TheArtofDissec.on:TheMeaningsBehindHumanSpecimens “[T]herepeateddissec0onofthehumanbodyisnecessarybeforeanystudentofmedicineshouldbe allowedtotakechargeofthehealthandlivesofthecommunity.Nowomaninchildbirth,nopersonthe vic0mofaccident,nosuffererfromdiseaseissafeinthehandsofmenignorantofthestructureofthe humanbody.” W.S.Forbes,HistoryoftheAnatomyActofPennsylvania(Philadelphia:ThePhiladelphiaMedical PublishingCompany,1898),21. LearningObjec.ves ThroughexaminingimagesfromtheMementoMüGerexhibit(memento.muGermuseum.org),in-class discussion,andindependentresearchstudentswill… • …examinetheacquisiLonanduseofhumanspecimensfromavarietyofhistoricaland contemporaryperspecLves. • …criLcallyexamineacontroversialsubjectfromnumerousviewpoints. • …researchaperspecLveonasocialandculturalissueandmakeapersuasiveargument. TimeRequiredforLesson:1-2classsessions(oneforanoverviewofthematerialsandonefora historicaldebate) ClassPrepara.on TheinstructorshouldbringuptheMementoMüGersiteforreferenceandtopresentVisual Demonstra/ons. AnswerstoStudentWorksheets:[email protected] AcademicStandards CommonCoreStandards CC.8.5.9-10.A-B,D-F,H-I CC.8.5.11-12.A-I CC.8.1.9.A-C CC.8.2.9.A,C-D CC.8.3.9.A,C-D CC.8.1.12.B-C CC.8.2.12.A,C-D CC.1.2.9-10.A-I,K-L CC.1.3.9-10.A-C,F,I-K CC.1.4.9-10.A-L,Q-S,U-W ©2016TheCollegeofPhysiciansofPhiladelphia 1 CC.1.5.9-10.B-D,G 2 CC.1.2.11-12.A-B,D-G,I,L CC.1.3.11-12.B-F,I,K CC.1.4.11-12.A-L,Q-S,V-W KeyTerms ClinicalDetachment:Astatewhereinamedicalprofessionalisabletodistancehimorherselffroma paLentandactasanobjecLveobserver. Immunosuppressant:AtypeofmedicaLondesignedtosuppressapaLent’simmunesystem. AdministeredtopreventapaLent’simmunesystemfromrejecLngtransplantedorgansorLssue. Plas.na.on:ApreservaLonprocessdevelopedbyGuntherVonHagenswherethebody’swaterandfat arereplacedwithresin. Resurrec.onist:Anicknameforsomeonewhoillegallyobtainsandsellshumanremains. TransplantDona.on:DonaLoninwhichspecificorgansorLssues,suchashearts,kidneys,orskin,are donatedtoalivesubject. UnclaimedBody:Abodyofanindividualforwhomnoonehascomeforwardtoclaim.Abodythatwill beburiedatstateexpense. UniformAnatomicalGiPAct:UniformLawthatprovidesalegalframeworkfortheacquisiLon, distribuLon,anduseofdonatedhumanspecimensintheUnitedStates. WholeBodyDona.on:DonaLoninwhichaperson’senLrebodyisdonatedforinstrucLonorresearch. WilledDona.on:HumanspecimendonaLonvoluntarilyprovidedbytheindividualorlegally-mandated representaLve. LectureMaterialsforInstructor Ini/alAc/vity:AtthestartofclasshaveyourstudentsexploreMementoMüGerforthemselves,either individuallyoringroups.Askthemtodescribehowseeingtheimagesmakesthemfeel,ciLngspecific objectsinthecollecLonthatresonatedwiththem.AsaclasshavestudentssharetheirreacLonsand havethemaGempttoexplaintheiremoLons.Thedisplayofhumanremainscanevokedifferent emoLons,fromintrigueandcuriosity,toshock,fearorrevulsion. Thenasagroup,havetheclassaGempttolistdifferentusesforhumanremainsandwritethemonthe board.UsetheseusesasastarLngpointfordiscussinghowhumanspecimenshavebeenacquiredand usedinboththepastandpresent. UsethisassessmentasastarLngpointforexaminingtheuseofhumanspecimens.Throughdiscussion quesLonsandvisualdemonstraLonsprovidedviaMementoMüGerthislessonwilladdressthree quesLons: Whobecomesaspecimen? Howarespecimensobtained? ©2016TheCollegeofPhysiciansofPhiladelphia 3 Forwhatpurposesarespecimensused? Part1:Whoarethespecimens? MarginalizedGroups Historically,anatomicalspecimensmostfrequentlycamefrommarginalizedgroupsof people,suchasnonwhites(forexample,NaLveAmericansandAfricanAmericans),the imprisoned,andthepoor.Thoseburiedattheexpenseofthestatecouldbesubjectto anatomicaldissecLon.Theseincludedprisoners,especiallyexecutedcriminals;theverypoor, whocouldnotaffordaburial;andanyonewhohadneithertheresourcesorthesocialnetwork toprovideforaburial.Iftheseindividualswerenotturnedoverbythestate,theirremainscould alsobeatriskofgraverobbing.Asaresult,nonwhites,thepoor,andfriendlesswerethemost likelytoenduponadissecLontableinthe18thand19thcenturies. TheHyrtlskullcollecLonattheMüGerMuseumisarepresentaLveexample.Insome cases,19th-centuryVienneseanatomistJosephHyrtlprintedbriefdescripLonsoftheperson’s name,occupaLon,causeofdeath,andanydefininganatomicalcharacterisLcsontheskullitself. AmongthepeopleinhiscollecLonswereexecutedprisoners,laborers,soldierskilledincombat, sailors(whopresumablydiedabroadwithnorelaLvesorfriendstoclaimtheirremains),vicLms ofsuicide,andindividualswhodiedincharityhospitalsandhousesofthepoor. Someexamples: AdalbertCzap0eonesz,age51:Catholic,suicide.Cuthisthroatbecauseofextreme poverty. Rai-Tao-Si:Famouscriminal,guiltyofmanyatroci0es.Capturedwithtenofhisbandin Batavia(nowJakarta).HangedincastleofSemarang(Java). AndreaDolabella,Age32:Catholic,railwaylaborer.DiedinCharityHospital,Vienna,of sep0cinfec0onandcomplicatedfracture. SpecimenDona.onToday TodayspecimendonaLonsfallintooneoftwocategories:transplantdonaLons,whereoneor severalorgansorLssuesareofferedasdonaLonsfortransplantintoalivingsubject(i.e.kidney,heart, skin),andwholebodydonaLons,wheretheenLrebodyisdonated. WilledDona.ons