The number of family members caring and caregiving for a loved one undergoing physical and mental changes continues to increase dramatically. For many, this ongoing experience not only involves the “burden of caregiving” but also the “burden of grief” as their loved-one’s newfound medical condition can result in the loss of the person they previously knew. Dramatic cognitive, behavioral, and personality changes, often leave caregivers bereft of the significant relationship they shared with the affected person prior to the illness or (...) injury. This results in what we term conditions of acquired “non-death interpersonal loss”. Current approaches to these losses use an amalgam of models drawn from both death and non-death loss. Despite their utility, these frameworks have not adequately addressed the unique processes occurring in the interpersonal sphere where the grieving caregiver needs to reach some modus vivendi regarding the triad of “who the person was,” “who they are now,” and “who they will yet become.” In this paper we propose a process-based model which addresses cognitive-emotional-behavioral challenges caregivers meet in the face of their new reality. These require a revision of the interpersonal schemas and the relationships that takes into account the ongoing interactions with the affected family member. The model and its utility to identify adaptive and maladaptive responses to NoDIL is elaborated upon with clinical material obtained from caregivers of people diagnosed with major neuro-cognitive disorder and pediatric traumatic brain injury. The article concludes with implications for theory, research and clinical intervention. (shrink)

Articles in the popular media and testimonies collected in empirical work suggest that many people who have not been bereaved have nevertheless grieved over pandemic-related losses of various kinds. There is a philosophical question about whether any experience of a non-death loss ought to count as grief, hinging upon how the object of grief is construed. However, even if one accepts that certain significant non-death losses are possible targets of grief, many reported cases of putative pandemic-related grief may (...) appear less plausible. For instance, it might be argued that many of these losses are temporary or minor and therefore unlikely to be grieved, and that the associated experiences are phenomenologically dissimilar to grief. In this article, as well as discussing the more general question about the coherence of the idea of non-bereavement grief, we address these obstacles to taking reports of pandemic non-bereavement grief to be literal and true. In particular, we argue that some may have experienced grief over even apparently minor losses during the pandemic. This is generally so, we suggest, only insofar as experiences of such losses form part of an overarching grief process directed at some broader significant loss. Thus, we cast light on both the nature of non-bereavement grief and the kinds of disruption and loss experienced during the pandemic. (shrink)

Grief is often thought of as an emotional response to the death of someone we love. However, the term “grief” is also used when referring to losses of various other kinds, as with grief over illness, injury, unemployment, diminished abilities, relationship breakups, or loss of significant personal possessions. Complementing such uses, we propose that grief over a bereavement and other experiences of loss share a common phenomenological structure: one experiences the loss of certain possibilities that were integral to—and perhaps (...) central to—the unfolding structure of one’s life. Grief can thus be conceived of in a broad but still univocal way. To develop this position, we focus on the example of grief over involuntary childlessness, where lack of a concrete, historical object of emotion serves to make explicit the way in which grief concerns future possibilities. We go on to suggest that the phenomenological complexity, diversity, and prevalence of grief are obscured when approached via an abstract, simplified conception of bereavement. -/- . (shrink)

The family of a patient who is unconscious and respirator-dependent has made a decision to discontinue medical treatment. The patient had signed a donor card. The family wants to respect this decision, and agrees to non-heart-beating organ donation. Consequently, as the patient is weaned from the ventilator, he is prepped for organ explantation. Two minutes after the patient goes into cardiac arrest, he is declared dead and the transplant team arrives to begin organ procurement. At the time retrieval begins, it (...) is not certain that the patient's brain is dead or that cardiac function cannot be restored. Procurement follows uneventfully, and two transplantable kidneys are retrieved.Many people now consider such cases of non-heart-beating organ donation to be ethically permissible. However, widespread disagreement persists as to how such practices are to be justified and whether such practices are compatible with the Uniform Declaration of Death Act. In this paper, I argue that non-heart-beating organ donation can be ethically justified, that in the justified cases the patients are in fact dead, and that the early declarations of death required for such donation do comply with the UDDA. (shrink)

How Non-being Haunts Being explores the many different modes of absence and non-being that pervade life, language, thought, and culture. A highly readable book of great interest to a wide audience, it ensures that readers will never think of life, death, or themselves, the same way again.

