Growing Pains Nurturing The Relationship Between Man & Object Mike Thompson Thesis Project 2nd Trimester 2009: Growing Pains: Nurturing The Relationship Between Man & Object Mike Thompson IM Masters Design Academy Eindhoven In memory of Henry ‘Harry’ Thompson Acknowledgments Without the help of the following people, this thesis project would not have been possible: Joost Grootens, Barbara Visser, Maarten Baas, Dr Carlijn Bouten, Dr Gerrit Glas, Dr Roel Kuijer, Linda Kock, Kees Berende, Adam Farlie and Koen Kleijn (thanks for the use of the ‘machete’). Special thanks must go to Dr Rene Van Donkelaar, his advice on bone growth has been invaluable and Maartje Kunen and Daniel Rossi in helping me visualise my ideas. And last and no means least, Susana Camara Leret, and my parents for keeping me sane and making sure this thesis project made some sense!! Contents 1. introduction 01 2.body as material 05 3.considerations 06 4.stem Cell Research 08 5. Stem Cells & Design Potential 10 6. Building Tissue: 12 Engineering Techniques and Processes 7.Questions 17 8. 27 Aspects of the relationship with the body-object 9. Conclusion 29 10. Proposal 30 List of Illustrations 33 Endnotes 34 1. The body is a material we can sculpt 1. Introduction Breakthroughs in biological science have redefined the capabilities of the human body. As science extends the horizons of what we can do, we confront complex questions about what we should do. A new frontier has opened for design, allowing the utilisation of the body’s material to cultivate products within the human body. The boundaries of the body are changing. We think of the human body as a material we can sculpt – we pierce it, adorn it with jewellery, decorate it with tattoos, we cut and colour our hair. Then of course there’s cosmetic surgery, with nearly 12 million operations performed in 2007 in the US alone. We also consider our bodies as machines. In his 1747 book L’Homme Machine (The Human Machine) Julien Offray de La Mettrie refers to the human body as “… a machine which winds its own springs.”1 In science and education alike, body parts are described in functional terms as if they are part of a machine: the body machine. We refer to the heart as a pump and the brain as the most complex of computers.2 The body machine has its own natural chain of production. If you break a leg new bone grows to repair the fracture. If you cut yourself you bleed, beginning the healing process. And of course, reproduction leads to the birth of more humans, body machines in their own right. Some bodily products we discard. Excessive quantities of materials such as body fat and body hair are considered undesirable, as are others such as kidney stones, cysts, abscesses, pus, snot and tears. Additionally our bodies contain vestiges, parts or organs that have become functionless in the course of evolution. Examples include the coccyx, 13th rib, cervical rib and body hair. Whilst they do us no harm, neither do they serve any real purpose. Similarly, human remains are kept as mementos, whether as a lock of hair sealed inside a pendant or the creation of diamonds from carbon extracted from ashes, creating a symbolic object from non functional remains. 01 2. Bone graft held in place by steel rods 02 3. Embryo in the lab Some bodily products we harvest. Blood transfusions, kidney transplants, skin and bone grafts, the use of blood and urine for health tests, and umbilical cord blood and bone marrow in stem cell research illustrate man’s thriftiness, whilst the black-market trade of kidneys from Egypt3 or real hair extensions from India4 demonstrate the more debatable use of human materials. However, most controversial of all are discarded embryos from unwanted pregnancies or left over from IVF treatment. This is where the controversy surrounding stem cells begin. 03 4. Lamallae in Compact Bone 04 2. Body As Material It is in many ways logical to consider the human body as a material. For the first million years of our existence, humans used five basic materials for making tools and objects: wood, rock, horn, bone and leather. Then, following the Neolithic revolution, there was significant enrichment: clay, wool, plant fibres and, in more recent times, metals.5 The selective breeding of living organisms reshaped plants and animals for both functional and aesthetical purposes.6 Is the manipulation of human biology so vastly different? It makes perfect sense to look towards nature for inspiration, and indeed as a tool. “Nature,” says Janine Benyus, “crafts materials of a complexity and functionality that we can only envy.”7 “Bone, wood, tusks, heart muscle, antlers, skin, blood vessels, tendons – they are a “bounty of resilience,” says Benyus, “miracle materials all.”8 Previously, man would have turned to nature for its source materials. Today we have the capability to manufacture new ones. But nature has discovered a level of efficiency that we can only dream of. As British engineer Julian Vincent explains, “… after 3.8 billion years of evolution, nature has a pretty good idea of what works, what is appropriate, and what lasts.”9 Indeed, ‘Natural’ often refers to ideal material characteristics.10 Nature has become the yardstick by which we base all technological developments. This makes sense as nature is extremely durable and efficient and, yet nature has had millions of years of evolution in which to figure things out. This is the big debate within tissue engineering. 