Embodiment and Personal Identity in Dementia

2021 ◽  
pp. 196-216
Author(s):  
Thomas Fuchs

Theories of personal identity in the tradition of John Locke emphasize the importance of psychological continuity and the abilities to think, to remember and to make rational choices as basic criteria for personhood. As a consequence, persons with severe dementia are threatened to lose the status of persons. Such concepts, however, are situated within a dualistic framework, in which the body is regarded as a mere vehicle of the brain as the organ of mental faculties. The chapter elaborates a different approach to personal identity: according to this, selfhood is primarily constituted by pre-reflective self-awareness and the body memory. Dementia is then characterized as a loss of reflexivity and meta-perspective, which is contrasted with the preservation of individual forms of body memory even in the later stages of the illness. The ethical consequences of such an embodied approach to dementia are outlined.

2020 ◽  
Vol 23 (4) ◽  
pp. 665-676
Author(s):  
Thomas Fuchs

Abstract Theories of personal identity in the tradition of John Locke and Derek Parfit emphasize the importance of psychological continuity and the abilities to think, to remember and to make rational choices as a basic criterion for personhood. As a consequence, persons with severe dementia are threatened to lose the status of persons. Such concepts, however, are situated within a dualistic framework, in which the body is regarded as a mere vehicle of the person, or a carrier of the brain as the organ of mental faculties. Based on the phenomenology of embodiment, this paper elaborates a different approach to personal identity in dementia. In this perspective, selfhood is primarily constituted by pre-reflective self-awareness and the body memory of an individual, which consists in the embodiment and enactment of familiar habits, practices and preferences. After describing the different types of body memory, the paper develops a phenomenology of dementia as a loss of reflexivity and meta-perspective. This is contrasted with the preservation of individual forms of body memory even in the later stages of the illness. The ethical consequences of an embodied approach to dementia are outlined. A final look is given to narrativistic and constructionist concepts of the self in dementia.


2018 ◽  
Vol 66 (1) ◽  
pp. 48-61 ◽  
Author(s):  
Thomas Fuchs

Abstract Theories of personal identity in the tradition of John Locke and Derek Parfit emphasize the importance of psychological continuity and the abilities to think, to remember and to make rational choices as a basic criterion for personhood. These concepts, however, are situated within a dualistic framework, in which the body is regarded as a mere vehicle of the person, or a carrier of the brain as the organ of mental faculties. Based on the phenomenology of embodiment, this paper elaborates a different approach to personal identity. In this perspective, selfhood is primarily constituted by pre-reflective self-awareness and the body memory of an individual, which consists in the embodiment and enactment of familiar habits, practices and preferences. As can be shown, this understanding of personhood still applies to dementia patients even in the later stages of the disease.


