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A fate worse than death? The well-being of patients diagnosed as vegetative with covert awareness

Abstract:
Patients in the vegetative state are wholly unaware of themselves, or their surroundings. However, a minority of patients diagnosed as vegetative are actually aware. What is the well-being of these patients? How are their lives going, for them? It has been argued that on a reasonable conception of well-being, these patients are faring so poorly that it may be in their best interests not to continue existing. I argue against this claim. Standard conceptions of wellbeing do not clearly support the conclusion that these patients would be better off having lifesustaining treatment withdrawn, and in fact, it may be possible for these patients to retain a passable level of well-being. I suggest that further research into the subjective experiences of these patients will allow us to better promote their well-being.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1007/s10677-017-9836-8

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Institution:
University of Oxford
Division:
HUMS
Department:
Philosophy Faculty
Role:
Author
ORCID:
0000-0001-6870-1370
Publisher:
Springer
Journal:
Ethical Theory and Moral Practice More from this journal
Volume:
20
Issue:
5
Pages:
1005-1020
Publication date:
2017-10-23
Acceptance date:
2017-09-12
DOI:
EISSN:
1572-8447
ISSN:
1386-2820
Keywords:
Pubs id:
pubs:833237
UUID:
uuid:851bb328-6a0e-4b63-82aa-895eff859248
Local pid:
pubs:833237
Source identifiers:
833237
Deposit date:
2018-04-04

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