作者: Ezra Gabbay , Joseph J. Fins
DOI: 10.1007/S10943-019-00874-Y
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摘要: Religious objections to brain death are common among Orthodox Jews. These often lead conflicts between families of patients who diagnosed with death, and physicians hospitals. Israel, New York Jersey (among other jurisdictions) include accommodation clauses in their regulations or laws regarding the determination by brain-death criteria. The purpose these is allow an opportunity oppose even veto (in case Israel Jersey) determinations death. In York, extent duration this period generally left discretion individual institutions. Jewish tradition has embraced cultural psychological mechanisms help cope loss through a structured process that includes quick separation from physical body dead gradual transition phases mourning (Aninut,Kriah, timely burial, Shiva, Shloshim, first year mourning). This meant achieve closure, acceptance, support for bereaved, commemoration, faith afterlife affirmation life survivors. We argue open-ended contention under reasonable may undermine deep wisdom informs tradition. By promoting dispute conflict, inevitable acceptance delayed comforting rituals deferred at expense bereft family. Solutions problem separating discussions organ donation those concerning diagnosis per se, allowing no escalation life-sustaining interventions rather than unilateral withdrawal mechanical ventilation, engagement rabbinical leaders cases policy formulations prioritize emotional families.