Literature DB >> 27075192

Are Brain Dead Individuals Dead? Grounds for Reasonable Doubt.

E Christian Brugger1.   

Abstract

According to the biological definition of death, a human body that has not lost the capacity to holistically organize itself is the body of a living human individual. Reasonable doubt against the conclusion that it has lost the capacity exists when the body appears to express it and no evidence to the contrary is sufficient to rule out reasonable doubt against the conclusion that the apparent expression is a true expression (i.e., when the conclusion that what appears to be holistic organization is in fact holistic organization remains a reasonable explanatory hypothesis in light of the best evidence to the contrary). This essay argues that the evidence and arguments against the conclusion that the signs of complex bodily integration exhibited in ventilated brain dead bodies are true expressions of somatic integration are unpersuasive; that is, they are not adequate to exclude reasonable doubt against the conclusion that BD bodies are dead. Since we should not treat as corpses what for all we know might be living human beings, it follows that we have an obligation to treat BD individuals as if they were living human beings.
© The Author 2016. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  brain death; death; organ donation; organism; somatic integration; unity

Mesh:

Year:  2016        PMID: 27075192      PMCID: PMC4889814          DOI: 10.1093/jmp/jhw003

Source DB:  PubMed          Journal:  J Med Philos        ISSN: 0360-5310


  34 in total

Review 1.  Spinal shock and brain death': somatic pathophysiological equivalence and implications for the integrative-unity rationale.

Authors:  D A Shewmon
Journal:  Spinal Cord       Date:  1999-05       Impact factor: 2.772

2.  Philosophical debates about the definition of death: who cares?

Authors:  S J Youngner; R M Arnold
Journal:  J Med Philos       Date:  2001-10

3.  Defining death: which way?

Authors:  Alexander M Capron; Joanne Lynn; James L Bernat; Charles M Culver; Bernard Gert
Journal:  Hastings Cent Rep       Date:  1982-04       Impact factor: 2.683

4.  Brain death and slippery slopes.

Authors:  R M Veatch
Journal:  J Clin Ethics       Date:  1992

Review 5.  The "critical organ" for the organism as a whole: lessons from the lowly spinal cord.

Authors:  D Alan Shewmont
Journal:  Adv Exp Med Biol       Date:  2004       Impact factor: 2.622

6.  A matter of respect: a defense of the dead donor rule and of a "whole-brain" criterion for determination of death.

Authors:  George Khushf
Journal:  J Med Philos       Date:  2010-05-13

7.  The dead-donor rule and the future of organ donation.

Authors:  Robert D Truog; Franklin G Miller; Scott D Halpern
Journal:  N Engl J Med       Date:  2013-10-03       Impact factor: 91.245

8.  A defense of the whole-brain concept of death.

Authors:  J L Bernat
Journal:  Hastings Cent Rep       Date:  1998 Mar-Apr       Impact factor: 2.683

9.  Stature and pubertal stage assessment in American boys: the 1988-1994 Third National Health and Nutrition Examination Survey.

Authors:  Adam M Karpati; Carol H Rubin; Stephanie M Kieszak; Michele Marcus; Richard P Troiano
Journal:  J Adolesc Health       Date:  2002-03       Impact factor: 5.012

10.  Religious and secular death: a parting of the ways.

Authors:  Nicholas Tonti-Filippini
Journal:  Bioethics       Date:  2011-03-25       Impact factor: 1.898

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  7 in total

1.  Brain Death and Human Organismal Integration: A Symposium on the Definition of Death.

Authors:  Melissa Moschella
Journal:  J Med Philos       Date:  2016-04-23

2.  Symposium on the Definition of Death: Summary Statement.

Authors:  Melissa Moschella; Maureen L Condic
Journal:  J Med Philos       Date:  2016-04-21

3.  Evolution of the Criteria of "Brain Death": A Critical Analysis Based on Scientific Realism and Christian Anthropology.

Authors:  Doyen Nguyen
Journal:  Linacre Q       Date:  2019-09-09

4.  Brain Death and the Formation of Moral Conscience.

Authors:  Christopher Ostertag; Kyle Karches
Journal:  Linacre Q       Date:  2019-09-09

5.  Humility before New Scientific Evidence: We No Longer Have Moral Certainty that "Brain Death" Is True Death.

Authors:  Irene Alexander
Journal:  Linacre Q       Date:  2019-09-20

6.  When are you dead enough to be a donor? Can any feasible protocol for the determination of death on circulatory criteria respect the dead donor rule?

Authors:  Govert den Hartogh
Journal:  Theor Med Bioeth       Date:  2019-08

7.  Brain Death and the Dutch Organ Donation Law.

Authors:  Douwe J Steensma
Journal:  Linacre Q       Date:  2020-01-06
  7 in total

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