Upload
karen-dawson
View
213
Download
0
Embed Size (px)
Citation preview
15
MAIN ARTICLES
INDIVIDUALS AND SYNGAMY
An Analysis of "Identifying the Origin of a Human Life": a
Submission to the Standing Review and Advisory Committee on
Infertility by the St Vincent's Bioethics Centre.
Stephen Buckle and Karen Dawson
Centre for Human Bioethics
Monash University
(Note: For Senator Brian Harrad ine's comments on this document.
see above. under News in Brief. As indicated there, this
submission was requested by Professor Louis Waller. Chairman of the
Standing Re view and Advisory Committee on Infertility . It results
from work done at the Centre and supported by an Australian National
Health and Medical Research Council Special Initiative Grant. This
work will be published elsewhere as part of a planned volume of
essays resulting from the Centre 's research in this area.)
•
The Victorian Infertility (Medical Procedures) Act 1984 did not
define "fertilization". Subsequent research proposals to the SRACI
have shown this to be a serious oversight. In order to overcome the
problems generated, it has been proposed that syngamy be made the
l im i t for approved research which in vol ves ini tia ting fertiliza tion
of human ova . The proposal reflects the standard scientific
understanding of fertilization as a process which begins with sperm
penetration and ends with the formation of the zygote at syngamy.
16
It is commonly accepted that the formation of the zygote is the
formation of the new human individual. If this view is accepted, then
the new human individual comes into existence at syngamy, and
restrictions imposed by the Act would not properly apply prior to
syngamy. However, an argument has been advanced by members of the St
Vincent's Bioethics Centre against this common view, holding that a
new human individual comes into existence earlier than syngamy: that
is, at the time of sperm penetration. This paper will examine the
validity of that argument.
THE ARGUMENT OUTLINED
The argument in question is contained in a submission to the
SRACI, and is reprinted, under the title "Identifying the Origin of a
Human Life", in the St Vincent's Bioethics Newsletter. l The authors
describe the question they are seeking to answer in the following
terms:
The question which vexed us is the biological andphilosophical determination of a precise biological event beforewhich there is only a sperm and an egg and after which there isa being which is of moral and jurisprudential significance.(p.4)
Putting the matter in this way supposes that the transition from
sperm and ovum to the new, post-fertilization being is ipso facto a
transition from beings of no special significance to a being of moral
and jurisprudential significance. The two transitions - physical and
moral • are equated by the authors because they do not allow that the
term "human" can be taken in a purely biological sense . A
biologically human entity, they hold, is a being which, because of
its specific biological constitution, just is morally valuable. They
explain their view in this way:
17
The [St Vincent's Bioethics] Centre has in the past defended thephilosophical opinion that a new human individual comes intoexistence when the process of the fusion of sperm and ovumresults in a single unified entity which is so organized as tohave the capacity to develop as the kind of being which wouldnormally have that collection of attributes which we describe ashuman especially the ability to doubt, reason, enquire,affirm, understand, love, etc . (p.4)
Their view is , then, that the formation of the new biological
individual is precisely the formation of a being of moral value. It
is thus vitally important for this view to establish just when the
new biological individual is formed, because that is the point at
which a being of moral value comes to exist. So, although the enquiry
is at bottom a moral enquiry, the point of view being defended
depends on a biological question . This is also recognized by the
authors. They put it as follows:
The problem for us was to determine when a distinctthe capacity to develop as a human individualexistence, and this involved achieving an accuratethe relevant events of the fertilization process. (p.4)
entity withcomes intoaccount of
It is important to recognize that, in line with the prevailing
view in recent medical research (the view adopted by the SRACI), the
authors describe fertilization as a process. This process, they say,
"f ollows insemination (the bringing together of sperm and ovum) and
the attachment of a number of sperm to the zona pellucida"(p.4). The
process of fertilization thus begins when the sperm begins to
penetrate the zona pellucida. When does it end? The authors give no
precise answer to this question. Given their overall position, this
is not surprising: i.e., since the morally important matters are not ,
for them, settled by determining when fertilization comes to
completion, there is little point in attempting to answer that
question. What they do say shows that they understand it to end
either around syngamy or shortly after: their account of the process
of fertilization concludes with the first cell division, an event
18
which occurs shortly after syngamy. This could be an implicit
rejection of syngamy as the end-point of fertilization, but it is
better understood as simply a lack of concern for detail at a point
where, according to their theory, detail is not needed.
