Document Detail

Some reflections on the problem of advance directives, personhood, and personal identity.
MedLine Citation:
PMID:  11657916     Owner:  KIE     Status:  MEDLINE    
In this paper, I consider objections to advance directives based on the claim that there is a discontinuity of interests, and of personal identity, between the time a person executes an advance directive and the time when the patient has become severely demented. Focusing narrowly on refusals of life-sustaining treatment for severely demented patients, I argue that acceptance of the psychological view of personal identity does not entail that treatment refusals should be overriden. Although severely demented patients are morally considerable beings, and must be kept comfortable whilst alive, they no longer have an interest in receiving life-sustaining treatment.
Helga Kuhse
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Kennedy Institute of Ethics journal     Volume:  9     ISSN:  1054-6863     ISO Abbreviation:  Kennedy Inst Ethics J     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-07-26     Completed Date:  2000-07-26     Revised Date:  2014-03-25    
Medline Journal Info:
Nlm Unique ID:  9109135     Medline TA:  Kennedy Inst Ethics J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  347-64     Citation Subset:  E    
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MeSH Terms
Advance Directive Adherence*
Advance Directives*
Decision Making
Euthanasia, Passive*
Life Support Care
Mental Competency
Palliative Care
Personal Autonomy*
Self Concept*
Social Values*
Time Factors
Treatment Refusal
Value of Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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