David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Kennedy Institute of Ethics Journal 9 (4):365-381 (1999)
: Debates on precedent autonomy and some forms of paternalistic interventions, which are related to questions of personal identity, are analyzed. The discussion is based on the distinction between personal identity as persistence and as biographical identity. It first is shown that categorical objections to advance directives and "Ulysses contracts" are based on false assumptions about personal identity that conflate persistence and biographical identity. Therefore, advance directives and "Ulysses contracts" are ethically acceptable tools for prolonging one's autonomy. The notions of personality and biographical identity are used to analyze the ethically relevant features. Thereby, it is shown that these concepts are operative in and useful for thinking in biomedical ethics. The overall conclusion is that categorical arguments against precedent autonomy or "Ulysses contracts" are based on misleading theories of personal identity and that advance directives are an ethically respectable tool for prolonging individuals' autonomy in cases of dementia and mental illness
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Citations of this work BETA
Giovanni Boniolo (2013). Is an Account of Identity Necessary for Bioethics? What Post-Genomic Biomedicine Can Teach Us. Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 44 (3):401-411.
Christopher Buford (2008). Advancing an Advance Directive Debate. Bioethics 22 (8):423-430.
Chrisoula Andreou (2008). Making a Clean Break: Addiction and Ulysses Contracts. Bioethics 22 (1):25–31.
Phil Bielby (2012). Ulysses Arrangements in Psychiatric Treatment: Towards Proposals for Their Use Based on 'Sharing' Legal Capacity. [REVIEW] Health Care Analysis (2):1-29.
Michael Quante (2005). Quality of Life Assessment and Human Dignity: Against the Incompatibility-Assumption. Poiesis and Praxis 3 (3):168-180.
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