Assisted Suicide and the Right to Die: The Interface of by Barry Rosenfeld

By Barry Rosenfeld

In Assisted Suicide and the ideal to Die: The Interface of Social technology, Public coverage, and clinical Ethics, Barry Rosenfeld examines how social technological know-how can tell coverage and perform matters within the ongoing debates on end-of-life concerns. whereas a few vital parts of the arguments for advocacy or competition to the legalization of assisted suicide, similar to ethical and moral issues, usually are not unavoidably the area of technological know-how, others are amenable to clinical examine, together with such questions as no matter if untreated discomfort or melancholy gas requests for assisted suicide. This considerate, finished, and balanced quantity studies and synthesizes what learn has exposed so far, and offers wealthy context at the significant felony, moral, medical, social coverage, and mental examine matters fascinated by end-of-life decision-making. themes comprise review of sufferer decision-making talents, do-not-resuscitate orders, and strengthen directives. Chapters on adventure with legalized assisted suicide in Oregon and the Netherlands complement these dedicated to reviewing the psychosocial and scientific literature on who seeks assisted suicide and why. This e-book may be a useful source for healthiness psychology researchers attracted to end-of-life coverage study in addition to for clinicians who deal with terminally in poor health sufferers and fight to appreciate the criteria influencing their judgements.

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Additional info for Assisted Suicide and the Right to Die: The Interface of Social Science, Public Policy, and Medical Ethics

Sample text

Attempts to better understand this apparent underuse of DNR orders has generated several alternative explanations, encompassing both emotional and pragmatic reasons. For example, several commentators have cited time as a substantial obstacle to DNR discussions; patient-physician discussions regarding advance directives are rarely reimbursed by insurance providers (L. L. Emanuel & Emanuel, 1989). For busy physicians, the amount of time required to engage in meaningful discussions of DNR and other end-of-life issues might exceed the amount of time they have allotted to spend with their patient on a particular day.

However, these documents offer other potential benefits beyond simply bolstering patient autonomy. Many clinicians have suggested that patients can experience profound psychological benefits from discussions about, and completion of, advance directives, because these steps often alleviate much of the anxiety that typically surrounds the dying pro- 4 Thc Crujrai Court specifically criticized the reliability of oral expressions of treatment preferences. 48 ASSISTED SUICIDE AND THE RIGHT TO DIE cess.

Moreover, the Court disputed the contention that the right to refuse life-sustaining treatment was in any way absolute. Of note, the application of the "clear and convincing evidence standard" was virtually unique to Missouri, as every other state (except New York) that had established a legal standard for decision making on behalf of incompetent individuals accepts a "preponderance of the evidence" as the threshold for decision making. The Missouri Supreme Court wrote in Cruzan: [T]he argument made here, that Nancy will not recover, is but a thinly veiled statement that her life in its present form is not worth living.

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