In the contemporary context of environmental crises and the degradation of resources, certain habitats become unliveable, leading to the death of individuals and species extinction. Whilst bioscience emphasises interdependency and relationality as crucial characteristics of life shared by all organisms, Western cultural imaginaries tend to draw a thick dividing line between humans and nonhumans, particularly evident in the context of death. On the one hand, death appears as a process common to all forms of life; on the (...) other, as an event that distinguishes human from other organisms. Against this background, this article explores how contemporary art—in particular, the series of works The Absence of Alice by Australian new-media and bioartist Svenja Kratz—challenges the normative and human-exceptionalist concept of death. By employing queerfeminist biophilosophy as a strategy that focuses on relations, processes and transformations instead of ‘essences’, the article examines the ways Kratz’s works deterritorialise the conventional concept of death. In this way, it hopes to attend to the intimacies between materialities of a human and nonhuman kind that form part of the processes of death and dying, and what follows, to reframe ethico-ontology of death as material and processual ecologies of the non/living. (shrink)

I offer a principled objection to arguments in favour of legalizing non-voluntary euthanasia on the basis of the principle of beneficence. The objection is that the status of death as a benefit to people who cannot formulate a desire to die is more problematic than pain management care. I ground this objection on epistemic and political arguments. Namely, I argue that death is relatively more unknowable, and the benefits it confers more subjectively debatable, than pain management. I am (...) not primarily referring to the claim that it is difficult to make comparisons between live and post-mortem states, but rather to the fact that it is epistemically and metaphysically problematic to impute a “life-worse-than-death” or a state of “suffering-calling-for-death” to people who cannot subjectively wish to die, as though this kind of suffering were a medically observable fact rather than a belief- and value-laden notion. On the contrary, people enduring similar causes of pain may have different experiences of suffering and views on how it affects the worthwhileness of their existence or the desirability of death or of continuing their lives. The projection of a “suffering-calling-for-death” onto infants or people with severe intellectual disabilities may not be indefensible, but it is more controversial than judging that pain management will improve their well-being from the perspective of beneficence. My argument also relies on our society’s liberal endeavour to avoid endorsing unverifiable beliefs about life and death or controversial conceptions of the good life. My goal is not to suggest we should not attend the suffering of cognitively disabled people. On the contrary, I only cast doubt on too quick an assumption that ending their lives is the best way of caring for them, when robust palliative treatments are available. Moreover, I express the concern that a lack of attention to distinctions between “pain-calling-for-relief” and “suffering-calling-for-death” may be based on ableist projections and assumptions. I conclude that it is imperative to continue research into the nature of pain and suffering experienced by individuals with mental or cognitive impairments preventing them from expressing autonomous wishes about the kind of treatment that would most benefit them. (shrink)

It has recently been suggested that doctors have a duty to act in their patient's best interest and that this duty demands that life-sustaining treatment—including food and fluids—should sometimes be withheld or withdrawn and the patient allowed to die. In this article, the author explores the scope of the ‘best interests principle’ in the context of treatment decisions for seriously handicapped newborn infants. She argues that those who hold that it is permissible to starve or dehydrate an infant to (...) class='Hi'>death are mistaken to think that this course of action is in the infant's best interests. While it may be true that there are times whendeath is, everything considered, in an infant's best interests, a slow and distressingmethod of bringing death about is not. Since death by dehydration and starvation is not benign, the withholding of food and fluids is generally not in an infant's best interests. The author concludes by suggesting thatwhenever the withdrawal or non-employment of life-sustaining means imposes a heavy burden on the infant, the ‘best interests principle’ would demand that the infant be killed rather than allowed to die. (shrink)

Protocols for retrieving vital organs in consenting patients in cardiovascular arrest rest on the assumptions that irreversible asystole a) identifies the instant of biological death, and b) is clinically assessable at the time when retrieval of vital organs is possible. Unfortunately both assumptions are flawed. We argue that traditional life/death definitions could be actually inadequate to represent the reality of dying under intensive support, and we suggest redefining NHBD protocols on moral, social, and antrhopological criteria, admitting that irreversible (...) asystole can only equate a clinically determinable point of no return in the process of dying, where organ retrieval can be morally and socially accepted in previously consenting patients. (shrink)

A non-inferiority design accepts the possibility of some efficacy loss, as part of a “successful”, statistically significant result. That loss may be excessive when the non-inferiority threshold is lenient. However, even stringent significance thresholds and safety monitoring may fail to adequately protect study participants when the primary outcome is death. The OPTIMAAL trial, a large randomized clinical trial performed in high-risk patients, is discussed as an example, using the Belmont Report principles as an ethical frame of reference. OPTIMAAL compared (...) losartan, a new drug, to captopril, a drug known to reduce the risk of death in patients with heart failure after a myocardial infarction. Serious ethical challenges occurred in that study. Firstly, subjects had to tolerate captopril to participate, meaning that participation implied the possibility of higher risk of death if randomized to the losartan arm, as compared to the standard of care. Additionally, the stopping rules had to ensure enough powe... (shrink)

