When the Outside Becomes Inside

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ID: 338472
2026
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Abstract
Abstract Bioethicists have faced a disconnect between conceptions of humanity’s place in the natural world at one level and assessments of health at the individual level on the other. Bioethics have worked to build bridges between individuals and environments to emphasize the normative importance of relations and to actively undo this dichotomy. Yet, despite this important work at the intersections of individuals and their environments, deep ambiguity remains about how these intersections do, or should, inform bioethical decision-making and policy. This chapter argues that environmental bioethics turns on a central fulcrum point between individual persons as being causally affected by their environments and those persons as being fundamentally constituted by them. Causation here implies interconnections: social and biological relationships change people but not in fundamental ways. Constitution, on the other hand, implies that those same relationships shape persons fundamentally as networks of interdependent relations. Through this causation/constitution spectrum, environmental bioethics offers more to questions of health and value than a mere integration of environmental aspects into an expanded conception of health and of the healthcare systems. The chapter argues that the view from constitution moves environmental bioethics beyond an epistemic, ontological, and ethical privileging of the self in recognition of the formative role of local ecologies of relations.
Reference Key
openalex_W7225163613 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Jonathan Beever, Nicolae Morar
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Journal Oxford University Press eBooks
Year 2026
DOI
10.1093/9780197807262.003.0007
URL
https://doi.org/10.1093/9780197807262.003.0007
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