This book examines the reactions of the friends and family of those who elect to die due to terminal illness. These surviving spouses, partners, relatives, and friends, in addition to coping with the death of a loved one, must also deal with the loved one s decision to die, thus severing the relationship. C. G. Prado examines how reactions to elective death are influenced by cultural influences and beliefs, particularly those related to life, death, and the possibility of an afterlife. Understanding the role of these cultural influences on the grieving processes of survivors is a crucial step in allowing them to accept both intellectually and emotionally the finality of elective death and to deal with the decision of their loved one.

The question of whether euthanasia and assisted suicide should be legalized is often treated, by judges and commentators alike, as a universal, ethical question, transcending national boundaries and diverse legal systems. By thinking of the issue in this way, the important context in which individual jurisdictions make decisions about assisted dying and the significance of the legal methods chosen to carry out those decisions is often lost. This book examines the impact of the choice of diverse legal routes towards legalization on the subsequent assisted dying regimes in operation. This examination suggests that greater caution is needed before relying on the experience of one jurisdiction when discussing proposals for regulation of assisted dying in others. The book seeks to demonstrate the need to explore the legal environment in which assisted dying is performed or proposed in order to evaluate the relevance of a particular legal experience to other jurisdictions. The book begins with an examination of the unsuccessful attempts to use constitutionally entrenched human rights claims to challenge criminal prohibitions on assisted suicide which reached the highest courts in the United States, Canada and Europe. Their failure makes legalization through a rights-based claim unlikely in any major common law or European jurisdiction. Alternative routes towards legalization are then discussed, including the defence of necessity, by which euthanasia was effectively legalized in the Netherlands and an approach based on compassion which has been proposed in France, as well as the legislative approaches which have been taken in Oregon, Belgium and the Northern Territory of Australia. All of these approaches are compared in detail, with particular attention paid to the effectiveness and transferability of the ubiquitous slippery slope arguments

In the late 1910s Dr. Harry J. Haiselden, a prominent Chicago surgeon, electrified the nation by allowing the deaths of at least six infants he diagnosed as "defectives". Seeking to publicize his efforts to eliminate the "unfit", he displayed the dying infants to journalists, wrote about them for the Hearst newspapers, and starred in a feature film about his crusade. Prominent Americans from Clarence Darrow to Helen Keller rallied to his support. The Black Stork tells this startling story, based on newly-rediscovered sources and long-lost motion pictures, in order to illuminate many broader controversies. The books shows how efforts to improve human heredity (eugenics) became linked with mercy-killing (euthanasia) and with race, class, gender and ethnic hatreds. It documents how mass culture changed the meaning of medical concepts like "heredity" and "disease", and how medical controversies helped shape the commercial mass media. It demonstrates how cultural values influence science, and how scientific claims of objectivity have shaped modern culture. While focused on the formative years of early 20th century America, The Black Stork traces these issues from antiquity to the rise of Nazism, and to the "Baby Doe", "assisted suicide" and human genome initiative debates of today.

Voluntary Euthanasia investigates the complex and controversial issue of active voluntary euthanasia, presenting the legal position in a clear, comprehensive fashion. It critically examines the criminal law prohibition of medically administered active voluntary euthanasia in common law jurisdictions and looks at the situation in practice. The evidence of patient demands for active euthanasia and the willingness of some doctors to respond to patients requests is explored, and an argument for reform of the law is made with reference to the position in the Netherlands where active voluntary euthanasia is now openly practised.

In this important new book, a number of ethicists expound on the issue of medically assisted death and, in particular, on the issue of whether it is morally permissible to hasten the death of those who are suffering from a medical condition but, because of their diminished mental capacities, are unable to ask that anything be done about that suffering. This essential new book is concerned with the issue of euthanasia and associated legislative and health care issues. The book focuses on a central strand in the debate over medically assisted death, the so called 'slippery slope' argument, and in particular, on one important aspect of the downward slope of this argument: hastening the death of those individuals who appear to be suffering greatly from their medical condition but are unable to request that we do anything about that suffering because of their diminished mental capacities. Slippery slope concerns have been raised in many countries, including Britain, the Netherlands, Canada, and the United States. This book concentrates most of its attention on the latter two countries.

