This book offers an examination of physician-assisted death, but it also extends the discussion to a broader range of end-of-life decisions including suicide, palliative care and sedation until death.

This book explores the judicial treatment of suicides in early modern Sweden, with a focus on the criminal investigation and selective treatment of suicides in the lower courts in the seventeenth and early eighteenth centuries. Riikka Miettinen shows that reactions and attitudes towards suicides varied considerably despite harsh condemnation by officials. The indictment, investigation, and classification of suspected suicides and the mental state of a person already deceased were challenging, and depended on local co-operation and lay testimonies. Not all suicides were considered alike; a widespread view on the heinousness of suicide was not the same as agreement about specific cases, and did not result in uniform handling of them. The social status and local ties of the deceased influenced the interpretations and responses at the local lower courts and communities. Esteemed local community members had a better defence and greater chance to escape the shameful penalties.

"Can I choose to die?" As the number of requests for euthanasia and physician-assisted suicide continues to rise, human rights law faces a new conflict: the right to die vs. the right to life... The right to die or, in other words, 'the right to choose the time and manner of one's own death' is a question of personal autonomy and its limits. This book provides a comprehensive understanding of the right to die and sheds light on its possible future under the European Convention on Human Rights. After setting a clear framework by defining the key terminology, the book takes a two-part approach to achieving its aim. The first part focuses on the right to die in practice by examining selected jurisdictions. Switzerland, which is famous for its assisted suicide organizations, and the Netherlands, which was the first country to legalize euthanasia, are examined in detail. Belgium, Germany, the United Kingdom, and -as an exception to the Convention perspective - Canada are also included. While this examination offers a better understanding of what the right to die looks like in practice, it also provides insights on the slippery slope argument, which serves as a counterweight to personal autonomy, without making a definitive statement on its validity. This part also illustrates the different paths that led or did not lead to the right to die in practice. The second part is an analysis of the European Court of Human Rights case law on the right to die. The Court has made important statements in only very cases, while its caution when approaching such a delicate and controversial topic among its 47 members is understandably emphasized. This analysis of the Court's approach to the balancing of personal autonomy against other interests allows us to take a look back at the practice in more permissive jurisdictions through the lens of the Convention. Taken together, the book's two parts provide valuable lessons for countries that decide to practice assisted dying, which are outlined in the conclusion. In addition, given that a purely legal approach can only offer a partial picture, the book argues that an interdisciplinary approach would be much more favorable in terms of providing the necessary basis for the right to die debate.

This volume, published as a special issue from "OMEGA - Journal of Death and Dying" presents a number of theoretical and empirical articles on the topic of euthanasia, doctor-assisted suicide and suicide. We have examined the first extended data available in America with regard to the 93 physician-assisted deaths of Drs. Kevorkian and Reding. We examine the roles of biological verses psychological factors in the patient's decision to actively hasten their death. The role of gender, age, social economic status, ethnic-national-religious ancestry and marital-status have been examined in depth through quasi-psychological autopsies when available, often with very troubling implications. In addition, we present some preliminary work on seven cases of physician-assisted suicides in Australia.

The majority of doctors and nurses involved in specialist palliative care reject the legalisation of physician assisted suicide (PAS). This book explores the reasons why the healthcare professionals who have the most experience of caring for dying patients should object to a change in the law. Debate about euthanasia and PAS often arises in response to a well publicised tragic case of unrelieved suffering. Such heart rending stories do not reflect the fact that the majority of people dying have a dignified death. There is a marked disparity between medical intuitions and the philosophers' arguments about euthanasia and PAS. It seems that part of the moral constitution of a doctor is a commitment not to intend the death of a patient and to protect them from harm. The perspective of those who are privileged to care for thousands of dying patients and their families should inform the debate about PAS.This book will enable those who are not working within palliative care to gain an insight into the scope of this speciality and to understand why legalisation of PAS should be resisted to maintain and improve care of dying patients.

