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Journal of Medical Ethics 2004;30:359-361; doi:10.1136/jme.2002.002667
Copyright © 2004 by the BMJ Publishing Group Ltd & Institute of Medical Ethics.
J Med Ethics 2004;30:359-361
© 2004 BMJ Publishing Group Ltd & Institute of Medical Ethics

END OF LIFE

Medical ethics, logic traps, and game theory: an illustrative tale of brain death

J E Riggs

Correspondence to:
Correspondence to:
Dr J E Riggs
Department of Neurology, PO Box 9180, West Virginia University Health Sciences Center, Morgantown, WV 26506-9180, USA; jriggs{at}wvu.edu

ABSTRACT

Decision making and choices are frequent themes in medical ethics. Game theory is based upon modelled decision making. Game theory, and associated logic traps, may have relevance to the clinical practice of medicine and medical ethics. The "prisoner’s dilemma" is one logic trap from game theory in which "rational" decision making on the part of participating individuals can lead to "suboptimal" situations. An example of such a situation involving brain death is presented and discussed from the perspective of the prisoner’s dilemma.

Keywords: brain death; logical traps; medical ethics; prisoner’s dilemma


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