05 3. Considerations i: The relationship between man and body-object. We might refer to the body as a factory, with its own natural chain of production, capable of producing life. It is often stated that our possessions are as much a part of us as our own flesh and blood. If we were to grow objects within our bodies we would nurture fresh relationships with objects and question our value of things, establishing a new, codependent relationship between man and object. ii: If we can cultivate material inside the human body, thus nurturing a relationship with an object, then this (biological) process enters the field of design. Throughout this thesis I will focus upon one particular technique: Tissue Regeneration. Tissue regeneration itself is a vast field encompassing many different disciplines such as engineering, chemistry and biology. In order to understand the techniques and the massive potential of tissue regeneration I have spoken with scientists such as Dr. Carlijn Bouten and Dr Rene Van Donkelaar at the Technical University Eindhoven, and Dr Roel Kuijer from the University of Groningen. It is also important to consider the wider implications of these technical advancements and I was lucky enough to have the opportunity to talk with Gerrit Glas, a philosopher specialising in medical ethics. As broad as the field itself is the literature on tissue regeneration. Bearing this in mind I have directed my reading towards understanding the science behind the technique, whilst considering topics such as the relationship between man and technology, man and object and the body as a means of production. 06 5. Stem Cell 07 4. Stem Cell Research The buzz around stem cells comes from the ability to regenerate one’s own body using one’s own cells. Thus it may be possible to cure diseases such as Alzheimer’s by regenerating nerve cells in the brain from a cheek cell, or to grow replacement body parts such as heart valves or blood vessels. Such techniques already exist in the treatment of joint damage, where cells can be taken from the damaged knee joint, cultured in the laboratory and then reintroduced to the area where the cells grow new cartilage. This use of stem cells to culture tissues offers the possibility of not only regeneration, but the capability to engineer the human body. Such technology has ramifications for not only medicine, but design. We have the opportunity to reconsider the human body as a material and as a means of production. We can contemplate using the body to cultivate ‘non-body’ objects. However, before we focus on the design possibilities we must first understand stem cell technologies and consider some rather complex issues. 08 1 Brain 2 Cornea 3 Retina 4 Dental Pulp 5 Spinal Cord 6 Peripheral Blood 7 Blood Vessels 8 Liver 9 Pancreas 10 Fat Cells 11Umbilical Cord 12 Bone Marrow 13 Skin Cells 14 Skeletal Muscles To date, stem cells have been found in the aforementioned parts of the body, however, there is reason to believe that there are many more yet to be discovered. 6. Stem Cell Locations 09 5. Stem Cells & Design Potential “Grow, cells, grow,” Cedric’s dad whispers.11 Stem Cells are cells with the ability to divide and specialize. Their job is to replace and replenish cells with more specialized functions, such as muscle cell contraction or nerve cell signalling.12 They fall into two categories: Embryonic Stem Cells (ES), which are stem cells derived from the inner cell mass of an early stage embryo known as a blastocyst, and are capable of creating every tissue in the body (Totipotent); and Adult Stem cells (AS), which are already specialized and can only create tissues specific to where they are from (Multipotent), although research in the last 10 years shows that these cells can be manipulated and reprogrammed to create other tissues.