Ost Suzanne
Law School, Lancaster University.
Med Law Rev. 2010 Winter;18(4):497-540. doi: 10.1093/medlaw/fwq025.
Although assisted dying has been most commonly presented within a medicalised framework, the notion of de-medicalisation is employed in this paper to suggest that there are emerging models of assisted dying in which some medical aspects assumed to be an integral part of the phenomenon are both challenged and diminished. The paper considers cases where relatives have facilitated a loved one's assisted suicide abroad, cases of assisted death in which the assistor in the actual suicide act is a non-medic, and the growing debate surrounding non-medical grounds for desiring death. In evaluating the potential impact of partial de-medicalisation on the assisted dying debate, the argument presented is that whilst a de-medicalised model could well contribute to a richer understanding of assisted dying and a better death for the person who is assisted, there are cogent reasons to retain some aspects of the medicalised model and that a completely de-medicalised model of assisted dying is unrealistic.
尽管协助死亡最常出现在医疗化的框架内，但本文采用了去医疗化的概念，以表明存在一些新兴的协助死亡模式，其中一些被认为是该现象不可或缺的医学方面受到了挑战并有所减少。本文考虑了亲属在国外协助亲人自杀的案例、实际自杀行为的协助者为非医务人员的协助死亡案例，以及围绕渴望死亡的非医学理由展开的日益激烈的辩论。在评估部分去医疗化对协助死亡辩论的潜在影响时，本文提出的观点是，虽然去医疗化模式很可能有助于更深入地理解协助死亡，并为被协助者带来更好的死亡体验，但仍有令人信服的理由保留医疗化模式的某些方面，而且完全去医疗化的协助死亡模式是不现实的。
