- Lectures
- Institute of European and American Studies
- Location
1F Conference Room, Institute of European and American Studies, Academia Sinica
- Speaker Name
Timothy Joseph Lane (Adjunct Research Fellow, Institute of European and American Studies, Academia Sinica/ Senior Neuroscience Researcher, National Cheng Kung University)
- State
Definitive
- Url
https://www.ea.sinica.edu.tw/Content_List_Page.aspx?pid=0&uid=237&cid=65611
Abstract
The phenomenon that concerns me is unresponsive wakefulness syndrome (“vegetative state”). I explain my reasons for devoting more than ten years of my life to the design and implementation of a brain-imaging clinical trial on these patients, a clinical trial that included more than 100 patients recruited from all parts of Taiwan. I also explain the problems these patients and their families encounter, among which are high rates of misdiagnosis, bureaucratic obstacles to accurate prognoses, and the reckless use of therapies. Scientific ignorance + conceptual confusion + poor public policy + dubious ethical standards are the main causes of these problems.
While explaining unresponsive wakefulness and these problems, I also try to explain what we have learned from the clinical trial, as well as what we have not learned about consciousness. The fact that we spend so much time investigating damaged brains that lose and later recover consciousness, yet still struggle to say clearly what “consciousness” is, reveals much about why consciousness—the essence of human existence—is so difficult to explain. (This fact also helps reveal why so much contemporary commentary, e.g. the statements of Jensen Huang, on Artificial General Intelligence is nonsense.)
In the course of my presentation, I illustrate these issues with specific cases, including a patient who suffered near-total destruction of his prefrontal cortex yet recovered, as well as a case in which a patient clearly capable of consciousness lost her fight to survive because of the four problems cited above.
Philosophical issues are raised throughout the entire talk, but the final third is devoted exclusively to these issues, including methodological paradoxes, conceptual confusion over the concept of “consciousness,” quality of life, brain death and organ transplantation, patient human rights, as well as ethical problems with IRB and medical triage.
Based upon experience acquired while implementing my clinical trial, I conclude with some reflections on both the importance of philosophy and the trivialization of philosophy.
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