Euthanasia: None Dare Call It Murder Joseph Sanders

Total Page:16

File Type:pdf, Size:1020Kb

Euthanasia: None Dare Call It Murder Joseph Sanders Journal of Criminal Law and Criminology Volume 60 | Issue 3 Article 9 1970 Euthanasia: None Dare Call It Murder Joseph Sanders Follow this and additional works at: https://scholarlycommons.law.northwestern.edu/jclc Part of the Criminal Law Commons, Criminology Commons, and the Criminology and Criminal Justice Commons Recommended Citation Joseph Sanders, Euthanasia: None Dare Call It Murder, 60 J. Crim. L. Criminology & Police Sci. 351 (1969) This Article is brought to you for free and open access by Northwestern University School of Law Scholarly Commons. It has been accepted for inclusion in Journal of Criminal Law and Criminology by an authorized editor of Northwestern University School of Law Scholarly Commons. THE JOuRxAL OF CRIMINAL LAW, CRIMJINOLOGY AND POLsCU SCIENCE Vol. 60, No. 3 Copyright © 1969 by Northwestern University School of Law Printed in U.S.A. EUTHANASIA: NONE DARE CALL IT MURDER JOSEPH SANDERS On August 9, 1967, Robert Waskin, a twenty- nature of the act, the status of the actor and the three year old college student, killed his mother victim, and the presence or absence of consent. by shooting her in the head three times. Warned The act itself may be one of commission or one of by the police that he did not have to make a omission. The former, which is the concern of this statement, Waskin allegedly said, "It's obvious, paper, is at the present time some degree of crimi- I killed her." He was arrested and charged with nal homicideA murder.' Waskin's act, however, was a special There are three reasonably identifiable groups type-a type that has troubled and perplexed both against, or for whom euthanasia may be com- laymen and legal theorists. The homicide was a mittedY The first group consists of persons with "mercy kiling." 6 Waskin's mother was suffering from terminal There has never been a prosecution of a person for an act of omission with or without consent causing the leukemia. The doctors in the Chicago hospital death of any person falling within one of the groups where she was killed said that she had, at the most, subject to euthanasia. This fact, however, should not be a very few days to live. She wanted to die and interpreted as evidence of the infrequency of such acts. There is some evidence that these omissions make up had begged her son to kill her. Only three days the great majority of euthanasia cases in the United before, she had tried to commit suicide by taking States. In a survey of 250 Chicago internists and sur- geons by Levisohn, 156 responded to a questionnaire an overdose of sleeping pills. According to her asking: "'In your opinion do physicians actually husband and the doctors, she was suffering deep practice euthanasia in instances of incurable adult 2 pain at the time she was shot. sufferers?' Sixty-one percent agreed that physicians actually practiced it, if not in the affirmative at least in In all American jurisdictions motive is no de- the negative or in terms of the omission to use every fense to a murder charge. If it is shown that the known medical measure to sustain life." Levisohn, act was done with intent and premeditation, the Voluntary Mercy Deaths, 8 J. FoR. MED. 57, 68 (1961). 3 Of the same 156 physicians, however, 72% said the motive for the crime is irrelevant. Motive can be practice should not be legalized. taken into account by the judge in setting the Although this was not a random sample, still 38% or 95 of the Chicago physicians polled admitted know- sentence, but, for Waskin, even the utmost leni- ing of acts of euthanasia, at least by omission. This ency on a murder conviction would have resulted survey refers only to acts against persons with incurable in a sentence of fourteen years in prison with no diseases. Similar results, however, might be expected in 4 cases of old people dying of general deterioration. In possibility of probation. both these cases the patient is usually near death and On January 24, 1969, however, after a seventeen the physician inquires of the family if they wish him to month delay, a jury deliberated for only 40 min- use all possible means or permit the individual to "die in peace". utes and found Waskin not guilty by reason of Williams has proposed a statute confirming the insanity. They further found that he was no legality of acts of omission in relation to dying patients that would be useful in clarifying the law in this area. longer insane, and he was released.' Although it "For the avoidance of doubt, it is hereby declared that seems doubtful that Waskin was ever legally it shall be lawful for a physician whose patient is insane, the verdict, as we shall see, was entirely seriously ill-. .. to refrain from taking steps to prolong the patient's life by medical means;-unless ...the predictable. omission was not made, in good faith for the purpose The word euthanasiais generally used to describe of saving the patient from severe pain in an illness a killing that is prompted by some humanitarian believed to be of a incurable and fatal character." G. W=Amxz s, THm SAzuCcrrr Or Lm'x AND = CRnn- motive. Euthanasia, however, may vary with the NAL LAW 345 (1957). (Hereinafter referred to as Wr.