Column
Comment
Creed
6 min read

Dialling down the drama in the science and religion debate

In the first of a new series, biologist and priest Andrew Davison explores the perceived tension between science and religion, and the role identities play.

Andrew works at the intersection of theology, science and philosophy. He is Canon and Regius Professor of Divinity at Christ Church, Oxford.

Vails containing growing plants sit in a lab's fridge.
Photo by CHUTTERSNAP on Unsplash

Evolution isn’t just an idea for me; thinking about it has changed the course of my life. I arrived at university in the 1990s having been a member of a house church, full of the kindest people, but fundamentalist when it came to the Bible. I thought that the world was made in six days, six thousand years ago. When I realised that the evidence is stacked against the idea – to say theleast – it almost cost me my faith.  

I got through that crisis because friends introduced me to Christian thinkers from the Middle Ages, especially Thomas Aquinas (1224–1274). Far from representing an age of fear and ignorance (the ‘Dark Ages’), I found there an intellectual world that thrived on questions, with such philosophical sophistication that I was sure any of its chief exponents could have taken evolution in their stride. The struggle between faith and science lifted. Eventually, the sorts of questions that had previously kept me awake at night in worry, kept me awake in wonder. That was almost thirty years ago. Today, contemporary developments in evolutionary theory are one of the main strands of my work as a theologian. 

In two further articles, I will describe some of what’s so interesting, and disputed, in biology and evolution at the moment. In one, I’ll talk about the shift away from the idea that we can reduce everything down to the working of genes. That’s sometimes called an example of ‘nothing-but-ery’: here, the claim that our destiny is ultimately about ‘nothing but’ genes. In the other, I’ll talk about some of the ethical repercussions that those contemporary evolutionary developments might suggest, on such practical matters as good housing.  

In the rest of this piece, however, I will stick with the idea that it’s useful to see the idea of a tension between religion and science, not least over evolution, as being as much personal as intellectual. In particular, tensions over evolution in ‘science vs religion’ are caught up with questions of identity. Seeing oneself as a ‘religious crusader against science’ or a ‘scientific crusader against religion’ is an identity. It’s part of the story you tell about yourself, part of what you take pride in. Since these are also identities that define themselves in opposition to one another, they tend to extremes. Reconciliation involves renegotiating one’s identity.  

Nor is money insignificant. There’s money to be made in writing shrill and divisive books, but in calm and conciliatory books, not so much. Angry books create interest on social media. They find to an already energised readership. Moderate books, and authors who try to dampen the flames of animosity, don’t sell that well; neither do books that are willing to say ‘actually, these questions are more complex, or nuanced’. 

Evolution and economics  

Crucial in these questions of identity is the gulf between those seen as the ‘elite’ and those who don’t see themselves that way (a common theme in politics today). Why is a denial of evolution more common in poorer communities? It’s not only that these are people without educational advantages. It’s also that they feel on the disadvantaged side of an economic and cultural system. In that situation, people are typically all the more invested in what the system can’t take from them, such as their ethnicity, their religion, and its culture. Good on them for that. People in that situation will be all the more unwilling for others – whom they perceive as an elite, who enjoy all sorts of worldly advantages – to tell them what to think about their biological origins, bound up, as they are, with dignity, faith, and self-understanding.  

As an economically disadvantaged Muslim man once put it to me, ‘No one’s telling me that my faith’s stupid, or that I’m just some sort of monkey.’ There’s so much more going on in that statement than ‘being wrong about the science’.  

Moreover, disadvantaged people, and especially the majority who don’t have white skin, have been on the receiving end of prejudice cast in evolutionary terms. Teaching the theory of evolution – glorious though it is as a work of science – has a checkered moral history. That brings us back to monkeys. The ‘Scopes Monkey Trial’ (1925) has achieved iconic status, as the triumph of science over superstition in rural Tennessee, but it’s more complex than that. The prosecution, with its anti-evolutionary stance, was wrong to dismiss evolution as a matter of science. They weren’t wrong to be repelled by the science textbook at the heart of the case, which was uncomplicatedly racist, and indeed racist on supposedly evolutionary grounds. Evolution, it claimed, had produced lesser (black) and more advanced (white) races. As historians have also shown in recent decades, evolution was a powerful inspiration, into the early century, for advocates of cut-throat economics and politics: winner-takes-all, survival of the fittest, let the poor go to the wall.  

