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Conscious in a Vegetative State? A Critique of the PVS Concept

Conscious in a Vegetative State? A Critique of the PVS Concept PDF Author: Peter McCullagh
Publisher: Springer Science & Business Media
ISBN: 1402026307
Category : Philosophy
Languages : en
Pages : 370

Book Description
Having been originally introduced as a term to facilitate discussion of a specific group of patients regarded as entering a state of unawareness following coma, the ‘Persistent Vegetative State’ (PVS) has established itself as an apparently discrete medical condition with clear-cut implications for ethicists and lawyers that exceed any scientifically based understanding. As a consequence of this upgrading, conclusions drawn about the status and hence the management of this uncommon condition have been increasingly extended to other patients with much more common forms of disability. This book traces the origins of prevailing perceptions about PVS and submits these to critical examination. In doing this it comes to the conclusion that inadequate attention has been paid to acknowledging what is not known about affected individuals and that assumptions have consistently come to be traded as facts. Re-examination of the basis of the PVS and the adoption of a more scientific approach is long overdue and is owed to the community at large which has generally been provided by many medical practitioners with a ‘dumbed-down’ account of the condition. The book will be of interest to philosophers, medical graduates and neuroscientists but is also intended to remain accessible to the general reader with an interest in the wider implications of trends in medical thinking for attitudes towards many classes of patient. It has an extensive bibliography and will be of specific interest to bioethicists and lawyers with professional interests in PVS.

Conscious in a Vegetative State? A Critique of the PVS Concept

Conscious in a Vegetative State? A Critique of the PVS Concept PDF Author: Peter McCullagh
Publisher: Springer Science & Business Media
ISBN: 1402026307
Category : Philosophy
Languages : en
Pages : 370

Book Description
Having been originally introduced as a term to facilitate discussion of a specific group of patients regarded as entering a state of unawareness following coma, the ‘Persistent Vegetative State’ (PVS) has established itself as an apparently discrete medical condition with clear-cut implications for ethicists and lawyers that exceed any scientifically based understanding. As a consequence of this upgrading, conclusions drawn about the status and hence the management of this uncommon condition have been increasingly extended to other patients with much more common forms of disability. This book traces the origins of prevailing perceptions about PVS and submits these to critical examination. In doing this it comes to the conclusion that inadequate attention has been paid to acknowledging what is not known about affected individuals and that assumptions have consistently come to be traded as facts. Re-examination of the basis of the PVS and the adoption of a more scientific approach is long overdue and is owed to the community at large which has generally been provided by many medical practitioners with a ‘dumbed-down’ account of the condition. The book will be of interest to philosophers, medical graduates and neuroscientists but is also intended to remain accessible to the general reader with an interest in the wider implications of trends in medical thinking for attitudes towards many classes of patient. It has an extensive bibliography and will be of specific interest to bioethicists and lawyers with professional interests in PVS.

The Vegetative State

The Vegetative State PDF Author: Bryan Jennett
Publisher: Cambridge University Press
ISBN: 9780521441582
Category : Law
Languages : en
Pages : 246

Book Description
A survey of the medical, ethical and legal issues that surround this controversial topic.

The Significance of Consciousness

The Significance of Consciousness PDF Author: Charles Siewert
Publisher: Princeton University Press
ISBN: 1400822726
Category : Psychology
Languages : en
Pages : 385

Book Description
Charles Siewert presents a distinctive approach to consciousness that emphasizes our first-person knowledge of experience and argues that we should grant consciousness, understood in this way, a central place in our conception of mind and intentionality. Written in an engaging manner that makes its recently controversial topic accessible to the thoughtful general reader, this book challenges theories that equate consciousness with a functional role or with the mere availability of sensory information to cognitive capacities. Siewert argues that the notion of phenomenal consciousness, slighted in some recent theories, can be made evident by noting our reliance on first-person knowledge and by considering, from the subject's point of view, the difference between having and lacking certain kinds of experience. This contrast is clarified by careful attention to cases, both actual and hypothetical, indicated by research on brain-damaged patients' ability to discriminate visually without conscious visual experience--what has become known as "blindsight." In addition, Siewert convincingly defends such approaches against objections that they make an illegitimate appeal to "introspection." Experiences that are conscious in Siewert's sense differ from each other in ways that only what is conscious can--in phenomenal character--and having this character gives them intentionality. In Siewert's view, consciousness is involved not only in the intentionality of sense experience and imagery, but in that of nonimagistic ways of thinking as well. Consciousness is pervasively bound up with intelligent perception and conceptual thought: it is not mere sensation or "raw feel." Having thus understood consciousness, we can better recognize how, for many of us, it possesses such deep intrinsic value that life without it would be little or no better than death.