As medical technology advances and severely injured or ill people can be kept alive and functioning long beyond what was previously medically possible, the debate surrounding the ethics of end-of-life care and quality-of-life issues has grown more urgent. In this lucid and vigorous book, Craig Paterson discusses assisted suicide and euthanasia from a fully fledged but non-dogmatic secular natural law perspective. He rehabilitates and revitalises the natural law approach to moral reasoning by developing a pluralistic account of just why we are required by practical rationality to respect and not violate key demands generated by the primary goods of persons, especially human life. Important issues that shape the moral quality of an action are explained and analysed: intention/foresight; action/omission; action/consequences; killing/letting die; innocence/non-innocence; person/non-person. Paterson defends the central normative proposition that 'it is always a serious moral wrong to intentionally kill an innocent human person, whether self or another, notwithstanding any further appeal to consequences or motive'.

Decisions to withdraw or withhold life-sustaining treatment are contentious, and offer difficult moral dilemmas to both medical practitioners and the judiciary. This issue is exacerbated when the patient is unable to exercise autonomy and is entirely dependent on the will of others. This book focuses on the legal and ethical complexities surrounding end of life decisions for critically impaired and extremely premature infants. Neera Bhatia explores decisions to withdraw or withhold life-sustaining treatment from critically impaired infants and addresses the controversial question, which lives are too expensive to treat? Bringing to bear such key issues as clinical guidance, public awareness, and resource allocation, the book provides a rational approach to end of life decision making, where decisions to withdraw or withhold treatment may trump other competing interests. The book will be of great interest and use to scholars and students of bioethics, medical law, and medical practitioners.

The Law and Ethics of Medicine: Essays on the Inviolability of Human Life explains the principle of the inviolability of human life and its continuing relevance to English law governing aspects of medical practice at the beginning and end of life. The book shows that the principle, though widely recognized as an historic and foundational principle of the common law, has been misunderstood in the legal academy, at the Bar and on the Bench. Part I of the book identifies the confusion and clarifies the principle, distinguishing it from 'vitalism' on the one hand and a 'qualitative' evaluation of human life on the other. Part II addresses legal aspects of the beginning of life, including the history of the law against abortion and its relevance to the ongoing abortion debate in the US; the law relating to the 'morning after' pill; and the legal status of the human embryo in vitro. Part III addresses legal aspects of the end of life, including the euthanasia debate; the withdrawal of tube-feeding from patients in a 'persistent vegetative state'; and the duty to provide palliative treatment. This unique collection of essays offers a much-needed clarification of a cardinal legal and ethical principle and should be of interest to lawyers, bioethicists, and healthcare professionals (whether they subscribe to the principle or not) in all common law jurisdictions and beyond.

Law, Immunization and the Right to Die focuses on the urgent matter of legal appeals and judicial decisions on assisted death. Drawing on key cases from the United Kingdom and Canada, the book focuses on the problematic paternalism of legal decisions that currently deny assisted dying and questions why the law fails to recognize what many describe as "compassionate motives" for assisted death. When cases are analyzed as discourses that are part of a larger socio-political logic of governance, judicial decisions, it is argued here, reveal themselves as relying on the construction of neoliberal fictions - fictions that are here elucidated with reference to Michel Foucault's theoretical insights on pastoral power and Roberto Esposito's philosophical thesis on immunization. Challenging the socio-political logic of neoliberalism, the issue of assisted dying goes beyond the predominant legal concern with protecting - or immunizing - individuals from one another, in favor of minimal interference. This book calls for a new kind of politics: one that might affirm people and their finitude both more collectively, and more compassionately.

This book is a successor to J Griffiths, A Bood and H Weyers, Euthanasia and Law in the Netherlands (Amsterdam University Press 1998) which was widely praised for its thoroughness, clarity, and accuracy. The new book emphasises recent legal developments and new research, and has been expanded to include a full treatment of Belgium, where since 2002 euthanasia has also become legal. The book also includes descriptions written by local specialists of the legal situation and what is known about actual practice in a number of other European countries (England and Wales, France, Italy, Scandinavia, Spain, Switzerland). The book strives for as complete and dispassionate a description of the situation as possible. It covers in detail: - the substantive law applicable to euthanasia, physician-assisted suicide, withholding and withdrawing treatment, use of pain relief in potentially lethal doses, palliative and terminal sedation, and termination of life without a request (in particular in the case of newborn babies); -the process of legal development that has led to the current state of the law; -the system of legal control and its operation in practice; -the results of empirical research concerning actual medical practice. A concluding part deals with some general questions that arise out of the material presented: Is the legalisation of euthanasia an example of the decline of law or should it, on the contrary, be seen as part and parcel of the increasing juridification of the doctor-patient relationship? Does the Dutch experience with legalised euthanasia support the idea of a 'slippery slope' toward a situation in which life-especially of the more vulnerable members of society-is less effectively protected? Is it possible to explain and to predict when a society will decide to legalise euthanasia?