Death is inevitable, but our perspectives about death and dying are socially constructed. This updated third edition takes us through the maze of issues, both social and personal, which surround death and dying in Canada. Topics include euthanasia and medically assisted death, palliative care and hospices, the high incidence of opioid deaths, the impact of cyber bullying in suicide deaths, the sociology of HIV/AIDS, funeral and burial practices, the high rates of suicide in Canada and dealing with grief and bereavement, among others. Additionally, Auger explores alternative methods for helping dying persons and their loved ones deal with death in a holistic, patient-centred way. Each chapter includes suggested readings, discussion questions and in-class assignments.

Decisions about life-sustaining treatment are often ethically challenging for patients, surrogate decision-makers, and health care professionals. Providing safe, effective, and compassionate care near the end of life is a priority for health care organizations. In times of uncertainty, crisis, or reflection, and in efforts to improve health care for seriously ill patients, guidelines can help. This is the first updated, expanded edition of The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying, which shaped the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. The new edition, the product of an authoritative consensus process, incorporates 25 years of research, innovation, and developments in law and policy. It summarizes the current framework for making good decisions about treatment and care and identifies educational and organizational goals for health care systems. It covers care planning, decision-making for adults and for children, care transitions, the determination of death, and the policies and processes that support good care at the bedside. It also addresses the psychological and social dimensions of care near the end of life, with attention to effective communication with patients and loved ones and among team members. This book is written for physicians, nurses, and other clinicians in hospitals, nursing homes, home care, and hospice. It is structured for ease of reference during difficult clinical situations and includes extensive practical recommendations supported by print and online resources. This book is also essential reading for clinical ethicists, ethics committee members, health lawyers, and medical and nursing directors. As the U.S. confronts the challenges of health care reform, an aging population, increasing technological capacity to extend life, and serious cost implications, The Hastings Center Guidelines are invaluable to educators, scholars, and policymakers.

In "The Case against Assisted Suicide: For the Right to End-of-Life Care," Dr. Kathleen Foley and Dr. Herbert Hendin uncover why pleas for patient autonomy and compassion, often used in favor of legalizing euthanasia, do not advance or protect the rights of terminally ill patients. Incisive essays by authorities in the fields of medicine, law, and bioethics draw on studies done in the Netherlands, Oregon, and Australia by the editors and contributors that show the dangers that legalization of assisted suicide would pose to the most vulnerable patients. Thoughtful and persuasive, this book urges the medical profession to improve palliative care and develop a more humane response to the complex issues facing those who are terminally ill.

Ethical and legal issues concerning physician-assisted suicide and euthanasia are very much on the public agenda in many jurisdictions. In this timely book L.W. Sumner addresses these issues within the wider context of palliative care for patients in the dying process. His ethical conclusion is that a bright line between assisted death and other widely accepted end-of-life practices, including the withdrawal of life-sustaining treatment, pain control through high-dose opioids, and terminal sedation, cannot be justified. In the course of the ethical argument many familiar themes are given careful and thorough treatment: conceptions of death, the badness of death, the wrongness of killing, informed consent and refusal, the ethics of suicide, cause of death, the double effect, the sanctity of life, the "active/passive" distinction, advance directives, and nonvoluntary euthanasia. The legal discussion opens with a survey of some prominent prohibitionist and regulatory regimes and then outlines a model regulatory policy for assisted death. Sumner concludes by defending this policy against a wide range of common objections, including those which appeal to slippery slopes or the possibility of abuse, and by asking how the transition to a regulatory regime might be managed in three common law prohibitionist jurisdictions.

Wahrend in Deutschland die aktive Sterbehilfe" nach wie vor strafbar sein soll, werden in der Politik Uberlegungen angestellt, die passive Sterbehilfe" straffrei zu machen. Auch die Anderung des Betreuungsrechts steht in diesem Zusammenhang zur Diskussion. Vorsorgevollmacht und Patientenverfugung sind hier die zentralen Begriffe, mit denen argumentiert wird. Ethische, soziologische, rechtliche und medizinische Betrachtungen laden den Leser ein, sich einen umfassenden Uberblick uber das Tabuthema im Wandel?" zu verschaffen."

