Flowers for Algernon
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Should Charlie have "stayed the way that God made him?"
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If they can find peace while still living with great disability, than I admire that strength. I would also admire people who are brave to risk dangerous operations and risking a much worse fate than they already have.
Where do you draw the line? And how far do you push it? It’s all subjective and a grey area where that line is.
I guess it only really matters if it’s a life or death situation or cases dealing with cruelty. Do you respect their beliefs or go with yours? Is the person you’re going to save be grateful for interfering with their beliefs? We have to ask ourselves, would taking this next step truly make us happier?
What happened to Charlie was both a blessing and a curse. I can see why he would have been happier if he was left alone. I can also see why he wanted more too.
I think Charlie was too old to have the injection (I think it was an injection, it's been a while since I read this book). He should have been left alone, the transition was too hard, too cruel. A kid though, if the medicine was working perfectly, would be able to adapt far more easily, a kid wouldn’t have enough memories or experiences to break them.

AH, if only that WERE true. We humans continually infringe on the freedoms and beliefs of others based on what the majority, (or the most vocal minority, or simply those in power) believe.
A few examples... the Inquisition, Prohibition, abortion law, anti-miscegenation laws... I could go on.
As to the tenor of my initial post... ( Your whole post just seems really angry.) Other than the word worry, I don't see anything emotional in the post at all, just questions. Perhaps if there's any perceived anger in this discussion, you tracked it in with you?
I just think that this book is a good opportunity to discuss medical ethics and how they relate to beliefs. I'm certain that there might be something of value that can be said about physician assisted termination in relation to this as well. However I might be over sensitized to these types of discussions at the moment. I recently finished reading Frankenstein Now there's a case of hubris & blaming one's creator run amok.

And there can be no satisfactory answer to _that_ question.
As for medical ethics, gender reassignment surgery springs most prominently to mind, which didn't even necessitate some fancy religion for people to believe that what they were/are doing is "right".
Bottom line is that without having the participants consent, your actions will always be at very least ethically questionable.

Brits today are talking about a controversial new 3 party IVF procedure that will allow women with generally fatal "mitochondrial diseases" to have children. The procedure involves transplanting the couple's fertilized egg into a healthy unfertilized third party egg that has healthy DNA. The resulting baby should not only be free of the disease but unlikely to pass it on to their kids.
http://www.bbc.co.uk/news/health-2309...
Medical ethicists are up in arms over this as "one step further" along that slippery slope to designer babies and genetic engineering.
What do you all think?
Perhaps this discussion would be more appropriate linked to the book My Sister's Keeper as the main character in that tale was conceived so as to be available to save her older sister's life.


The thing, is I don't necessarily disagree with the fear that society will possibly start to pressure women into producing "perfect" babies - cosmetic surgery shows that if there's money to be made any and all ethics will eventually get abandoned - but the problem is one of societies mindset.
This will only become a slippery slope if the collective we turn it into one.

A number of procedures, like repairs of cleft palates or of congenital heart defects, are performed on patients who cannot consent. Any person who is arguing against these treatments on religious grounds -- "it's violating God's will" -- has an argument that is simultaneously invincible and immoral ("yep, let the kid die; it's Gods's will"). Charlie, being intellectually disabled, could consent, but he could not make an informed consent. In this regard, one could argue that his treatment was unethical, but to do so consistently,you would also have to argue that essentially all medical treatment of children and adolescents was unethical. While ID is not equivalent to being a child or an adolescent, it is, at least commonly, considered as preventing a person from being considered a fully-functioning adult.
So, we've got three groups of people from which informed consent is not required for medical treatment: infants, children, and adolescents. There is a fourth, the elderly, upon whom it is quite common to impose extremely expensive and painful treatment without their consent (one example: CPR is part of the procedure when a code is called in a hospital; this will frequently break an 80-year old's ribs). So, we have four groups the members of which are routinely subject to medical treatment without their consent. Based on this, it is logically inconsistent to exclude Charlie from medical treatment because he cannot provide consent.
Another factor is, of course, is that this is an experimental protocol, which would mean that Charlie is an experimental subject. Again, it is inconsistent to place Charlie in a different category than the many infants, children, and adolescents who are subject to experimental medical procedures.

A number of procedures, like repairs of cleft palates or of congenital heart defects, are performed on patients who cannot consent. Any person who is argui..."
Swampyankee wrote: "I'm going to sneak up on this argument.
A number of procedures, like repairs of cleft palates or of congenital heart defects, are performed on patients who cannot consent. Any person who is argui..."
Stephen wrote: "That comment has come up in other threads about this book. I am worried about the "stay the way that God made him" advocates. Just where does one draw the line?
Does that philosophy apply to repa..."
Omfg, of COURSE this would have been completely unethical for scientists to perform in real life! And one would never blame Charlie, because the way he was at birth made him incapable of providing informed consent.
That said, this is one of my favorite stories for making people think about medical ethics.

