On the use and abuse of double effect.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Some people worry about the current tendency to ignore the distinction of religious and ethical issues in the area of death and dying. This article attempts to identify sources and consequences of such blending. One of the countries offering a microcosm of religious and ethical trends with regard to death and dying is the Netherlands. Issues identified in Dutch society are, therefore, being compared with similar listings in North American and European literature on death and dying. In an even more paradigmatic way the unfinished debate on the distinction between active and passive euthanasia remains representatives of a religious approach to death and dying.
Explore the source record for details and available documents.
Society has not reached consensus about the right of patients who are not terminally ill to refuse treatment or about the acceptability of foregoing artificial nutrition and hydration for any patients. Both these issues have been raised by the case of Elizabeth Bouvia, a woman with cerebral palsy whose desire to refuse nasogastric feeding has been the subject of at least three court decisions, the most recent in April 1986. In that decision, the Second District Court of Appeal of California ruled that High Desert Hospital must honor Ms. Bouvia's request that she not be fed through a tube.
The case of Paul Brophy, decided by a four-to-three vote of the Supreme Judicial Court of Massachusetts, focused on the patient's right to terminate artificial nutrition and hydration. According to the majority opinion, artificial feeding is an "intrusive" procedure that one should be able to refuse without being accused of committing suicide. The court based its reasoning on the right to privacy and, in relation to that right, the state's interests in preserving life, protecting innocent third parties, preventing suicide, and maintaining the medical profession's ethical integrity. The majority could have been more persuasive, however, if it had considered Catholic moral tradition in developing its argument, especially the importance of judging a treatment's outcome and burden in relation to the individual patient's life. The Brophy opinion probably will leave many people dissatisfied because it fails to explore the values of the parties involved and the meaning of Catholic teaching. It should serve as a challenge, however, to the Catholic community to more fully articulate for a technologically oriented culture the meaning of living and dying.
Explore the source record for details and available documents.
Contemporary health care as well as medical ethics deal with the problem of priorities while the invariable priority of any treatment across all cultures remains health. Health as such is, however, rather a symbolic word which refers to two different paradigms coined in two ancient traditions which contributed profoundly to European culture as we know it: the two traditions referred hereto are the Hebraic and the Greek. The Greek tradition considered health as a good life, which is the utmost goal of human endeavor. To achieve this it was necessary to contemplate truth and to become acquainted with certainty (episteme) beyond any doubt. On the contrary a totally different approach can be found in the Hebraic tradition which referred particularly to faith grasped as the hope (tikva) being based on a reliance upon the future ahead. Modern medicine hesitates between these two notions of health.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.