REFLECTIONS ON THE MORAL STATUS OF THE PRE-EMBRYO
THOMAS A. SHANNON and ALLAN B.
WOLTER, O.F.M.
In this paper we wish to review
contemporary biological data about the early human embryo in relation to
philosophical and theological claims made of it. We are seeking to discover
more precisely what degree of moral weight it can reasonably bear. While other
ethical conclusions might well be drawn from the results of such a reflective
investigation, we limit ourselves to a few moral considerations based on our
current knowledge of how human life originates. As Catholics, we too believe
that "from the moment of conception, the life of every human being is to
be respected in an absolute way because man is the only creature on earth that
God ‘wished for himself’ for himself and the spiritual soul of each man is
'immediately created' by God."[1]
But we are also vitally concerned as to when one might reasonably
believe such absolute value could be present in a developing organism. We would
also like to defuse some of the polar opposition fanned by the rhetoric of both
prolife and prochoice advocates that creates a legislative dilemma for morally
and religiously responsible politicians. We even hope that a rational analysis
of available scientific data might lend to some broad consensus among concerned
citizens that the term "human life" is not necessarily a univocal
conception.
All life is a many-splendored
creation on the part of God; this is especially true of human life at any stage
of its development. But we suggest that appropriate protection of the human organism
changes with its developmental stages. We wish to present a theory which
recognizes the right, of every potential mother to a meaningful life and a
healthy personality development[2]
but which condemns irresponsible destruction of fetal life.
One of the hallmarks of the
Catholic tradition, with certain conspicuous exceptions, has been to be
in dialogue with the philosophy and science of its day and to use such
insights in articulating the vision of Catholicism. Such efforts have been done
better and worse. Many have taken time to evaluate the correctness or
usefulness of a particular articulation. But in almost all cases, because of
new discoveries, in science, changes in scientific theory, and the use of new
philosophical frameworks, the insights and articulation of the faith of one
generation have differed from those of another. Sometimes such differences have
led to severe conflict. One remembers the Copernican revolution, the case of
Galileo in the 17th century, and the tensions introduced by the rediscovery of
Aristotelian science in the 13th century. Nor can historians of medieval
theology forget that certain philosophical views of Aquinas himself were
regarded as theologically dangerous by two successive archbishops of Canterbury
and condemned by the bishop of Paris in 1277 on the advice of the prestigious
university theological faculty, a condemnation that was lifted insofar as it
applied to St. Thomas only two years after the saint's canonization in the 14th
century.
Anyone who has studied the history
of ideas, scientific, philosophical, or theological, knows that there is a
usefulness in reviewing the theoretical conceptions of the past, since they
have a habit of recurring cyclically in a new and useful scientific garb.[3]
The same is true of the theoretic conceptions used by theologians in
articulating their faith. We argue that the most recent scientific discoveries
fit in more admirably with the epigenetic conception of how a human being
originates that was held for centuries by the great theologians and doctors of
the Church than does the more recent and now more commonly accepted--though
happily not defined--moment of fertilization as coincident with the time of
animation. The widespread acceptance of the theory of immediate animation is of
post-Tridentine origin,[4]
having entered into the tradition only in the early 17th century, and in 1869
the distinction between the formed and unformed fetus was no longer canonically
recognized. This assumption about
immediate animation still plays a large part in contemporary ecclesiastical
documents, as well as do references to the scientific literature purporting to
buttress arguments supporting the theory, as we will discuss later.
We would also like to remind our
readers, however, that some 40 years ago two learned priests from the
University of Louvain,[5]
where this theory of immediate animation was originally introduced, repudiated
its scientific -standing and went to some lengths to explain historically how
this mistaken interpretation of empirical data was initially accepted. We claim
that the most recent scientific evidence concerning fertilization and the
development of the very early human embryo does even more to reinforce their
view that any theory of immediate animation seems to have become as untenable
today as it was commonly held to be for centuries by Catholic thinkers. We
think that since scientific observations, now recognized as erroneous, played
such a historical role in the development of the position favoring such a
theory, new and respected scientific evidence should be utilized by Catholic
theologians when they discuss the process of fertilization and conception to
determine its moral implications.
We hope our analysis will be
welcomed because of our acceptance and use of the methodology of the tradition
and because we take seriously the role of science in helping articulate the
context of moral problems, as do current ecclesiastical documents. While our
conclusions may differ from those of these documents, we think such differences
are to be cherished because they help the community understand its beliefs and
values at a much deeper level and allow some of the forgotten riches of our
Catholic tradition to be expressed to a new audience.
This rearticulation
needs careful examination, however, for the fact that something is new does not
ipso facto make it good or correct. Thus a careful and prayerful process
of discernment should also be an important part of the way we rearticulate our
tradition, for the community must genuinely receive the
reconceptualization of the tradition before it is authentic. This essay is an
attempt at such a process of discernment by setting out an account of the
process of individuation in the early human embryo in light of modern biology
and reflecting on it in the light of some important theological and
philosophical insights that seem to have perennial vitality.
The medievals and post-Renaissance
theologians articulated their theory of the person, the body, and ensoulment in
light of the biology and philosophy of their day. On the basis of this they
appropriately drew moral conclusions. We know now that the biology used at any
one time, if not out of date, may well need updating. But the philosophy and
history of science also make it clear that there is a significant difference as
to how our scientific knowledge of the wonder of God's creation grows. We
believe that such a moment of review is necessary today if we are to give a
reasonable defense of the respect Catholics have traditionally had for human
life. For we know that in the male seed there is no homunculus, but it was not
until the 1700s that mammalian sperm was discovered, and not until the 1800s
that the mammalian egg was found and its role revealed. Modern diagnostic
technologies such as ultrasound and fetotoscopy have given us a whole new
perspective on the development of the human embryo. Thus, while we can
correctly say that the biological data of a past era are inadequate in light of
the discoveries of modern science, we cannot dispose as easily of the basic
philosophical or theological way our scholastic predecessors interpreted those
data. And we certainly cannot fault their use of the most advanced scientific
knowledge available to them as a necessary condition for articulating any
rational philosophico-theological conception of the person, the body, and
ensoulment.. It is in that spirit that we present this brief review of what
embryology has to tell us today.
