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Organ Transplantation: Meanings and Realities

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This paper explores the complexities of organ transplantation, examining cultural and ethical considerations surrounding the definition of death, organ commodification, and the emotional repercussions of transplant practices. It highlights diverse perspectives from various scholars, including theological, clinical, and literary viewpoints, aiming to provoke thoughtful discussion on contemporary issues in organ donation and transplant surgery.

mistakenly assert that underneath their particularities all religions are alike, Smart argues that these seven foci identify the general "patterns" of religion and religious expression. When examined within a particular tradition, the foci are clearly interrelated. When examined between traditions, the foci help us explore differences of expression. For example, both Christianity and Theravada Buddhism can be said to be doctrinal. They do not share a belief in God, however; religion need not be theistic, Smart reminds his readers. But both traditions give rise to ritual practices, social organizations and ethical views that are related to their structures of belief. The Christian attends through worship to a numinous theism whereby the self relates to the Other outside the self, while the Theravada Buddhist attends through a contemplative mode of expression to the non-other within the self. In Smarts descriptive analysis, identifying similarities serves to highlight differences. Scholars of religion may not find much new in the details of this volume, and Smart himself admits that his approach is "old-fashioned" in its use of traditional categories and symbols of religion. But this book nonetheless will command the scholar s respect and the general readers admiration. Scholars will find Smart s approach sensitive to cross-cultural differences. Yet he boldly claims that by attending to certain features common to religious expression, we can identify religion and faiths as distinctive phenomena in human experience. The book is accessible, well written and, at times, very personal. It connects religion to all kinds of other phenomena, including sports, nationalism, globalism, electronic communications and New Age spirituality. Smart eloquently pleads for adding more cross-cultural learning in higher education, not only because failure to do so increases the destructive forces of nationalism and racism, but because globalization is affecting all dimensions of human life, with serious implications for future developments in Christian theology. This book wonderfully exemplifies the kind of crosscultural educational effort Smart has in mind. Organ Transplantation: Meanings and Realities. Edited by Stuart J. Youngner, Renee C. Fox and Laurence J. O'Connell. University of Wisconsin Press, 312 pp., $40.00;paperback, $22.95. O VER T H E COURSE o f t w o years, scholars representing numerous cultural and religious traditions, as well as health and academic disciplines, met at the Park Ridge Center for the Study of Health, Faith and Ethics in Chicago "to explore the phenomenological reality of organ transplantations and examine its human and cul- tural meaning." This collection of a dozen essays is the product of those meetings. Together they give the reader a remarkable insight into a constellation of issues surrounding organ transplants. Although not written to endorse or condemn transplants, the essays nonetheless raise a number of serious questions about what is now a routine feature of medicine. Wendy Doniger and Leonard Barkan look at various myths, using sources ranging from Hinduism to a legend about a leg transplant attributed to Sts. Cosmas and Damian. Margaret Lock gives a fascinating account of the debate over brain death and organ transplantation in Japan. The redefinition of death in America, from "cardiopulmonary death" to Reviewed by Allyne L. Smith Jr., an Orthodox priest, theologian and ethicist who is a visiting scholar in the University of Notre Dame's theology department. For conference information contact: The Louisville Institute Interpreting the Contexts • Strengthening the People 1044 AltaVista Road Louisville, KY 40205-1798 502-895-3411 Contemporary Ammican Spirituality toll-free: 1-800-264-1839 FAX: 502-894-2286 Robei E-mail: Christian Pr^icgMas Way of Life [email protected] Dorothy B a l & ^ C