Schiavo on the cutting edge: Functional brain imaging and its impact on surrogate end-of-life decision-making
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Neuroethics 1 (2):75-83 (2008)
The article addresses the potential impact of functional brain imaging (functional magnetic resonance imaging and positron-emission tomography) on surrogate end-of-life decision-making in light of varying state-law definitions of consciousness, some of which define awareness behaviorally and others functionally. The article concludes that, in light of admonitions by neuroscientists that functional brain imaging cannot yet replace behavioral evaluation to determine the existence of consciousness, state legislatures, courts and drafters of written advance healthcare directives should consider treating behavior, not function, as the touchstone for end-of-life decision-making
|Keywords||Schiavo Advance directives fMRI PET End-of-life decision-making Neural correlates of consciousness Permanent vegetative state Minimally conscious state Artificial nutrition and hydration Functional brain imaging|
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Julian Savulescu (2009). Brain Damage and the Moral Significance of Consciousness. Journal of Medicine and Philosophy 34 (1):6-26.
Carl E. Fisher & Paul S. Appelbaum (2010). Diagnosing Consciousness: Neuroimaging, Law, and the Vegetative State. Journal of Law, Medicine & Ethics 38 (2):374-385.
L. Syd M. Johnson (2010). Implications of Recent Neuroscientific Findings in Patients with Disorders of Consciousness. Neuroethics 3 (2):185-196.
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