David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Neuroethics 6 (1):13-23 (2013)
Recent results from neuroimaging appear to indicate that some patients in a vegetative state have partially intact awareness. These results may demonstrate misdiagnosis and suggest the need not only for alternative forms of treatment, but also for the reconsideration of end-of-life decisions in cases of disorders of consciousness. This article addresses the second consequence. First, I will discuss which aspects of consciousness may be involved in neuroimaging findings. I will then consider various factors relevant to ethical end-of-life decision-making, and analyse whether and to what extent the above consequence applies to these factors. It will be shown that knowledge of the existence of partial awareness in patients with disorders of consciousness only influences end-of-life decision-making if certain background assumptions are made
|Keywords||Disorders of consciousness Awareness End-of-life decisions Neuroimaging|
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Tom L. Beauchamp (2009). Principles of Biomedical Ethics. Oxford University Press.
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Peter Singer (1993). Practical Ethics. Cambridge University Press.
Frank Jackson (1982). Epiphenomenal Qualia. Philosophical Quarterly 32 (April):127-136.
Harry G. Frankfurt (1971). Freedom of the Will and the Concept of a Person. Journal of Philosophy 68 (1):5-20.
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