Would we rather lose our life than lose our self? Lessons from the dutch debate on euthanasia for patients with dementia
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
American Journal of Bioethics 7 (4):48 – 56 (2007)
This article reviews the Dutch societal debate on euthanasia/assisted suicide in dementia cases, specifically Alzheimer's disease. It discusses the ethical and practical dilemmas created by euthanasia requests in advance directives and the related inconsistencies in the Dutch legal regulations regarding euthanasia/assisted suicide. After an initial focus on euthanasia in advanced dementia, the actual debate concentrates on making euthanasia/assisted suicide possible in the very early stages of dementia. A review of the few known cases of assisted suicide of people with so-called early dementia raises the question why requests for euthanasia/assisted suicide from patients in the early stage of Alzheimer's disease are virtually non-existent. In response to this question two explanations are offered. It is concluded that, in addition to a moral discussion on the limits of anticipatory choices, there is an urgent need to develop research into the patient's perspective with regard to medical treatment and care-giving in dementia, including end-of-life care
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
David Degrazia (1999). Advance Directives, Dementia, and 'The Someone Else Problem'. Bioethics 13 (5):373-391.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
J. J. M. van Delden (2004). The Unfeasibility of Requests for Euthanasia in Advance Directives. Journal of Medical Ethics 30 (5):447-451.
Jeffrey Spike (2000). Narrative Unity and the Unraveling of Personal Identity: Dialysis, Dementia, Stroke, and Advance Directives. Journal of Clinical Ethics 11 (4):367.
Citations of this work BETA
Sandra Woien (2007). Conflicting Preferences and Advance Directives. American Journal of Bioethics 7 (4):64-65.
Chris Gastmans & Yvonne Denier (2010). What If Patients with Dementia Use Decision Aids to Make an Advance Euthanasia Request? American Journal of Bioethics 10 (4):25 – 26.
Sara Goering (2007). What Makes Suffering "Unbearable and Hopeless"? Advance Directives, Dementia and Disability. American Journal of Bioethics 7 (4):62-63.
Margaret Battin (2007). Right Question, But Not Quite the Right Answer: Whether There Is a Third Alternative in Choices About Euthanasia in Alzheimer's Disease. American Journal of Bioethics 7 (4):58-60.
Inez de Beaufort (2007). The View From Before. American Journal of Bioethics 7 (4):57 – 58.
Similar books and articles
Mary Warnock (2008). Easeful Death: Is There a Case for Assisted Dying? Oxford University Press.
Manne Sjöstrand, Gert Helgesson, Stefan Eriksson & Niklas Juth (2013). Autonomy-Based Arguments Against Physician-Assisted Suicide and Euthanasia: A Critique. [REVIEW] Medicine, Health Care and Philosophy 16 (2):225-230.
Craig Paterson (2009). A History of Ideas Concerning the Morality of Suicide, Assisted Suicide and Voluntary Euthanasia. In Rajitha Tadikonda (ed.), Physician Assisted Euthanasia. Icfai University Press
Jan Lepeleire Chris Gastmandes (2010). Living to the Bitter End? A Personalist Approach to Euthanasia in Persons with Severe Dementia. Bioethics 24 (2):78-86.
Jan de Lepeleire & Chris Gastmans (2009). Living to the Bitter End? A Personalist Approach to Euthanasia in Persons with Severe Dementia. Bioethics 24 (2):78-86.
John Keown (2002). Euthanasia, Ethics, and Public Policy: An Argument Against Legalisation. Cambridge University Press.
Bert Gordijn & Rien Janssens (2001). New Developments in Dutch Legislation Concerning Euthanasia and Physician-Assisted Suicide. Journal of Medicine and Philosophy 26 (3):299 – 309.
Cees Hertogh, Marike de Boer, Rose-Marie Dröes & Jan Eefsting (2007). Beyond a Dworkinean View on Autonomy and Advance Directives in Dementia. Response to Open Peer Commentaries on "Would We Rather Lose Our Life Than Lose Our Self? Lessons From the Dutch Debate on Euthanasia for Patients With Dementia". American Journal of Bioethics 7 (4):4-6.
Added to index2009-01-28
Total downloads70 ( #60,333 of 1,796,258 )
Recent downloads (6 months)3 ( #284,614 of 1,796,258 )
How can I increase my downloads?