CONTEMPOTIARY PERSPECTIVES ON THE HUMAN EMBRYO
1. The Pre-embryo[6]
In mammalian
reproduction an egg and sperm unite to produce a new and almost always
genetically unique individual. The process, how this occurs, is undergoing
tremendous reconceptualization and remodeling in the light of new
studies and new diagnostic technologies which allow access to this entity.
A critical
discovery of the past two decades in that of capacitation, "the process by
which sperm become capable of fertilizing eggs."'[7]human
sperm need to be in the female reproductive tract for about seven hours before
they are ready to fertilize the egg. This process removes or deactivates
"a so-called decapacitating factor that binds to sperm as they pass
through the male reproductive tract."[8]
This permits the acrosome reaction to occur, which is the means by which lytic
enzymes in the sperm "are released so that they can facilitate the passage
of the sperm through the egg coverings."[9]
Then the sperm are able to penetrate the egg so fertilization can begin.
Fertilization usually occurs in
the end of the Fallopian tube nearest the ovary. Sperm usually take about ten
hours to reach the egg, and if not "fertilized within 24 hours after
ovulation, it dies."[10]
Fertilization, however, is not just a simple penetration of the surface of the
egg. Rather, it is a complex biochemical process in which a sperm gradually
penetrates various layers of the egg. Only after this single sperm has fully
penetrated the egg and the diploid female nucleus, one having only one
chromosome pair, has developed, do the cytoplasm of the egg and the nuclear
contents of the sperm finally merge to give the new entity its diploid
set of chromosomes. 'I'his process is called syngamy. It takes about 24 hours
to complete and the resulting entity is called the zygote.
Thus the process of fertilization (and it is important to note that it is a
process) generally takes between 12-24 hours to complete,[11]
with another 24-hour period required for the two diploid nuclei to fuse.
Fertilization
accomplishes four major events: giving the entity the complete set of 46
chromosomes; determination of chromosome sex; the establishment of
genetic variability; and the initiation of cleavage, the cell division of the
entity.
Now begins a
very complex set of cell divisions as the fertilized egg begins its
journey down the Fallopian tube to the uterus. About 30 hours after
fertilization, there is a two-cell division; around 40-50 hours there is a
division into four cells; and after about 60 hours the eight-stage cell
division is reached. "When the embryo approaches the entrance to the
uterus, it is in the 1.2-16 cell stage, the morula. This occurs on the fourth
day."[12] Although
the cells become compacted here, there is yet no pre-determination of any one
cell to become a specific entity or part of an entity. On around the sixth or
seventh day the organism, now called the blastocyst, reaches the uterine wall
and begins the process of its implantation there so that it can continue to
develop. Here we have a differentiation into two types of cells: the trophectoderm,
which becomes the outer wall of the blastocyst, and the inner cell mass, which
becomes the precursor of the embryo proper. This process of implantation is
completed by the end of the second week, at which time there is "primitive
utero-placental circulation."[13]
Critical to note is that from the
blastocyst state to the completion of implantation the pre-embryo is capable of
dividing into multiple entities."[14]
In a few documented cases these entities have, after division, recombined into
one entity again. Nor must this particular zygote become a human; it can become
a hydatidiform mole, a product of an abnormal fertilization which is formed of
placental tissue.
Note also that the
zygote does not possess sufficient genetic information within its chromosomes
to develop into an embryo that will be the precursor of an individual
member of the human species. At this stage the zygote is neither self-contained
nor self-sufficient for such further development, as was earlier believed. To
become a human embryo, further essential and supplementary genetic information
to what can be found in the zygote itself is required, namely
the genetic material from maternal mitochondria, and
the maternal or paternal genetic messages in the form of messenger RNA
or proteins. In terms of molecular biology, it is incorrect to say that the
zygote has all the informing molecules for embryo development; rather, at
most, the zygote possesses the molecules that have the potential
to acquire informing capacity."[15]
That potential informing capacity
is given in time through interaction with other molecules.... This new molecule
with its informing capacity was not coded in the genome. Thus, the
determination to be or to have particular characteristics is given in time
through the information resulting from the interaction between the
molecules."[16]
The development of
the zygote depends at each moment on several factors: the progressive
actualization of its own genetically coded information, the actualization of
pieces of information that originate de novo during the embryonic
process, and erogenous information independent of the control of the zygote.
2. The Embryo
The next major stage of
development is that of the embryo. This is the beginning of the third week of
pregnancy and "coincides with the week that follows the first missed
menstrual period.”[17]
This phase begins with the full implantation of the pre-embryo into the uterine
wall and the development of a variety of connective tissues between it and the
uterine wall. Eventually the placenta develops and is the medium through which
maternal-embryonic exchanges occur.
Two major events now occur. The
first is the completion of gastrulation, "profound but well-ordered
rearrangements of the cells in the embryo."[18]
This process results in the development of various layers which ultimately give
rise to the tissues and organs of the entity and is completed by the third
week. At this time all expressions of the genes are switched off except, those
that determine what a particular cell will be. 'There are now
three layers present which are responsible for the development of much of
the organism:
The embryonic ectoderm
gives rise to the epidermis; the nervous system; the sensory epithelitim of the
eye, ear, and nose; and the enamel of the teeth. The embryonic endoderm forms
the linings of the digestive and respiratory tracts. The embryonic mesoderm
becomes muscle, connective tissue, bone and blood vessels.[19]
'I'he second major event,
the process of embryogenesis or organogenesis, now begins and is
completed by the end of the eighth week. This process results in the development
of all major internal and external structures and organs.
