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Feeling Seen, Being Heard

Perspectives of Patients Suffering from Mental Illness on the Possibility of Physician-Assisted Death in the Netherlands

Bibliographic Data

ID18929825
AuthorsRosalie Pronk (0000-0003-1450-9994, Amsterdam University Medical Centers, corresponding author), Dick L Willems (0000-0002-5587-2549, Amsterdam University Medical Centers), Suzanne Van De Vathorst (Amsterdam University Medical Centers)
Year2022
Volume46
Issue2
Pages475-489
Publication date2022-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCulture Medicine and Psychiatry (JOURNAL)
Journal identifiersISSN: 0165-005X • E-ISSN: 1573-076X
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s11013-021-09726-5
PMID34132955
OpenAlexW3170603601
LanguageEN
Citations received8
References cited10

Physician-assisted death (PAD) for patients suffering from a mental illness is allowed in the Netherlands under certain conditions but is a very controversial topic, mainly discussed by ethicists and physicians. The voice of the patient is rarely included in the debate, so we know little about what their views on the topic are. We aim to understand the views of patients with mental illness and wish to die with regard to the possibility of PAD in the Netherlands. The data for this qualitative study were collected through 21 in-depth interviews with Dutch patients who have a wish for PAD as a result of suffering from a mental illness. We identified four themes in relation to the meaning of PAD for the patients suffering from mental illness and wish to die. These themes are (1) Autonomy and self-determination, (2) ending the suffering, (3) recognition, and (4) a dignified end-of-life. The option of PAD for patients suffering from mental illnesses was considered of great importance to the patients who have a wish to die. We highlight the importance of ‘recognition’ for the situation of the patient, as this could lead to new perspective. We argue that psychiatrists need to reflect on providing this recognition in earlier phases of treatment, taking seriously and discussing a wish for PAD in treatment is beneficial to patients. It provides space for the patient to discuss their wishes and could cause them not wanting to die anymore

Autonomy · Feeling · Mental health · Mental illness · Psychiatry · Psychotherapist · Sociology · Wish · Ethics in medical practice · Healthcare Decision-Making and Restraints · Law · Medicine · Palliative Care and End-of-Life Issues · Psychology · Social Psychology

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Unique citing works8
Citations per year2
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8

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