SYMBOLS OF HUMAN DIGNITY AND IDENTITY PROTECTION: RUSSIAN PHILOSOPHY AND THEOLOGY FACING THE CHALLENGE OF THE BIOTECHNOLOGY REVOLUTION IN MEDICINE
DOI: 10.23951/2312-7899-2022-2-88-111
The article discusses the development of bioethics in Russia. Bioethics is viewed as a form of expert knowledge designed to protect human dignity and identity in the field of health care and biomedicine. The authors show that the emergence of bioethics was connected with the transformation of the Soviet healthcare system, which was replaced by a system based on the principles of market relations. The authors note that the situation in Russia is typologically similar to the situation in the United States, which emerged on the wave of neo-liberal economic reforms that led to the rapid development of biomedicine science and biotechnology. Like in the U.S., in Russia, the development of bioethics also took place in response to the biotechnology revolution in medicine, but its advance was interrupted by the dramatic collapse of the Soviet state. The emergence of the public-private healthcare system and the rapid expansion of biomedical technologies required an intellectual and moral response from a diverse group of experts analyzing problems associated with it. The two most active groups of the expert community could articulate this answer – philosophers associated with the system of academic institutions and theologians participating in the development of the official position of the Russian Orthodox Church. The article offers a general picture of the development of bioethics in Russia, taking into consideration the specific contributions of these two groups. The focus is on two historical stages in the development of bioethics: its emergence, associated with the transformation of the healthcare system, and the contemporary state, characterized by the rapid spread of biomedical technologies. The authors conclude that philosophers see their mission as to sound the alarm about the “pace” of the spread of biotechnology and the speed of change in human nature that they believe is possible. Theologians, on the other hand, see their mission as to signal the dangerous “temptations” of progress that invite humans to take the place of God and become creators of their own nature by replacing themselves with something completely different.
Keywords: biotechnology revolution in medicine, biomedicine, bioethics, history, Russia, philosophy, Orthodox theology
References:
Abbot Anatoly Berestov. (2017). Problema evtanazii v kontekste pastyrskogo i vrachebnogo opyta [The problem of euthanasia in the context of pastoral and medical experience]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 55–59). Moscow.
Archimandrite Filipp. (2017. Prenatal’naya diagnostika v kontekste pastyrskogo opyta [Prenatal diagnosis in the context of pastoral experience]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 363–367). Moscow.
Archimandrite Melchizedek. (2017). Medikalizatsiya grekha i iskusstvennoe oplodotvorenie [Medicalization of sin and artificial insemination]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 383–389). Moscow.
Archpriest Igor Aksenov. (2017). Progress i chelovecheskoe dostoinstvo. Eticheskie voprosy sovremennykh reproduktivnykh tekhnologiy [Progress and human dignity. Ethical problems of modern reproductive technologies]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 401–422). Moscow.
Archpriest Maksim Obukhov. (2017a). Eticheskiy aspekt manipulyatsiy nad embrionami [The ethical aspect of embryo manipulation]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 84–88). Moscow.
Archpriest Maksim Obukhov. (2017b). Perestupit li chelovechestvo rokovuyu chertu? [Will humanity cross the fatal line?]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 95–98). Moscow.
Archpriest Nikolai Balashov. (2017). Reproduktivnye tekhnologii: dar ili iskushenie? [Reproductive technology: Gift or temptation?]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 71–83). Moscow.
Belkina, G. L., & Korsakov, S. N. (2008). I.T. Frolov i stanovlenie otechestvennoy bioetiki [I. T. Frolov and the formation of Russian bioethics]. In Bioetika i gumanitarnaya ekspertiza [Bioethics and humanitarian expert examination] (vol. 2, pp. 18–54). Institute of Philosophy, RAS.
Belkina, G. L., Korsakov, S. N., & Frolova, M. I. (2021). The path to the institute of man. Chelovek, 4, 53–74. (In Russian).
Belyaletdinov, R. R. (2021). Biocultural theory and the problem of human editing. Chelovek, 32(6), 29–41. (In Russian).
Bishops’ Council of the Russian Orthodox Church. (2000). Osnovy sotsial’noy kontseptsii Russkoy Pravoslavnoy Tserkvi [Fundamentals of the social concept of the Russian Orthodox Church]. Moskovskaya Patriarkhiya.
