基本説明
Lock traces the discourse over the past thirty years that contributed to the locating a new criterion of death in the brain in North America and compares this situation with that in Japan, based on extensive interviews in both Japan and North America.
Full Description
Tales about organ transplants appear in mythology and folk stories, and surface in documents from medieval times, but only during the past twenty years has medical knowledge and technology been sufficiently advanced for surgeons to perform thousands of transplants each year. In the majority of cases individuals diagnosed as 'brain dead' are the source of the organs without which transplants could not take place. In this compelling and provocative examination, Margaret Lock traces the discourse over the past thirty years that contributed to the locating of a new criterion of death in the brain, and its routinization in clinical practice in North America. She compares this situation with that in Japan where, despite the availability of the necessary technology and expertise, brain death was legally recognized only in 1997, and then under limited and contested circumstances. "Twice Dead" explores the cultural, historical, political, and clinical reasons for the ready acceptance of the new criterion of death in North America and its rejection, until recently, in Japan, with the result that organ transplantation has been severely restricted in that country.
This incisive and timely discussion demonstrates that death is not self-evident, that the space between life and death is historically and culturally constructed, fluid, multiple, and open to dispute. In addition to an analysis of that professional literature on and popular representations of the subject, Lock draws on extensive interviews conducted over ten years with physicians working in intensive care units, transplant surgeons, organ recipients, donor families, members of the general public in both Japan and North America, and political activists in Japan opposed to the recognition of brain death. By showing that death can never be understood merely as a biological event, and that cultural, medical, legal, and political dimensions are inevitably implicated in the invention of brain death, "Twice Dead" confronts one of the most troubling questions of our era.
Contents
Acknowledgments Preamble: Accidental Death Trauma The Procurement The Gift Death's Shadow 1. Boundary Transgressions and Moral Uncertainty Reanimation 2. Technology in Extremis Narrow Escapes 3. Locating the Moment of Death Jumping the Gun 4. Making Death Uniform Tragedy 5. The Brain-Death "Problem" Aggressive Harvesting 6. Technology as Other: Japanese Modernity and Technology Born of a Brain-Dead Mother 7. Prevailing against Inertia Organ Donor Card 8. Situated Departures Disconcerting Movements 9 Imaginative Continuities Memory Work 10.When Bodies Outlive Persons Procurement Anxiety 11. When Persons Linger in Bodies Musical Feat 12. The Body Transcendent A Court Order 13. The Social Life of Human Organs A Reliable Man An Unsatisfactory Intelligence 14. Revisiting Vivisection Almost Full Circle Reflections Bibliography Index