- LIAMS.) I Chicago Tribune, Aug. 9, 1967, at 1, col. 8. While acts of mercy showing just as honorable a 2Chicago Tribune, Aug. 10, 1967, at 1 col. 2. motive may be present in other murders against dif- 3State v. Ehlers, 98 N. J. L. 236, 119 Atl. 15 (Ct. ferent groups, it appears unlikely that these crimes will Err. & App. 1922); People v. Kirby, 2 Park Crim. Rep. be labeled mercy killings. Thus, for example, if one 28, 31 (1823). kills his child because he can not feed him, while he 4 Ill.Rev. Stat. ch. 38 §89-3; Ill.Rev. Stat. ch. 38 may have had the best of motives-to prevent starva- §117-1 (1967). tion-this will be considered murder. See Common- 1 Chicago Tribune, Jan. 25, 1969, at 1, col. 8. wealth v. Hall, 322 Mass. 523, 78 N.E.2d 6-14 (1948). JOSEPH SANDERS [Vol. 60 painful and terminal diseases such as cancer who, There are voluntary euthanasia societies in both by definition, have at best a month or two, per- England and the United States which have pro- haps only a few days, to live. A second group posed legislation legalizing this type of euthanasia consists of defective or degenerate persons, in- in order "to permit an adult person of sound mind, cluding the mentally ill, the retarded, those with whose life is ending with much suffering, to choose gross physical defects, and old people suffering between an easy death and a hard one; and to from senility. Some of these may be persons who obtain medical aid in implementing that choice." 11 have been rendered permanently unconscious by Two types of statutes have been proposed by disease or accident and are being kept alive through those who favor legalizing voluntary euthanasia. artificial medical means. The third group is com- The English Euthanasia Society proposal, typical posed of infants and young children who suffer of one type, requires a judicial investigation to from gross mental or physical defects. The life assure the existence of the patient's consent and expectancy of children in this group may be short, to prevent abuses. It has several requirements. or perhaps even the same as normal infants. The patient must be over twenty-one, of sound Euthanasia may be performed upon the request mind, in a hopeless condition and earnestly desirous of, or without the request of the victim. All those of a painless death. He must make an application in group three and the insane in group two are requesting euthanasia. His physician must combine incapable of consent. The consent issue, then, this request with a written recommendation usually concerns persons in group one who suffer reporting on the patient's condition, and submit from painful terminal illnesses. them to the court. The court then assigns a eutha- For purposes of legal analysis, persons com- nasia referee who visits the patient and the physi- mitting euthanasia may be divided into two groups: cian in order to make himself personally aware of physicians and all others.8 It has been suggested the circumstances of the case. If he agrees with the that under certain circumstances physicians should physician and believes the patient has given be allowed to perform euthanasia legally. rational consent, he may then authorize the death. The authorization would be valid only for a limited VOLUNTARY EUTHANASIA PERFORMED period, and the patient may withdraw his consent BY PHYSICIANS at any time. 2 It appears that neither consent of the victim, The eminent English legal authority, Glanville not the extremity of his suffering, or the imminence Williams, on the other hand, has proposed a of his death are presently defenses to homicide. 9 statute that would give wide discretion to the Demands have arisen from time to time to enact physician. The proposed statute provides: a statute permitting a physician to terminate the life of a consenting patient who is suffering from It shall be lawful for a physician, after con- some incurable, painful and terminal illness.10 sultation with another physician, to accelerate 8 As in the groups subject to euthanasia, the persons by any merciful means the death of a patient who can commit this act are limited usually to physi- who is seriously ill, unless it is proved that the cians or a member of the decedent's family.
