Rational Suicide, Irrational Laws


Book Description

When should we try to prevent suicide? Should it be facilitated for some people, in some circumstances? For the last forty years, law and policy on suicide have followed two separate and distinct tracks: laws aimed at preventing suicide and, increasingly, laws aimed at facilitating it. In Rational Suicide, Irrational Laws legal scholar Susan Stefan argues that these laws co-exist because they are based on two radically disparate conceptions of the would-be suicide. This is the first book that unifies policies and laws, including constitutional law, criminal law, malpractice law, and civil commitment law, toward people who want to end their lives. Based on the author's expert understanding of mental health and legal systems, analysis of related national and international laws and policy, and surveys and interviews with more than 300 suicide-attempt survivors, doctors, lawyers, and mental health professionals, Rational Suicide, Irrational Laws exposes the counterproductive nature of current policies and laws about suicide. Stefan proposes and defends specific reforms, including increased protection of mental health professionals from liability, increased protection of suicidal people from coercive interventions, reframing medical involvement in assisted suicide, and focusing on approaches to suicidal people that help them rather than assuming suicidality is always a symptom of mental illness. Stefan compares policies and laws in different states in the U.S. and examines the policies and laws of other countries in Europe, Asia, and the Americas, including the 2015 legalization of assisted suicide in Canada. The book includes model statutes, seven in-depth studies of people whose cases presented profound ethical, legal, and policy dilemmas, and over a thousand cases interpreting rights and responsibilities relating to suicide, especially in the area of psychiatric malpractice.







Breaking the Thread of Life


Book Description

Suicide, and how civilized people should respond to it, is an increasingly controversial topic in modern society. In Holland, suicide is the third leading cause of death of people between the ages of fifteen and forty. In the United States, it is the second leading cause of death among older teenagers. Laws prohibiting assisted suicide are being directly and boldly confronted by activists in the United States, most notably Jack Kevorkian. Meanwhile, the American Civil Liberties Union has publicly declared suicide a fundamental human right that should be protected under the Constitution. The Hemlock Society has introduced referenda in California, Washington, and Oregon to legalize suicide and assisted suicide. The most vocal opposition to these initiatives has come from the Roman Catholic church.Breaking the Thread of Life marshalls philosophical, moral, medical, historical, and theological arguments in support of the Roman Catholic position against suicide. In a comprehensive study of the history of suicide, Barry shows that Christian civilization was one of only a few early societies that was able to bring suicide under control. He counters claims that Catholicism and the Bible endorse rational suicide. Barry also analyzes arguments in support of the rationality of suicide and illuminates their biases, inadequacies, and dangers.Barry presents the rationale for the Roman Catholic church's strong, extensive, and articulate opposition to efforts to gain legal and social endorsement of suicide and assisted suicide. His book represents the most complete study of the classical Roman Catholic view of rational suicide to date, and it will be of significant interest to philosophers, theologians, physicians, and lawyers.




Rational Suicide in the Elderly


Book Description

This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.




Contemporary Perspectives on Rational Suicide


Book Description

This text brings together spokespersons from several different disciplines who can present their arguments for or against rational suicide as a viable concept and, consequently, a realistic option. The pros and cons of the discussion format bring the readers to search for their beliefs, and the final decision of acceptance or rejection of the concept is left to each individual reader.




The Future of Assisted Suicide and Euthanasia


Book Description

After assessing the strengths and weaknesses of arguments for assisted suicide and euthanasia, Gorsuch builds a nuanced, novel, and powerful moral and legal argument against legalization, one based on a principle that, surprisingly, has largely been overlooked in the debate; the idea that human life is intrinsically valuable and that intentional killing is always wrong. At the same time, the argument Gorsuch develops leaves wide latitude for individual patient autonomy and the refusal of unwanted medical treatment and life-sustaining care, permitting intervention only in cases where an intention to kill is present.




Physician-Assisted Death


Book Description

Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.




Rational Suicide


Book Description

It is slowly becoming accepted that people with terminal illnesses who are suffering physically and mentally from the illness have the moral and legal right to choose suicide and, in some jurisdictions, they have the ability to obtain assistance from others in accomplishing their suicide. Physician-assisted suicide is legal in Oregon and other regions of the USA and in some countries such as Switzerland. However, the presence of a psychiatric disorder in the individual usually makes it illegal for a physician to assist individuals (by prescribing a lethal dose of medication) in dying by suicide. What if the person does not have a terminal illness? Does this mean that their choice of suicide cannot be a rational decision? What if the person can be diagnosed with a psychiatric disorder? Does their psychiatric disorder eliminate the possibility of rational thought? Typically, today, the answer to both of these questions is "Yes." In this book, David Lester, a renowned scholar in the field of suicide, argues that the answer to both questions should be "No." In August 2013, Martin Manley chose to die by suicide and left a website in which he had written his thoughts for the previous year and a half. Lester analyzes Manley's writing, and relevant psychological research, to argue that Manley's decision was the result of rational thinking despite the fact that Manley did not have a terminal illness. The book also examines the notion that people with a psychiatric disorder cannot think rationally or make rational decisions. Lester first criticizes psychiatry for being scientifically unsound and then presents evidence that those labeled by psychiatrists as having a mental illness can make rational decisions. Lester also presents the case of Jo Roman who was suffering from terminal cancer, who refused further treatment and arranged to die by suicide supported by her husband and large circle of friends. Lester concludes that deaths by suicide may be rational more often than we commonly believe and that these deaths may be appropriate ways of dying. -- Provided by publisher.




Rational Suicide?


Book Description

The idea that suicide may be an acceptable, rational option is rarely presented in professional literature. However, recent events and developments forcefully demonstrate that mental health professionals can no longer ignore the possibility that people can make a rational decision to die. After introducing the concept of rational suicide, the book explores the changing views of suicide over the centuries. Common arguments against rational suicide are examined and rebutted.




The Case Against Assisted Suicide


Book Description

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.