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- Michael Quante (1999). Precedent Autonomy and Personal Identity. Kennedy Institute of Ethics Journal 9 (4):365-381.: 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.Reading list | Discuss | Edit | Categorize |My bibliography
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In this paper the thesis that personal identity is essentially constituted by social relations is defended. To make this plausible the problem of personal identity is broken down into four interrelated sets of problems. Of these, the unity -- and the persistence -- problems cannot be resolved using the notion of a person and therefore personal identity in this sense is not socially constituted. But this paper argues that the conditions of personhood, and the structure of a human being's personality -- which are the other two sets into which the problem of personal identity is dissolved -- are best understood as being constituted by social relations, especially relations of mutual.
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| | Scholar | At my library | More options ... This book brings together some of the best minds in neurology and philosophy to discuss the concept of personal identity and the moral dimensions of treating ...
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| | Scholar | At my library | More options ... : In this paper, I consider objections to advance directives based on the claim that there is a discontinuity of interests, and of personal identity, between the time a person executes an advance directive and the time when the patient has become severely demented. Focusing narrowly on refusals of life-sustaining treatment for severely demented patients, I argue that acceptance of the psychological view of personal identity does not entail that treatment refusals should be overridden. Although severely demented patients are morally considerable beings, and must be kept comfortable whilst alive, they no longer have an interest in receiving life-sustaining treatment.
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| | Other links: muse.jhu.edu dx.doi.org | Scholar | At my library | More options ... When philosophers address personal identity, they usually explore numerical identity: what are the criteria for a person's continuing existence? When non-philosophers address personal identity, they often have in mind narrative identity: Which characteristics of a particular person are salient to her self-conception? This book develops accounts of both senses of identity, arguing that both are normatively important, and is unique in its exploration of a range of issues in bioethics through the lens of identity. Defending a biological view of our numerical identity and a framework for understanding narrative identity, DeGrazia investigates various issues for which considerations of identity prove critical: the definition of death; the authority of advance directives in cases of severe dementia; the use of enhancement technologies; prenatal genetic interventions; and certain types of reproductive choices. He demonstrates the power of personal identity theory to illuminate issues in bioethics as they bring philosophical theory to life.
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| | Scholar | At my library | More options ... Among the many topics covered in Sven Bernecker’s impressive study of memory is the relation between memory and personal identity. Bernecker uses his grammatical taxonomy of memory and causal account to defend the claim that memory does not logically presuppose personal identity and hence that circularity objections to memory-based accounts of personal identity are misplaced. In my comment I investigate these claims, suggesting that the relation between personal identity and memory is more complicated than Bernecker’s analysis suggests. In particular, I argue (1) that while he shows that some memories do not presuppose personal identity he fails to show that those that are appealed to in memory-based accounts of personal identity do not, and (2) that the features of his view that allow him to define memory without reference to personal identity also obscure important features of memory that must be part of a complete account.
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| | Scholar | At my library | More options ... It has long been thought that certain key bioethical views depend heavily on work in personal identity theory, regarding questions of either our essence or the conditions of our numerical identity across time. In this paper I argue to the contrary, that personal identity is actually not significant at all in this arena. Specifically, I explore three topics where considerations of identity are thought to be essential – abortion, definition of death, and advance directives – and I show in each case that the significant work is being done by a relation other than identity.
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| | Other links: dx.doi.org doi.wiley.com | Scholar | At my library | More options ... Pre-commitment directives or Ulysses contracts are often defended as instruments that may strengthen the autonomous self-control of episodically disordered psychiatric patients. Autonomy is understood in this context in terms of sovereignty ("governing" or "managing" oneself). After critically analyzing this idea of autonomy in the context of various forms of self-commitment and pre-commitment, we argue that what is at stake in using Ulysses contracts in psychiatry is not autonomy as sovereignty, but autonomy as authenticity. Pre-commitment directives do not function to protect autonomous self-control. They serve in upholding the guidance that is provided by one's deepest identity conferring concerns. We elucidate this concept of autonomy as authenticity, by showing how Ulysses contracts protect the possibility of being "a self.".
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| Discuss | Edit | Categorize | My bibliography | Export citation | Other links: informaworld.com jmp.oxfordjournals.org dx.doi.org | Scholar | At my library | More options ...
| | Other links: informaworld.com jmp.oxfordjournals.org dx.doi.org | Scholar | At my library | More options ... The personal identity problem expresses the worry that due to disrupted psychological continuity, one person’s advance directive could be used to determine the care of a different person . Even ethicists, who strongly question the possibility of the scenario depicted by the proponents of the personal identity problem, often consider it to be a very potent objection to the use of advance directives. Aiming to question this assumption, I, in this paper, discuss the personal identity problem’s relevance to the moral force of advance directives. By putting the personal identity argument in relation to two different normative frameworks, I aim to show that whether or not the personal identity problem is relevant to the moral force of advance directives, and further, in what way it is relevant, depends entirely on what normative reasons we have for respecting advance directives in the first place.
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| | Other links: jmp.oxfordjournals.org dx.doi.org | Scholar | At my library | More options ... Discussion of Michael Quante, Precedent autonomy and personal identity
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