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New Hot Paper Comments

By Lawrence Burns

ESI Special Topics, November 2007
Citing URL - http://www.esi-topics.com/nhp/2007/november-07-LawrenceBurns.html

Lawrence Burns answers a few questions about this month's new hot paper in the field of Social Sciences, general.


From •>>November 2007

Field: Social Sciences, general
Article Title: Gunther von Hagens' BODY WORLDS: Selling beautiful education
Authors: Burns, L
Journal: AM J BIOETH
Volume: 7
Issue: 4
Page: 12-23
Year: APR 2007
* Dalhousie Univ, Fac Med, 1234 LeMarchant St, Halifax, NS B3H 3P7, Canada.
* Dalhousie Univ, Fac Med, Halifax, NS B3H 3P7, Canada.

ST:  Why do you think your paper is highly cited?

The paper is about the use of human cadavers for education and entertainment, which is a subject that is extremely polarizing yet morbidly fascinating. Given the popularity of Gunther von Hagens’ BODY WORLDS shows—which are still touring the U.S. and Canada—it is surprising that there has been so little scholarly engagement in this issue in North America. This paper opens up several avenues for much-needed discussion, especially as pertains to the meaning of dignity in relation to the disposition of human cadavers and the value of cadavers generally in the process of medical education.

ST:  Does it describe a new discovery, methodology, or synthesis of knowledge?

The paper critically assesses the use of a novel technology that preserves human corpses by using polymers, resins, and other chemicals. By means of this plastination process, human tissue can be preserved indefinitely in a very durable, odorless, and realistic form.


“This paper opens up several avenues for much needed discussion, especially on the meaning of dignity in relation to the disposition of human cadavers and the value of cadavers generally in medical education.”

The most novel aspect of this process is that the entire corpse can be posed in whatever position the technician desires before being plastinated. Gunther von Hagens discovered and patented the process of plastination, and he has demonstrated the possibilities it offers to spectacular effect in his BODY WORLDS shows.

ST:  Would you summarize the significance of your paper in layman’s terms?

There are two parts to the paper. The first examines the utility of plastination for educational purposes. The second examines some ethical concerns regarding the artistic use of whole-body plastinates.

First, according to Gunther von Hagens’ published statements, he is eager to liberate anatomical knowledge from the control of medical experts and share it with the public. While acknowledging the value of plastination in principle, especially for use in anatomy education for medical students, I question the necessity of using actual human cadavers to educate the general public. There are other ways to educate the public, e.g., using plastic models, computer imaging, or living subjects, and the public cannot be expected to appreciate the minutia that anatomists alone would see in the plastinated corpses.

Where suitable alternatives exist and when the educational goal is unclear, I argue that we are not justified in using actual human cadavers on such a scale. They represent an extremely valuable resource (when used in medical education) that also has great social meaning because of the dignity we attribute to the dead.

The second aspect of the paper concerns the artistic and entertainment dimensions of the exhibit. Plastination allows a large number of cadavers to be displayed in lively poses that both entertain and educate the public. Many are engaged in sporting activities (e.g., skiing or figure skating), whereas others are playing chess or opened up like a set of drawers.

Von Hagens disavows his role as artist, but several of these exhibits reveal a fundamental artistic intent. In particular, I argue that signing each of the whole-body (gestalt) plastinates and giving them each a title undermines the personal dignity of the donor.

ST:  How did you become involved in this research, and were there any particular problems encountered along the way?

When I heard that BODY WORLDS 2 ¦Website¦ was in Toronto (in the fall of 2005), I was very ambivalent about going to see it. I thought that it would be rather gruesome and overwhelming. My postdoctoral supervisor, Françoise Baylis, had seen the show, however, and recommended that I see it. I decided to do so and was very glad I did.

At the time, I was working on ethical issues regarding dignity and stem cell research, and the problem of displaying actual human corpses in public in this way allowed me to look at the issue of human dignity from another angle. Instead of looking at embryonic human life, I was looking at human death. In addition, there are many fascinating philosophical puzzles about identity that emerge in relation to one’s memory as it lives on in others’ minds and with regard to the materiality of one’s remains. The only problem I encountered was that the general topic of whether human cadavers should be used at all in the show dominated the discussion that followed—i.e., in the commentaries that accompany the published article.

People were very animated about the subject and wanted to give their own view of the matter. However, instead of condemning the use of cadavers in the show as a whole, I wanted to make suggestions as to how it could be revised, in order to improve its avowed educational intent while doing a better job at protecting the dignity of the participants.

ST:  Where do you see your research leading in the future?

I will continue to study the notion of human dignity from both a theoretical and a practical point of view, paying particular attention to the use of human tissue in research. Stem cell research is my primary focus, but I am also interested in the use of tissue banks. Broader research interests include the assessment of deliberative methods of policy-making and the interpersonal basis of moral responsibility.

ST:  Are there any social or political implications for your research?

There are many social and political implications of my research, some of which I have mentioned above. Overall, I question the growing commodification of human bodies, as well as the seemingly unbounded faith in the ability of medicine and technology to serve our individual purposes. These issues converge, to the extent that novel technologies serve our individual aims but require that we place ourselves under the microscope in many metaphorical and literal ways.

Stem cell research is a great example of the medicalization and commodification of our bodies, which promises dramatic benefits but has yielded few tangible results. As BODY WORLDS shows, some technologies have the power to capture our imaginations, and this power has to be assessed beyond the hype and with a full appreciation of the greater social goods which we are obligated to bring about.End

Lawrence Burns, Ph.D.
Lecturer, History of Medicine and Philosophy
King’s University College at the University of Western Ontario
London, Ontario, Canada
   

ESI Special Topics, November 2007
Citing URL - http://www.esi-topics.com/nhp/2007/november-07-LawrenceBurns.html

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