The death of whole-brain death: The plague of the disaggregators, somaticists, and mentalists
Journal of Medicine and Philosophy 30 (4):353 – 378 (2005)
| Abstract | In its October 2001 issue, this journal published a series of articles questioning the Whole-Brain-based definition of death. Much of the concern focused on whether somatic integration - a commonly understood basis for the whole-brain death view - can survive the brain's death. The present article accepts that there are insurmountable problems with whole-brain death views, but challenges the assumption that loss of somatic integration is the proper basis for pronouncing death. It examines three major themes. First, it accepts the claim of the "disaggregators" that some behaviors traditionally associated with death can be unbundled, but argues that other behaviors (including organ procurement) must continue to be associated. Second, it rejects the claims of the "somaticists," that the integration of the body is critical, arguing instead for equating death with the irreversible loss of "embodied consciousness," that is, the loss of integration of bodily and mental function. Third, it defends higher-brain views against the charge that they are necessarily "mentalist," that is, that they equate death with losing some mental function such as consciousness or personhood. It argues, instead, for the integration of bodily and mental function as the critical feature of human life and that its irreversible loss constitutes death. | |||||||||
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Albert Garth Thomas (2012). Continuing the Definition of Death Debate: The Report of the President's Council on Bioethics on Controversies in the Determination of Death. Bioethics 26 (2):101-107.
D. Alan Shewmon (2001). The Brain and Somatic Integration: Insights Into the Standard Biological Rationale for Equating Brain Death with Death. Journal of Medicine and Philosophy 26 (5):457 – 478.
Winston Chiong (2005). Brain Death Without Definitions. Hastings Center Report 35 (6):20-30.
Michael Potts (2001). A Requiem for Whole Brain Death: A Response to D. Alan Shewmons the Brain and Somatic Integration. Journal of Medicine and Philosophy 26 (5):479 – 491.
Tom Tomlinson (1984). The Conservative Use of the Brain-Death Criterion – a Critique. Journal of Medicine and Philosophy 9 (4):377-394.
Nicholas Tonti-Filippini (2011). Religious and Secular Death: A Parting of the Ways. Bioethics 26 (8):410-421.
Ari Joffe (2010). Are Recent Defences of the Brain Death Concept Adequate? Bioethics 24 (2):47-53.
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