A SCHOLARLY BOOK REPOSITORY
During the past few decades, high-profile cases like that of Terry Schiavo have fueled the public debate over forgoing or withdrawing artificial nutrition and hydration from patients in a persistent vegetative state (PVS). These cases, whether involving adults or young children, have forced many to begin thinking in a measured and careful way about the moral legitimacy of allowing patients to die. Can families forgo or withdraw artificial hydration and nutrition from their loved ones when no hope of recovery seems possible?
Many Catholics know that Catholic moral theology has formulated a well-developed and well-reasoned position on this and other end-of-life issues, one that distinguishes between "ordinary" and "extraordinary" treatment. But recent events have caused uncertainty and confusion and even acrimony among the faithful. In his 2004 allocution, Pope John Paul II proposed that artificial nutrition and hydration is a form of basic care, thus suggesting that the provision of such care to patients neurologically incapable of feeding themselves should be considered a moral obligation. The pope's address, which seemed to have offered a new development to decades of Catholic health care ethics, sparked a contentious debate among the faithful over how best to treat permanently unconscious patients within the tenets of Catholic morality.
In this comprehensive and balanced volume, Ronald Hamel and James Walter present twenty-one essays and articles, contributed by physicians, clergy, theologians, and ethicists, to reflect the spectrum of perspectives on the issues that define the Catholic debate. Organized into six parts, each with its own introduction, the essays offer clinical information on PVS and feeding tubes; discussions on the Catholic moral tradition and how it might be changing; ecclesiastical and pastoral statements on forgoing or withdrawing nutrition and hydration; theological and ethical analyses on the issue; commentary on Pope John Paul II's 2004 allocution; and the theological commentary, court decisions, and public policy resulting from the Clarence Herbert and Claire Conroy legal cases.
A valuable resource for students and scholars, this teachable volume invites theological dialogue and ethical discussion on one of the most contested issues in the church today.
Offering a candid behind-the-scenes look at small-animal veterinary practices, Blue Juice explores the emotional and ethical conflicts involved in providing a "good death" for companion animals. Patricia Morris presents a nuanced ethnographic account of how veterinarians manage patient care and client relations when their responsibility shifts from saving an animal's life to negotiating a decision to end it.
Using her own experiences and observations in veterinary settings as well as the voices of seasoned and novice vets, Morris reveals how veterinarians think about euthanasia and why this "dirty work" often precipitates "burnout," moral quandaries, and even tense or emotional interactions with clients. Closely observing these interactions, Morris illuminates the ways in which euthanasia reflects deep and unresolved tension in human-animal relationships.
Blue Juice seeks to understand how practitioners, charged with the difficult task of balancing the interests of animals and their humans, deal with the responsibility of ending their patients' lives.
Evangelium Vitae, or "The Gospel of Life," Pope John Paul II's 1995 encyclical, addresses practical moral questions that touch on the sacredness of human life: abortion, euthanasia and assisted suicide, and capital punishment. Tackling major moral and cultural ideas, the Pope urged "all men and women of good will" to embrace a "culture of life" instead of the prevailing "culture of death." In this book, scholars from a wide range of disciplines—law, medicine, philosophy, and theology—and various religious perspectives discuss and interpret the Pope's teachings on these complex moral issues.
The opening essays establish a context for the encyclical in the moral thought of John Paul II and examine issues of methodology and ecclesiology. A second group considers the themes of law and technology, which are crucial to the way the encyclical views the specific matters of life and death. The final section turns to the specific topics of abortion, euthanasia, assisted suicide, medical experimentation, and capital punishment.
Seeking to promote discussion between the ideas of the encyclical and other points of view, this volume does not attempt to endorse Evangelium Vitae but rather to illustrate its relevance to both private choice and public policy. It will serve as a foundation for further dialogue and allow others to approach the pontiff's thought with new awareness and insight.
The first author to address the impact of geopolitics on the courts’ representation of Nazi euthanasia, Bryant argues that international power relationships wreaked havoc on the prosecutions.
Drawing on primary sources, this provocative investigation of the Nazi campaign against the mentally ill and the postwar quest for justice will interest general readers and provide critical information for scholars of Holocaust studies, legal history, and human rights. Support for this publication was generously provided by the Eugene M. Kayden Fund at the University of Colorado.
The product of a lifetime of loving pets, studying philosophy, and collaborating with scientists at the forefront of the study of animal behavior and cognition, The Last Walk asks—and answers—the toughest questions pet owners face. The result is informative, moving, and consoling in equal parts; no pet lover should miss it.
Are you alive? What makes you so sure? Most people believe this question has a clear answer—that some law defines our status as living (or not) for all purposes. But they are dead wrong. In this pioneering study, Elizabeth Price Foley examines the many, and surprisingly ambiguous, legal definitions of what counts as human life and death.
Foley reveals that “not being dead” is not necessarily the same as being alive, in the eyes of the law. People, pre-viable fetuses, and post-viable fetuses have different sets of legal rights, which explains the law's seemingly inconsistent approach to stem cell research, in vitro fertilization, frozen embryos, in utero embryos, contraception, abortion, homicide, and wrongful death.
