Having been originally introduced as a term to facilitate
discussion of a specific group of patients regarded as entering a
state of unawareness following coma, the Persistent Vegetative
State (PVS) has established itself as an apparently discrete
medical condition with clear-cut implications for ethicists and
lawyers that exceed any scientifically based understanding. As a
consequence of this upgrading, conclusions drawn about the status
and hence the management of this uncommon condition have been
increasingly extended to other patients with much more common forms
of disability.
This book traces the origins of prevailing perceptions about PVS
and submits these to critical examination. In doing this it comes
to the conclusion that inadequate attention has been paid to
acknowledging what is not known about affected individuals and that
assumptions have consistently come to be traded as facts.
Re-examination of the basis of the PVS and the adoption of a more
scientific approach is long overdue and is owed to the community at
large which has generally been provided by many medical
practitioners with a dumbed-down account of the condition.
The book will be of interest to philosophers, medical graduates
and neuroscientists but is also intended to remain accessible to
the general reader with an interest in the wider implications of
trends in medical thinking for attitudes towards many classes of
patient. It has an extensive bibliography and will be of specific
interest to bioethicists and lawyers with professional interests in
PVS. "
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