为 "医生协助自杀 "辩护:走向(和回归)一场透明的、去污名化的辩论。

IF 1.5 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-11-07 DOI:10.1017/S0963180124000434
Brandy M Fox, Harold Braswell
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引用次数: 0

摘要

许多生物伦理学家最近将 "医生协助自杀"(PAS)改为 "医疗协助死亡"(MAID),以指代在医疗服务提供者的协助下自愿加速死亡的行为。这一转变是为了掩盖这种做法与 "自杀 "的联系。然而,由于 "自杀 "指控是反对这种做法的基本论据,因此 "MAID "只能由其支持者使用。结果导致生物伦理辩论支离破碎。通过强调人的主观能动性--而不是自然过程--在导致死亡方面的作用,"PAS "一词使人们更容易认识到对弱势群体的潜在风险,也更容易肯定自杀是一种潜在的自主选择。因此,"PAS "一词更透明地表达了 "死亡权 "支持者和反对者的论点,同时避免了因使用 "MAID "一词而对自杀和有自杀倾向的人造成不必要的污名化。
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In Defense of "Physician-Assisted Suicide": Toward (and Back to) a Transparent, Destigmatizing Debate.

Many bioethicists have recently shifted from using "physician-assisted suicide" (PAS) to "medical aid-in-dying" (MAID) to refer to the act of voluntarily hastening one's death with the assistance of a medical provider. This shift was made to obscure the practice's connection to "suicide." However, as the charge of "suicide" is fundamental to arguments against the practice, "MAID" can only be used by its proponents. The result has been the fragmentation of the bioethical debate. By highlighting the role of human agency-as opposed to natural processes-in causing death, the term "PAS" makes it easier both to perceive potential risks to vulnerable populations and to affirm suicide as a potentially autonomous choice. As such, "PAS" thus more transparently expresses the arguments of both supporters and opponents of the "right to die," while avoiding the unnecessary stigmatization of suicide and suicidal people which is a result of the usage of "MAID."

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来源期刊
CiteScore
2.90
自引率
11.10%
发文量
127
审稿时长
>12 weeks
期刊介绍: The Cambridge Quarterly of Healthcare Ethics is designed to address the challenges of biology, medicine and healthcare and to meet the needs of professionals serving on healthcare ethics committees in hospitals, nursing homes, hospices and rehabilitation centres. The aim of the journal is to serve as the international forum for the wide range of serious and urgent issues faced by members of healthcare ethics committees, physicians, nurses, social workers, clergy, lawyers and community representatives.
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