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For more information see, http://dublincore.org/documents/dces/. Date A point or period of time associated with an event in the lifecycle of the resource al operation, but tod~ay many of these infections can be arrested by the use of recently-discovered drugs. A fact like this can be the basis for declaring that an operation which was permissible several years ago because necessary for the patient‚Äôs welfare is no longer permissible. This is but one example of how the application of principles to con-crete cases can change. The revision of a code is largely concerned with these concrete cases. A second observation concerns ~he fact that different codes are fol-lowed in various dioceses. Does this mean that what is morally good in one place is immoral in another? Again the answer is in the nega-tive. The differences in the codes concern neither the moral prin-ciples nor the licitness of specific operations and treatments. They concern rather the selection and arrangement of materi.al, with per-haps the addition of some purely disciplinary regulation .which may be thought necessary in one place but not in another: for example, on the need of consultation before some operation is allowed. Content of Code .: At this point, if not before, someone might well ask just wh~it, is a code, and what goes into it. I can best answer this question by‚Äôre-ferring specifically to the revised code of the Cat.holic Hospital As-sociation, which is entitled Ethical and Religious .Directives/~or Cath-oti~ Hospitals. As the title implies, this code contains two sections. The second section contains directives of a religious nature which concern the reception and administration of the ~acraments and the 208 dulg, 1953 HOSPITAL CODE reverent disposal of..amputated members and immature babies. For the most part, this sectibn of the code would directly concern only Catholics or those who wish to become Catholics. The first section contains ethical directives, that is, principles of the natural law with applications to medicine. Since the natural law binds all men, the provisions of this section apply to all patients, doctors, nurses, and other hospital personnel, regardless of their religion. This is really the moral code of our hospitals. My subsequent remarks app.ly to this section. Basic Principles The,baslc moral principles which are ~ formulated and applied in ¬Ø our ethical directive~ can be reduced to these six: (a) the .need of the / patient‚Äôs consent (b) the inviolability of innocent human life: the intrinsic.evil ‚Äôof contraceptive practices: (d) the principle~.of the "double effect" (e) the principle of "liberty" and (f) the principle of "totality." Perhaps a few words about each of these principles will .be informative without being unduly soporific. ~) The patient‚Äôs consent. Each individual human being has bqth ~the right and the duty to care for his health. When a doctor treats a patient, he is simply exercising the patient‚Äôs own right of self-preservation for him, and he may not perform even legitimate operations without the consent of the patient..,. This Consent may be‚Äô given explicitly, as would be the case if an operation would be ex-plained to the patient and he ~would then agree to it. Or it may.be implicit, as would be the case if the patient asl~ed for a cure, with the understanding that he is.willingto Submit to all the necessary pro-ce. dures, even without .explanation. Or it may be reasonabtg pre-sumed, as is the case when a doctor gives emergency treatment to an unconscious man. Sound morality requires consent in one of these forms and l~oth civil law and medical associations recognize ~his. For infants and others who are incapable of acting rationally, the parents or guardians have the right to give the consent., b) The inviolabilitg of innocent human life. The meaning bf this principle is strongly and clearly explained in a memorable pas-sage of our present Holy Father‚Äôs Allocution on the moral problems of married life (October 29, 195 I). This.passage Should be f~imiliar, not 0nly to religigus in hospital work, but to educators as well. "Now the.child, ~ven the unborn child," said the Pope, "is a hu-man being, a human being in .the same degree and by ~he same title as 209 ,,It GERALD KELLY Review for Religious is its mother. Moreover, every human being, even the child¬Ø in its mother‚Äôs womb, receives its right to life directly from God, not frdm its parents, nor from any human society or authority. Therefore there is no man, no human authority, no science, no ‚Äôindication,,‚Äô whether medical, eugenical, social, economic/or moral, that can show or give a valid juridical title for a deliberate and direct disposing of an innocent human life, that is to say, for an action which aims at its destruction, whether