When it is considered to be in their best interests, withholding and withdrawing life-supporting treatment from non-competent physically ill or injured patients – non-voluntary passive euthanasia, as it has been called – is generally accepted. A central reason in support of the procedures relates to the perceived manner of death they involve: in non-voluntary passive euthanasia death is seen to come about naturally. When a non-competent psychiatric patient attempts to kill herself, the mental health care providers treating her (...) are obligated to try to stop her. Yet it has been suggested that death by suicide can be a part of the natural course of a severe mental illness. Accordingly, if the perceived naturalness of the deaths occurring in connection with non-voluntary passive euthanasia speaks for their moral permissibility, it could be taken that a similar reason can support the moral acceptability of the suicidal deaths of non-competent psychiatric patients. In this article, I consider whether the suicidal death of a non-competent psychiatric patient would necessarily be less natural than those of physically ill or injured patients who die as a result of non-voluntary passive euthanasia. I argue that it would not. (shrink)

Many of us, and I am no exception, have been led to assume, almost un-consciously, that Śankara is India's greatest philosopher and that the non-dualist philosophy he consolidated, Advaita Vedānta, is the supreme spiritual philosophy of India, if not of the whole world. Dualist opponents like Madhva, on the other hand, have usually been appreciated very little, if at all. Several of my colleagues think of Madhva as a reactionary, if brilliant, theist whose philosophy best serves as a foil to (...) Śankara's. Madhva, it almost seems, is studied not for his own philosophical virtues but as a means the better to appreciate Śankara's. I believe that we must weigh more carefully the dualist position, particularly its trenchant critique of non-dualism. We may discover in the process that Śankara, whatever else he was – brilliant stylist, mystic par excellence , deft polemicist – was not the originator or consolidator of anything like an internally consistent metaphysics. (shrink)

The word soul in the cell-soul pathway does not have a scientific definition but has been hypothesized to be an indefinite, non-structured, massless energy made up of electromagnetic radiations that is confined in the cytoskeletal network of a living cell. It is a coherent, imperceptible, uncontainable and recyclable support pathway, which uses energy to promulgate consciousness in the cell supporting its functions. The pathway currently provides a mechanistic explanation of the flow of consciousness within the body, but the intent of (...) this paper is to provide an arduous explanation of non-local consciousness or disembodiment observed in near-death experiences. The paper hypothetically subsets the cell-soul pathway with the presence of two forms of consciousness, consistent with a recently developed model by Reddy : bodily consciousness, which manages functions only at cellular level, and functional consciousness, which is present in the body but can get disembodied and perform non-locally; the two forms of consciousness represent the overall state of consciousness. The non-locality of subjective experiences observed in near-death cases can be related to the realm of quantum physics – quantum entanglement between the two forms of consciousness that can demonstrate the capability of storing information holographically within the void or vacuum with the ability to create memories beyond the limitations of the brain and body. (shrink)

In this article a concept of non-local consciousness will be described, based on recent scientific research on near-death experiences . Since the publication of several prospective studies on NDEs in survivors of cardiac arrest, with strikingly similar results and conclusions, the phenomenon of the NDE can no longer be scientifically ignored. In the last thirty years several theories have been proposed to explain an NDE. The challenge to find a common explanation for the cause and content of an NDE (...) is complicated by the fact that an NDE can be experienced during various circumstances, such as severe injury of the brain as in cardiac arrest to conditions when the brain seems to function normally. The NDE is an authentic experience which cannot be simply reduced to imagination, fear of death, hallucination, psychosis, the use of drugs, or oxygen deficiency. Patients appear to be permanently changed by an NDE during a cardiac arrest of only some minutes duration. According to these aforementioned studies, the current materialistic view of the relationship between consciousness and the brain as held by most physicians, philosophers, and psychologists is too restricted for a proper understanding of this phenomenon. There are good reasons to assume that our consciousness does not always coincide with the functioning of our brain: enhanced or non-local consciousness can sometimes be experienced separately from the body. (shrink)

Death is an undeniable fact of life. Whether it is a bad or feared thing is an important discussion that can be brought back to the ancient Greek philosophers. This article is primarily concerned with the discussion on what grounds Epicurus's thesis "death, is nothing to us; since when we exist, death is not yet present, and when death is present, then we do not exist," and to what extent satisfactory results are reached. Later, it tries (...) to investigate how Lucretius, who is regarded as the successor of Epicurus, derives the result of meaningless of fear of death from the symmetrical relationship between prenatal and post-mortem non-existences. Finally, it refers to the modern asymmetric approaches which argue that, contrary to Lucretius's claim, the relationship between these two periods of non-existence is not symmetrical, because there are serious differences between the later birth and the later death of people, given their deprivations. This article argues that death has a mystery that raises the anxiety that comes from the nature of death; however, it defends the idea that it makes a significant contribution to the meaning of life. (shrink)

