The Ethics of Medical Homicide and MutilationO'Malley, Austin
Religion
The Ethics of Medical Homicide and Mutilation
O'Malley, Austin
Medical ethics
[8] _Ibid._, n. 69.
[9] _Theol. Moral._ vol. vii.
Suarez defines mutilation thus: "Mutilare significat proprie membrum
aliquod abscindere"[10]--to mutilate means, strictly speaking, to
cut off any member. He holds with Cajetan that an important part of
a member is in itself equivalent to a member. A reason he offers
for his opinion is that a eunuch is enumerated among those who are
canonically mutilated, but the eunuch, he tells us, "does not lack
any member which in itself has a function in the body independent of
all other organs." This is not true. The testicles, which the eunuch
lacks, have two distinct functions, independent of other organs--they
make the spermatozoa and an important internal glandular secretion.
These facts were not known in Suarez's time (1548-1617). Suarez adds
this remark: "There can be a grave sin in a marring [_diminutio_] of
any chief member, although there may be no grave mutilation; as,
for example, to cut off a part of a finger is undoubtedly a mortal
sin, yet, in the opinion of all moralists, it is not enough to cause
irregularity."
[10] _De Censuris_, etc., disp. 44, sec. 2, 2.
St. Alphonsus Liguori defines mutilation thus: "Mutilation here
signifies that some principal member be separated from the body; that
is, a part of the body that has in itself a distinct function, as a
foot, hand, eye, ear, etc."[11] He says[12] canonical irregularity
as a punishment is not incurred by a person who cuts off another
man's finger, thumb, lips, nose, auricle, or who knocks out teeth,
because these are supposed by canonists not to be properly members
of the body, but parts of members. To blind a man in one eye is
not enough to cause canonical irregularity; the eye must be taken
out.[13] All these injuries are of course mutilations in the moral
sense of the term. To blind a man without removing the eye, to cut
out his spleen in the treatment of Banti's disease, to remove a
woman's ovary or uterus, to cut off part of the point of a finger,
to crop the top of an auricle, to knock out a tooth, and any other
permanent marring of the body, even to cause an unsightly scar across
the face, are all mutilations in the moral sense of the term. A
physician, midwife, nurse, or parent who neglects an infant's eyes,
and so permits ophthalmia neonatorum to blind the child, is guilty of
grave mutilation. In the year 1914, in the Chicago schools, 45,176
children were found suffering from various defects, and 35,425 were
advised by the examining physicians to seek treatment; in each of
these cases the parents were informed of the nature of the disease
and the necessity for treatment, but only 40 per cent. of the parents
paid any attention to the notices. Of 5754 cases of diseased tonsils,
which are likely to affect the heart permanently, only 4 per cent.
were treated; of 1254 cases of discharging ears only 10 per cent.
were treated, although such a condition may go on to deafness if not
attended to.
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