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    The wishes of EAS expressed in her advance directive ough... — Carmelics
    Home/Bioethics
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    The wishes of EAS expressed in her advance directive ought to control decisions about FDS's life, even at the cost of FDS's good.

    BioethicsPersonal Identity
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    2 reasons against

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    Reasons For

    1 perspective
    Reason for
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    • 1.Identity is not what matters for defining the scope of egoistic concern; what matters is Relation R (psychological continuity and connectedness).
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    • 2.EAS is strongly R-related to most previous stages of her life but only weakly R-related to FDS, despite FDS being a later stage of the same life.
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    • 3.The part of the person's life most deeply prudentially unified is the larger, more dominant part of which EAS was a strongly R-related member.
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    Reasons Against

    2 perspectives
    Reason against 1 of 2
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    • 1.The interests of a currently existing person with present-tense experiences and welfare cannot be overridden by a prior self's preferences without independent justification.
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    • 2.FDS, as a psychologically distinct subject with her own experiential states, possesses the morally relevant properties that ground welfare rights regardless of her R-relation to EAS.
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    • 3.Parfit's own framework entails that weak R-relatedness diminishes the authority of EAS over FDS, not merely FDS's claim to continuity with EAS—undermining rather than supporting advance directive enforcement.
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    Reason against 2 of 2
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    • 1.Advance directives derive their authority from autonomy, but autonomy norms require that the directive-issuer and the person bound by it share sufficient psychological unity to constitute a single deliberating agent.
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    • 2.When dementia severs that psychological continuity, the advance directive functions not as self-determination but as one person's imposition on a numerically or practically distinct other, which standard liberal autonomy theory does not license.
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    Topics

    BioethicsPersonal Identity

    Connections

    1 topic

    Moral Responsibility1 linked

    Related

    Advance directives derive their authority from autonomy, but autonomy norms requ...EAS is strongly R-related to most previous stages of her life but only weakly R-...FDS, as a psychologically distinct subject with her own experiential states, pos...Identity is not what matters for defining the scope of egoistic concern; what ma...
    +6 moreShow less
    Parfit's own framework entails that weak R-relatedness diminishes the authority ...The interests of a currently existing person with present-tense experiences and ...The longer FDS lives, the worse FDS might retrospectively render EAS's life.The part of the person's life most deeply prudentially unified is the larger, mo...What is good for the deepest and longest prudential unity is closest to what is ...When dementia severs that psychological continuity, the advance directive functi...

    Similar

    FDS's good ought to be sacrificed for the sake of the good of the life...85%An advance directive is made by a competent person to govern treatment...76%If a patient has decisional capacity to make decision X, others must h...73%One's own private good is also a morally relevant consideration in the...70%

    Source

    AI-extracted1/3 agreementValid
    SEP: identity-ethics
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    And here is yet another way of looking at the matter. Suppose we agree with Parfit and others that identity just is not what matters for, among other things, defining and delimiting the scope of egoistic concern; suppose instead it is Relation R. FDS, because of her loss of memory and the like, will bear a very limited degree of that relation to EAS. EAS will thus be strongly R-related with most of the previous stages of her life (the chains of connectedness, let us stipulate, are very st
    Extraction notes

    Validity: Extracted via Max plan + API grounding/validity checks

    Details

    Type
    claim
    Perspectives
    3 (1 for, 2 against)
    Edits
    1 edit