Author(s):  
Marya Schechtman

While many areas of philosophy are concerned with issues of personal identity, the investigation most usually referred to as ‘the problem of personal identity’ within analytic philosophy centers on the question of what makes individuals at different times the same person. This is a complex and difficult question because we change a great deal over the course of our lives. A woman of 50, for instance, is made up of largely different matter from her ten-year-old self, and looks quite different. Her beliefs, desires, and values have probably changed a great deal; she has a host of memories and relationships that her ten-year-old self did not have, and she fills quite different social roles. Despite all of this we might unequivocally judge that the woman before us is the same person as the ten-year-old. Philosophers of personal identity seek to describe what it is that constitutes the identity of the fifty-year-old and the ten-year-old (if they are indeed identical). As it is usually conceived, the question of personal identity is a metaphysical question and not an epistemological question. Rather than asking how we know when someone at one time is identical to someone at another time, it asks what it is that actually makes it the case that they are the same. This question is also a question of numerical identity rather than qualitative or psychological identity; it is about the relation that makes something the self-same entity over time rather than about what makes entities indistinguishably similar to one another (see Identity). This last distinction is important to make because in everyday speech talk of personal identity is often connected to questions about what someone truly believes or desires, or what is fundamentally important to them, and not about what makes them a single entity. Everyday talk of identity is thus connected to judgments about similarity of character or personality. Historically, there have been three main approaches to addressing the metaphysical question about the numerical identity of persons over time. One defines identity in terms of the continuation of a single immaterial substance or soul; one in terms of psychological continuity; and one in terms of bodily or biological continuity, although there have been several other approaches offered as well. All of these accounts have had their adherents, and all have their difficulties. The bulk of philosophical discussion of personal identity during the late twentieth and early twenty-first centuries has focused on the relative merits of psychological and biological approaches. For most of this period psychological accounts were dominant. These views, inspired by John Locke, hold that a person at time t2 is the same as a person at earlier time t1 just in case there is an overlapping chain of psychological connections (memories, beliefs, desires, etc.) between the person at t2 and the person at t1. They have a great deal of intuitive appeal, capturing the widely held sense that if biological and psychological continuity were to diverge, the person would go where the psychological life goes, but they have also been subject to some important objections. Many of these are related to the fact that psychological continuity does not have the same logical form as identity. For instance, a person existing now could in principle be psychologically continuous with two people in the future, but cannot be identical to both of them since they are not identical to each other. Toward the end of the twentieth century, biological accounts of identity re-emerged with new vigour, mounting a serious challenge to the dominance of psychological accounts. Defenders of the biological approach say that we are, most fundamentally, human animals who persist as long as a single human organism does. The biological approach allows that psychological continuity may be of tremendous importance to us, and that we may identify with our psychological states, but insists this continuity is no part of what determines our literal persistence as single entities. Biological theorists point out that if we think of persons as entities distinct from human animals we will be left with a number of awkward questions about the relation between persons and animals, making psychological continuity theories deeply implausible. In response, defenders of the psychological approach have argued that biological accounts suffer from many of the same deficits with which they charge psychological theories. A metaphysical view in which persons are constituted by human animals has also been offered to show a way in which a psychological account of identity can avoid the difficulties with explaining the relation of persons to human animals uncovered by animalists. As the debate between animalists and psychological theorists has continued, a variety of other views have been put forward, including narrative accounts of identity and minimalist accounts which place identity in the continuation of bare sentience. Over time a number of interesting general questions.


Perichoresis ◽  
2017 ◽  
Vol 15 (2) ◽  
pp. 3-23
Author(s):  
Dmytro Sepetyi

AbstractThis paper re-evaluates Derek Parfit’s attack on the commonly held view that personal identity is necessarily determinate and that it is what matters. In the first part we first argue against the Humean view of personal identity; secondly, we classify the remaining alternatives into three kinds: the body theory and the brain theory, the quasi-Humean theory, and the soul theory, and thirdly we deploy Parfit’s arguments and related considerations to the point that none of the materialistic alternatives is consistent with the commonly held view. This leaves us with the alternative: either we accept the radical and highly implausible materialistic view Parfit calls ‘Reductionism’, or we accept the view that we are nonphysical indivisible entities—Cartesian egos, or souls. The second part of the paper discusses Parfit’s objections against the Cartesian view: that there is no reason to believe in the existence of such nonphysical entities; that if such entities exist, there is no evidence that they are enduring (to span a human life); that even if they exist and are enduring, they are irrelevant for the psychological profile and temporal continuity of a person; that experiments with ‘brain-splitted’ patients provide strong evidence against the Cartesian view. We argue that these objections are in part mistaken, and that the remaining (sound) part is not strong enough to make the Cartesian view less plausible than Reductionism.


Author(s):  
Fabrice Jotterand

This chapter examines the implications of the use of neuroprosthetics such as artificial hippocampi or neurostimulation techniques for the understanding of personal identity in patients with Alzheimer’s disease (AD): first, regarding a conceptualization of personal identity based on psychological continuity (memory), and second, according to a conceptualization of personal identity based on psychological continuity (memory) and embodiment. This chapter provides an overview of the various stages of AD, including how the disorder impacts people’s memory capabilities and personality and generates behavioral changes. It focuses on neuroprosthetics as a technique to help patients in the early stages of AD to compensate for lost neural functionality and cognitive abilities. It also critically examines the concept of personal identity through the work of John Locke and Derek Parfit and provide an alternative account called bio-psycho-somatic unity. Finally, the chapter offers an ethical framework for the care of patients with AD who experience identity loss that includes the preservation or restoration of psychological continuity, the acknowledgment of an embodied identity, and the necessity of a relational narrative.