By the end of the
third week the primitive cardiovascular system has begun to form with the development
of blood vessels, blood cells, and a primitive heart. Since the
"circulation of blood starts by the end of the third week as the tubular
heart begins to beat,"[20]
the cardiovascular system reaches a functional state first.
The nervous system progresses from
a neural tube to the essential subdivisions of the brain into forebrain,
midbrain, and hindbrain.[21]
During this time also the upper and lower limb buds begin to appear. The
digestive tract begins to form, as do all the external structures such as the
head and the eyes and ears. Hands and feet make their appearance, as do, by the
end of the eighth week, distinct fingers and toes.
The development of the
nervous system is critical because this is the basis for the "generation
and coordination of most of the functional activities of the body."[22]
The rudimentary brain and spinal cord are present around the third week but are
as yet "unspecialized or undifferentiated for neural function."[23]
Neuron development begins around the fifth week, and around the sixth week the
"first synapses ... can be recognized."[24]
Carlson observes that at about the seventh week "the embryo is capable of
making weak twitches in the neck in response to striking the lips or nose with
a fine bristle."[25]
Grobstein notes, "the earliest continuous neuronal circuitry for reflex
conduction and behavior could be initiated as early as six weeks."[26]
Such a pattern, Carlson says, 'signifies that the first functional reflex arcs
have been laid down."[27]
In a rather
thorough review of the literature Michael Flower describes various embryonic
movements and the neural basis necessary for their possibility.[28]
Flower notes that the earliest reported elicited reflex response from an embryo
occurred at 7.5 weeks. This was a movement away from a stroking stimulus to the
mouth. Such movements were typical during this period of the eighth week of
development.[29] In the
middle of the ninth week the patterns make a transition to whole body
responses, and during the 12th week local reflexes dominate. These data
indicate a critical level of integration of the nervous system.
This review of
embryonic development up to the eighth week shows a dramatic process of development
from the initiation of fertilization to the formation of an integrated organism
around mid-gestation. The rest of the paper will concentrate on examining what
moral implications these data might have. The intent is not to draw a moral
ought from a biological is, but to reconsider the compatibility of moral and
philosophical claims with what we know of developmental embryology.
MORAL CONSIDERATIONS
1. Conception
A critical finding
of., modern biology is that conception biologically speaking is a process
beginning with the penetration of the outer layer of the egg by a sperm and
concluding with the formation of the diploid set of chromosomes. This is a
process that takes at least a day. This raises a question as to how one ought
to understand the term "moment of conception" frequently used in
church documents.
One could
understand "moment" metaphorically as referring to the process as a
whole, or if it is meant to convey an instant of time, then it would seem to
refer to either the end of the process of biological conception when the zygote
has become an embryo, or to some prior stage of development that
has been reached in which this human life form (fertilized egg, zygote, or
pre-embryo) has acquired a distinct set of properties. However, it seems that
the theologians who framed these carefully crafted documents wished to convey
the idea that at the moment of conception (whatever stage of development of
human life obtains) everything is present that is required essentially for this
human organism to be a person in the philosophical/theological, if not
psychological, sense of the term: a rational or immortal soul has been created
and infused into the organic body. At the same time, while they wished to set
forth guidelines, they declared it was still a theoretically open question and
hence they did not want to specify, or define, the moment when such passive
conception (as it was called by Catholic theologians for many centuries) took
place. Prayerful reflection on what embryology and our Catholic tradition
tell us may not yield any direct positive knowledge of when passive
conception takes place, but it does seem to throw considerable light on when
it has not occurred.
Biologically
understood, conception occurs only after a lengthy process has been completed
and is more closely identified with implantation than fertilization.[30] The pastoral letter Human Life
in Our Day speaks of conception "initiating … a process whose purpose
is the realization of human personality.”[31] Such a phrase is biologically correct if
applied to implantation and seems to be a reasonable moral description of the
typical outcome of conception.
2. Singleness.
Clearly and without any doubt,
once biological conception is completed we have a living entity and one which
has the genotype of the human species. As Grobstein nicely phrases it,
"conception (fertilization) is the beginning of a new generation in
the genetic sense ...”[32] This zygote is capable of further divisions
and is clearly the precursor of all that follows. But can we say with Dontim
vitae, quoting the "Declaration on Procured Abortion," "From
the time that the ovum is fertilized, a new life is begun which is neither that
of the father nor of the mother; it is rather the life of a new human being
with his own growth?”[33]
How are we to
understand this phraseology in the light of the biology of development? For,
while it is correct to say that the life C\that is present in the newly
fertilized egg is distinct from the father and mother and is in fact usually
genetically unique, it is not the case that this particular zygote is fully
formed and it is not a single human individual, an "ontological individual,"
as Ford suggests.[34] Because of
the possibility of twinning, recombination, and the potency of any cell up to
gastrulation to become a complete entity, this particular zygote cannot
necessarily be said to be the beginning of a specific, genetically unique
individual human being. While the zygote is the beginning of genetically
distinct life, it is neither an ontological individual nor necessarily the
immediate precursor of one.
Second, the zygote gives rise to further divisions "resulting in an aggregate of cells, each of which remains equivalent to a zygote in the sense that it can become all or any part of an embryo and its extra- embryonic structure."[35] Such cells at this stage are totipotent:
Within the fertilized ovum lies
the capability to form an entire organism. In many vertebrates the individual
cells resulting from the first few divisions after fertilization retain this
capability. In the jargon of embryology, such cells are described as
totipotent. As development continues, the cells gradually lose (the ability to
form all the types of cells that are found in the adult body. It is as if they
were funneled into progressively narrower channels. The reduction of the
developmental options permitted to a cell is called restriction. Very little is
known about the mechanisms that bring about restriction, and the sequence and
time course of restriction vary considerably from one species to another.[36]
Such a process of
restriction is completed when the cells hove become '.committed to a single
developmental fate .... Thus
determination represents the final step in the process of restriction."[37]
Such determination begins during gastrulation, three weeks into embryonic
development.
