Literature DB >> 27089894

The Brain Dead Patient Is Still Sentient: A Further Reply to Patrick Lee and Germain Grisez.

Nicanor Pier Giorgio Austriaco1.   

Abstract

Patrick Lee and Germain Grisez have argued that the total brain dead patient is still dead because the integrated entity that remains is not even an animal, not only because he is not sentient but also, and more importantly, because he has lost the radical capacity for sentience. In this essay, written from within and as a contribution to the Catholic philosophical tradition, I respond to Lee and Grisez's argument by proposing that the brain dead patient is still sentient because an animal with an intact but severed spinal cord can still perceive and respond to external stimuli. The brain dead patient is an unconscious sentient organism.
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Entities:  

Keywords:  bodily integration; brain death; neurological criteria; sentience

Mesh:

Year:  2016        PMID: 27089894      PMCID: PMC4889819          DOI: 10.1093/jmp/jhw008

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


  26 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

Review 2.  Spinal cord control of movement: implications for locomotor rehabilitation following spinal cord injury.

Authors:  E C Field-Fote
Journal:  Phys Ther       Date:  2000-05

3.  The metaphysics of brain death, persistent vegetative state and dementia.

Authors:  D Alan Shewmon
Journal:  Thomist       Date:  1985-01

4.  Effect of epidural stimulation of the lumbosacral spinal cord on voluntary movement, standing, and assisted stepping after motor complete paraplegia: a case study.

Authors:  Susan Harkema; Yury Gerasimenko; Jonathan Hodes; Joel Burdick; Claudia Angeli; Yangsheng Chen; Christie Ferreira; Andrea Willhite; Enrico Rejc; Robert G Grossman; V Reggie Edgerton
Journal:  Lancet       Date:  2011-05-19       Impact factor: 79.321

5.  A spike-timing mechanism for action selection.

Authors:  Catherine R von Reyn; Patrick Breads; Martin Y Peek; Grace Zhiyu Zheng; W Ryan Williamson; Alyson L Yee; Anthony Leonardo; Gwyneth M Card
Journal:  Nat Neurosci       Date:  2014-06-08       Impact factor: 24.884

6.  The meaning of brain death: a different view.

Authors:  Robert D Truog; Franklin G Miller
Journal:  JAMA Intern Med       Date:  2014-08       Impact factor: 21.873

7.  Whither brain death?

Authors:  James L Bernat
Journal:  Am J Bioeth       Date:  2014       Impact factor: 11.229

Review 8.  Orthostatic hypotension and paroxysmal hypertension in humans with high spinal cord injury.

Authors:  Christopher J Mathias
Journal:  Prog Brain Res       Date:  2006       Impact factor: 2.453

9.  In vivo direct reprogramming of reactive glial cells into functional neurons after brain injury and in an Alzheimer's disease model.

Authors:  Ziyuan Guo; Lei Zhang; Zheng Wu; Yuchen Chen; Fan Wang; Gong Chen
Journal:  Cell Stem Cell       Date:  2013-12-19       Impact factor: 24.633

Review 10.  Preclinical evidence supporting the clinical development of central pattern generator-modulating therapies for chronic spinal cord-injured patients.

Authors:  Pierre A Guertin
Journal:  Front Hum Neurosci       Date:  2014-05-30       Impact factor: 3.169

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  6 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.  Total Brain Death and the Integration of the Body Required of a Human Being.

Authors:  Patrick Lee
Journal:  J Med Philos       Date:  2016-04-20

4.  Deconstructing the Brain Disconnection-Brain Death Analogy and Clarifying the Rationale for the Neurological Criterion of Death.

Authors:  Melissa Moschella
Journal:  J Med Philos       Date:  2016-04-18

5.  Determination of Death: A Scientific Perspective on Biological Integration.

Authors:  Maureen L Condic
Journal:  J Med Philos       Date:  2016-04-13

6.  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 in total

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