The important issue is when the . new human individual begins, and
on this point the authors are quite definite. They acknowledge that
the relevant issue is not the formation, or beginning, of life (in
the purely biological sense), because "life is simply continuous in
the several processes which occur": that is, all the processes of
fertilization are processes which involve living cells. The important
question is thus not the beginning of life, even of human life, but
the beginning of a new human individual:
The crucial issue ... would seem to be the point at which ll. newhuman life comes into existence. (p.5)
The point at which ll. new human life comes to exist is the point at
which there is a new human individual. As we shall see, this is a
most important point - a point which, as will be shown below, appears
not to be fully appreciated by the authors at a crucial stage of
their argument.
The authors accept that at syngamy the new individual exists. At
that stage there is
a single unified entity... which is so organized as to have thecapacity to develop as the kind of being which has thatcollection of attributes which we describe as human, etc. (p.5)
For this reason, they say,
we could see why syngamy may have it traction as a marker eventfor it is the first time that the chromosomes from the twogametes actually establish their pairs, and, also for the firsttime, the cell has a single unified nucleus. Since we are
19
looking for unity and organization, these factors arecompelling. (p.5)
This does not mean, however, that 2!l!.Y. these factors are compelling.
That is, it is not the case that, because syngamy is a sufficient
condition for the existence of a new individual, it is also a
necessary one. A new individual may come into existence before
syngamy: the necessary and sufficient factors may be manifested at an
earlier stage in the fertilization process. The question is, then,
does a new human individual come into existence before syngamy?
The authors hold that it does . In their view, a new human
indi vidual has come into existence as soon as the sperm has
penetrated the ovum. Their reason is that
when the two membranes [i.e., of sperm and ovum] open to oneanother and the contents of the sperm are released into theovum, the sperm loses its separate identity and the ovum gains acapacity it did not have while simply an ovum, that ofdeveloping as a human individual... The two cells (sperm andovum) have become a single cell containing · many interactingcomponents which by their interaction have the capacity fororganizing all the subsequent stages of human development. (p.5)
This is the positive side of the argument. There is also a
negative side, which argues against attributing any particular
importance (biological or moral) to syngamy. The negative argument
is, in essence, the following:
Syngamy involves no new chemical process nor a shuffling ofgenetic material, it is little more than the juxta-positioningof the chromosomal pairs which already existed and had theirplaces pre-determined before the juxta-positioning takes place.(p.5)
The authors therefore hold that syngamy cannot justify the importance
implicitly attributed to it. The important event is the penetration
of the ovum by the sperm, because at that time (or immediately
20
afterwards) "the sperm and ovum lose their identity in the mixing and
in teraction of their con ten ts"(p.5).
This is the core of the argument against the importance of
syngamy in the St Vincent's Bioethics Centre's submission to the
SRACI. In the next section, the argument will be examined. It should
be stressed that the argument, although it does not identify sperm
penetration with fertilization, does identify sperm penetration with
the beginning of a new human life. It further identifies this
beginning - a purely factual matter - as the beginning of a morally
considerable being. For the purposes of argument, the evaluation will
assume that this further view raises no special problems.
THE ARGUMENT EVALUATED
The argument is not successful. At best, it can be regarded as
not compelling; but it is not unfair to say that it is not even
plausible. It is not compelling because it leaves too many questions
unanswered; and it is, in the end, not plausible because it depends
on a number of misleading or inadequate formulations. The negative
argument, which purports to show that syngamy cannot bear the weight
attributed to it, is the most clearly inadequate.
