Dementia is an umbrella term used for a range of conditions affecting cognitive functions, such as memory, thinking, planning, understanding, and social and emotional skills. As cognitive functions decline, the abilities associated with self-determination are compromised and people with dementia become more dependent on others. As a result, family members and caregivers face the challenge of how
... [Show full abstract] to respect people with dementia. With demographic change and longer life expectancy, the number of people living with dementia is increasing every year. Germany, with the highest demographic change in Europe, is an aging society with an increasing number of people with dementia, putting it at the center of the debate on respect for people with dementia. The German Ethics Council, an influential moral authority in Germany, has addressed the issue of respect for people with dementia. The Council stated that the principle of respect for autonomy is effective in respecting people with moderate severe dementia who do not have a living will. Considering the lower uptake of living wills, this issue will continue to grow in importance. With this debate in mind, this paper considers what it means to respect a person with dementia. We argue that the principle of respect for autonomy is not sufficient to respect people with dementia, and that adhering to it would lead to a contradiction in the Council’s position. To avoid this, we suggest focusing on personality and non-autonomous decision to overcome the problems of the autonomy principle-based approach.