such destruction be intended as an end or as a means towards some other end which may "itself be in no way illicit. So, for example, to save the life of the mother is a most noble end, but the direct killing of the cl~ild as a means to that end is not law-ful. The direct destruction of the ‚Äôso-called ‚Äôvalueless life,‚Äô whether born or unborn, which was practised a few years ago in numerous in-stances, can in no way be justified. And therefore when this i~ractice began the Church formally declared that it is contrary to the natural law and to the positive law of God, and consequently" illicit--even under instruction from the public authority to kill those who, al: though innocent, are nevertheless by reason of some physical or-ps3 - chical taint useless to the nation and even become a burden on the ¬Ø community. The life of an innocent human being is inviolable, .and any direct assault or. attack on it violates one of those fundamental laws without which it is impossible for human beings to live safely in society. We have no need to teach you the particular significance of this fundamental law and its bearing upon your profession. But do not forget it: above any human law, above any ‚Äôindication‚Äô whatso-ever, there stands the indefectible law¬Ø of God." The Pope‚Äôs words are obviously directed against doctbrs and others who think that in certain situations there are good reasons (they call them "indications") for the direct killing of an unborn child. Against these men he defends the right of the child. But he does not limit his words to the child he defends all innocent human life. The direct (i.e., the intentional) taking of such life is never permissible. Any procedure which‚Äôwould result in death for either the mother or the child (or for any other innocent person) can be justi-fied only when the death is an unintended and unavoidable by-product of the procedure. Incidentally, this principle of the inviola-bility of human life also condemns the so-called mercy-~killing (the taking of a patient‚Äôs life to relieve him of suffering), whether it is done with or without the patient‚Äôs consent. c) The intrinsic evil of contraception. The Church, especially in 210 July, 1953 HOSPITAL CODE the oi~cial t~aching,of the two last Popes, has‚Äôconstantly branded artificial birth control as contrary to the law of nature, and therefore intrinsically evil. The most ~adical form of this evil is direct steri-lization, which means the intentional destruction of the procreative power. Doctors have many ways of accomplishing this, and all of of them.are forbidden by our code. .d) The principle oF the "‚Äôdouble effect.‚Äô" Students of ethics are familiar with this principle and know that it contains the solution to many of the practical,~problems of life. Conscientious people often use it without knowing it exists. The aviator who bombs an im-portant military target, foreseeing but not desiring the deaths of some civilians, is perhaps unwittingly using this principle. The student who must read a treatise on sex, foreseeing but not wanting tempta-tions against chastity, is using perhaps also unwittingly the p~inciple of the double effect. And all of us. whether we realize it or not, are following this same principle when we perform some good and neces-sary action, realizing that, despite our best intentions, certain others will misunderstand and will be‚Äôled to rash judgments and to criti-cism. The deaths of the civilians, the sexual temptations, and the harsh thoughts and criticism, are all simply unavoidable and un-wanted by-products of actions that are good in themselves and of sufficient importance to be performed despite the evil effects that at-company them. The principle of the double effect has many applications in medicine, especially as regards surgical operations on diseased repro-ductive organs with the unavoidable destruction of the procreative power and as regards treatment of a pregnant mother with some un-intentional but unavoidable risk either to herself or to her child. This last point was clearly explained by. Pope Plus XII in his Allodution to the "Family Front" (November 26, 1951): "On purpose," he said, "We have always used the expression "direct attempt on the life of an innocent person,‚Äô "direct killing.‚Äô Be-cause if, for example,-the saving of the life of the future mother, in-dependently of her pregnant state, should urgently require a surgical act or other therapeutic treatment which would~have as an accessory consequence, in no way desired or intended but inevitable, the death of the fetus, such an act could no longer be called a direct attempt on innocent life. Under these conditions the operation can be licit, like other similar medical interventions, granted always that a good of high worth is concerned, such as life, and that it is not possible to 211 GERALD KELLY Review fur Religious postpone the operation until after the birth of the child, or to ‚Äôhave recourse to other efficacious remedies." e) The principle of ."libertt.t." Physicians do. not always see eye-to-eye on the value of certain treatments or operations. For ex-a.