* AS cells are found in human bone marrow, blood, both the cornea and retina of the eye, the brain, skeletal muscle, and the pulp of our teeth, among other locations. Utilising stem cells it is possible to grow materials such as bone and teeth, sharing properties similar to manmade equivalents, thus offering new potential for design. *On the 27th of February 2009, nature.com published the story that stem-cell researchers at the Samuel Lunenfeld Research Institute at Mount Sinai Hospital in Toronto, Canada, and the University of Edinburgh in the UK have managed to transform specialized cells into an embryonic like state, thus rendering them pluripotent (capable of generating all the body’s specialized cell types). 10 7. Bone Marrow Tissue 11 6. Building Tissue: Engineering Techniques and Processes There is a subtle difference between tissue engineering, that is tissue cells cultured in the lab before implantation, and tissue regeneration, which refers to helping tissue to regenerate. The latter requires the implantation of a scaffold material into the body with the body carrying out the rest of the work. Other terms for tissue regeneration include regenerative medicine, in-vivo (inside the body) tissue engineering, and functional tissue engineering. From here on in I will focus on tissue regeneration. Cultivating tissue requires three interrelated components: the cells themselves; a scaffold (mould) to provide a structure for the cells to grow into; and the correct environment for the desired cell type. For each component there are many options available, each directly impacting on each other and the resulting tissue. Cell type, of course, is dependent on what you want to grow. Cells are removed from the body by inserting a needle into the desired tissue type. However, before being reintroduced into the body, the desired cell type must be differentiated from the other cells, after all, a tissue is a constitution of many tissues. Once you have the population of cells that you want, they can be seeded into a scaffold for moulding. There are commonly two types of scaffold, each suited to specific cell types and environments. Gels, such as Alginate, are mixed with cells, and poured into a mould to solidify, creating a structure for the cells to grow into. This is the technique commonly used in the lab for the cultivation of cartilage.* The other, more publicised type of scaffold, are mesh’s. By sculpting porous, mesh-like scaffolds into shapes * In 2002 engineers from the Massachusetts Institute of Technology in the United States created a new technique for the repair of cartilage. This technique involves growing cartilage cells within a peptide hydrogel scaffold outside of the body, then delivering the cell-seeded gel into the damaged joint. The new tissue grows and integrates with the normal cartilage surrounding it while the gel slowly degrades, leaving behind functional tissue. The Peptide Scaffold Hydrogel is useful for a wide range of cell/tissue types for tissue regeneration and has been used to support nerve cells and tissues including bone and liver. 12 8. Neural stem cells cultivated in the lab 13 in which cells can settle, cells will organize themselves into real tissues as the scaffolds dissolve.*13 This was the technique used by Dr Charles Vacanti to sculpt the ear on the mouse. A three-dimensional, ear shaped scaffold, was created, seeded with cells, and implanted under the skin. Using biodegradable polymers, either naturally derived from collagens, or synthetics such as polylactic acid, scaffolds can be designed in CAD software and printed in three-dimensions. Properties can be added to the polymers that directly influence the final composition of tissue, for instance, you might want part of the scaffold to remain, creating an inner structure or design feature. It is also possible to combine the scaffold polymers with growth factors to further enhance the properties of the material. Growth factors stimulate cellular division, so by simply injecting the drug, patients produce cells themselves.14 Bone morphogenetic proteins, such as BMP2 and BMP8a, might be used independently or in tandem with the introduction of stem cells, to stimulate the growth of bone and cartilage. These growth factors can be added to the polymer of the scaffold so that they are released as the scaffold degrades, leading to all kinds of design possibilities. You might, for example, use morphogenetic proteins to manipulate the speed of growth of certain cell types, leading to differences in tissue thickness or hardness. The third component, environment, is seen as key to the development of tissues. Biology is efficient and cells learn from their environment. For example, if you’re in hospital with a broken leg and you spend a prolonged period laid in bed, you grow less bone. You can’t grow strong bone in a place that isn’t loaded. The time taken to cultivate tissue varies from cell type to cell type and is influenced by many complex variables. If you break a bone for example, it could take you 6 weeks to 3 months for regeneration, however, the optimisation takes years.