The Negative Argument
The negative argument fails partly because it makes some
erroneous or misleading factual claims, and partly because it does
not establish the relevance of its objections. The problematic
factual claims include the following: firstly, it is said that
syngamy involves no new chemical process, but syngamy Ia a chemical
process, and, in the history of the fertilization of any ovum, it is
a process which has not previously occurred. What more is needed for
a chemical process to be new? (Although it is an exaggerat ion to say
that the chromosomal pairs "had their places pre-determined", even if
21
true this would not serve to establish that the process is not new:
ill chemical processes follow a regular, if not pre-determined,
path.) Secondly, the claim that syngamy "involves no ... shuffling of
genetic material" is deeply ambiguous. It is certainly true that
syngamy introduces no new genetic material, in the sense that the
genetic information is already present. But the juxtapositioning of
the chromosomal pairs just is the shuffling of genetic material; and,
similarly, the formation of the genotype at syngamy just is the first
formation of the new set of genes .
These examples are sufficient to show the inadequacies of the
factual claims on which the negative argument relies. The more
fundamental question, however, concerns the relevance of these
claims, even if they were believed to be true. Suppose it were
granted that, at syngamy, there is no new chemical process, or no
"shuffling" of genetic material. What would this show? The question
at issue is when a new individual begins: so, unless there are good
reasons for identifying the origin of an individual with the
occurrence of a new chemical process, or with a "shuffling" of
genetic material, or with the conjunction of these and other
processes, these claims fail to address the point at issue. The
authors provide no such reasons, and it is not clear what reasons
could be offered. So there is no good reason for believing that the
argument is relevant. We can therefore turn to an examination of the
positive argument.
The Positive Argument
The positive argument maintains that a new individual has come
into existence as soon as the sperm penetrates the ovum. As
previously mentioned, it will be argued here that this argument is
neither compelling nor plausible. We will consider the weaker claim
first. The positive argument is not compelling because it leaves too
22
many questions unanswered, or takes too much for granted. This can be
shown as follows. It was stressed above on several occasions that the
argument seeks to establish when a new human individual comes to
exist. But the conclusion is that, once the sperm has penetrated the
ovum, there is a single cell which has the capacity to develop all
the important human features. This is true - there is such a cell;
but it has not been shown that the existence of such a cell is the
existence of a new human individual. In fact, a number of reasons can
be given to show that much more needs to be established before there
can be a strong case for thinking that the two are equivalent.
In the first place, the fact that sperm penetration results in
there being only one cell, rather than two, is not a sufficient
reason for thinking that there can no longer be two distinct
entities. Siamese twins with separate brains can be thought of as two
distinct entities contained by a single body: they are physically one
single thing, but they are two distinct individuals nonetheless. It
is not clear why we should not think of the male pronucleus within
the pre-syngamy cell in this way. Why should we not regard the male
pronucleus as a distinct entity, albeit one wholly contained within
another cell?
Secondly, the fact that there is at this stage a single cell
does not show that the cell has the necessary unity which the
argument has previously accepted to be necessary for the existence of
a new individual: what we seek here is the first formation of "a
single unified entity"(p.4). Is the pre-syngamy cell unified? This is
a difficult question to answer, but not because of a lack of
information. The problem is that it is difficult to determine just
what counts ill. unification. What does a cell have to be like to be a
unified entity? The mere fact of being a single cell is not enough,
since there is one sense (at least) in which the pre-syngamy cell is
not unified: its genetic constituents are not unified. Genetically
23
speaking it is still in the process of becoming a unified individual,
a process which will not be complete until syngamy. So one
interpretation of the requirement that the new individual must be
unified actually supports the syngamy criterion.
