 96:25-34; (adult mammalian forebrain
neural stem cell identified) S. Weiss et al, "Is
there a neural stem cell in the mammalian forebrain?",
Trends in Neuroscience 1996, 19:9:387-93; (adult
mammalian brain stem cells identified) O. Brustle
and R.D. McKay, "Neuronal progenitors as tools
for cell replacement in the nervous system",
Current Opinions in Neurobiology 1996, 6:5:688-695.
For studies demonstrating the use of adult human
stem cells in human patients, see, e.g.: Mark Moran,
"For cell transplants, is one brain better than
two?", American Medical News, May 3, 1999, p.
29; "Stem cells move closer to treating patients",
UniSci, April 2, 1999; Laura Johannes, "Adult
stem cells have advantage battling disease", The
Wall Street Journal, April 13, 1999, B1; "The
future of placental-blood transplantation",
Editorials, The New England Journal of Medicine
1998, 339:22:1628-1629;
Alan W. Flake and Esmail D. Zanjani, "In utero
hematopoietic stem cell transplantation", JAMA
1997, 278:11:932-937.
56. DAWSON [re fetus-in-fetu
twins]: "One case recorded and studied in detail
showed that the engulfed twin had developed to
the equivalent of four months gestation ....
Microscopic study showed that engulfment had
occurred at about four weeks after fertilization,
in terms of the argument for segmentation long
after the time when it is claimed that individuality
is resolved." (Karen Dawson, "Segmentation
and moral status: A scientific perspective", in
Peter Singer, Helga Kuhse, Stephen Buckle, Karen
Dawson and Pascal Kasimba (eds.), Embryo
Experimentation (New York: Cambridge University
Press, 1990, pp. 58-59) [Her references are: Yasuda,
Y., Mitomori, T., Matsurra, A. and Tanimura, T., "Fetus-in-fetu:
report of a case", Teratology 31 (1985), 337-41;
Sada, I., Shiratori, H. and Nakamura, Y., "Antenatal
diagnosis of fetus in fetu", Asian-Oceania
Journal of Obstetrics and Gynaecology 12 (1986),
353-356]. (emphases are mine).
MOORE AND PERSAUD (1998) (6th ed.): "If the
embryonic disk does not divide completely, or
adjacent embryonic discs fuse, various types
of conjoined MZ twins may form." (p. 161)
(emphases mine); CARLSON (1994): "The mechanism of
conjoined twinning has not been directly
demonstrated experimentally, but a likely
theoretical explanation is the partial secondary
fusion of originally separated portions of the inner
cell mass." (p. 42) (emphases mine); O"RAHILLY
AND MULLER (1994): "Partial duplication at an early
stage and attempted duplication from 2 weeks onward (when bilateral symmetry has become
manifest) would result in conjoined twins."
(p. 30); ibid.: Once the primitive streak has
appeared at about 13 days, splitting that involves
the longitudinal axis of the embryo would be
incomplete and would result in conjoined twins." (p.
54) (emphases are mine).
57. O"RAHILLY 1994, p.30-32.
58. For more extensive analyses
of the "twinning" process, see KISCHER and IRVING
(eds.), The Human Development Hoax: Time to Tell
The Truth!", (distributed by American Life
League, 1997).
59. For a discussion of the
critical difference in definitions of "the common
good" between natural law philosophical ethics and
utilitarian ethics (e.g., in secular bioethics), see
D. IRVING, "Which ethics for the 21st century?",
paper delivered at the Eighth Annual Rose Mass,
sponsored by the John Carroll Society, Washington,
D.C., March 14, 1999; see also JACQUES MARITAIN, The Person and the Common Good, Notre Dame, IN:
University of Notre Dame Press, 1972, pp. 50-58;
AUSTIN FAGOTHEY, Right and Reason, (3rd ed.
only) St. Louis, MO: The C.V. Mosby Company, 1963,
pp. 116, 290, 325, 338.
60. See JOHN PAUL II, enc. Veritatis Splendor (August 6, 1993), 1.14;
PONTIFICAL COUNCIL FOR PASTORAL ASSISTANCE, Charter For Health Care Workers (1994), 2.38;
JOHN PAUL II, enc. Evangelium vitae ((March
25, 1995), Intro. 2; 2.34, 38, 40.
61. For an extraordinary
historical study of how certain vulnerable human
beings have been "redefined" by others as
merely an inferior sub-class of human beings,
see WILLIAM BRENNAN, Dehumanizing the Vulnerable:
When Word Games Take Lives, Chicago: Loyola
University Press, 1995. The early human embryo,
fetus and young child would now seem to fit into his
list of such vulnerable human beings.
62. See ADIL SHAMOO and D.
IRVING, "A review of patient outcome in
pharmacologic studies from the psychiatric
literature, 1966-1993", Journal of Science and
Engineering Ethics 1997, 3:4:395-405; ibid.,
"Accountability in research with persons with
mental illness", Accountability in Research
1993, 3:1:1-17 (also in Adil E. Shamoo, ed., Ethics in Neurological Research with Human Subjects:
The Baltimore Conference on Ethics, 1997,
Amsterdam: Gordon and Breach Publishers, pp. 27-43);
see esp., D. IRVING, "The impact of scientific
misinformation on other fields: Philosophy,
theology, biomedical ethics and public policy",
Accountability in Research 1993, 2:4:243-272; ibid., "Which ethics for science and public
policy?" 1993, 3:2-3:77-99; "Quality
assurance auditors: Between a rock and a hard place",
Quality Assurance: Good Practice, Regulation, and
Law 1994, 3:1:33-52; ibid., ""New Age"
embryology textbooks: "Pre-embryo", "pregnancy" and
abortion counseling: Implications for fetal research",
Linacre Quarterly 1994, 61:2:42-62; ibid., "Individual
testimony before the NIH Human Embryo Research Panel
-- March 14, 1994", Linacre Quarterly 1994,
61:4:82-89; ibid., "Academic fraud and
conceptual transfer in bioethics: abortion, human
embryo research and psychiatric research", in
Joseph W. Koterski (ed.), Life and Learning IV,
Washington, D.C.: University Faculty For Life, 1995,
pp. 193-215; ibid., "Scientific and
philosophical expertise: An evaluation of the
argument of "personhood"", Linacre Quarterly
1993, 60:18-47, in Kischer and Irving (eds.), The
Human Development Hoax: Time To Tell The Truth!",
(distributed by American Life League, 1997), pp.
129-184; ibid., "Affidavit on "fetal
personhood": Submission to the Constitutional Court
of South Africa", affidavit submitted to the
Constitutional Court of South Africa, June 24, 1996;
ibid., "Testimony against the use of human
biological materials in experimental research",
in National Bioethics Advisory Commission Report,
The Use of Human Biological Materials in Research:
Ethical Issues and Policy Guidance, Appendix ,
Washington, D.C.: Government Printing Office, 1999;
ibid., "Testimony against the State of
Maryland"s proposed statute for the use of
"decisionally incapacitated human subjects" in
biomedical research", submitted to the State of
Maryland General Assembly, March 1999.