Bryzgalina, E. V., et al. (2022). 21st century experts required! Voprosy filosofii, 1, 6–18. (In Russian). https://doi.org/10.21146/0042-8744-2022-1-8-18
Consultant Plus. (2021, September 18). Osnovy zakonodatel’stva Rossiyskoy Federatsii ob okhrane zdorov’ya grazhdan. 22 iyulya 1993 g. [Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens]. http://www.consultant.ru/document/cons_doc_LAW_2413/
Cooper, M. (2008). Life as surplus: Biotechnology and capitalism in the neoliberal era. University of Washington Press.
Foot, Ph. (1990). Euthanasia. Filosofskie nauki, 6, 63–80. (In Russian).
Frolov, I. T. (2002). Izbrannye trudy. V 3 t. [Selected works: In 3 vols] (vol. 2). Nauka.
Frolov, I. T., & Yudin, B. G. (1986). Etika nauki: Problemy i diskussii [Ethics of science: Issues and discussions]. Politizdat.
Fukuyama, F. (2004). Our posthuman future: Consequences of the biotechnology revolution. AST. (In Russian).
Gorbuleva, M. S., Melik-Gaykazyan, I. V., & Pervushina, N. A. (2020). Pedagogical bioethics initiatives. Vysshee obrazovanie v Rossii – Higher Education in Russia, 29(6), 122–128. (In Russian). https://doi.org/10.31992/0869-3617-2020-6-122-128
Grebenshchikova, E. G. (2020). Direct-to-consumer genomics and genetization of society: Rethinking identity, social relations and responsibility. Sotsiologicheskie issledovaniya – Sociological Studies, 2, 13–19. (In Russian). https://doi.org/10.31857/S013216250008490-2
Gudkov, L. D., & Yudin, B. G. (1995). Meditsinskaya etika i pravo na informatsiyu [Medical ethics and the right to information]. Sotsiologicheskiy zhurnal, 4, 127–132.
Gudkov, L., Tichtchenko, P., & Yudin, B. (1998). Human Genetic Improvement: A Comparison of Russian and British Public Perceptions. Bulletin of Medical Ethics, 134, 20–23.
Hieromonk Dmitriy Pershin. (2017). Eticheskie problemy terapevticheskogo klonirovaniya [Ethical problems in therapeutic cloning]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 347–353). Moscow.
Hieromonk Evgeniy Zinkovskiy. (2018). Patristic doctrine of man and human flesh and modern biomedical technologies. Vestnik Russkoy khristianskoy gumanitarnoy akademii, 4, 180–187. (In Russian).
Kharitonova, V. I., & Yudin, B. G. (2011). Bioetika — eto ne sovsem to, chto prinyato ponimat’ kak nauku… [Bioethics is not exactly what is commonly understood as a science ...]. Meditsinskaya antropologiya, 1. https://www.elibrary.ru/item.asp?id=26152391
Korsakov, S. N. (2008). Akademik I.T. Frolov i razvitie bioetiki v Rossii [Academician I.T. Frolov and the development of bioethics in Russia]. Chelovek, 3, 27–37.
Melik-Gaykazyan, I. V. (2021). Bioethics and semiotics: Instead of a foreword. ΠΡΑΞΗMΑ. Problemy vizual’noy semiotiki – ΠΡΑΞΗMΑ. Journal of Visual Semiotics, 3, 9–18. (In Russian). https://doi.org/10.23951/2312-7899-2021-3-9-18
Metropolitan Anthony of Sourozh. (2012). Trudy [Works] (book 1). 2nd edition. Praktika.
Metropolitan Anthony of Souruzh. (1976). Human Values in Medicine. Bristol Medico-Chirurgical Journal, 91(1–2), 3–7.
Patriarch Kirill of Moscow. (2017). O chelovecheskom dostoinstve i biotekhnologiyakh [On human dignity and biotechnology]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 21–30). Moscow.
Pisarevskiy, V. (2021, September 18). Bioetika kak forma khristianskoy missii [Bioethics as a form of Christian mission]. http://pravoslavie.ru/467.html
Priest Vladimir Zelinsky. (2002). Blagodarenie zhizni: ot bioetiki k Premudrosti. Popytka pravoslavnogo osmysleniya [Thanking life: From bioethics to wisdom. An attempt of an Orthodox comprehension]. In E. Sgrechcha, & V. Tambone (Eds.), Bioetika. Uchebnik [Bioethics. Textbook] (pp. 387–408). Bibleysko-Bogoslovskiy institut Sv. Apostola Andreya.
