In recent years, the lens of the media has narrowed issues of
euthanasia and assisted suicide to a drama involving two players:
Dr. Kevorkian and the law. This has left suffering patients and
their families unrecognized and isolated when facing the most
painful life decision.
Here at last is a book that addresses the role of psychiatry in
dealing with a major, controversial topic in American medicine
today& mdash;treatment decisions at the end of life.
"End-of-Life Decisions: A Psychosocial Perspective" acknowledges
and explores the role psychiatrists can play as advisers to the
terminally ill and their loved ones. It describes the wide range of
emotional and psychiatric issues faced by the patient, family, and
physician that affect choices patients make to limit treatment or
seek physician assistance in dying.
A distinguished group of contributors, all of whom have
extensive experience dealing with end-of-life issues in clinical
practice, address topics that may not have been considered
previously. From dealing with issues of terminal illnesses in
children, to making difficult treatment decisions for patients with
AIDS; from judging the competency of clinically depressed patients
for making sound decisions, to understanding the influence of
family dynamics, economic forces, and language differences on
doctor-patient communication& mdash;the book uses specific case
studies and data to explore the role of professionals in
end-of-life decisions.
"End-of-Life Decisions" strikes a careful balance between the
need for patient autonomy and the challenge to make well-formulated
treatment decisions. This book will heighten modern medicine&
rsquo;s and society& rsquo;s consciousnessconcerning the
difficult challenges faced by patients and their families when
making end-of-life decisions
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