脳 は 全体 で ある か 神経内分泌機能と神経学的基準による死亡
1Albert Gnaegi Center for Health Care Ethics, Saint Louis University, MO, USA.
The Linacre quarterly
|August 29, 2025
まとめ
脳の死は神経内分泌機能と相容れない これは神経内分泌機能が 独立した重要な機能ではなく 脳全体に依存しているからです
科学分野:
- 神経学
- 医学 の 哲学
- 神学
背景:
- 神経学的基準によって定義される脳死は 脳の幹を含む全ての脳の機能の 回復不能な喪失を中心としています
- アメリカ神経科学アカデミーの最近の見解は 脳死を決定するために神経内分泌機能の喪失の必要性を排除しています
- これは神経内分泌活動の継続による脳死の受け入れに関する人類学的な疑問を提起する.
研究 の 目的:
- 神経内分泌機能が継続しているにもかかわらず 脳死を受け入れることは 健全な人類学と一致するかどうかを判断する
- 神経内分泌機能と 脳の全死亡の関係を分析する
- 脳の死亡基準における神経内分泌機能の哲学的および医学的な意味を探求する.
主な方法:
- ヒロモルフィズムと人間に関するトーマス・アクィナスの著作の哲学的分析.
- モーリーン・コンディックによる 統合と協調の区別を 生物の統一という文脈で
- 神経内分泌機能の検査は,脳全体の統合活動に依存しています.
主要な成果:
- 神経内分泌機能自体は 重要な機能ではなく 脳全体の整合性に依存しています
- ヒトのヒロモルフィックな理解は 持続的な神経内分泌機能さえも 脳の死を受け入れることを支持します
- 分離された機能ではなく 統合された機能の喪失が 脳死を定義します
結論:
- 脳死と神経内分泌機能の継続は 健全な人類学と一致しています
- 神経内分泌機能は 統合された脳の特性であり 独立した生命体信号ではありません
- 全脳死という概念は 脳の重要な統合能力の喪失に 焦点を当てるべきです
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