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Bioethics Final Paper
Bioethics Final Paper
Bioethics Final Paper
In this paper, I ask what the meaning of a phenomenology of pregnancy is for what
attempt to make the step from the descriptive mode of phenomenology, which is equivalent
to speaking ontologically,1 to the ethical. The reason that the development of such a
phenomenology matters in this way is that such a phenomenology would afford greater
insight into the phenomenon that conditions, and thus limits, the viability of a liaison
The limit that I have in mind is what one could call ‘the sphere of the visible,’ where
this is taken to be equivalent to the sphere of ‘phenomenality’ itself. By this I mean the so-
called Geltungsbereich to which Edmund Husserl limited his investigations of presence and
absence and to which Martin Heidegger referred with his notions of the Erschlossenheit of
Dasein and the notion of truth as revelation and concealment, or alétheia. While both of
their navigations of the interplay between presence and absence, or the phenomena of
revelation and concealment, are intricate and beyond the scope of the present paper, it
suffices to say, as Jean-Luc Marion noted in his celebrated if not controversial 1998 book
Étant donné, that phenomenology has often remained confined to the sphere of
subjectivity.2 I agree with Marion on this point, and add that phenomenology has done so
1
Cf. Martin Heidegger. Sein und Zeit. Tübingen: Niemeyer Verlag, 1967. p. 37-38; Robert
Sokolowski. Presence and Absence: A Philosophical Investigation of Language and Being. Washington D.C.
The Catholic University of America Press, 2017. p. 144-156.
2
Jean-Luc Marion. Étant donné : Essai d’une phénoménologie de la donation. Paris : PUF, 1997. p.
9.
2
Yet, where Marion seeks to recover the important of the inapparent for
saturation of intuition,3 here I aim to describe a deeper sense of the inapparent – i.e. the
ethical, the sense of the not-yet that human beings take as the ‘should-be’ vis-à-vis ‘what-
is.’ Here I follow two philosophers who have engaged extensively with, but ultimately
departed from the strict parameters of phenomenology so as to arrive at what they see as
‘the ethical.’ Said philosophers are Emmanuel Levinas and Enrique Dussel.
natality. This is because the current notion of natality is beholden to a notion of the
phenomenon that does not take into consideration the fact of inapparency. Indeed, said
work focuses mostly upon the importance of birth in relation to the phenomenon of death,
identifying the phenomenological validity (Geltung) of birth with natality and death with
mortality.
should be included as a part of the phenomenon of natality, offers one of the most concrete
test-cases for how we might rethink our relation to the inapparent as the phenomenological
‘site’ of the ethical. The question of pregnancy becomes in my reading one of the most
privileged conceptual locations in and from which philosophers and bioethicists must
questions such as whether and when fetal imaging ought to be permited, whether, how and
3
Ibid. p. 280-281. See, for example, how Marion describes the phenomenon in terms of intuition. Le
phénomène saturé cannot be made visible, because this phenomenon exceeds – outrepasse – the synthesizing
function of what Kant would ultimately call the transcendental unity of apperception. Yet, insofar as it still
remains an intuition, the saturated phenomenon cannot name the ethical. It can only remain the most basic
sense of presence and absence, le pouvoir donatrice.
3
when abortion services ought to be provided, and whether and when other medical
In the case of all of the questions mentioned above, for example, the core question is
not actually whether, how and when a given procedure ought to be done. Rather, such
questions are derivative. This is to say that such questions are not only contingent upon a
given set of laws that circumscribe the field of what is possible in a given clinical setting,
nor only contingent upon a given set of acute circumstances and actors – the so-called
‘situation’ of situational ethics. Rather, by ‘derivative,’ I mean that any suitably ethical
answer to such questions will rest upon how one has come to value, has come to tarry or
phenomenology have come to call the inapparency of the ethical, as I have described it
I proceed to make my argument in the following manner. First, I sketch out the
Levinas and Dussel. Second, I address how pregnancy has been approached in terms of the
phenomenon called natality. I then discuss how natality remains confined to the sphere of
apparency and why this might be, following Levinas and Dussel, a problem for ethics. To
illustrate this point, I examine how Frederik Svenaeus treats the question of fetal imaging
and how James Mumford describes the phenomenon of pregnancy in his Ethics at the
Levinas, Dussel, O’Byrne and Mumford, I argue that what is at stake in bioethics overall,
phenomenology and the ethical, and more specifically questions regarding abortion and
pregnancy, from the standpoint of philosophy. This is to say that I approach the question as
a matter of how the transition from perception/being to ethical meaning can be thought in
the ‘abstract.’ Yet, to do so requires an engagement with the concrétude with which such a
thinking is concerned from the perspective of the everyday, in this case, the everyday
situation in which a bioethicist (to say nothing of the medical doctors and patients) is faced
with the decision of whether, if and how a service such as fetal imaging should be provided.
