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Hojjat Soofi develops a modified version of Martha Nussbaum’s capability approach, which he offers as a conception of dignity for people living with dementia.1 He argues that this modified version can address what he identifies as four main criticisms of the concept of dignity. The first and most substantial criticism was developed by Macklin: that appeals to ‘dignity’ add little to moral debates or to the rich field of existing moral values.1 Soofi’s account of dignity does not evade this criticism: (...) |
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I thank the commentators for engaging with my work and for their thoughtful and constructive contributions. I also extend my gratitude to the editors of the _Journal of Medical Ethics_ for facilitating such a lively scholarly dialogue on the topic. In this response paper, I will briefly address some of the key issues raised by the commentators and attempt to bring into conversation different viewpoints put forward by the commentators. Questioning whether my proposed account evades the objection of redundancy of (...) |
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Soofi1 aims to develop an account of dignity in dementia care based on Nussbaum’s capabilities approach. He does this by drawing on the Kitwood and Bredin2 list of well-being indicators, in order to fill out her account of human flourishing to cover aspects such as practical reasoning that appear beyond the reach of those with relatively severe dementia. As Soofi points out, Nussbaum’s claim that such lost abilities can be compensated through guardianship measures is implausible. He asserts in response that (...) |
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Soofi makes a persuasive case that a modified version of Nussbaum’s capabilities approach can be used to develop effective care guidelines for persons with dementia. 1 I agree with Soofi that, so elaborated, the capabilities approach can avoid the four problems that are typically taken to beset dignitarian theories—redundancy, exclusion, speciesism and vagueness. Moreover, I do not seek to challenge the utility of the care guidelines Soofi derives from the capabilities approach—they are clear, practicable and appropriately wide-ranging. I do, however, (...) |
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In Ending Midlife Bias: New Values for Old Age, I argued that dignity can give practical guidance for patient care, especially dementia care.1 Using a capability-informed analysis, I detailed threats to central human capabilities that undermine dignity for people with dementia and provide practical suggestions for managing these threats in paradigm cases. In an article in this issue, Hojjat Soofi argues that a capability-informed account of dignity is exclusionary of people with dementia and does not translate into practical ethics guidance.2 (...) |
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In his paper, ‘What moral work can Nussbaum’s account of human dignity do in the context of dementia care?’, Soofi seeks to modify Nussbaum’s conception of dignity to deal with four key objections that arise when appeals to dignity are made in the context of dementia care. We will not discuss the first of these, the redundancy of dignity talk, since this issue has already been much discussed in the literature. Instead, we will focus on the remaining three issues raised, (...) |
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