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Erschienen in: Journal of Bioethical Inquiry 3/2019

01.08.2019 | Original Research

Epistemic Virtue, Prospective Parents and Disability Abortion

verfasst von: James B. Gould

Erschienen in: Journal of Bioethical Inquiry | Ausgabe 3/2019

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Abstract

Research shows that a high majority of parents receiving prenatal diagnosis of intellectual disability terminate pregnancy. They have reasons for rejecting a child with intellectual disabilities—these reasons are, most commonly, beliefs about quality of life for it or them. Without a negative evaluation of intellectual disability, their choice makes no sense. Disability-based abortion has been critiqued through virtue ethics for being inconsistent with admirable moral character. Parental selectivity conflicts with the virtue of acceptingness (the commitment to welcome whatever child comes naturally) and exhibits the vice of wilfulness (the project of picking and choosing what children one will take). In this paper I claim that, beyond failures of moral virtue, disability abortion often involves failures of epistemic virtue on the part of parents. I argue two things: parents believe something false, or at least contested, about life with intellectual disability—and they do so because they are not epistemically conscientious. I first explain why a central motivation for disability abortion—that it prevents harm to the child—is mistaken. I next give a brief account of intellectual virtue and culpable ignorance. I then indicate why many parents fail to be intellectually virtuous when choosing to terminate pregnancy. I focus on elimination of intellectual disability and have little to say about physical and sensory impairments.
Fußnoten
1
Kittay (2010, 403) contends that “most severely retarded people . . . can be and are involved in activities and relationships.” Her PID daughter Sesha has a definite personality—she is responsive to her environment, has formed deep relationships and enjoys classical music.
 
2
Things are more complicated than this statement suggests, since conditions causing ID vary in severity. While most people with Down syndrome, for example, have mild or moderate symptoms, some cases are severe—and it is impossible to predict the degree of impairment. Down syndrome also brings higher risk of depression, dementia, and Alzheimer’s disease as well as heart defects and vision and hearing problems—all of which affect well-being. I do not mean to suggest that Down syndrome and other conditions always involve mild or moderate ID. It might be simple awareness of the possibility that their child could have severe ID that explains Jack and Jill’s decision.
 
3
Numerous studies show that the link between objective impairment and subjective well-being is tenuous, and that people without disabilities are very poor at accurately judging the quality of life of people with disabilities—perhaps because we project onto them the transition costs we would experience if we were to become disabled. On quality of life, disadvantage, and disability in general, see Albrecht and Devlieger 1999 and Amundson 2005. On quality of life, disadvantage, and ID in particular, see the essays in Bickenbach et al. 2014, Brownlee and Cureton 2009, Parens and Asch 2000, Wasserman et al. 2005, and Wasserman et al. 2016.
 
4
Skotko (2009) reports that 92 percent of Down syndrome pregnancies are terminated; this same rate is reported in Choi et al. 2012. The most up-to-date systematic review (Natoli et al. 2012) shows rates in the United States of 60 to 90 percent.
 
5
In Korenromp’s study, survey responses were categorized as “related to the infant” or “related to the respondent or family”—participants ranked motivations related to the infant higher than their own. Dungan (2015, 51) cites multiple authors who find the most common reasons why parents abort affected pregnancies include 1. severity of phenotype, 2. prospects for cognitive impairment, 3. need for surgical correction of structural abnormalities, 4. life expectancy, and 5. family issues (impact on parents and siblings). The top four are motivations related to the child. Studies of actual decision-making after prenatal diagnosis of MID (Korenromp et al 2006; Hawkins et al. 2013) and of hypothetical decision-making if given a positive result (Bryant et al. 2010) indicate that concern for the future child’s welfare is a strong motivation for MDE. Also see Bijma 2008.
 
