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Pure Experience and Disorders of Consciousness

机译:纯粹的经验和意识障碍

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The presence or absence of consciousness is the linchpin of taxonomy for disorders of consciousness (DOCs), as well as a focal point for end-of-life decision making for patients with DOCs. Focus on consciousness in this latter context has been criticized for a number of reasons, including the uncertainty of the diagnostic criteria for consciousness, the irrelevance of some forms of consciousness for determining a patient’s interests, and the ambiguous distinction between consciousness and unconsciousness. As a result, there have been recent suggestions that perhaps consciousness ought not to play the focal role that it does in decision making for persons with DOCs, and that other considerations, such as patient and family values, ought to take center stage. In this article, I take a step back and reexamine the meaning of consciousness in the DOC taxonomy. I propose that, while consciousness in DOC taxonomy is defined as “wakeful awareness,” this definition, while clinically expedient, occasions ethical misunderstanding. Using resources from non-Western philosophy of mind, I argue that the form of consciousness that is ethically relevant in DOCs is intransitive, or pure. I contrast this pure experience with transitive consciousness to highlight why ethical conclusions ought not define consciousness solely as “wakeful awareness,” even if clinical criteria do.
机译:意识的存在或缺乏是针对意识障碍(文档)的分类法的亚文,以及文档患者的生命终端决策的焦点。在这一背景下,关注意识一直受到批评的原因,包括诊断标准的不确定性,以确定患者利益的某种形式意识的无关,以及意识与无意识之间的暧昧区分。因此,最近的建议也许意识不会发挥作用的人员在决策中作出的焦点作用,以及其他考虑因素,例如患者和家庭价值,应该采取中心阶段。在这篇文章中,我恢复了一步,并重新审视了Doc分类学中的意识的意义。我建议,虽然Doc分类学中的意识被定义​​为“醒来的意识”这个定义,而临床上有利,但伦理误解。利用来自非西方哲学的资源,我争辩说,在文档中的道德相关的意识形式是不及物,或纯粹的。对比这种具有传递意识的纯粹体验,强调道德结论不应该定义意识,即使临床标准也是如此。

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