Time’s Passage and the Narrative Self
Chapter 4 explores the metaphor of life as a story and shows how it serves as a corrective for midlife bias by keeping attention directed to the whole of human life. It delineates epistemological, ontological, and normative components of narrative. Narrative framing of medical decisions incorporates the whole story of a person’s life (integrity); manages claims of the self at distinct time slices to serve the whole, temporally extended self (prudence); and lends itself to treating each life stage equally (fairness). In cases involving surrogate decision-making for people with dementia, narrative understanding directs us to a person’s complete life. It avoids basing decisions on a single moment (time slice) when an advance directive was executed. Rather than equating personal identity with a mature, midlife self, narrative conceptions of personal identity regard all life stages as constitutive of identity.