The phenomenon of pregnancy, and the attendant ethical questions related to this
phenomenon that arise with the question of fetal imaging, can, when seen in this light,
function as just such a moment of real-time in relation to the more universal, philosophical,
As one final introductory point, I note that I refer to pregnancy and birth in two
ways. First, I refer to the fact of birth and pregnancy. This is to say that I will refer to birth
and pregnancy as phenomena. By this I intend events or realities that are natural. As
natural, these phenomena are constitutive presuppositions of what everybody – the koinon
phenomenological perspective – i.e. intelligibility qua intelligibility in the sense of what ‘is’
or ‘can be’ from the standpoint of certain conditions of possibility shared by all people.4
Phenomenologically, birth is what the phenomenon of ‘natality’ names in this way. I will
4
The category of ‘human’ is of course not so simple when sociopolitical, racial and other historical
considerations are brought to bear upon the how the category has been legally, and thus ‘ontologically’
constructed. On this point, for example, Cf. Enrique Dussel. Filosofía de la liberación. Segunda reimpresión.
Ciudad de México: Fondo Cultura Económica, 2018. Chapter 1; Enrique Dussel. “Meditaciones Anti-
Cartesianas: Sobre el Origen del Anti-Discurso Filosófico de la Modernidad.” Tabula Rasa. Bogotá-
Colombia, No. 9: julio-diciembre 2008.
5
expand the definition of natality in my paper, arguing that pregnancy must likewise be
manner, can be considered as constitutive of ethical decision making. This is to say that I
will speak to how birth and pregnancy, as sheer or natural presuppositions of human being,
are likewise presuppositions of ethics. At stake here is the shift from the phenomenological,
or ontological, to the ethical. Where too often a vague understanding of the relationship
‘an ethics of X,’ here I follow philosophers for whom such a relation is ambiguous at best.
mean its ‘occurring’ as one event amongst others, such that it could be located with equal
value as ‘one occurrence among many’ on some list of equally meaningful occurrences.
Rather, as Julia O’Byrne notes following Heidegger, the meaning of the phenomenon of
natality, like mortality, has to do with its presence as a conditions for one’s here and now,
our sense of temporality, our orientation as timed and timing beings (we are not,
Birth has been thought in precisely this way in 20th and early 21st century
philosophy away from its necrophiliac focus upon mortality as the defining phenomenon of
finitude, the concept of ‘natality’ has taken on the role of balancing the focus upon the end
of life. Natality thus appears, as Arendt writes in The Human Condition, as the capacity of
6
human beings for creation, “the action they are capable of by virtue of being born.”5 In
terms used later by Arendt’s colleague at The New School, Reiner Schürmann, natality
names the ‘thetic’ drive, or the drive to posit, conceptualize, and to instantiate stability and
law.6
As Julia O’Byrne writes in her 2010 Natality and Finitude, the impetus for the turn
difference, the distinction between being and beings, that undergirds Heidegger’s thinking
generally, and which formed the basis for his understanding of the concepts of thrownness
(Geworfenheit) – the coming into existence from without one’s own intentionality and
volition – and being towards death (Sein zum Tode), the futural oriented sense of being-in-
experience toward its un-experienceable end. What is at stake for the examination of the
phenomena of mortality and natality is, to follow but expand O’Byrne’s view, the liminal
dividing line in perception between visibility and non-visibility, being and non-being,
Yet, such a formulation seems to restrict the analysis of life with which
phenomenology has always been concerned to the events of birth and death. Such a
restriction does, however, makes sense. It makes sense because both natality and mortality
are given in the emergence and cessation of a life, which is to say that natality and mortality
are ‘seen’ most discretely, even though not exclusively, in the event of somebody else’s
birth and the event of somebody else’s death (even admitting that medical definitions of
death are contested). Yet, this notion of phenomenality being wed to discrete occurrences,
5
Hannah Arendt. The Human Condition. Chicago: The University of Chicago Press, 1998. p. 247.
