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  1. Defining Function in Medicine: Bridging the Gap between Biology and Clinical Practice.Alberto Molina-Pérez - 2023 - American Journal of Bioethics Neuroscience 14 (3):282-285.
    The classification of preserved hypothalamic activity in brain death and brainstem death as functional or non-functional has become a subject of debate. While proponents of the neurological criterion claim that these activities lack functional significance (Shemie et al. 2014), Nair-Collins and Joffe (2023) argue for their functional physiological role. However, the interpretation of the term "function" within the medico-legal framework, where death is characterized by the irreversible cessation of all brain functions, remains unclear. -/- My intention here is not to (...)
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  • Inconsistency between the Circulatory and the Brain Criteria of Death in the Uniform Determination of Death Act.Alberto Molina-Pérez, James L. Bernat & Anne Dalle Ave - 2023 - Journal of Medicine and Philosophy 48 (5):422-433.
    The Uniform Determination of Death Act (UDDA) provides that “an individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead.” We show that the UDDA contains two conflicting interpretations of the phrase “cessation of functions.” By one interpretation, what matters for the determination of death is the cessation of spontaneous functions only, regardless of their generation by artificial means. By the (...)
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  • Death pluralism: a proposal.Gonzalo Díaz-Cobacho, Alberto Molina-Pérez & David Rodríguez-Arias - 2023 - Philosophy, Ethics, and Humanities in Medicine 18 (1):1-12.
    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 (...)
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  • Rethinking the Role of Experimental Philosophy in Bioethics.Gonzalo Díaz-Cobacho & Ivar R. Hannikainen - 2022 - American Journal of Bioethics 22 (12):69-72.
    In their target article, titled “The Place of Philosophy in Bioethics Today” (Blumenthal-Barby et al. 2022), Jennifer Blumenthal-Barby and colleagues provide a powerful argument for the role of phi...
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  • Neuroethics, Consciousness and Death: Where Objective Knowledge Meets Subjective Experience.Alberto Molina-Pérez & Anne Dalle Ave - 2022 - American Journal of Bioethics Neuroscience 13 (4):259-261.
    Laura Specker Sullivan (2022) makes a fairly compelling case for the value of the perspectives of Buddhist practitioners in neuroethics. In this study, Tibetan Buddhist monks have been asked, among other things, whether consciousness, in brain-injured patients in a minimally conscious state, entails a duty to preserve life. In our view, some of the participants’ responses could be used to inform the bioethical debate on death determination.
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  • Brain Death Testing: Time for National Uniformity.Thaddeus Mason Pope - 2020 - American Journal of Bioethics 20 (6):1-3.
    Volume 20, Issue 6, June 2020, Page 1-3.
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  • Response to Open Peer Commentaries “Rethinking the Ethical, Legal, and Clinical Foundations of Informed Consent and Shared Decision-Making for Brain Death Determination”.Jeremy R. Garrett & Ivor Berkowitz - 2020 - American Journal of Bioethics 20 (6):W1-W5.
    Volume 20, Issue 6, June 2020, Page W1-W5.
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  • Explorations about the Family’s Role in the German Transplantation System: Epistemic Opacity and Discursive Exclusion.Iris Hilbrich & Solveig Lena Hansen - 2022 - Social Epistemology 36 (1):43-62.
    With regard to organ donation, Germany is an ‘opt-in’ country, which requires explicit consent from donors. The relatives are either asked to decide on behalf of the donors’ preferences, if these are unknown or if the potential donor has explicitly transferred the decision to them. At the core of this policy lies the sociocultural and moral premise of a rational, autonomous individual, whose rights require legal protection in order to guarantee a voluntary decision. In concrete transplantation practices, the family plays (...)
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