Decisions to withdraw or withhold life-sustaining treatment are contentious, and offer difficult moral dilemmas to both medical practitioners and the judiciary. This issue is exacerbated when the patient is unable to exercise autonomy and is entirely dependent on the will of others. This book focuses on the legal and ethical complexities surrounding end of life decisions for critically impaired and extremely premature infants. Neera Bhatia explores decisions to withdraw or withhold life-sustaining treatment from critically impaired infants and addresses the controversial question, which lives are too expensive to treat? Bringing to bear such key issues as clinical guidance, public awareness, and resource allocation, the book provides a rational approach to end of life decision making, where decisions to withdraw or withhold treatment may trump other competing interests. The book will be of great interest and use to scholars and students of bioethics, medical law, and medical practitioners.

Kevin Yuill goes straight to the heart of a difficult issue. Critical of both sides of the discussion, this book presents an up-to-date analysis of the direction discussion is taking, showing that atheists, libertarians, those favouring abortion rights and stem-cell research should stand beside their religious compatriots in opposing legalization of assisted suicide. The author shows that the real issue behind the debate is not euthanasia but suicide. Rather than focusing on tragic cases, he indicates the real damage that will be done if we affirm the suicidal wishes of even a small segment of the population. Analyzing the movement for the right to die in historical terms, Yuill shows that, though many proponents of a change in the law believe they are rationalist heirs of such thinkers as John Stuart Mill, legalizing assisted suicide will reduce privacy and freedom. Finally, Yuill suggests a radical alternative to legalization of assisted suicide that would embrace both the cause of freedom and the anxieties of many about securing good deaths.

This book describes what homelessness is like for women and the extent to which female homelessness is gender-based. It tells what their lives are like and what their point of view is, both towards themselves and mainstream society. Because female homelessness is a serious social problem and is still poorly understood, the author describes the world of these women not only as an exercise in cultural analysis, but also with the intention of providing understanding which may help to improve their situation or alleviate their problems.

Positive Couple Therapy: Using We-Stories to Enhance Resilience is a significant step forward in the couple literature. Utilizing a strengths-based approach, it teaches therapists and couples a unique method for uncovering positive potential within a relationship. The authors demonstrate how "We stories"-created, recovered and made anew-provide essential elements of connection. With vivid imagery, these stories capture the couple's sense of "We-ness," highlighting memorable moments of compassion, acceptance, and respect. A shared commitment to the "We" simultaneously builds the relationship and enables each individual in the partnership to feel a greater degree of both accountability and autonomy. Couples that can find their stories, share them with each other, and then carry them forward to family, friends, and a larger community are likely to preserve a sense of mutuality that will thrive over a lifetime of partnership. Positive Couple Therapy provides simple and practical instruction for reclaiming positive stories that can catalyze hope in relationships that have become stressed and strained. The authors weave together cutting edge thinking and research in attachment theory, narrative therapy, neuroscience, and adult development, as well as their own research and clinical experience to present vivid case histories, step-by-step strategies, exercises, questionnaires, and interview techniques. They cover a range of contemporary couple experiences: couples in conflict, LGBT partnerships, deployed and discharged military couples, and couples at various points across the life span. The authors' unique Me (to US) Scale, a 10-item tool that assesses the degree of mutuality a couple possesses at the start of treatment, gives therapists of any theoretical orientation the ability to put this intervention to immediate use.

Positive Couple Therapy: Using We-Stories to Enhance Resilience is a significant step forward in the couple literature. Utilizing a strengths-based approach, it teaches therapists and couples a unique method for uncovering positive potential within a relationship. The authors demonstrate how We stories created, recovered and made anew provide essential elements of connection. With vivid imagery, these stories capture the couple s sense of We-ness, highlighting memorable moments of compassion, acceptance, and respect. A shared commitment to the We simultaneously builds the relationship and enables each individual in the partnership to feel a greater degree of both accountability and autonomy. Couples that can find their stories, share them with each other, and then carry them forward to family, friends, and a larger community are likely to preserve a sense of mutuality that will thrive over a lifetime of partnership.

