A Lacanian Perspective on Organ Donation and Transplantation Medicine
Med Health Care and Philos (2014) 17:559–571 DOI 10.1007/s11019-014-9553-1 SCIENTIFIC CONTRIBUTION The donor organ as an ‘object a’: a Lacanian perspective on organ donation and transplantation medicine Hub Zwart Published online: 15 March 2014 Ó Springer Science+Business Media Dordrecht 2014 Abstract Bioethical discourse on organ donation covers Keywords Organ donation Á Transplantation medicine Á a wide range of topics, from informed consent procedures Embodiment Á Psychoanalysis Á Jacques Lacan Á Thomas and scarcity issues up to ‘transplant tourism’ and ‘organ Starzl Á Cannibalism trade’. This paper presents a ‘depth ethics’ approach, notably focussing on the tensions, conflicts and ambiguities concerning the status of the human body (as something Introduction which constitutes a whole, while at the same time being a set of replaceable elements or parts). These will be Bioethical discourse on organ donation covers a wide range addressed from a psychoanalytical (Lacanian) angle. First, of topics, from informed consent procedures and scarcity I will outline Lacan’s view on embodiment as such. Sub- issues up to ‘transplant tourism’ and ‘organ trade’. Over the sequently, I will argue that, for organ recipients, the donor past decades, it evolved into a stream of documents of organ becomes what Lacan refers to as an object a, the bewildering proportions, encompassing thousands of ‘partial object’ of desire, the elusive thing we are deprived books, papers, conferences, blogs, consensus meetings, of, apparently beyond our grasp. Within the recipient’s policy reports, media debates and other outlets. Beneath the body an empty space emerges, a kind of ‘vacuole’, once ‘manifest’ level of discourse, a more ‘latent’ dimension can occupied by a faltering organ (now removed).
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