Whose will is it, anyway? A discussion of advance directives, personal identity, and consensus in medical ethics
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 8 (1):27–48 (1994)
ABSTRACTI consider objections to the use of living wills based upon the discontinuity of personal identity between the time of the execution of the directive anbd the time the person becomes incompetent. Recent authors, following Derek Parfit's “Complex View” of personal identity, have argued that there is often not sufficient identity interests between the competent person who executes the living will and the incompetent patient to warrant the use of the advance directive. I argue that such critics err by seeking personal identity in a purely descriptive manner. By exploring Buchanan and Brock's concept of “surviving interests”, an argument is developed that certain future‐oriented acts have a normative force that contributes to the narrative unity which is constitutive of personal ideality. This narrative concept of the self is entailed by many of the our ordinary practices and challenges the philosophical consensus to view the self in a more dynamic and communitarian manner.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Mark G. Kuczewski (1999). Commentary: Narrative Views of Personal Identity and Substituted Judgment in Surrogate Decision Making. Journal of Law, Medicine & Ethics 27 (1):32-36.
Similar books and articles
Miguel A. Sanchez-Conzalez (1997). Advance Directives Outside the USA: Are They the Best Solution Everywhere? Theoretical Medicine and Bioethics 18 (3):283-301.
Andrea Ott (2009). Personal Identity and the Moral Authority of Advance Directives. The Pluralist 4 (2):38 - 54.
David J. Doukas, Toni Antonucci & Daniel W. Gorenflo (1992). A Multigenerational Study on the Correlation of Values and Advance Directives. Ethics and Behavior 2 (1):51 – 59.
Chris Hackler, Ray Moseley & Dorothy E. Vawter (eds.) (1989). Advance Directives in Medicine. Praeger.
David Shoemaker (2010). The Insignificance of Personal Identity for Bioethics. Bioethics 24 (9):481-489.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
Jim Stone (1994). Advance Directives, Autonomy and Unintended Death. Bioethics 8 (3):223–246.
Helga Kuhse (1999). Some Reflections on the Problem of Advance Directives, Personhood, and Personal Identity. Kennedy Institute of Ethics Journal 9 (4):347-364.
Michael Quante (1999). Precedent Autonomy and Personal Identity. Kennedy Institute of Ethics Journal 9 (4):365-381.
E. Furberg (2012). Advance Directives and Personal Identity: What Is the Problem? Journal of Medicine and Philosophy 37 (1):60-73.
Added to index2009-01-28
Total downloads65 ( #50,293 of 1,725,161 )
Recent downloads (6 months)1 ( #349,161 of 1,725,161 )
How can I increase my downloads?