Programmed cell death (PCD) or apoptosis is a broadly conserved phenomenon in metazoans, whereby activation of canonical signal pathways induces an ordered dismantling and death of a cell. Paradoxically, the constituent proteins and pathways of PCD (most notably the metacaspase/caspase protease mediated signal pathways) have been demonstrated to retain non‐death functions across all phyla including yeast, nematodes, drosophila, and mammals. The ancient conservation of both death and non‐death functions of PCD proteins raises an interesting evolutionary (...) conundrum: was the primordial intent of these factors to induce cell death or to regulate other cellular adaptations? Here, we propose the hypothesis that apoptotic behavior of PCD proteins evolved or were co‐opted from core non‐death functions. (shrink)

Abstract: I argue that Orientalism continues to construct Arabs as subjects that cannot suffer violence, particularly the violence of torture. Beginning with Edward Said’s observation that Orientalists constructed ‘Arabs’ in the nineteenth -century as inorganic, metallic, and mineralized beings, I trace these themes through various sites in and around Guantanamo Bay. One finds the tropes of Orientalism in the Bybee memo as well as in the diary of Mohamedou Ould Slahi. Through these three distinct but related moments, one finds that (...) Orientalism continues to produce Arabs as inorganic entities beyond death and thereby immune to violence and specifically the violence of torture. Insofar as imperialism has co-opted the language of non-violence by constructing its enemies as inviolable, one must recognize the Orientalized Arab as a receptor of limitless ‘non - violent’ hostilities. (shrink)

In 1968, the Harvard criteria equated irreversible coma and apnea with human death and later, the Uniform Determination of Death Act was enacted permitting organ procurement from heart-beating donors. Since then, clinical studies have defined a spectrum of states of impaired consciousness in human beings: coma, akinetic mutism, minimally conscious state, vegetative state and brain death. In this article, we argue against the validity of the Harvard criteria for equating brain death with human death. Brain (...) death does not disrupt somatic integrative unity and coordinated biological functioning of a living organism. Neurological criteria of human death fail to determine the precise moment of an organism’s death when death is established by circulatory criterion in other states of impaired consciousness for organ procurement with non-heart-beating donation protocols. The criterion of circulatory arrest 75 s to 5 min is too short for irreversible cessation of whole brain functions and respiration controlled by the brain stem. Brain -based criteria for determining death with a beating heart exclude relevant anthropologic, psychosocial, cultural, and religious aspects of death and dying in society. Clinical guidelines for determining brain death are not consistently validated by the presence of irreversible brain stem ischemic injury or necrosis on autopsy; therefore, they do not completely exclude reversible loss of integrated neurological functions in donors. The questionable reliability and varying compliance with these guidelines among institutions amplify the risk of determining reversible states of impaired consciousness as irreversible brain death. The scientific uncertainty of defining and determining states of impaired consciousness including brain death have been neither disclosed to the general public nor broadly debated by the medical community or by legal and religious scholars. Heart-beating or non-heart-beating organ procurement from patients with impaired consciousness is de facto a concealed practice of physician-assisted death, and therefore, violates both criminal law and the central tenet of medicine not to do harm to patients. Society must decide if physician-assisted death is permissible and desirable to resolve the conflict about procuring organs from patients with impaired consciousness within the context of the perceived need to enhance the supply of transplantable organs. (shrink)

In the present condition of planetary environmental crises, violence, and war, entire ecosystems are annihilated, habitats turn into unliveable spaces, and shared “more-than-human” vulnerabilities get amplified. Here and now, death and loss become urgent environmental concerns, while the Anthropocene-induced anxiety, anger, and grief are manifested in popular-scientific narratives, art, culture, and activism. Grounded in the theoretical framework of queer death studies, this article explores present grief imaginaries and engagements with more-than-human death, dying, and extinction, as they are (...) interwoven through contemporary art. It is there where an ecological ontology of death is being exposed and ethical territories of eco-grief unfold. (shrink)

The vignette described in the introduction of this symposium raises a number of ethical and legal problems for physicians who work for correctional institutions and death row inmates. They are not confined to correctional physicians, however, as states have requested aid from practicing physicians in the community, and even from other states, when conflicts have arisen in the treatment of death row inmates as they near the date of execution. As outlined, the case involves a 48-year-old man with (...) a long history of schizophrenia, initially diagnosed at age 19. Compliant with medication, he remained generally free from positive symptoms-delusions and hallucinations. Nonetheless, he committed two murders during a robbery and was sentenced to death. Since his incarceration, the defendant has consistently refused psychotropic medications and has been forcibly medicated on several occasions when he exhibited violent outbursts and was overtly psychotic. (shrink)

Life, death and immortality.--Oriental religions.--Buddhism and Christianity.--Christianity and Mohammedanism.--The natural history of church organization.--The heresy of non-progressive orthodoxy.--Miracles.--Christian ethics as contrasted with the ethics of other religions.--Eternity; a thread in the weaving of a life.

