ScepticThomas.com
©

Compendium of Horror, Fear, and the Grotesque

web page statistics
 

Death-Pros and Cons of Social Death and Biological Death

Determining the absolute moment of death is a complex issue, far more complex than any math equation. Questions about brain death and how it relates to social needs and desires is becoming a popular topic among scientists and philosophers. The following is an abstract by Dr. James J. Hughes from a paper he presented in Havana, Cuba, in 1995. His paper was prepared for the Second International Symposium on Brain Death and is titled: "Brain Death and Technological Change: Personal Identity, Neural Prostheses and Uploading." Here is the Abstract:

The death at issue in the brain death debate is not an empiric reality, but a social category, "social death." It is a question of which bodies we are comfortable using and disposing of in certain ways, and not comfortable giving medicine or food as if they were "alive." Until recently both mind and body stopped functioning at the same time, and this "death" and "social death" were generally seen as one phenomenon. There were important exceptions, however, in many cultures where particular diseases and disabilities earned a social death definition before the physical death had occurred.
In the modern world, whole brain definitions of death arose as a result of the technological deconstruction of death as a unitary phenomenon. The whole brain definition was at the outset a compromise between those who prefer a neocortical definition, and those who prefer the whole body definition. This paper argues that the whole brain definition of death is an unwieldy, historical compromise which will unravel as 21st century technologies permit the repair, replacement and manipulation of body, and especially brain, tissue. These technologies will present anomalies to the whole brain definition which will force us towards, and then beyond, a neocortical definition of death. New biological and cybernetic technologies will make clear that social life is properly attributed to any biological system with a particular set of subjective experiences - personhood. These technologies will also create tremendous material incentives for the living to stop treating the permanently unconscious as socially alive.

In his paper, Hughes argues against the position of the whole brainer promoters who contend that death is determined as a single event when the entire brain is dies. He argues in favor of some "neocorticalists" (excluding the unitarian "neocorticalists") who support the idea of a mind-body framework that distinguishes between social and biological life and death. Hughes makes a strong argument for his position, reminding everyone that technological advances will eventually replace body and brain. Those advances, he believes, will change the social definition.

One of Hughes' most interesting pieces of evidence in his argument for a social definition of death is that there is no absolute line "between social death and life. Instead of a universal binary dead-alive recognition, cross-cultural evidence would suggest more of a two-by-two table." Hughes supports his argument by considering the practices and beliefs of primitive and sophisticated societies:

Corpses are treated in some societies as being inhabited by the vital principle for long after we would declare death, as for instance among the Tibetans who continue to chant verse to the body and its listening spirit for a week after respiration has stopped. And many societies invest greater or lesser faith in the continued presence of the dead as members of the social order, with rights and obligations.

Hughes also takes into account the cross cultural views of various societal beliefs about when life begins. He notes:

Partum is not the universally recognized beginning of social life. In some societies infants were not considered persons until one year of age.... Some religions and cultures hold that social personhood begins at conception, or before. Some societies recognize a continuity of identity across individuals, on the grounds that one person can or should assume the roles and obligations of another.

To read his entire paper, click "Brain Death and Technological Change: Personal Identity, Neural Prostheses and Uploading." The following bibliography is reprinted from Dr. Hughes' paper to aid in further research:

Bibliography

Agnew, William F., and Douglas B. McCreery. 1990. "Neural Prostheses: Fundamental Studies." Prentice Hall Advanced Reference Series.

Banks, Danny. 1995. "Development of an Insertable Neural Signal Transducer for Peripheral Nerve." in Biological Engineering Society Symposium. University of Strathclyde, UK.

Batchelor, David Allen. 1995. "The Science of Star Trek." at: http://www.gsfc.nasa.gov/education/just_for_fun/startrek.html.

Bayertz, Kurt. 1992. "Techno-Thanatology: Moral Consequences of Introducing Brain Criteria for Death." Journal of Medicine and Philosophy 17:407-417.

Beecher, Henry K. 1968. "A definition of irreversible coma: report of the Harvard Medical School Comm to examine the definition of brain death." Journal of the American Medical Association 205:85-88.

Bernat, James. 1989. "Ethical issues in brain death and multiorgan transplantation." Neurologic Clinics 7:715-728.

Bernat, James L. 1992. "How Much of the Brain Must Die in Brain Death?" Journal of Clinical Ethics. 3:21-26.

Black, Peter M. 1978a. "Brain Death (First of Two Parts)." New England Journal of Medicine 299:338-344.

Black, Peter M. 1978b. "Brain Death (Second of Two Parts)." New England Journal of Medicine 299:393-401.

Botkin, Jeffrey R., and Stephen G. Post. 1992. "Confusion in the Determination of Death: Distinguishing Philosophy from Physiology." Perspectives in Biology and Medicine 36:129-138.

Brody, Baruch. 1988. "Ethical Questions Raised by the Persistent Vegetative State." Hastings Center Report :33-40.

