Diversity Reading List

Abstract:

Dementia patients in the moderate-late stage of the disease can, and often do, express different preferences than they did at the onset of their condition. The received view in the philosophical literature argues that advance directives which prioritize the patient’s preferences at onset ought to be given decisive moral weight in medical decision-making. Clinical practice, on the other hand, favors giving moral weight to the preferences expressed by dementia patients after onset. The purpose of this article is to show that the received view in the philosophical literature is inadequate and is out of touch with real clinical practice. I argue that having dementia is a cognitive transformative experience and that preference changes which result from this are legitimate and ought to be given moral weight in medical decision-making. This argument ought to encourage us to reduce our confidence in the moral weight of advance directives for dementia patients.

Publisher's Note: G. E. M. Anscombe’s Intention is a classic of twentieth-century philosophy. The work has been enormously influential despite being a dense and largely misunderstood text. It is a standard reference point for anyone engaging with philosophy of action and philosophy of psychology. In this Routledge Philosophy GuideBook, Rachael Wiseman situates Intention in relation to Anscombe’s moral philosophy and philosophy of mind considers the influence of Aquinas, Aristotle, Frege, and Wittgenstein on the method and content of Intention adopts a structure for assessing the text that shows how Anscombe unifies the three aspects of the concept of intention considers the influence and implications of the piece whilst distinguishing it from subsequent work in the philosophy of action Ideal for anyone wanting to understand and gain a perspective on Elizabeth Anscombe’s seminal work, this guide is an essential introduction, useful in the study of the philosophy of action, ethics, philosophy of psychology and related areas.