Ulysses pact

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A Ulysses pact is a freely made decision that is designed and intended to bind oneself in the future. The term is used in medicine, especially in reference to advance directives or living wills, where there is some controversy over whether a decision made by a person in one state of health should be considered binding upon that person when he or she is in a markedly different, usually worse, state of health.

Origin of the name

The term refers to the pact that Ulysses (Greek name Odysseus) made with his men as they approached the Sirens. Ulysses wanted to hear the Sirens' song although he knew that doing so would render him incapable of rational thought. He put wax in his men's ears so that they could not hear, and had them tie him to the mast so that he could not jump into the sea. He ordered them not to change course under any circumstances, and to keep their swords upon him to attack him if he should break free of his bonds.

Upon hearing the Sirens' song, Ulysses was driven temporarily insane and struggled with all of his might to break free so that he might join the Sirens, which would have meant his death.

See also

Bibliography

Radden, Jennifer (1994). "Second thoughts: Revoking decisions over one's own future". Philosophy and Phenomenological Research 54 (4): 787–801.

Feinberg, Joel (1986). Harm to self: The moral limits of the criminal law. New York: Oxford University Press. 

Schelling, Thomas C. (1970). The anatomy of values: Problems of personal and social choice. Cambridge: Harvard University Press. 

Schelling, Thomas C. (1984). Choice and consequence. Cambridge: Harvard University Press. 

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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