Positive Couple Therapy provides simple and practical instruction for reclaiming positive stories that can catalyze hope in relationships that have become stressed and strained. The authors weave together cutting edge thinking and research in attachment theory, narrative therapy, neuroscience, and adult development, as well as their own research and clinical experience to present vivid case histories, step-by-step strategies, exercises, questionnaires, and interview techniques. They cover a range of contemporary couple experiences: couples in conflict, LGBT partnerships, deployed and discharged military couples, and couples at various points across the life span. The authors unique Me (to US) Scale, a 10-item tool that assesses the degree of mutuality a couple possesses at the start of treatment, gives therapists of any theoretical orientation the ability to put this intervention to immediate use.
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George P. Smith's "Palliative Care and End-of-Life Decisions" completes a Bioethics-Health Care epistemology begun in 1989, which addresses the specific issue of managing palliative care at the end-stage of life. Smith argues forcefully that in order to palliate the whole person (encompassing physical and psychological states), an ethic of adjusted care requires recognition of a fundamental right to avoid cruel and unusual suffering from terminal illness. Specifically, this book urges wider consideration and use of terminal sedation as efficacious medical care and as a reasonable procedure in order to safeguard a 'right' to a dignified death. The principle of medical futility is seen as a proper construct for implementing this process.
The state legislative responses of California, Vermont, and Washington in enacting Death with Dignity legislation - allowing those with end-stage terminal illness to receive pharmacological assistance in ending their own lives - is held by Smith to be not only commendable, but the proper response for enlightened state action.

Dying Right is the first work to provide a comprehensive and first-hand account of the Death with Dignity movement in the USA and around the world. The book also provides an in-depth look at Oregon, the first place to legalize physician-assisted suicide. Engaging the question of how to balance a patient's sense about the right way to die, a physician's role as a healer, and the state's interest in preventing killing, Dying Right captures the ethical, legal, moral and medical complexities involved in this ongoing debate.

Should human beings be allowed to decide when to die? Should doctors be allowed to assist them?During the last ten years there has been much international interest in euthanasia in the Netherlands. In the discussion of euthanasia in the US and the UK, both sides in the debate continually refer to the "Dutch Experience." Negotiating a Good Death: Euthanasia in the Netherlands presents firsthand descriptions of euthanasia in practice in the Netherlands--something that has never been done before. This will provide a deeper understanding of the issues involved for all those interested in end-of-life decisions. It will also help clinicians and other medical professionals better understand end-of-life decision making.Negotiating a Good Death is the first inside account of how decisions about euthanasia are made in real-life situations. Documenting two years of observations at a Dutch hospital, this valuable book describes why patients request euthanasia, the social factors that influence doctors'decisions about granting patients'requests, and how patients and doctors confer over peaceful deaths. Some aspects of this delicate, often hidden, and socially taboo subject that Negotiating a Good Death frankly discusses are: the emotions that lead to a wish for death the ideology of easy death the anthropology of death the role of the researcher the line between symptom alleviation and euthanasia where the responsibility lies conservative options for medical personnel how to speak to relatives of someone who has requested euthanasia euthanasia as a cultural constructThrough case studies and examples, Negotiating a Good Death: Euthanasia in the Netherlands will help you understand the issuessurrounding euthanasia and how life-ending decisions are made by both doctors and patients.

'Clear, helpful and very readable...This book breaks new ground and does indeed 'expand the debate' .' - Mortality

'This substantial academic volume, which seeks to expand the debate on physician-assisted suicide, is a significant addition to the growing number of edited works on one of the most important issues in contemporary bioethics ... an interesting, readable and topical collection of essays' - Journal of Medical Ethics

'The summaries in this review cannot convey the subtelties of argument and refreshing lack of cant in these essays. This excellent collection ... succeeds in expanding the debate ... well beyond its current narrow framework.' - New England Journal of Medicine