In a detailed analysis that is sure to be controversial, Foley shows how the need for more organ transplants and the need to conserve health care resources are exerting steady pressure to expand the legal definition of death. As a result, death is being declared faster than ever before. The "right to die," Foley worries, may be morphing slowly into an obligation to die.
Foley’s balanced, accessible chapters explore the most contentious legal issues of our time—including cryogenics, feticide, abortion, physician-assisted suicide, brain death, vegetative and minimally conscious states, informed consent, and advance directives—across constitutional, contract, tort, property, and criminal law. Ultimately, she suggests, the inconsistencies and ambiguities in U.S. laws governing life and death may be culturally, and perhaps even psychologically, necessary for an enormous and diverse country like ours.
Let Them Go Free offers families a way to cope with a problem particular to our time: what to do when medical treatment sustains life but does not cure or resuscitate a critically ill loved one. This straightforward and empathic guide helps such families affirm that their choice to remove life support is morally acceptable, warranted, and made in the spirit of love and care for the patient.
With an emphasis on maintaining openness and trust among all involved in the decision-making process, this helpful guide skillfully addresses the questions that must be asked to assess the best course of care for a loved one:
• What is the patient’s medical condition?
• What are the medical options?
• Has the patient expressed any wishes regarding his or her treatment?
• What if the patient hasn’t expressed any wishes regarding treatment?
• Do we have to do everything possible to keep the patient alive?
• Do we have to use artificial means of feeding?
• How do we handle disagreements?
• What should we do about donating organs?
Let Them Go Free also includes an ecumenical prayer service to be conducted as life support is withdrawn. Woven with readings and prayers from Hebrew and Christian scripture, the service is intended to give family and friends a moment to express their love for the patient, to say goodbye, and to find a sense of closure as they embark on the first stage of the grieving process.
The Supreme Court has ruled that states may prohibit physician-assisted suicide. Expressing the views of his fellow justices, Chief Justice Rehnquist wrote, "Americans are engaged in an earnest and profound debate about the morality, legality, and practicality of physician-assisted suicide. Our holding permits this debate to continue." Regulating How We Die is certain to be a landmark contribution to that debate.Dr. Linda Emanuel--one of America's most influential medical ethicists--has assembled leading experts to provide not only a clear account of the arguments for and against physician-assisted suicide and euthanasia but also historical, empirical, and legal perspectives on this complicated issue. These contributors include Marcia Angell, George Annas, Susan Wolf, and many others.
The important questions are addressed here, including: What does mercy dictate? Does physician-assisted suicide honor or violate autonomy? Is it more dignified than natural death? Is this decision purely a private matter? Will legalizing physician-assisted suicide put us on a slippery slope toward involuntary euthanasia? And, in an analysis of data not available in any other book, what can we learn from Holland, the only country in which physician-assisted suicide and euthanasia are legal?
Regulating How We Die will be essential reading for anyone who has been handed a terminal diagnosis, for people close to those facing such a diagnosis, for professionals, including physicians, nurses, pastors, lawyers, legislators--indeed, for anyone who has considered the moral and political debate over doctor-assisted suicide.
There are few issues more divisive than what has become known as “the right to die.” One camp upholds “death with dignity,” regarding the terminally ill as autonomous beings capable of forming their own judgment on the timing and process of dying. The other camp advocates “sanctity of life,” regarding life as intrinsically valuable, and that should be sustained as long as possible. Is there a right answer?
Raphael Cohen-Almagor takes a balanced approach in analyzing this emotionally charged debate, viewing the dispute from public policy and international perspectives. He offers an interdisciplinary, compelling study in medicine, law, religion, and ethics. It is a comprehensive look at the troubling question of whether physician-assisted suicide should be allowed. Cohen-Almagor delineates a distinction between active and passive euthanasia and discusses legal measures that have been invoked in the United States and abroad. He outlines reasons non-blood relatives should be given a role in deciding a patient’s last wishes. As he examines euthanasia policies in the Netherlands and the 1994 Oregon Death with Dignity Act, the author suggests amendments and finally makes a circumscribed plea for voluntary physician-assisted suicide.
Assisted suicide remains one of the most emotionally charged and controversial topics—and the issue isn’t going away any time soon. As the baby boomer generation ages, many of us will watch as our parents—and ourselves—grow older, and wonder at the decisions that lie ahead.
Understanding Assisted Suicide provides both a fresh take on this important topic and the framework for intelligent participation in the discussion. Uniquely, the author frames the issue using his own experience watching both his parents die, which led him to ask fundamental questions about death, dying, religion, and the role of medicine and technology in alleviating human suffering.
In concerns about assisted suicide, each person’s “big picture” has largely been created out of picking and choosing from nine separate snapshot albums.
Understanding this offers a perspective for quickly determining the sources of another’s opinion on assisted suicide, as well as the issues they are not considering. Most importantly, Understanding Assisted Suicide offers a clear, easy-to-traverse landscape over which those who are sincerely looking for their own answers can navigate. The “nine-issue structure” allows both careful exploration of separate issues and a view of the full spectrum of ideas involved.
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