Literatur
Zurück zum Zitat Albrecht, G., and P. Devlieger. 1999. The disability paradox: High quality of life against all odds. Social Science and Medicine 48: 977–988.PubMed Albrecht, G., and P. Devlieger. 1999. The disability paradox: High quality of life against all odds. Social Science and Medicine 48: 977–988.PubMed
Zurück zum Zitat Amundson, R. 2005. Disability, ideology and quality of life. In Quality of life and human difference, edited by D. Wasserman et al., 101–124. Cambridge: Cambridge University Press. Amundson, R. 2005. Disability, ideology and quality of life. In Quality of life and human difference, edited by D. Wasserman et al., 101–124. Cambridge: Cambridge University Press.
Zurück zum Zitat Aristotle. 2002. Nicomachean Ethics. Translated by J. Sachs. Newburyport: Focus Publishing. Aristotle. 2002. Nicomachean Ethics. Translated by J. Sachs. Newburyport: Focus Publishing.
Zurück zum Zitat Asch, A., and D. Wasserman. 2005. Where is the sin in synecdoche? In Quality of life and human difference, edited by D. Wasserman et al., 172–216. Cambridge: Cambridge University Press. Asch, A., and D. Wasserman. 2005. Where is the sin in synecdoche? In Quality of life and human difference, edited by D. Wasserman et al., 172–216. Cambridge: Cambridge University Press.
Zurück zum Zitat Baily, M.A. 2000. Why I had amniocentesis. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 64–71. Washington: Georgetown University Press. Baily, M.A. 2000. Why I had amniocentesis. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 64–71. Washington: Georgetown University Press.
Zurück zum Zitat Battaly, H. 2006. Teaching intellectual virtues. Teaching Philosophy 29: 191–222. Battaly, H. 2006. Teaching intellectual virtues. Teaching Philosophy 29: 191–222.
Zurück zum Zitat Bickenbach, J., F. Felder, and B. Schmitz, eds. 2014. Disability and the good human life. Cambridge: Cambridge University Press. Bickenbach, J., F. Felder, and B. Schmitz, eds. 2014. Disability and the good human life. Cambridge: Cambridge University Press.
Zurück zum Zitat Bijma, H., A. van der Heide, and J. Wildschut. 2008. Decision-making after ultrasound diagnosis of fetal abnormality. Reproductive Health Matters 16 Supp 31: 82–89.PubMed Bijma, H., A. van der Heide, and J. Wildschut. 2008. Decision-making after ultrasound diagnosis of fetal abnormality. Reproductive Health Matters 16 Supp 31: 82–89.PubMed
Zurück zum Zitat Boss, J. 1993. The birth lottery: Prenatal diagnosis and selective abortion. Chicago: Loyola University Press. Boss, J. 1993. The birth lottery: Prenatal diagnosis and selective abortion. Chicago: Loyola University Press.
Zurück zum Zitat Browning, C. 1998. Ordinary men. New York: Harper. Browning, C. 1998. Ordinary men. New York: Harper.
Zurück zum Zitat Brownlee, K., and A. Cureton, eds. 2009. Disability and disadvantage. Oxford: Oxford University Press. Brownlee, K., and A. Cureton, eds. 2009. Disability and disadvantage. Oxford: Oxford University Press.
Zurück zum Zitat Bryant, L., J. Green, and J. Hewison. 2010. The role of attitudes towards the targets of behavior in predicting and informing prenatal testing choices. Psychology and Health 25: 1175–1194.PubMed Bryant, L., J. Green, and J. Hewison. 2010. The role of attitudes towards the targets of behavior in predicting and informing prenatal testing choices. Psychology and Health 25: 1175–1194.PubMed
Zurück zum Zitat Buchanan, A., D. Brock, N. Daniels, and D. Wikler. 2000. From chance to choice: Genetics and justice. Cambridge: Cambridge University Press. Buchanan, A., D. Brock, N. Daniels, and D. Wikler. 2000. From chance to choice: Genetics and justice. Cambridge: Cambridge University Press.
Zurück zum Zitat Burge, T. 1993. Content preservation. The Philosophical Review 102: 457–488. Burge, T. 1993. Content preservation. The Philosophical Review 102: 457–488.
Zurück zum Zitat Carey, A. 2009. On the margins of citizenship. Philadelphia: Temple University Press. Carey, A. 2009. On the margins of citizenship. Philadelphia: Temple University Press.
Zurück zum Zitat Carlson, L. 2010. The faces of intellectual disability. Bloomington: Indiana University Press. Carlson, L. 2010. The faces of intellectual disability. Bloomington: Indiana University Press.