This chapter contains section titled: “One Must Die to Know the Truth” “Prayer to the Cloud of Unknowing” Bored, as in Really Bored The Boxing of D'Anna Biers Notes.

John Lizza says that to define death well, we must go beyond biological considerations. Death is the absence of life in an entity that was once alive. Biology is the study of life. Therefore, the definition of death should not involve non-biological concerns.

Lucretius argues that death does not harm the person who dies. Harm could occur only if a person’s future non-existence were harmful. But one’s future non-existence is no more harmful than one’s non-existence prior to being born. Since a person is not harmed by lacking existence prior to being born, it follows that one is not harmed by lacking existence after dying. There is thus no need to fear death’s sting.

Human death is natural from the perspective of evolutionary biology but unnatural from the vantage point of classical Christian theology. The biblical notion that death entered the world as a result of sin seems hard to square with the view that (human) death has been an integral part of the natural order all along. I suggest an ecumenical solution to this conundrum by retrieving and elaborating the Augustinian modal distinction between strong and weak immortality. It is argued (...) on exegetical and theological grounds that the human being can best be seen as being created in a state of posse mori et posse non mori, and that—when conceptual ambiguities in their writings are dissolved—this is what theologians as diverse as the prelates of the Council of Trent, John Calvin, Louis Berkhof, and Wolfhart Pannenberg had in mind. It is also argued that this solution is compatible with contemporary evolutionary science and can be accepted by creationists of various stripes. (shrink)

Based on the fieldwork at two Norwegian Intensive Care Units, we wish to discuss the sometimes inconsistent manner in which death is handled, determined and made real by nurses and other healthcare personnel in high‐tech hospital situations. These discrepancies draw our attention towards different ways of attending to the dying and dead and views about appropriate or inappropriate codes of professional behaviour. As we will argue below, the analytical tools developed by Annemarie Mol are useful for sharpening our understanding (...) of the enactment of multiple ontologies of death as they are enacted within the ICU. Annemarie Mol and John Law’s notion of ‘ontological politics’ increases our awareness about the non‐arbitrary way some but not other practices are considered self‐evident whereas others are denigrated as muddled and illogical. (shrink)

This paper offers a partial defence of the Epicurean claim that death is not bad for the one who dies. Unlike Epicurus and his present-day advocates, this defence relies not on a hedonistic or empiricist conception of value but on the concept of ‘existential’ value. Existential value is agent-relative value for which it is constitutive that it can be truly self-ascribed in the first person and present tense. From this definition, it follows that death (post-mortem non-existence), while perhaps (...) bad in some respects, cannot be an existential harm for the one who dies. This paper argues that existential goods are central to any explanation of why life appears good to us from a self-interested perspective, which means that death is not bad in the very respect in which life is most saliently good (from that perspective). A corresponding error theory shows why this truth is easily overlooked and explains why we tend to think that death is significantly worse than it really is. (shrink)

The aim of this paper is to further an understanding of how a soul comes to despair and how the spirit of life is wounded. This question is approached from the perspective of death – in the form of death defying acts and voluntary death – as the dialectic aspect of being and non-being. Death can be a reflection of the life lived and the experience of who I am. The relation between ego and Self determines (...) who I am. Two forms of misrelating between ego and Self will be considered. One causes a sense of omnipotence as the ego identifies with Self, and the other causes a sense of alienation as the ego renounces the Self to establish an intellectual vacuum, which becomes a substitute for lived experience. In both instances, there is a growing despair of inauthenticiy and the experience of non-being, which voluntary death and death defying acts attempt to put an end to. Both manifestations of death are attempts to resolve the imbalance between the eternal and temporal dimensions of being – to put an end to the despair of being unconscious of Self – and to affirm being. It is only when there is a conscious dialectic between ego and Self that an authentic existence becomes possible. An authentic existence represents the ongoing commitment to incarnate the human reality that exists between the world of imagination and the world as it appears to our senses. This, I argue, amounts to a spirit with soul. (shrink)