This book addresses key historical, scientific, legal, and philosophical issues surrounding euthanasia and assisted suicide in the United States as well as in other countries and cultures. Euthanasia was practiced by Greek physicians as early as 500 BC. In the 20th century, legal and ethical controversies surrounding assisted dying exploded. Many religions and medical organizations led the way in opposition, citing the incompatibility of assisted dying with various religious traditions and with the obligations of medical personnel toward their patients. Today, these practices remain highly controversial both in the United States and around the world. Comprising contributions from an international group of experts, this book thoroughly investigates euthanasia and assisted suicide from an interdisciplinary and global perspective. It presents the ethical arguments for and against assisted dying; highlights how assisted dying is perceived in various cultural and philosophical traditions-for example, South and East Asian cultures, Latin American perspectives, and religions including Islam and Christianity; and considers how assisted dying has both shaped and been shaped by the emergence of professionalized bioethics. Readers will also learn about the most controversial issues related to assisted dying, such as pediatric euthanasia, assisted dying for organ transplantation, and "suicide tourism," and examine concerns relating to assisted dying for racial minorities, children, and the disabled. Addresses the extended history of debates regarding the ethical justifiability of assisted suicide and euthanasia Analyzes assisted suicide and euthanasia in many cultural, philosophical, and religious traditions Provides an interdisciplinary perspective on the subject, including coverage of topics such as the depictions of assisted dying in popular culture, that enables a more complete understanding of the emotionally charged controversy surrounding this subject Spotlights the latest medical and scientific developments in euthanasia and examines the role of technology in the ethical debates on assisted dying

Death on Demand explores the polarizing role of Jack Kevorkian-"Dr. Death"-as the most visible leader of the right-to-die movement. From a feature on the cover of Time magazine to interviews on shows like 60 Minutes, Kevorkian was a high-profile figure in the right-to-die movement, capturing constant media attention as he helped more than one hundred people kill themselves. The book opens with the death of Janet Adkins in 1990-Kevorkian's first assisted suicide-then travels back to Kevorkian's medical school days and follows his nearly four decades as a lone activist. Death on Demand draws on Kevorkian's interviews and published work as well as newspaper and magazine articles to describe the doctor's publicity stunts, criminal trials, years in prison, and activities after he was paroled. Author Michael DeCesare examines Kevorkian's actions in the context of the right-to-die movement to understand his crucial role in bringing the controversial practice of assisted suicide into the public conversation.

If someone you love is suffering from a debilitating illness and wants to end their life and wants you to help them do it (asks you to assist with their suicide), what would you do? When the author discovers that the love of his life has a virulent case of Multiple Sclerosis, and that she does not want to endure the suffering any longer, he is forced to consider and enact the unthinkable. Guy Blews opens up the discussion of assisted suicide in a way that encourages the reader to see it as an act of unconditional love. This emotional journey is a tour de force that deftly and courageously allows love to conquer all. How Angels Die: A Confession is a love story that will shake you to the core. It will, at its very essence, give you hope and open your heart. Torn between a deep understanding of what she needs and the moral dilemma of what is right, Guy was left with one choice to support her in everything she did because he loved her more than anything.

Examining the evidence from Belgium - one of only five countries where euthanasia is practised legally - an international panel of experts considers the implications of legalised euthanasia and assisted suicide. Looking at the issue from an international perspective, the authors have written an invaluable in-depth analysis of the ethical aspects of this complex area. The discussion forms a solid foundation for informed debate about assisted dying. With contributors from a broad range of disciplines, this book is ideal for students, academics, legislators and anyone interested in legal, medical, social and philosophical ethics. A vital and timely examination of a growing phenomenon and one of the most challenging ethical questions of our time.

This book explores the phenomenon of suicide tourism. As more countries legally permit assisted suicide and do not necessarily bar the participation of non-residents, suicide tourism is becoming a larger and more complex global issue. The book sets out the parameters for future debate by first contextualizing the practice and identifying its treatment under international and domestic law. It then analyses the ethical ramifications, weighing up where the state's responsibilities lie, and addressing the controversial roles of accompanying persons. The book goes on to offer a sociological and cultural analysis of suicide tourism, including interviews with the various stakeholders: policy makers, assisted suicide associations, and medical and patients' organizations, in Switzerland, Germany, France, Italy, and the UK. The book concludes with a summary of the legal, ethical, political, and sociological dimensions of suicide tourism.