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通过消解传统来解决问题。慕尼黑解剖学的尸体供应自二战以来。

Solving a problem by dissolving a tradition. Munich anatomy's body supply since the Second World War.

机构信息

Institut für Ethik, Geschichte und Theorie der Medizin, Ludwig-Maximilians-Universität München, Lessingstr. 2, 80336 München, Germany.

Anatomische Anstalt, Ludwig-Maximilians-Universität München, Pettenkoferstr. 11, 80336 München, Germany.

出版信息

Ann Anat. 2019 May;223:108-118. doi: 10.1016/j.aanat.2019.02.002. Epub 2019 Feb 22.

Abstract

The system of anatomical body procurement had to be reorganized in Germany after the end of the Second World War. At that time, the country had been split up and, in its Western zones of occupation, which eventually would form the Federal Republic of Germany, a democratic form of government was reintroduced. While political and economic conditions were improving, well-known obstacles of sufficient body supply turned out to be increasingly complicated to overcome. This development led to the dissolution of the traditional system of body procurement which had, during the centuries and political systems, always depended on the state. From the 1960s onwards, it became solely reliant on willed body donations. The article deals with the question how this fundamental change came to be, and which motives and arguments on the side of the anatomists as well as the administration were crucial for the final decision of limiting body procurement to willed donations. Using the example of the anatomical institute of Munich University, it is possible not only to highlight the political process of dealing with the problem of anatomical body procurement after 1945. Additionally, the quantitative changes in body supply resulting from those developments will be presented and analyzed. Thereby it can be displayed how the dissolution of the traditional system meant the solution of its inherent problems.

摘要

在第二次世界大战结束后,德国必须对解剖尸体获取系统进行重组。当时,德国已经分裂,在其西部占领区(最终将形成德意志联邦共和国),民主政府得以重建。随着政治和经济条件的改善,人们发现,克服充分的尸体供应这一众所周知的障碍变得越来越复杂。这一发展导致了传统的尸体获取系统的解体,该系统在几个世纪和政治体系中一直依赖于国家。从 20 世纪 60 年代开始,它完全依赖于自愿的尸体捐赠。本文探讨了这一根本性变化是如何发生的,以及解剖学家和行政部门的哪些动机和论点对将尸体获取限制在自愿捐赠这一最终决定至关重要。以慕尼黑大学解剖研究所为例,不仅可以突出 1945 年后处理解剖尸体获取问题的政治进程,还可以展示和分析由此产生的尸体供应数量变化。由此可以看出,传统系统的解体意味着解决了其内在的问题。

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