6
Reiner Schürmann. Des hégémonies brisées. Mauvezin : Trans-Europa-Press, 1996. Cf. General
Introduction.
7
Anne O’Byrne. Natality and Finitude. Bloomington: Indiana University Press, 2010. p. 1-11.
7
and more precisely, the exclusion of pregnancy from the phenomenon of natality, presents a
number of problems.
In the first instance, the emphasis upon discrete occurring seems to contradict the
a way that is not exclusively a matter of literal visibility, but rather inclusive of the
coincident of presence and absence in the disclosure of any discrete ‘thing.’ Indeed, this is
the notion of phenomenology as conceived by Martin Heidegger during his early period in
which he wrote Sein und Zeit. As Heidegger is the thinker to whom O’Byrne points as the
Yet, as O’Byrne notes, the phenomenon of pregnancy, which names the relation
between the mother and a potential child, the fetus, “is crucial to our natal being.”8 Indeed,
how would any description of the phenomenon of natality make sense if not inclusive of the
more precise phenomenon, and all of its constitutive ‘moments,’ that immediately precede
the event of birth? This question can be pushed still further. Other than the emergence itself
of an infant, the fact that the infant emerges still attached to the mother demonstrates that
the dividing line between the phenomenon of pregnancy and the phenomenon of birth are
materially linked.
Still further, this material connection between the two phenomena illustrates that the
dividing line between the apparency of birth and the inapparency of the fetus –
8
Ibid. p. 162.
8
ambiguous at best. What is not put out of question by the ambiguity of the relation between
the two phenomena, however, is that the visibility of the phenomenon of birth depends, is
phenomenologically founded upon (in the sense of ‘founding’ and ‘constitution’ used by
Husserl) the inapparency that coincides with the hiddenness of the potential child. This is
the ambiguity of presence and absence, of presence made possible by virtue of absence.
This connection between apparency and inapparent at the level of pregnancy mean,
thus, that any ethical decision regarding a fetus and a pregnant human being will be made,
conceptually and concretely, with regard to this ambiguous or liminal space in which
apparency and inapparency simultaneously seem to coincide and diverge. Any attempt,
then, so deny or to downplay this fact will prove fatal to any attempt to draw ethical
names as a phenomenon. Yet, this point is not exclusive to the specific nexus of visibility
and invisibility that characterizes pregnancy and birth. No, in fact, it is just such a
coincidence of visibility and invisibility, of the ambiguity of where the one stops and the
other begins, that seems to characterize the ethical itself when considered
phenomenologically.
As Hernán Inverso has recently argued, phenomenology is capable, and has been
praxis, of tarrying with such liminality.10 I concur generally with Inverso, but with the
addendum that the liminality in question with regard to the ethical is not exactly reducible
to the ambiguity of presence and absence. To be sure, again, the ambiguity of where the
9
James Mumford. Ethics at the Beginning of Life: A Phenomenological Critique. London: Oxford
University Press, 2013. p. 22-24.
10
Hernán Inverso. Fenomenologia de lo inaparente. Buenos Aires: Prometeo Libros, 2018. p. 21-22.
