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Twice Dead: Organ Transplants and the Reinvention of Death (Public Anthropology)

Twice Dead: Organ Transplants and the Reinvention of Death (Public Anthropology)Author: Margaret Lock
Publisher: University of California Press
Category: Book

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Media: Paperback
Edition: 1
Pages: 389
Number Of Items: 1
Shipping Weight (lbs): 1.5
Dimensions (in): 8.7 x 6 x 1.4

ISBN: 0520228146
Dewey Decimal Number: 617.950952
EAN: 9780520228146
ASIN: 0520228146

Publication Date: December 3, 2001
Availability: Usually ships in 1-2 business days

Editorial Reviews:

Product 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.


Customer Reviews:
5 out of 5 stars Excellent examination of a complex set of issues   April 20, 2009
filmnoirfan (Japan)
I second the opinion of Timmermans Stefan and rather than review, I'll simply recommend it to anyone interested in biotethics, or end-of-life issues or anyone who, like I, have had to face the question of whether or not to offer your loved one's organs for transplant while they lie in front of you dying.

Along the same vein, though it explores a broader range of issues, is Robert Burt's book below, also recommended.

Death Is That Man Taking Names: Intersections of American Medicine, Law, and Culture (California/Milbank Books on Health and the Public)



5 out of 5 stars A masterpiece of social research   December 28, 2001
Timmermans Stefan (Lynn, MA USA)
16 out of 16 found this review helpful

Margaret Lock discusses how organ transplant interests fostered the notion of brain death in North America and Japan. Until recently, Japan did not accept brain death as a sufficient criterion of death, even when the Japanese had all the technology and medical skills to carry out organ transplantation. By contrasting the muted discussion about brain death in North America with the heated, well informed public debates in Japan, Lock makes readers uncomfortable. Are people declared brain dead in America really dead, or do neurologists simply assume that they are dead to allow transplantation to take place? When does death occur anyway; is it a process or an event? Should physicians determine death with technological guidelines, or should death be defined by the people who are the most implicated, like relatives? Lock does not provide easy answers to those questions but her exhaustive research indicates how a different consensus about brain death emerged in the East and the West.
This book is a masterpiece of social research that does not succumb to cheap moralizing. Lucidly written, it is solidly grounded in anthropology but widely accessible. I strongly recommend it to anyone with an interest in medicine or anthropology.


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