Theoretical Medicine and Bioethics (2005) 26: 105–110 DOI: 10.1007/s11017-005-1235-9 Ó Springer 2005 ALFONSO GÓMEZ-LOBO ON POTENTIALITY AND RESPECT FOR EMBRYOS: A REPLY TO MARY MAHOWALD ABSTRACT. In order to understand the nature of human embryos I first distinguish between active and passive potentiality, and then argue that the former is found in human gametes and embryos (even in embryos in vitro that may fail to be implanted) because they all have an indwelling power or capacity to initiate certain changes. Implantation provides necessary conditions for the actualization of that prior, active potentiality. This does not imply that embryos are potential persons that do not deserve the same respect as actual persons. To claim that embryos ‘‘become persons’’ is to understand the predicate ‘‘person’’ as a phase sortal, roughly equivalent to ‘‘adult person.’’ This entails that we would not be essentially persons. In order to explain the traditional understanding of ‘‘person’’ as a proper sortal rather than a phase sortal, the author distinguishes between proximate and remote potentiality, and shows that, unlike feline embryos, human embryos, by their genetic constitution, possess the remote potentiality to later exercise the typically human activities. It follows that they are already persons essentially. KEY WORDS: actual persons, embryo, gametes, phase sortal, potential persons, potentiality, power, proper sortal Professor Mary B. Mahowald has been kind enough to publish extensive comments on a paper of mine that appeared in a recent issue of this journal.1 I am both honored and grateful for her remarks. In what follows I would like to offer some clarifications and replies. Instead of quoting specific claims and addressing them directly, I shall attempt to present an over-all treatment of the major issues. In trying to understand the beginnings of a human life, it is crucial to distinguish between a sperm and an egg, the so-called ‘‘gametes,’’ on the one hand, and the organism that results from their fusion, i.e. an embryo, on the other. One way to mark this distinction is by focusing on their respective powers, i.e. on what they can and cannot achieve given their nature. It is clear that a sperm (or an egg), by itself, cannot develop into a human adult. A single gamete simply does not have this power, even if sustained by proper nutrients and conditions. An embryo, on the 106 ALFONSO GÓMEZ-LOBO other hand, if given the proper conditions, certainly can reach adulthood in the normal course of events. One way of accounting for this difference is to say that a gamete and an embryo have different potentiality. Since ‘‘power’’ and ‘‘potentiality’’ translate the same Greek word (dunamis) this is not to say much, unless we explain what we mean by these terms. In a rigorous philosophical sense, potentiality is a principle or source or ‘‘initiator’’ or ‘‘starter’’ (arche´ ) of change. We say that fire has the power to burn a piece of wood and that a builder has the power or capacity to build a house. This is usually referred to as ‘‘active potentiality.’’ The wood and the bricks can be changed or set in motion by the fire and the builder, respectively, and hence we say that they are endowed with ‘‘passive potentiality.’’ The source of the motion of the log and the brick is not within themselves. They do not initiate their own metabolé or change. What is typical of all forms of life, including gametes and embryos, is that they are not primarily passive. Why not? Because what defines passive potentiality is that the ‘‘activator’’ or principle of movement is external to the thing. No external cause leads, say, a sperm to try to force its way through the cumulus mass to reach the zona pellucida of an oocyte. Nor is the oocyte in turn passive. This can be seen, inter alia, in the spontaneous release of ‘‘degradative enzymes that allow the sperm to penetrate the zona pellucida.’’2 All living things have within themselves an active potentiality that scientists today view as encoded in their genome. It is true that a host of further external and internal conditions are required for the activation of both active and passive potentialities, but those conditions are not ‘‘activators.’’ They come close to what we would call ‘‘necessary conditions.’’ In order for the fire to burn the log, oxygen is required, but oxygen does not initiate the combustion. As I have suggested, human embryos have an internal power or potentiality that governs the morphogenesis and allows them to develop into the complex organisms that we are at a later stage. There cannot be any doubt that an embryo in vivo possesses the specific potentiality encoded in the human genome, but an embryo in vitro also has it. In fact, in vitro fertilization works on the assumption that the active potentiality is present in the embryos that are selected for implantation. If not, the procedure would not work. It is expected that these embryos will initiate a host of ‘‘motions’’ or processes once they are given the natural conditions found in a uterus. Of course, embryos in vitro may be denied the normal external conditions for POTENTIALITY AND RESPECT FOR EMBRYOS 107 them to grow and develop, but this does not entail that their potentiality is passive. The crucial external intervention of implanting them does not make them live embryos of a given species. This is something they already are. Implantation, then, provides the vital conditions for an embryo to develop, but it does not contribute to the potentiality in the strict sense. The potentiality has to have been already present in the embryo for the embryo to implant. This can also be made clear by pointing to the fact that no genetic material penetrates the embryo after the initial zygote stage. This is not to minimize the enormous importance of the interaction between mother and child, but to clarify exactly what it consists in. The connection between a woman and an embryo is literally of ‘‘vital’’ importance, so that if the latter is deprived of the natural environment provided by the mother either due to a miscarriage, to abortion, or through failure to implant, it cannot continue to live. The possibility of the embryo reaching full maturity and birth, then, depends on the mother, but her enormous and generous contribution should not be confused with the indwelling active potentiality of the child. Let us return for a moment to the gametes and emphasize that they do not have passive potentiality like the log or the bricks. As we saw, they are ‘‘initiators’’ of various processes when they meet, but what is the ultimate outcome of those ‘‘motions’’? They are steps toward the generation of a zygote, a point of arrival that entails the demise of the gametes themselves. In metaphysics this would be called a ‘‘substantial change.’’ By contrast the internal division of the zygote into two cells, the formation of the morula, the compaction of the blastomeres, etc. are all instances of alteration of the same substance. The process that the gametes initiate when they meet and the process that the embryo initiates on its own are thus quite different. We are therefore entitled to conclude that the potentiality that causes those changes is also different. In my original article this conclusion was meant to show that there is no valid logical step from the potentiality of an embryo to the potentiality of the gametes. What do these metaphysical considerations imply for ethics? First that gametes are so different from embryos that respect for embryos in no way requires respect for gametes. By ‘‘respect’’ I meant in the original article something very basic: that it would be morally wrong intentionally to destroy them. I did not pretend to include attenuated forms of respect, such as the respect with which one should treat 108 ALFONSO GÓMEZ-LOBO one’s parents or one’s elders. Respect in my paper was meant to be understood as the correlate of strict inviolability. As a matter of care, I agree ‘‘that embryos should be treated as embryos and not, for example, as newborns or adults.’’3 Proper care of embryos probably entails that they should be implanted, just as newborns should be fed, and adults, when sick, should be taken to the doctor. But as a matter of respect, it would be discrimination on the basis of age to claim that a human being at any of these stages is devoid of inviolability, and may be used as resource material for other ends. Shouldn’t we say, however, that adults are ‘‘actual persons’’ whereas embryos and newborns, and young children are ‘‘potential persons’’ and as such not ‘‘deserving of the same respect we tender to actual persons?’’ If this is the case, wouldn’t they be at our disposal if we think that ‘‘their destruction is necessary to save the life of an actual person?’’ I would like to address these questions by revisiting the issue whether personhood is a phase sortal or a proper sortal. As the reader of my original paper might recall, the former stands for a concept under which an object falls during a stage of its existence, the latter a concept such that if an object ceases to fall under it, that object ceases to exist. What follows if personhood is a phase sortal? First, it follows that just as we go through the teenage stage, we would go through the person stage. The latter may be longer, but equally accidental (in the metaphysical sense of the term). Just as we are not essentially teenagers, we would not be essentially persons. Since this entails the apparent absurdity that we are not essentially conscious and self-conscious rational beings (for these are among the defining features of persons), some critics shift their ground at this point and hold that personhood does indeed stand for a proper sortal, that we are essentially persons. It then follows that we started to exist only when our decisive substantial change into conscious beings occurred. It is notorious, however, that there is no empirical evidence during pregnancy or child growth that would allow us to identify the point at which the drastic change that would mark the beginning of our existence took place. The features that are taken to be characteristic of persons emerge gradually in a child that already exists and continues to exist. She does not undergo ‘‘generation’’ (starting to exist), but rather ‘‘alteration’’ (a change in properties). This justifies the apparent plausibility of referring to children as ‘‘potential persons.’’ But talk of embryos or children ‘‘becoming persons’’ requires that POTENTIALITY AND RESPECT FOR EMBRYOS 109 ‘‘person’’ be understood once again as a phase sortal, that is, as denoting what these individuals that already exist are going to be during later stages of their lives. It seems clear that we are going around in circles. I will try to explain how the aforementioned conundrum arises. Any concept of personhood presupposes the notion of potentiality. No one can think and act uninterruptedly. We sleep (and we are sometimes under anesthesia) without ceasing to be persons. So a person is a being that has the capacity to reason, to engage in selfmotivated activity, to communicate, to act as a moral agent, etc. This capacity is a proximate potentiality to engage in those types of activity, and in normal adults it can be activated at will. In most people’s usage ‘‘person’’ really means ‘‘adult person.’’ Any proximate potentiality, however, is an activation of a more remote potentiality. The capacity to speak Spanish that some people can activate at will is in turn an activation of the more remote capacity to learn a language. A child (who was before that a baby, and before that a fetus, and before that a human embryo) has the remote potentiality to learn languages. This is part of what it means to be human. A feline or canine embryo does not have this potentiality. It is not part of its essence. There is doubtless a decisive difference between human embryos and embryos of other natural kinds, and the best way to express that difference is by reference to their respective remote potentialities. Human embryos already have the remote potentiality to learn languages, to think, to act, etc. Normal development will later lead to the activation of those capacities and hence to the establishment of proximate capacities. In the Western philosophical and theological tradition personhood has always been associated with remote or essential potentiality, not with proximate capacity. Thus, an existing organism cannot ‘‘become a person.’’ It is either a person already or it is not, and this is determined by its very nature. The different capacities that a person possesses may not yet be susceptible of activation on demand, and in this sense there is much that is present only potentially in a person at the early stages. Accordingly, no human being is ‘‘a potential person.’’ A human being of any age is actually a person who has a host of remote and proximate potentialities. They are grounded in his or her essence. And this holds for an in vitro embryo as well. 110 ALFONSO GÓMEZ-LOBO NOTES 1 Alfonso Gómez-Lobo, ‘‘Does Respect for Embryos Entail Respect for Gametes?’’ Theoretical Medicine and Bioethics 25 (2004): 199–208; Mary B. Mahowald, ‘‘Respect for Embryos and the Potentiality Argument,’’ Theoretical Medicine and Bioethics 25 (2004): 209–214. 2 W.J. Larsen, Essentials of Human Embryology (New York: Churchill Livingstone, 1998), pp. 12–14. 3 cf. Mahowald, cited in n.1, above: 211. Department of Philosophy Georgetown University 37th and O Streets, N.W. 215 New North Washington DC. 20057 U.S.A. E-mail: [email protected]
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