Today,themajorityofhumancadaversusedintheUnitedStatesarewilleddonaLons, whereindividualshavevoluntarilyoptedtohavetheirbodiesdonatedtoscienceaiertheir death.Individualspreparearrangementsthroughstateanatomicalboards,medicalschools, researchfaciliLes,oroneofanumberofbodydonaLoncompanies,suchasMedCure,BioGii, andUnitedTissueNetwork(UTN).1 1Foralistofdonorprogramsperstate,see:“USPrograms,”AnatomicalBoardoftheStateofFlorida,hGp:// anatbd.acb.med.ufl.edu/usprograms/,accessedApril1,2016.MedCurehGp://medcure.org/;BioGi],hGp:// www.biogii.org/about-biogii-anatomical.php;UTN,hGp://unitedLssue.org/. ©2016TheCollegeofPhysiciansofPhiladelphia 4 Aierdeath,thedonor’sbodyisassessedtodeterminewhetheritisacceptablefor donaLon.FactorsthatcouldcauseadonaLontoberejectedincludeseverebodilyinjuries, extensiverecentsurgery,andinfecLousdiseases,suchashepaLLsandHIV. ThedistribuLonofhumanbodiesformedicalinstrucLonandresearchisoverseenby stateanatomicalboards.InPennsylvaniathisorganizaLonistheHumanityGiisRegistry.2 Aierresearchonthebodyhasbeencompleted,theremainsarecrematedandeither buriedbytherespecLveorganizaLonorreturnedtotheindividual’sfamily. UnclaimedBodies TodayonlyasmallpercentageofcadaversintheUSareunclaimedbodies.Theseare remainsforwhomnorelaLveshavecomeforwardtoclaimforburial.Examplesofunclaimed bodiesincludehomelessindividuals,individualsforwhomnofamilymemberscanbelocated,or thosewhosefamilymembershavedeclinedacceptance(usuallyforfinancialorpersonal reasons).Bodiesthatareunclaimedaregenerallypresentedtostateandlocalanatomicalboards whoassessbodiesbasedonphysicalcondiLonandpassageofLmeaierdeath.InPennsylvania, roughly1%ofhumansubjectsareunclaimedbodies.Bodiesmustbeembalmedwithin4-5 deathsaierdeathtosLllbeviablesubjects.AswithwilleddonaLons,theyalsomustbefreeof infecLousdiseasesorviolentinjuries.3 TransplantDona.ons Op.nginasanorgandonor InPennsylvania,individuals18yearsofageoroldercanbecomeanorgandonoreither byregisteringonlineoropLnginwhenobtainingorrenewingadriver’slicenseorstate idenLficaLoncard.Individualsundertheageof18canalsobecomeanorganorLssuedonorin PennsylvaniaprovidedtheyobtainwriGenconsentfromaparentorguardian. 4Generally,a humancadavercannotbeacceptedasawholebodydonaLoniftheyarealsoanorgandonor. TheoneexcepLontothisruleisinthecaseofcorneadonaLons. Part2:Howarespecimensobtained? Legally AnatomyActs Beginninginthe11thcentury,medicalprofessionalsbegantochallengeearliertaboos abouthumanbodies,arguinginfavorofusinghumansubjectsfordissecLon.Bythe1800s,it wascommonpracLceforaspiringphysicianstopracLcetechniquesonhumanbodies,either livingordead.SurgeriesinteachinghospitalswereperformedinoperaLngtheatreswhere 2“TheRoleoftheHumanityGiisRegistry,”hGp://www.hgrpa.org/our-role.html,accessedMarch30,2016. 3InterviewwithClarizaMurray,HumanityGiisRegistry,March30,2016. 4“OrganDonaLoninPennsylvania,”DMV.org,hGps://www.dmv.org/pa-pennsylvania/organ-donor.php,accessed March25,2016. ©2016TheCollegeofPhysiciansofPhiladelphia 5 studentsobservedproceduresconductedonlivepaLents,whobeforetheadventofanestheLcs wereawakeandawarethroughtheprocedure! Withtheriseofanatomicalstudycameariseinthedemandforhumanspecimens,but wherewouldphysiciansobtainthenecessaryspecimens?Inordertokeepupwiththegrowing demand,localandstategovernmentspassedAnatomyActstosetasidehumanremainsfor study.In1866,acommiGeeofthreefellowsofTheCollegeofPhysiciansofPhiladelphia— WilliamS.Forbes,SamuelD.Gross,andD.HayesAgnew—draiedthetextoftheAnatomyActof Pennsylvania.TheStateLegislaturepassedtheActlaterthatyear.TheAnatomyActallowed physicianstouseasdissecLonsubjectsanyremainsassignedtobeburiedatpublicexpense, includingprisonersandtheverypoor. PersonalTissueandBodyDona.ons Today,humanLssueandwholebodydonaLonsarecoveredundertheUniform AnatomicalGiiAct(UAGA).TheUniformLawCommissioncomposedthebillatthe1968Annual MeeLngoftheAmericanBarAssociaLonatthePhiladelphiaCivicCenter.UAGAprovidesa (generally)universallegalframeworktoregulatetheacquisiLon,distribuLon,anduseof donatedhumanspecimens.TheUAGAhasbeenpassedineachofthe50states(withsome slightvariaLonsinthewordinginsomestates).Therehavealsobeentwosubsequentrevisions (1987and2006)andfourstates(ConnecLcut,Florida,Oregon,andWestVirginia)havemade addiLonalrevisionssince2006.Allbuttenstatesoperateunderthe2006version.5 TheActallowsanyoneovertheageof18and“ofsoundmind”therighttodonate organs,Lssue,ortheirwholebodytoscience.Ifthedonorisunabletospeakonhisorherown behalf,asecondpartywhoisauthorizedtospeakfortheperson(calledthe“decedent”inthe law)canmakethedonaLondecisiononthedecedent’sbehalf.Thatpersoncanbeafamily member,guardian,oranyotherlegallyobligatedpersonprovidedthedecisiontodonatedoes notcontradicttheexpressedwillofthedecedent.Theremainscanbereceivedbythefollowing groups(called“donees”):hospitals,surgeons,physicians,medicalcolleges,academic insLtuLons,organbanks/storagefaciliLes,oranyindividualforwhomthesamplewillassistin healthortherapy.ThelawsLpulatesthedonaLoncanonlybeused“formedicalordental educaLon,research,advancementofmedicalordentalscience,therapy,ortransplantaLon.”6 Thefederalgovernmentbannedthesaleofhumanorgansin1984,withthepassageofthe NaLonalOrganTransplantAct. Illegally Bodysnatching/Resurrec.onism HumandissecLonforinstrucLongraduallyenteredthemedicalinstrucLoncurriculum aroundthe10thcentury.Asitroseinprominence,sodidtheneedforcadavers.However,the 5LegalInformaLonInsLtute,CornellUniversityLawSchool,“WhatAreUniformLaws?,”hGps:// www.law.cornell.edu/uniform/uniform,accessedFebruary23,2016;U.S.DepartmentofHealthandHuman Services,“StateOrganDonaLonLegislaLon,”hGp://www.organdonor.gov/legislaLon_micro/,accessedFebruary 23,2016. 