Begotten or Made? - A Review

As news circulates that a Fairfax County Circuit Court judge recently use chattel property laws to make a decision about the fate of frozen embryos, we have another opportunity to consider the morality of various forms of artificial reproductive technology.

Though Oliver O’Donovan’s book, Begotten or Made?, was initially published in 1984, many Christians are unaware of any writing on these topics. As an ethicist, I have been asked more than once about the morality of in vitro fertilization (IVF), with the tacit assumption by the questioner that of course it was morally licit, please explain why. O’Donovan argues convincingly that it is most cases not moral. If anything, O’Donovan is too open to the possibility of a morally legitimate IVF, but his argument is rigorous and eloquent.

Begotten or Made? was originally a set of lectures. At the time they were commissioned, IVF was still a novel technology. O’Donovan deals less with the technique of artificial reproduction than he does with the theology behind it. His reasoning is sound, even as the technology has changed somewhat. By penetrating through the concreteness of the technique of IVF into the ideas that enable it, O’Donovan wrote a treatise that has stood the test of time.

O’Donovan begins by considering the purpose of medicine, which ought to be healing. He notes, “Christians should at this juncture confess their faith in the natural order as the good creation of God.” (15) This is important because it differentiates the process of healing from the process of making something. Much of the technology around artificial reproduction was designed to circumvent nature rather than to restore it.

In the second lecture, O’Donovan deals with what we now call transgenderism. He notes that this is another technology that is primarily oriented toward thwarting nature rather than healing. As such, it cannot be a form of medicine in any meaningful sense. This discussion was meant to show where divorcing reproduction from intercourse between a male and female. O’Donovan’s early thinking has turned to be prophetic. O’Donovan’s treatment of this issue remains one of the clearest, most succinct discussions of a raging topic. The book is worth reading simply for this chapter.

The third lecture explains why involving a donor in the procreative process is inherently immoral. O’Donovan deals with the moral deficiencies of replacing one of the parents within the family with (potentially) a stranger. Notably, he also deals carefully with potential objections raised by the Old Testament levirate marriage, which he argues is distinct. One aspect of this chapter that needs further development (due to its increasing popularity, rather than O’Donovan’s lack) is the renting of wombs through surrogacy.

Lecture four wrestles with the personhood of the embryo. Contemporary medical ethics requires the subject’s consent for experimentation, but an embryo obviously cannot give consent. And yet, so much of the reproductive technology—from freezing embryos to genetic modification—is experimental and has at least some risk of damage or death. At worst the personhood of an embryo is ambiguous, which should cause us to be much more cautious in putting it at risk.

The final lecture wraps up the arguments, making the case as lucid as possible using a fairy tale. One of the most significant aspects of moral reasoning about artificial reproductive technologies that rises from this concluding chapter is that even many of those that participate in such techniques likely do not consider the moral implications of it. The clinical nature of IVF, for example, eliminates the mutual relationship and cooperation normally required for natural conception. It is, on the whole, something different than natural procreation.

The book is slender. This new edition, with a foreword by Matthew Lee Anderson, and a new afterword by the author, is only a little over one hundred pages. It is carefully argued and likely a bit dense for those not familiar with this sort of moral reasoning. The book, however, is well worth the time it takes to read it. Davenant Institute has done a remarkable service in producing a second edition of an increasingly important book.

Begotten or Made?

By O'Donovan, Oliver

Buy on Amazon

The Ethics of Authenticity - A Review

Charles Taylor is one of the critics of modernity whose work cannot be avoided. Taylor’s framework for understanding contemporary Western culture has been invoked, discussed, or critiqued widely in past few decades.

Many who have never picked up one of Taylor’s books nonetheless would recognize terms like buffered self or immanent frame if they were spoken within hearing. Those are ideas that accompany Taylor’s thoughts.

Unfortunately, though Taylor is important (even if not accepted by all) for understanding contemporary discussions, some of his works are both large and challenging to read. Many people, therefore, rely on second hand interpretations which are sometimes helpful, but also tend to carry freight beyond what Taylor intended. It’s always good to go to the source.

Taylor’s book, The Ethics of Authenticity, is a reasonable point of entry for his work. It originated as lectures that were received by a more popular than academic audience, so the language and explanation are much clearer. Additionally, the book itself is much shorter, while still providing a sufficiently thorough explanation of his main points.

In The Ethics of Authenticity, Taylor discusses three malaises of modernity: (1) Individualism; (2) The primacy of instrumental reasoning; and (3) The soft despotism of systems that are trying to maintain modernity’s grip.

Individualism is, Taylor recognizes, both a major accomplishment of modernity and one of its most troubling attributes. It is a good thing that the personhood and agency of an individual has been recognized and greater freedom has come to make real human progress. At the same time, the loss of the sense of belonging, of purpose, and of one’s proper place within the cosmos was swept away by what has become, in more extreme iterations, an existentialism full of dread.

