It is important to understand that an individual 's perspective of death and dying is greatly impacted by their culture. In this paper I will discuss how the Japanese culture approaches death and dying. I will also discuss the unique concept of organ transplantation that surrounds that Japanese culture. This paper presents the law of organ transplantation in Japan, which allows people to decide whether brain death can be used to determine their death in agreement with their family. Japan could become a unique example of individual choice in the definition of death if the law is revised to allow individuals choose definition of death independently of their family. The death and dying rituals involved in the Japanese culture will be discussed.
Overview of the Japanese Culture
In the latter half of the twentieth century, developed countries of the world have made remarkable strides in organ donation and transplantation. However, in this area of medicine, Japan has been slow to follow. Japanese ethics, deeply rooted in religion and tradition, have affected their outlook on life and death. The Japanese have only recently started to acknowledge the concept of brain death and transplantation of major organs has been hindered in that country. Currently, there is a dual definition of death in Japan, intended to satisfy both sides of the issue. This interesting paradox, which still stands to be fully resolved, illustrates the controversial conflict between medical ethics and medical progress in Japan. The Japanese culture considers a human being both alive and dead, an integrated body, mind, and spirit (Dennis, 2009, p.12). Therefore removing an organ from a brain-dead person involves a disturbance in this natural integrated unit. In the Japanese culture organ donation and organ transplantation are unpopular and rare (Dennis, 2009). According to Dennis (2009), the Japanese culture believes that a dead body must remain whole
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