Brody, Howard. 1983. "Brain death and personal existence: A reply to Green and Wikler." Journal of Medicine and Philosophy 8.

Compston, A. 1994. "Brain repair: an overview." Journal of Neurology 242:S1-4.

Cranford, Ronald E, and David Randolph Smith. 1987. "Consciousness: The Most Critical Moral (Constitutional) Standard for Human Personhood." American Journal of Law and Medicine 13:233-248.

Dery, Mark. 1996. Escape Velocity: Cyberculture at the End of the Century: Grove Press.

Drexler, K. Eric. 1986. Engines of Creation: Doubleday.

Drexler, K. Eric, and Chris Peterson. 1991. Unbounding the Future: The Nanotechnology Revolution: Morrow.

Emanuel, Ezekiel J. 1991. The Ends of Human Life: Medical Ethics in a Liberal Polity: Harvard University Press.

Gervais, Karen G. 1986. Redefining Death. New Haven, CT: Yale University Press.

Green, Michael, and Daniel Wikler. 1980. "Brain death and personal identity." Philosophy and Public Affairs 9:105-133.

Harris, Marvin. 1979. Cultural Materialism: Vintage Books.

Kovacs, Gregory T.A., Todd K. Whitehurst, Nadim I. Maluf, and Christopher W. Storment. 1995. "Stanford/DVA Neural Interface Project." : Stanford University: http://www-cis.stanford.edu/cis/research/LabProjects94/StanfordDVA.html.

La Puma, John, David L Schiedermayer, Ann E Gulyas, and Mark Siegler. 1988. "Talking to comatose patients." Arch Neuro 45:20-22.

McMahan, Jeff. 1995. "The Metaphysics of Brain Death." Bioethics 9:91-126.

Nash, J. Madeline, Alice Park, and James Wilworth. 1995. "Glimpses of the Mind." Time :44-52.

Olson, L. 1993. "Reparative strategies in the brain: treatment strategies based on trophic factors and cell transfer techniques." Acta Neurochirurgica - Supplementum 58:3-7.

Parfit, David. 1984. Reasons and Persons. Oxford: Oxford Univ. Press.

Payne, Kirk, Robert Taylor, Carol Stocking, and Greg Sachs. 1993. "A National Survey of Physicians' Attitudes Regarding the Care of Patients in Persistent Vegetative State." in MacLean Conference on Clinical Medical Ethics and Patient Care, 5th Annual .

Piers, Maria. 1978. Infanticide. NY: Norton & Co.

President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. 1981. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death: Supt. of Doc.

Ray, Joel. 1991. "The Body without a Mind: An Examination of Cognitive Brain Death." Humane Medicine 7:29-34.

Regis, Ed. 1995. Nano: The Emerging Science of Nanotechnology: Little Brown.

Seabrook, Richard. 1994. "The Brain-Computer Interface: Techniques for Controlling Machines." : http://www.student.nada.kth.se/~nv91-asa/Trans/richard.seabrook.brain.computer.iterface.txt.

Stanworth, Michelle. 1988. "Reproductive Technologies and the Deconstruction of Motherhood." Pp. 10-35 in Reproductive Technologies: Gender, Motherhood, and Medicine, edited by Michelle Stanworth: University of Minnesota Press.

Tresch, Donald D, Farrol H Sims, Edmund H Duthie, and Michael Goldstein. 1991. "Patients in a persistent vegetative state attitudes and reactions of family members." Journal of the American Geriatrics Society 39:17-21.

Tuszynski, M. H., and F. H. Gage. 1995. "Bridging grafts and transient nerve growth factor infusions promote long-term central nervous system neuronal rescue and partial functional recovery." Proceedings of the National Academy of Sciences of the United States of America 92:4621-5.

Valouskova, V., and J. Galik. 1995. "Unilateral grafting of fetal neocortex into a cortical cavity improves healing of a symmetric lesion in the contralateral cortex of adult rats." Neuroscience Letters 186:103-6.

Veatch, Robert. 1975. "The whole-brain-oriented concept of death: An outmoded philosophical foundation." Journal of Thanatology 3:13-30.

Veatch, Robert M. 1992. "Brain death and slippery slopes." Journal of Clinical Ethics 3:181-7.

Wikler, Daniel. 1988. "Not Dead, Not Dying? Ethical categories and persistent vegetative state." Hastings Center Report :41-47.

Youngner, Stuart, and Edward Bartlett. 1983. "Human death and high technology: the failure of whole-brain formulations." Annals of Internal Medicine 99:252-58.

Youngner, Stuart, Seth Landefield, Claudia J. Coulton, Barbara W Juknialis, and Mark Leary. 1989. "'Brain Death' and Organ Retrieval: A Cross-sectional Survey of Knowledge and Concepts Among Health Professionals." Journal of the American Medical Association 261:2205-2210.