I’m not saying that every bit of opposition to evolution among poorer communities rests only on the ways that evolutionary theory has been used against them, but it is useful to remember that some of the religious opposition to evolution in the twentieth century came from a principled response to the unpleasant ethical, political, and economic positions to which – they were told – evolution gave support, including full-on advocacy for eugenic programmes of sterilisation of the poor, and contempt for the physically weak: all clothed in evolutionary garb. 

Drama critique 

The spectacle of a ‘science vs religion’ drama turns out to be about more than science, and also about more than theology or religious belief. It’s also about identity, advantage and disadvantage, about some deeply unpalatable economic and social positions, and even about making money out of writing books. There’s everything to be said for teaching biology well, and for arguing about the truth of evolution on scientific terms. I do a fair bit of that myself. There’s everything to be said for teaching theology well, and for arguing that it can take evolution in its stride. That’s even more my aim. But neither offers the full picture, and it’s not helpful to think that anyone who doesn’t believe in evolution is simply stupid or wicked. We won’t get very far, not even as advocates of science, unless are willing to listen. Unexpectedly, my experience is that the flagship scientific societies in the United States (where tension over evolution run so high) are better at this than they are in United Kingdom. 

Getting trapped in one end of some mutually reinforcing antagonism is hard to shake. It’s difficult to get to a nuanced position when you’re dealing with positions that are defined against each other. Whether arguments about evolution are part of your experience or not, there’s a wider message here, which we might all do well to take on board, asking ourselves whether positions of animosity can become unhelpfully baked into our sense of ourselves.  

Accepting evolution does not naturally, or inevitably, lead to brutal social Darwinism, but it’s been used that way in the past, more often than coverage of science today often lets on. We are by no means out of its shadow, even from under the shadow of eugenics. Being aware of that big, historical picture is useful, but it shouldn’t obscure the message from the beginning of this article, that these matters are fundamentally personal, and as much about how we see ourselves, and others, as they are about ideas. Reconciliation and understanding happen person by person, and person-to-person. 

You might think the work I’d most relish as a priest and scientist, or think most useful, would be reassuring religious people that evolution isn’t their enemy. That’s a good thing to do, but I’m actually even more thankful for opportunities to reassure scientists that religion can be thoughtful, unafraid, and even downright passionate about science. Turning up to dinner in my college still in my cassock after evensong, sitting next to visiting scientists, and asking intelligent, enthusiastic questions about their science can do as much good as all the lectures I give in churches or to theology students about the irreplicable value of science. 

 

Explainer
Assisted dying
Comment
9 min read

Assisted dying's language points to all our futures

Translating ‘lethal injection’ from Dutch releases the strange power of words.
A vial and syringe lie on a blue backdrop.
Markus Spiske on Unsplash.

In the coming weeks and months, MPs at Westminster will debate a draft bill which proposes a change in the law with regards to assisted dying in the UK. They will scrutinise every word of that bill. Language matters. 

Reading the coverage, with a particular interest in how such changes to the law have been operationalised in other countries, I was struck to discover that the term in Dutch for dying by means of a fatal injection of drugs is “de verlossende injectie.” This, when put through the rather clunky hands of Google translate, comes out literally as either “the redeeming injection” or “the releasing injection.” Of course, in English the term in more common parlance is “lethal injection”, which at first glance seems to carry neither of the possible Dutch meanings. But read on, and you will find out (as I did) that sometimes our words mean much more than we realise.   

Writing for Seen & Unseen readers, I explained a quirk of the brain that tricked them into thinking that the word car meant bicycle. Such is the mysterious world of neuroplasticity, but such also is the mysterious world of spoken language, where certain combinations of orally produced ‘sounds’ are designated to be ‘words’ which are assumed to be indicators of ‘meaning’. Such meanings are slippery things.  

This slipperiness has long been a preoccupation for philosophers of language. How do words come to indicate or delineate particular things? How come words can change their meanings? How is it that, if a friend tells you that they got hammered on Friday night, you instinctively know it had nothing to do with street violence or DIY? Why is it that in the eighteenth century it was a compliment to be called ‘silly’, but now it is an insult?  

