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The moral minefield of a boy's dying wish
www.dailytelegraph.news.com.au ^ | 21dec01 | LUCY CLARK

Posted on 12/21/2001 11:46:28 AM PST by LiveFree2000

The moral minefield of a boy's dying wish

21dec01
Is it right or wrong to grant a dying teenaged boy his wish to have sex? LUCY CLARK examines a modern ethical dilemma:

A 15 YEAR-OLD boy is terminally ill with cancer. He knows he doesn't have very long to live, and he has a dying wish. It is not to go to Disneyland or to meet his favourite actor, rock or sports star but it is this: he wants to make love to a woman.

But there's a problem – he's in hospital, he doesn't want to talk to his mum and dad about it, and having been sick and in and out of hospital since the age of 12, he has formed no friendships or relationships with girls from his peer group.

The boy, let's call him Jack, simply wants to experience what every testosterone-driven heterosexual teenage boy thinks about, allegedly, every 17 seconds. Sex.

So what does he do?

It sounds like a hypothetical situation, but this story is true and Jack is real. His heartbreaking story about death and desire came to light last month when the child psychologist dealing with Jack wrote a letter to the Radio National program, Life Matters, in which moral dilemmas are discussed by academics.

It's a fascinating topic for academic discussion: how does a minor and the people who care for him tread though the ethical and practical minefield to see that he gets such a wish?

And firstly, should he even be granted his wish?

While many of us might scream reflexively "Yes! Of course!", cautious ethicists may ask questions.

Is a 15 year-old, officially a child, intellectually and emotionally competent to make such a mature decision? Do the parents have a right to know? Should the woman involved be charged with the criminal offence of having sex with a minor? Should a prostitute be involved? Should the hospital staff help to organise something?

All valid questions ripe for discussion, but forget the academic debate. What happened to Jack himself?

Yesterday, the child psychologist – who wishes to remain anonymous – told The Daily Telegraph the rest of the dying boy's story.

He had become involved after a nurse tending Jack – the only person Jack took into his confidence – urged the boy to talk to him.

So Jack spoke to the child psychologist, who specifically deals with children dying of terminal diseases, and this was not the first time the psychologist had heard of such a wish from a teenage boy.

"He had been sick for quite a long period and his schooling was very disrupted, so he hadn't had many opportunities to acquire and retain friends, and his access to young women was pretty poor," said the psychologist.

"But he was very interested in young women and was experiencing that surge of testosterone that teenage boys have."

So Jack and the psychologist had a series of thorough discussions in which they went through every possible permutation of what might happen to him physically and emotionally so that he was "completely prepared" for the prospect of living out his final dream.

Jack's state of mind, he said, was sensible and mature and psychologically, totally competent. As he said: "Terminally ill kids get very wise, very quickly" and Jack had been sick for a long time.

The hospital staff who knew about Jack's wish at first wanted to help, their first reaction being "let's do a whip around and pay for a prostitute" but of course ethical and legal considerations stopped them in their tracks.

The psychologist also had canvassed members of the clergy, and found an interesting response: "It really polarised them, about half said what's your problem? And the other half said [the idea] demeans women and reduces the sexual act to being just a physical one.

"I just saw it as a legitimate request of a young man who wants to experience something that can do no harm."

The psychologist said that with Jack, he rigorously questioned what damage might be done to him as a result of fulfilling his wish, and the answer came up every time: none.

"Everyone's uncomfortable with teenage sex, period," said the psychologist. "Adolescents becoming sexual is enormously confronting, and a lot of people believe that kids shouldn't be sexual. But we are sexual from the womb to the tomb – that's my view.

"But ethics and morals aside, in children dying over a long period of time, there is often a condition we call 'skin hunger'."

This happens when a child, seriously ill and in and out of hospital and receiving medical treatment over a long period, yearns for non-clinical contact because "mostly when people touch them, it's to do something unpleasant, something that might hurt".

"So you ask," said the psychologist, "what was this young man wanting?

"Was he wanting a cuddle?"

Probably yes, but as his illness and its treatment hadn't obliterated his normal teenage urges, he also really wanted that consummate experience.

So without his parents knowing, and completely without the involvement of the hospital staff, and not – it must be stressed – on the hospital's premises, Jack "did engage in the act and it was everything he wished it to be".

"He was very, very happy and only slightly disappointed that it was over quickly."

"The act", his dying wish, was with a sex worker who was "organised by friends who thought it was the right thing to do". All precautions were taken, and the friends made sure the act was fully consensual and involved no abuse or exploitation.

As for the legal ramifications of such a case, "quite clearly the law was broken, but of the people involved, most didn't give a toss," the psychologist said.

And what of the parent's right to know about their son?

Jack simply didn't want to talk to them about it.

He loved them, but they are religious and he didn't want them to know. Anyway, what 15-year-old boy does want to talk to his parents about sex, even under normal circumstances?

There is also legal precedence for a minor of sufficient maturity and intelligence to be given confidential medical treatment but does sex with a prostitute count as treatment?

"Absolutely. It is absolutely part of therapy," said the psychologist, "Because it was what he wanted. People talk about a trip to Disneyland being therapeutic what's the difference? It was what he wanted."

So Jack got what he wanted, and last week, he finally lost his fight with the cancer.

 


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To: LiveFree2000
I can see why he asked. He was a 15 year old kid, of course he wanted to have sex.

But, understanding it and feeling sorry for him doesn't mean you should grant his request.

This is just sad for everyone involved, in every respect.