~ ple, take the much-discussed and too-much-popularized operation called Idbotomy. Thisoperation consists essentially in severing cer-tain fibers in the brain, and its general purpose seems to be to reduce emotional tension and thus help in the cure of some mental illnesses and in relieving otherwise unbearable pain. The sharpest kind of con-troversy exists among reputable physicians as to the good produced by the operation, the risks it involves, the types of patients that might benefit from it, and so forth. And this is but one example of many decidedly controversial questions in the sphere of medicine: Theologians, too, have their differences of opinion and this is especially true when they are faced with a new problem. "There are pros and cons to many of these problems, and it may take a long time before the issues are sufficiently clarified to have a ffnanimous opinion for either side or until the teaching authority of the Church inter-venes to settle the matter. Sound morality supplies this practical principle that may be fol-lowed in these legitimately debated matters: obligations (i.e., pre-cepts and prohibitions) are not to be imposed unless they are certain. This is what I mean by the principle of "liberty." For the doctor, this means that, with the consent of the patient, he and his consult-ants may follow what they sincerely judge to be the proper medical procedure as long as this procedure is not certainly wrong. I f) The principle of "totality." I have taken this woful from Pope Pius XII, who said in his address on the moral limits of medical research a~ad treatment (September 14, 1952): "By virtue of the principle of totality, by virtue of his right to use the services of his organism as a whole, the patient can allow individual parts to be destroyed or mutilated when and to the extent~necessary for the good of his being as a whole." Obviously, this is an extremely important principle in medi‚Äôcal practice. Every time a doctor, acting according to the principles of sound medicine, and with the consent of his pa-tient, removes an eye, a hand, a gall-bladder, etc., he is following this principle of totality. He removes the member, which is a part of the whole, because it has become in some way.a threat to the survival or the well-being of the whole. 212 Jul~, 1953 HOSPITAL CODE Conclusion The foregoing are. the main, if not the only, principle~ that form the core of an~] sound medico-moral code. Perhaps I have giventhem too much space: yet it seems to me that one really appreciates our hos-pital codes only when he sees these basic principles grouped together and briefly explained. It may be taken for granted that an~ doctor who conscientiously follows these principles will act, not ~nly ac-cording to sound morality, but also according to sound medicine. Earlier in this article I suggested that in the minds of many people the supreme moral principle of Catholic hospitals seems to be that mothers must die for their babies. This, as I said, is best-seller non-sense at its best, and perhaps I should have said at its worst. Implicit in this attitude is the idea that in a critical situation a Catholic mother must always prefer her baby‚Äôs life to her own. The idea is erroneous. Obviously, no mother may allow the direct taking of her life in order to save her baby, because, as Plus XlI declared, the direct destruction of any innocent life is morally wrong. And even a~ regards the risking of her life, e.g., by submitting to a dangerous operation, for thd sake of her baby, we must be very careful about making universal state-ments. We would have to consider many concrete factors before we could decide whether such a risk is obligatory or even permissible. Closely related to this erroneous notion that in our hospitals mothers must die for their babies is the idea that, since Catholic hos-pitals do not permit thereapeutic abortion (a "gentle" expression for the practice of killing babies to "save" mothers), they lose more mothers than do other hospitals. Not only is there no statistical basis for this, but what statistics we have indicate the very opposite. /~or example, two Boston doctors, Roy J. Heffernan and William "A. Lynch, recently obtained information about maternal deaths from 171 hospitals in various paris of our country. This information covers a period of eleven years, 1940-1950. In these hospitals, during this long period, there were more than ~hree million deliveries, about evenly di~iided, between hospitals that permit therapeutic abortions and hospitals that exclude this practice. The maternal death rate in the hospitals that do not allow therapeutic abortions was .87 .per thousand deli~ceries, whereas in the hospitals that do allow therapeu-tic abortion the maternal death rate was .98 per .thousand deliverles. According to these and similar statistics‚Äô, the keeping of God‚Äôs law saves not only babies but their mothers, as well. This is a too-littld-known aspect of the apostolate of Catholic hospitals. 