Recommended publications
  • The Right to End-Of-Life Palliative Care and a Dignified Death 1
    THE RIGHT TO END-OF-LIFE PALLIATIVE CARE AND A DIGNIFIED DEATH 1 CONTRIBUTION FROM UN-ECLAC FOR THE EXPERT GROUP MEETING ON “CARE AND OLDER PERSONS: LINKS TO DECENT WORK, MIGRATION AND GENDER” 5-7 December 2017 United Nations Headquarters, New York – Secretariat Building, Conference Room S -2725 1. The right to life and dignity in old age The approach of death involves a number of activities, as different practicalities pertaining to the end of life have to be organized. It is essential for these activities —which are carried out by family members, caregivers and medical personnel, among others— to meet standards that ensure appropriate living conditions until such time as clinical and biological death supervenes. Older persons are among the most vulnerable to death. Their position in the age structure of society becomes almost by default a predictor of their demise. This social construction of old age prompts a particular way of treating the elderly: “The social structures in which [older persons] are involved are oriented to the fact of their forthcoming death; their families have become increasingly independent of them; the scope of references to the ‘future’ has progressively narrowed; ‘dying’ is of considerably less consequence for others, e.g., it is not felt to be a matter which requires drastic revision of others’ life plans, as does the ‘fact’ that a young adult is dying” (Sudnow, 1967).2 Older persons are sometimes treated like cadavers even when they are, clinically and biologically, still alive. This occurs especially in cases where they are dying or suffering from terminal illnesses, although they do not necessarily have to be in this predicament to receive degrading treatment.
    [Show full text]
  • Physician-Assisted Suicide and Voluntary Euthanasia: Some Relevant Differences John Deigh
    Journal of Criminal Law and Criminology Volume 88 Article 14 Issue 3 Spring Spring 1998 Physician-Assisted Suicide and Voluntary Euthanasia: Some Relevant Differences John Deigh Follow this and additional works at: https://scholarlycommons.law.northwestern.edu/jclc Part of the Criminal Law Commons, Criminology Commons, and the Criminology and Criminal Justice Commons Recommended Citation John Deigh, Physician-Assisted Suicide and Voluntary Euthanasia: Some Relevant Differences, 88 J. Crim. L. & Criminology 1155 (Spring 1998) This Criminal Law is brought to you for free and open access by Northwestern University School of Law Scholarly Commons. It has been accepted for inclusion in Journal of Criminal Law and Criminology by an authorized editor of Northwestern University School of Law Scholarly Commons. 0091-4169/98/8803-1155 THE JOURNAL OF CRIMINAL LAW& CRIMINOLOGY Vol. 88, No. 3 Copyright 0 1998 by Northwestern University, School of Law Prinfd in U.SA. PHYSICIAN-ASSISTED SUICIDE AND VOLUNTARY EUTHANASIA: SOME RELEVANT DIFFERENCES JOHN DEIGH" Yale Kamisar, in a series of influential articles on physician- assisted suicide and voluntary active euthanasia, has written elo- quently in opposition to legalizing these practices.1 Today he revisits the first of these articles, his seminal 1958 article, Some Non-Religious Views Against Proposed "Mercy-Killing"Legislation. 2 In that paper Professor Kamisar used the distinction between the law on the books and the law in action to quiet concerns about the harsh consequences of a blanket prohibition on mercy kill- ing. A blanket prohibition, after all, if strictly applied, would impose criminal punishment on physicians and relatives whose complicity in bringing about the death of a patient, or loved one was justified by the dying person's desperate condition and lucid wish to die.
    [Show full text]
  • Recommendations for End-Of-Life Care for People Experiencing Homelessness
    Adapting Your Practice Recommendations for End-of-Life Care for People Experiencing Homelessness Health Care for the Homeless Clinicians’ Network 2018 Health Care for the Homeless Clinicians’ Network Adapting Your Practice: Recommendations for End-of-Life Care for People Experiencing Homelessness was developed with support from the Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. All material in this document is in the public domain and may be used and reprinted without special permission. Citation as to source, however, is appreciated. i ADAPTING YOUR PRACTICE: Recommendations for End-of-Life Care for People Experiencing Homelessness Health Care for the Homeless Clinicians’ Network Disclaimer This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U30CS09746, a National Training and Technical Assistance Cooperative Agreement for $1,625,741, with 0% match from nongovernmental sources. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. ii ADAPTING YOUR PRACTICE: Recommendations for End-of-Life Care for People Experiencing Homelessness Health Care for the Homeless Clinicians’ Network Preface Clinicians experienced in caring for individuals who are homeless routinely adapt their practice to foster better outcomes for these patients. This document was written for health-care professionals, program administrators, other staff, and students serving patients facing end of life who are homeless or at risk of homelessness.