Zurück zum Zitat Choi, H., M. Van Riper, and S. Thoyre. 2012. Decision making following a prenatal diagnosis of Down syndrome: An integrative review. Journal of Midwifery and Women’s Health 57: 156–164.PubMed Choi, H., M. Van Riper, and S. Thoyre. 2012. Decision making following a prenatal diagnosis of Down syndrome: An integrative review. Journal of Midwifery and Women’s Health 57: 156–164.PubMed
Zurück zum Zitat Cleary-Goldman, J., M. Morgan, F. Malone, et al. 2006. Screening for Down syndrome: Practice patterns and knowledge of obstetricians and gynecologists. Obstetrics and Gynecology 107: 11–17.PubMed Cleary-Goldman, J., M. Morgan, F. Malone, et al. 2006. Screening for Down syndrome: Practice patterns and knowledge of obstetricians and gynecologists. Obstetrics and Gynecology 107: 11–17.PubMed
Zurück zum Zitat Coady, D. 2012. What to believe now. Malden: Wiley-Blackwell. Coady, D. 2012. What to believe now. Malden: Wiley-Blackwell.
Zurück zum Zitat Code, L. 1987. Epistemic Responsibility. Hanover and London: University Press of New England. Code, L. 1987. Epistemic Responsibility. Hanover and London: University Press of New England.
Zurück zum Zitat Dungan, J. 2015. Medical reasons for pregnancy interruption: Chromosomal and genetic abnormalities. In Prenatal and preimplantation diagnosis, edited by J. Galst and M. Verp, 49–65. Dordrecht: Springer. Dungan, J. 2015. Medical reasons for pregnancy interruption: Chromosomal and genetic abnormalities. In Prenatal and preimplantation diagnosis, edited by J. Galst and M. Verp, 49–65. Dordrecht: Springer.
Zurück zum Zitat Ferguson, P., A. Gartner, and D. Lipsky. 2000. The experience of disabilities in families: A synthesis of research and parent narratives. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 72–94. Washington: Georgetown University Press. Ferguson, P., A. Gartner, and D. Lipsky. 2000. The experience of disabilities in families: A synthesis of research and parent narratives. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 72–94. Washington: Georgetown University Press.
Zurück zum Zitat FitzPatrick, W. 2008. Moral responsibility and normative ignorance: Answering a new skeptical challenge. Ethics 118: 589–613. FitzPatrick, W. 2008. Moral responsibility and normative ignorance: Answering a new skeptical challenge. Ethics 118: 589–613.
Zurück zum Zitat Fricker, E. 1994. Against gullibility. In Knowing from words, edited by A. Chakrabarti and B. Matilal, 125–161. Dordrecht: Kluwer Academic. Fricker, E. 1994. Against gullibility. In Knowing from words, edited by A. Chakrabarti and B. Matilal, 125–161. Dordrecht: Kluwer Academic.
Zurück zum Zitat Galst, J. 2015. Helping patients cope with their decisions. In Prenatal and preimplantation diagnosis, edited by J. Galst and M. Verp, 287–321. Dordrecht: Springer. Galst, J. 2015. Helping patients cope with their decisions. In Prenatal and preimplantation diagnosis, edited by J. Galst and M. Verp, 287–321. Dordrecht: Springer.
Zurück zum Zitat Galst, J., and M. Verp, eds. 2015. Prenatal and preimplantation diagnosis: The burden of choice. Dordrecht: Springer. Galst, J., and M. Verp, eds. 2015. Prenatal and preimplantation diagnosis: The burden of choice. Dordrecht: Springer.
Zurück zum Zitat Glover, J. 2006. Choosing children: Genes, disability and design. Oxford: Clarendon Press. Glover, J. 2006. Choosing children: Genes, disability and design. Oxford: Clarendon Press.
Zurück zum Zitat Goff, B.N., N. Springer, L. Foote, et al. 2013. Receiving the initial Down syndrome diagnosis: A comparison of prenatal and postnatal parent group experiences. Journal of Intellectual and Developmental Disabilities 6: 446–457. Goff, B.N., N. Springer, L. Foote, et al. 2013. Receiving the initial Down syndrome diagnosis: A comparison of prenatal and postnatal parent group experiences. Journal of Intellectual and Developmental Disabilities 6: 446–457.
Zurück zum Zitat Hall, R., and C. Johnson. 1998. The epistemic duty to seek more evidence. American Philosophical Quarterly 35: 129–139. Hall, R., and C. Johnson. 1998. The epistemic duty to seek more evidence. American Philosophical Quarterly 35: 129–139.
