, Volume 6, Issue 2, pp 265–276

The Ethical Pain

Detection and Management of Pain and Suffering in Disorders of Consciousness
Original Paper

DOI: 10.1007/s12152-011-9111-y

Cite this article as:
Farisco, M. Neuroethics (2013) 6: 265. doi:10.1007/s12152-011-9111-y


The intriguing issue of pain and suffering in patients with disorders of consciousness (DOCs), particularly in Unresponsive Wakefulness Syndrome/Vegetative State (UWS/VS) and Minimally Conscious State (MCS), is assessed from a theoretical point of view, through an overview of recent neuroscientific literature, in order to sketch an ethical analysis. In conclusion, from a legal and ethical point of view, formal guidelines and a situationist ethics are proposed in order to best manage the critical scientific uncertainty about pain and suffering in DOCs and ensure the best possible care for the patient.


Disorders of consciousnessVegetative StateMinimally Conscious StatePainSufferingClinical ethics

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  1. 1.Department of PhilosophyPontifical Faculty of Theology of Southern Italy, ‘S. Tommaso d’Aquino’, NaplesNaplesItaly