Do New Neuroimaging Findings Challenge the Ethical Basis of Advance Directives in Disorders of Consciousness?

Some authors have questioned the moral authority of advance directives (ADs) in cases in which it is not clear if the author of the AD is identical to the person to whom it later applies. This article focuses on the question of whether the latest results of neuroimaging studies have moral significan...

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Bibliographic Details
Authors: Friedrich, Orsolya (Author) ; Wolkenstein, Andreas (Author) ; Jox, Ralf J. (Author) ; Rogger, Niek (Author) ; Bozzaro, Claudia (Author)
Format: Electronic Article
Language:English
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Published: Cambridge Univ. Press 2018
In: Cambridge quarterly of healthcare ethics
Year: 2018, Volume: 27, Issue: 4, Pages: 675-685
Further subjects:B disorders of consciousness
B psychological continuity
B Advance Directives
B neuroimaging
B Personal Identity
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Summary:Some authors have questioned the moral authority of advance directives (ADs) in cases in which it is not clear if the author of the AD is identical to the person to whom it later applies. This article focuses on the question of whether the latest results of neuroimaging studies have moral significance with regard to the moral authority of ADs in patients with disorders of consciousness (DOCs). Some neuroimaging findings could provide novel insights into the question of whether patients with DOCs exhibit sufficient psychological continuity to be ascribed diachronic personal identity. If those studies were to indicate that psychological continuity is present, they could justify the moral authority of ADs in patients with DOCs. This holds at least if respect for self-determination is considered as the foundation for the moral authority of ADs. The non-identity thesis in DOCs could no longer be applied, in line with clinical and social practice.
ISSN:1469-2147
Contains:Enthalten in: Cambridge quarterly of healthcare ethics
Persistent identifiers:DOI: 10.1017/S0963180118000166