Luckily, I'm not a medical ethicist, and even more luckily, I'm not a parent who has ever had a need to decide whether one of my children needed an experimental medical treatment. I've not read Flowers For Algernon for a long time (as an aside, I thought the movie Charlie was good).
As an aside, I'm very unsure whether Charlie's treatment was ethical; if it is so judged, that judgement is, in my opinion, inconsistent with similar judgements made in regard to many real-life treatments given to infants, children, adolescents, and the elderly.

Luckily, I'm not a medical ethicist, and even more luckily, I'm not a parent who has ever had a need to decide whether one of my children needed an experimental medical treatment. I've not read Flowers For Algernon for a long time (as an aside, I thought the movie Charlie was good).
As an aside, I'm very unsure whether Charlie's treatment was ethical; if it is judged as unethical, that judgement is, in my opinion, inconsistent with similar judgements made in regard to many real-life treatments given to infants, children, adolescents, and the elderly.


However, I am not a believer of organized religion, but I do have faith.

Indeed!

I too agree in terms of his emotional intelligence being overlooked as a positive and immeasurable effect. Nice point.

thanks


It seems that following the surgery, Charlie was starting to develop, albeit slowly and tentatively, the emotional skills that most normal, well-adjusted adults take for granted. Once Charlie regressed, the most important question may be: was Charlie better or worse off than he was before the operation?>

I think that perhaps " a moment in the sunlight" for Charlie was the pinnacle of a life held back. If someone offered you a miracle cure but said that you would be dead in a year maybe you would take it as you would live your life to the full.



Posts 21 and 22 seem to think differently. Personally, I think that any discussion centered on a book is worthwhile if the participants are honest and trying to exchange meaningful, thoughtful ideas.
One of my biggest problems with GoodReads is the sheer volume of inane chatter that makes its way into the discussion threads.
I'm a man of strong opinions and actually like it when others make an argument that I'd not fully considered before... and if they actually manage to change my viewpoint (or widen it a bit) that's all to the good.
In America where religious intolerance is on the rise (ironically since 9/11 when the country was attacked by an incredibly intolerant group) I think that discussions about what role one's belief's should have on society are germane and worthwhile.

My point is that the question of fixing Charlie's handicap has already left the topic of 'how god made him' behind. For example, Charlie lives in a house. Since God made man, if he made them at all, living in a pre technological state, staying as "god made him" would first require Charlie to move out into the wilderness and stop wearing clothes. Next he would have to avoid ever showering or getting a haircut, and of course all of medicine is out. To stay as "God made him", his parents would have had to avoid teaching him how to use language or tools.
"How God made Charlie" is just a totally wrong question to ask about this book.






Charley's experience is an epicurean tragedy. His pursuit of what he thinks will make him happy leads him to sacrifice his true happiness. We sympathize with his loss and curse the doctors whom we see as to blame.
But is happiness really the best way to measure the value of these events? Was Charley a sad puppet of misled medicos or a failed ubermensch?



If you think about it most of the decisions we make are made without fully understanding all of the consequences. We assume that our ability to make those decisions is still valid, because we have enough control over our faculties to be responsible for our actions. Hence agency.

How are you defining "informed consent"?


As for the informed consent, two things: it is much different then than it is today. Today Charlie would have a guardian to protect him and still give informed consent for him. Back then doctors were GOD and could do much more then now with human experimentation. If Charlie did not like what happened to him, he could have sued after the fact and he didn't.
You can ask the very same question with the Awakenings. Nobody complained when they woke and they couldn't give consent either.
Good question, tough answers.

Once you have that principle, though, the devil comes in how you define "normal". There has been some backlash, for example, in the Deaf and autistic communities against defining their traits as something that needs to be cured.
In Flowers for Algernon, Charlie was able to function on a reasonable level but really wasn't able to understand his life before he had the treatment. He was also dependent on his friend at the bakery to keep him employed, and really was not capable of living independently. So in my opinion his sister was correct to allow the scientists to try to help him.
In real life people like Charlie have already been cured. He had PKU and it is now known that typical cognitive functioning can be maintained by placing affected infants on a special diet from birth and for the rest of their lives. That is why every infant born in America is tested for PKU. I have not heard of PKU patients or their parents rebelling against their diets so that the person would become cognitively impaired "as God intended." Most people would find that absurd.
So, implicitly, I think this questions has already been answered.

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Does that philosophy apply to repairing cleft palates as well?
How about circumcision?
How about cutting one's beard?
How about going to a doctor when one's appendix bursts?
There ARE religious sects that advocate and others that condemn or disapprove and many of these. Where does one draw the line?