6UniformAnatomicalGi]Act9. ©2016TheCollegeofPhysiciansofPhiladelphia 6 supplycreatedfromprisoners,thepoor,andtheunclaimedrapidlyprovedinadequatetokeep pacewiththedemand.Asaresult,anillegalmarketofhumanbodytraffickingemerged.Known bymanynames—“ResurrecLon-Men,““CorpseStealers,”“ResurrecLonists,”“Sack-‘Em-Up Men”—theenterprisingexhumedrecentlyburiedbodiesfromcemeteriestosellthemto medicalcollegesasspecimens.Inotherinstances,physiciansorresurrecLonmenbribed undertakersforearlyaccesstotherecentlydeceased.Someaspiringbodysnatcherseven resortedtomurderingunsuspecLngvicLmsandsellingtheirremainstomedicalschools.The pracLcecametobeknownas“Burking”aiertheinfamousWilliamBurke,whoalongwithhis partnerWilliamHaremurderedatleast16peopleandsoldtheirremainstomedicalschoolsin GreatBritain.7 Inresponse,stateandlocalgovernmentscreatedAnatomyActstocombatillegalbody dealers.However,inmanycasesthepracLceconLnuedastheneedforspecimensoutpacedthe supply.Forexample,in1882,invesLgatorsuncoveredanillegalbodytradeoperaLngoutofthe LebanonCemetery(formerlylocatedinWestPhiladelphiaatGirardandBelmontAvenues).In December1882,thePhiladelphiaPressreportedthatresurrecLonistshadbeendisinterring humanbodiesfromtheAfricanAmericanpubliccemeteryandsellingthemtothelocalmedical colleges.AmongthoseimplicatedinthetradewasWilliamS.ForbesofJeffersonMedicalCollege (thesameWilliamS.ForbeswhohadhelpedtodraitheAnatomyActofPennsylvaniain1867).8 “BodyBrokers” EvenwiththelegalmeasuressuchasUAGAinplacetoprovidemedicalstudentsand researcherswithsubjects,therearesLllscandalsinvolvingillegalbodytrades.In2008,Michael Mastromarinowassentencedto58yearsinprisonforhisroleastheringleaderofanillegal internaLonalhumanLssuetraffickingring.Mastromarinoandother“bodybrokers”established abusinesswhereintheysuppliedvariousmedicalfirmswithhumanLssuesobtainedwithoutthe permission(orknowledge)ofthelovedones.ThemostfamousvicLmofhisenterprisewasthe BriLshjournalistAlistairCooke,whosebonesMastromarinoacquiredandsoldontheblack marketfollowingCooke’sdeathin2004(causeofdeathwaslungcancerthathadspreadtohis bones).9 Part3:Whataretheyusedfor? LearningandInstruc.on 7SanjibKumarGhosh,“HumanCadevericDissecLon:AHistoricalAccountfromAncientGreecetotheModernEra,” AnatomyandCellBiology,Vol.48,No.3(September2015):153-169. 8ErinMcCleary,“TheCuriousCaseofBodySntachingatLebanonCemetery,”HiddenCityPhiladelphiaApril13, 2015:hGp://hiddencityphila.org/2015/04/the-curious-case-of-body-snatching-at-lebanon-cemetery/.Accessed March29,2015. 9KateWilson,VladLavrov,MarLnaKeller,andMichaelHudson,“BodyBrokersLeaveTrailofQuesLons, CorrupLon,”Interna0onalConsor0umofInves0ga0veJournalists,July18,2012:hGp://www.icij.org/Lssue/bodybrokers-leave-trail-quesLons-corrupLonaccessedMarch29,2016.“AlistairCooke’sBodySnatcherApologises,”The (London)Telegraph,June13,2008,hGp://www.telegraph.co.uk/news/2119443/Alistair-Cookes-body-snatcherapologises.htmlaccessedMarch29,2016. ©2016TheCollegeofPhysiciansofPhiladelphia 7 ThedissecLonofhumancadaversformedicalinstrucLondatesbacktothethirdcentury B.C.E.However,thepracLcefelloutoffavorastheuseofhumanbodiesasspecimensclashed withreligiousbeliefsoverthesancLtyofthebody.ToavoidviolaLngsocialtaboos,physicians insteadreliedonthedissecLonofanimalsasaproxyforhumanspecimens,apracLcesolidified bytheworkoftheGreekphysicianGalen.ChurchauthoriLesassociatedhumandissecLonwith bodydesecraLonorpersonaluncleanlinessinpredominantlyJudeo-ChrisLanareasofEurope, andthepracLcesofGalenremainedunquesLonedforcenturies. Beginninginthe10thcenturyC.E.,physiciansintheArabworldmountedthefirstformal challengestoGalen’sworksonanatomyanddissecLon.Byexamininghumancadavers, physicianssuchasIbnZuhr(alsoknownasAvenzoar),Ibnal-Nafis,andMuhammadIbnRazi (alsoknownasRhazes)foundinconsistenciesbetweentheirowndiscoveriesandGalen’s observaLons.Asaresultoftheseandlaterchallenges,humandissecLongraduallyre-entered themedicalcurriculum;meanwhilereligiousrestricLonsagainsthumandissecLonloosened.In 1543,BelgianphysicianAndreasVesaliuspublishedDeHumaniCorporisFabrica(TheFabricof theHumanBody),thefirstmajoranatomicaltreaLsebasedonexamininghumancadavers.10 ExperimentalprocedureswereoienconducteduponlivepaLents,usuallyfrom marginalizedgroups.InEnglandthroughthe18thand19thcenturiesaspiringdoctorsreliedon thepatronsofcharitablehospitals,exclusivelyuLlizedbythosewithoutthemonetarymeansto payforprivatecare,astestsubjects.AccordingtohistorianRuthRichardson,“Inthedoctorcontrolledenvironmentofthecharitablehospital,thepaLents‘wouldconsLtutearelaLvely passiveclientele,whichwouldbepowerlessinthefaceof,andunabletochallenge,medical aimsanddemands,’therebyproviding‘anamblesourceofclinicalmaterial.’”11 Dr.JamesMarionSims,consideredbysomethefatherofmoderngynecology, experimentedwithtechniquesingynecologicalsurgeryonthreeenslavedwomen,named Anarcha,Lucy,andBetsey. 