† Ultimately it depends on your aim. ‘How good is good enough’ * …and by providing the correct environment and nutrients… † In 1998, the University of Texas Health Science Center, San Antonio, studied the use of ultrasound upon tibia fractures. Low-intensity, ultrasound pulses were administered to patients continuously for 20 minutes every day until the fractures were judged to have healed. Results showed the average time of healing was 122 days, 32 days faster than without treatment. Similarly, electrical stimulation, that is, passing a 9 volt current between two electrodes either side of the fracture, has been proven to be a 14 is a tough question. Material functionality is a different proposition to a scientist than to a designer. If you understand the intricate mechanisms that drive natural processes, you can contemplate the creation of non-organic forms. Rene Van Donkelaar from the Technical University Eindhoven explains: “Wherever you put your cells, at that place they will make material… You have cells of type one inside this tube, so then you can start culturing it… But if you then put cells inside here as well, maybe cells of type two, and they like each other, then you would get tissue one here and tissue two there. You could have a mixture of cell types or tissue types by separating them while you are seeding them.”15 In effect you could change material properties. You could have a smoother surface on one side and a rougher one on the other. Here there is a play between the natural and the man-made. On one hand man dictates the form of the object by injecting cells into the scaffold whilst incorporating growth factors to stimulate the growth of specific cell types, on the other, ‘natural’ forces such as body environment and mechanical loading hugely influence the growth of material. These complex variables have the potential to send cells into the production of weak tissues, or indeed, the wrong type. If we can learn to understand the intricate mechanisms that drive natural processes, then we can utilise the efficiency of the body for the production of more than just replacement body parts. successful technique for patients who have bone healing problems, or fractures with poor healing potential. 15 9. The mass production of human material poses many questions 16 7. Questions Despite the obvious benefits and potential of tissue regeneration, there are numerous, complex questions we must consider, ranging from the ethical to the notion of the body as a material. 1 Economics of production “…[We can create] standardised men and women in uniform batches… Ninety-six identical twins working ninety-six identical machines… The principles of mass production at last applied to biology.” Aldous Huxley, Brave New World.16 It has been suggested that in the future, industrial opportunities are going to stem more from the biological sciences than from chemistry and physics.17 This very thought breeds the fear of the mass production of the human body. Leon Kass, the chairman of President Bush’s Council on Bioethics and staunch opponent to tissue engineering, has written that we are heading towards the commodification and consequent devaluation of human beings. He said virtually the same thing about IVF treatment twenty-five years ago and his dark vision of the future has still to come to fruition.18 As science extends the horizons of what we can do, we increasingly confront complex questions about what we should do.19 Central to Brave New World is the mechanized reproduction of humans for the benefit of the state. Similarly, there is fear from some doctors as to the pressures of big business as Roel Kuijer from the University of Groningen states: “The influence of industries is very large, and the influence of industries to doctors. And this is economic driven. And economy here is more important than health care. Here’s an ethical issue as far as I’m concerned.”20 Yes, regenerative medicine has made human body materials of commercial interest and raised questions concerning the ownership of these biological materials, but just because we can mass produce something doesn’t mean we should.21 We clearly disapprove of the black-market trade of kidneys from Egypt or real hair extensions from India, so is it likely that society would turn a blind eye to the mass production of human parts and materials? 17 2 Life or Non-Life? This is most evident when considering the use of human embryos. Clearly, regular human embryos have the capability to become fully grown human beings. The most common argument here is that ‘scientists are playing God.’ Other opponents prefer to use Frankenstein as the paradigm– creating life, violating the natural order, and unleashing forces beyond his or our control,”22 Do we really have so much to fear? Can we really think of engineered tissues as human? Oron Catts and Ionat Zurr of The Tissue Culture and Art Project explain: “When cells and tissues are removed from the (context of the) host body and kept alive, they are also being stripped of many other aspects of what is perceived as a living individual… These cells and tissues change morphologically, functionally, and in relations to space / time.”23 Just because it consists of human material, doesn’t make it human. These cultivated objects will not bear the hallmarks of what is perceived to be human. Not all human tissue is human life. If we consider human waste, as I mentioned earlier, it can be construed as more than just excrement. Speaking about discarded embryos, Philosopher Gerrit Glas explains, “they have become waste because we treat them as waste.”24 He goes on, “It becomes waste in the context of a laboratory… As far as we use it, it has a use and a meaning. As far as we don’t use it it’s waste… It becomes a kind of technological product.”25 Whether body materials can be deemed as waste, or even human, has more to do with our purpose for them than the terminology. If you consider blood donation as an existing practice, you might say, I donate blood every now and then so my body produces blood. I take it away. I sell it, or I give it to other patients and my body makes new blood for me.26 If we propose the body as factory scenario in exactly the same way, so I use my cells, taken from and cultivated in my body isn’t this the same? Ethically, where’s the problem? Catholic moral theologian, Margaret Farley, whilst discussing the use embryos for research, argued that … because it is a form of human life, it is due 18 10. Is it human? 19 some respect – for example, it should not be bought or sold.’’27 We have already discussed whether or not we can think of embryos, cells or tissues as being human, but her point about whether they should be bought or sold is a valid one. Much the same as the trade of organs and hair extensions, such actions question the morality and ownership of such items. Have I done anything illegal for instance? Here we should consider a contemporary example – the Body Worlds exhibit. Professor Gunther Van Hagens used his plastination technique to create sculptures from the deceased which he used to create an exhibition of the human anatomy. This led some to question whether it is disrespectful to display bodies in this way, or if it is in fact a celebration of life. However, some 17 million people have seen the travelling exhibition worldwide with Van Hagens claiming that some 30% of visitors are ready to donate their bodies to the Institute for Plastination in Heidelberg, Germany, which equates to some five million people.28 If that’s true that’s a lot of people! Von Hagens believes he understands why: “… plastination opens the hearts of the people to themselves. They recognise themselves, get a new kind of body pride.””29 Maybe redefining the body as a material for sculpting is not so taboo after all. 20 11. Professor Gunther Van Hagens Body Worlds exhibit 21 3 The Body & Technology, Man and Machine It is often suggested that modern science and technology, are blurring the space between man and machine. Modern prostheses rather than replacing a missing or malfunctioning part of the body, are alternate additions to the body’s form and functions.30 But is this not what we did when we began crafting tools and objects to assist us? Our experiences of the world changed greatly when we used our creativity to design and create these more primitive body extensions. Australian performance artist Stelarc explains, “Technology has always been coupled with the evolutionary development of the body. Technology is what defines being human… it’s part of our human nature…. technology is, and always has been, an appendage of the body.31 French philosopher Maurice Merleau-Ponty suggests that technologies become like body parts rather than the other way around. A foot is not like a ski one can take off: rather, the ski becomes like a foot, part of the skier’s way of experiencing and relating to the world.32 American philosopher Don Idhe explores Merleau-Ponty’s idea further. Consider a woman putting on her glasses: Her vision changes from being vague to clear, the glasses become part of what she can do (see) and the world gains in important detail. However, the manner in which technology and the body change depends on to what extent a technology becomes part of the body… If the woman’s glasses become dirty she needs to clean them, in which case they are objects to her rather than parts