Whose will is it, anyway? A discussion of advance directives, personal identity, and consensus in medical ethics

Bioethics 8 (1):27–48 (1994)
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Abstract

ABSTRACTI consider objections to the use of living wills based upon the discontinuity of personal identity between the time of the execution of the directive anbd the time the person becomes incompetent. Recent authors, following Derek Parfit's “Complex View” of personal identity, have argued that there is often not sufficient identity interests between the competent person who executes the living will and the incompetent patient to warrant the use of the advance directive. I argue that such critics err by seeking personal identity in a purely descriptive manner. By exploring Buchanan and Brock's concept of “surviving interests”, an argument is developed that certain future‐oriented acts have a normative force that contributes to the narrative unity which is constitutive of personal ideality. This narrative concept of the self is entailed by many of the our ordinary practices and challenges the philosophical consensus to view the self in a more dynamic and communitarian manner

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Citations of this work

Personal Identity and Ethics.David Shoemaker - 2008 - Stanford Encyclopedia of Philosophy.
Advance Directives and Personal Identity: What Is the Problem?E. Furberg - 2012 - Journal of Medicine and Philosophy 37 (1):60-73.
Patient decision-making: medical ethics and mediation.Y. J. Craig - 1996 - Journal of Medical Ethics 22 (3):164-167.

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References found in this work

In Whose Voice? Composing A Lifesong Collaboratively.G. M. Aumann & T. R. Cole - 1991 - Journal of Clinical Ethics 2 (1):45-49.

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