Varelius Jukka
Bioethics. 2016 May;30(4):227-33. doi: 10.1111/bioe.12182. Epub 2015 Oct 8.
Several authors have recently suggested that the suffering caused by mental illness could provide moral grounds for physician-assisted dying. Yet they typically require that psychiatric-assisted dying could come to question in the cases of autonomous, or rational, psychiatric patients only. Given that also non-autonomous psychiatric patients can sometimes suffer unbearably, this limitation appears questionable. In this article, I maintain that restricting psychiatric-assisted dying to autonomous, or rational, psychiatric patients would not be compatible with endorsing certain end-of-life practices commonly accepted in current medical ethics and law, practices often referred to as 'passive euthanasia'.
最近有几位作者认为,精神疾病所带来的痛苦可为医生协助死亡提供道德依据。然而,他们通常要求只有在自主或理性的精神科患者的情况下,精神科协助死亡才会受到质疑。鉴于非自主的精神科患者有时也可能承受难以忍受的痛苦,这种限制似乎值得怀疑。在本文中,我认为将精神科协助死亡限制在自主或理性的精神科患者身上,与认可当前医学伦理和法律中普遍接受的某些临终做法(通常称为“被动安乐死”)是不相容的。