of her embodiment. If the object is transparent to someone, he or she does not notice it and it is simply part of his or her being-in-the-world.33 Here, the transparency of the object is key to a successful relationship. Some objects we use are considered integral to the body such as a prosthetic leg, others partly, such as a pair of reading glasses, and others temporarily, a pair of crutches for example. But here we are talking about objects that assist the body due to its physical inadequacies whether permanent or temporary. Everyday tools and objects, rather, supplement the body, allowing us to hold a volume of liquid or cut through material. The relationships we share with these objects are somewhat different as we are not dependent on them in the same manner, nor are they transparent enough to feel a part of us. What determines the relationships we share with objects? 22 12. Modern prostheses blur the line between man and machine 23 13. The duality of life and death 24 4 Emotional: life and death (memory and immortality) We might refer to the body as a factory, with its own natural chain of production, capable of producing life. However, one day it will cease production – we die. By facing the dualities of life and death we are forced to confront the value of things. During life we face various rights of passage marking a change in social status, such as puberty, graduation and marriage, each marked by its own rituals, memories and objects. We are all familiar with the example of the family heirloom, passed down from generation to generation – the table finely crafted by grandfather, a beautiful locket containing a lock of hair. Such objects come alive, breathing the stories of their past, totally irreplaceable and invaluable. Upon death, objects take on extra reverence. For centuries the urn has existed as an object for holding the ashes of human remains. More contemporary solutions for the remains of the dead include: the creation of diamonds from carbon extracted from the ashes, yielding crystals suitable for pendants or rings; art work created by sprinkling the ashes of the deceased over a painting; and plastination – the process pioneered by Dr Gunther Von Hagens where by the body is injected with plastic thus preserving it for anything up to 4,000 years.”34 Could it be ‘life’ itself, or the feeling that the sentimental object is ‘alive’ that helps to create this bond? There’s nothing like the creation of life to illustrate the generative capacity of the human body and yet in contrast, death makes us aware of the value of things – facing our own mortality makes us aware of the value of life. Many people later on in their lives prepare for death, having a will drawn up and making basic funeral arrangements. In this sense we design our own death, orchestrating how we are remembered, fulfilling our final wishes beyond our terminal breath. Tissue regeneration allows the opportunity to create using our own body material, thus we might cultivate an object that represents us beyond the grave. If we 25 14. Locket of hair were to grow an object within our bodies, not only would it live on as a remnant of our being after death, but it might help us come to terms with our own mortality during its growth. The relationship between man and object is heightened. 26 8. Aspects of the relationship with the body-object Tobie Kerridge’s Bone Ring, grown from a loved ones own bone cells, and Georg Tremmel and Shiho Fukuhara’s tree implanted with human DNA, paint poetic pictures of the future for but somehow miss a stroke. Might it be possible to nurture a relationship with an object if we somehow cultivated it within our own bodies? Would we treat them differently than objects bought on the high street? Thanks to tissue engineering we can reassess the interaction between man and object. Rene Van Donkelaar explains: “If you make a load bearing material and you want it optimised, then you also have to think about what kind of loading you want to apply. If you just implant the scaffold, with the cells, under the skin then you would have a skin you could hold, do some trick’s with, so you could apply mechanical loading.”35 Rene suggests that by ‘holding’ or ‘doing tricks’ with the object under the skin, a new, codependent relationship between man and object emerges. In order for man to cultivate an optimized material inside the body, he must nurture a relationship with the object. By physically interacting with the object under the skin we not only increase the growth potential of the object but also come to terms with its value. If man treats his cells right they will grow. In this process, the object is personalised, carrying the indexical traces of its interactions and experiences in its form. 27 