Finding Consciousness

Finding Consciousness PDF Author: Walter Sinnott-Armstrong
Publisher: Oxford University Press
ISBN: 0190280328
Category : Medical
Languages : en
Pages : 256

Book Description
Modern medicine enables us to keep many people alive after they have suffered severe brain damage and show no reliable outward signs of consciousness. Many such patients are misdiagnosed as being in a permanent vegetative state when they are actually in a minimally conscious state. This mistake has far-reaching implications for treatment and prognosis. To alleviate this problem, neuroscientists have recently developed new brain-scanning methods to detect consciousness in some of these patients and even to ask them questions, including "Do you want to stay alive?" Finding Consciousness: The Neuroscience, Ethics, and Law of Severe Brain Damage addresses many questions regarding these recent neuroscientific methods: Is what these methods detect really consciousness? Do patients feel pain? Should we decide whether or not to let them die or are they competent to decide for themselves? And which kinds of treatment should governments and hospitals make available? This edited volume provides contextual information, surveys the issues and positions, and takes controversial stands from a wide variety of prominent contributors in fields ranging from neuroscience and neurology to law and policy to philosophy and ethics. Finding Consciousness should interest not only neuroscientists, clinicians, and ethicists but anyone who might suffer brain damage, which includes us all.

The Vegetative State

The Vegetative State PDF Author: Royal College of Physicians of London
Publisher: Royal College of Physicians
ISBN: 1860161863
Category : Persistent vegetative state
Languages : en
Pages : 22

Book Description


Ted Freeman and the Battle for the Injured Brain

Ted Freeman and the Battle for the Injured Brain PDF Author: Peter McCullagh
Publisher: ANU E Press
ISBN: 1922144320
Category : Health & Fitness
Languages : en
Pages : 212

Book Description
This book recounts some experiences of young Australians with catastrophic brain injuries, their families and the medical system which they encountered. Whilst most of the events described occurred two to three decades ago they raise questions relevant to contemporary medical practice.

Coma Science

Coma Science PDF Author: Professor Laureys
Publisher: Elsevier
ISBN: 9780080962252
Category : Science
Languages : en
Pages : 448

Book Description
This serial is firmly established as an extensive documentation of the advances in contemporary brain research. Each volume presents authoritative reviews and original articles by invited specialists. This volume concentrates on coma and consciousness science. presenting articles from leading figures in the area on the clinical and ethical implications of work in this field. The book provides a thorough review of the various aspects of coma science from a review of the concepts, questioning of recent advances, case studies, through to where research in the field is heading. * Provides the reader with a unique overview of all aspects of new advances in coma science * Broad focus with contributions by the top scientists worldwide in the respective disciplines

Biological Identity

Biological Identity PDF Author: Anne Sophie Meincke
Publisher: Routledge
ISBN: 1351066366
Category : Philosophy
Languages : en
Pages : 299

Book Description
Analytic metaphysics has recently discovered biology as a means of grounding metaphysical theories. This has resulted in long-standing metaphysical puzzles, such as the problems of personal identity and material constitution, being increasingly addressed by appeal to a biological understanding of identity. This development within metaphysics is in significant tension with the growing tendency amongst philosophers of biology to regard biological identity as a deep puzzle in its own right, especially following recent advances in our understanding of symbiosis, the evolution of multi-cellular organisms and the inherently dynamical character of living systems. Moreover, and building on these biological insights, the broadly substance ontological framework of metaphysical theories of biological identity appears problematic to a growing number of philosophers of biology who invoke process ontology instead. This volume addresses this tension, exploring to what extent it can be dissolved. For this purpose, the volume presents the first selection of essays exclusively focused on biological identity and written by experts in metaphysics, the philosophy of biology and biology. The resulting cross-disciplinary dialogue paves the way for a convincing account of biological identity that is both metaphysically constructive and scientifically informed, and will be of interest to metaphysicians, philosophers of biology and theoretical biologists.

Challenges and Choices for Patient, Carer and Professional at the End of Life

Challenges and Choices for Patient, Carer and Professional at the End of Life PDF Author: Catherine Proot
Publisher: Routledge
ISBN: 1000356272
Category : Psychology
Languages : en
Pages : 160

Book Description
Living with Uncertainty gives a broad perspective on the complexities and challenges of the practice of end-of-life care, as well as the perceived benefits and limitations of medical intervention. Drawn from research and clinical and pastoral experience, the book examines the feelings associated with the end of life, highlighting the demands that people are faced with and their consequences. It moves into the difficult area of people who feel defeated by their illness and can or want to live no longer, as well as the family, caregivers and professionals who surround them. These perspectives have been built upon around a hundred narratives of lived experience, combined with the wider clinical and practical range of voices. A topical post-script Lessons from Covid-19 captures the choices and challenges on a personal, professional and systemic level which the pandemic acutely revealed with a multiplicity of examples. This will be essential reading for students and professionals in palliative and end-of-life care. Families and friends will also benefit from this book as they try to come to terms with the delicate but universal issues of death and dying.

Trends in Reconstructive Neurosurgery

Trends in Reconstructive Neurosurgery PDF Author: Massimiliano Visocchi
Publisher: Springer
ISBN: 3319395467
Category : Medical
Languages : en
Pages : 322

Book Description
These proceeding cover new trends presented at the IV Congress of the International Society of Reconstructive Neurosurgery (ISRN), 2015. ISRN is an “open” multidisciplinary society that deals with advances in spine and peripheral-nerve reconstructive surgery, central nervous system revascularization (surgical, radio interventional), neuromodulation, bioengineering and transplantation, which are the latest tools used to promote reconstruction, restoration and rehabilitation.