Interdisciplinary Centre for the Study of Religion and World View, Catholic University Leuven, Leuven 3000, Belgium.
J Med Ethics. 2012 Jul;38(7):431-4. doi: 10.1136/medethics-2011-100268. Epub 2012 Feb 28.
To many in India and elsewhere, the life and thoughts of Mohandas Karamchand Gandhi are a source of inspiration. The idea of non-violence was pivotal in his thinking. In this context, Gandhi reflected upon the possibility of what is now called 'euthanasia' and 'assisted suicide'. So far, his views on these practices have not been properly studied. In his reflections on euthanasia and assisted suicide, Gandhi shows himself to be a contextually flexible thinker. In spite of being a staunch defender of non-violence, Gandhi was aware that violence may sometimes be unavoidable. Under certain conditions, killing a living being could even be an expression of non-violence. He argued that in a few rare cases it may be better to kill people who are suffering unbearably at the end of life. In this way, he seems to support euthanasia and assisted suicide. Yet, Gandhi also thought that as long as care can be extended to a dying patient, his or her suffering could be relieved. Since in most cases relief was thus possible, euthanasia and assisted suicide were in fact redundant. By stressing the importance of care and nursing as an alternative to euthanasia and assisted suicide, Gandhi unconsciously made himself an early advocate of palliative care in India. This observation could be used to strengthen and promote the further development of palliative care in India.
对印度和其他许多地方的人来说,莫罕达斯·卡拉姆昌德·甘地的生平和思想是灵感的源泉。非暴力的理念在他的思想中至关重要。在这种背景下,甘地思考了现在所谓的“安乐死”和“协助自杀”的可能性。到目前为止,他对这些做法的看法尚未得到妥善研究。在对安乐死和协助自杀的思考中,甘地表现出自己是一个具有上下文灵活性的思想家。尽管甘地是坚决捍卫非暴力的,但他也意识到暴力有时可能是不可避免的。在某些情况下,杀死一个生命可能甚至是一种非暴力的表现。他认为,在极少数情况下,结束生命末期无法忍受痛苦的人的生命可能更好。通过这种方式,他似乎支持安乐死和协助自杀。然而,甘地还认为,只要能够对临终患者提供关怀,就可以减轻他们的痛苦。由于在大多数情况下都可以减轻痛苦,因此安乐死和协助自杀实际上是多余的。通过强调关怀和护理作为安乐死和协助自杀的替代选择的重要性,甘地无意中成为印度姑息治疗的早期倡导者。这一观察结果可以用来加强和促进印度姑息治疗的进一步发展。