This article considers M. Therese Lysaught’s analysis of an apparent abortion that occurred in Phoenix, Arizona, in 2009. Since Lysaught invokes it, the article considers Rev. Martin Rhonheimer’s theory about the bearing of vital conflict situations on the object of the act performed. A vital conflict situation is present when, for instance, the life of a mother might be spared if her fetus is aborted, otherwise she and the fetus will die. The article argues that the use of such situations in this way by Lysaught and Rhonheimer (and possibly others) is incompatible with Church teaching. The article concludes by suggesting that certain cases might be analyzed in such a way that the mother’s life is saved and the fetus dies but there is no direct abortion. National Catholic Bioethics Quarterly 11.4 (Winter 2011): 691–704.

In “The Contralife Argument and the Principle of Double Effect” (NCBQ, Spring 2011), Lawrence Masek tries to use the principle of double effect to show that natural family planning (NFP) is morally justified. This essay presents a summary explanation of the principle of double effect. It demonstrates that Masek wrongly applies the principle of double effect to NFP. It presents the teaching of the 1968 papal encyclical Humanae vitae with regard to NFP, and contends that to apply the principle of double effect to the case of NFP is not only incorrect but also contrary to teaching of Humanae vitae. Because Masek implies that NFP involves the (justified) permission of evil, his article also counteracts the efforts of the Catholic Church to promote the practice of NFP. National Catholic Bioethics Quarterly 11.4 (Winter 2011): 661–667.

God presented each of us with the gift of human life, for which we each have a duty of stewardship. The complementary principles of totality and integrity provide moral guidance for decisions on whether specific acts are consistent with this obligation. Totality directs that anatomical completeness must not be sacrificed without proportional justification. Integrity focuses on maintaining basic human capacities and provides a hierarchical ordering of higher functions over lower functions for use in decision making. The decisions of secular American courts rely heavily on statutory authority and case precedent. This essay explores whether the moral principle of totality and integrity is reflected in judicial opinions. The first part examines judicial decisions in cases in which the plaintiff’s desired outcome was consistent with the principle of totality and integrity. The second part analyzes judicial decisions in which the desired outcome was not consistent with this moral principle. National Catholic Bioethics Quarterly 12.1 (Spring 2012): 43–54.

Organ transplantation offers many people who suffer from organ failure a chance to live longer. The Catholic Church, which has endorsed organ donation if it is practiced in an ethically acceptable manner, requires that unpaired vital organs be donated only after the donor is certainly dead. In an effort to increase the number of viable organs, a procedure called donation after cardiac death was introduced in the 1990s. This procedure violates the Roman Catholic moral teaching on the dignity of human life because it violates the dead donor rule and undermines the dignity of the dying person. National Catholic Bioethics Quarterly 12.1 (Spring 2012): 55–65.

The author was consulted by two Catholic schools in separate cases of a student and a teacher preparing to undergo sex reassignment. Such cases give rise to special ethical and pastoral concerns. This article discusses the disorders that may lead to sex reassignment, distinguishing between con­genital disorders of sex development (intersex conditions) and gender identity disorder (gender dysphoria). It also notes the ethical differences between the correction of congenital anomalies and interventions to relieve dysphoria: in the former, treatment is meant to restore as much normal function as possible; in the latter, mutilating intervention destroys what were otherwise healthy bodily functions. In Catholic schools, concern for the well-being of an affected student or teacher is required, as is a clear understanding of the condition being treated, the ethical implications of treatment, the privacy issues, the effects on other students and staff, and the effects on a teacher’s ability to give faithful witness to Catholic teaching. National Catholic Bioethics Quarterly 12.1 (Spring 2012): 85–97.

The permissibility of circulatory determination of death (CDD) preceding organ procurement remains controversial. This paper discusses the controversy and the liceity of irreversible circulatory cessation as a determinant of death. When specific protocols have been satisfied, including a waiting period of five minutes of asystole, CDD licitly signals the disintegration of the unitary and integrated whole that was the living human person. The author contends that after terminating disproportionate care, a surrogate may rely on irreversible circulatory cessation thus determined and may authorize organ donation, including limited pre-death procedures that are consonant with the dignity and well-being of the dying patient-donor. National Catholic Bioethics Quarterly 12.1 (Spring 2012): 69–84.

The ethical propriety of routine male infant circumcision has been debated in journals of medicine and law for many years. This article explores the issue from historical, medical, and moral perspectives. Two essentially different forms of circumcision (one more drastic than the other) are distinguished. Discussion focuses on the effects of the more radical kind of nontherapeutic surgery on a normal healthy child’s body: whether it constitutes a mutilation, whether it is medically warranted, and whether it is ethically defensible in light of general philosophical principles and Catholic moral doctrine. The conclusion questions the social bias favoring parental choice to circumcise a non-consenting son. National Catholic Bioethics Quarterly 12.1 (Spring 2012): 99–128.