2018 | 55 | 68-90
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In Defense of Brain Death: Replies to Don Marquis, Michael Nair-Collins, Doyen Nguyen, and Laura Specker Sullivan

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In this paper, I defend brain death as a criterion for determining death against objections raised by Don Marquis, Michael Nair-Collins, Doyen Nguyen, and Laura Specker Sullivan. I argue that any definition of death for beings like us relies on some sortal concept by which we are individuated and identified and that the choice of that concept in a practical context is not determined by strictly biological considerations but involves metaphysical, moral, social, and cultural considerations. This view supports acceptance of a more pluralistic legal definition of death as well as acceptance of brain death as death.
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  • Kutztown University of Pennsylvania
  • Baker L. (2000), Persons and Bodies, Cambridge University Press, Cambridge (UK).
  • Bernat J. (2006), “Are Organ Donors after Cardiac Death Really Dead?” Journal of Clinical Ethics 17 (2): 122–132.
  • Bernat J. (2007), “How Do Physicians Prove Irreversibility in the Determination of Death?” [in:] The signs of death, M. Sanchez Sorondo (ed), Proceedings of the Working Group September 11–12, 2006 (Scripta Varia 110), Vatican City, Pontificia Academia Scientiarum.
  • Bernat J. (2010), “How the Distinction between ‘Irreversible’ and ‘Permanent’ Illuminates Circulatory–Respiratory Death Determination,” Journal of Medicine and Philosophy 35 (3): 242–255.
  • Bernat J. (2010), “Point: Are Donors After Circulatory Death Really Dead, and Does It Matter? Yes and Yes,” Chest 138 (1): 13–16.
  • Bernat J. (2010), “Rebuttal,” Chest 138 (1): 18–19.
  • Bernat J., Capron A., Bleck T., Blosser S., Bratton S., Childress J., DeVita M., Fulda G., Gries C., Mathur M., Nakagawa T., Rushton C., Shemie S., White D. (2010), “The Circulatory–Respiratory Determination of Death in Organ Donation,” Critical Care Medicine 38 (3): 963–970.
  • Cole D. (1992), “The Reversibility of Death,” Journal of Medical Ethics 18 (1): 26–30.
  • Condic M.L. (2016), “Determination of Death: A Scientific Perspective on Biological Integration,” Journal of Medicine and Philosophy 41 (3): 257–278.
  • Cruzan, Nancy Beth, by her Parents and Co-Guardians, Lester L. Cruzan et ux. v. Director, Missouri Department of Health et al., 497 US 26, 1990.
  • Brennan S., Delgado R. (1981), “Death: Multiple Standards or a Single Standard?” Southern California Law Review 54: 1323–1355.
  • Dworkin R.B. (1973), “Death in Context,” Indiana Law Journal 48: 623–639.
  • Fost N. (1999), “The Unimportance of Death,” [in:] The Definition of Death. Contemporary Controversies, S. Youngner, R. Arnold, R. Schapiro (eds), The Johns Hopkins University Press, Baltimore (MD).
  • Gert B., Culver C.M., Clouser K.D. (2006), Bioethics: A Systematic Approach, Oxford University Press, Oxford.
  • Gervais K. (1986), Redefining Death, Yale University Press, New Haven.
  • Green M., Wikler D. (1980), “Brain Death and Personal Identity,” Philosophy and Public Affairs 9 (2): 105–133.
  • Lamb D. (1992), “Reversibility and Death: A Reply to David J. Cole,” Journal of Medical Ethics 18 (1): 31–33.
  • Lock M. (2002), Twice Dead: Organ Transplants and the Reinvention of Death, University of California Press, Berkeley.
  • Lizza J.P. (2005), “Potentiality, Irreversibility, and Death,” The Journal of Medicine and Philosophy 30 (1): 45–64.
  • Lizza J.P. (2006), Persons, Humanity, and the Definition of Death, The Johns Hopkins University Press, Baltimore (MD).
  • Lizza J.P. (2007), “Potentiality and Human Embryos,” Bioethics 21 (7): 379–385. Reprinted (2012) [in:] Arguing About Bioethics, S. Holland (ed), Routledge, New York (NY).