213 .ues!: ons and AnSwers ~18m What can be done to counteract some Iong-sfandincj practlce, s en-gaged in during time of retreat by Sister-retreatants, for example, re-hearslng daily for one or two hours the Mass and hymns to be used ,for the reception ceremony embroidering and crocheting between conferences2 The Sisters who participate in these works find that it interferes with thei~ recollection. ¬Ø Some work ab.out the house, some choir practice, and other little jobs (like needlework) would not seem to interfere ,too much with retreat recollection if indulged in only for about aft hour or so a day. That would still allow the retreatants a fair amount of time for un-disturbed private reflection an~l personal duties. If, however, the re-treat schedule were already extraordinarily crowded (which is usually not the case), there might be little time left for such tasks as indi-cated in our question. In any case, it is important that retreatants h~ve a fair amount of leisure time for private reflection, for jotting down. spirittlal "lights," for additional rest, and the like. ml9m At times it is necessary to post items pertinent to religious‚Äô in various departments of an establishment in regard to keeping rooms in order, having greater care of furniture, and the like. Would it not further a bet-ter ~om nunity spirit if such directions were posted in the community room rather than on the doors of the different departments where outsiders may read them and make comments? Yes, it would be better to post items of a personal or private na-ture, whether they pertain to the community as a whole or to indi-vidual members of the community, in some place reserved to the reli-gious family .in preference to other more or less public places. Thus criticism might be lessened. It is possible, :though, that sometimes superiors ihtend such notices not merely nor primarily for religious who are in charge of or are working in a department, but especially for the outside help. Then such notices would be posted where those for whom they a~e intended would see them. In these cases, however, care should be taken that the wording of the notice does not occasion criticism of the religious. 214 QUESTIONS AND ANSWERS In a religious congregation (in which simple vows are taken) may a ~ell-glous who is subiect fo a provincial superior have a right of appeal to the superior general when the religlous wants a farad or extra permission? To begin with, religious have the right of communicating with higher superio.rs: such correspondence is sealed. Religidus could. therefore, ask for various permissions from higher superiors. Some extraordinary permissions are usually asked of higher superiors ra~ber than of the immediate superior. Ordinary permissions, however, as a general rule are to be sought from the immediate superior. If that superior refuses the permission, one should not request the same per-mission from a higher superior without informing him that the per-mission was refused by the lower superior." Good government dic-tates that procedure, as ~ell as courtesy ahd possibly the rules of the institute. Before asking for any extra permissions or "favors," religious should remember .that superiors are to help their subjects observe common life hence superior~ may not readily grant extra permission.s to a subject unless the Circumstances of the case warrant it. Likewise superiors must then be willing, and able, to grant the same permission to any other, subject in the same circuhastances. Subjects should try to lighten¬∞ the superior‚Äôs burden‚Äô of of~ce by not requesting permis-sions which superiors should not grant either because they are not consonant with religious life, or because they would violate or harm common life, or because of some other good reason. Besides being a violation of common life, "favoritism" in a community is always odious. The cause of our Venerable Founder has been in progress at Rome for thirty years. In order to help Stimulate popular devotion to our Founderu particularly among ou~ students and their parents--our Order is in the habit of prlntlng, from time to time pictures and devotional pamphlets about him. Up to now. printed matter of that type only bore the nlhll obsfaf of the ordinary of the diocese where our motherhouse is located. It was brough~t to our attention lately that we need the approbation of the Holy See ~or an~ printed