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The Woman and the Physician Facing AbortionDIANNE N. IRVINGOne 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.
I. Introduction: 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 correctly2 or making morally correct decisions3 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 II. Science and Philosophical
Anthropology 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 substance.14 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. III. Science: The formation of conscience,
and the moral decision making process 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 bioethics22 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.
IV: The Dilemma: To abort or not to abort 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 V. Science and “delayed
hominization” 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! VI.
Conclusion 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. ENDNOTES 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. ACKNOWLEDGEMENT Irving,
Dianne N. “The Woman and the Physician Facing Abortion: The Role of Correct Science
in the Formation of Conscience and the Moral Decision Making Process.” Paper presented
at the Scientific Conference The Guadalupan Appeal: The Dignity and Status of
the Human Embryo” Mexico City, Mexico (October 28, 1999). Reprinted with permission
of the author, Dianne N. Irving. THE AUTHOR Dr.
Irving is a former career-appointed bench research biochemist/biologist (NIH,
NCI, Bethesda, MD), an M.A. and Ph.D. philosopher (Georgetown University, Washington,
D.C.), and Professor of the History of Philosophy, and of Medical Ethics. Emphases
are used throughout only to aid readers from different disciplines. Final editing
January 3, 2000. Copyright © 1999 Diane N. Irving
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