The term ‘Ulysses pact’ is derived from The Odyssey and its protagonist, …show more content…
In the story, the ‘Ulysses contract is made with the definite knowledge of the dangers posed by the Sirens. This is inherently different from medical decisions. In medicine, Ulysses contracts are made with the possibility of change, unlike the certainty of the one made in The Odyssey. However, both are made with the subject’s best interests in mind - to save their future self from causing self-damage. In both cases, the future version of the person are unable to properly make decisions, and so it is critically important for the wellbeing of those making Ulysses contracts to have their original wishes respected. In cases such as those involving J.S., decisions are made regarding entry to experimental procedures with the expectation that doctors go through with their choice, regardless of what a future, incapacitated version of the patient …show more content…
When patients such as J.S. make a decision to enter the experimental protocol, they make it without knowing what the experiment would exactly hold. In J.S.’ situation, entry into the experiment meant deteriorating into an “acutely psychotic condition.” The change in condition inherently affects their mindset about their participation. It is possible that the patient does retain a degree of mental fitness and by refusing treatment, they are consciously acting based on their present condition. If the experimental procedure were continued regardless, it would be a violation of the person’s refusal to give consent, thus being both morally and legally wrong. This argument can only be made with the assumption that the patient is in a capable state mentally, however. Based on J.S. actions while in a psychotic state, it is something extremely improbable. In addition J.S. did not seem deterred by the reality of the experiment, as he “begged for another chance (86).” Clearly, a patient original decision, which accurately represents what they seek, should be