Advance Directives and the Personal Identity Problem
Philosophy and Public Affairs. 1988 Fall; 17(4): 277-302.
The value and authority of advance directives such as the living will and the durable power of attorney are discussed, as well as the dangers of loss of personal identity and psychological continuity that these directives present. Differing theories of the degree of psychological continuity necessary for the preservation of personal identity are examined, concluding with the author's "compromise position" that cases of permanent unconsciousness and neurological dementia destroy some of the preconditions for personhood and thereby negate the choice between respecting the wishes of the formerly competent person and the new, different person's life because such beings are not persons at all. (KIE abstract)
Advance Directives; Age Factors; Allowing to Die; Altruism; Autonomy; Brain; Brain Pathology; Competence; Consent; Decision Making; Dementia; Directive Adherence; Durable Power of Attorney; Life; Living Wills; Moral Obligations; Moral Policy; Paternalism; Persistent Vegetative State; Personhood; Philosophy; Prolongation of Life; Psychology; Power; Right to Die; Rights; Self Concept; Standards; Third Party Consent; Time Factors; Treatment Refusal; Unconsciousness; Wills;
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Kuhse, Helga (1999-12)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 ...