r a i g Dykstra Internet: http://www. louisville-institute.org Workshops • Con¥kMation • Strategies -- \f The Louisville Institute is a Lilly Endowment program for the A Louisville Institute Conference study of American religion based Reviewed by Lloyd Steffen, university chaplain and associate professor of religion studies at Lehigh University in Bethlehem, Pennsylvania. September 25-26,1997 597 at Louisville Seminary C H R I S T I A N C E N T U R Y June 18-25,1997 Pastor Marty's Recipes Hungry for a nourishing yet light look at religious life in America? Try Martin E. Marty's M.E.M.O c o l u m n s . We've collected 40 of his best columns in one book: Lovers7 Quarrels & Casserole Theology Generously seasoned with h u mor, warmth and faith, Marty's columns both inspire and challenge. They're appetizing food for t h o u g h t for serious Christians who enjoy a good laugh. Available now at $6.95 plus $1.50 for shipping. Order from: M.E.M.O Book The Christian Century 407 S. Dearborn St. Chicago, IL 60605-1150 "brain death," was the necessary p r e lude to the spread of organ transplantation. Now that some are urging yet n e w e r criteria of d e a t h in o r d e r to provide m o r e organs for transplant, Lock's essay is a timely stimulus to rethink the question of when death occurs. Rabbi Elliot Dorff addresses this issue from the perspective of Judaism. R u t h Richardson describes h o w British anatomists of a century and a half ago o b t a i n e d corpses for t h e i r work and identifies disturbing parallels with c o n t e m p o r a r y proposals. Thomas Murray addresses three specific proposals for the "commodification" of organs for transplant. Clinical perspectives are offered by transplant surgeon Barry Kahan and psychiatrist Stuart Youngner. Leslie Fiedler takes u p the fears and doubts elicited by organ transplantation through a discussion of four 19th-century novels: Frankenstein, Dr. Jekyll and Mr. Hyde, Dracula and The Island of Dr. Moreau. U KIRKRIDGE Has Compassion Gone Out of Fashion? Daniel and Philip Berrigan and Elizabeth McAlister September 5 - 7 Sisterly Conversations Virginia Ramey Mollenkott, Sue Fulton, Le Martin September 19 - 21 Sacred Roots, Sacred Values Starhawk September 26 - 28 Cultivating the Inner Voice of Love Building on the spirituality of Henri J. M. Nouwen Chris Glaser and Sue Mosteller October 6 - 8, Mon. - Wed. Write or call for rates, registration, and further information KIRKRIDGE Bangor, PA 18013 (610) 588-1793 A mountain retreat center 85 miles from New York City and Philadelphia, accessible from Allentown, Newark, and NYC airports CHRISTIAN CENTURY June 18-25, 1997 598 R e n e e Fox provides a sobering conclusion to the book. A researcher in organ transplantation for over 40 years, Fox announced her decision in 1992 to withdraw from the field due to h e r " m o u n t i n g concern about t h e medical, moral and spiritual profanation [she saw] it undergoing." W h e r e R e s i d e n t Aliens Live: Exe r c i s e s for Christian Practice. By Stanley Hauerwas and William H. Willimon. Abingdon, 124 pp., $12.95 paperback. M ANY READERS of Stanley Hauerwas and William Willimons widely noticed book Resident Aliens wondered, ' W h e r e is this church of which you speak?" The authors have responded with a lighter, more readable sequel. Engaging, and no less controversial than the first book, this volume suggests that we can find the kind of church they advocate "if we take the trouble to look for it in the right places." Hauerwas and Willimon consider nothing more loathsome than a Christian community that feels at h o m e in t h e world. T h e i r m o d e l of what church should be is the civil rights era African-American church that "knew that it lived as strangers in a strange land, that had no illusions about the wider culture, that knew that it needed to gather on Sunday and protect its children." T h e y cite as successors to that tradition an Episcopalian called "Gladys II," a D u k e undergraduate, a brick-laying Methodist turned Orthodox, a Baptist pastor in Atlanta, and the U.S. Marines of Platoon 3086 on Parris Island. Hauerwas and Willimon challenge t h e c o n t e m p o r a r y church's beliefs Reviewed by Kevin R. Armstrong, pastor of Roberts Park United Methodist Church in Indianapolis, Indiana wmm^Sk^ IJZZZW mmSSSS*m HByHHl Letters to the editor may be sent to our e-mail address: [email protected] (Please include your name and full mailing address.)