material about our Fo, under who has been de-clared Venerable. Is that observation correct? Canon 1387, of the, Code of Canon Law states that what per-tains in any way to the causes of beatification and canonization of 215. QUESTIONS ~ND ~NSWERS Servants of God may not be published without the permission of the Sacred Congregation of Rites. @his restriction applies only~to causes which are pending before the Sacred. Congregation not to those which are finished (person b~s been canonized), or are pending be-fore some other body "than the Sacred‚ÄôCongregation of Rites. During the time permission must be obtained from the Sacred Congregation, no further permission of the local ordinary is necessary for publica-tion of matter approved by the Sacred Congregation. The Codex pro Postulatoribus Causarum Beatiffcationis et Can-onizationis i4th edition, 1929, page 26, nos. 21 and 22) repeats the abo~ce and includes pictures (imagines) under the provision of can-on 1387. Several author~ who comment on canon. 1387 say that it seems to refer only t6 documents and. acts connected with the prosecution of th~ cause, such as summaries and proofs proposed for furthering the cause, opinions of consultors comments of. the prornotor tidei, and the like. These authors rely on a Monitum of the Sacred Congrega-tion of Rites of February 12, 1909, which required previous‚Äô permis-sion of the Sacred Congregation for the publication of accounts,of the llfe, virtues, and "wonders" of Servants of God. Consequently it seems probable that the devotional pamphlets and pictures mentioned in our question need not be submitted to the Sacred Congregation for approval. m22-., Postulants are being sent out to the missions to hel‚Äôp with the teaching in schools*. They return to the motherhouse fop the week-ends. Are supe-riors justified in extending the postulancy for,three or four months, because the number of novices to be ‚Äôprofessed is not sufficient to fill the places of Fhe postulants? The Normae of 1901 (which have been used as a model for the constitgtions of rehgzous ,congregations) allowed a period of pos-tulancy ranging between gik--and twelve months. They permitted the superior general f~ a ~just cause to prolong the postulancy up to three additional months i~ particular cases (n. 65). A just cause was considered to exist if superiors remained uncertain about the vocation of the candidate, about his qualifications Or defects, or about his ad, justment to the life of the institute. ¬Ø The Code of Canon Law speaks of a postulancy of at least six entire months which must. be made by all women in religious insti- 216 QUESTIONS AND ANSWERS tutes with perpetual vows and by the lay brothers in the.institutes of men. It permits the major superior ,to prolong the postulancy, but not beyond another six months (canon 539). This may be done in particular cases. The purpose of the prolongation is again to allow superiors more time to size up the applicant‚Äôs vocation and more pre-cisely. his aptitude or fitnes~ for their religious institute. In the light of the above, it is rather difficult to see how superiors wbuld be justified in extending the postulancy for three or four months in the case under consideration. It might be well to add that the Apostolic Delegate has special .faculties to shorten or prolong the postulancy pre~scribed by the Code of Canon Law. Relatives of a relig ous send money to a mutual friend with the under-standing that the religious will let that friend knowwhat he wants the friend to buy for him on the occasion of his blrfhday, Christmas, Easter, and the like. Is such procedure in keeping with poverty, or would the religious be considered as having a reserved fund of money? In the final .analysis the practice outlined‚Äô in the question reduces itself to a private fund of money at the disposal of the religious, a form of peculium generally contrary t~o the poverty professed by most. religious institutes, At best, this is contrary to cohamon life and the spirit of povert, y. A religious who countenanced such a practice could very well profit from reading Father Gallen‚Äôs excellent article on "The Spirit of Poverty‚Äô" (REVIEW FOR RELIGIOUS, VIII .