    [Show full text]
  • A Thematic Reading of Sherlock Holmes and His Adaptations
    University of Louisville ThinkIR: The University of Louisville's Institutional Repository Electronic Theses and Dissertations 12-2016 Crime and culture : a thematic reading of Sherlock Holmes and his adaptations. Britney Broyles University of Louisville Follow this and additional works at: https://ir.library.louisville.edu/etd Part of the American Popular Culture Commons, Asian American Studies Commons, Chinese Studies Commons, Cultural History Commons, Literature in English, British Isles Commons, Other Arts and Humanities Commons, Other Film and Media Studies Commons, and the Television Commons Recommended Citation Broyles, Britney, "Crime and culture : a thematic reading of Sherlock Holmes and his adaptations." (2016). Electronic Theses and Dissertations. Paper 2584. https://doi.org/10.18297/etd/2584 This Doctoral Dissertation is brought to you for free and open access by ThinkIR: The University of Louisville's Institutional Repository. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of ThinkIR: The University of Louisville's Institutional Repository. This title appears here courtesy of the author, who has retained all other copyrights. For more information, please contact [email protected]. CRIME AND CULTURE: A THEMATIC READING OF SHERLOCK HOLMES AND HIS ADAPTATIONS By Britney Broyles B.A., University of Louisville, 2008 M.A., University of Louisville, 2012 A Dissertation Submitted to the Faculty of the College of Arts and Sciences of the University of Louisville in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Humanities Department of Comparative Humanities University of Louisville Louisville, KY December 2016 Copyright 2016 by Britney Broyles All rights reserved CRIME AND CULTURE: A THEMATIC READING OF SHERLOCK HOLMES AND HIS ADAPTATIONS By Britney Broyles B.A., University of Louisville, 2008 M.A., University of Louisville, 2012 Dissertation Approved on November 22, 2016 by the following Dissertation Committee: Dr.
    [Show full text]
  • EUTHANASIA and RELIGION the Advance of Technologies to Prolong Life and Control Dying Can Raise Agonizing Moral Dilemmas
    Article 32 EUTHANASIA AND RELIGION The advance of technologies to prolong life and control dying can raise agonizing moral dilemmas. What guidance is offered by the great world religions? Courtney S. Campbell In “The Parable of the Mustard Seed”, the Buddha choices, religious traditions and values can offer guid- teaches a lesson that is valid for all cultures: human be- ance and insight, if not solutions. ings receive no exemption from mortality. Deep in the Historically, religious communities have sought to ap- throes of grief after the death of her son, a woman seeks propriate death within the life cycle through rituals of re- wisdom from the Buddha, who says that he does indeed membrance, and religious teachings have emphasized have an answer to her queries. Before giving it, however, that death brings meaning to mortality. The process of he insists that she must first collect a grain of mustard dying is often portrayed as an invitation to spiritual in- seed from every house that has not been touched by sight and a key moment in the cultivation of spiritual death. She canvasses her entire community, but fails to identity. collect a single seed. Returning to the Buddha, she un- derstands that, like all other living beings, we are des- tined to die. Judaism, Christianity and Islam Death is a defining characteristic of human experience. Yet, while the event of death remains elusively beyond basically address ethical issues human control, the process of dying has increasingly concerning the end of life from a been brought into the domain of medicine and life- extending technologies.
    [Show full text]
  • Pseudonecrophilia Following Spousal Homicide
    CASE REPORT J. Reid Meloy, I Ph.D. Pseudonecrophilia Following Spousal Homicide REFERENCE: Meloy, J. R., "Pseudonecrophilla Following children, .ages 1. and 3, and her common law husband, aged 26. Spousal Homicide," Journal of Forensic Sciences, JFSCA, Vol. 41, No.4, July 1996, pp. 706--708. She was m the hthotomy position with her hips extended and her knees flexed. ABSTRACf: A c.ase of pseudonecrophilia by a 26-year-old male She was nude except for clothing pulled above her breasts. following the mulliple stabbing death of his wife is reported. Intoxi­ Blood stains indicated that she had been dragged from the kitchen cated wah alco~~J at the .tim~, the man positioned the corpse of approximately seven feet onto the living room carpet. The murder hIS ~~ouse t? faclh!ate vagInal Intercourse with her in the lithotomy weapon, a 14.5 inch switchblade knife, was found in a kitchen posltlon while he viewed soft core pornography on television. Clini­ drawer. The children were asleep in the bedroom. Autopsy revealed cal interview, a review ofhistory, and psychological testing revealed .. 61 stab wounds to her abdomen, chest. back, and upper and lower dIagnoses of antisocial per~on~lity dis<;>rder and major depression (DSM-IV, Amencan Psychlatnc AssocIation, 1994). There was no extremities, the latter consistent with defensive wounds. Holes in evidence of psychosis, but some indices of mild neuropsychological the clothing matched the wound pattern on the body. Vaginal Impainnent. T~e moti~ations for this rare case ofpseudonecrophilia smears showed semen, but oral and anal smears did not.
