Department of Philosophy I, University of Granada, Granada, Spain.
Instituto de Estudios Sociales Avanzados (IESA), CSIC, IESA-CSIC, Córdoba, Spain.
Philos Ethics Humanit Med. 2023 Aug 2;18(1):10. doi: 10.1186/s13010-023-00139-3.
The debate over the determination of death has been raging for more than fifty years. Since then, objections against the diagnosis of brain death from family members of those diagnosed as dead-have been increasing and are causing some countries to take novel steps to accommodate people's beliefs and preferences in the determination of death. This, coupled with criticism by some academics of the brain death criterion, raises some questions about the issues surrounding the determination of death. In this paper, we discuss some of the main approaches to death determination that have been theoretically proposed or currently put into practice and propose a new approach to death determination called "weak pluralism" as a reasonable ethical and political alternative to respect diversity in death determination.
关于死亡判定的争论已经持续了五十多年。从那时起,被诊断为死亡的患者的家属对脑死亡诊断的反对意见不断增加,这促使一些国家采取新的措施来适应人们在死亡判定方面的信仰和偏好。再加上一些学者对脑死亡标准的批评,这引发了一些关于死亡判定问题的质疑。在本文中,我们讨论了一些在理论上提出或目前已付诸实践的主要死亡判定方法,并提出了一种新的死亡判定方法,称为“弱多元主义”,作为尊重死亡判定多样性的合理伦理和政治选择。