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Whose Preferences?

American Journal of Bioethics 20 (8):65-66 (2020)

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  1. Cognitive Transformation, Dementia, and the Moral Weight of Advance Directives.Emily Walsh - 2020 - American Journal of Bioethics 20 (8):54-64.
    Dementia patients in the moderate-late stage of the disease can, and often do, express different preferences than they did at the onset of their condition. The received view in the philosophical literature argues that advance directives which prioritize the patient’s preferences at onset ought to be given decisive moral weight in medical decision-making. Clinical practice, on the other hand, favors giving moral weight to the preferences expressed by dementia patients after onset. The purpose of this article is to show that (...)
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  • The Limited Value of Dementia‐Specific Advance Directives.Rebecca Dresser - 2021 - Hastings Center Report 51 (2):4-5.
    Many people are worried about developing dementia, fearing the losses and burdens that accompany the condition. Dementia‐specific advance directives are intended to address dementia's progressive effects, allowing individuals to express their treatment preferences for different stages of the condition. But enthusiasm for dementia‐specific advance directives should be tempered by recognition of the legal, ethical, and practical issues they raise. Dementia‐specific advance directives are a simplistic response to a complicated situation. Although they enable people to register their future care preferences, in (...)
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