约阿希姆厨房霍夫,马丁•特辛:协助自杀则存在批判性观点

IF 1.5 Q2 EDUCATION, SCIENTIFIC DISCIPLINES GMS Journal for Medical Education Pub Date : 2023-06-15 DOI:10.3205/zma001622
L. Wagner
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引用次数: 0

摘要

2020年,德国联邦宪法法院认为禁止商业协助自杀违宪。在这样做的过程中,它对历史奇点做出了判断。它的推理与个人生活和社会生活中日益增长的个人主义倾向相呼应。两年后,Joachim k chenhoff和Martin Teising出版了一本书,从不同的角度批判性地审视了这一结论及其对个人和标题中所考虑的“他者”的意义。编辑的上下文化序言之后是总共14个单独的贡献,分为四个部分。最全面的是第一部分,论述了协助自杀的讨论框架。在这里,重点特别放在所处理的判决及其对作为批评中心点的自治和自由概念的“误解”理解上。第二部分是对医学辅助自杀的反思。除了内科医生兼哲学家乔瓦尼·马约(Giovanni Maio)向社会,尤其是医学界广泛呼吁,不要给人们一个考虑自杀的理由,其他两项贡献主要集中在精神病学方面。第三部分讨论了自杀者和他们的帮助者之间的关系,到目前为止,这在公众辩论中很少被讨论。这主要是从精神分析的角度来做的,它反复追溯精神动力学过程到自杀的根源。最后,第四部分和最后两篇文章是关于协助自杀的社会和文化方面。值得注意的是,Lisa Werthmann-Resch的贡献,她分析了Franz Schubert的《Winterreise》和Hans Steinbichler的当代同名电影中的自杀动态,因其独特的方法而脱颖而出。观点的广度以及由此产生的解决方案和要求(在或多或少建设性批评的意义上)在从广泛和一般到集中和具体的贡献之间有所不同:强大的哲学论证激发了深远的思想,但可能会让以解决方案为导向的读者不满意,因为缺乏切实可行的前景。在其他文章中,所讨论的方面和处理这些问题的具体可能性都通过根植于历史或作者自己经验的案例报告生动地说明。封面上的简介承诺了一个广泛的跨学科的方法来研究这个话题。然而,乍一看,这17位作者似乎相当同质,因为他们大多是精神病学和心理治疗,尤其是精神分析的背景。这一事实也在编者的序言中提到。的确,不能否认各种贡献中某些中心方面的重复。例如,鉴于精神分析的焦点,弗洛伊德经常出现在贡献中并不奇怪,他既是精神分析思想的先驱,也是一个人在他人帮助下死亡的杰出历史例子。此外,许多贡献阐述了两种不相容的愿望的悖论:一方面,自治被理解为绝对独立于他人,另一方面,人类的基本社会条件导致终身依赖他人。一贯地,对这种冲突的反复强调是真实的书名,它特别关注其他人:自杀助手,治疗师,亲属和社会。尽管明确强调精神分析,但这本书为感兴趣的读者提供了各种方法和论证线,以参与辅助自杀的选定方面。对这样一个存在主义话题的不同思考引起了读者的不同
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Joachim Küchenhoff, Martin Teising: Sich selbst töten mit Hilfe Anderer. Kritische Perspektiven auf den assistierten Suizid
In 2020, theGerman Federal Constitutional Court deemed the prohibition of businesslike assisted suicide unconstitutional. In doing so, it made a judgment of historic singularity. Its reasoning echoes the increasingly individualistic orientation of both individual and social life. Two years later, Joachim Küchenhoff and Martin Teising published a book that critically examines this verdict and its significance for the individual and the “others” considered in the title from different perspectives. A contextualizing preface by the editors is followed by a total of 14 separate contributions in four parts. The most comprehensive one is the first part, which deals with the framework of the discussion on assisted suicide. Here, the focus is particularly on the addressed verdict and its “misinterpreted” understanding of the concepts of autonomy and freedom as a central point of criticism. This is followed by reflections on assisted suicide in medicine in the second part. In addition to a broad plea by physician and philosopher Giovanni Maio to society in general andmedicine in particular for more commitment to not give people a reason to consider suicide, the other two contributions focus primarily on the psychiatric context. The third part addresses the relationship between suicidal persons and their helpers, which has been little discussed in the public debate so far. This is done primarily from a psychoanalytic perspective, which repeatedly traces the psychodynamic process to the root of suicidality. Finally, the fourth part with its last two contributions is devoted to social and cultural aspects of assisted suicide. Noteworthily, the contribution by Lisa Werthmann-Resch, in which she analyzes the dynamics of suicide in “Winterreise” by Franz Schubert and in the contemporary same-titled film by Hans Steinbichler, stands out due to its unique approach. The broadness of perspectives as well as the resulting solutions and demands (in the sense of a more or less constructive criticism) vary between the contributions from broad and general to focused and concrete: powerful philosophical argumentations stimulate far-reaching thoughts, but may leave solution-oriented readers unsatisfied due to the lack of a practicable outlook. In other contributions, the discussed aspects and concrete possibilities of dealing with them are vividly illustrated by means of case reports rooted in history or the authors‘ own experiences. The cover blurb promises a broad interdisciplinary approach to the topic. However, at first glance, the 17 