当自杀不是自杀时:提前决策和心理不连续性-第二部分
1University of Glasgow, Glasgow, UK.
概括
拒绝医疗治疗的提前决定对个人身份理论提出了挑战. 合同义务为尊重这些决定提供了道德基础,即使在心理连续性丧失之后.
科学领域:
- 生物伦理学生物伦理学
- 思想的哲学 思想的哲学
- 医疗法 法律 医疗法
背景情况:
- 德里克·帕菲特 (Derek Parfit) 关于个人身份的理论质疑当心理连续性被破坏时预先做出的决定的有效性.
- 这引发了关于患者自主权和终身护理决策的伦理困境.
研究的目的:
- 探索帕菲特个人身份观点对预先治疗决策的道德含义.
- 建立一个道德框架,在心理连续性丧失时尊重预先指示.
主要方法:
- 关于德里克·帕菲特关于个人身份的理论的哲学分析.
- 检查合同义务作为事先决策的道德基础.
- 预先决定与现有合同 (如人寿保险和遗嘱) 的比较分析.
主要成果:
- 帕菲特的观点并不需要放弃事先的决定;可以提供另一种道德解释.
- 合同义务为维持事先决定提供了强有力的道德理由.
- 提前决策与死后激活的合同具有功能上的相似之处.
结论:
- 拒绝救命治疗的提前决定可以在道德上得到尊重,即使不假设个人身份的形而上学基础.
- 合同义务提供了一个令人信服的伦理基础,以尊重患者的自主权,表达在预先指令中.
- 这种合同方法解决了个人身份心理不连续性所带来的挑战.
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