Vulnerability: What kind of principle is it?

Abstract

The so-called European principles of bioethics are a welcome enrichment of principlist bioethics. Nevertheless, vulnerability, dignity and integrity can perhaps be more accurately understood as anthropological descriptions of the human condition. They may inspire a normative language, but they do not contain it primarily lest a naturalistic fallacy be committed. These anthropological features strongly suggest the need to develop deontic arguments in support of the protection such essential attributes of humanity require. Protection is to be universalized, since all human beings share vulnerability, integrity and dignity, thus fundamenting a mandate requiring justice and respect for fundamental human rights. Being a feature of all humanity, vulnerability is improperly extended to designate destitute individuals and populations. Rather, they are in a state of fallen vulnerability, for they already are harmed in some way, and have become deprived of their range of capabilities. These individuals are destitute and are no longer in command of their fundamental human rights. They have lost the status of unharmed vulnerability; identifying them as susceptible--vulnerated and no longer only vulnerable--stresses the point that bioethics demands specific social action to palliate or remove their distress. When harm does occur--in the form of disease, for example-, individuals are no longer vulnerable--for they have ceased to be intact -, they become susceptible to additional deprivations and sickness; integrity is demeaned and dignity is offended, leading to states of dysfunction that require specific remedial social practices, aimed at treating and removing injuries. The main point this paper addresses is that vulnerability--as well as dignity and integrity--are descriptive characteristics of human beings qua humans, which are not normative in themselves, but fundamental enough to inspire bioethical requirements of protection and respect for human rights in the wake of social justice. A clear distinction must be made in regard to human beings who are injured by poverty, sickness, discriminating deprivations or suffer other destitutions, having ceased to be only vulnerable for they are no longer intact. These individuals and populations require more than protection, their needs must be met by specific care and remedial measures to be identified and instigated by bioethics qua applied ethics.

Transplante renal em Alagoas: olhar bioético sobre a vulnerabilidade de quem precisa

“…Finding the reasons that make the individual vulnerable to prevent them will contribute decisively to improving the patient's health. Recognizing vulnerability as a decisive element in the integrity of the individual, without leaving aside the role of autonomy, equity, prudence, otherness and, above all, solidarity, makes it an extremely important reference point in bioethics, a true marker of the one who is exposed 6,[16][17][18][19] .…”

Vulnerabilidade humana no contexto do trânsito motociclístico

“…In the study on the theme of human frailty promoted by harm and violence situations, exemplified by the case of the motorcycle traffic, it is possible to suggest two levels of vulnerability analysis, being the first oriented towards the intrinsic human condition and the biological frailty -which allow illness and the end of life itself -and the second being inherent to the lack of minimum conditions for human life dignity (Corgozinho;Oliveira, 2016;Correa, 2011;Kottow, 2011). …”

What Vulnerability? Whose Vulnerability? Conflict of Understandings in the Debate on Vulnerability

“…Moreover, it becomes irrelevant for defining special vulnerability per se. The invulnerability standard is what enables special vulnerability account: detection of those who have failed to reach it and consequent justification of special protection of those -fallen‖ subjects (Kottow, 2005). This approach neither questions how or why there has been a shift from the standard in the first place, nor does it wish to support vulnerable subjects in reaching their invulnerable mode of existence.…”