12 Usingcadaversandhumanbodypartsallowedforphysicianstolearnthebasicstructure ofthehumanbody. VisualDemonstra/on:CrossSec/onofPelvis Ac0vity:Clickthroughtheannota0onsassociatedwiththeCrossSec0onof Pelvis.Havetheclassobservehowthecrosssec0onhasbeeninjectedwithaspecialdye toshowthebloodvessels.Askstudentshowthisspecimencouldbeusefulformedical 10RabieE.Abdel-Halim,“ContribuLonsofIbnZuhr(Avenzoar)totheProgressofSurgery,”SaudiMedicalJournal, Vol.26,No.9(2005):1333-1339;SanjibKumarGhosh,“HumanCadevericDissecLon:AHistoricalAccountfrom AncientGreecetotheModernEra,”AnatomyandCellBiology,Vol.48,No.3(September2015):153-169. 11Richardson47. 12“RememberingAnarcha,Lucy,andBetsey:TheMothersofModernGynecology,”NPR,February22,2016,hGp:// www.npr.org/2016/02/16/466942135/remembering-anarcha-lucy-and-betsey-the-mothers-of-moderngynecology?utm_campaign=storyshare&utm_source=facebook.com&utm_medium=social,accessedMarch23, 2016. ©2016TheCollegeofPhysiciansofPhiladelphia 8 students.(Aspecimensuchasthisisusefulinillustra0ngthesepartstoamedicalstudent studyinganatomy.) Medicalstudentsalsodissectbodiesinordertodevelopclinicaldetachment.One anatomistdefinedthetermas“theabilitytodistanceoneselffromthepaLenttobeanobjecLve observer,whocanservewithempathyforthegoodofthepaLent.”13 Scien.ficandMedicalResearch HumanspecimensareimportanttoolsforresearcherstobeGerunderstandthebodyas wellasthecauses,impact,andpossiblecuresofphysicaldisorders. VisualDemonstra/on:HarryEastlack Clickthroughtheannota0onsassociatedwithHarryEastlack’sremains.Askthestudents topointoutanythingunusualtheysee. Eastlackwasdiagnosedwithfibrodysplasiaossififcansprogressiva(FOP),arare geneLcdisorderwherethebody’sconnecLveLssueconvertsintobone.Priortohis deathfrompneumoniain1973,Eastlackrequestedhisskeletonbeusedtoexpand scienLficunderstandingofFOP. JosephHyrtlandhisskulls(tocounterphrenology) VienneseanatomistJosephHyrtlcollectedhundredsofskulls,whichhe examinedinordertodisprovethepracLceofphrenology.Today139ofhisskullsarepart oftheMüGerMuseum’scollecLon. Humanbodieshavealsobeentestsubjectsinexperimentsmeasuringtheeffects ofdecayandphysicaltrauma.Forexample,theUniversityofTennesseeAnthropological ResearchFacilityinKnoxville,TN,studieshumandecomposiLonbysubjecLngcadavers todifferentcondiLonstomeasurehowtheydecay.Theresearchconductedatthe“Body Farm”isusefulinforensicscases.14 DiscussionPoint:AskthestudentswhattheythinkwouldmoLvateapersontodonatetheir bodytomedicalresearch. SavingLives TheearliestLssuetransplantsinvolvedgraisforbone,skin,andcorneasintheearly 1900s.In1954,Dr.JosephMurrayperformedthefirstsuccessfulorgantransplantwhenhe transplantedakidneyfromonepaLenttohistwinbrother.Today,organdonaLonintheUnited 13SabineHildebrandt,“DevelopingEmpathyandClinicalDetachmentDuringtheDissecLonCourseinGross Anatomy,”AnatomicalScienceEduca0on,Vol.3,No.4(2010),216. 14“TheForensicAnthropologyResearchCenter,”UniversityofTennesseeKnoxvilleDepartmentofAnthropology, hGp://web.utk.edu/~fac/,accessedApril1,2016. ©2016TheCollegeofPhysiciansofPhiladelphia 9 StatesisoverseenbytheUnitedNetworkforOrganSharing(UNOS).15UNOSmaintainsthe naLonaltransplantwaiLnglistforpaLentsawaiLngorgandonaLonandmatchesthesepaLents withpotenLaldonors.Dependingontheorgan/Lssuesinvolvedinthetransplant,donorsmaybe livingordeceased. Followingsurgery,recipientsoforgandonaLonsmusttakearegimenofspecial medicaLon,knownasimmunosuppressants,thatimpedethebody’simmunesystemfrom rejecLngtheneworgan.RecipientsremainonanL-rejecLondrugsfortherestoftheirlives. Exhibi.on:BodiesasLessons,BodiesasArt TheMü`erMuseum In1858,physicianThomasDentMüGerleimorethan1700arLfactsandhuman specimenstoTheCollegeofPhysiciansofPhiladelphiatofounda“pathologicalmuseum.”Today theMüGerMuseumhousesavastcollecLonofwetanddryspecimensdesignedtodemonstrate thehumanhistoryofanatomyandmedicine.(Youandyourstudentscanobservesamplesofthe Museum’sextensivecollecLonofspecimensthroughMementoMüGer).InaleGertothe CollegeofferinghiscollecLonandthefoundingoftheMüGerMuseum,Dr.MüGersoughtthe MuseumtobeaplaceofinstrucLonandadvancementofthemedicalfield.Herequiredmedical studentsreceivefreeadmissiontotheMuseum,andthatpaperandinkbesuppliedtoanyone whowantedtodrawortakenotesonanyspecimenondisplay.HealsocalledfortheCollegeto hireanewspeakereverythreeyearstodeliverlectureseriesattheMuseum.16 ThespecimensintheMüGerMuseum’scollecLondemonstratethehumananatomy, displayuniqueorunusualanatomicalspecimens,andexhibitthetoolsandtechniquesofthe medicalprofession.TheobjectondisplayservessimultaneouslyasasinglerepresentaLonofthe objectitselfaswellasallinstancesofthatparLcularobject. VisualDemonstra/on:HandswithGout Clickthroughtheannota0onsfortheHandswithGout.Thehandshaveswollenmasses (knownastophi)thataretheresultofanexcessbuildupofuricacidinthebodyduetoinac0vity andpoordiet.Thehandsdemonstratetoobservershowthediseaseaffectspartofthebody. Thesehandsrepresentoneindividualwhosufferedfromgout.