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Realigning the Neural Paradigm for Death
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics. Science and Society Unit, Biology and Molecular Genetics Institute, Ariano Irpino, Italy. (Bioethics)ORCID iD: 0000-0002-3298-7829
2019 (English)In: Journal of Bioethical Inquiry, ISSN 1176-7529, E-ISSN 1872-4353, Vol. 16, no 2, p. 259-277Article in journal (Refereed) Published
Abstract [en]

Whole brain failure constitutes the diagnostic criterion for death determination in most clinical settings across the globe. Yet the conceptual foundation for its adoption was slow to emerge, has evoked extensive scientific debate since inception, underwent policy revision, and remains contentious in praxis even today. Complications result from the need to relate a unitary construal of the death event with an adequate account of organismal integration and that of the human organism in particular. Advances in the neuroscience of higher human faculties, such as the self, personal identity, and consciousness, and dynamical philosophy of science accounts, however, are yielding a portrait of higher order global integration shared between body and brain. Such conceptual models of integration challenge a praxis relying exclusively on a neurological criterion for death.

Place, publisher, year, edition, pages
2019. Vol. 16, no 2, p. 259-277
Keywords [en]
Somatic Integrity Thesis, Brain Death, Neurological Criterion for Death, End of Life, Human Identity, Biological Autonomy
National Category
Medical Ethics Neurology Philosophy
Research subject
Bioethics
Identifiers
URN: urn:nbn:se:uu:diva-384487DOI: 10.1007/s11673-019-09915-3ISI: 000473237300017PubMedID: 31161308OAI: oai:DiVA.org:uu-384487DiVA, id: diva2:1320775
Projects
Human Brain Project
Funder
EU, Horizon 2020, 785907Available from: 2019-06-05 Created: 2019-06-05 Last updated: 2019-09-06Bibliographically approved

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Farisco, Michele

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