2016 ◽  
Vol 20 (2-3) ◽  
pp. 357-375
Author(s):  
Vladimir Tumanov

Andrei Tarkovsky's film Solaris (1972) is studied through the lens of philosophy of mind. The question of memory and personhood, as developed by John Locke and then expanded by Derek Parfit, is applied to the status of Hari – the copy of the protagonist's deceased wife. The key question addressed by this paper is on what basis Hari can (or should?) be considered human. Hari's personhood is further analyzed in the context of Cartesian dualism, the response to Descartes by reductionism and the rebuttal of reductionism by the functionalist theories of Hilary Putnam. Descartes' thoughts on animal suffering and the bête-machine are pitted against Hari's experience in Solaris. The key question is whether Hari can be reduced to her alien structure or should be considered in terms of her behavior. The moral implications of these questions are extended to human sociality, human emotional response and the role of the body in the human condition.


PEDIATRICS ◽  
1982 ◽  
Vol 70 (4) ◽  
pp. 650-652
Author(s):  
Ruthmary K. Deuel

In the August issue of Pediatrics, Delpy et al1 provided a detailed description of changes in intracerebral, intracellular constituents before, during, and after severe ischemic events in rabbits using a nuclear magnetic resonance technique. The constituents, ATP, phosphocreatine (PCr), and sugar phosphates, are the basic energy substrates of the body. Intracellular pH was also monitored throughout. As the authors correctly point out, such noninvasive, in vivo biochemistry would be invaluable to the pediatric clinician, not only to gather direct metabolic information on the status of the brain, but also to increase knowledge about muscle.2 In fact, applications of this technique to other organs such as the liver,3 the kidney,4 and the heart5 are likely to be made soon.


2021 ◽  
Vol 10 (4) ◽  
pp. 1
Author(s):  
Aglaia Zafeiroudi

Bodily movement, rhythmic response, physical exercise and related techniques are sources of spiritual awareness. Yoga and dance are both concerned with the relationship between spirituality and the physical body. This paper presents a literature review of yoga and modern and contemporary dance as spiritual bodily practices. An electronic literature search was undertaken using Scopus, Google Scholar, CINAHL, EMBASE, PubMed/MEDLINE and Web of Science databases to examine the integration of modern and contemporary dance with yoga practice. The review reveals a number of important choreographic and spiritual similarities between these practices, including coordinated movement of the body with the breath, sequences of movements, rhythm, gestures and energy management. Many modern and contemporary dancers, choreographers and artists, such as Graham, include yoga techniques in their choreography and teaching. Through bodily movements, yoga and dance allow for self-awareness and self-perception, which aid in connecting the body, the brain and the soul with the divine. The paper finally suggests and describes how a combination of these two practices may be applied in conjunction with rhythm and music to enhance spirituality through body movement. This paper sought to expand the ways in which movement through yoga and modern and contemporary dance can be considered and practiced in relation to spirituality.   Received: 4 March 2021 / Accepted: 6 May 2021 / Published: 8 July 2021


Philosophy ◽  
1954 ◽  
Vol 29 (109) ◽  
pp. 158-159
Author(s):  
J. C. Eccles

Professor Cohen makes extensive reference to a lecture “Hypotheses relating to the brain-mind problem” which was published in Nature (July 14th, 1951). He gives a succinct account of the suggestions that I put forward, and then goes on to state that they “illustrate two fallacies which are to be found in so many contributions to the study of the body-mind relationship.” Be that as it may, but Professor Cohen has chosen most unsuitable illustrations, for in both cases they are based on misunderstandings of my article.


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