Abstract
In the Christian (Roman Catholic, Protestant, and Orthodox) faith traditions, ecclesiastical leaders, theologians, and ethicists have a long history of engagement in debates regarding the determination of death. This theological engagement is informed by several core interests of Christian commitment, including the nature of the self, the relationship between religious convictions and medical science, the value of organ donation, the moral integrity of end-of-life care, and moral authority in Christian communities. Current controversies in scientific, philosophical, and policy communities regarding the legitimacy of neurologic criteria for determining death have been a catalyst for vibrant debates among all Christian faith traditions. Catholic scholars have engaged in arguments regarding the moral authority of papal teaching, the meaning of integrative functioning following death by neurologic criteria, the nature of moral certainty, the status of the dead donor rule, and the conflicted conscience. Protestant discussion develops a concept of death within the Christian narrative of salvation but often reflects ecclesiastical silence on the specific criteria of death. Orthodox teaching suggests several possible theologically acceptable criteria for death, focusing on the nature of the person, the concept of death, and the practical issue of care for patients in a vegetative state/unaware-wakeful state.
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Notes
- 1.
For a critique of this coherence of theology and neurologic criteria, see Byrne PA, O’Reilly S, Quay PM. Brain Death—An Opposing Viewpoint,” JAMA 1979; 242: 1985–1990; Byrne PA, O’Reilly S, Quay PM, Salsich Jr. PW. Brain Death – The Patient, the Physician, and Society. Gonzaga Law Review 1982; 18:429–516.
- 2.
It is beyond the scope of this overview to discuss the details of the Pontifical Academy of Sciences (PAS) working groups, but their magisterial authority and public transparency are of considerable dispute among Catholic scholars [12].
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Campbell, C.S. (2022). Christian Perspectives on Death by Neurologic Criteria. In: Lewis, A., Bernat, J.L. (eds) Death Determination by Neurologic Criteria. Advances in Neuroethics. Springer, Cham. https://doi.org/10.1007/978-3-031-15947-3_25
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