Elisabeth Furberg

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Advance directives and personal identity

ADVANCE DIRECTIVES ARE instructions given by patients specifying whatactions ought to be taken for their health in the event that they areno longer capable to make decisions due to illness or incapacity.This book takes as its point of departure one of the most commonlydiscussed medical-ethical argument against granting advance directivesmoral authority: the Objection from Personal Identity. Theadherers of this objection basically asserts that when there is lack ofpsychological continuity between the person who formulated the advancedirective and the later patient to whom it supposedly applies,this seriously threatens the directive's moral authority. Whereas mostphilosophers in the advance directives debate argue that the Objectionfrom Personal Identity fails, the arguments in this book suggestthat it is an argument we should take seriously. Lack of psychologicalcontinuity between the author and the later patient, it is concluded,does threaten the moral authority of an advance directive.

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