Genetic uniqueness
and singleness coincide on one level only after the process of implantation has
been completed and on another after the restriction process is completed. Thus,
if we take implantation as the marker of both conception and human singleness,
this does not occur until about a week after the initiation of fertilization.
If we use determination and restriction, because of their signaling of the loss
of totipotency of the cells, as the markers of human singleness, then
individuality does not occur until about three weeks after fertilization. Of
critical importance is Ford's observation: "The teleological
system of the blastocyst should not be identified with the ontological unity of
the human individual that will develop from it.”[38]
There is, then, a partial answer
to the very interesting question[39] Donum vitae asks: "How could a
human individual not be a human person?"[40]
A Catholic philosopher might well object or reply that this is certainly a very
muddied question, for "traditionally speaking" individuality has been
considered a necessary, though not sufficient condition for human personhood.
The rational soul has never been considered the formal reason why something
human is individual. Obviously, "human individual" can have several
meanings. If it refers to a fertilized ovum, this is indeed something both
human (qua product) and numerically single. Yet, until the process of
individuation is completed, the ovum is not an individual, since a
determinate and irreversible individuality is a necessary, if not sufficient,
condition for it to be a human person.
Something human and individual is
not a human person until he or she is a human individual, that is, not until
after the process of individuation is completed. Neither the zygote nor the
blastocyst is an ontological individual, even though it is genetically unique
and distinct from the parents. The potential for twinning remains until the
beginning of gastrulation, although it is rare for it to occur this
late. Additionally, a zygote that divides can reunite and one individual will
emerge. Furthermore, each cell can form a total individual. A human individual,
to use the language of the document, cannot be a human person until after
individuality is established.
Also, as Grobstein
noted, genetic uniqueness does not necessarily imply singleness.[41]
That is, when fertilization is complete and the haploid state is reached, the
organism has its full complement of genetic information. At this point it is
genetically unique. But because of the potentiality for twinning, this
uniqueness may be shared by more than one organism. Thus, even though unique,
the organism is not necessarily single. Singleness or individuality occurs
after the genetically unique organism has implanted and its development is
restricted to forming one unified organism.
An individual is not an individual,
and therefore not a person, until the process of restriction is complete and
determination of particular cells has occurred. Then, and only then, is it
clear that another individual cannot come from the cells of this embryo. Then,
and only then, is it clear that this particular individual embryo will
be only this single embryo.
One can reasonably
conclude, then, that if there is no single human entity, there is no person.
For the one is the presupposition of the other. Thus, when Donum vitae
approvingly refers to the findings of modern science and argues "that in
the zygote ... resulting from fertilization the biological identity of a new
human individual is already constituted,"[42]
does not this statement of the Congregation fails to make a critical
distinction between genetic uniqueness and singleness? In using
"individual" rather than "person" in this meticulously
worded statement, the Congregation may have sought to sidestep the controversial
question of when personhood begins. But if "individual" be taken in
its philosophical or technical meaning, scientific data available today hardly
justify the claim that a particular zygote is necessarily both genetically
unique and an individual.
This is particularly important in assessing the theological intent of the Congregation, particularly since it argues that the "conclusions of science regarding the human embryo provide a valuable indication for discerning by the use of reason a personal presence at the moment of this first appearance of a human life."[43] As the statement stands, three concepts appear to be conflated here: genetic uniqueness, singleness, and personal presence. The argument for the first presence of human and personal life in the zygote relies heavily on scientific claims about the fertilized egg. However, such claims of singleness and personhood cannot be made, the former scientifically and the latter philosophically. We assume that the Congregation would want to adjust its findings in the light of these distinctions.
3. Ensoulment[44]
In this section and elsewhere, we
will be discussing the principle of immaterial individuality or immaterial
selfhood. In the Catholic tradition, and clearly in many of the
sources we cite, the usual term for this is “soul.” Our practice will be to use the term "soul"
when speaking within a clear traditional context. But when we develop our own
presentation, we will use the term "immaterial individuality" or
"immaterial selfhood," because the term “soul" has many
connotations and images connected with it and in so far as possible we wish to
avoid problematic usages and confusing images.