authors appear to be quite homogeneous due to their mostly psychiatric and psychotherapeutic, especially psychoanalytic backgrounds. This fact is also mentioned in the preface of the editors. Indeed, redundancies of some central aspects in the various contributions cannot be denied. For instance, given the psychoanalytic focus it is not surprising that Freud appears regularly in the contributions, both as the forefather of psychoanalytic thought as well as a prominent historical example of a person dying with the help of others. Furthermore, multiple contributions elaborate on the paradox of two incompatible aspirations: autonomy understood as absolute independence from others on the one hand, and on the other hand the fundamentally social conditio humana resulting in a lifelong dependency on others. Consistently, the repeated emphasis on this conflict is true to the title of the book, which pays particular attention to those others: the suicide assistants, therapists, relatives, and society. Despite the clear psychoanalytical emphasis, the book offers interested readers a variety of approaches and lines of argumentation to engage themselves in selected aspects of assisted suicide. This diversity of reflections on such an existential topic evokes in the readers differ-
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来源期刊
GMS Journal for Medical Education
GMS Journal for Medical Education EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.40
自引率
12.50%
发文量
30
审稿时长
25 weeks
期刊介绍: GMS Journal for Medical Education (GMS J Med Educ) – formerly GMS Zeitschrift für Medizinische Ausbildung – publishes scientific articles on all aspects of undergraduate and graduate education in medicine, dentistry, veterinary medicine, pharmacy and other health professions. Research and review articles, project reports, short communications as well as discussion papers and comments may be submitted. There is a special focus on empirical studies which are methodologically sound and lead to results that are relevant beyond the respective institution, profession or country. Please feel free to submit qualitative as well as quantitative studies. We especially welcome submissions by students. It is the mission of GMS Journal for Medical Education to contribute to furthering scientific knowledge in the German-speaking countries as well as internationally and thus to foster the improvement of teaching and learning and to build an evidence base for undergraduate and graduate education. To this end, the journal has set up an editorial board with international experts. All manuscripts submitted are subjected to a clearly structured peer review process. All articles are published bilingually in English and German and are available with unrestricted open access. Thus, GMS Journal for Medical Education is available to a broad international readership. GMS Journal for Medical Education is published as an unrestricted open access journal with at least four issues per year. In addition, special issues on current topics in medical education research are also published. Until 2015 the journal was published under its German name GMS Zeitschrift für Medizinische Ausbildung. By changing its name to GMS Journal for Medical Education, we wish to underline our international mission.
期刊最新文献
"Powerful placebo": A teaching and learning concept addressing placebo and nocebo effects in competency-based communication training. Attitudinal changes of undergraduate students learning online interprofessional education for patient safety: Comparative evaluation of an online program using the DID method. EYE-ECG: An RCT of the influence of student characteristics and expert eye-tracking videos with cued retrospective reporting on students' ECG interpretation skills. Formative key feature examinations as innovative teaching approach in dental education: A project report. Insights into the meaning of medical students' studies. An online survey at two medical faculties.
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