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- L. B. Cebik (1980). The Significance of Death for the Living. Theoretical Medicine and Bioethics 1 (1):67-83.Heidegger''s conception of death as an attitude toward life, overlooked in current literature on death and dying, offers potential for deepening our understanding of the care of non-critically ill patients. By breaking away from the notion of death as an event distinct from life and viewing it as an anticipated possibility at every moment of life, Heidegger provides insight into our attempts to evade death through our fundamental attitudes and value commitments, which in turn determine our behavior and actions. When combined with a method of application — the Nietzschean principle of reversal — these insights permit the understanding of diverse types of human mentality confronted with significant situations. Among the most important applications of these conceptions is to persons in need of medical care, and the resultant types, which are sampled as hypothetical cases, carry important implications for the sensitive care and psychosocial management of non-terminally ill patients.
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In this paper I address three problems posed by modern medical technology regarding comatose dying patients. The first is that physicians sometimes hide behind the tests for whole-brain death rather than make the necessary human decision. The second is that the tests themselves betray a metaphysical judgment about death that may be ontologically faulty. The third is that discretion used by physicians and patients and/or family in deciding to cease treatment when the whole-brain death criteria may not be met are sometimes open to challenge. In each of these problems I find that the operative concept of death relates to life itself. This point is expanded by examining the uses of the word death in our language and culture. From these I formulate an initial ontology of death. In it, death is described through a relationship with life, rather than as an absence of life, of consciousness, awareness, or sensation. This ontology then leads to a proposal for an ethics of discretion about the discontinuation of treatment for comatose patients.
To live life fully and die serenely--surely we all share these goals, so inextricably entwined. Yet a spiritual dimension is too often lacking in the attitudes, circumstances, and rites of death in modern society. Kapleau explores the subject of death and dying on a deeply personal level, interweaving the writings of Western religions with insights from his own Zen practice, and offers practical advice for the dying and their families.
The philosophy of our proposal are as follows: (1) Various ideas of life and death, including that of objecting to brain death as human death, should be guaranteed. We would like to maintain the idea of pluralism of human death; and (2) We should respect a child’s view of life and death. We should provide him/her with an opportunity to think and express their own ideas about life and death.
The purpose of this article is to develop a conception of death with dignity and to examine whether it
is vulnerable to the sort of criticisms that have been made of other conceptions. In this conception
“death” is taken to apply to the process of dying; “dignity” is taken to be something that attaches to
people because of their personal qualities. In particular, someone lives with dignity if they live well (in
accordance with reason, as Aristotle would see it). It follows that health care professionals cannot confer
on patients either dignity or death with dignity. They can, however, attempt to ensure that the patient
dies without indignity. Indignities are affronts to human dignity, and include such things as serious pain
and the exclusion of patients from involvement in decisions about their lives and deaths. This fairly
modest conception of death with dignity avoids the traps of being overly subjective or of viewing the
sick and helpless as “undignified”.
In this paper I use William James's understanding of significance in life to show that for certain patients euthanasia and assisted suicide can be importantly meaningful acts that family, friends, and health care professionals must acknowledge and even, at times, aid in bringing to fruition. Dying with meaning is transformative. It reshapes the lives of others that are left behind, giving to their lives new groundings by engaging them in the meaning of dying for us. For the patient, dying with meaning takes the seemingly formless void in the abyss of death and gives it a significant purpose in the last stages of life itself; it turns potential nothingness into actual significance. To the extent that we outsiders do not help the dying, we condemn terminally ill patients to a meaningless existence until they die.
LeShan L. and LeShan, E. Psychotherapy and the patient with a limited life span.--Kubler-Ross, E. On death and dying.--Kutscher, A. H. Anticipatory grief, death, and bereavement: a continuum.--Needleman, J. The moment of grief.--Lifton, R. J. On death and death symbolism: the Hiroshima disaster.--Nelson, B. The games of life and dances of death.--Sleeper, R. The resurrection of the body.--Friedman, M. Death and the dialogue with the absurd.--Wyschogrod, E. Sport, death, and the elemental.--Lamont, R. The double apprenticeship: life and the process of dying--Selected bibliography (p. 225-235).
Thinking about death -- Dualism vs. physicalism -- Arguments for the existence of the soul -- Descartes' argument -- Plato on the immortality of the soul -- Personal identity -- Choosing between the theories -- The nature of death -- Two surprising claims about death -- The badness of death -- Immortality -- The value of life -- Other aspects of death -- Living in the face of death -- Suicide -- Conclusion: an invitation.
On Living and Dying reveals that the fear of death is not rooted in physical pain or in leaving loved ones, but in the fear that some essential part of what we are will not continue. Krishnamurti explains that to comprehend death, which is so inseparably joined with life, we must come to it with a fresh understanding, free of learned attitude and preconceptions. On Living and Dying is a thematic selection from the seminars over Krishnamurti’s entire lifetime, drawing on talks from Bombay to Amsterdam and London to Seattle, progressing from the early thirties until the later seventies.
Death and Philosophy presents a wide ranging and fascinating variety of different philosophical, aesthetic and literary perspectives on death. Death raises key questions such as whether life has meaning of life in the face of death, what the meaning of "life after death" might be and whether death is part of a narrative that can be retold in different ways, and considers the various types of death, such as brain death, that challenge mind-body dualism. The essays also include explorations of Chinese, Japanese and Tibetan perspectives on death and why death in some cultures, such as in Mexico's day of the dead, is celebrated.
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