RT Article T1 RESPECT FOR AUTONOMY, ADVANCE DIRECTIVES, AND MINIMALLY CONSCIOUS STATE JF Bioethics VO 25 IS 9 SP 505 OP 515 A1 Varelius, Jukka LA English YR 2011 UL https://ixtheo.de/Record/1781883467 AB In this article, I consider whether the advance directive of a person in minimally conscious state ought to be adhered to when its prescriptions conflict with her current wishes. I argue that an advance directive can have moral significance after its issuer has succumbed to minimally conscious state. I also defend the view that the patient can still have a significant degree of autonomy. Consequently, I conclude that her advance directive ought not to be applied. Then I briefly assess whether considerations pertaining to respecting the patient's autonomy could still require obedience to the desire expressed in her advance directive and arrive at a negative answer. K1 disorder of consciousness K1 minimally conscious state K1 Patient K1 Advance Directive K1 Autonomy DO 10.1111/j.1467-8519.2009.01799.x