Whether euthanasia or assisted suicide should be legalized is one of the most pressing and profound questions facing legislators, health care professionals, their patients, and all members of society. Regrettably, the debate is too often characterized by rhetoric rather than reason. This book aims to inform the debate by acquainting anyone interested in this vital question with some of the major ethical, legal, clinical and theological issues involved. The essays it contains are authoritative in that they have been commissioned from some of the world's leading experts, balanced in that they reflect divergent viewpoints (including a vigorous debate between two eminent philosophers), and readable in that they should be readily understood by the general reader.

"The chapters in this volume painfully drive home the point that certainly as far as Germany is concerned, the lessons of the Third Reich have not yet been learned... These significant attempts by younger recruits to the larger medical establishment to change things through eye-opening reflection and analysis, however uncomfortable, need support."--Michael H. Kater, author of "Doctors under Hitler," in the foreword.

The infamous Nuremberg Doctors' Trials of 1946-47 revealed horrifying crimes --ranging from grotesque medical experiments on humans to mass murder--committed by physicians and other health care workers in Nazi Germany. But far more common, argue the authors of "Cleansing the Fatherland, " were the doctors who profited professionally and financially from the killings but were never called to task--and, indeed, were actively shielded by colleagues in postwar German medical organizations.

The authors examine the role of German physicians in such infamous operations as the "T 4" euthanasia program (code-named for the Berlin address of its headquarters at Number 4 Tiergartenstrasse). They also reveal details of countless lesser known killings--all ordered by doctors and all in the name of public health. Maladjusted adolescents, the handicapped, foreign laborers too illto work, even German civilians who suffered mental breakdowns after air raids were "selected for treatment." (One physician who persisted in speaking of "killings" was officially reprimanded for his "negative attitude.")

The book also includes original documents--never before published in English--that give unique and chilling insight into the everyday workings of Nazi medicine. Among them:

- Minutes from a 1940 meeting of the Conference of German Mayors, at which a Nazi official gives the assembled politicians detailed instructions for the secret burial of murdered mental patients.

- A pre-Nazi era questionnaire sent by the head of a state mental institution to parents of disabled children. (Sample question: "Would you agree to a painless shortening of your child's life after an expert had determined him incurably imbecilic?" Sample answer: "Yes, but I would prefer not to know.")

- The diary of Dr. Hermann Voss, chief anatomist at the Reichs University of Posen (and later a highly respected physician in postwar Germany), who delights in the flowers blooming outside his window and worries that the overstock of Polish cadavers from his Gestapo suppliers might cause his crematory oven to break down.

- Letters of Dr. Friedrich Mennecke, director of the notorious Eichberg Clinic, who writes with cloying sentimentality to the wife he calls "mommy" and comments offhandedly about visiting concentration camps to select "patients" for death.

Today, as reports of mass death in Europe are once again cast in terms of public hygiene, and as euthanasia is advocated--even applauded--on U.S. television, the relevance of what Michael H.Kater here calls "the lessons of the Third Reich" is perhaps greater than ever. Against this background, "Cleansing the Fatherland" sends a stark message that is difficult to ignore.

"Shai Lavi has enormously deepened the current argument over euthanasia by putting it in a perspective that has seldom entered the discussion, namely, its history. The genealogy of the idea and practices that have turned the art of dying into the technique of dying does not solve the current debate, but it does allow us to see it not just as an argument between ethicists, but as one about the cultural meaning of death. This book is essential for anyone who is concerned about euthanasia and has the potential of changing the very terms of the discussion."--Robert N. Bellah, University of California, Berkeley, coauthor of "Habits of the Heart and The Good Society,"

"This book presents a subtle, nuanced investigation of the practice of euthanasia. It is a thoroughly researched study, relying on a variety of primary sources as well as keen historical instincts to tell a compelling, textured, and insightful story."--Gary Laderman, Emory College

"How do we die? What do our ways of dying tell us about who we are and what kind of society we live in? Using the controversy over euthanasia to address these questions, Shai Lavi has written a theoretically sophisticated and persuasive book. Deftly combining historical argument and legal analysis, "The Modern Art of Dying" speaks to important ethical issues with great sensitivity and unusual subtlety. It exemplifies the best in interdisciplinary scholarship."--Austin Sarat, Amherst College, author of the forthcoming "Mercy on Trial" (Princeton)

"This is an outstanding book-beautifully crafted, extremely thoughtful, exceptionally well-organized and argued, and highly original. It's an important story and Lavi has organized it in a compelling, highly readable manner."--Sharon Kaufman, University of California, San Francisco.