81 posted on 12/21/2001 12:25:18 PM PST by Jhoffa_
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To: allend
He should have married her, cited St. Paul and told her he had many, many needs. Usually I wouldn't give a marriage much chance of success when people get married _that_ young, but here I think the odds were good it really would be till death did them part.
82 posted on 12/21/2001 12:25:22 PM PST by ConsistentLibertarian
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To: nina0113
In fact, I know of no religion that suggests you can be damned for a single sin.

You must go to a more liberal church than I do. One mortal sin, yes just one, separates you from the grace of God, until such time as you repent, confess & are forgiven.


Bah, ok, you got me on a symantic wrinkle. Yes, one mortal sin , ceteris parabis, will damn you. I had assumed confession/forgiveness in my statement, and you got me.
83 posted on 12/21/2001 12:25:25 PM PST by WindMinstrel
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To: allend
If you recall the OT law, if two unmarried people had sex, they were required to marry.

Oh?

Cite us the verses.

You are mistaken.

84 posted on 12/21/2001 12:25:26 PM PST by backup
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To: Jefferson Adams
double bump
85 posted on 12/21/2001 12:25:55 PM PST by Christian B
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To: LiveFree2000
Those who made it possible to fulfill Jack's wish did the right thing.

If he were my son or brother or friend, I would do everything possible to fulfill his wish.

If I were his father, and I found out about this, I would go to my grave thanking those who made it possible.

86 posted on 12/21/2001 12:26:04 PM PST by Savage Beast
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Comment #87 Removed by Moderator

To: allend
That would argue against invincible ignorance in this case.

(You're giving yourself away here, but I already knew).

I was trying to be charitable. The original article just said the parents were religious - it didn't say what flavor. What's that one denomination that ordains practicing gays?

88 posted on 12/21/2001 12:27:18 PM PST by nina0113
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To: Savage Beast
Dad? Is that you?
89 posted on 12/21/2001 12:27:34 PM PST by ConsistentLibertarian
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Comment #90 Removed by Moderator

To: LiveFree2000
While many of us might scream reflexively "Yes! Of course!",

No dear, only the ultra-liberal- anything-goes types would say that.

Dear last wishes fairy, I've always wanted to know what it would be like to kill somebody...I'm going to die myself and this is my last wish so it's ok....right?

Give me a break!

91 posted on 12/21/2001 12:27:56 PM PST by ReaganGirl
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To: FormerLib
I would let Jack decide whether or not he had been satisfied therewith.
92 posted on 12/21/2001 12:28:08 PM PST by Savage Beast
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To: LuvItOrLeaveIt
I have no problem with what the kid did, and I have a great deal of respect for those who helped fulfill the kid's last wish.

And obviously no respect for the parents who ostensibly are responsible for this minor child.

93 posted on 12/21/2001 12:28:14 PM PST by malakhi
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To: Christian B
double bump

:)

94 posted on 12/21/2001 12:28:24 PM PST by Jefferson Adams
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To: angelo
OWK, I'd be interested in your opinion of this.

Sexual behavior must be consensual to be moral. Consent requires two things. A statement of affirmation, and a comprehension of that which is being consented to. I hold that children do not have the emotional or intellectual capacity necessary to comprehend the consequences of consent to sexual behavior. As such, children may not consent to sexual behavior.

In general, I've been content to recognize the standard measure (chronological age) of consent, knowing full well that it was imperfect. Not all people reach a mature enough state to transact their own rights by 18, and some reach this level of maturity earlier. It's hard to say what the right answer to this situation is without talking to the 15 year old. Even then it's a bit dicey... but staring death in the face makes you grow up pretty damned quick.

95 posted on 12/21/2001 12:28:32 PM PST by OWK
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To: LiveFree2000
I was a virgin at 20 and dying. For months I was withering away from my disease, and had gone from 145 to 92 pounds on a 5'9" frame. I was roomed with the worst cases -- the dying, the almost sure to die. I had only a very unlikely chance to live. I remember the happy nurses and the morose ones, the pretty, the voluptuous, the fat, the ugly, the loving and kind. I remember the sponge baths and massages they'd give to me the bedridden.

Thankfully no one in responsibility made me this silly offer -- even had I expressed such a wish. I don't know what I would have done as drugged up as I was for pain.

I also remember the great longing to live so that at some point I could enjoy life once again ... all of life, and the wondrous unknown to me then sex act a part of it.

It was that will -- that will to live so as to not die a virgin -- that got me through it. Through a major surgery and fortunate recovery where I went beyond critical but came back.

Sometimes it is the carrot on the stick that keeps a jackass moving, and that great desire for life kept me alive.

The Doctor knows naught what he stole from the young man, for he may have stolen the boy's thirst for life for lack of Fatherly advice, for instead slaking the very thirst that pointed in the right direction, brings down heaven to earth and makes for miracles.

96 posted on 12/21/2001 12:28:33 PM PST by bvw
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To: allend
I wanted to make sure you weren't looking for an excuse ... it would be irresponsible to encourage you if you were, don't you think?
97 posted on 12/21/2001 12:28:39 PM PST by ConsistentLibertarian
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To: allend
Except libertarians can debate about the age of reason and age of consent.

I'm interested to see what the libertarian response to this is going to be. What, its okay that he did it, but if someone took pictures, its child pornography?

98 posted on 12/21/2001 12:30:12 PM PST by malakhi
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To: LiveFree2000
Well, that explains it. I always wondered what Socialized Medicine was... now I know...
99 posted on 12/21/2001 12:30:23 PM PST by Chad Fairbanks
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To: WindMinstrel
I had assumed confession/forgiveness in my statement, and you got me.

I didn't realize you had assumed that - I figured you were thinking, it's only one (unrepented) sin, his tab's not so high. That's why the "only stepped off the building ONCE" line came out.

100 posted on 12/21/2001 12:30:25 PM PST by nina0113
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