Institute of Forensic Medicine, Johannes Gutenberg University Medical Center, Am Pulverturm 3, 55131, Mainz, Germany.
Institute for the History, Philosophy and Ethics of Medicine, Johannes Gutenberg University Medical Center, Mainz, Germany.
Int J Legal Med. 2021 Sep;135(5):2073-2079. doi: 10.1007/s00414-021-02534-x. Epub 2021 Mar 11.
Working with the dead is a very specific kind of work. Although a dignified handling of the corpses is demanded by the legislator and by the general public, neither the legal status of the corpse is undisputed nor is it obvious what a dignified handling of the deceased should consist of. In our hypothesis generating pilot study, we asked which concrete considerations are involved in daily practice of forensic specialists. We used an online questionnaire (invitations via e-mail) consisting of questions with single choice, multiple choice, and free text entries. The answers to single or multiple choice questions were displayed in pivot tables. The data was thus summarized, viewed, descriptively analyzed, and displayed together with the free text answers. 84.54% of the physicians and 100% of the autopsy assistants stated that considerations concerning the dignity of the deceased should play a role in daily autopsy practice. 45.87% stated that the conditions surrounding the autopsy need improvement to be ethically suitable. The analysis of the survey's results was based on Robert Audi's ethics, according to which three aspects need to be lightened in order to evaluate the conduct of a person morally: the actions, the motivation, and the way in which the actions are carried out. This systematization helps to identify the need for improvement and to make the vague demands for a dignified handling of corpses more concrete.
与死者打交道是一种非常特殊的工作。尽管立法者和公众都要求对尸体进行有尊严的处理,但尸体的法律地位并非没有争议,也不清楚有尊严地处理死者应该包括哪些内容。在我们的假设生成试点研究中,我们询问了法医专家在日常实践中涉及哪些具体考虑。我们使用了一个包含单项选择、多项选择和自由文本条目的在线问卷(通过电子邮件邀请)。单项或多项选择题的答案显示在枢轴表中。因此,对数据进行了总结、查看、描述性分析,并与自由文本答案一起显示。84.54%的医生和 100%的尸检助手表示,应考虑死者的尊严在日常尸检实践中发挥作用。45.87%的人表示,尸检的环境需要改善,才能符合道德标准。调查结果的分析是基于罗伯特·奥迪的伦理学,根据该伦理学,为了从道德上评价一个人的行为,需要强调三个方面:行为、动机和行为的执行方式。这种系统化有助于确定需要改进的地方,并使对尸体进行有尊严处理的模糊要求更加具体。