Zurück zum Zitat Harman, E. 2009. Harming as causing harm. In Harming future persons, edited by M. Roberts and D. Wasserman, 137–154. Dordrecht: Springer. Harman, E. 2009. Harming as causing harm. In Harming future persons, edited by M. Roberts and D. Wasserman, 137–154. Dordrecht: Springer.
Zurück zum Zitat Hawkins, A., A. Stenzel, J. Taylor, et al. 2013. Variables influencing pregnancy termination following prenatal diagnosis of fetal chromosome abnormalities. Journal of Genetic Counseling 22: 238–248.PubMed Hawkins, A., A. Stenzel, J. Taylor, et al. 2013. Variables influencing pregnancy termination following prenatal diagnosis of fetal chromosome abnormalities. Journal of Genetic Counseling 22: 238–248.PubMed
Zurück zum Zitat Heyd, D. 2009. The intractability of the nonidentity problem. In Harming future persons: Ethics, genetics and the nonidentity problem, edited by M. Roberts and D. Wasserman, 3–25. Dordrecht: Springer. Heyd, D. 2009. The intractability of the nonidentity problem. In Harming future persons: Ethics, genetics and the nonidentity problem, edited by M. Roberts and D. Wasserman, 3–25. Dordrecht: Springer.
Zurück zum Zitat Jennings, B. 2000. Technology and the genetic imaginary: Prenatal testing and the construction of disability. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 124–144. Washington: Georgetown University Press. Jennings, B. 2000. Technology and the genetic imaginary: Prenatal testing and the construction of disability. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 124–144. Washington: Georgetown University Press.
Zurück zum Zitat Kaposy, C. 2018. Choosing Down syndrome. Cambridge: MIT Press. Kaposy, C. 2018. Choosing Down syndrome. Cambridge: MIT Press.
Zurück zum Zitat King, G., L. Zwaigenbaum, S. King, et al. 2006. A qualitative investigation of changes in the belief systems of families of children with autism or Down syndrome. Child Care, Health and Development 32: 353–369.PubMed King, G., L. Zwaigenbaum, S. King, et al. 2006. A qualitative investigation of changes in the belief systems of families of children with autism or Down syndrome. Child Care, Health and Development 32: 353–369.PubMed
Zurück zum Zitat Kingsley, J., and M. Levitz. 1994. Count us in: Growing up with Down syndrome. Orlando: Harcourt/Harvest. Kingsley, J., and M. Levitz. 1994. Count us in: Growing up with Down syndrome. Orlando: Harcourt/Harvest.
Zurück zum Zitat Kittay, E.F. 2010. The personal is philosophical is political. In Cognitive disability and its challenge to moral philosophy, edited by E.F. Kittay and L. Carlson, 393–413. Malden: Wiley-Blackwell. Kittay, E.F. 2010. The personal is philosophical is political. In Cognitive disability and its challenge to moral philosophy, edited by E.F. Kittay and L. Carlson, 393–413. Malden: Wiley-Blackwell.
Zurück zum Zitat Klein, D. 2011. Medical disparagement of the disability experience: Empirical evidence of the “expressivist objection,” AJOB Primary Research 2: 8–20. Klein, D. 2011. Medical disparagement of the disability experience: Empirical evidence of the “expressivist objection,” AJOB Primary Research 2: 8–20.
Zurück zum Zitat Korenromp, M. 2006. Parental adaptation to termination of pregnancy for fetal anomalies. Utrecht: Febodruk B.V. Enschede. Korenromp, M. 2006. Parental adaptation to termination of pregnancy for fetal anomalies. Utrecht: Febodruk B.V. Enschede.
Zurück zum Zitat Landsmann, G. 2009. Reconstructing motherhood and disability in the age of “perfect” babies. New York: Routledge. Landsmann, G. 2009. Reconstructing motherhood and disability in the age of “perfect” babies. New York: Routledge.
Zurück zum Zitat Louhiala, P. 2004. Preventing intellectual disability: Clinical and ethical issues. Cambridge: Cambridge University Press. Louhiala, P. 2004. Preventing intellectual disability: Clinical and ethical issues. Cambridge: Cambridge University Press.
Zurück zum Zitat McCoyd, J. 2015. Critical aspects of decision-making and grieving after diagnosis of fetal anomaly. In prenatal and preimplantation diagnosis, edited by J. Galst and M. Verp, 269–286. Dordrecht: Springer. McCoyd, J. 2015. Critical aspects of decision-making and grieving after diagnosis of fetal anomaly. In prenatal and preimplantation diagnosis, edited by J. Galst and M. Verp, 269–286. Dordrecht: Springer.