(Unfortunately,the idenLtyofthepersontowhomthesehandsbelongedisunknown).Theyalsoserveasan exampleofhowgoutaffectsthehumanbody.Alaypersonormedicalprofessionalcouldobserve theswollenmassesandassociatethemwiththedisease. However,theexhibiLonofhumanremainsisacontroversialsubject.Oneofthemore publictargetsofcriLcismovertheuseandexhibiLonofbodiesistheBodyWorldsexhibit. DevelopedbyanatomistGuntherVonHagens,theexhibitisademonstraLonofpartsandwhole 15hGps://www.unos.org/about/. 16ThomasDentMüGertotheCollegeofPhysiciansofPhiladelphia,May20-June11,1856,CollegeofPhysiciansof PhiladelphiaCommiGeeonthePathologicalMuseumofDr.MüGer.Records1856-1859.HistoricalLibraryofthe CollegeofPhysiciansofPhiladelphia,Box1,CPP10/0016-01.CollegeofPhysiciansofPhiladelphia–CommiGeeon thePathologicalMuseumofDr.MüGer,“ArLclesofAgreement,”December11,1858,CPP10/0016-02 ©2016TheCollegeofPhysiciansofPhiladelphia 10 bodyremainssubjectedtoplasLnaLon,aprocessdevelopedbyVonHagenswhereinthebody’s waterandfatarereplacedbyaspecializedresin.VonHagenshastouredtheworldwithtraveling exhibiLonsoftheplasLnatedremainsknownasBodyWorlds.Thebodiesthemselvesare presentedinarLsLcorlifelikeposes,suchasplayingsports,dancing,orrecreaLngfamousworks ofart.VonHagensfoundedhisownmuseum,theMenschenMuseum,inBerlinin2015.17 CriLcsofBodyWorldsciteavarietyofconcernswiththeexhibit.Somearguedthatthe displaysappealtoshockvalue.OthershavecriLcizedtheexhibiLonofhumanremains,ciLng respectforthedeceasedandarguingthattheexhibiLonofthesubjectscheapensthehuman formandexploitstheirbodiesforprofit.SLllothershavecalledintoquesLonwhetherthe specimensondisplayinBodyWorldsandsimilarexhibiLonshavebeenlegallyorethically obtained.Ontheotherhand,advocatesandsupportershavearguedfortheeducaLonaland arLsLcmeritofthespecimens.18 Trophies SpecimenscanalsobeademonstraLonofaphysician’sskillintheirfieldofexperLse.Aspartof thecondiLonsofhisdonaLon,Dr.MüGerrequiredwheneversomeonedonatedanarLfactorspecimen tothemuseumfordisplay“thenameofthedonorshallbeaGachedtoit,insomeconspicuousplace.” 19 ReferringbacktotheBodyWorldsdisplay,itcanbearguedthattheexhibiLonisademonstraLonofVon Hagens’plasLnaLontechnique. VisualDemonstra/on:74PoundOvarianCyst Rotatetheimagetodemonstratethesizeofthisirregularlylargeovariancyst.Thecyst wasremovedbyWashingtonLemuelAtlee(1808-1878).Dr.AtleewasaPhiladelphia gynecologicalsurgeonwhopioneerednewsurgicaltechniquesingynecologicalprocedures.An extrac0onthislargedemonstratedAtlee’ssurgicalprowess.However,duringtheperiodinwhich heextractedit,thehealthofthepa0entwaso]ensecondarytothedevelopmentofthe procedure.Itisnotclearwhetherthepa0entinthissurgery,knownonlyas“MissS.M.,” survived.Theremovalwaslikelyconductedwithanesthesia.Therewasariskatthe0meofpostopera0veinfec0on,asan0sep0csurgicaltechniqueshadnotyetbeendeveloped. Punishment(“SentencedtoScience”) Surgeonsoienclaimedtheremainsofexecutedcriminals,andturningoveraconvicted criminal’sremainstoanatomistsaierdeathwasacommonpunishmentenforcedinGreat BritainandtheUnitedStates.In1752,GreatBritainenactedthepracLceofturningover executedcriminalsconvictedofmurder.AccordingtohistorianRuthRichardson,sentencingof dissecLonasapunishmentformurderhadtheaddedpunishmentofdenyingtheconvictedthe righttoaburialwiththeaddedhopethatthefearofthispunishmentaierdeathwouldhelp 17“MenschenMuseum,”hGp://www.memu.berlin/en/exhibiLon/menschen-museum/,accessedApril4,2016. 18LauraLloyd-Braff,“BodyWorlds:AnExhibitthatReallyGetsUndertheSkin,”e-Vision,Vol.7(2007),hGps:// www.jmu.edu/evision/Volume7/Lloyd-Braff.pdf,accessedApril4,2016. 19 ©2016TheCollegeofPhysiciansofPhiladelphia 11 serveasadeterrencetocrime.20Executedcriminalswerefrequentlyincludedasusable specimensunderAnatomyActs. VisualExample:BrainofaPresiden/alAssassin Rotateandexaminetheannota0onsassociatedwiththebrainsegmentofCharlesJ. Guiteau.Doyourstudentsseeanythingunusualinthespecimen?(PhysiciansaGemptedtodo thesamething.) OnJuly2,1881,GuiteaushotPresidentJamesGarfieldwhilehewaswaiLngata Washington,DC,trainstaLon.HisapparentmoLvewasrevengeoverbeingdeniedapoliLcal appointmentasanambassador.GarfielddiedonSeptember19,1881,duetoacombinaLonof thegunshotwoundsandinfecLonbroughtuponbythedoctorsaGempLngtotreathim.Guiteau wasputontrial,inoneoftheearliestusesofaninsanitydefenseinAmericanhistory.Hewas convictedandexecutedbyhangingonJune30,1882. FollowinghisexecuLon,doctorsfromtheArmyMedicalMuseuminWashington,DC, dissectedGuiteautodetermineiftherewasamedicalcauseforhisinstability.Intheir invesLgaLonofGuiteau’spsyche,thephysiciansextractedhisbraintofindabnormaliLes,and thisporLonofhisbrainremainsinthecollecLonofTheCollegeofPhysiciansofPhiladelphia. Debrief Referbacktothelistfromtheoutsetofclass.AsktheclassiftheyhaveanyaddiLonalusesfor