Doctor-Cared Dying Instead of Physician-Assisted Suicide: A Perspective From Germany
Keywords
Active EuthanasiaAssisted Suicide
Autonomy
Bioethics
Cells
Embryonic Stem Cells
Ethics
Euthanasia
Health
Health Care
Killing
Life
Medical Ethics
Physicians
Regulation
Research
Stem Cells
Suicide
Terminally Ill
Suicide / Assisted Suicide
Prolongation of Life and Euthanasia
Living Wills / Advance Directives
Full record
Show full item recordOnline Access
http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Doctor-cared+dying+instead+of+physician-assisted+suicide:+a+perspective+from+Germany.&title=Medicine,+health+care,+and+philosophy+&volume=13&issue=4&date=2010-11&au=Oduncu,+Fuat+S;+Sahm,+Stephanhttps://dx.doi.org/10.1007/s11019-010-9266-z
http://hdl.handle.net/10822/1020706
Abstract
The current article deals with the ethics and practice of physician-assisted suicide (PAS) and dying. The debate about PAS must take the important legal and ethical context of medical acts at the end of life into consideration, and cannot be examined independently from physicians' duties with respect to care for the terminally ill and dying. The discussion in Germany about active euthanasia, limiting medical intervention at the end of life, patient autonomy, advanced directives, and PAS is not fundamentally different in content and arguments from discussions led in other European countries and the United States. This must be emphasized, since it is occasionally claimed that in Germany a thorough discussion could not be held with the same openness as in other countries due to Germany's recent history. Still, it is worthwhile to portray the debate, which has been held intensively both among experts and the German public, from the German perspective. In general, it can be stated that in Germany debates about questions of medical ethics and bioethics are taking place with relatively large participation of an interested public, as shown, for instance, by the intense recent discussions about the legalisation of advanced directives on June 18 2009, the generation and use of embryonic stem cells in research or the highly difficult challenges for the prioritizing and rationing of scarce resources within the German health care system. Hence, the current article provides some insights into central medical and legal documents and the controversial public debate on the regulation of end-of-life medical care. In conclusion, euthanasia and PAS as practices of direct medical killing or medically assisted killing of vulnerable persons as "due care" is to be strictly rejected. Instead, we propose a more holistically-oriented palliative concept of a compassionate and virtuous doctor-cared dying that is embedded in an ethics of care.Date
2016-01-09Identifier
oai:repository.library.georgetown.edu:10822/1020706doi:10.1007/s11019-010-9266-z
Medicine, health care, and philosophy 2010 Nov; 13(4): 371-81
http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Doctor-cared+dying+instead+of+physician-assisted+suicide:+a+perspective+from+Germany.&title=Medicine,+health+care,+and+philosophy+&volume=13&issue=4&date=2010-11&au=Oduncu,+Fuat+S;+Sahm,+Stephan
http://dx.doi.org/10.1007/s11019-010-9266-z
http://hdl.handle.net/10822/1020706
DOI
10.1007/s11019-010-9266-zae974a485f413a2113503eed53cd6c53
10.1007/s11019-010-9266-z
Scopus Count
Collections
Related items
Showing items related by title, author, creator and subject.
-
Le suicide. Question individuelle ou sociétale ?, Actes du colloque de Clermont-Ferrand des 12 et 13 juin 2014, G. Bouchaud, C. Crépiat, G. Derbac, A. Gayte-Papon de Lameigné et A. Juliet (dir.), Centre Michel de l'Hospital, 2018, 416 pCentre de Recherches sur les Littératures et la Sociopoétique - Clermont Auvergne ( CELIS ) ; Université Clermont Auvergne ( UCA ); Université Clermont Auvergne ( UCA ); Centre Michel de l'Hospital : laboratoire de recherche en Sciences Juridiques et Politiques - Clermont Auvergne ( CMH ) ; Université Clermont Auvergne ( UCA ); Le Puy de la Recherche; Centre Michel de l'Hospital CMH EA 4232; CELIS CEntre de recherches sur les LIttératures et la Sociopoétique EA 1002; Caroline Crépiat, doctorante en littérature française, UBP; Anaïs Gayte, doctorante en droit privé, UdA; Alice Juliet, doctorante en droit privé, UdA; Camille Moisan, doctorante en droit public, UdA; et al. (HAL CCSDLextenso/LGDJ, 2018-05-02)National audience
-
Existential suicide and pathological suicide: Historical, philosophical and ethical aspectsMartini, M; Ciliberti, P.; Alfano, L.; Santi, F.; Schiavone, M.; Ciliberti, R. (Pacini Editore S.p.A., 2015)The complexity of suicide problems stimulates interpretations that can be compared not only with biological, physiological and/or psychopathological questions, but also with the sensitive universe of moral, philosophical and personological choices of the individual. More than once in history the value of life was faced with that of freedom, arousing many testimonies that support the inaccessibility or, on the contrary, the admissibility to use life as extreme assertion of one's own supremacy to decide. Additionally, in the difficult connection between the principle of benefit and that of self-determination, sensitive problems arise about the legitimacy of discouraging interventions, even if compulsory. By analysing the possible connection between existential choices and probable psychopathological disorders in suicidal behaviour, the authors wish to provide suggestions that can help to tolerate pain and prevent self-wounding behaviour.
-
Teen Suicide Prevention Strategies: Why the Current Model is Failing and a New Approach is NecessarySwan, Angela (Scholars Crossing, 2022-02-04)In this evaluative review, the problems of teen suicide and teen suicide prevention strategies are explored. Specific statistical and policy examples are cited from Colorado to highlight the critical nature of these issues in a state with the ninth highest suicide rate in the nation (CDC, 2018a). The most obvious, and perhaps most critical problem with said strategies are that they do not account for dramatic changes to teen life that have occurred in the last ten years, notably, since cell phones and online connection has become nearly ubiquitous. Current prevention programs rely on outdated information, subjectively use the label “evidence-based”, and are rarely evaluated in an effective or rigorous manner. Those programs that have been evaluated, are failing to show any connection to the strategies used, or a reduction in actual suicide attempts. This article evaluates the following: the current problem of teen suicide in the U.S., what critical changes have taken place in the last ten years that could be having a significant effect on suicidal ideation in teens, and how current prevention strategies are likely falling short and could do better.