Zurück zum Zitat Meredith, S., C. Kaposy, V. Miller, et al. 2016. Impact of the increased adoption of prenatal cfDNA screening on non-profit patient advocacy organizations in the United States. Prenatal Diagnosis 36: 714–719.PubMedPubMedCentral Meredith, S., C. Kaposy, V. Miller, et al. 2016. Impact of the increased adoption of prenatal cfDNA screening on non-profit patient advocacy organizations in the United States. Prenatal Diagnosis 36: 714–719.PubMedPubMedCentral
Zurück zum Zitat Montmarquet, J. 1993. Epistemic virtue and doxastic responsibility. Lanham: Rowman & Littlefield. Montmarquet, J. 1993. Epistemic virtue and doxastic responsibility. Lanham: Rowman & Littlefield.
Zurück zum Zitat Montmarquet, J. 1995. Culpable ignorance and excuses. Philosophical Studies 80: 41–49. Montmarquet, J. 1995. Culpable ignorance and excuses. Philosophical Studies 80: 41–49.
Zurück zum Zitat Moore, B.N., and R. Parker. 2001. Critical thinking, 6th ed. Mountain View: Mayfield. Moore, B.N., and R. Parker. 2001. Critical thinking, 6th ed. Mountain View: Mayfield.
Zurück zum Zitat Natoli, J., D. Ackerman, S. McDermott, and J. Edwards. 2012. Prenatal diagnosis of Down syndrome: A systematic review of termination rates. Prenatal Diagnosis 23: 142–153. Natoli, J., D. Ackerman, S. McDermott, and J. Edwards. 2012. Prenatal diagnosis of Down syndrome: A systematic review of termination rates. Prenatal Diagnosis 23: 142–153.
Zurück zum Zitat Parens, E., and A. Asch, eds. 2000. Prenatal testing and disability rights. Washington: Georgetown University Press. Parens, E., and A. Asch, eds. 2000. Prenatal testing and disability rights. Washington: Georgetown University Press.
Zurück zum Zitat Patterson, A., and M. Satz. 2002. Genetic counseling and the disabled. Hypatia 17: 118–142.PubMed Patterson, A., and M. Satz. 2002. Genetic counseling and the disabled. Hypatia 17: 118–142.PubMed
Zurück zum Zitat Rachels, J. 1986. The end of life. Oxford: Oxford University Press. Rachels, J. 1986. The end of life. Oxford: Oxford University Press.
Zurück zum Zitat Reist, M. 2006. Defiant birth. Melbourne: Spinifex Press. Reist, M. 2006. Defiant birth. Melbourne: Spinifex Press.
Zurück zum Zitat Roberts, M., and D. Wasserman. 2009. Harming future people: Introduction. In Harming future persons: Ethics, genetics and the nonidentity problem, edited by M. Roberts and D. Wasserman, xiii–xxxvii. Dordrecht: Springer. Roberts, M., and D. Wasserman. 2009. Harming future people: Introduction. In Harming future persons: Ethics, genetics and the nonidentity problem, edited by M. Roberts and D. Wasserman, xiii–xxxvii. Dordrecht: Springer.
Zurück zum Zitat Rosen, G. 2003. Culpability and ignorance. Proceedings of the Aristotelian Society, New Series 103: 61–84. Rosen, G. 2003. Culpability and ignorance. Proceedings of the Aristotelian Society, New Series 103: 61–84.
Zurück zum Zitat Rowlands, M. 2015. A good life. London: Granta. Rowlands, M. 2015. A good life. London: Granta.
Zurück zum Zitat Sandel, M. 2004. The case against perfection. The Atlantic. April 2004. Sandel, M. 2004. The case against perfection. The Atlantic. April 2004.
Zurück zum Zitat Savulescu, J. 2001. Procreative beneficence: Why we should select the best children. Bioethics 15: 413–426. Savulescu, J. 2001. Procreative beneficence: Why we should select the best children. Bioethics 15: 413–426.
Zurück zum Zitat Shakespeare, T. 2018. Disability: The basics. New York: Routledge. Shakespeare, T. 2018. Disability: The basics. New York: Routledge.
Zurück zum Zitat Singer, P. 2011. Practical ethics, 3rd ed. Cambridge: Cambridge University Press. Singer, P. 2011. Practical ethics, 3rd ed. Cambridge: Cambridge University Press.
Zurück zum Zitat Skotko, B. 2005. Prenatally diagnosed Down syndrome: Mothers who continued their pregnancies evaluate their health care providers. American Journal of Obstetrics and Gynecology 192: 670–677.PubMed Skotko, B. 2005. Prenatally diagnosed Down syndrome: Mothers who continued their pregnancies evaluate their health care providers. American Journal of Obstetrics and Gynecology 192: 670–677.PubMed