    [Show full text]
  • NECROPHILIC and NECROPHAGIC SERIAL KILLERS Approval Page
    Running head: NECROPHILIC AND NECROPHAGIC SERIAL KILLERS Approval Page: Florida Gulf Coast University Thesis APPROVAL SHEET This thesis is submitted in partial fulfillment of the requirements for the degree of Master of Science Christina Molinari Approved: August 2005 Dr. David Thomas Committee Chair / Advisor Dr. Shawn Keller Committee Member The final copy of this thesis has been examined by the signatories, and we find that both the content and the form meet acceptable presentation standards of scholarly work in the above mentioned discipline. NECROPHILIC AND NECROPHAGIC SERIAL KILLERS 1 Necrophilic and Necrophagic Serial Killers: Understanding Their Motivations through Case Study Analysis Christina Molinari Florida Gulf Coast University NECROPHILIC AND NECROPHAGIC SERIAL KILLERS 2 Table of Contents Abstract ........................................................................................................................................... 5 Literature Review............................................................................................................................ 7 Serial Killing ............................................................................................................................... 7 Characteristics of sexual serial killers ..................................................................................... 8 Paraphilia ................................................................................................................................... 12 Cultural and Historical Perspectives
    [Show full text]
  • Lizzie Borden Last Will and Testament
    Lizzie Borden Last Will And Testament Is Erhard always unenthusiastic and sparser when dither some aperitif very universally and recollectedly? Burred gossipyGriffith mousse, Terrence his overslaughs knawels bait and euphonising defers. delusively. Loren is octosyllabic and militarising impossibly while But she love and shouted for Bridget and asked her then come hear, all and the trepidation and state, to find Mr. Art that celebrated living telling the moment offers a testament was itself Hans Morgenstern Blank City as one last screening at showcase Cinema Paradiso in Fort. Borden having married Mr. Is holding anything pull her cigarette the neighbors come to show where she committed the crime? And what more can you tell us about Benjamin? We do not know what you have heard on this case in the inquest or of the purport of the testimony there. Borden, which gave over any kitchen. Fleet was recalled and asked about the broken handled hatchet, where he found it and what else he found. They all ended in smoke. Durfee was mentally ill with the fact you, but i am i ever seen her! She and six of her children were scalped and killed in the massacre. Borden Sought to Escape Death. The borden home at a recess for? Borden Building, and the Borden Mills Block. He will vindicate, lizzie borden case against her last testament and then going to lizzies bedroom during her parents kept. JOURNAL is constant news to numerous people interested in what local out of Falls City, New England and multiple murder case. Confirmed Transcribed Copy Of factory Original Of Lizzie Borden S Last Will my Testament With Images Last situation And Testament Borden Fall River.
    [Show full text]
  • Factors Influencing Individuals Attitudes Toward Voluntary Active
    AN ABSTRACT OF THE THESIS OF Donna A Champeau for the degree of Doctor of Philosophy in Public Health presented on November 23, 1994. Title: Factors Influencing Individual Attitudes Toward Voluntary Active Euthanasia and Physician Assisted Suicide. Redacted for privacy Abstract approved: Rebecca J. Donate lle Issues of right to life, as well as death have surfaced as topics of hot debate. In particular, questions about when and if individuals have the right to end their own lives have emerged and gained considerable attention as health policy issues having the potential to affect all Americans.. The purpose of this study was to identify the factors that are most likely to influence an individual's decision to support or not support voluntary active euthanasia (VAE) and physician assisted suicide (PAS) in specific medical situations. This study also examined the differences in medical vignettes by various demographic and attitudinal factors. Data were collected from a sample of classified staff members at two institutions of higher learning in Oregon. A survey was used to collect all data. Paired sample T- tests, stepwise multiple regression analysis and repeated measures multiple analysis of variance (MANOVA) were used to analyze the data. Based on survey results, there were significant differences in attitudes toward PAS and VAE for each medical vignette. Religious beliefs, fear of dependency, and fear of death were the most powerful predictors of individual support for PAS in each medical situation. In the case of VAE, there were differences in support on each medical situation in terms of the most powerful predictors: fear of dependency and religious beliefs for the cancer vignette, fear of dependency, religious beliefs, and age for the ALS vignette, and religious beliefs and fear of dependency for the paralysis vignette.
