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.

"Ball's arguments are concise, compelling, and backed with considerable case law. This volume is highly recommended for upper-level undergraduates and above in law, philosophy, and the medical humanities interested in the 'right to die' debates. Summing up: Highly recommended." -Choice Over the past hundred years, average life expectancy in America has nearly doubled, due largely to scientific and medical advances, but also as a consequence of safer working conditions, a heightened awareness of the importance of diet and health, and other factors. Yet while longevity is celebrated as an achievement in modern civilization, the longer people live, the more likely they are to succumb to chronic, terminal illnesses. In 1900, the average life expectancy was 47 years, with a majority of American deaths attributed to influenza, tuberculosis, pneumonia, or other diseases. In 2000, the average life expectancy was nearly 80 years, and for too many people, these long lifespans included cancer, heart failure, Lou Gehrig's disease, AIDS, or other fatal illnesses, and with them, came debilitating pain and the loss of a once-full and often independent lifestyle. In this compelling and provocative book, noted legal scholar Howard Ball poses the pressing question: is it appropriate, legally and ethically, for a competent individual to have the liberty to decide how and when to die when faced with a terminal illness? At Liberty to Die charts how, the right of a competent, terminally ill person to die on his or her own terms with the help of a doctor has come deeply embroiled in debates about the relationship between religion, civil liberties, politics, and law in American life. Exploring both the legal rulings and the media frenzies that accompanied the Terry Schiavo case and others like it, Howard Ball contends that despite raging battles in all the states where right to die legislation has been proposed, the opposition to the right to die is intractable in its stance. Combining constitutional analysis, legal history, and current events, Ball surveys the constitutional arguments that have driven the right to die debate.

"Mercy killing," "assisting a suicide," "planning your own death," and "euthanasia" are once again high-profile issues. Recent popular referendums have sought to legalize doctor-assisted suicide, while best-selling books have been published about how to kill yourself. In short, Americans are searching for more control over their own mortality.
Hemlock's Cup is the first history of the active euthanasia movement in America, as represented by its most visible proponent, the Hemlock Society. Donald W. Cox traces the growth of the society from its beginnings as a three-person cause to its current world-wide fame. The work of Derek Humphrey, the society's founder, is reviewed and the publicity surrounding Dr. Jack Kevorkian and his controversial "suicide machine" is discussed.
Cox also addresses the Washington and California initiatives to legalize doctor-assisted suicide and the ethical questions they pose. He reflects on the impact of the Quinlan and Cruzan cases to establish the "right to die" for all Americans and he explores the reasons for the delays in enacting living-will laws in various states. In addition, Cox examines the significant connections among AIDS, abortion, and assisted suicide.

Providing a thorough, well-researched investigation of the socio-legal issues surrounding medically assisted death for the past century, this book traces the origins of the controversy and discusses the future of policymaking in this arena domestically and abroad. Should terminally ill adults be allowed to kill themselves with their physician's assistance? While a few American states-as well as Holland, Switzerland, Belgium, and Luxembourg-have answered "yes," in the vast majority of the United States, assisted death remains illegal. This book provides a historical and comparative perspective that not only frames contemporary debates about assisted death and deepens readers' understanding of the issues at stake, but also enables realistic predictions for the likelihood of the future diffusion of legalization to more countries or states-the consequences of which are vast. Spanning a period from 1906 to the present day, Dying with Dignity: A Legal Approach to Assisted Death examines how and why pleas for legalization of "euthanasia" made at the beginning of the 20th century were transmuted into the physician-assisted suicide laws in existence today, in the United States as well as around the world. After an introductory section that discusses the phenomenon of "medicalization" of death, author Giza Lopes, PhD, covers the history of the legal development of "aid-in-dying" in the United States, focusing on case studies from the late 1900s to today, then addresses assisted death in select European nations. The concluding section discusses what the past legal developments and decisions could portend for the future of assisted death. Provides comprehensive, well-researched, and accessible information on a timely and controversial topic Presents a socio-legal explanation rather than a simple description of the emergence and evolution of the legal concepts involved with medically assisted death Offers invaluable historical perspective for academics in the fields of sociology, criminal justice, law, and related disciplines as well as practitioners who deal with end-of-life decision-making and lay readers

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.

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.

BOOK OF THE YEAR IN THE SPECTATOR AND THE TIMES 'Fascinating.... Deeply disturbing... Brilliant' Sunday Times 'Powerful and moving.' Louis Theroux Meet Adam. He's twenty-seven years old, articulate and attractive. He also wants to die. Should he be helped? And by whom? In The Inevitable, award-winning journalist Katie Engelhart explores one of our most abiding taboos: assisted dying. From Avril, the 80-year-old British woman illegally importing pentobarbital, to the Australian doctor dispensing suicide manuals online, Engelhart travels the world to hear the stories of those on the quest for a 'good death'. At once intensely troubling and profoundly moving, The Inevitable interrogates our most uncomfortable moral questions. Should a young woman facing imminent paralysis be allowed to end her life with a doctor's help? Should we be free to die painlessly before dementia takes our mind? Or to choose death over old age? A deeply reported portrait of everyday people struggling to make impossible decisions, The Inevitable sheds crucial light on what it means to flourish, live and die.

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.

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.

Death, violent or otherwise, is a matter of widespread concern with ongoing debates about such matters as euthanasia and the nature of brain death. Philosophers have often argued about the rationality of fear of death. This book argues that that dispute has been misconceived: fear of death is not something that follows or fails to follow from reason, but rather, it forms the basis of reasoning and helps to show why people must be cooperating beings who accept certain sorts of facts as reasons for acting. Within the context of this account of reasons, the book gives a new understanding of brain death and of physician-assisted suicide.

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.

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?

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.
"

When, if ever, is life no longer worth living? When, if ever, is it right to withdraw life-support or hasten death? These questions-which confront physicians, bioethicists, social workers, the children of aging parents, and sooner or later almost everyone-now receive increasingly urgent attention in American society. Peter Filene's In the Arms of Others is the first book to set this dilemma into broad historical and cultural context. It is, in other words, a history of the "right to die" as viewed in the United States. With the narrative skills he has displayed in his fiction, Mr. Filene takes the reader into the lives and feelings of people who have struggled with the predicament of modern dying. Beginning with the nineteenth-century background and the rise of medical technology, he moves quickly to the landmark case of Karen Ann Quinlan, who became in the 1970s the macabre protagonist of a melodrama that crystallized the nation's consciousness and produced a legal benchmark. Mr. Filene explores the maze of bioethical arguments surrounding this and succeeding cases, and guides readers through complex questions with remarkable lucidity. Ultimately, he argues, we must acknowledge that traditional American self-determination is not sufficient to resolve terrible questions of life and death; what we need is an ethic of relatedness.

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'.

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

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 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.

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.