Manon Guay, OT, PhD, is Associate Professor, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada;
Marie-Josée Drolet, OT, PhD, is Full Professor, Department of Occupational Therapy, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
Am J Occup Ther. 2022 Jul 1;76(4). doi: 10.5014/ajot.2022.047357.
In some legal and societal circumstances, people freely and capably plan, organize, and precipitate their own death. Drawing on published literature, we critically reflect on how deliberately ending one's own life fits with the current definitions of the concept of occupation. Using an occupational science and occupational therapy theoretical reflection, we argue that deliberately dying can for some people be considered a purposeful and meaningful occupation. Implications for such an occupational therapy practice are discussed: attending to the occupational needs of specific groups of people, reconsidering definitions and conceptual work, advocating for occupational justice in ending life activities, reflecting on ethical conundrums around self-harm activities within the scope of practice, and exploring deliberate death as a purposeful and meaningful occupation. Because deliberately dying is something that some people do, in this article we aim to open a dialogue within the field of occupational science and occupational therapy about this sensitive and potentially controversial issue.
在某些法律和社会环境下,人们能够自由且有能力地规划、组织并促成自己的死亡。本文参考已发表的文献,批判性地反思了自主结束生命的行为如何符合当前对职业概念的定义。我们运用职业科学和职业治疗理论进行反思,认为对某些人来说,自主死亡可以被视为一种有目的且有意义的职业。本文讨论了这种职业治疗实践的意义:满足特定人群的职业需求、重新思考定义和概念工作、倡导在结束生命的活动中实现职业正义、反思实践范围内自我伤害活动的伦理难题、探索自主死亡作为一种有目的且有意义的职业。由于自主死亡是一些人会选择的行为,因此本文旨在职业科学和职业治疗领域内就这一敏感且潜在有争议的问题展开讨论。