a. Issues
Although far from
being a defined doctrine, there is support in Roman Catholic moral theology for
the position that ensoulment is coincident with fertilization or, at least, as
early as possible after conception. This position apparently dates from the
early-17th-century writings of Thomas Fienus, professor on the faculty
of medicine at Louvain.[45]
This opinion gradually caught on and became the dominant opinion. This position
was complemented by teachings that held that the embryo “possesses the
essential parts of a human body, though very minute in size.[46] This teaching on immediate animation
eventually worked its way into the mainstream of Catholic moral
theology. If doctors of medicine were Catholics, explains Dorlodot,
they were told that the theologians of their time held
that the soul is created by God immediately after fecundation. The theologians in turn based
themselves on the opinion of the doctors, as these did on that of the
theologian. In other words, caecus caeco ducatum praestat. Finally, the moral theologians, who
completely forgot the principles, which, according to the great doctors of
Catholic morality, render abortion always illicit, invoked the danger of
favouring abortive or sterilizing practices.[47]
Additionally, the
removal from canon law in 1896 of the distinction between the formed and
unformed fetus suggests that there is not a time when the body is unformed.[48] The Ethical and Religious Directives for
Catholic Health Facilities provide another reason when they include in the
definition of an abortion the "interval between conception and
implantation.”[49] Also, we have the 1981 testimony of Cardinal
Cooke and Archbishop Roach in support of the Hatch amendment: "We do claim
that each human individual comes into existence at conception, and that all
subsequent stages of growth and development in which such abilities are
acquired are just that--stages.of growth and development in the life cycle of
an individual already in existence."[50]
Finally, in Donum vitae we read: "nevertheless, the conclusions of
science regarding the human embryo provide a valuable indication for discerning
by the use of reason a personal presence at the moment of this first appearance
of a human life.”[51]
If this statement is
to be accepted as it stands, we suggest that the conclusions of science should
be interpreted differently, particularly if we reflect on what we know from
science in the light of a centuries-long tradition among Catholic philosophers
and theologians. For like them we are struck by both the wonder and sacredness
of human life even from its obscure beginnings, as well as to when we could
begin to suspect a personal presence might be there. Nor can we forget that for
some 17 centuries the Church indeed condemned abortion, but not on the ground
that it might by even the most remote possibility be in all ceases a question
of murder. Certainly some of the greatest minds and doctors of the Church
refused to believe, as many today seem to do, that ensoulment is coincident
with fertilization or that we must trace the genesis of each human person back
to that moment. Obviously, the Sacred Congregation for the Doctrine of Faith
had no intention of definitively settling this question, for it stated
pointedly, "This declaration expressly leaves aside the question of the
moment when the spiritual soul is infused. There is not a unanimous tradition
on this point and authors are as yet in disagreement."[52]
It did not believe, however, that such theoretical openness should lead to any
rash or precipitous practical action, for it, goes on to say- "From a
moral point of view this is certain: even if a doubt existed concerning whether
the fruit of conception is already a human person, it is objectively a grave
sin to dare to risk murder."[53]
Several very critical questions
arise here, particularly since abortion was traditionally considered a sin
against marriage but not homicide. One of them, concerning the moral
possibility of acting on probable knowledge, has already been masterfully
treated by Carol Tauer.[54]
Others concern practical and philosophical issues relating to the development
of the pre-embryo and embryo. It is to these issues that we now turn.
The dominant
position of the moral tradition on ensoulment was the acceptance of a time
(during the pregnancy when the fetus was not informed by the rational soul. Two
distinctions were used in discussing this. The first distinction is between
active and passive conception and is exemplified in De testis of
Benedict XIV, in which the pope comments on the doctrine of the Immaculate
Conception.
Conception can have a twofold
meaning, for it is either active, in which the holy parents of the
Blessed Virgin, joining each other in a marital role, have accomplished
those things which have to do most of all with the formation,
organization, and disposition of the body itself for receiving a rational soul
to be infused by God; or it is passive,
when the rational soul is coupled with the body. This infusion
and union of the soul with a duly organized body is commonly called
passive conception, namely, that which occurs at that very instant
when the rational soul is united with a body consisting of all its members and
its organs.[55]
Thus the pope would
seem to understand active conception, in our terminology, as the physical union
of egg and sperm that will become the embryo, while passive conception would be
the moment the rational soul is infused into a suitably organized body, one that
results from (begins with) organogenesis.
The second distinction is between
mediate and immediate animation by such a soul. The theory of mediate animation
is succinctly stated as follows:
Animation by the intellectual soul is impossible so
long as the parts of the brain which are the seat of the imagination and the
vis cogitativa (and we might add the memory) are not suitably organized. But it
still is more evident that there cannot he animation by the intellectual
soul when the brain is not even outlined, or again, when even the embryo really
does not as yet exist. Now that is precisely the case with the ovum, and the
morula, and of that which results from its development, so long as there has
not appeared, on a particular part of the germ, that which by its
ulterior development will become a fetus.[56]
Immediate animation
occurs coincidentally with the fusion of egg and sperm, known as the moment of
conception. This is the position utilized in the teachings referred to at the
beginning of this section. This distinction is also thoroughly discussed by
Donceel, as previously noted.”[57]
Medieval theologians were particularly interested in clarifying the technical meaning of "conception" in their justification of the celebration of the popular feast of the Bl. Virgin Mary's conception. Henry of Ghent, following common scholastic reasoning, distinguished between the "conception of the seed when fetal life begins" and the conception of the human soul some "35 or 42 days later [when], depending on the sex, a rational soul is created."[58] Such a position echoes St. Anselm's perceptive judgment, "No human intellect accepts the view that an infant has a rational soul from the moment of conception.”[59]
Had this saint known
of the empirical data on wastage, he would have considered such a claim
not only irrational but blasphemous.[60]
For only about, 45% of eggs that are fertilized actually come to term.
The other 55% miscarry for a variety of reasons. Some are related to the
biochemistry of the uterus, others are a function of low levels of necessary
hormones, while yet other reasons have to do with structural anomalies within
the pre-embryo or embryo itself.[61]
Such vast embryonic loss intuitively argues against the creation of a principle
of immaterial individuality at, conception. What meaning is there in the
creation of such a principle when there is such a high probability that
this entity will not develop to the embryo stage, much less come to term?
Also, given the fact that twinning
and recombination is a possibility, what is one to say about the presence of
immaterial individuality during that process? If this principle is initiated at
fertilization and then a twin is formed, how does one explain the
relation of the original principle to the zygote that splits off? And should
recombination occur, how does one explain coherently the fate of such a
principle of immaterial individuality?
Should one freeze the pre-embryo, all organic processes stop for
the duration. What is the status of immaterial individuation then? It is
genuinely unclear what to think of that in terms of the standard theory of
immediate ensoulment. Then there is the issue of whether a soul, in the classic
sense of the form of the body, is needed for the fertilized egg to develop into
its possible subsequent forms.
b. Commentary.
The question of the
moral significance of the morula and of embryonic wastage has been noted
previously in the moral literature. In 1976, for example, Bernard Haering
brought together much of the scientific literature and examined its moral
significance. His conclusion concurs with one suggestion in our analysis and
opens the door to other issues: "the argument that the morula cannot yet
be a person or an individual with all the rights of the members of the human
species seems to me to be convincing as long as we follow our traditional
concept of personhood."[62]
This conclusion opens up several areas for consideration.
