Context The attitudes of medical professionals towards physician assisted dying have been widely discussed. Less explored is the level of agreement among physicians on the possibility of ‘rational suicide’—a considered suicide act made by a sound mind and a precondition of assisted dying legislation. Objective To assess attitudes towards rational suicide in a representative sample of senior doctors in England and Wales. Methods A postal survey was conducted of 1000 consultants and general practitioners randomly selected from a commercially available database. (...) The main outcome of interest was level of agreement with a statement about rational suicide. Results The corrected participation rate was 50%; 363 questionnaires were analysed. Overall 72% of doctors agreed with the possibility of rational suicide, 17% disagreed, and 11% were neutral. Doctors who identified themselves as being more religious were more likely to disagree. Some doctors who disagreed with legalisation of physician assisted suicide nevertheless agreed with the concept of rational suicide. Conclusions Most senior doctors in England and Wales feel that rational suicide is possible. There was no association with specialty. Strong religious belief was associated with disagreement, although levels of agreement were still high in people reporting the strongest religious belief. Most doctors who were opposed to physician assisted suicide believed that rational suicide was possible, suggesting that some medical opposition is best explained by other factors such as concerns of assessment and protection of vulnerable patients. (shrink)

Anthony Price's recent book presents a contextualist approach to practical rationality. Price develops his proposal in four chapters. In the first one, he outlines a contextual account of the validity of practical inferences. This chapter deals with logicism. Logicism assumes that ‘there is a form of rationality within practical thinking that connects with the logical validity of a practical entailment’. Price argues that although the principles of logic are ‘invariant and universal’, their relevance in evaluating a practical inference is constrained (...) by contextual factors related to the teleology of practical thinking and by the functional role of intentions in guiding our behaviour.In the second chapter, Price argues that the content of A's remark to B – ‘I must put in another 20p’, while both stand together on an underground platform in front of a dispenser – must be interpreted contextually, i.e. as referring to a particular end of A for which she needs to put in …. (shrink)