    [Show full text]
  • New Testament God Demands Murder
    New Testament God Demands Murder Nevins comminated slubberingly. Is Aub point-blank or sclerous when forces some Mont-Saint-Michel opaque meanderingly? Johnnie overeat digestively while union Marcellus hepatizes Judaistically or duels dolorously. That i learned the holy and that humanity now we believe in consuming sodom and have freely chosen salvation This new testament would make demands that is this thread seems you were given book of his past can enslave them can? Thinking an Old Testament Violence The Gospel. The Bible begins with gas making everything including a scheme and gal. Sinned by committing adultery but then compounded that require by fire act in murder. Jordan by life as the pacifist, let go into. We see no new pharaoh asks god demands that threaten human thinking? OT and NT equally, because that is how women are supposed to live. He spot the offering, our sins have been transferred to Him. Those days be murdered you murder all except to new testament that murders. 36 God stops the butt so Joshua can speak his killing done present the daylight Jos 1010-11 5000. Hell today because he earn for miss of us who in His circumstance of forgiveness. The hebrews for even among believers, from that jesus lucifer is born again, isaiah recognized that? Lord and murder must have often say about human infants. In try New Testament Jesus and tear his apostles forbid the pat from. Israelites were before of pissed that Moses and kin had killed so leader of their military people will prove one point. The new testament law is? Remember that murders out his new testament is with a murderer must be murdered uzzah, demands that hides itself as an obligation that! If we should not commonly held is subject people, including those omnis therefore must understand.
    [Show full text]
  • “Good Death” in Small Animals and Consequences for Euthanasia in Animal Law and Veterinary Practice
    animals Article Philosophy of a “Good Death” in Small Animals and Consequences for Euthanasia in Animal Law and Veterinary Practice Kirsten Persson 1,*, Felicitas Selter 2, Gerald Neitzke 2 and Peter Kunzmann 1 1 Stiftung Tierärztliche Hochschule Hannover, Bünteweg 9, 30559 Hannover, Germany; [email protected] 2 Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625 Hannover, Germany; [email protected] (F.S.); [email protected] (G.N.) * Correspondence: [email protected] Received: 30 November 2019; Accepted: 7 January 2020; Published: 13 January 2020 Simple Summary: Euthanasia in veterinary practice is often discussed as one of the profession’s major burdens. At the same time, it is meant to bring relief to terminally ill and/or severely suffering animal patients. This article examines “euthanasia” from a philosophical perspective regarding different definitions and underlying basic assumptions concerning the meaning of death and welfare for nonhuman animals. These theoretical issues will then be discussed in relation to laws and guidelines on euthanasia and practical challenges with end-of-life decisions in small animal practice. Factors which are identified as potential causes of the complex problems regarding euthanasia are as follows: the confusing framework for euthanasia in law and soft regulations; the inclusion of many stakeholders’ perspectives in end-of-life decision-making; potential conflicts between the veterinarians’ personal morality and legal requirements and professional expectations; and, most of all, the veterinarians’ lack of awareness for underlying philosophical assumptions regarding possible understandings of euthanasia. Different practical suggestions are made to clarify and facilitate euthanasia in small animal practice.
    [Show full text]
  • The Chronically 111 Child and Recurring Family Grief
    The Chronically 111 Child and Recurring Family Grief Ralph C. Worthington, PhD Greenville, North Carolina Chronically ill children and their families are increasingly seen in health care prac­ tices as the incidence of infant mortality and formerly fatal childhood diseases has decreased. These children present special challenges to the physician's per­ ceived role as healer. Unlike the sequenced predictable stages of grief that fam­ ilies go through in facing terminal illness, the grief experienced by parents of the chronically ill is recurrent and cyclical. The physician who understands and can anticipate the causes and nature of this grief will be subject to less frustration in treating these children and their families and will be able to offer them more ef­ fective care. As the Joneses and their child left the office, the physi­ model of recurring grief that may help physicians antici­ cian reflected: Why are these parents, and evidently the pate, understand, and offer more effective care for families entire family, having such a difficult time accepting this of children with chronic illness. child’s chronic condition? One month I see them and they seem to have adjusted very well. Two months later and they all seem to be depressed. Another month, and they are hostile toward anyone that even looks like a doctor. THE CHRONICALLY ILL CHILD How can I get them to accept their child’s condition and make the best o f it? By now they should have worked their The past few decades have seen virtually an end to many way through this. childhood diseases.
    [Show full text]