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尊严死:终末期技术介入的边界——基于“生命脆弱性”伦理原则的视角

Death with Dignity and the Boundaries of End-of-Life Technological Interventions: An Analysis Based on the Ethical Principle of the “Vulnerability of Life”

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【作者】 杨祖行王健

【Author】 YANG Zuhang;WANG Jian;Department of Philosophy, School of Marxism, Northeastern University;

【机构】 东北大学马克思主义学院哲学系

【摘要】 尊严死是指尊重临终主体对生命的自主选择权,拒绝无意义的创伤性医疗手段,减轻临终主体的病痛程度,保留其生命尊严。当面对医疗技术的发展给终末期人群所带来的“技术化生存”困境时,尊严死能够从作为人类存在本质的“生命脆弱性”那里获得伦理基础。进而对终末期技术介入的边界进行合理阐释,持续唤醒人类对具身存在的本真觉知。当医疗技术试图征服死亡时,尊严死以承认人的脆弱性为前提,以“生命脆弱性”伦理原则为导向,重思临终群体的主体性意义,重新定义终末期技术介入的价值目标。进行终末期技术介入的范式转换,实现从“征服死亡”到“承认脆弱”的蜕变。在技术介入下重建生命的完整性、自主性与社会性。

【Abstract】 Death with dignity respects the autonomous right of terminally ill individuals to make choices about their own lives. It entails rejecting meaningless, traumatic medical interventions, alleviating the suffering of the dying, and preserving their dignity of life. When confronted with the dilemma of “technologized existence” imposed on individuals at the end of life by advances in medical technology, death with dignity can derive its ethical foundation from the “vulnerability of life”, a condition inherent to human existence. On this basis, death with dignity provides a rational interpretation of the boundaries of technological intervention at the end of life and reorients ethical reflection toward an authentic awareness of embodied existence. While medical technology attempts to conquer death, death with dignity–premised on acknowledging human vulnerability and guided by the ethical principle of the “vulnerability of life”–reconsiders the subjective meaning of the dying population and redefines the value goals of end-of-life technological intervention. It facilitates a paradigm shift in end-of-life technological intervention, achieving a transformation from “conquering death” to “acknowledging vulnerability”. This shift reconstructs the integrity, autonomy, and sociality of life under conditions of technological intervention.

【基金】 国家社会科学基金一般项目“负责任创新(RI)的‘可供性’进路研究”(项目编号:20BZX040)
  • 【文献出处】 自然辩证法通讯 ,Journal of Dialectics of Nature , 编辑部邮箱 ,2026年02期
  • 【分类号】R-052
  • 【下载频次】83
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