Ethical issues of experimental surgery: «head transplant» case
Abstract
The article discusses a number of fundamental anthropological and ethical problems of experimental surgery which arise in moral assessment of the surgent S. Canavero “head transplantation” project. It is noted that the project is based on the assumption (contested by the modern
neuroscience) that human consciousness is exclusively a function of its brain. Therefore, it is
presumed that the “head transplantion” would not change the recipient’s identity and self-consciousness. For the moral assessment of S. Canavero’s project, a standard set of bioethical principles for evaluation of medical innovations was used: the principle of beneficence and non-maleficence (do no harm!); the principle of autonomy; the principle of human dignity; the principle of justice. The article also discusses the phenomenon of “theatricalization of medicine”, expressed
in the aggressive way in which S. Canavero uses media to promote his project. A conclusion
is made about the fundamental importance of professional ethical expertise for the evaluation
of innovative projects in experimental surgery.
Keywords:head transplant, experimental surgery ethics, bioethical principles, mind-body problem, theatralization of medicine
Clin. Experiment. Surg. Petrovsky J. 2017; 5 (3): 81–9.
DOI: 10.24411/2308-1198-2017-00049
Received: 30.04.2017. Accepted: 15.06.2017.
References
1. Lakoff G., Johnson M. Philosophy in the flesh. The embodied
mind and its challenge to western thought. New York: Basic Books,
1999. 640 p.
2. Metzinger Th. Hirnforschung, Neurotechnologie, Bewubt-
seinskultur. Medizin-ethische, anthropologische und sozialphi-
losophische Fragen der Zukunft. URL: http://www.philosophie.unimainz.de/metzinger/publikationen/1996p.html (date of access:
March 1, 2017)
3. McDonald P.J., Kulkarni A.V., Farrokhyar F., Bhandari M. Ethical issues in surgical research. Can J Surg. 2010; 53 (2): 133–6.
4. Morreim E.H., Mack M., Sade R.M. Is surgical innovation
too dangerous to remain unregulated? Ann Thorac Surg. 2006; 82:
1957–65.
5. Mitu F., Turiceanu M., Gaitan A. Heart transplantation – ethical considerations. Rom J Bioethics. 2011; Vol. 9 (4): 109.
9. Francis D., Moore F.D. Ethical problems special to surgery:
surgical teaching, surgical innovation, and the surgeon in managed
care. Arch Surg. 2000; 135 (1): 14–6.