humanspecimensandremainstheywouldliketoadd.Askthemtoconsidertherolebothofthepeople usingthespecimensandthepeoplewhobecomethespecimensthemselves. StudentAc/vity:LivingHistoryDiscussion Thesubjectofanatomicalspecimenscoversavarietyofcomplexissues,suchasscienLficinquiryand achievement,spectacleandexhibiLon,andtheroleofmarginalizedgroupsinmedicineandsociety. TheseissuescanbeapproachedfromavarietyofperspecLvesandviewpoints.ThisacLvityisdesigned tochallengestudentstoaddresstheseissuesfromdifferentperspecLves. Eachstudentselectsaroletoportrayfromthefollowing(alternaLvely,rolescanbeassignedbythe instructor). Assign(orhavestudentschoose)fromthefollowing: • ThomasDentMüGer,founderoftheMüGerMuseum • JosephHyrtl,collectoroftheHyrtlSkullCollecLon • GunthervonHagens,founderofBodyWorlds • WilliamS.Forbes,authoroftheAnatomyActofPennsylvania 20RuthRichardson,Death,Dissec0onandtheDes0tute,2ndEdiLon(Chicago:UniversityofChicagoPress,2000), 35-37. ©2016TheCollegeofPhysiciansofPhiladelphia 12 • ApersonwhoserelaLve’sbodywastakenfromtheLebanonCemetery • Abodysnatcher(suchasMr.CruncherfromATaleofTwoCi0es,seebelow) • ApersonwhoisanorgandonorordonaLnghisorherbodytoscience • Arecipientofadonatedorgan • Aprisonerwhosebodywillbeturnedovertomedicalresearchaierdeath Throughindependentresearch,andusingtheaGachedwriLngsamplesasastarLngpoint,eachspeaker composesashortstatementexplaininghisorherstanceontheuseandpurposeofhumanfromthe perspecLveoftheircharacter.EachstudentresearchestheperspecLveofthesubjectfromvalidsources (speeches,leGers,journals,researchedandcitedhistoricalbooksandwebsites,etc.)todevelopabrief statementexplainingthesubject’sviewontheissue(TheaGachedreadingassignmentsarealsouseful starLngpoints.).CollecLvely,thestudentsassumingrolesserveasapanelorpressconference.(Students cantrytoassumethegarbormannerismsofthespeakerforextracredit!) TheotherstudentsintheclasswillassumetherolesofjournalistswhowilldevelopaseriesofquesLons toaskthemembersofthepanel.ThesequesLonsaredesignedtohavethepanelistsdefendorclarify theirposiLons.QuesLonscanbedirectedataspecificormulLplepanelswiththegoalofcreaLnga forumtodebatedifferentperspecLves.Iftheinstructorwantstoaddanotherlevelofresearch complexitytothequesLons,havethejournalistsrepresentaspecificnewsource(i.e.TheNewYork Times,FoxNews,PopularScience,Chris0anityToday),thenhavethestudentresearchthatsource’s opinionontheissueanddevelopquesLonstoreflectthesource’sviewpoint. ©2016TheCollegeofPhysiciansofPhiladelphia Wri.ngSample 13 JosephHyrtland“TheArtofDissec.on” ReadthepassageandanswerthequesLonsbelow. “ThenamingofAnatomy‘theartofdissecLon’showsthegreatimportanceofitstechnicalfieldofwork. Theartoftheanatomistprocuresandpreparesthematerialintowhichthesciencehastobreathethe breathoflife. “TheanatomiststoresawaythefruitsofhispracLcalindustryinhismuseums.Thesemuseumsmakehis scienLficworld.Ofwhoseveryexistence,onlyprofessionalmentakeknowledge.Inthearrangementof them,hehas,asarule,lesstodowiththebeautythanwiththecorrectnessandusefulnessofthe preparaLons. “Butifitisrequiredofhimtoplacetheworkofhishandsbeforetheeyeandjudgmentofthepublic, thenhemusttakecarethatitshowsitselfinitspre•estdress,inorderthatthesecrethorrorwhichasa rulecreepsontheobserverofanatomicalobjects,maybedissolvedinacknowledgementand admiraLonofthebeautyandskillofitspreparaLon. “AmongthepreparaLonsofmycollecLonIhavethereforechosenonlythosewhichareadaptedtobe representedinasperfectaformaspossible.Acorrectjudgmentwillacknowledgethatapartfromthe scienLficsignificanceofmyexhibit,itsbeautyisraisedtounaccustomedmagnificenceandAnatomy ceasestobethesbarruta[sbaGuta?]scienzaofDantewhenitappearsbeforetheviewofcounisseur [sic]withsuchqualiLesasarepresentedtoview. “ThevalueofthesepreparaLonsisincreasedfromthefactthatintheiruseinpublicinstrucLon,not onlyisrespectinspiredforasciencewhichknowshowtoprocuresuchmeansofinstrucLon,butalsoto awakenloveforitself;andthetalentsofmanyayoungmanaresLrreduptobecomemoreinLmately acquaintedwithadepartmentofstudywhichisacknowledgedtoaffordthebestandsurest,becausethe eternallytruefoundaLonofallhismedicalstudies.” Passagefrom“ProfessorHyrtl’sAnatomicalPreparaLonsattheWorld’sFairExposiLoninVienna,1873.” Ques.ons 1. Whatisthecentralargumentofthepassage? 2. HowdidJosephHyrtl’sbackgroundshapehisviewpointonthesubjectofanatomicaldisplay? 3. HowdoesHyrtldisLnguishbetweentheuseofspecimensforfellowphysiciansandtheuseof themforthepublic? 