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  1. Whole-brain death and integration: realigning the ontological concept with clinical diagnostic tests.Daniel P. Sulmasy - 2019 - Theoretical Medicine and Bioethics 40 (5):455-481.
    For decades, physicians, philosophers, theologians, lawyers, and the public considered brain death a settled issue. However, a series of recent cases in which individuals were declared brain dead yet physiologically maintained for prolonged periods of time has challenged the status quo. This signals a need for deeper reflection and reexamination of the underlying philosophical, scientific, and clinical issues at stake in defining death. In this paper, I consider four levels of philosophical inquiry regarding death: the ontological basis, actual states of (...)
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  • How the Body Became Integrated: Cybernetics in the History of the Brain Death Debate.Paul Scherz - 2022 - Journal of Medicine and Philosophy 47 (3):387-406.
    Although the term integration is central to the definition of brain death, there is little agreement on what it means. Through a genealogical analysis, this essay argues that there have been two primary ways of understanding integration in regard to organismal wholeness. One stems from neuroscience, focusing on the role of the brain in responding to external stimuli, which was taken up in phenomenological accounts of life. A second, arising out of cybernetics, focuses on the brain’s role in homeostasis. Recent (...)
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  • Eugène Bouchut’s (1818–1891) Early Anticipation of the Concept of Brain Death.Toni Saad - 2022 - Journal of Medicine and Philosophy 47 (3):407-423.
    The conventional historical account of the concept of brain death credits developments and discoveries of the twentieth century with its inception, emphasizing the role of technological developments and professional conferences, notably the 1968 Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. This essay argues that the French physician Eugène Bouchut anticipated the concept of brain death as early as 1846. Correspondence with Bouchut’s understanding of brain death and one important contemporary concept of brain (...)
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  • How (not) to think of the ‘dead-donor’ rule.Adam Omelianchuk - 2018 - Theoretical Medicine and Bioethics 39 (1):1-25.
    Although much has been written on the dead-donor rule in the last twenty-five years, scant attention has been paid to how it should be formulated, what its rationale is, and why it was accepted. The DDR can be formulated in terms of either a Don’t Kill rule or a Death Requirement, the former being historically rooted in absolutist ethics and the latter in a prudential policy aimed at securing trust in the transplant enterprise. I contend that the moral core of (...)
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  • Brain Death as the End of a Human Organism as a Self-moving Whole.Adam Omelianchuk - 2021 - Journal of Medicine and Philosophy 46 (5):530-560.
    The biophilosophic justification for the idea that “brain death” is death needs to support two claims: that what dies in human death is a human organism, not merely a psychological entity distinct from it; that total brain failure signifies the end of the human organism as a whole. Defenders of brain death typically assume without argument that the first claim is true and argue for the second by defending the “integrative unity” rationale. Yet the integrative unity rationale has fallen on (...)
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  • How many ways can you die? Multiple biological deaths as a consequence of the multiple concepts of an organism.Piotr Grzegorz Nowak & Adrian Stencel - 2022 - Theoretical Medicine and Bioethics 43 (2):127-154.
    According to the mainstream position in the bioethical definition of death debate, death is to be equated with the cessation of an organism. Given such a perspective, some bioethicists uphold the position that brain-dead patients are dead, while others claim that they are alive. Regardless of the specific opinion on the status of brain-dead patients, the mere bioethical concept of death, according to many bioethicists, has the merit of being unanimous and univocal, as well as grounded in biology. In the (...)
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  • Do the ‘brain dead’ merely appear to be alive?Michael Nair-Collins & Franklin G. Miller - 2017 - Journal of Medical Ethics 43 (11):747-753.
    The established view regarding ‘brain death’ in medicine and medical ethics is that patients determined to be dead by neurological criteria are dead in terms of a biological conception of death, not a philosophical conception of personhood, a social construction or a legal fiction. Although such individuals show apparent signs of being alive, in reality they are dead, though this reality is masked by the intervention of medical technology. In this article, we argue that an appeal to the distinction between (...)
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  • The human organism is not a conductorless orchestra: a defense of brain death as true biological death.Melissa Moschella - 2019 - Theoretical Medicine and Bioethics 40 (5):437-453.
    In this paper, I argue that brain death is death because, despite the appearance of genuine integration, the brain-dead body does not in fact possess the unity that is proper to a human organism. A brain-dead body is not a single entity, but a multitude of organs and tissues functioning in a coordinated manner with the help of artificial life support. In order to support this claim, I first lay out Hoffmann and Rosenkrantz’s ontological account of the requirements for organismal (...)
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  • Complexity of defining death: organismal death does not mean the cessation of all biological life.Melissa Moschella - 2017 - Journal of Medical Ethics 43 (11):754-755.
    Michael Nair-Collins and Franklin Miller are right to emphasise that, in order to deliberate responsibly about ethical and legal questions related to brain death and organ donation, it is crucial to answer the question of whether or not ‘brain death’i does indeed mark the biological death of the organism. Nonetheless, I disagree with the authors’ conclusion that brain death does not indicate the death of the human organism. Death can never be defined in merely biological terms, because any biological conception (...)
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  • Brain Death and Organ Donation: A Crisis of Public Trust.Melissa Moschella - 2018 - Christian Bioethics 24 (2):133-150.
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  • Why psychological accounts of personal identity can accept a brain death criterion and biological definition of death.David B. Hershenov - 2019 - Theoretical Medicine and Bioethics 40 (5):403-418.
    Psychological accounts of personal identity claim that the human person is not identical to the human animal. Advocates of such accounts maintain that the definition and criterion of death for a human person should differ from the definition and criterion of death for a human animal. My contention is instead that psychological accounts of personal identity should have human persons dying deaths that are defined biologically, just like the deaths of human animals. Moreover, if brain death is the correct criterion (...)
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