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Deconstructing the Brain Disconnection-Brain Death Analogy and Clarifying the Rationale for the Neurological
1The Catholic University of America, Washington, DC, USA moschella@cua.edu.
The Journal of Medicine and Philosophy
|April 21, 2016
Summary
This study critiques Alan Shewmon's arguments against brain death, finding his analogies and metaphysical claims insufficient. It offers a revised metaphysical rationale supporting the neurological criterion for human death.
Area of Science:
- Philosophy of Medicine
- Neuroscience
- Metaphysics
Background:
- Alan Shewmon's critique challenges the validity of brain death as a criterion for human death.
- His arguments rely on analogies with spinal cord injury and claims about organismal integration.
- Existing justifications for the neurological criterion require deeper philosophical analysis.
Purpose of the Study:
- To critically evaluate the problems within Alan Shewmon's critique of brain death.
- To analyze the biological and metaphysical underpinnings of his arguments.
- To provide a revised metaphysical framework supporting the neurological criterion of death.
Main Methods:
- Critical examination of Shewmon's analogy between brain death and spinal cord injury.
- Assessment of his arguments regarding the necessity of the brain for organismal integration.
- Deeper metaphysical analysis to re-evaluate the neurological criterion.
Main Results:
- Shewmon's analogy is found to be problematic.
- His translation from biological to metaphysical claims is deemed incorrect.
- A revised metaphysical rationale for the neurological criterion is presented.
Conclusions:
- The neurological criterion of human death remains valid.
- Shewmon's critique does not adequately challenge the established criterion.
- Further metaphysical analysis supports the biological basis of death determination.