Individualism led to the break down of the sense of order in the cosmos, which led to disenchantment. That disenchantment, in turn, contributes to the primacy of instrumental reasoning. Less often is the inherent worth of an object, a task, or a person considered. Instead, the chief measure of value is whether something is efficient, what the bottom line is, and what it can be used for. This is a totalizing perspective, which forces even those who recognize that people are more than inefficient machines still must terminate the employment of their least efficient workers, whether their family circumstances support it or not.

There is irony in the freedom that has been achieved through modernity. We are cut adrift from many of the most onerous obligations, but we are now caught by our isolation in a much more unforgiving machine, which is difficult to resist. Thus, “the institutions and structures of industrial-technological society severely restrict our choices, that they force societies as well as individuals to give a weight to instrumental reason that in serious moral deliberation we would never do, and which may even be highly destructive.”

These malaises all involve a high place for “authenticity” as a central virtue of modern moral thinking. Rather than faith, hope, and love, which all bear a sense of duty and constraint, the central concern of modern ethics is to be authentic—to be true to oneself. Taylor first of all shows how this is more than total narcissism and vacuous reasoning, which many (especially conservatives) ascribe to modern thinking as they dismiss it. At the same time, authenticity is also tyrannical. One’s identity is not complete until it is recognized (affirmed?) by another. This, then, makes the whole system incoherent.

However, Taylor argues, that the current system is too strongly woven into the fabric of society, so that stepping out of modernity is not possible. He writes, “The struggle ought no to be over authenticity; for or against it, but about it, defining its proper meaning. We ought to be trying to life the culture back up, closer to its motivating ideal.” That is, those of us seeking to reclaim some semblance of sanity in culture might be better off pointing people toward what it means to be truly and properly human.

I’m too new to Taylor’s work to draw a final conclusion. There is also too much more for me to read to claim to say, “This is the way.” However, as I read through The Ethics of Authenticity I underlined and annotated a large number of passages. I found myself nodding along, thinking that he had perhaps gotten something that I had not figured out just yet, and that it would be worth doing more homework to figure out if what he says can be put into practice.  At the very least, I think I have a better sense of what everyone else has been talking about. If you want that, too, then this may be a book for you.

The Ethics of Authenticity

By Taylor, Charles

Buy on Amazon

On Getting Out of Bed - A Review

Anyone who lives long enough will come to the day they aren’t sure if getting out of bed is worth it. Maybe it won’t be getting out of bed per se, but perhaps persisting in daily activity in the face of a difficult monotony.

Is it worth it to wash the dishes? Is it worth it to go to class? Maybe getting out to church isn’t really that important. Will anyone really miss me? Rather than face the endless list of tasks, sometimes it really feels like giving up is a better option.

Depression—whether the sort driven by temporary circumstances or true mental illness—comes for believers as often as non-believers. Sometimes Christians do not trust available resources to help themselves or others when the black dog of persistent sadness or anxiety sits on their chests.

There are, of course, some sharp divides among Christians about psychology and medical interventions for depression. Some, especially in the Nouthetic Counseling movement speak of psychological treatments as sinful. Other Christians do not raise any question about any psychological treatment whatsoever, accepting approaches to mental health that clearly contradict Scripture. We aren’t going to solve that debate here.

However, a common theme in discussions between those rival factions is the treatment of depression as if it is something “out there” and distinct from the person experiencing it. A different set of questions inhabits the mind of the individual wrestling with depression.

Alan Noble’s book, On Getting Out of Bed: The Burden and Gift of Living, is a phenomenal resource for those who struggle with depression. It is practical, not in the sense of providing seven steps to a better you, but in the sense it says the things that need to be said. It is both an encouragement to exist and an exhortation to persist in whatever activities one can manage.

Even our mere continued existence is a blessing to others in the midst of pain:

“Your existence is a testament, a living argument, an affirmation of creation itself. When you rise each day, that act is a faint but real echo of God’s ‘It is good.’ By living this life, you participate in God’s act of creation, asserting with your very existence that it is a good creation.”

The book provides a way to feel a sense of accomplishment in the mundane:

“When we act on [the goodness of creation] by rising out of bed, when we take that step to the block in radical defiance of suffering and our own anxiety and depression and hopelessness, with our heads held high, we honor God and His creation, and we testify to our family, to our neighbors, and to our friends of his goodness. This act is worship.”

And those stringing together those little “victories” by taking one step at a time is a witness to God’s faithfulness:

“Moments create momentum. When you choose to do the next thing, neither accepting nor denying the anxiety or depression you carry, you create the momentum that makes the next, next thing a bit easier to manage. And the converse is true. When you cannot do the next thing, everything becomes harder to manage.”