First, we concur
with Haering and particularly with the analysis of Ford that, given the
biological evidence, there is no reasonable way in which the fertilized egg can
be considered a physical individual minimally until after implantation.
Maximally, one could argue that full individuality is not achieved until the
restriction process is completed and cells have lost their totipotency. Thus
the range of time for the achievement of physical individuality is between one
and three weeks. One simply cannot speak, therefore, of an individuals being
present from the moment of fertilization.
Second, given the standard
definition of personhood used in Catholic moral theory--an individual substance
of a rational nature—questions are raised about the rational nature. When might
one consider such a rational nature to be present? Ford suggests the formation
of the primitive streak, which coincides with the time of the formation of the
neural tube, as an appropriate criterion.[63] Another criterion would be around eight
weeks, when the first elicited responses have been recorded. These are the
result of a simple three-neuron circuit. Thus, towards the end of the embryonic
period some neural activity is present. A third answer would be the formation
of a relatively integrated nervous system, which occurs around the 20th week of
fetal development. Of critical importance here is the connection of neural
pathways through the thalamus to his neocortex. This allows stimuli to be
received, as well as activities to be initiated.
One can speak of a rational nature
in a philosophically significant, sense only when the biological structures
necessary to perform rational actions are present, as opposed to only reflex
activities. The biological data suggest that the minimal time of the presence
of a rational nature would be around the 20th week, when neural integration of
the entire organism has been established. The presence of such a structure does
not argue that the fetus is positing rational actions, only that the biological
presupposition for such actions is present. I
Third, the pre-embryonic form as a
system is not totally passive, the recipient only of actions from the outside
as it were. It has its own activities arising from the released potencies of
the novel combination of its constituent materials. Such potencies are released
when these elements form a system, e.g. the embryo. This development of new
systems gives rise to new activities and possibilities and serves is the
foundation or presupposition for other stages of development. Philosophically
speaking, we have every reason to believe that the dynamic properties of the
organic matter--the elements of the fully formed zygote--owe their existence to
their organizational form or the system. Important to note is that "where
there are only material powers--that is, the ability to form material
systems--there is only a material nature or substance."[64]
Thus the material system or form of the developing body can explain its own
activity. We conclude that there is no cogent reason, either from a
philosophical or still less from a theological viewpoint, why we should assert,
for instance, that the human soul is either necessary or directly responsible
for the architectonic chemical behavior of nucleo-proteins in the human body.
Among the
scholastic theologians and doctors of the Church, perhaps St. Bonaventure has
given the most helpful model for what we have in mind. For in his interesting
Aristotelian interpretation of how St. Augustine's theory of seminal reasons
might be explained according to the science of his own day, he argued that if
the potencies be understood as active rather than passive, then the
Aristotelian formula that the new substantial form is educed from the
potency of matter made sense. For "the philosopher of nature says that
matter first receives the elementary form and by its means it comes to the form
of the mineral compound only by means of the latter to the organic form, for he
looks to that potency of matter according to which it is progressively
actualized by the operation of nature."[65]
If we interpret
this in more contemporary terms, it means simply that the new substantial form
is nothing more than that of the organic system itself, and that its new and
unique dynamic properties stem from the complementary interaction of elements
that make up the system. All that is needed is some external agent to bring the
elements of that system together, for, as Bonaventure putts it, "in matter
itself there is something cocreated with it from which the agent acting in
matter educes the form. Not that this something from which the form is educed
is such that it becomes some part of the form to be produced, but it is rather
that which can be and will become the form, even as a rosebud becomes a
rose."[66]
These remarks
suggest that the principle of immaterial individuality is indeed the ultimate
actualization of all the potencies contained within the forms or systems that
constitute the organic life of the human being. Thus, finally, we can say that
while it is necessary to recognize the distinctions between higher and lower
vital functions in the human being, nonetheless there may be "an area
where the biochemical theory is the more plausible explanation, and another
area where the animistic position seems to be the only tenable view."[67]
The question of when such a
principle comes into being is dependent on which level of the system of the
human being one is examining and what activities are performed here. The strong
implication of these suggestions is that immaterial individuality comes into
existence late in the development of the physical individual.
CONCLUSIONS
1. Biological Data
a. Physical Individuality
Two biological data
mandate a revision of our understanding of the beginning of individuality: (1)
the possibility of twinning, which lasts tip to implantation, which occurs
about a week after fertilization begins, and (2) the completion of the
restriction process, which prevents individual cells from forming another
individual, about three weeks into the pregnancy. While one can speak of
genetic uniqueness, in that the fertilized egg has its own genetic code
distinct from any other entity (except an identical twin, triplet, etc.), we
simply cannot speak of an individual until in fact that individual is present,
and the earliest that can be is about two or three weeks after fertilization
begins.
b. Neural Development
Three markers are
significant in neural development: (1) gastrulation, the development of the
various layers in the pro-embryo which give rise to the whole organism; (2)
organogenesis, the presence of all major systems of the body, occurring around
the eighth week, and (3) the development of the thalamus, which permits the
full integration of the nervous system, around the 20th week.
Critical here is
the necessity of a functioning and probably integrated nervous system for the
possibility of rational activity. For if there is no nervous system
functioning, it is not clear that the rational part of the definition of a
person can be fulfilled, even though the individual part might be. The
functioning nervous system is a necessary condition for the possibility of a
new stage of development to emerge and is also a sign that the organism is
prepared for this. Thus any of the three markers noted immediately above could
serve as an indicator of the capacity for rationality though not necessarily
its actuality.
c. Developmental Autonomy
Given the
philosophical discussion on nature and substance, it is reasonable to argue
that the developing body as an organized system is a new substance or nature
and has the capacity to elicit the potencies within its own reality. That is, a
fully formed zygote is a new nature because it has its own actuality and
potentiality. It is in itself a sufficient explanation of its own development
and activities. The same is true on each new level of development as the zygote
becomes an embryo and, finally, a fetus. On a genetic level, the clearest
marker of the presence of self-directing activity which would manifest such a
new nature would appear in the zygote after it developed the capacity to
manufacture its own messenger DNA and thus be developmentally, though not
physically, independent of the mother.