4. Hyrtldescribesanatomyasanartform,callinguponobserverstoacknowledgethebeautyand skillwithwhichtheyarepresented.DoyouagreewithHyrtl?Cananatomybeanartform?Why orwhynot?Inwayscoulddisplayinganatomicalspecimensbeanartform? ©2016TheCollegeofPhysiciansofPhiladelphia Wri.ngSample 14 “TheAnatomyActofPennsylvania”(1867) ReadthepassageandanswerthequesLonsbelow. ANACTforthepromoLonofmedicalscience,andtopreventthetrafficinhumanbodies. SecLon1.BeitenactedbytheSenateandHouseofRepresentaLvesoftheCommonwealthof Pennsylvania,inGeneralAssemblymet,anditisherebyenactedbytheauthorityofthesame,Thatthe InspectorsandSuperintendentofanycountyprison,theBoardofGuardiansofanyCityorCounty Almshouse,theCoronerofanyCounty,oranyotherpublicofficerhavingchargethereoforcontrolover thesame,shallgivepermissiontoanyphysicianorsurgeonofthesamecounty,uponhisrequestmade therefor,totakethebodiesofsuchpersonsdyinginsuchprison,almshouse,orcounty,asarerequired tobeburiedatthepublicexpense,tobebyhimusedwithintheStatefortheadvancementofmedical science,preferencebeinggiventomedicalschools,publicandprivate;andsaidbodiestobedistributed toandamongthesame,equitably,thenumberassignedtoeachbeingproporLonedtothatofits students;provided,however,thatifthedeceasedperson,duringhisorherlastsickness,ofhisorher ownaccord,shallrequesttobeburied;orifanyperson,claimingtobe,andsaLsfyingtheproper authoriLesthatheisofkindredtothedeceased,shallasktohavethebodyforburial,itshallbe surrenderedforinterment;or,ifsuchdeceasedpersonwasastrangerortraveler,whodiedsuddenly,the bodyshallbeburies,andshallnotbehandedovertotheaforesaid. SecLon2.Everyphysicianorsurgeon,beforereceivinganysuchdeadbody,shallgivetotheproper authoriLessurrenderingthesametohim,asufficientbondthateachbodyshallonlybeusedforthe promoLonofmedicalsciencewithinthisState,andwhosoevershallsellorbuysuchbodyorbodies,or inanywaytrafficthesame,shallbedeemedguiltyofamisdemeanor,andshall,onconvicLon,be imprisonedforatermnotexceedingfiveyears,hardlabor,inthecountyjail. Ques.ons 1. Summarize,inyourownwords,thetextoftheAnatomyActofPennsylvania.HowistheAct structured? 2. AccordingtotheAnatomyAct,forwhatusescouldmedicalprofessionalsacquirebodies? 3. Inthecontextofthetext,whatdoesitmeantobe“buriedatthepublicexpense”? 4. Definethefollowingtermsthatappearinthetext: o Almshouse o Deceased o Kindred o Misdemeanor 5. Whatisthepunishmentfortraffickinghumanbodies? 6. Inyouropinion,howshouldhumanspecimensbeused?Howshouldtheybeacquired? ©2016TheCollegeofPhysiciansofPhiladelphia 15 Wri.ngSample Resurrec.onMen:The“HonestCalling” “Mr.Cruncher’sFriends,”Harper’sWeekly(July30,1859),485,HarpWeek. ReadthefollowingexcerptfromCharlesDickens’ATaleofTwoCi0esandanswerthequesLonsbelow. YoungJerry,whohadonlymadeafeintofundressingwhenhewenttobed,wasnotlongaierhisfather. Undercoverofthedarknesshefollowedoutoftheroom,followeddownthestairs,followeddownthe court,followedoutintothestreets.Hewasinnouneasinessconcerninghisge•ngintothehouseagain, foritwasfulloflodgers,andthedoorstoodajarallnight. ImpelledbyalaudableambiLontostudytheartandmysteryofhisfather'shonestcalling,YoungJerry, keepingasclosetohousefronts,walls,anddoorways,ashiseyeswereclosetooneanother,heldhis honouredparentinview.ThehonouredparentsteeringNorthward,hadnotgonefar,whenhewas joinedbyanotherdiscipleofIzaakWalton,andthetwotrudgedontogether. WithinhalfanhourfromthefirststarLng,theywerebeyondthewinkinglamps,andthemorethan winkingwatchmen,andwereoutuponalonelyroad.Anotherfishermanwaspickeduphere—andthat sosilently,thatifYoungJerryhadbeensupersLLous,hemighthavesupposedthesecondfollowerofthe gentlecraitohave,allofasudden,splithimselfintotwo. Thethreewenton,andYoungJerrywenton,unLlthethreestoppedunderabankoverhangingtheroad. Uponthetopofthebankwasalowbrickwall,surmountedbyanironrailing.Intheshadowofbankand wallthethreeturnedoutoftheroad,andupablindlane,ofwhichthewall—there,risentosomeeight ortenfeethigh—formedoneside.Crouchingdowninacorner,peepingupthelane,thenextobjectthat YoungJerrysaw,wastheformofhishonouredparent,preGywelldefinedagainstawateryandclouded ©2016TheCollegeofPhysiciansofPhiladelphia 16 moon,nimblyscalinganirongate.Hewassoonover,andthenthesecondfishermangotover,andthen thethird.Theyalldroppedsoilyonthegroundwithinthegate,andlaytherealiGle—listeningperhaps. Then,theymovedawayontheirhandsandknees. ItwasnowYoungJerry'sturntoapproachthegate:whichhedid,holdinghisbreath.Crouchingdown againinacornerthere,andlookingin,hemadeoutthethreefishermencreepingthroughsomerank grass!andallthegravestonesinthechurchyard—itwasalargechurchyardthattheywerein—lookingon likeghostsinwhite,whilethechurchtoweritselflookedonliketheghostofamonstrousgiant.Theydid notcreepfar,beforetheystoppedandstoodupright.Andthentheybegantofish. Theyfishedwithaspade,atfirst.PresentlythehonouredparentappearedtobeadjusLngsome instrumentlikeagreatcorkscrew.Whatevertoolstheyworkedwith,theyworkedhard,unLltheawful strikingofthechurchclocksoterrifiedYoungJerry,thathemadeoff,withhishairassLffashisfather's. But,hislong-cherisheddesiretoknowmoreaboutthesemaGers,notonlystoppedhiminhisrunning away,butluredhimbackagain.TheyweresLllfishingperseveringly,whenhepeepedinatthegatefor thesecondLme;but,nowtheyseemedtohavegotabite.Therewasascrewingandcomplainingsound downbelow,andtheirbentfigureswerestrained,asifbyaweight.Byslowdegreestheweightbroke awaytheearthuponit,andcametothesurface.YoungJerryverywellknewwhatitwouldbe;but,when hesawit,andsawhishonouredparentabouttowrenchitopen,hewassofrightened,beingnewtothe sight,thathemadeoffagain,andneverstoppedunLlhehadrunamileormore. Hewouldnothavestoppedthen,foranythinglessnecessarythanbreath,itbeingaspectralsortofrace