Abstract
Findings in prenatal diagnostics indicating a severe disorder of the fetus make it necessary for the woman to decide whether to abort or to give birth to the child. The decision about what to do will be elucidated by the Aristotelian model of decision-making. One aim is to raise the awareness of this decision by means of the finding in the empirical data of the EDIG study, namely that some women are saying that they made no decision. According to Aristotle, actions committed under compulsion or through ignorance are not decided by the agent. It will be argued that the women’s decisions meet none of these criteria and that the women are free to make a decision. Nevertheless their choice is limited as they only opt for an action that fits within the plan of their lives.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Questionnaires were elaborated by the members of the EDIG study and filled in by the women having taken part in the study in Germany, not published.
- 2.
This might seem strange to us as it is not the understanding of ignorance we use today. For us, the miss of the intention is due to the risks one should take into consideration in decision-making.
- 3.
In the questionnaires, we find one woman explaining this difficulty as her fetus has developed so far that it can already survive independently. She tells that a recommendation by professionals was to give this child, if it survives, up for adoption. In Germany, the “Oldenburger Baby”, a fetus that survived abortion in the 25th week of pregnancy in 1997, gained notoriety. After the missed abortion, it didn’t die but it was left alone for hours before it got any medical support. Nowadays the child lives in a foster family. For more information look at http://www.tim-lebt.de
- 4.
Aim of this chapter is to explain not-voluntary actions in the Aristotelian understanding. For this analysis, we only have as criterion an action “causing sorrow” or “not causing sorrow”. The exact differentiation of the time period elapsed after the event as we need it for any significant analysis if we look closer to the problem is blanked out.
References
Aristotle (1926) The Nicomachean Ethics. With an English translation by H. Rackham. Loeb Classical Library, William Heinemann, New York
Gauthier RA, Jolif JY (1959) L’Ethique à Nicomaque: Introduction, traduction et commentaire. Publications Universitaires de Louvain, Louvain
Korenromp M et al (2007) Maternal decision to terminate pregnancy after a diagnosis of Down syndrome. Am J Obstet 196:149.e1–149.e11
Kuhn H (1960) Der Begriff der Prohairesis in der Nikomachischen Ethik. In: Gadamer HG (ed.) Festschrift für. Mohr-Siebeck, Tübingen, pp 123–140
Leuzinger-Bohleber M, Engels E-M, Tsiantis J (2008) The janus face of prenatal diagnostics. a European study bridging ethics, psychoanalysis, and medicine. Karnac, London
Lobel M, Dias L, Meyer B (2005) Distress associated with prenatal screening for fetal abnormality. J Behav Med 1:65–68
Quadrelli R et al (2007) Parental decisions to abort or continue a pregnancy following prenatal diagnosis of chromosomal abnormalities in a setting where termination of pregnancy is not legally available. Prenat Diagn 27:228–232
Rapp C (1995) Freiwilligkeit, Entscheidung und Verantwortlichkeit. In: Höffe O (ed.) Aristoteles, Die Nikomachische Ethik. Akademie-Verlag, Berlin, pp 109–133
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media B.V.
About this chapter
Cite this chapter
Sommer, R. (2011). Decision to Know and Decision to Act. In: Fischmann, T., Hildt, E. (eds) Ethical Dilemmas in Prenatal Diagnosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1396-3_12
Download citation
DOI: https://doi.org/10.1007/978-94-007-1396-3_12
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-1395-6
Online ISBN: 978-94-007-1396-3
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)