Interactive capacity, decisional capacity, and a dilemma for surrogates

Authors
Vanessa Carbonell
University of Cincinnati
Abstract
In “Conscientious of the Conscious: Interactive Capacity as a Threshold Marker for Consciousness” (2013), Fischer and Truog argue that recent studies showing that some patients diagnosed as being in a vegetative state are in fact in a minimally conscious state raise various ethical questions for clinicians and family members. I argue that these findings raise a further ethical dilemma about how and whether to seek the involvement of the minimally conscious person herself in decisions about her care. There may be a conflict between doing what is believed to accord with the patient’s prior stated wishes and/or her best interests, on the one hand, and respecting her own potential decision-making capacity and epistemic authority, on the other.
Keywords vegetative state  minimally conscious state  decision-making capacity  surrogate decision-making  best interests  substituted judgment  advance directive  consciousness  fMRI
Categories (categorize this paper)
Reprint years 2013
DOI 10.1080/21507740.2013.827276
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 33,686
External links

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

Brain Damage and the Moral Significance of Consciousness.Guy Kahane & Julian Savulescu - 2009 - Journal of Medicine and Philosophy 34 (1):6-26.
Prognosis Matters, Not Diagnosis.Walter Glannon - 2013 - American Journal of Bioethics Neuroscience 4 (4):34-35.

View all 8 references / Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

In Re Edna MF: Case Law Confusion in Surrogate Decision Making.Robyn S. Shapiro - 1999 - Theoretical Medicine and Bioethics 20 (1):45-54.
The Pragmatic Aspects of Assessing Mental Capacity.Ajit Shah - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):133-134.
Capacity, Mental Mechanisms, and Unwise Decisions.Tim Thornton - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):127-132.
Substituted Judgment, Best Interests, and the Need for Best Respect.Susan R. Martyn - 1994 - Cambridge Quarterly of Healthcare Ethics 3 (2):195.
Faulty Judgment, Expert Opinion, and Decision-Making Capacity.Michel Silberfeld & David Checkland - 1999 - Theoretical Medicine and Bioethics 20 (4):377-393.
Decision-Making Capacity and the Deprivation of Liberty Safeguards.Peter Lucas - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):117-122.

Analytics

Added to PP index
2013-09-07

Total downloads
1 ( #1,024,407 of 2,261,541 )

Recent downloads (6 months)
1 ( #387,012 of 2,261,541 )

How can I increase my downloads?

Monthly downloads

Sorry, there are not enough data points to plot this chart.

My notes

Sign in to use this feature