Thursday, June 21, 2012

Substance, Personhood, and Medical Ethics


Introduction

At no time in history has the notion of the human person come under attack more than in the modern era. With the works of philosophers like John Locke the notion of person has changed from its traditional understanding to a corrupt understanding that pollutes the thinking of modern medical professionals. The clash between the traditional school and the modern school culminates in a disagreement over the ideas surrounding substances. This paper intends to first demonstrate the truth of substance especially how it relates to personhood and then to point out the errors of the Lockean ideas regarding personhood.

Traditional View of Personhood

Both Aristotle and St. Thomas Aquinas correctly took for granted the fact of the existence of substances. Both St. Thomas and Aristotle realize that the existence of substances is evident to the senses. When one realizes through the use of their senses that change exists in our world it becomes evident with minimal abstraction that substances exist. In other words the concept of subject is necessarily implied in the visual reality of change. For example we could not understand the change in color of the leaves without a notion of substance and accidence. The case of the change in the color of the leaves presupposes the existence of a substance, the leaves, and the change of an accident, the color in the leaves. If a distinction were not made between substance and accidence one would have to claim that the whole leaf changed as the color changed. Any botanist would tell you that the leaf, while it changes colors, does not itself change rather it contains whatever chemical components make it a leaf. It would further be absurd to say that the whole leaf changed as it turned from green to red. If the whole leaf changed the red leaf would be coming from an unlike thing a green leaf. Leaving the discussion of evolution aside something does not come from an unlike thing overnight; a pine leaf does not grow from an oak tree. Clearly it is proper then to distinguish between a substance and accidence.[1]

Substances are all things which have separate existences. “A substance is the perfection whereby a fully complete individual nature is rendered in every way, in its being, and in its actions, distinct from and incommunicable to any and every other being, so that it exists and acts sui juris, autonomously, independently of every other being save the Creator.[2] Substances can be understood in two ways. Substances are the essence of the thing, the whatness of a thing, the definition of the thing. Substances are also the subject or the “whoness” of a thing, what makes the thing an individual.[3]

A substance renders unity because multiplicity is unintelligible unless it has a common body or unity. In the case of leaves unless there was some substance, something that makes a leaf a leaf, it would not be proper to look at a tree and claim it contains leaves. When pointing to the leaves on the tree I would have to say that the tree contains a whole bunch of different things ( in reference to the leaves). Substances are the primary form because it is the cause in virtue of which a thing is determinate. If a thing does not contain its substance it is not the thing. For example if a leaf does not contain the essentials of what it is to be a leaf it is not a leaf, it is something else.[4] It follows then that substances are the primary and fundamental beings of the predicamental order.

Substances are first in three respects. Substances are first with respect to time because an accident cannot exist when a substance does not exist, however a substance can exist without a particular accident. For example a leaf cannot exist without it whatever it is that makes it a leaf, however a leaf that is red, an accident of a leaf can exist without being red, it could be green. Second they are first with respect to definition because in defining an accident the definition of the subject must be present, however in the definition of a subject the definition of its accidents are not needed. In the example of the leaf, when defining a red leaf, I must define, first what a leaf is, before saying anything about the characteristic of brown. Thirdly they are first in respect to the order of knowing because since that which is first in the order of knowing is better known and each thing is better known when its particular substance is known and not just one of its accidents.[5]

Substance is the primary kind of being because substances are beings which exist in themselves. When a thing is defined it is defined by its substance not by its accident.[6] For example when I define water I do not say that it looks blue, rather I define it by what it is two hydrogen atoms connected by covalent bonds to one oxygen atom.

There are many different divisions of substance. Substances can be divided into first and second substances, material and immaterial substances, simple and composite substances, and spiritual and corporeal substances.

Substance can be divided into first and second substance. A first substance is a concrete individual subject that is not present in a subject. Examples of first substance are Peter or Fido because when we say something of Fido we are talking about a concrete individual, Fido the particular dog. Second substances designate universal things that designate the essence of a subject. The second substance is not in the subject but rather is predicated of the subject. Examples of second substance are man or fish because when we designate a fish we are not saying anything about the essence of a specific fish, but rather fish in general.

Substances can further be divided into material and immaterial substances. Material substances are those substances which are composed of matter and form. The matter is the physical material the substance is made out of and the form is what orders it to a certain mode of being. The necessity of material substances can be understood in light of the generation and corruption of things. Take for example the dog body. A dog body when it dies is still a dog body but is not a dog. The material, the matter still exists, however the form, his soul, no longer exists. Immaterial substances are pure forms for example angles. Pure forms cannot be numerically multiplied since they have no matter. In the case of angles this means they each hold their own rank. No two angles are on the same hierarchical plane.

Substances are also divided into simple and composite. A simple substance is one which is constituted by a single substantial principle that specifies the essence of the thing without any material present to determine the thing. Angels are examples of simple substances because they are pure forms and contain no matter. Composite substances are those substances which are constituted by a natural and substantial union of two distinct and incomplete substantial principles. These include all corporeal substances organic, vegetative, sentient, or rational. Examples of composite substances are worms, humans, and oak trees. A worm for example cannot exist if just the matter of the worm is shaped to look like a worm. No the matter shaped like a worm and the worm soul must be united for it to live. When the soul and body separate the worm does not exist, we say it has died.[7]