Noble reminds readers that neither our suffering nor even our disobedience can undermine God’s glorious plan of redemption, “because the ending is already written: you will overcome, Christ has redeemed and will glorify you, including your flawed and, in some cases, ill mind.”

One of the strong positives of Noble’s approach is that it takes the reality of anxiety and depression seriously, but it does not excuse people for ceasing to strive against it. The feelings are real, but the duty to care for your neighbor is also real. Therefore, it is a good thing to continue to do what you can. It is not ok to simply give up, even if you can’t do everything you could normally do. Having diminished capacity is no sin; not using the capacity you have for the glory of God is. Duty and grace are wound together.

This is a hopeful book. Noble reminds readers of the central purpose of our existence:

“In the end, the only reason to keep living is if you live before God for His glory. If His Word is true, then we were divinely created to glorify Him and enjoy Him always. And our creation was a fundamentally good act––good and prodigal. Neither earned nor necessary but a gracious gift. And when we live in gratitude, recognizing and delighting in this life, we honor God.”

On Getting Out of Bed is an encouraging book. It is the sort of book that Christians should read to better understand the struggles of others, but also to have a better theology of suffering and hope before their own day of struggle arises. It can be a help in a time of struggle, but the best treatments are often taken in advance. There is a persistent theme of hope throughout the book. The message is that the fight is hard but worth it.

This book, which is Noble’s third, is the best of them so far. The social commentary he offers in Disruptive Witness and You are Not Your Own is important. The practical hope he writes about in On Getting Out of Bed is the antidote to many of the malaises that modernity has afflicted us with.

In short, this is a book that Christians should be familiar with. Pastors should have extra copies to give away. It would be a good book to study in a small group from time to time. This will likely be the best and most useful new book I encounter this year.

For many, On Getting Out of Bed may make the difference between choosing to continue and not. That is a big claim, but I believe it to be true. I believe time will show my claim to be correct.

On Getting Out of Bed: The Burden and Gift of Living

By Noble, Alan

Buy on Amazon

NOTE: I received a gratis, advanced reader copy of this volume from the publisher with no expectation of a positive review. Quotes were taken from that volume.

The Life We're Looking For - A Review

As we navigate modernity, sometimes it is hard to know what we are looking for. What is it that we are seeking?

Andy Crouch pursues that question in his recent book, The Life We’re Looking For: Reclaiming Relationship in a Technological World.

Crouch, who was a one-time editor-in-chief of Christianity Today, has dealt with the question of technology previously, particularly in his helpful Tech-Wise Family and alongside his daughter in My Tech-Wise Life.  The latest volume builds on the earlier research, but moves beyond it to consider more broadly what sort of culture, environment, and general shape of the world humans naturally seek.

The book begins by outlining many of the reasons why we are unsettled. Crouch notes loneliness, isolation, and a radical shift from the way of life that humanity has existed in for millennia. We have become largely anonymous. Ironically, in a world where there is very little privacy, we are truly known by very few people. One of the negative results of a great deal of technology has been the loss of dependence of people on one another. According to Crouch, we have traded in our personhood for power.

The list of ways that humans have acquired power includes the “magic” of technology, the use of money instead of relying on bartering and personal exchange, and artificial intelligence. The basic theme here is that humans have chosen technique and technology to substitute for what were, at one point, interactions that required direct human to human contact.

There are distinct advantages to much of technology. The human physical condition is, measured objectively, drastically improved from prior to the Industrial Revolution. However, amidst the cheers for technologies’ progress, we have become alienated from each other and from the world, at least to some degree. In many cases, the sense of alienation has taken generations to accumulate, but appears to be advancing rapidly in the last few decades, especially since the lightspeed changes of the computer revolution.

The end of Crouch’s book is  a plea to regain our sense of shared humanity, with an emphasis on some simple steps that can make the world more personal. This mostly has to do with recognizing that while technology may relieve a particular burden, it also often takes away opportunities and requires additional duties. Establishment of written language has, for example, greatly improved the ability to share stories, but it has also cause human memory patterns to change, so that our cultures no longer require us to learn, recall, and retell stories that have passed on to us by word of mouth. Now we have to write things down to remember them. There are unquestionable benefits, but significant losses, as well.

The crux of Crouch’s book is that Christians, especially, should be pursuing a deeper understanding of personhood. He notes the instance at the end of Paul’s letter to the Romans, where amidst the greetings from Timothy, Tertius the scribe, and Gaius the guy who hosts the church, there is a greeting from “our brother Quartus.” (Rom 16:23) He’s such a nobody that he was known as “the fourth,” as in the fourth son. No real name to speak of, not title. Just “our brother Quartus.” It’s easy to forget sometimes that Christianity came from such humble roots that a no name could be a someone in the middle of the church. That’s what Crouch calls the Christians back to in the midst of this modern age.