Despite widespread support for the claim that death can harm the one who dies, debate continues over how to rescue this harm thesis (HT) from Epicurus’s challenge. Disagreements focus on two of the three issues that any defense of HT must resolve: the subject of death’s harm and the timing of its injury. About the nature of death’s harm, however, a consensus has emerged around the view that death harms a subject (when it does) by depriving (...) her of the goods life would’ve afforded had she continued living. This deprivation view of death’s harm (DV) derives some of its credibility from the general deprivation theory of which it is an instance: mortal harm is subject to the same kind of analysis plausibly given of other non-mortal harms. Furthermore, note that the weak formulation of HT—asserting only that death can inflict harm, not that it always or necessarily does—accommodates the intuition that instances of rational suicide and justifiable euthanasia present cases in which death fails to harm. DV is equipped to explain how in these cases the harms involved in continued existence outweigh the goods of which death deprives the subject. I agree that suicide can be rational and that euthanasia can be justifiable. Likewise I accept both HT and DV as far as they go. But they do not go far enough. Specifically, I argue here that death harms even those who die as a result of rational suicide or justifiable euthanasia; that death’s harm is neither undifferentiated nor wholly contingent, but multifaceted and partly necessary; that the necessary part of death’s harm is distinctive, inflicting a peculiar restriction on the autonomy of one who dies; and, regarding the timing and subject issues, that this restriction harm is inflicted on the antemortem subject prior to her death. (shrink)

Based on the fieldwork at two Norwegian Intensive Care Units, we wish to discuss the sometimes inconsistent manner in which death is handled, determined and made real by nurses and other healthcare personnel in high‐tech hospital situations. These discrepancies draw our attention towards different ways of attending to the dying and dead and views about appropriate or inappropriate codes of professional behaviour. As we will argue below, the analytical tools developed by Annemarie Mol are useful for sharpening our understanding (...) of the enactment of multiple ontologies of death as they are enacted within the ICU. Annemarie Mol and John Law’s notion of ‘ontological politics’ increases our awareness about the non‐arbitrary way some but not other practices are considered self‐evident whereas others are denigrated as muddled and illogical. (shrink)

This article seeks to show that death prevents one’s life from being meaningful on balance. Proponents of what has come to be known as the ‘imperfection thesis’ about life’s meaning claim that it is sufficient for one’s life to be meaningful that one relates to only a non-maximal conceivable value. In many, if not all, contexts, holding the imperfection thesis appears to be the sole reason for supposing that death need not prevent one’s life from being meaningful. Counter (...) to this, it is argued that there is good reason to believe that the imperfection thesis is false, that arguments in favour of the imperfection thesis fail, and that attempts to show that the imperfection thesis can counter the arguments against it in a principled way are unsuccessful. Given this, it can be concluded that the imperfection thesis is false, and so there is no reason for supposing that death need not prevent one’s life from being meaningful. (shrink)

Employers must determine the types of health care plans to offer and also set employee premiums for each plan provided. Depending on the structure of the employee share of premiums across different health insurance plans, the incentives to choose one plan over another are altered. If employees know premiums do not fully reflect the risk differences among workers, such pricing can give rise to a so-called “death spiral” due to adverse selection. This paper uses longitudinal information from a natural (...) experiment in the management of health benefits for a large employer to explore the impact of moving from a fixed-dollar contribution policy to a partially risk-adjusted employer contribution policy. Our results show that implementing a significant risk adjustment had no discernable effect on adverse selection against the most generous indemnity insurance policy. This stands in stark contrast to previous studies, which have tended to estimate large impacts attributed to selection when employers move to a fixed-dollar policy from one with some risk adjustment. Further analysis suggests that previous studies, which appeared to detect plans in the throes of a death spiral, may instead have been reflecting an inexorable movement away from a non-preferred product, one that would have been inefficient for nearly all workers even in the absence of adverse selection. (shrink)

The article attempts to deal with the proposition that human being’s incapacity to imagine its own death, the state of non-being necessitates the thinking of the animal. A critical and close reading of specific Brāhmaṇa and Mahābhārata texts would spotlight that it is man’s rationalizing capacity that disavows and denies the question of intelligibility of the actions of the animal. The animal is the undisclosable which man keeps and brings to light as such. The article would further investigate if (...) the question of our forgetfulness toward the fact that we are born in debt to death has any linkage to the sacrificial logic of killing animals as elaborated in Brāhmaṇical hermeneutics. It examines how the ethical is thoroughly coextensive with the animal’s act of hospitality/hostility as an affective, purposive and reasoned response toward the other. In the course of the analysis of the jantu and pakshî upākhyāns in the Àraṇyak and Śanti Parvas of the Mahābhārata, the article tries to understand and explore if the experience of the animalitas is intrinsic to the structure of human reason, complicating the nature and notion of a priori. (shrink)