Thirdly, and most importantly, the argument seeks to establish
when a new human individual comes to exist, but the conclusion is
centrally concerned with the existence of the capacity to develop
human characteristics. The problem here is that, not only has it not
been shown that only distinct individuals possess these capacities,
it seems rather easy to show that the necessary capacities exist
before there is a single individual. A motile sperm and an ovum,
considered as a pair, comprise a system which possesses these
capacities J2!i2r. to the sperm's penetrating the ovum. If the system
thus identified did not possess at least some of these capacities,
fertilization itself could not occur. (If it is objected that we
don't know whether or not the sperm will succeed in penetrating the
ovum - which is, in the normal case, quite true - it can be replied
that neither do we know that a sperm-penetrated ovum will
successfully achieve syngamy, or cell-division, or implantation, etc.
Early life is a hazardous and unpredictable affair. The possession of
the relevant . capacities is no guarantee of successful development,
principally because the capacity to become a being of a certain kind
is, in the usual case, only a necessary condition for becoming such a
being.)
The basic error here seems to be the familiar fallacy of
affirming the consequent: because a new human individual has the
capaci ties necessary to develop into a fully developed, conscious
human person, and because a pre-syngamy cell likewise has these
capacities, it is erroneously concluded that a pre-syngamy cell must
be a new human person. (The fallacy can be explained as follows. The
fact that two entities share a common feature does not show that they
24
are the same. Cats and dogs share many common features - they are
both four-legged mammals, for example - but we cannot infer from this
that cats are dogs .) The fact that pre-syngamy cells have the
capacities necessary to develop into conscious human persons
therefore does not serve to establish, or even to help to establish,
that such cells are already new human individuals.
So far we have been concerned to show that the positive argument
is not compelling. We can now turn to the stronger claim, that the
argument is not plausible because it depends, at crucial points, on
misleading or inadequate formulations. This is particularly true of
the use made of three central concepts: unification, identifiability,
and capacity. The misleading uses of the first two are closely
linked, so they will be discussed together. Then we shall turn to the
problematic employment of the notion of capacity.
It has already been pointed out that it is difficult to
determine what constitutes unification in an unfamiliar, or
incompletely understood, setting. It has also been indicated that
something can be a unity in one respect, but fail to be so in
another. The Siamese twins case shows this most clearly: Siamese
twins (at least, those with separate heads but some shared organs)
are separate persons, but only one physical thing. A similar
situation appears to exist in the case of the sperm-pen-etrated ovum,
but the authors, in their attempt to establish that this cell is a
unity, have distorted the facts of the case. While it is certainly
true that the pre-syngamy cell is physically a single thing, it is
not plausible to regard its contents as equally unified.
The authors slip into this view because of two inadequate - and
mutually contradictory - ways of expressing their viewpoint. On the
one hand, they stress that the pre-syngamy cell is highly organized,
in the sense that it has a complex structure. This is indeed true,
25
but is quite distinct from the question of unity: the Siamese twins
already referred to have a complex structure, and hence are organized
in this sense; but, since such twins are not just parts of the one
individual, being separate persons, they are not unified in the
necessary sense. On the other hand, the authors at times use terms
which suggest that the cell is an outer membrane around a rather
soup-like interior. They describe the entry of the sperm into the
ovum in terms which are most appropriate to processes such as
dissolving a solid in a liquid. For example: "the contents of the
head of the sperm are released into the ovum cell . The sperm cell
ceases to be identifiable at this point .., its contents mixing with
the contents of the ovum"(p.4). The language employed here - of
contents being released, of mixing, of an object ceasing to be
identifiable - paints a picture of previously discrete objects either
dissolving or becoming hopelessly dispersed throughout a fluid. This
is most misleading: although the sperm's tail and membrane are
absorbed, the head of the sperm remains a discrete object within the
ovum, forming the male pro-nucleus. This pro-nucleus is a
discernible, i.e. identifiable, entity within the cell until syngamy.
Nor is the cytoplasm of the ovum a fluid in which things are
dissipated or dissolved. It is, rather, as the other kind of language
employed by the authors suggests, complexly structured. The correct
choice of language here is crucial if we are properly to understand
the processes concerned. If the cytoplasm were a "soup", that is, a
more-or-less homogeneous fluid in which added objects dissolved, it
would be plausible to think of the entry of the sperm into the ovum
as unification, or mixing, or of its ceasing to be identifiable.
