Residual Cognitive Capacities in Patients With Cognitive Motor Dissociation, and Their Implications for Well-Being.

Patients with severe disorders of consciousness are thought to be unaware of themselves or their environment. However, research suggests that a minority of patients diagnosed as having a disorder of consciousness remain aware. These patients, designated as having "cognitive motor dissociation" (CMD)...

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Publicado en:Journal of Medicine & Philosophy Vol. 46; no. 6; pp. 729 - 758
Autor principal: Graham, Mackenzie
Formato: Journal Article
Publicado: Oxford University Press / USA Dec2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Residual Cognitive Capacities in Patients With Cognitive Motor Dissociation, and Their Implications for Well-Being.
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        au: Graham, Mackenzie
        affil: Oxford University , Oxford , UK
      su:
        Consciousness disorders
        Patients' attitudes
        Social perception
        Diagnosis
        Lenses
      sug:
        subj:
          Consciousness disorders
          Patients' attitudes
          Social perception
          Diagnosis
          Lenses
      keyword:
        CMD
        cognitive motor dissociation
        neuroimaging
        well-being
      ab: Patients with severe disorders of consciousness are thought to be unaware of themselves or their environment. However, research suggests that a minority of patients diagnosed as having a disorder of consciousness remain aware. These patients, designated as having "cognitive motor dissociation" (CMD), can demonstrate awareness by imagining specific tasks, which generates brain activity detectable via functional neuroimaging. The discovery of consciousness in these patients raises difficult questions about their well-being, and it has been argued that it would be better for these patients if they were allowed to die. Conversely, I argue that CMD patients may have a much higher level of well-being than is generally acknowledged. It is far from clear that their lives are not worth living, because there are still significant gaps in our understanding of how these patients experience the world. I attempt to fill these gaps, by analyzing the neuroscientific research that has taken place with these patients to date. Having generated as comprehensive a picture as possible of the capacities of CMD patients, I examine this picture through the lens of traditional philosophical theories of well-being. I conclude that the presumption that CMD patients do not have lives worth living is not adequately supported.
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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