9
hiddenness that characterizes fetal Existenz ends and where the visibility of birth begins is
the concrete, real-time, location that conditions ethical decisions regarding both the fetus
and a corresponding pregnant woman. Yet, the sort of inapparency that characterizes ethical
truth is of another sort, removed in-itself, despite its givenness in specific concrete
situations, from the parameters of the visible and invisible where these are correlated such
I posit, in accord with Inverso, then, that rethinking the inapparent is of the utmost
importance for phenomenology generally, and more precisely important for establishing the
as Emmanuel Levinas and Enrique Dussel note, ethics is not a matter of what is perceptible,
not a matter of what ‘is’ when taken as modes of presence or even absence (the so-called
indeterminate dyad upon which dialectical totality is traditionally founded). Rather, the
ethical emerges only because our sense of what should be, and it is for this reason described
genetically, historical. What is at stake is not the inapparency that names the converse of the
visible, but the inapparency that names the transcendent character of the Other vis-à-vis the
same, the element of alterity that negatively corresponds to, and thus sets ethical decision
making at odds with, any number of given states of affairs that are called ‘unjust.’
For Levinas, for example, phenomenology provides the way to see how alterity that
characterizes the ethical negatively appears within the sphere of the visible, the sphere that
Levinas, just as Husserl and Heidegger both do, renders as the sphere of signification. This
is a point Levinas makes well in his book En découvrant l’existence avec Husserl et
Heidegger. “The manifestation of the Other (autrui) appears, in the first instance,
11
Ibid. p. 20-21.
10
conforming to the fashion by which every signification is produced. The Other is present in
a cultural ensemble and is illuminated by this ensemble, as a context for the Other.”12 The
concrétude of various historical and cultural contexts, then, allows for the element of
Levinas, le monde.13
Immediately following this passage, however, Levinas writes the following. “Yet
the epiphany of the Other carries its own significance independent of this significant
received from the world. The Other does not come to us only by way of context, but
without mediation, it signifies itself.”14 The use of theological language is not meant to
displace the focus upon phenomenality. The transcendence of the Other, the alterity that
constitutes the ethical, is not opposed to the visibility and invisibility that constitute
phenomenality in the way that, in some theological traditions, the infinite God is set totally
against the finitude of the world. Rather, the language of epiphany speaks to the way ethical
sensibility seems to arrive as if ex nihilo. The presence of the Other, Levinas notes, “comes
close to us to make an entry [into the world].”15 Levinas refers to this entry into the world
of phenomenality as the face of the Other, la visage. He refers to the act of the
Yet, despite the entry of the Other into the world, where ‘the world’ names again the
array of phenomena that are taken together as the field of phenomenality and signification,
Levinas is clear that this phenomenal showing of the Other does not capture its essence in
the way that phenomenality exhausts objects through a purely imaginal prism of sense.
12
Emmanuel Levinas. En découvrant l’existence avec Husserl et Heidegger. Paris : Vrin, 2016. p.
270.
13
Ibidem.
14
Ibidem.
15
Ibid. p. 271.
16
Ibidem.
11
Rather, unlike the image and unlike sounds that are produced or reproduced and then fade
in a certain way, the manifestation of the Other is the manifestation of life. Its essence, thus,
always confounds the parameters of visibility, where visibility includes the absence
required for the presence of any ‘thing’ from one perspective or another.17
Drawing on this concept in later works by Levinas, Enrique Dussel relates Levinas’
notion of the Other, and the corollary notions of epiphany and visitation, to the
notes that ethical relations are not a matter of phenomenal appearing, at least not
exhaustively, but rather a matter of epiphany.18 Yet, this ethical relation characterizes human
relationships from the first moments of life. Dussel notes that we cannot even be said to be
born into ‘nature,’ because we are always-already bound together, physically and otherwise,
with others. Indeed, we emerge from an Other, and we are nourished, in one fashion or
another, by an Other.19
For Dussel, human being is constituted not only by the phenomenality accorded to
the presence and absence of entities. Human being, Dussel will write, has to do with the
originary proximity we share with each other, the sort of proximity that evident in our
emergence at birth. This sort of originary proximity has to do with the ethical dimension of
our being. That we care for each other is synonymous with what we are as human beings.
Convivencia names human being, not in the neutral, but in the unequivocal sense of
knowing when something is wrong, of knowing when somebody needs help.20 The ethical
absence – in this sense, Levinas and Dussel both note, it is metaphysical and not
ontological.