  • Lizza J.P. (2011), “Where’s Waldo? The ‘Decapitation Gambit’ and the Definition of Death,” Journal of Medical Ethics 37 (12): 743–746.
  • Lizza J.P. (2014), “On the Ethical Relevance of Active versus Passive Potentiality,” [in:] Potentiality: Metaphysical and Bioethical Dimensions, J.P. Lizza (ed), The Johns Hopkins University Press, Baltimore (MD): 250–269.
  • Marquis D. (2010), “Are DCD Donors Dead?” Hastings Center Report 40 (3): 24–31.
  • Marquis D. (2018), “Death is Biological Phenomenon,” Diametros 55: 20–26.
  • Miller F., Truog R. (2008), “Rethinking the Ethics of Vital Organ Donation,” Hastings Center Report 38 (6): 38–46.
  • Nair-Collins M. (2018), “A Biological Theory of Death: Characterization, Justification, and Implications,” Diametros 55: 27–43.
  • Nguyen D. (2018), “A Holistic Understanding of Death: Ontological and Medical Considerations,” Diametros 55: 44–62.
  • President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1981), Defining Death: A Report on the Medical, Legal and Ethical Issues in the Determination of Death, U.S. Government Printing Office, Washington (DC).
  • President’s Council on Bioethics (2008), Controversies in the Determination of Death: A White Paper by the President’s Council on Bioethics, U.S. Department of Health and Human Services, Washington (DC).
  • Schechtman M. (2014), Staying Alive: Personal Identity, Practical concerns, and the Unity of a Life, Oxford University Press, Oxford.
  • Shewmon D.A. (2004), “The Dead Donor Rule: Lessons from Linguistics,” Kennedy Institute of Ethics Journal 14 (3): 277–300.
  • Shewmon D.A. (2010), “Constructing the Death Elephant: A Synthetic Paradigm Shift for the Definition, Criteria, and Tests for Death,” Journal of Medicine and Philosophy 35 (3): 256–298.
  • Shewmon D.A. (2012), “You Only Die Once: Why Brain Death is not the Death of a Human Being; A Reply to Nicholas Tonti-Filippini,” Communio 39: 422–494.
  • Specker Sullivan L. (2018), “What Does a Definition of Death Do?” Diametros 55: 63–67.
  • Taylor P.W. (1981), “The Ethics of Respect for Nature,” Environmental Ethics 3 (3): 197–218.
  • Tomlinson T. (2014), “The Irreversibility of Death: Metaphysical, Physiological, Medical or Ethical?” [in:] Potentiality: Metaphysical and Bioethical Dimensions, J.P. Lizza (ed), Johns Hopkins University Press, Baltimore (MD): 237–249.
  • Veatch R.M. (1993), “The Impending Collapse of the Whole-Brain Definition of Death,” Hastings Center Report 23 (4): 18–24.
  • Veatch R.M. (1999), “The Conscience Clause: How Much Individual Choice in Defining Death Can Our Society Tolerate?” [in:] The Definition of Death, S. Youngner, R. Arnold, R. Schapiro (eds), The Johns Hopkins University Press, Baltimore (MD).
  • Veatch R.M. (2015), “Killing by Organ Procurement: Brain–Based Death and Legal Fictions,” Journal of Medicine and Philosophy 40 (3): 289–311.
  • Warren M. (1973), “On the Moral and Legal Status of Abortion,” The Monist 57 (1): 43–61.
  • White R.J., Wolin L.R., Masopust L., Taslitz N., Verdura J. (1971), “Cephalic Exchange Transplantation in the Monkey,” Surgery 70 (1): 135–139.
  • Wiggins D. (1980), Sameness and Substance, Harvard University Press, Cambridge (MA).
  • Wiggins D. (2001), Sameness and Substance Renewed, Cambridge University Press, Cambridge (UK).
  • Wiggins D. (2016), Continuants. Their Activity, Their Being, and Their Identity, Oxford University Press, Oxford.
Special Topic – Defining Death: Beyond Biology
Temat specjalny – Definiując śmierć: poza biologią
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