Since the cytoplasm is not so soupy, it is quite inappropriate to
describe the processes in this way, and also fallacious to draw any
conclusions which depend on such descriptions.
26
The issue here is further complicated by the fact that, in the
case of identifiability, the authors shift their ground. As already
shown, they claim that the sperm "ceases to be identifiable" after it
has entered the ovum. When they come to discuss when the new
individual is formed, however, they say that "the sperm loses its
separate identity". They then add, in a footnote, that
Having a separate identitv is to be distinguished fromidentifiability and capacity to be traced. The point is that thesperm is no longer a whole but has become part of a whole.(p.6n)
The distinction drawn here would be pointless unless the authors mean
to concede that the sperm, despite suffering a loss of identity, is
nevertheless identifiable, having also the "capacity to be traced".
(It is most natural to interpret the latter two Qualities as
equivalent. We can only trace what we can identify, so the capacity
to be traced is just identifiability.) But if the point of the
distinction is such, then the authors are here allowing precisely
what they have previously denied: the post-penetration sperm iiidentifiable after all.
This might seem unfair. Perhaps identity, rather than
identifiability, was what the authors intended all along. If so,
however, they still appear to have gone astray. For, while the
identifiability of the sperm after penetration does seem to be a
relevant matter (if the sperm is no longer identifiable, it seems
Quite plausible to suppose that it has become simply part of
something else), it is not clear that the more general Question of
identity is similarly relevant. If the changes that the sperm
undergoes during, and after, penetration of the ovum means that it
loses its original identity (i.e, it ceases to be a sperm), this does
not imply that it no longer has illlY identity, and thus can be nothing
other than a part of a new entity. It is true that the sperm changes
as a result of its interaction with the ovum, but th is does not show
it to be just a part of an entirel y new entity.
27
en ti tiestwobecauseso:not
then have the new individual
is
we
this
thatseem
But
at the same time, loses its identity, becoming
authors also hold • "the sperm ~ the ovum
in the mixing and interaction of their
If the ovum also,
something new (as the
lose their iden ti ty
contents'fp.Sj), it might
the argument requires.
in teract with each other, losing their respective identities in the
process, does not imply that they thereby jointly constitute a new
individual. It may be that we have two new individuals, with (in this
case) one inside the other. However, it is not obvious that the ovum
must be understood to lose its identity as a result of its
interaction with the sperm prior to syngamy. It seems preferable to
regard this as a gradual process: i.e. to regard the ovum's original
identity as gradually decaying as fertilization proceeds towards
syngamy. Once these factors are recognized, the whole preoccupation
with questions of identity in the St Vincent's argument ceases to
have any relevance. It may be that interesting changes of identity
occur when the sperm and ovum interact, but the central question is
when a new human individual begins to exist, and this is quite a
separate question.
We can now turn to the problems implicit in the authors' use of
the notion of capacity. It has already been suggested that the
argument's concern with capacities involves a shift from its stated
concern with determining when a new human life begins, a shift made
all the more significant by the likelihood that the relevant
capacities exist before the new individual does. If this problem is
to be overcome, two strategies might appear to be available. On the
one hand, it might seem possible to argue that the capacity to
develop into a being possessed of the distinctive human attributes
(such as the abilities "to doubt, reason, understand, love,
etc.") is itself a human capacity in just the way that these
attributes are human capacities. Thus possession of these capacities
28
qualifies a being as a person, because, like all persons, it
possesses the capacities necessary to reason, understand, etc. The
authors show some attraction to this way of putting the issue in
their earlier submission to the Senate Select Committee on the Embryo
Experimentation Bill. They say there, for example, that
a person must be defined in terms of a capacity to performcertain mental activities in appropriate circumstances, andthese capacities, precisely as capacities were alreadypossessed by th~ fertilized egg, and by the embryo in all itssubsequent stages.
