Personal Identity and Self-Regarding Choice in Medical Ethics

In Michael Kühler & Veselin L. Mitrović (eds.), Theories of the Self and Autonomy in Medical Ethics. Springer. pp. 31-47 (2020)
  Copy   BIBTEX

Abstract

When talking about personal identity in the context of medical ethics, ethicists tend to borrow haphazardly from different philosophical notions of personal identity, or to abjure these abstract metaphysical concerns as having nothing to do with practical questions in medical ethics. In fact, however, part of the moral authority for respecting a patient’s self-regarding decisions can only be made sense of if we make certain assumptions that are central to a particular, psychological picture of personal identity, namely, that patients will remain psychologically connected to a certain degree with their future selves. I draw this out, show problems with approaches in medical ethics based on alternate theories of personal identity that do not recognise this, and explore some important implications. Namely, I show how this recognition can better explain the circumstances under which we should respect advance directives and why, and how it can better make sense of patient fears that they will not "survive" personality-altering deep brain stimulation procedures, and provide guidance on approaching patient decisions concerning this type of procedure in a manner that captures and addresses such concerns.

Links

PhilArchive

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Personal Identity and Patient-Centered Medical Decision Making.Lucie White - 2017 - American Journal of Bioethics Neuroscience 8 (3):194-195.
Advance Directives and Personal Identity: What Is the Problem?E. Furberg - 2012 - Journal of Medicine and Philosophy 37 (1):60-73.
Precedent autonomy and personal identity.Michael Quante - 1999 - Kennedy Institute of Ethics Journal 9 (4):365-381.
Indeterminacy of identity and advance directives for death after dementia.Andrew Sneddon - 2020 - Medicine, Health Care and Philosophy 23 (4):705-715.
Uploading and Branching Identity.Michael A. Cerullo - 2015 - Minds and Machines 25 (1):17-36.
Is Personal Identity Analysable?Simon Langford - 2014 - Acta Analytica 29 (3):309-316.
Personal Identity.David Shoemaker & Kevin P. Tobia - 2022 - In Manuel Vargas & John Doris (eds.), The Oxford Handbook of Moral Psychology. Oxford, U.K.: Oxford University Press.
Extended Mind and Identity.Robert A. Wilson & Bartlomiej A. Lenart - 2014 - In Jens Clausen & Neil Levy (eds.), Handbook of Neuroethics. Springer. pp. 423-439.
Deep Brain Stimulation, Continuity over Time, and the True Self.Sven Nyholm & Elizabeth O’Neill - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):647-658.

Analytics

Added to PP
2020-10-01

Downloads
870 (#16,044)

6 months
325 (#5,995)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Lucie White
Utrecht University

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references