"Shai Lavi has written a timely, insightful, and valuable book. Even those who have agitated for or against euthanasia and physician-assisted suicide rarely know the long history behind our current arguments. He does the necessary and invaluable work of a sociologist and historian: showing us the roots of our present debates. We are deeply influenced by them to this day."--Daniel Callahan, Director of International Programs, The Hastings Center

The issue of physician-assisted death is now firmly on the American public agenda. Already legal in five states, it is the subject of intense public opinion battles across the country. Driven by an increasingly aging population, and a baby boom generation just starting to enter its senior years, the issue is not going to go away anytime soon. In Physician-Assited Death L.W. Sumner equips readers with everything they need to know to take a reasoned and informed position in this important debate. The book provides needed context for the debate by situating physician-assisted death within the wider framework of end-of-life care and explaining why the movement to legalize it now enjoys such strong public support. It also reviews that movement's successes to date, beginning in Oregon in 1994 and now extending to eleven jurisdictions across three continents. Like abortion, physician-assisted death is ethically controversial and the subject of passionately held opinions. The central chapters of the book review the main arguments utilized by both sides of the controversy: on the one hand, appeals to patient autonomy and the relief of suffering, on the other the claim that taking active steps to hasten death inevitably violates the sanctity of life. The book then explores both the case in favor of legalization and the case against, focusing in the latter instance on the risk of abuse and the possibility of slippery slopes. In this context the experience of jurisdictions that have already taken the step of legalization is carefully reviewed to see what lessons might be extracted from it. It then identifies some further issues that lie beyond the boundaries of the current debate but will have to be faced sometime down the road: euthanasia for patients who are permanently unconscious or have become seriously demented and for severely compromised newborns. The book concludes by considering the various possible routes to legalization, both political and judicial. Readers will then be prepared to decide for themselves just where they stand when they confront the issue both in their own jurisdiction and in their own lives.

Euthanasia has become increasingly contentious as populations age, and medical and scientific advances continue to transform and extend life. Euthanasia - Choice and Death examines the key philosophical arguments that have underpinned thinking and practice up till now: The centrality of choice to our notion of the human being; The challenge of changes to our concept of death in the face of medical, scientific and technological advances. Gail Tulloch develops a conception of dignity that does not depend on religious assumptions and can promote a broad ethical consensus in a liberal democracy. Examination of landmark cases and the approaches adopted by key countries - the USA, the UK, the Netherlands, and Australia - ground the book.

This book argues against the legalisation of voluntary euthanasia and/or physician-assisted suicide on the ground that, even if they were ethically defensible in certain 'hard cases', neither could be effectively controlled by law. It maintains that the experience of legalisation in the Netherlands, Belgium and Oregon lends support to the two 'slippery slope' arguments against legalisation, the 'empirical' and the 'logical'. The empirical argument challenges the feasibility of drafting and enforcing adequate safeguards against abuse and mistake; the logical argument shows that acceptance of the case for euthanasia in the case of suffering patients who request it logically involves acceptance of euthanasia for suffering patients who are unable to request it, such as infants and those with advanced dementia.

A dazzling and darkly comic memoir about coming of age in a black funeral home in Baltimore
Sheri Booker was only fifteen when she started working at Wylie Funeral Home in West Baltimore. She had no idea her summer job would become nine years of immersion into a hidden world. Reeling from the death of her beloved great aunt, Sheri found comfort in the funeral home and soon had the run of the place. With AIDS and gang violence threatening to wipe out a generation of black men, Wylie was never short on business.
As families came together to bury one of their own, Booker was privy to their most intimate moments of grief and despair. But along with the sadness, Booker encountered moments of dark humor: brawls between mistresses and widows, and car crashes at McDonald's with dead bodies in tow. While she never got over her terror of the embalming room, Booker learned to expect the unexpected and to never, ever cry. "Nine Years Under" offers readers an unbelievable glimpse into an industry in the backdrop of all our lives.