15. A codependent relationship between man and object emerges 28 9. Conclusion Traditionally the body is perceived as sacred, yet, using stem cell technologies, it is possible to engineer the human body, giving us an opportunity to revaluate the generative force of the human body, and the body as a material. Of course, regenerative medicine will bring many benefits, such as the regeneration of body tissues and organs, and the opportunity to augment the human body, however, with such developments come the opportunity to question: what should we grow? As we have seen, such advances in technology are not without opposition, however, we must not think of such materials as being living, human entities, rather as cultivated materials. Do you still think of your wooden table as being a living tree? Man has exploited nature for millions of years, including the human body. The notion of the body as material is nothing new, yet we should question why it is that we prize certain materials over others? Why do we revere a lock of our grandfather’s hair but not his teeth for example? Earlier I discussed how the interaction between man and cells is crucial to growing optimised tissue. On a similar level, Merleau-Ponty and Idhe examined how technologies become transparent like body parts. I suggest that objects become body parts, grown from human tissues within our bodies, thus the bond between man and object is nurtured within the body. Implications In ‘the body as factory’ scenario, new tools are needed to facilitate the cultivation of objects within the human body. Tools that, in conjunction with scaffolds or gels (or a combination of the two) inserted into the body, allow us to enhance and influence the cultivation of the object within. In this sense we create new relationships with the object growing within us, interacting with it on a day-to-day basis. These tools might optimise the growth of the object, or enhance it visually. They may become ways to show off the growing object to the world, or similarly, hide it away. Indeed, these tools should not only strengthen the object but enhance our lives both physically and mentally. 29 10. Proposal Growing Pains: Nurturing the relationship between man and object The bond a mother has with her child originates within the womb. We can think of the ‘body as factory’ scenario as being similar to a pregnancy, an entity developing within the body over a period of time. In this sense we might nurture some sort of relationship between man and object during ‘pregnancy.’ As we have seen, the outer body functionality of the object is directly influenced by the interaction between man and object beneath the skin. I suggest that this codependency should be exploited by design as a means to strengthen the bond between man and the body, and man and object. I suggest that objects become body parts, grown from human tissues within our bodies, thus the bond between man and object is nurtured within the body. If man were to grow an optimized material he must nurture a relationship with the object, physically interacting with it under the skin. Through this process, the object is personalised, carrying the indexical traces of its interactions and experiences in its form. If man treats his cells right they will grow. Growing Pains ‘Growing Pains’ is a term referring to the pain symptoms commonly felt by children during development. Metaphorically, it can also be applied to the growth we experience throughout life both physically and emotionally. Utilising the potential of tissue engineering we can cultivate objects within our bodies that not only represent, but participate in our most profound life experiences. Scenario: Death If we were to cultivate an object that represents us beyond the grave inside of our bodies, we would grow death inside of us, forcing us to interact with it on a daily basis whilst nurturing new material in preparation for our decay. In this instance, new tools are needed 30 to help us interact and nurture the object, tools that customize the final form. These tools become part of our daily routine, enhancing our lives whilst preparing us for death. In this growth process, by physically interacting with the item under the skin, we not only shape and increase its growth potential, but also come to terms with our own mortality – you design your own death. Upon death the object is removed from the body, a representation of the self both physically and symbolically. 