2. Moral Implications
We find it impossible to speak of a true individual, an
ontological individual, as present from fertilization. There is a time period
of about three weeks during which it is biologically unrealistic to speak of a
physical individual. This means that the reality of a person, however one might
define that term, is not present at least until individualization has occurred.
Individuality is an absolute or necessary condition for personhood.
We conclude that there is no
individual and therefore no person present until either retraction or
gastrulation is completed, about three weeks after fertilization. To abort at
this time would end life and terminate genetic uniqueness, to be sure. But in a
moral sense one is certainly not murdering, because there is no individual to
be the personal referent of such an action.
Since the zygote is
living, has the human genetic code, and indeed possesses genetic uniqueness,
this entity is valuable, and its value does not depend on the presence or
absence of any or a particular quality or characteristic such as intelligence
or capacity for relationships.[68]
Thus the zygote and the blastomers derived from it, because they are living,
possess ontic value and are in themselves valuable. Thus the general argument
made here is not a so-called “quality of life" argument.
Nonetheless, until
the completion of restriction or gastrulation, the zygote and its sequelae are
in a rather fluid process and are not physical individuals and therefore cannot
be persons. The pre-embryo at this state, we conclude, cannot claim absolute
protection based on claims to personhood grounded in ontological individuality.
Yet, since the pre- embryo is living and possesses genetic uniqueness, some
claims to protection are possible. But these may not be absolute and, if not,
could yield to other moral claims.
b. Immaterial Individuality
If one assumes, as
we think correct to do, that the potencies actuailized in the formation of the
new nature of the fertilized egg have the inherent capacity to ground its
growth and development, then there is no need to posit a principle of
individual immateriality, understood as the Aristotelian nous or as the
entelechy of the body, in pre-embryonic development.
Since the evidence
for such a principle comes from the internal evidence of those who experience
it, it if; difficult at best to ground any speculation as to when it comes into
existence. We would make this argument. On the one hand, the developing
pre-embryo as a new nature has within it the potential for future development.
On the other hand, if the will as a rational potency is what genuinely
distinguishes the person from a nature, then one needs to look to biological
presuppositions which enable such a potency to exist. We would argue that the
earliest time is around the eighth week of gestation, because then the nervous
system is fully integrated.
3. Summary
We have reviewed some of the
salient biological data about the initial stages of the development of human
life, with a view to evaluating the philosophical and theological claims made
of them. Reflecting on these from a historico-theological perspective, we have
tried to discover whether there exists some rational justification for the
absolute value that is attributed to the zygote or pre-embryonic state based an
claims to personhood, or whether our earlier longstanding Catholic tradition of
mediate animation by a rational soul does not provide a more satisfactory
philosophical and theological account. For if we consider judiciously what the
great scholastic doctors had to say about the
"moment of conception," we seem to have good reason to
reintroduce, in interpreting the data of present day science, the theological
distinction between active and passive conception made by Pope Benedict XIV in
discussing Mary's immaculate conception.
We thus affirm that
any abortion is a premoral evil. That is, it is the ending of life.
Consequently we do not want to be understood as proposing or supporting an
"abortion on demand" position or assuming that early abortions are
amoral. Abortion is a serious issue, because life is involved and one needs
always to respect life. We have made one major argument, however, in this
essay. Given the findings of modern biology, there is no evidence for the
presence of a separate ontological individual until tile completion of either
restriction or gastrulation, which occurs around three weeks after
fertilization. Therefore there is no reasonable basis for arguing that the
pre-embryo is morally equivalent to a person or is a person as a basis for
prohibiting abortion. That is, there is no biological support for the position
that the fertilized egg is from the beginning of the process of fertilization a
distinct individual needing no outside agency to develop into a person. Neither
is there good philosophical evidence that the principle of immaterial
individuality need be present from the beginning to explain the physical
development of the pre-embryo.
This position
obviously does not support the argument that abortion is to be prohibited
because a person is present from the beginning of fertilization. The earliest
such an argument could reasonably be made is after the completion of
gastrulation. We recognize that this argument will dismay many and comfort
others. Our intention in proposing the argument of this essay is to gain a
greater coherence between moral theology and modern embryology.
In this sense we
are complementing the work of the Roman Congregations arid bringing it up to
date. We also wish to test the strength of our argument, already subjected to
review by several colleagues, in review by a wider and more diverse audience.
Additionally, our intention is to develop a posit ion that is reasonable and
can be reasonably defended in the public sector.[69]
Finally, we think our position on the pre-embryo and embryo call stand rigorous
scrutiny and we propose it as a factor in developing a feasible state and/or
national policy on abortion.
One is reminded
here of Henry de Dorlodot’s evaluation of immediate animation made over 50
years ago in his seminal work Darwinism and Catholic Thought: “We are not
exaggerating in the least when we regard the fact that this theory [of
immediate animation] should still find defenders long after the experimental
bases on which it was thought to be founded have been shown definitely to be
false, as one of the most shameful things in the history of thought.[70]
Footnotes
:
[1] Cf. Donum vitae, quoting Gaudium et spes, in Thomas a. Shannon and Lisa Sowle Cahill, Religion and Artificial Reproduction (NY: Crossroad): 147
[2] We are concerned here especially with victims of
rape, incest, or sexual abuse.
[3] Philosophers of science have stressed the important
difference between the linear growth of scientific data and theoretic
conceptions used to interpret them, for important theories have a life of their
own that ensures their perenniality.
Or, as Santayana put it, those who forget history are condemned to
repeat its mistakes.
