Journal of Medicine and Philosophy 27 (1):65 – 85 (2002)

Authors
Elysa Koppelman-White
Oakland University
Abstract
Autonomous decisions are decisions that reflect the self who makes them. Since patients in need of surrogate decision making can no longer enjoy the dignity of being free to express who they are through choice and action, surrogates should strive to, at least, make sure that decisions on behalf of the patient reflects that patient's self. Concepts of the self, then, underlie views about the role autonomy should play in surrogate decision making. Alzheimer's disease (AD) complicates the situation because it is a disease which effects the self and theorists disagree about which aspect of the AD self the decision should reflect. This disagreement has led to a seemingly irresolvable split between those who favor the then self and those who favor the now self. The debate has stalled because while both of these views are attractive, neither seems adequate. That is, neither view is complete because each focuses only on one aspect of a whole self. In this paper, I argue that a good mode of surrogate decision making is one that focuses on the whole self and I offer practical advice concerning how we can begin to think about how such a decision might be made.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1076/jmep.27.1.65.2971
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 64,132
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

The Role of Vulnerability in Kantian Ethics.Paul Formosa - 2014 - In Catriona Mackenzie, Wendy Rogers & Susan Dodds (eds.), Vulnerability: New Essays in Ethics and Feminist Philosophy. New York: Oxford University Press. pp. 88-109.
Bioethics and Moral Agency: On Autonomy and Moral Responsibility.John Skalko & Mark J. Cherry - 2016 - Journal of Medicine and Philosophy 41 (5):435-443.
Advance Directives and the Severely Demented.Martin Harvey - 2006 - Journal of Medicine and Philosophy 31 (1):47 – 64.

View all 12 citations / Add more citations

Similar books and articles

Analytics

Added to PP index
2009-01-28

Total views
42 ( #257,193 of 2,454,732 )

Recent downloads (6 months)
1 ( #449,768 of 2,454,732 )

How can I increase my downloads?

Downloads

My notes