Schneider, M., Vayena, E., & Blasimme, A. (2021). Digital bioethics: introducing new methods for the study of bioethical issues. Journal of Medical Ethics. http://dx.doi.org/10.1136/medethics-2021-107387
Siluyanova, I. V. (Ed.). (2017a). Zayavlenie o moral’no-eticheskoy nedopustimosti klonirovaniya cheloveka [Statement on the moral and ethical inadmissibility of human cloning]. In Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 105–107). Moscow.
Siluyanova, I. V. (Ed.). (2017b). Zayavlenie o nravstvennykh problemakh, svyazannykh s razvitiem novykh reproduktivnykh tekhnologiy [Statement on moral issues related to the development of new reproductive technologies]. In Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 89–92). Moscow.
Siluyanova, I. V. (Ed.). (2017c). Zayavlenie o sovremennykh tendentsiyakh legalizatsii evtanazii v Rossii [Statement on current trends in the legalization of euthanasia in Russia]. In I. V. Siluyanova (Ed.), Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 66–67). Moscow.
Siluyanova, I. V. (Ed.). (2020). Zayavlenie Tserkovno-obshchestvennogo soveta po biomeditsinskoy etike Russkoy Pravoslavnoy Tserkvi “Postchelovechestvo v transgumanizme” [Statement of the Church Public Council on Biomedical Ethics of the Ussian Orthodox Church “Posthumanity in Transhumanism”]. In Pravoslavie i problemy bioetiki. Sbornik rabot [Orthodoxy and problems of Bioethics. Collected works] (pp. 37–38). Moscow.
Tichtchenko, P., & Yudin, B. (1992). Toward a Bioethics in Post-Communist Russia. Cambridge Quarterly of Healthcare Ethics, 1(4), 295–303.
Yudin, B. (1992). Bioethics for the New Russia. The Hastings Center Report, 22(3), 5–6.
Yudin, B. (2004). Medical Ethics, History of Europe: Contemporary Period. Russia. In S. G. Post (Ed.), Encyclopedia of Bioethics (pp. 1650–1658). 3rd edition. Thomson & Gale.
Yudin, B. G. (2004). Eshche raz o perspektivakh cheloveka [Once more about human prospects]. Chelovek, 4, 17–27.
Yudin, B. G. (2006a). Chtob skazku sdelat’ byl’yu? (Konstruirovanie cheloveka) [To make a fairy tale come true? (Human design)]. Byulleten’ sibirskoy meditsiny, 5, 7–19.
Yudin, B. G. (2006b). K bioetike ya shel neprostym putem [I went to bioethics the hard way]. Znanie. Ponimanie. Umenie – Knowledge. Understanding. Skill, 1, 92–100.
Yudin, B. G. (2007). Sotvorenie transcheloveka [Creation of a transhuman] Vestnik Rossiyskoy Akademii Nauk, 6, 520–527.
Yudin, B. G. (2008). Problema konstruirovaniya cheloveka [The problem of man designing]. Vestnik Mezhdunarodnoy Akademii Nauk, 1, 6–10.
Yudin, B. G. (2011). Chelovek kak ob”ekt tekhnologicheskikh vozdeystviy [Human Being as a Subject to Technological Interventions]. Chelovek, 3, 5–20.
Yudin, B. G. (2013). Transgumanizm — nashe budushchee? [Transhumanism: Is it our future indeed?]. Chelovek, 4, 5–17.
Yudin, B. G. (Ed.). (1998). Vvedenie v bioetiku. Uchebnoe posobie [Introduction to bioethics. Textbook]. Progress-Traditsiya.
Yudin, B. G. et al. (1996). Etiko-pravovye problemy biomeditsinskikh issledovaniy i prakticheskogo zdravookhraneniya v sovremennoy Rossii [Ethical and Legal Problems of Biomedical Science and Practice in Modern Russia]. Byulleten’ RFFI – RFBR Information Bulletin, 4, 307.
Issue: 2, 2022
Series of issue: Issue 2
Rubric: ARTICLES
Pages: 88 — 111
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