This dissertation traces the themes of madness and death from Plato to twentieth century European philosophy. By focusing on the writings of Plato, Hegel, Heidegger and Foucault, this work tries to articulate the way in which philosophy relies on the themes of madness and death to define itself. Madness and death are not simply topics within philosophy, but they are the "other" of philosophical discourse. In this respect madness and death are instances of negativity. Negativity plays (...) a significant role in the constitution of philosophical discourse. Thus far from being marginal topics within philosophy, madness and death prove to be related to many contemporary philosophical problems, such as subjectivity, the metaphysics of presence, the relationship between the body and language, and finally the question of ethics. ;The first chapter concentrates on Plato's Phaedo and Phaedrus. For Plato, philosophy is defined as a preparation of death and as a kind of madness. Through a close reading of these texts, this chapter establishes the constitutive roles of madness and death for philosophy. ;The second chapter concentrates on Hegel's notion of madness in the Encyclpaedia, and his understanding of death in the Phenomenology of Spirit. This chapter establishes that Hegel's approach to negativity ultimately remains a cognitive one, and incapable of thinking the question of negativity in a radical fashion. ;The third and fourth chapters focus on Heidegger in order to articulate a more radical thinking of negativity. The notion of death in Being and Time, and that of madness in Heidegger's later writings characterize Heidegger's non-cognitive understanding of negativity that cannot be reduced to a content of thought. ;The final chapter focuses on the debate between Foucault and Derrida on madness and ultimately attempts to question the radicality of both Hegel's and Heidegger's notions of negativity. ;The conclusion tries to connect the questions of madness and death to that of ethics. The radicalization of the question of ethics in twentieth century continental philosophy presupposes and requires a rethinking of the question of alterity. This work gestures towards such a rethinking. (shrink)

Lucretius argues that death does not harm the person who dies. Harm could occur only if a person’s future non-existence were harmful. But one’s future non-existence is no more harmful than one’s non-existence before birth. Since a person is not harmed by lacking existence before birth, one is not harmed by lacking existence after dying.

Most discussions of near-death experiences (NDEs) in both the academic and popular literature contend that they establish ('prove') supernaturalism (about NDEs): they show that the mind is not the brain (and can continue after the brain stops functioning), and they bring us into contact with non-physical realms. I believe that the evidence provided by NDEs for supernaturalism is not persuasive, but I offer an alternative, naturalistic interpretation of these phenomena. On this interpretation, NDEs are 'real' in both senses of (...) the term: they really occur (people really have them, with the experiential content ascribed to them), and they are accurate. On this interpretation, NDEs are fundamentally about a journey from the known to the unknown, guided by a trusted mentor. Thus, NDEs accurately depict the possibilities for dying. Negative NDEs indicate the possibility of dying in cold, sterile, lonely circumstances, whereas positive NDEs point to the possibility of 'dying well', surrounded by loved ones. This is an interpretation that avoids the problems for supernaturalism of the gap between evidence and conclusion, and the commitment to causal interaction between physical and non-physical realms. (shrink)

The execution of the prophet Mani by the Sasanian king Bahram I received sharply different treatments in the historiography of three of the confessional groups of the Sasanian empire. Variously a persecuted prophet, a blasphemous lunatic or a sinister heresiarch the representations of this moment sought to establish its meaning in the context of communal narratives predicated on the claims of sacred history. Despite this, it is notable that Manichean, Christian and Perso-Arabic accounts clearly share features. This indicates not only (...) that Mani’s death became a site of competition between the constituent groups of the Sasanian empire, but that the internal historiographies of these groups were in some sense entwined, or at least sensitive to the historical claims made by their opponents. This is particularly relevant in the case of the Perso-Arabic narrative. This version, which almost certainly descends from a priestly Zoroastrian source, presents a picture of a confident priesthood stiffening the spine of a wavering king. It is contended that the source of this story was composed as a counterstrike in a historical debate in which Christian and Manichean authors had successfully propagated an image of Bahram’s court as religiously tepid and his priests as slanderers or non-entities. That such an intervention was required signals a disjuncture between early and late forms of Sasanian ideology. Moreover, it presents more evidence in support of theories of a late and deliberate construction of Zoroastrian “orthodoxy”. (shrink)