Zurück zum Zitat Skotko, B. 2009. With new prenatal testing, will babies with Down syndrome slowly disappear? Archives of Disease in Childhood 94: 823–826.PubMed Skotko, B. 2009. With new prenatal testing, will babies with Down syndrome slowly disappear? Archives of Disease in Childhood 94: 823–826.PubMed
Zurück zum Zitat Skotko, B., P. Kishnani, and G. Capone. 2009. Prenatal diagnosis of Down syndrome: How best to deliver the news. American Journal of Medical Genetics Part A 149: 2361–2367.PubMed Skotko, B., P. Kishnani, and G. Capone. 2009. Prenatal diagnosis of Down syndrome: How best to deliver the news. American Journal of Medical Genetics Part A 149: 2361–2367.PubMed
Zurück zum Zitat Skotko, B., S. Levine, and R. Goldstein. 2011a. Having a son or daughter with Down syndrome: Perspectives from mothers and fathers. American Journal of Medical Genetics, Part A 155: 2335–2347. Skotko, B., S. Levine, and R. Goldstein. 2011a. Having a son or daughter with Down syndrome: Perspectives from mothers and fathers. American Journal of Medical Genetics, Part A 155: 2335–2347.
Zurück zum Zitat Skotko, B., S. Levine, and R. Goldstein. 2011b. Having a brother or sister with Down syndrome: Perspectives from siblings. American Journal of Medical Genetics, Part A 155: 2348–2359. Skotko, B., S. Levine, and R. Goldstein. 2011b. Having a brother or sister with Down syndrome: Perspectives from siblings. American Journal of Medical Genetics, Part A 155: 2348–2359.
Zurück zum Zitat Skotko, B., S. Levine, and R. Goldstein. 2011c. Self-perceptions from people with Down syndrome. American Journal of Medical Genetics Part A 155: 2360–2369. Skotko, B., S. Levine, and R. Goldstein. 2011c. Self-perceptions from people with Down syndrome. American Journal of Medical Genetics Part A 155: 2360–2369.
Zurück zum Zitat Smith, H. 1983. Culpable ignorance. The Philosophical Review 92: 543–571. Smith, H. 1983. Culpable ignorance. The Philosophical Review 92: 543–571.
Zurück zum Zitat Steinbock, B. 2000. Disability, prenatal testing and selective abortion. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 108–123. Washington: Georgetown University Press. Steinbock, B. 2000. Disability, prenatal testing and selective abortion. In Prenatal testing and disability rights, edited by E. Parens and A. Asch, 108–123. Washington: Georgetown University Press.
Zurück zum Zitat Steinbock, B. 2009. Wrongful life and procreative decisions. In Harming future persons, edited by M. Roberts and D. Wasserman, 155–178. Dordrecht: Springer. Steinbock, B. 2009. Wrongful life and procreative decisions. In Harming future persons, edited by M. Roberts and D. Wasserman, 155–178. Dordrecht: Springer.
Zurück zum Zitat Steinbock, B. 2011. Life before birth, 2d ed. Oxford: Oxford University Press. Steinbock, B. 2011. Life before birth, 2d ed. Oxford: Oxford University Press.
Zurück zum Zitat van Woudenberg, R. 2009. Ignorance and force: Two excusing conditions for false beliefs. American Philosophical Quarterly 46: 373–386. van Woudenberg, R. 2009. Ignorance and force: Two excusing conditions for false beliefs. American Philosophical Quarterly 46: 373–386.
Zurück zum Zitat Wasserman, D. 2005. The non-identity problem, disability and the role morality of prospective parents. Ethics 116: 132–152.PubMed Wasserman, D. 2005. The non-identity problem, disability and the role morality of prospective parents. Ethics 116: 132–152.PubMed
Zurück zum Zitat Wasserman D., J. Bickenbach, and R. Wachbroit, eds. 2005. Quality of life and human difference: Genetic testing, health care and disability. Cambridge: Cambridge University Press. Wasserman D., J. Bickenbach, and R. Wachbroit, eds. 2005. Quality of life and human difference: Genetic testing, health care and disability. Cambridge: Cambridge University Press.
Metadaten
Titel
Epistemic Virtue, Prospective Parents and Disability Abortion
verfasst von
James B. Gould
Publikationsdatum
01.08.2019
Verlag
Springer Singapore
Erschienen in
Journal of Bioethical Inquiry / Ausgabe 3/2019
Print ISSN: 1176-7529
Elektronische ISSN: 1872-4353
DOI
https://doi.org/10.1007/s11673-019-09933-1

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