thatheran,andonehighlydesirabletogettotheendof.Hehadastrongideathatthecoffinhehad seenwasrunningaierhim;and,picturedashoppingonbehindhim,boltupright,uponitsnarrowend, alwaysonthepointofovertakinghimandhoppingonathisside—perhapstakinghisarm—itwasa pursuertoshun.Itwasaninconsistentandubiquitousfiendtoo,for,whileitwasmakingthewholenight behindhimdreadful,hedartedoutintotheroadwaytoavoiddarkalleys,fearfulofitscominghopping outofthemlikeadropsicalboy'sKitewithouttailandwings.Ithidindoorwaystoo,rubbingitshorrible shouldersagainstdoors,anddrawingthemuptoitsears,asifitwerelaughing.Itgotintoshadowson theroad,andlaycunninglyonitsbacktotriphimup.AllthisLmeitwasincessantlyhoppingonbehind andgainingonhim,sothatwhentheboygottohisowndoorhehadreasonforbeinghalfdead.And eventhenitwouldnotleavehim,butfollowedhimupstairswithabumponeverystair,scrambledinto bedwithhim,andbumpeddown,deadandheavy,onhisbreastwhenhefellasleep. [...] Therewasnofishforbreakfast,andnotmuchofanythingelse.Mr.Cruncherwasoutofspirits,andout oftemper,andkeptanironpot-lidbyhimasaprojecLleforthecorrecLonofMrs.Cruncher,incasehe shouldobserveanysymptomsofhersayingGrace.Hewasbrushedandwashedattheusualhour,and setoffwithhissontopursuehisostensiblecalling. YoungJerry,walkingwiththestoolunderhisarmathisfather'ssidealongsunnyandcrowdedFleetstreet,wasaverydifferentYoungJerryfromhimofthepreviousnight,runninghomethroughdarkness andsolitudefromhisgrimpursuer.Hiscunningwasfreshwiththeday,andhisqualmsweregonewith thenight—inwhichparLcularsitisnotimprobablethathehadcompeersinFleet-streetandtheCityof London,thatfinemorning. ©2016TheCollegeofPhysiciansofPhiladelphia 17 "Father,"saidYoungJerry,astheywalkedalong:takingcaretokeepatarm'slengthandtohavethestool wellbetweenthem:"what'saResurrecLon-Man?" Mr.Crunchercametoastoponthepavementbeforeheanswered,"HowshouldIknow?" "Ithoughtyouknowedeverything,father,"saidtheartlessboy. "Hem!Well,"returnedMr.Cruncher,goingonagain,andliiingoffhishattogivehisspikesfreeplay, "he'satradesman." "What'shisgoods,father?"askedthebriskYoungJerry. "Hisgoods,"saidMr.Cruncher,aierturningitoverinhismind,"isabranchofScienLficgoods." "Persons'bodies,ain'tit,father?"askedthelivelyboy. "Ibelieveitissomethingofthatsort,"saidMr.Cruncher. "Oh,father,IshouldsoliketobeaResurrecLon-ManwhenI'mquitegrowedup!" Mr.Cruncherwassoothed,butshookhisheadinadubiousandmoralway."Itdependsuponhowyou dewelopyourtalents.Becarefultodewelopyourtalents,andnevertosaynomorethanyoucanhelpto nobody,andthere'snotellingatthepresentLmewhatyoumaynotcometobefitfor."AsYoungJerry, thusencouraged,wentonafewyardsinadvance,toplantthestoolintheshadowoftheBar,Mr. Cruncheraddedtohimself:"Jerry,youhonesttradesman,there'shopeswotthatboywillyetbea blessingtoyou,andarecompensetoyouforhismother!" CharlesDickens,ATaleofTwoCi0es:AStoryoftheFrenchRevolu0on[Chapter14:TheHonest Tradesman] Ques.ons 1. DescribeYoungJerry’sreacLonwhenseeingthecoffin. 2. ExplainwhatDickensmeanswhenhedescribesMr.Cruncherandhiscompanionsasfishing. 3. DescribetherelaLonshipbetweenYoungJerryandMr.Cruncher.Howdoesitevolveduringthe text? 4. ExplainDickens’assessmentofMr.Cruncher’scharacter.DoeshedepicthimposiLvelyor negaLvely?WhatdoyouthinkDickensistryingtosayaboutthe“honestcalling”ofthe “ResurrecLonMen”asawhole?(For9-10Grade) ForGrades11-12 5. BydescribingMr.Cruncherasan“honourableparent”whatimplicaLonisDickenstryingtomake aboutMr.Cruncher’scharacter?Whatishetryingtosayaboutthe“honestcalling”ofthe “ResurrecLonMen”asawhole? ©2016TheCollegeofPhysiciansofPhiladelphia BodyWorldsPersuasiveEssay 18 CreatedbyGunthervonHagensBodyWorlds,exhibitspreservedhumanandanimalbodiesposedin acLveposiLons,suchasplayingsportsanddancing.Theyarepreservedthroughaprocessdevelopedby VonHagensknownas“plasLnaLon,”inwhichthebody’swaterandfatarereplacedwithresin.Since 1997,theBodyWorldsexhibithasbeendisplayedatsitesacrosstheglobetomillionsofvisitors. BodyWorldsandsimilarcompeLngexhibiLonshaveaGractedcontroversyasdifferentgroupsarguein favororagainsttheexhibiLonofhumanspecimensandhowthesedisplaysportraythehumanform. WriteapersuasiveessayorpresentaLonarguinginfavororagainsttheuseofbodiesinBodyWorlds. Developyourargumentbyresearchingreliablesources.Possiblefocalpointsincludetheexhibit’s relaLonshiptomedicaleducaLon,thedisplayofbodiesandwhethertheyqualifyasartorshockvalue, andtheacquisiLonofspecimens. RecommendedStar.ngPoints HomepageofVonHagensPlasLnaLon:h`p://www.vonhagens-plas.na.on.com/ ThomasS.Hibbs,“DeadBodyPorn,”TheNewAtlan0s,No.15(Winter2007),128-131:hGp:// www.thenewatlanLs.com/publicaLons/dead-body-porn TonyWalter,“BodyWorlds:ClinicalDetachmentandAnatomicalAwe,”SociologyofHealthandIllness, Vol.26,No.4(May2004):464-488,hGp://onlinelibrary.wiley.com/doi/10.1111/j. 0141-9889.2004.00401.x/full. LauraLloyd-Braff,“BodyWorlds:AnExhibitthatReallyGetsUndertheSkin,”e-Vision,Vol.7(2007), hGps://www.jmu.edu/evision/Volume7/Lloyd-Braff.pdf, ©2016TheCollegeofPhysiciansofPhiladelphia
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