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Related Experiment Video

Updated: May 26, 2026

Virtual Hand with Ambiguous Movement between the Self and Other Origin: Sense of Ownership and 'Other-Produced' Agency
08:01

Virtual Hand with Ambiguous Movement between the Self and Other Origin: Sense of Ownership and 'Other-Produced' Agency

Published on: October 28, 2020

Respect for other selves.

Craig Edwards1

  • 1University of Western Australia.

Kennedy Institute of Ethics Journal
|December 23, 2011
PubMed
Summary

Advance directives should be respected, but distinguishing between those pursuing goals and those expressing contempt for the mentally incompetent is crucial. This ensures ethical medical treatment decisions.

Area of Science:

  • Bioethics
  • Philosophy of Medicine
  • Medical Law

Background:

  • Philosophical debate on the authority of advance directives in medical treatment refusal.
  • Prevalence of persistent personal identity theories supporting equal authority for advance directives and contemporaneous consent.
  • Ethical considerations surrounding patient autonomy and decision-making capacity.

Purpose of the Study:

  • To critically evaluate the philosophical advocacy for equating advance directives with contemporaneous consent.
  • To propose a distinction between advance directives based on deeply held goals versus those expressing contempt for mental incompetence.
  • To explore the implications of nonpersons' capacity to attribute and withhold moral value in end-of-life care.

Main Methods:

  • Philosophical analysis of ethical theories on personal identity and autonomy.

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  • Conceptual distinction between different types of advance directives.
  • Argumentative reasoning regarding moral value attribution in medical decision-making.
  • Main Results:

    • While acknowledging the continuity of self, equating all advance directives with contemporaneous consent overlooks crucial moral distinctions.
    • A differentiation is necessary between advance directives aimed at fulfilling prior goals and those potentially stemming from or expressing contempt for mental incompetence.
    • The capacity of entities (nonpersons) to assign or deny moral value is a relevant factor in assessing advance directives.

    Conclusions:

    • Advance directives, while important, require nuanced interpretation rather than blanket equivalence with contemporaneous consent.
    • Distinguishing between goal-oriented and contempt-driven advance directives is essential for ethical medical practice.
    • Recognizing the role of moral value attribution can refine our understanding of end-of-life decision-making and respect for persons.