On 1/10/2015 12:44 am, Stathis Papaioannou wrote:
On 28 Sep 2015, at 12:26 AM, Bruce Kellett <[email protected] <mailto:[email protected]>> wrote:

The person's psychological continuity would be preserved. I consider I would survive if my psychological continuity was preserved without my physical continuity necessarily being preserved; in fact, the only reason I endeavour to have my physical continuity preserved is because it's the easiest way to preserve psychological continuity. Preservation of physical continuity without psychological continuity, for example if someone has a head injury that wipes out all cognitive function, is not something anyone aspires to.

That might be your opinion, but others beg to differ. It is a common experience that people feel crises of personal identity after losing limbs; after mastectomy for breast cancer; after severe facial disfigurement.

What is colloquially called a "crisis of personal identity" in these cases is not the same thing as we are discussing. People may consider that they have changed in a fundamental way, but they don't think they are not a continuation of the person they were before the problem occurred. Moreover, insofar as physical changes cause a change in the sense of self, it is entirely through their psychological effect. If your face were disfigured while you were asleep, it would not affect you until you looked in the mirror in the morning.

I think the real point here is that personal identity is irreducibly multi-dimensional. It is not all about psychological continuity, about memory, or about physical causality and bodily continuity. All of these factors, and many others come into play. You cannot rely solely on memory, because your memory may be faulty. In fact, we routinely check memories against physical records, physical continuity, the action of causal laws, and all the rest. It is this complex that makes up the continuity of the person. Some metric across these factors determines what differences are significant, and which differences we simply adjust to.

I suggest that since it is unlikely that you have undergone any of these in their more extreme forms, your personal opinions on the matter count for very little. I have had very close and personal experience of the latter case -- loss of most cognitive function with essentially no visible physical change to the body. There was never any doubt that that body continued to be the person I knew. One certainly does not aspire to that situation, but if it arises by mischance, personal identity is not destroyed. Why do many people continue to love and care for their loved ones, even when they are in the extreme end states of Alzheimer's? Or in a long lasting coma?
I have had both personal and professional contact with people who have severe dementia. The reason it is so terrible a disease is that in its end stages the person you knew has gone.

Or maybe the person has changed so that you don't recognize them -- they might see it differently. How would you know?

Bruce

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