Non-therapeutic ventilation of potential organ donors would increase the supply of kidneys for transplantation. There are no major ethical objections to it. The means of permitting it are forbidden by laws with an ethical basis. A law permitting it would need an ethical basis. Introducing a third legal method of diagnosing death would be unethical. Expanding the power of the advance directive to permit procedures involving minimal harm would be ethical but not helpful. Extending the power of proxies to (...) permit specific non-therapeutic procedures which caused or risked minimal harm to incompetent patients is the best way forward. (shrink)

Both Martin Heidegger and Harry Frankfurt have argued that the fundamental feature of human identity is care. Both contend that caring is bound up with the fact that we are finite beings related to our own impending death, and both argue that caring has a distinctive, circular and non-instantaneous, temporal structure. In this paper, I explore the way Heidegger and Frankfurt each understand the relations among care, death, and time, and I argue for the superiority of Heideggerian version (...) of this nest of claims. Frankfurt claims that we should conceive of the most basic commitments which practically orient a person in the world and define his identity (“volitional necessities”) as naturalistic facts, foundational for and located completely without the normative space of reasons. In support of this he appeals to the supposedly foundational role played in human life by the instinct for self-preservation, what Frankfurt calls the “love of living.” The claim is that in questions of practical identity there is a definite priority of the factual over the normative. Frankfurt’s naturalistic model of volitional necessity is motivated by a misunderstanding of the temporal structure of care, a misunderstanding that helps lead him to an implausible conception of the basic structures of human identity. Heidegger advances an anti-naturalistic conception of caring, one bound up with his way of understanding how human beings relate to their own future. I argue that the existential, temporal, and normative significance that Frankfurt attributes to the naturalized “love of living” is better captured by the Heideggerian claim that human identity is defined by being “for-the-sake-of” certain projects and commitments, a way of being lived out in the way Heidegger calls “being-towards-death.”. (shrink)

This article questions the assumption, held by several philosophers, that the Epicurean argument for death's being ?nothing to us? must be fallacious since its acceptance would undermine the principle that killing is (in general) wrong. Two possible strategies are considered, which the Epicurean-sympathizer might deploy in order to show that the non-badness of death (for the person who dies) is compatible with killing's being wrong. One of these is unsuccessful; the other is more promising. It involves arguing that (...) the wrongness of killing is a ?basic moral certainty? and hence requires no underpinning by the judgement that death is bad. Problems for this proposal, and possible responses to those problems, are considered. Though the strategy is not decisive, it is deemed to be one that the Epicurean could plausibly adopt. (shrink)

According to the “deprivation approach,” a person’s death is bad for her to the extent that it deprives her of goods. This approach faces the Lucretian problem that prenatal non-existence deprives us of goods just as much as death does, but does not seem bad at all. The two most prominent responses to this challenge—one of which is provided by Frederik Kaufman (inspired by Thomas Nagel) and the other by Anthony Brueckner and John Martin Fischer—claim that prenatal non-existence (...) is relevantly different from death. This paper criticizes these responses. (shrink)

“Death Rattle, not Dashikis: Nikki Giovanni’s Black Judgement Meets Hannah Arendt” presents a critical interdisciplinary perspective on racial formation and modern political thought. Deploying blackness as a principle that simultaneously animates and interrupts the logic of Western political and philosophical thought, the essay contends that the construction of blackness is central to the discursive violence imposed by Western political theory and metaphysics. It argues that the “death rattle” emerging from Giovanni’s Black revolutionary poiesis bears no distinction between creating, (...) knowing, and doing—poiesis, theoria, and praxis. Rather, it calls for the destruction of the theoretical principles organizing the world of its (non)being. In other words, the aporia of Black revolutionary poiesis is its politics. Accordingly, this paper examines what is at stake politically, poetically, and philosophically when modern antiblackness becomes critically foregrounded as a suppressed and hitherto mostly invisible parameter of modern thought. (shrink)

This practical guide summarizes the principles of working with dying patients and their families as influenced by the commoner world religions and secular philosophies. It also outlines the main legal requirements to be followed by those who care for the dying following the death of the patient. The first part of the book provides a reflective introduction to the general influences of world religions on matters to do with dying, death and grief. It considers the sometimes conflicting relationships (...) between ethics, religion, culture and personal philosophies and how these differences impact on individual cases of dying, death and loss. The second part describes the general customs and beliefs of the major religions that are encountered in hospitals, hospices, care homes and home care settings. It also includes discussion of non-religious spirituality, humanism, agnosticism and atheism. The final part outlines key socio-legal aspects of death across the UK. Death, Religion and Law provides key knowledge, discussion and reflection for dealing with the diversity of the everyday care of dying and death in different religious, secular and cultural contexts. It is an important reference for practitioners working with dying patients, their families and the bereaved. (shrink)