Since composite substances are a reality, substances can also be differentiated into complete and incomplete substances. Complete substances are composed of two distinct principles which are substantially united to each other. A substance is fully complete only if it possesses all of the substantial principles that allow it to exist and perform all the actions proper to it as a member of a specific species. A human person is an example of a complete substance because the human person is composed of two distinct principles, the body and the soul which are substantially united allowing the person to fully perform all that is essential of a human person. Incomplete substances are those that are able to exist, yet not able to perform all of the functions of the species without joining another substantial principle. The soul is an example of an incomplete substance because it can exist apart from the body, for example after death and before the resurrection of the body, yet it is not able to perform all of the functions proper to the human person without its body or the grace of God.[8]

All individuals belong to the genera of substance because substances are individualized by themselves. Individuals that are members of the genus substance are called supposites.[9] Supposites are “any single substance which is of itself something complete, is not part of another thing and cannot be regarded as a part.[10] Since to subsist means to exist by oneself and genera and species are only in something else, subsistence is the same as hypostasis.[11]

Subsistence is not an existing individual nature with regards to positive perfection because in nature there are not individual substances, natures, or acts that are not distinct, autonomous, independent, sui juris, and incommunicable in their modes of being and acting. Subsistence is a positive perfection that is really distinct from the complete and individual nature making it a unifying principle. Subsistence is not then an absolute reality and thus a distinction cannot be made between subsistence and a natural major real distinction. Simply it is a substantial mode that is naturally superadded to the substance but yet modally distinct from the substance.[12]

The subject or the supposit takes three terms depending on how it is used. A subject that exists in itself and not in another is called a substance. The substance of an individual person or thing which is considered fundamentally principal of the person or thing is called its nature. Nature is thus substance considered as an agent.[13]A subject that underlies a common accident is called hypostasis.[14]

A further distinction lies in the use of the term person. A person is “an individual subsistence of a rational nature.[15] A person is simply an intelligent supposite. A person is an intelligent supposite that is composed of matter, the material of his body, and form, his soul.

Modern View of Personhood

John Locke presents a bad view of personhood. He argues that personality is that which is determined by consciousness rather than body and soul. The identity of man is that he consists in nothing other than a participation of a continued life through a composition of particles of matter that are somehow virtually united to form an organized body.[16]

For Locke a person is a  “thinking intelligent being that has reason and reflection and can consider itself as itself, the same thinking thing in different times and places; which it does only by that consciousness which is inseparable from thinking and essential to it.[17] A person is simply a basic kind of thing. This understanding in no way hinges on if the person is contained in a substance. Because for Locke man is a series of conscious states he does not need a body. This presents the possibility that a man can take on different bodies, what he refers to as the transmigration of souls.[18] This claim is crazy; as much as I may want to I cannot enter into Alex Rodriguez’s body and go play baseball for the Yankees. Persons are supposites they are composed of matter and form. Only an unnatural event, death, can separate the matter from the soul.

Essential to Locke’s definition of a person is the notion of consciousness. Consciousness is a perception of what passes into Man’s own mind; it is a condition that is present anytime a person is thinking. This does not mean that when a person ceases to think, for example when he sleeps, he is not a person because Locke believes that consciousness can be interrupted and then returns not as a new consciousness but rather as one that is restored.

Application to Medical Ethics

Locke’s view of personhood creates a separation or distinction between the human person and the human being. It is, however evident to the senses that there is no distinction between a human being and a human person. The human person is not trapped inside the human body in some manner similar to the Platonic belief that the soul is trapped within the body. John Locke’s view fails to realize that without the human organism the human person cannot exist. The human organism is essential to the human being and as such Locke’s idea that a person is simply a conscious simple being holds no weight.

This philosophical battle is being waged currently in our country in the field of bioethics. The clash of these two schools is at the heart of the current debate concerning whether or not death should be defined as whole or higher brain death. Those who side with higher brain death have subscribed to some form of the Lockean idea that the human substance is not necessary while those who side with whole brain death realize the essential nature of the human supposite. Having a clear understanding of substance and personhood it becomes clear that a Lockean view of personhood is absurd.



[1] Gardeil, H.D. Introduction to the Philosophy of St. Thomas Aquinas: IV Metaphysicis. Paris: Les Editions du Cerf, 1967. 153 – 164.
[2] Coffey, Peter. Ontology or the Theory of being An Introduction to General metaphysics. London: Longmans, Green and Co. 1914.  265.
[3] Thomas Aquinas, Summa Theologica, I, q. 29, a. 2, in Summa Theologica: Complete English Edition in Five Volumes, vol. 4 trans. Fathers of the English Dominican Province (Notre Dame, IN: Christian Classics, 1981).
[4] Gardeil. Introduction to the Philosophy of St. Thomas Aquinas IV Metaphysicis.153 – 164.
[5] Gardeil. Introduction ot the Philosophy of St. Thomas Aquinas IV Metaphysicis. 153 – 164.
[6] ibid.
[7]  ibid.
[8] Coffey. Ontology or the Theory of being An Introduction to General metaphysics. 255.
[9] Aquinas,Summa Theologica, I, q. 29, a. 1.
[10] Rickaby, John. General Metaphysics . London: Longmans, Green  Co. 1890. 280.
[11] Thomas Aquinas, De Potentia Dei,q. 9, a. 1. Literally translated by the English Dominican Fathers  (The Newman Press, Maryland, 1981).
[12] Coffey. Ontology or the Theory of being An Introduction to General metaphysics.258 – 272.
[13] ibid
[14] Summa Theologica 1. Q29 art 2.
[15] Aquinas, De Potentia Dei,q. 9, a. 1,
[16] Locke, John. An Essay Concerning Human Understanding. London: J.M.Dent, 1961. Book 2 Chapter 27.
[17] ibid.
[18] Rickaby. General Metaphysics .281-291.

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