Minimally Conscious States, Deep Brain Stimulation, and What is Worse than Futility

Journal of Bioethical Inquiry 8 (2):145-149 (2011)

Grant Gillett
University of Otago
The concept of futility is sometimes regarded as a cloak for medical paternalism in that it rolls together medical and value judgments. Often, despite attempts to disambiguate the concept, that is true and it can be applied in such a way as to marginalize the real interests of a patient. I suggest we replace it with a conceptual toolkit that includes physiological futility, substantial benefit (SB), and the risk of unacceptable badness (RUB) in that these concepts allow us to articulate what is at stake in ethical judgments where outcomes are crucial in determining what should be done
Keywords Minimally conscious states  Deep brain stimulation  Futility  Substantial benefit  The RUB
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DOI 10.1007/s11673-011-9292-4
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References found in this work BETA

Medical Futility: A Conceptual Model.R. K. Mohindra - 2007 - Journal of Medical Ethics 33 (2):71-75.
Medical Ethics.Alastair V. Campbell (ed.) - 1997 - Oxford University Press.

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Citations of this work BETA

Sense and Moral Sensibility in Vegetative States.Grant R. Gillett - 2015 - American Journal of Bioethics Neuroscience 6 (2):42-44.
Effaced Enigmata.Grant Gillett - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (4):616-627.
Ashley, Two Born as One, and the Best Interests of a Child.Grant Gillett - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (1):22-37.

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