This is all to say that our sense of our responsibility toward each other, which
‘appears’ only as our sense of relatedness, is itself invisible, but in a sense that is again
beyond the dyad of presence and absence. It is the sense of being either at odds or in
collusion with a given arrangement of power, the sense of pressure to ‘figure out’ the best
possible decision for an Other, for the sake of humanity as a whole.21 Insofar as this is true,
I am arguing only that clarity regarding the meaning (sentido) of the inapparent is required
at all times when bioethicists, or philosophers, attempt to speak to what is at stake ethically
with regard to both pregnancy and birth; two levels of invisibility, phenomenal and ethical.
Returning to O’Byrne’s analysis, it is right to say that we are birthed, and thus, that
we live in the world as – we ‘world’ precisely because we are (estamos siendo) – those who
are birthed humanely. We do not create ourselves. Rather, we come on to the scene, so to
speak, only as birthed, and this fact, which phenomenologically appears as a condition of
our sense of temporal being, is called ‘natality.’ Similarly, we do not choose that we must
die, though some of us choose when to do so. The fact of the phenomenon called death,
which is phenomenologically rendered as the presence of the condition of our lives called
‘mortality,’ is the converse condition of our temporal orientation called natality. I do not
experience my death as a completed occurrence, for its occurrence ends the possibility of
21
Ibid. p. 107. “Lo cierto es que el que posee la pulsión de alteridad o amor al orden nuevo en cual el
pobre y oprimido pueda habitar en la justicia, se transforma, aun contra su voluntad, en el principio activo de
la destrucción del orden antiguo.”
13
For both the events of my birth and death, their being for me is clouded by a lack of
visibility. I will not experience my death in the sense of its completion, just as I did not
experience all of what is called pregnancy prior to my consciousness. The meaning of these
phenomena, as phenomena, is not, thereby, dissipated. To the contrary, the meaning of these
phenomena as phenomena is constituted by the veil of invisibility. This fact regarding the
phenomenal notion of inapparency, then, already means that any ethical decision is situated
around how to interpret not only what is right in front of our eyes, but what precedes and
succeeds a given phenomenal showing. We thus gain more insight regarding birth and death
everybody involved.
To expand the sense of the phenomenon of natality to include its inapparent and
founding phenomenon – pregnancy – is to draw our attention back to the basic sense of
phenomenologically as presently apparent in being apparently absent, but also with regard
to the different, metaphysical, sort of inapparency that characterizes our ethical sensibility.
In short, and following O’Byrne’s own argument, said phenomenal inapparency may be
said to name the liminality that characterizes, as a requisite condition of, any discrete
The bearing of these two notions of inapparency on natality, and the reason for the
can be illustrated though an examination of one particular issue that has emerged in the
14
field of the bioethics of pregnancy. I am referring to the question of whether, how, and
when fetal imaging should be practiced. The centrality of the imaginal, or phenomenal, for
such a practice is obvious. What is at stake is whether, how, and when to make the fetus, a
pregnancy should be breached. As Fredrik Svenaeus notes, there has been a privileging of
the visible over the invisible in phenomenology generally, a privileging that is also present
even while emphasizing the importance of natality, would seem, thus, to be partially
explained by this larger privileging of vision over the other senses. All of this poses a
For Svenaeus, the matter of the privileging of visibility is of crucial importance for
approaching ethical questions regarding abortion. This is because the possibility of vision,
which is mediated through the technical apparatuses of equipment in clinical settings, both
limits our thinking regarding what ‘counts’ as something worthy of our careful – in the
sense of care – attention. The ocular-centrism of phenomenology is, in this sense, matched
by a more general reduction – namely, the reduction of ethical meaning to what is presently
apparent.
The focus upon vision that characterizes certain clinical practices can be viewed as a
development of this larger reduction of ethical meaning within occidental thinking to the
parameters of vision, and thus, to the exclusion of that which is not present, that which does
22
Fredrik Svenaeus. “Phenomenology of Pregnancy and the ethics of abortion.” Medical Healthcare
and Philosophy. 2018. No. 21. p. 81.