On the other hand, it might seem possible to argue that,
these capacities are not to be understood simply as
attributes, nevertheless we should treat the bearers
capacities as if they did possess personal attributes.
although
personal
of such
Neither of these strategies are unproblematic. The first cannot
succeed, because it depends on an equivocal employment of the crucial
notion of capacity. The second depends on an additional unstated (and
problematic) argument. The unstated argument will be considered
below, because it can be understood not merely as an alternative
strategy, but as a way of attempting to overcome the equivocation
embedded in the first.
The eq ui voca tion in the first strategy can be indica ted as
follows: the positive argument attempts to establish that we should
treat a new, biologically human, individual in the same way as we
treat all human persons - most importantly, we should not interfere
with its natural development except to protect its interests; and we
should treat them in this way because they have the very same
capacities as a human person - the capacities to doubt, reason,
enquire, affirm, understand, love, etc. The problem is, however, that
when we describe a human person as a being with the capacity to
understand, or to love, we mean that that individual gn understand,
29
or love. In the ordinary course of the individual's behaviour we can
observe such capacities being exercised. With the fertilized ovum
(whether pre- or post-syngamy), the ascription of such distinctively
human capacities is not the ascription of activities that 1h.Uindividual can engage in; the capacities in this case are not
capacities that can be exercised. There are thus two senses in which
the term "capacity" is being used : in the former sense it means what
some being can now do; in the latter it means what some being can, in
the normal course of events or in appropriately favourable
circumstances, come to be able to do. The former kind we can call
actual abilities; the latter, potential abilities. The important
question to be asked at this point is, thus, D..Q1 the question
implicitly asked by the authors - i.e., Does a particular being
possess human capacities? Rather, the important consideration is
this: we all recognize the moral importance of actual abilities, as
our ordinary moral principles show; but how should we regard merely
poten tia l a bil ities? Can poten tial abilities justifiably be regarded
as of equal importance as actual abilities?
Putting the matter this way helps to show how the equivocation
can be reinterpreted as a reliance on an additional unstated
argument: the argument from potential. The argument from potential is
precisely an argument intended to bridge this gap, attempting to
establish that, morally speaking, potentialities are just as weighty
as actualities. The problem is that there is considerable
disagreement about whether or not the argument succeeds. It has no
shortage of defenders, but no shortage of critics, either: critics
who charge that the argument either obscures or takes for granted
what it seeks to explain, or that it sinks into a morass of
conflicting or misguided considerations about possibilities or
probabili ties. 3 It is not possible to attempt to resolve the matter
here; it is sufficient, for our purposes, to note that much more
needs to be done before the authors' employment of considerations of
the pre -syngamy cell's capacities are to be persuasive.
30
Conclusion
Enough has been said to show the diversity and extent of the
problems that the argument raises or leaves unanswered. The argument
f'ails "to establish that we have a new biological individual before
syngamy, and in fact shifts from an argument about individuals to an
argument about capacities. This is a shift of considerable
consequence, not only because capacities of the relevant kind appear
to exist before there is a new individual, but also because the
argument, if it is not to be guilty of equivocation, must appeal to a
workable and relevant version of the argument from potential. Whether
such a version of this argument can be forthcoming remains to be
seen.
NOTES
l. "Identifying the Origin of a Human Life" (anonymously authored),
St Vincent's Bioethics Newsletter, VoI.5 No.1, March 1987, pp.4-6.
(All subsequent textual references are to this paper.)
2. Nicholas Tonti-Filippini and T.V. Daly, S.J., "Experimenting with
the Origins of Human Lives", Evidence to the Senate Select Committee
on the Human Embryo Experimentation Bill 1985 (Official Hansard
Report), p.192.
3. There is a considerable literature on the argument from potential
(both sympathetic and critical) . For a critical account which
directly addresses IVF issues, see Peter Singer and Karen Dawson,
"IVF Technology and the Argument from Potential", Philosophy and
Public Affairs (forthcoming, Spring 1988).
• • •