[4] For theologians at the Council of Trent, in contrasting the virginal conception of Christ with the ordinary course of human nature, asserted that normally no human embryo could be informed by a human soul except after a certain period of time” “cum servato naturae ordine nullum corpus, nisi intra prasecriptum temporis spatium, hominis anima informari queat. (Catechism of the Council of Trent, Part 1, art. 3, n. 7) cited in E.C. Messenger, Theology and Evolution (Westminster, MD: Newman), 1949) 236.
[5] We refer to Dr. Messenger and Canon Henry de
Dorlodot.
[6] This is the term being used to describe this entity
from the zygote state to the beginning of the formation of the primitive streak
during the third week (see Keith L. Moore, Essentials of Human Embryology
[Philadelphia: Decker, 1988] 16.) The primitive streak gives rise to other
structures which continue the physical development of the embryo. The purpose of using this term, as well as
other terms such as zygote, embryo, and fetus, is to integrate scientific
descriptions into the moral discussion.
These terms, as used in this essay, beg no moral questions but help us
clearly identify the entity we are discussing.
Cf. Clifford Grobstein, Science and the Unborn: Choosing Human Futures (NY: Basic Books,
1988) 62. But see Donum vitae, which
also uses these terms but attributes “to them an identical relevance in order
to designate the result (whether visible or not) of human generation from the
first moment of its existence until birth.”
(Introduction 1, n). The text of
Donum vitae can be found in Shannon and Cahill, Religion and
Artificial Reproduction, 140ff. All
references will be to this text.
[7] Steven B Oppenheimer and George Lefever, Jr., Introduction
to Embryonic Development (2nd ed. Boston: Allyn and Bacon, 1984) 87.
[8] Ibid, 87.
[9] Bruce M Carlson, Patten’s Foundations of
Embryology (5th ed. NY: McGraw-Hill, 1988) 134.
[10] Oppenheimer and Lefever, Introduction, 175.
[11] Ibid, 176.
[12] Ibid, 175.
[13] Moore, Essentials, 14.
[14] Carlson, Patten’s Foundations, 35.
[15] Carlos A. Bedate and Robert C. Cegalo, “The
Zygote: To Be or Not To Be A Person.” Journal of Medicine and Philosophy 14
(1989) 642-43.
[16] Bedate and Cegalo, “The Zygote” 644.
[17] Moore, Essentials 16.
[18] Carlson, Patten’s Foundations, 186.
[19] Moore, Essentials 18.
[20] Ibid. 24.
[21] Carlson, Patten’s Foundations 296.
[22] Ibid, 456.
[23] Grobstein, Science 47.
[24] Ibid, 48.
[25] Carlson, Patten’s Foundations 457.
[26] Grobstein, Science 48.
[27] Carlson, Patten’s Foundations 458.
[28] Michael J. Flower, “Neuromaturation of the Human
Fetus.” Journal of Medicine and Philosophy 10 (1985) 237-51.
[29] Ibid, 238-39.
[30] Norman M. Ford, When Did I Begin? Conception of the Human Individual in
History, Philosophy and Science (Cambridge: Cambridge University, 1988)
176-77. This outstanding and
comprehensive analysis of the biological data came to our attention after we
had completed much of our own research for this article. We wish to acknowledge how much we have learned
from it and to comment it for its exceptionally thorough review of the
biological data and philosophical analysis.
We also wish to acknowledge the earlier contribution of James J.
Diamond, M.D. to this topic; “Abortion, Animation, and Biological Hominization.” Theological Studies 36 (1975) 305-24.
[31] Human Life in Our Day, par. 84.
[32] Grobstein, Science, 25.
[33] Donum vitae I,2 in Shannon and Cahill, Religion
and Artificial Reproduction 148.
[34] An ontological individual is defined as a “single
concrete entity that exists as a distinct being and is not an aggregation of
smaller things nore merely a part of a greater whole; hence its unity is said to be intrinsic, Ford, When Did I
Begin? 212.
[35] Grobstein, “Early Development” 235.
[36] Carlson, Patten’s Foundations 23.
[37] Ibid, 26.
[38] Ford, When Did I Begin? 158. Italics ours.
[39] Although any conclusions should not be laid at his
door, Richard McCormick, S.J. started
Shannon thinking about this problem and was suggestive in phrasing the
question.
[40] Donum vitae I, 2 in Shannon and Cahill, Religion
and Artificial Reproduction 149.
[41] Grobstein, Science 25.
[42] Donum vitaae, I, 2, in Shannon and Cahill, Religion
and Artificial Reproduction 149.
[43] Ibid.
[44] There is much literature on this, but two interesting
articles which are extremely useful for their summaries are Joseph Donceel,
S.J., “A Liberal Catholic’s View, in Abortion in a Changing World, ed.
Robert E. Hall (NY: Columbia University Press, 1970), and Carol Tauer, “The
Tradition of Probabilism d the Moral Status of the Early Embryo.” Theological Studies 45 (1984)
3-33. Both articles can be found in Abortion
and U.S. Catholicism: The American
Debate, ed. Patricia B. Jung and Thomas A. Shannon (NY: Crossroad, 1988).
[45] Henry de Dorlodt, “A Vindication of the Mediate
Animation Theory,” in Theology and Evolution, ed. E. C. Messenger
(Westminster, MD: Newman, 1959) 271.
[46] Ibid, 273.
[47] Ibid.
[48] Cf. John Connery, S. J., Abortion: The Development of the Roman Catholic
Perspective. (Chicago: Loyola
University Press, 1977) 212.
[49] The United States Catholic Conference, Washington,
D.C., 4.
[50] Archbishop John Roach and Cardinal Terence Cooke,
“Testimony in Support of the Hatch Amendment. Origins 11 1981) 357-72;
also in Jung and Shannon, Abortion, 15.
[51] Donum vitae, I,1, in Shannon and Cahill, Religion
and Artificial Reproduction, 149.