15
not be, within the field of apparency. For Svenaeus, such practices include not only the
images, but the drive, or feeling of need, to do to so. More problematically is the insistence
upon the importance of such imaging as a best practice for screening for abnormalities that
would provide the reason for a decision to abort. What is taken as primary in that equation
Yet, what is actually at stake is how one will interpret the hitherto hidden fetus, the
inapparency of which has been breached through the process of constructing an image-
representation or a simulacrum, on the basis of the visibility of the image. When the matter
of the inapparent is left out, or made secondary, there is an automatic, even if pre-
argumentative, discursive downgrading of the status of the fetus. Or, at least, this exclusion
of the inapparent opens the possibility for its degradation. In the end, before and during any
ethical deliberation regarding whether to image the fetus, the matter revolves around how
one will interpret the inapparency of the fetus, how one will care or value it.
The nature of this hermeneutical situation is apparent when one considers how
differently people respond or make use of such images. On the one hand, there are families
for whom such images are used to make a decision to abort on the basis of any fetal
abnormalities such images disclose. On the other hand, there are families for whom the
fetus is without abnormalities, and thus, who then often include said photos in family photo
This latter use of the image complicates the strictly diagnostic picture for Svenaeus.
This is because the justification for aborting a fetus made on the basis of such imaging
would seem to be contradicted by the way these latter parents take such images, when
abnormalities are not present, as images of a future child (in potentia), as the first images to
16
be included in a collection of other images.23 In short, the images can be both justification
for the abortion of a non-person and images of a person who is in the process of
emergence.24
I agree in the main with Svenaeus’ analysis. As is evident from the above, the
ambiguity to which Svenaeus points is an ambiguity in how the inapparency of the fetus,
which (the inapparency) is rendered as apparent though the medium of a digital image, is
interpreted. What appears or does not appear through the mediation of a given medical
technology is thus ‘taken’ in contradictory ways. Hermeneutical and ethical confusion are,
thus, oriented around the same point – namely, the inapparency of the fetus. Its status,
ambiguous.
hermeneutic ambiguity regarding the status of the inapparent, are the limits of
phenomenology and ontology for offering ethical insight. The ambiguity in question is, I
argue, more precisely the ambiguity that was mentioned earlier in this paper – namely, the
ambiguity of the relation between what is disclosed (as either apparently present or
presently absent) and the ethical ‘ought’ of what should be but is not yet. In rendering the
at least open the possibility for its degradation. Yet, it is far from clear that this prejudice,
All that has been shown is that the inapparency of the fetus has been accorded a
lesser status than what is visible, even though it is the inapparent that is at stake. In such a
23
Ibid. p. 82.
24
Ibidem.
17
situation, ethical decision making is seemingly attached first to what is apparent and only
secondarily to what ‘might’ become visible. Such a connection between visibility and
ethical decision making is, however, an inversion of the ethical in its most basic sense –
namely, as the sensibility for the inapparency of what should be, of care that goes beyond
To summarize, there are two levels of inapparency that I have sought to make clear
as conditions for both ethical decision making – the being of the ethical itself – and
conditions for the specific phenomenon of natality and pregnancy. Following Levinas and
Dussel, I argued that humane ethical sensibility is engaged with the sphere of
phenomenality and culture, but ultimately, metaphysically, not reducible to the play of
phenomenon, of the phenomenon called natality, a point that reinforces the importance of
As I hope to have demonstrated with my brief discussion of fetal imaging, these two
senses of inapparency can be seen as playing out in everyday medical settings. Not only do
these two senses of inapparency conditions the decisions that physicians and patients need
to make, but so too the situations in which bioethicists find themselves as they attempt to
make decisions regarding what to do in any given situation. In the case of fetal imaging,
this point is evident given how the entire ethical question depends upon how the
Insofar as all of this holds as true, the bioethical can thus be said to name the site of
inapparency names the site of the bioethical. Decisions regarding what to do to save,
maintain, kill, or change organic tissue fundamentally and always involve the interpretation
thinking has to begin from this position of recognizing the importance of the inapparent as
Works Cited
Hannah Arendt. The Human Condition. Chicago: The University of Chicago Press, 1998.
Anne O’Byrne. Natality and Finitude. Bloomington: Indiana University Press, 2010.
Jean-Luc Marion. Étant donné : Essai d’une phénoménologie de la donation. Paris : PUF,
1997.