Literature DB >> 27095749

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

Melissa Moschella1.   

Abstract

This article explains the problems with Alan Shewmon's critique of brain death as a valid sign of human death, beginning with a critical examination of his analogy between brain death and severe spinal cord injury. The article then goes on to assess his broader argument against the necessity of the brain for adult human organismal integration, arguing that he fails to translate correctly from biological to metaphysical claims. Finally, on the basis of a deeper metaphysical analysis, I offer a revised rationale for the validity of the neurological criterion of human death.
© 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:  Alan Shewmon; brain death; determination of death; neurological criterion of death

Mesh:

Year:  2016        PMID: 27095749      PMCID: PMC4889817          DOI: 10.1093/jmp/jhw006

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


  15 in total

1.  Brain death and personal identity.

Authors:  Michael B Green; Daniel Wikler
Journal:  Philos Public Aff       Date:  1980

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

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

3.  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

Review 4.  Is it time to abandon brain death?

Authors:  R D Truog
Journal:  Hastings Cent Rep       Date:  1997 Jan-Feb       Impact factor: 2.683

5.  Establishment of an ex vivo lung perfusion model using non-heart-beating large pigs.

Authors:  T Okamoto; F Chen; J Zhang; T Yamada; E Nakayama; H Morikawa; T Bando; H Date
Journal:  Transplant Proc       Date:  2010-06       Impact factor: 1.066

6.  On the definition and criterion of death.

Authors:  J L Bernat; C M Culver; B Gert
Journal:  Ann Intern Med       Date:  1981-03       Impact factor: 25.391

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

Authors:  Nicanor Pier Giorgio Austriaco
Journal:  J Med Philos       Date:  2016-04-17

8.  The incoherence of determining death by neurological criteria: a commentary on "Controversies in the determination of death", a White Paper by the President's Council on Bioethics.

Authors:  Franklin G Miller; Robert D Truog
Journal:  Kennedy Inst Ethics J       Date:  2009-06

9.  Chronic "brain death": meta-analysis and conceptual consequences.

Authors:  D A Shewmon
Journal:  Neurology       Date:  1998-12       Impact factor: 9.910

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

Authors:  Maureen L Condic
Journal:  J Med Philos       Date:  2016-04-13
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  15 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.  Reply: Conscientious objection to deceased organ donation by healthcare professionals.

Authors:  Michal Pruski; Toni C Saad
Journal:  J Intensive Care Soc       Date:  2018-06-21

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

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

4.  The human organism is not a conductorless orchestra: a defense of brain death as true biological death.

Authors:  Melissa Moschella
Journal:  Theor Med Bioeth       Date:  2019-10

5.  Why psychological accounts of personal identity can accept a brain death criterion and biological definition of death.

Authors:  David B Hershenov
Journal:  Theor Med Bioeth       Date:  2019-10

6.  Whole-brain death and integration: realigning the ontological concept with clinical diagnostic tests.

Authors:  Daniel P Sulmasy
Journal:  Theor Med Bioeth       Date:  2019-10

7.  Refinements in the Organism as a Whole Rationale for Brain Death.

Authors:  James L Bernat
Journal:  Linacre Q       Date:  2019-09-10

8.  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

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

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

10.  Brain Death and the Formation of Moral Conscience.

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