Effaced enigmata

Grant Gillett1

1 Otago University


Patients with severe head injury are a challenge to our moral sensibility as much as to our clinical skills of neuro-rehabilitation. They implicitly demand to be recognised before we can even begin to act ethically towards them. Chief among those needs is to be reconnected with the world, to be included in the kingdom of ends as the person who they were before the injury effaced their ability to self-present. The recognition is the beginning of a long journey of becoming re-acquainted with an enigma – a mystery whose character is not independent of the way we act towards him or her. This makes vivid and urgent Levinas’ “ethics as first philosophy” whereby the metaphysics of identity and subjectivity emerges from an ongoing ethical encounter  and is shaped by the quality and commitment of that encounter. Only with the emergence of a person from the process of restorative encounter can the issues associated with supported autonomy and the negotiation of treatment course and limits meaningfully be addressed.


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About the Association

The Australasian Association of Bioethics and Health Law (AABHL) was formed in 2009.

It encourages open discussion and debate on a range of bioethical issues, providing a place where people can ask difficult questions about ideas and practices associated with health and illness, biomedical research and human values.

The AABHL seeks to foster a distinctive Australasian voice in bioethics, and provide opportunities for international engagement through its membership, journal and conferences.

Members come from all the contributing humanities, social science and science disciplines that make up contemporary bioethics.

Many members have cross-disciplinary interests and all seek to broaden the dialogues in which all members of the wider community ultimately have an interest.

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