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
Jack Alan Reynolds
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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 (late onset) 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.
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References found in this work BETA
David Degrazia (1999). Advance Directives, Dementia, and 'The Someone Else Problem'. Bioethics 13 (5):373-391.
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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.
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