31 32 List of Illustrations 1. Surgery (Flickr) 2. Bone Graft (Lubkin Fund) 02 3. Embryo (MIT Press) 03 4. Lamallae (Science Photo Library) 04 5. Stem Cell (Lennart Nilsson) 07 6. Illustration by Mike Thompson 09 7. Bone Marrow Tissue (Science Photo Library) 11 8.Neural Stem Cells (Flickr) 13 9. Doll Factory (Flickr) 16 10. Boris Karloff’s Frankenstein (Flickr) 19 11. Bodyworlds Exhibit (Flickr) 21 12. Oscar Pistorius (Flickr) 23 13. Life & Death (Flickr) 24 14. Locket of Hair (Flickr) 26 15. Pregnant Woman (Flickr) 28 33 Endnotes 1 L’Homme Machine (The Human Machine): By Julien Offray de La Mettrie, Taken from www.britannica.com, 27th February 2009 2 p.12 Engineering Flesh: Towards Professional Responsibility for ´Lived Bodies´ in Tissue Engineering By Mechteld-Hanna Derksen Publ. Mechteld-Hanna Gertrud Derksen, 2008 3 Egypt pressured to end underground organ trade By Jason Keyser Publ. Associated Press, 17th March 2009 4 The real cost of posh locks By Tamara Kaminsky Publ. The Daily Mail, 31st July 2006 5 Smart Matters By John Thackara Posted on Doors of Perception, 12th February 2002 6 Artistic life forms that would never survive Darwinian Evolution: By Ionat Zurr & Oron Catts Publ. Art Association of Australia and New Zealand, 2003 7 p.187 In The Bubble: Designing In A Complex World By John Thackara Publ. The MIT Press, 2005 8 p.188 In The Bubble: Designing In A Complex World By John Thackara Publ. The MIT Press, 2005 34 9 p.196 In The Bubble: Designing In A Complex World By John Thackara Publ. The MIT Press, 2005 10 p.38 Engineering Flesh: Towards Professional Responsibility for ‘Lived Bodies’ in Tissue Engineering By Mechteld-Hanna Derksen Publ. Mechteld-Hanna Gertrud Derksen, 2008 11 The Stem Cell Divide Written by Rick Weiss Publ. National Geographic Magazine, July 2005 12 p.77 A Clone Of Your Own?: The Science and Ethics of Cloning By Arlene Judith Klotzko Publ. Oxford University Press, 2004 13How to Build a Body Part By Josh Fischman Publ. Time Magazine, 1st March 1999 14 Drugs unlock the body’s own stem cell cabinet By Andy Coghlan Publ. New Scientist, 8th January 2009 15 Interview with Dr. Rene Van Donkelaar Department of Biomedical Engineering Technical University, Eindhoven Wednesday 11th March 2009 16 p.1 A Clone Of Your Own?: The Science and Ethics of Cloning By Arlene Judith Klotzko Publ. Oxford University Press, 2004 35 17 George E. Brown, Jr. Taken from http://www.brainyquote.com/quotes/quotes/g/ georgeebr194456.html, 25th February 2009 18 p.122 A Clone Of Your Own?: The Science and Ethics of Cloning By Arlene Judith Klotzko Publ. Oxford University Press, 2004 19 p.11 The Stem Cell Controversy: Debating The Issues Second Edition Edited by Michael Ruse and Christopher A. Pynes Publ. Prometheus Books, 2006 20 Interview with Dr. Roel Kuijer Department of Biomedical Engineering Faculty of Medical Sciences University of Groningen Thursday 29th January 2009 21 p.17 Engineering Flesh: Towards Professional Responsibility for ‘Lived Bodies’ in Tissue Engineering By Mechteld-Hanna Derksen Publ. Mechteld-Hanna Gertrud Derksen, 2008 22 p.xvii A Clone Of Your Own?: The Science and Ethics of Cloning By Arlene Judith Klotzko Publ. Oxford University Press, 2004 23 Towards a New Class of Being: The Extended Body By Oron Catts and Ionat Zurr Publ. Intelligent Agent, June 2002 36 24 Interview with Prof. Dr. Gerrit Glas Specialisation Coordinator Master of Arts in Philosophy of Medical Science Department of Philosophy University of Leiden Thursday 12th February 2009 25 Interview with Prof. Dr. Gerrit Glas Specialisation Coordinator Master of Arts in Philosophy of Medical Science Department of Philosophy University of Leiden Thursday 12th February 2009 26 Interview with Dr. Carlijn Bouten Department of Biomedical Engineering Technical University, Eindhoven Friday 20th February 2009. 27 p.275 The Stem Cell Controversy: Debating The Issues Second Edition Edited by Michael Ruse and Christopher A. Pynes Publ. Prometheus Books, 2006 28 Dr Death v’s Lord Life By Gunther Von Hagens & Robert Winston Publ. The Times, June 4th 2005 29 The Plastination Professor Posted on BBC News World Edition, Wednesday 20th November, 2002 30 Stelarc Tissue Culture And Art: Clemenger Contemporary Art Award By Stelarc Posted RMIT University, 2006 http://www.sial.rmit.edu.au/Projects/Stelarc_Tissue_Culture_ and_Art.php 37 31 Extended-Body: Interview with Stelarc By Paolo Atzori and Kirk Woolford Academy of Media Arts, Cologne, Germany Posted www.stanford.edu, 6th September 1995 32 pp.165-169 The Phenomenology of Perception By Maurice Merleau-Ponty Publ. Routledge, 2002. 33 p.136 Engineering Flesh: Towards Professional Responsibility for ‘Lived Bodies’ in Tissue Engineering By Mechteld-Hanna Derksen Publ. Mechteld-Hanna Gertrud Derksen, 2008 34 50 ways to leave your body By John Naish Publ. The Times, November 10th 2007 35 Interview with Dr. Rene Van Donkelaar Department of Biomedical Engineering Technical University, Eindhoven Wednesday 11th March 2009 38
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