The Life We’re Looking For is a quick read. It’s easily digestible and the sort of text that would be good to put in the hands of someone overwhelmed by the weight of the world and attempts to navigate through it.

Crouch’s program of calling readers to consider the tradeoffs of technology is good, though I do think at points (as with the existence of money), he underestimates the benefit of having a basically universally acceptable medium of exchange—it does reduce the need for personal relationship, but it also ensures those on the lower end of the spectrum get access to markets and services. It may be that Crouch is overly negative to compensate for the positivity of many who see some of the advantages of technology. However, at the end of the day, Crouch makes readers think and really consider their positions well.

The Life We're Looking For: Reclaiming Relationship in a Technological World

By Crouch, Andy

Buy on Amazon

Assisted Suicide and the Ailments of Culture

Assisted suicide, or what is called “medical assistance in dying (MAID)” in Canada, is no new topic in our cultural. During my childhood, the name “Jack Kevorkian” became a byword and a punchline due to his advocacy for medical professionals helping their patients die instead of helping them live.

To those immersed in the flood of modernity with its emphasis on the radical autonomy of the individual, it is only logical that someone should be permitted or even encouraged to end their life in a clinical, sanitary manner. Why create a mess or a scene of horror for a loved one to find when you can end your existence with a slow wave of drowsiness wafting over you from the silent dripping of a potent fluid in a shapeless plastic bag?

Such an end is no more than what US Supreme Court Justice Kennedy argued for in the infamous Planned Parenthood v. Casey decision in 1992:

“At the heart of liberty is the right to define one's own concept of existence, of meaning, of the universe, and of the mystery of human life.”

That philosophy was, until the recent Supreme Court decision, sufficient to permit the killing of a child in the womb. It is a reflection of an entire cultural ethos that echoes that famous hymn of hell: “I Did it My Way.”

A recent ad from Canadian retailer La Maison Simons, or Simons, presents assisted suicide as a heroic, beautiful, and self-fulfilling way to die. Were the subject not so macabre, it would be a lovely video to watch.

(Note that the ad, originally published on October 24, 2022, has been pulled by the retailer due to negative reaction.)

For the Christian, of course, life is sacred. Whether in the womb or in the last moments of natural life, there is goodness and beauty in life. David taught us this is Psalm 139:16 while speaking to God:

“Your eyes saw my unformed substance;
in your book were written, every one of them,
the days that were formed for me,
when as yet there was none of them.”

 So, for the believer in Christ, of course intentionally ending one’s life is sin. For those of us who recognize that God’s laws are universal, there is no question, then, that assisted suicide is a sign of a corrupt society.  

But how dare we argue against the non-Christian’s right to day at the hour of his choosing? Is this not an example of “forcing our religion” on others? Or, what if this is really a big problem that will create social injustices and it is simply because of our knowledge of the goodness of God that we are able to see its horror and where it will inevitably lead? 

It is not too hard to see right now that the assisted suicide train is running away on the tracks. In Canada, since 2016, there have been over 31,664 reported deaths through MAIDs with 10,000 of them in 2021. This amounts to approximately 3% of all deaths. 

The current debate in Canada is whether mental illnesses, like depression, should be considered a justifiable reason to request the state to terminate the requestor.  

In the discussion offered in the report to the Canadian Parliament, the authors seem to recognize how dangerous making this option available to  those suffering from mentally ill. However, they also seem to shrug, noting that the original language of the statute allows assisted suicide for “that illness, disease or disability or that state of decline causes them enduring physical or psychological suffering that is intolerable to them and that cannot be relieved under conditions that they consider acceptable.”  

This is “the right to define one's own concept of existence, of meaning, of the universe, and of the mystery of human life.” It is the right to die. If you don’t like the conditions under which your pain can be alleviated, then you have the right for the state to kill you. 

It does not take much to see how this right to die can quickly become the easy way out. How it can become a convenient way to avoid the hassles of a system built to make more expensive treatments hard to get. It can be an option so that “inconvenient” people who rely on care and accommodation from others can be “conveniently” encouraged to ease the burdens of others. It takes little imagination how the “beauty,” as the Simons ad calls it, could be a way to end a period of sorrow or struggle that might have made the person or their neighbor a little better as a person. That convenience may remove a whole lot of beauty from the world. 

No man is an island,
Entire of itself.
Each is a piece of the continent,
A part of the main.
If a clod be washed away by the sea,
Europe is the less.
As well as if a promontory were.
As well as if a manor of thine own
Or of thine friend's were.
Each man's death diminishes me,
For I am involved in mankind.
Therefore, send not to know
For whom the bell tolls,
It tolls for thee.
-          John Donne