Some words are so pregnant with possible meaning, they almost cease to have a meaning. What does “God” mean when you hear someone shout “Oh my God!”? Probably nothing at all, or very little. It is just a sound, surely? And yet no other sound has ever succeeded in fully replacing it. We are using the term “God”, as theologian Rowan Williams points out in his book The Edge of Words, as a “one-word folk poem” to refer to whatever we feel is out of our control.     

Both of these first two interpretations look at death, in some sense, ‘from the other side’ – evaluating the end of someone’s life in terms of speculation over what will happen next. 

This idea of an injection being verlossende seems to me to be the opposite. I find myself hearing it in four different (and not mutually exclusive) ways, each to do with taking control of this very uncertain question of dying. The first, releasing, sounds to me like an echo of the neo-platonic ideas that still infuse public consciousness about what it means to be dead. As we slimily carve our pumpkins for Halloween and the children clamour to cut eyeholes into perfectly good bedsheets, we see a demonstration of society’s latent belief that humans are made up of body and soul, and that at death the soul somehow leaves the body and floats into some unknown realm (or else remains, disembodied yet haunting). If we translate verlossende as releasing then we capture that idea – that of the soul, which longs to be at peace, trapped inside suffering, mortal flesh. 

Google’s second suggestion for verlossende was redeeming. This could be heard theologically. Christians believe in eternal life, that the death of this earthly body is only the start of something new – a life where there will be no crying or pain, and people will live forever in the glorious presence of God. In the bible, the apostle Paul encourages those who follow Christ to trust that they have been marked with a ‘seal’, meaning that they are like goods which have been purchased for a price, and that God will ‘redeem’ this purchase at the appointed time. Death, therefore, is not a fearful entering into the unknown, but a faithful entering into God’s promises.  

Both of these first two interpretations look at death, in some sense, ‘from the other side’ – evaluating the end of someone’s life in terms of speculation over what will happen next. But there is the view from this ‘side’ also. We do not need to speculate about what death means for some of those who experience acute suffering due to terminal illness, and who wish to hasten the end of their lives because of it. They too might want to speak of a releasing injection or a redeeming injection – given that both terms hint at the metaphor of life as a prison sentence. To be in prison is to have one’s rights and freedoms severely limited or entirely taken away. It is not uncommon to hear a sufferer refer to incapacitating illness as being ‘like a prison sentence’, and one can empathise with the desire to have the release date set, back within the sufferer’s control.  

This is the strange power and pregnancy of words – verlossende is able to carry all these meanings or none of them. Until I began researching this article, I had always assumed that the English term, lethal injection, simply meant an injection of some substance that is deadly. This is how the term is commonly understood, therefore, in a sense, this is its meaning. Yet, when I came to consider the possible origins of the word, I realised its likely etymology is from the Greek word lēthē, meaning ‘to forget’. In the Middle Ages, if something was lethal it caused not just death, but spiritual death, placing one beyond the prospect of everlasting life. By contrast, something could be fatal, meaning only that it brought one to one’s destiny or fate.  

With this in mind, as we try to speak clearly in the assisted dying debate, the term fatal injection might be a more precise way to describe this pathway to death that is in want of a name. After all, whether you believe in an afterlife or not, dying is everybody’s fate, and I can see that choosing to take control of one’s fate is, for anyone, an act of faith with regards to what comes next.  

  

This article was part-inspired by Theo Boer’s original article Euthanasia of young psychiatric patients cannot be carried out carefully enough, in Dutch newspaper Nederlands Dagblad.  Theo is a professor of health ethics at the Protestant Theology University, Utrecht. 

Read the original article in Dutch or an English translation below. Reproduced by permission.

 

 

Euthanasia of young psychiatric patients cannot be carried out carefully enough 

Theo Boer 

How is it possible to determine that patients who have suffered from psychiatric disorders for five or ten years and who are between the ages of 17 and 30 have ‘completed their treatment options’, wonders Theo Boer. It also conflicts with perhaps the most important task of psychiatrists: ‘offering hope.’  