In court cases, policy studies and media stories, euthanasia advocates claim that Belgium's euthanasia records are complete and transparent. The official euthanasia story from Belgium has been accepted at face value by the authors of these influential reports and court decisions; the Royal Society of Canada End-of-Life Decision Making report; the Quebec Select Committee on Dying with Dignity report; the Commission on Assisted Dying report - UK the BC Supreme Court Justice Lynn Smith: Carter decision.

In this new addition to the Debating Law series, Emily Jackson and John Keown re-examine the legal and ethical parameters of the debate about euthanasia and assistance-in-death. Emily Jackson argues that we owe it to everyone in society to do all that we can to ensure that terminally-ill patients experience a 'good death.' For a small minority of patients who experience intolerable and unrelievable suffering, this may mean helping them to have an assisted death. In a liberal society, where people's moral views differ, we should not force individuals to experience death in an unbearable manner. This is not an argument in favor of dying. On the contrary, Jackson argues that legalization could extend and enhance the lives of people whose present fear-of-the-dying process causes them overwhelming distress. In contrast, John Keown argues that voluntary euthanasia and physician-assisted suicide are gravely unethical, and he defends their continued prohibition by law. Keown analyzes the main arguments for relaxation of the law - including those which invoke the experience in jurisdictions that permit these practices - and finds them wanting. Relaxing the law, he concludes, would be both wrong in principle and dangerous in practice, not least for the dying, the disabled, and the disadvantaged. Debating Euthanasia will be an excellent resource for provoking classroom discussion and is a useful introduction to the subject. It covers a highly topical subject and will be of interest to a wide readership, including medical lawyers, legal philosophers, and criminal lawyers. The clear and accessible style also makes it suitable for the lay reader who is interested in the debate surrounding euthanasia. (Series: Debating Law - Vol. 3)

A husband and wife are gravely ill. Rather than living in pain, they choose to end their lives, and they turn to their son for help. Despite the legal risks and emotional turmoil it is sure to cause him, he agrees--and ultimately performs an act of love more difficult than any other. The Last Goodnights provides a unique and unflinching look deep inside the reality of one of the most galvanizing issues of our time: assisted suicide. Told with bare honesty, John West's account of the deaths of two brave people is both gritty and loving, frightening and illuminating. It also offers a powerful testament to the act of death by choice, and reveals all the reasons why end-of-life issues are far too personal for government intrusion. Intimately told, The Last Goodnights points out the unnecessary pain and suffering that are often forced upon dying people and their families, and honors the choice to live or die with purpose and dignity. In the end, this story is not just about death--it is also about love, courage, and autonomy.

Michael J. Hyde's pathbreaking study considers the relationship between the phenomenon of conscience and the practice of rhetoric as it relates to one of the most controversial issues of our time-euthanasia. Hyde investigates how the practice of rhetoric becomes a voice of conscience and influences the moral standards of individuals and communities. In doing so, he offers the first extensive treatment of Martin Heidegger's and Emmanuel Levinas's philosophical investigations of conscience and an in-depth analysis of the justifiability and social acceptability of euthanasia. Hyde establishes the theoretical basis of his study by discussing and critically assessing the phenomenological theories of conscience set forth in the works of the two philosophers. To illustrate in concrete terms how the relationship between the call of conscience and the practice of rhetoric shows itself in everyday existence, Hyde surveys the moral discourse that informs ongoing debates over euthanasia and physician-assisted suicide. He focuses on a cluster of related topics that emerge from his discussion of the work of Heidegger and Levinas, including the phenomena of deconstruction and acknowledgment, emotion and the reconstructive power of language, and the discursive creation of heroes. Through these investigations Hyde accounts for some of the key definitions, arguments, and narratives that contribute to the rhetoric of the euthanasia debate, especially as the discussion has evolved since the late 1980s.