Brain-Damaged Patients and the Moral Significance of Consciousness
Journal of Medicine and Philosophy 34 (1):6-26 (2009)
| Abstract | Neuroimaging studies of brain-damaged patients diagnosed as in the vegetative state suggest that the patients might be conscious. This might seem to raise no new ethical questions given that in related disputes both sides agree that evidence for consciousness gives strong reason to preserve life. We question this assumption. We clarify the widely held but obscure principle that consciousness is morally significant. It is hard to apply this principle to difficult cases given that philosophers of mind distinguish between a range of notions of consciousness and that is unclear which of these is assumed by the principle. We suggest that the morally relevant notion is that of phenomenal consciousness and then use our analysis to interpret cases of brain damage. We argue that enjoyment of consciousness might actually give stronger moral reasons not to preserve a patient's life and, indeed, that these might be stronger when patients retain significant cognitive function | |||||||||
| Keywords | Neuroimaging Vegetative State Consciousness Minimally conscious state Locked-in syndrome | |||||||||
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Andrew A. Fingelkurts, Alexander A. Fingelkurts, Sergio Bagnato, Cristina Boccagni & Giuseppe Galardi (2012). Toward Operational Architectonics of Consciousness: Basic Evidence From Patients with Severe Cerebral Injuries. Cognitive Processing 13 (2):111-131.
Jukka Varelius (2009). Minimally Conscious State and Human Dignity. Neuroethics 2 (1).
Alexander A. Fingelkurts, Andrew A. Fingelkurts, Sergio Bagnato, Cristina Boccagni & Giuseppe Galardi (2012). EEG Oscillatory States as Neuro-Phenomenology of Consciousness as Revealed From Patients in Vegetative and Minimally Conscious States. Consciousness and Cognition 21 (1):149-169.
Jakob Hohwy & David Reutens (2009). A Case for Increased Caution in End of Life Decisions for Disorders of Consciousness. Monash Bioethics 28 (2):13.1-13.13.
Nicholas Shea & Tim Bayne (2010). The Vegetative State and the Science of Consciousness. British Journal for the Philosophy of Science 61 (3):459-484.
Neil Levy & Julian Savulescu (2009). Moral Significance of Phenomenal Consciousness. Progress in Brain Research.
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