The patients we are talking about now are not physically ill and therefore do not have the ‘comfort’ of an impending natural death. 

A letter was recently leaked in which leading psychiatrists ask the Public Prosecution Service to investigate the course of events surrounding euthanasia of young psychiatric patients.  

One death mentioned by name concerns seventeen-year-old Milou Verhoof, who received the redeeming injection from psychiatrist Menno Oosterhoff at the end of 2023. It will not have escaped many people's attention how much publicity the topic has received in the past year or so. Together with a colleague and a patient (who later also received euthanasia), Oosterhoff wrote the book Let me go.  

The tenor was: it is good that euthanasia is possible for this group of patients, the taboo must be removed, their suffering is often terrible, they have already had to undergo countless 'therapies' without effect - can one time be enough?  

Or would we rather have these patients end their lives in a gruesome way? And who really thinks that psychiatrists make hasty decisions when they decide to comply with a euthanasia request?  

To be clear: we are talking about something completely different than what has been called 'traditional euthanasia' for years: euthanasia for physically ill patients with a life expectancy of weeks or months. Given the excellent palliative care that has become available, such euthanasia will actually be less and less necessary in 2024.  

Panic  

No, the patients we are talking about now are panicky, anxious, confused, depressed, lonely, often unemployed, poorly housed, without prospects. But they are not physically ill and therefore do not have the 'comfort' of an impending natural death.  

I have heard several of them say: if only I were terminal, then euthanasia would not be necessary. The fact that there is now attention for this group of patients, with whom we in our hurried and solution-oriented society know so little how to deal, is a gain. At the same time, I am happy with the leaked letter. You can criticize Oosterhoff's procedural approach ('why not an ethical discussion instead of a legal one?'), the lack of collegiality, this perhaps underhanded action ('why did you go straight to the Public Prosecution Service?'). But in my opinion, the letter writers are definitely hitting the mark with this crooked stick. Firstly: how is it possible to determine that patients who have suffered from psychiatric disorders for five or ten years and who are between the ages of 17 and 30 have ‘completed their treatment options’ (a criterion from the Euthanasia Act)?  

Review Committee  

Nobody disputes that their suffering is unbearable. At the same time, I know from my time on a Regional Euthanasia Review Committee that an illness becomes unbearable when all hope is gone.  

A psychiatrist who gives euthanasia to a young adult is also undeniably sending the signal that, like his patient, he has given up all hope of improvement. That is actually risky, because even patients who have suffered for years sometimes recover and, moreover, our brains are not fully developed until we are 25. But it also conflicts with perhaps the most important task of psychiatrists: offering hope. In their training, the risk of transference-counter-transference is consistently pointed out: a patient takes his therapist with him into despair, the psychiatrist transfers those feelings to this and other patients: ‘this kind of suffering is untreatable and cannot be lived with’.  

In the recent NPO television documentary A Good Death we see an embrace between a psychiatrist and her emotional patient. In doing so, this psychiatrist offers a unique form of involvement. But does she provide sufficient resistance to the cynicism, despair and negative vision of the future that is also widespread outside psychiatry?  

Sensible decisions?  

That brings me to a second objection: is it sufficiently recognised how much a psychiatric illness can affect someone’s ability to make sensible decisions? The hallmark of many psychiatric illnesses is a deep desire to die and an inability to think about it in a relative way. As a result, many are unable to think in terms of a ‘possibly successful therapy’.  

Boudewijn Chabot 

The main character in the book Zelf heeft by Boudewijn Chabot, Netty Boomsma, responds to Chabot's suggestion that there might be a life after depression: 'Yes, but then I won't be it anymore.' She wants to go down with her depression. I know differences. The people with a death wish who remark about a possible therapy: ‘I hope it is not effective, because then I will have to go through it again.’ 

 Another hurdle 

If a second psychiatrist is consulted and, for example, suggests trying one or two more therapies, many patients see this as yet another hurdle on the road to euthanasia. They do not see it as a serious opportunity to be able to cope with life again. There are no easy answers here. Nor are pillories appropriate. But let euthanasia remain complicated here, and let us continue to look for hope. 

 

Reproduced by kind permission