[1949], 35-43), not to me.ntion various other articles on common life arid the vow of poverty. As a practical solution, the religious could advise his relatives, who wish to give him a present, to send the money.to ‚Äôhim rather than to the mutual friend. It would be understood that the reli-gious will turn in the money to his superiors to be added to the com-munity funds then, when the religious needs something, the superior will provide it from the community funds. In that way both the vow and the spirit of poverty, as well as commott life, will be safe-guarded. A Sister acts as organist for the children‚Äôs choir and for the adult choir during Mass and other services. Does canon law forbid this? A similar questi6n about a Sister organist was answered in the 217 Review ?or Religious BOOK REVIEWS pages of this REVIEW, VIII (1949), 325. Attention was called to possible diocesan regulations on the matter, even though the Code of Canon Law says nothing about it. In genera~ it seems that there would riot be much objection to a Sister acting as organist for a chil-dren‚Äôs choir. In case of reai need this might also be stretched to in-clude an adult Choir of women only. But for a mixed adult choir:. "In practice,no Sister should undertake to play the organ for amixed choir of men and women without the express permission of the local ordinary and of her ownhigher superior" ibid.). / Book Reviews .~IRACLES. By Jean Hell~. Translated by Lancelot CL Sheppard. Pp. v~ -h. 288. David McKa¬• (~omp~ny, Inc., New York, 1952. $3.~0. This work is not a philosophical or tbeo16gical treatise on mir-acle. s. Rather, by a fairly detailed historical presentation of selec.ted cases, it is designed to give the reader a fairly general knowledge of, them. It is "a synthesis, or more modestly perhaps, an attempt at a synthesis" (p. 14). The whole story is built around persons, and l~eferably persons Who are not very remote from us in time. The language is not technical, but adapted to all intelligent readers. ,, The first chapter is an account of "miracles of humility": it: pre-sents the "stories of the Cur{ .of ~Ars and of Bernadette Soubi~ous Then there follows, "Fatima, or the Age of Mary." Therese Neu-mann does not measure up to the author‚Äôs standards and require-ments. But--surprisingly enough--"Catberine Emmerich, ‚ÄôNarra, tot‚Äô of .the Gospels" and her writir~gs touched up by Clement Bren-tano meet with his full approval. The apparitions at Beauraing, BelgiUm, 1932-1933, are judged t6 be "childish fiction.‚Äô" Neverthe~ less‚Äô this is one of the few among recent cases that have received epis-copal approbatton. A particularly interesting feature of th~s book is the final chapter: "imitators and Fakers of Miracles." By contrast it serves especially well to bring out the great differences that obtain be-tween, genuine supernatural signs and others that are ~fraudulent, and how the pretended marvelous can be detected and distinguished from whaTt his~ a wuthhoelnet iwc.ork emphasizes the prudent reserve and critical spirb of the Church toward whatever is proposed as surpassing the limiv 218 duly, 1953 BOOK REVIEWS of nature, and tends to,bring about in the mind of the reader a simi-lar wise attitude.---AUGUSTINE G. ELLARD. ., A LIFE OF CHRIST. By Aloys Dirksen, C.PP.S. Dryden Press, New York, 1952. Pp. 340. $3.75. This book is unique in two respects: first, it has the ‚Äô.‚Äôsplit-p~ge format." that is to say, in the upper part we find the Confraternity text of‚Äô the Gospels, and entirely separated from this section, a com-mentary on the Gospel text. One can turn the pages of the upper section without disturbing those below. Secondly, the Commentary and its Introduction are models of intelligent compression. Eight introd_uctory chapters furnish,,~i background for a better understanding of the actual commentary. These include a brief dis-cussion of the sources for a life of Christ, an outline of the geography of Palestine, a survey of the l~revious history of the Jews. the politi-cal and social conditions and prevalent religious beliefs of the period when our Lord was onearth. Such a comprehensive introduction can treat these matters only in barest outline, and if a few inaccuracies have crept in, this can readily be excused. The commentary, too, is suggestive rather thar~ exhaustive: but it is usually very much to the point. The ordinary reader will find there what he wants to know about the Gospel text he is reading. At the end of the commentary, by way of appendix, is a list of messi-anic prophecies found in the-Old Testainent. and of the Old Testa-ment quotations found in the four Gospels. Since the author uses many tec Title A name given to the resource Jesuits -- Periodicals Monasticism and religious orders -- Periodicals Kelly City of Saint Louis (Mo.), http://www.geonames.org/4407084 Subject The topic of the resource Missouri Province of the Society of Jesus Type The nature or genre of the resource English Creator An entity primarily responsible for making the resource http://cdm17321.contentdm.oclc.org/utils/getthumbnail/collection/rfr/id/221 References A related resource that is referenced, cited, or otherwise pointed to by the described resource. full:001:http://cdm17321.contentdm.oclc.org/utils/getthumbnail/collection/rfr/id/221 Relation A related resource linkto:001:http://cdm17321.contentdm.oclc.org/cdm/ref/collection/rfr/id/221 Heartland Hub Source A related resource from which the described resource is derived none