Discoursive Humanity as a Transcendental Basis for Cognitive (Dis)Ability Ethics and Policies

Camb Q Healthc Ethics. 2016 Apr;25(2):262-71. doi: 10.1017/S0963180115000560.

Abstract

This article explicates two approaches to the basis of moral worth and status: Eva Kittay's relational view and Jeff McMahan's psychological personhood view. It is argued that these theories alone do not provide adequate support for the conclusions Kittay and McMahan want to draw concerning individuals whose entitlement to fundamental protections can be challenged-infants with severe cognitive disabilities and infants without the support of their families and social environments. The real justification can in each case be found in deeply held convictions regarding entities that must and entities that must not be included in the core community of moral equals. Philosophical discussions about these convictions would be more useful for the advancement of our moral thinking than vain attempts to show that the absolute truth lies on either side of the ongoing debate.

Keywords: Eva Feder Kittay; Jeff McMahan; abortion; anencephaly; disability ethics; disability policy; family; infanticide; personhood; relationality; severe cognitive disability; time-relative interests.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bioethics*
  • Disabled Children* / psychology
  • Humans
  • Infant
  • Moral Obligations
  • Morals*
  • Parents / psychology
  • Personhood
  • Value of Life*