Friday April 27, 2.30pm - 4 pm

Kerstin will speak at ACU’s Melbourne campus (address below) and the 
presentation will be video-conferenced to other campuses:

Brisbane: 212.2.19;
Ballarat: 100.1.04;
North Sydney: 532.12.24 (8 Napier Street N. Syd, Level 12 of Tenison Woods 
House.)

Location for Melbourne: Room 460.7.03 (250 Victoria Parade, Level 7)

Narrating the end

Those who advocate advance care planning largely do so based on ideas of life 
as a whole. They hold that our identity is based on critical values and 
interests which form the skeleton
of our life narrative and that we have a vested interest in maintaining this 
narrative, even when we lose the capacity of being competent life narrators. 
Being a life narrator on their
account is not simply someone who tells how one's life goes, but someone who 
creates the story, which extends into the future. The significance of directing 
the 'last chapter' lies in
giving expression to a unified whole with particular emphasis on having a say 
in what should be the end to this whole. We should therefore have a right to 
maintain our narrative beyond
mental incapacity by means of advance care planning. My paper examines the 
tight connection between ideas of identity, autonomy and life holism and how 
the coherent interplay of these concepts is important for the ethical and 
practical framework of advance care planning. I will briefly start by defending 
the view that a narrative identity account is the best identity account in 
overcoming ethical problems associated with the 'identity problem' of advance 
care planning. I will then discuss, why the successful solution to this problem 
is nonetheless insufficient to overcome significant
problems associated with advance care planning. My argument is based on the 
insight that a conceptual frame work for advance care planning which is based 
on narrative identity forces us to adopt a corresponding idea of narrative 
autonomy and that such an account of autonomy is inconsistent with (and 
undesirable for) our current medico-legal practice.

Kerstin Astrid Knight

(SHAPS and SSPS, University of Melbourne
Department for Bioethics, and Monash university)

ALL WELCOME!


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