Christian Mercy is inseparably associated with acting for human good. One of the fields where such action is seen towards others and which is supported by Church and media is transplant therapy. However, are treatments of such type really in line with the respect for human dignity and can be regarded as an act of mercy? In order to answer the above questions it is a good idea to investigate the procedures which accompany organ transplantations, particularly including ex mortuo transplantations and brain death diagnosis with its medical justification. It is also essential to dwell on the quality of life, useful death, persistent therapy and widely understood term of conscience which appears in relation between donor and recipient. All these aspects make one think deeply on the validity and the proper assessment of ex mortuo transplantation especially when it is concerned as an action being in line with Christian Mercy.
Brain death is one of the most important yet difficult issues in contemporary medicine, as well as in the field of ethics. The fundamental issue concerns the legitimacy of employing brain death as the criterion for determining the death of a human being. While acknowledging the reasons for introducing brain death as an indicator of human death, the controversial nature of this criterion cannot be ignored. The definition of death, when human beings are involved, must be free from arbitrary judgements. Thus, efforts to reach a precise definition cannot be reduced merely to issues related to organ transplants, which, unfortunately, have all too often played a paramount role in such discussions. The magisterium of the Catholic Church, while not claiming the right to establish the criteria of brain death determination, or to pronounce on the diagnostic tests aimed at arriving at such a conclusion, insists that the discussion of bioethical issues concerning death per se must take into account a sound anthropological vision, and that criteria of death must be formulated with the utmost rigour and certainty. In this way we are called to act as servants of life, and not the opposite.
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Zmiana definicji śmierci, jaka nastąpiła w połowie dwudziestego wieku, oznaczała przejście od tradycyjnych kryteriów orzekania śmierci do uznania śmierci mózgowej za moment zgonu. Zmiana ta, niezbędna pod względem prawnym i medycznym ze względu na rozwój transplantologii oraz techniki związanej z podtrzymywaniem życia, okazała się jednak trudna do zrozumienia i przyjęcia w powszechnej świadomości. Sytuacja ta rodziła szereg problemów i niepokojów, które znalazły odbicie w kulturze popularnej. Bieżąca praca stanowi analizę ujęcia badanej problematyki w dwóch utworach należących do gatunku fantastyki naukowej: "Przekładańca" Stanisława Lema oraz "Pozytronowego człowieka" Isaaca Asimova i Roberta Silverberga.
EN
The middle of the twentieth century witnessed a change in the definition of death, involving a shift from the traditional cardio-respiratory standard of death to the newly developed brain death standard. This change, though necessary both for medical and legal purposes due to the development in organ transplants and in the technology involved in life support, proved to be difficult to acknowledge, or even to understand, for the unprofessional. This gave rise to a number of problems and anxieties, many of which were reflected in popular culture. The resent study seeks to analyse the ways in which two science fiction texts, Isaac Asimov and Robert Silverberg's "The Bicentennial Man" and Stanisław Lem's "Layer-Cake" deal with the fears arising from the new definition of death.
Human death is challenging from both philosophical and medical points of view, because of an apparent ontological discrepancy between the diagnosis of death of the organism as a whole and the declaration of death of a human person. In my paper I make an attempt to analyze the main controversies as well as agreements concerning ontological and medico-epistemological problems that have created the evolution of the definition of brain death, arguing that: 1. It is impossible to define death; 2. What functions as the definition of death is rather a set of criteria of death than a definition in a proper sense; 3. The debate concerning so-called definition of death refers not to death as such, universally conceptualized, but to a specific problem of death of a human being; 4. Analyzing the problem of human death it is impossible to make a clear distinction between biological and philosophical dimensions.
PL
Śmierć człowieka jest wyzwaniem zarówno dla analiz filozoficznych, jak i nauki oraz praktyki medycyny ze względu na napięcie między diagnozą śmierci organizmu jako całości a stwierdzeniem zgonu osoby. W artykule podejmuję próbę przyjrzenia się głównym kontrowersjom, a także uzgodnieniom natury ontologicznej i epistemologiczno-medycznej, składającym się na ewolucję definicji śmierci mózgowej.
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