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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Defining Death: Reasonableness and Legitimacy.

Christos Lazaridis1

  • 1Neurocritical Care, Departments of Neurology/Neurosurgery, MacLean Center for Clinical Ethics, University of Chicago, 5841 S. Maryland Ave|MC 2030, Chicago, Illinois 60637 USA. lazaridis@uchicago.edu.

The Journal of Clinical Ethics
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Summary

The definition of death should be a transparent social construct, not based on contested metaphysics. Neurologic and circulatory criteria should accommodate personal choice within a liberal framework.

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Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Legal Medicine

Background:

  • The World Brain Death Project seeks to standardize death determination using neurologic criteria.
  • Critics question the project's metaphysical and epistemic underpinnings.
  • Existing guidelines for determining death by neurologic criteria face inconsistencies.

Purpose of the Study:

  • To analyze the nature of death definitions and the plausibility of neurologic criteria.
  • To explore personal choice and accommodation between neurologic and circulatory definitions of death within a Rawlsian liberal framework.
  • To advocate for a socially constructed, pragmatic, and publicly justifiable definition of death.

Main Methods:

  • Philosophical commentary and analysis of existing guidelines.
  • Application of a Rawlsian liberal framework to ethical considerations.
  • Discussion of the social, medical, and legal policy implications of death determination.

Main Results:

  • Contested metaphysics and unmeasurable standards are unsuitable for declaring death.
  • A definition of death should be a pragmatic social construct aligned with medical science.
  • Transparency, public justifiability, and accommodation of choice are essential for death criteria.

Conclusions:

  • The declaration of death is a political matter, not solely a scientific one.
  • No single conceptualization of death holds universal validity.
  • Normative preferences and social construction shape our understanding and definition of death.