Johnson Shara M, Cramer Robert J, Conroy Mary Alice, Gardner Brett O
a Department of Psychology , Sam Houston State University , Huntsville , Texas , USA.
Death Stud. 2014 Jul-Dec;38(6-10):582-8. doi: 10.1080/07481187.2013.820228. Epub 2014 Feb 5.
Physician assisted suicide (PAS) poses complex legal and ethical dilemmas for practicing psychologists. Since the passage of the Oregon Death with Dignity Act in 1997, Montana and Washington have passed similar legislation. Despite the law requiring competence evaluations by medical and psychological professionals, existing psycholegal literature inadequately addresses the role of psychologists in the PAS process. This article reviews legal statutes and analyzes ethical dilemmas psychologists may face if involved. We consider competence both generally and in the context of PAS. Suggestions are made for psychologists completing competence assessments and future directions to improve competence assessments for PAS are provided.
医生协助自杀（PAS）给执业心理学家带来了复杂的法律和伦理困境。自1997年俄勒冈州《尊严死亡法案》通过以来，蒙大拿州和华盛顿州也通过了类似的立法。尽管法律要求医学和心理专业人员进行能力评估，但现有的心理法律文献并未充分探讨心理学家在医生协助自杀过程中的角色。本文回顾了法律法规，并分析了心理学家若参与其中可能面临的伦理困境。我们从一般情况以及在医生协助自杀的背景下考虑能力问题。针对进行能力评估的心理学家提出了建议，并提供了改进医生协助自杀能力评估的未来方向。
