In this paper phenomenological descriptions of the experiential structures of suicidality and of self-determined behaviour are given; an understanding of the possible scopes and forms of lived self-determination in suicidal mental life is offered. Two possible limits of lived self-determination are described: suicide is always experienced as minimally self-determined, because it is the last active and effective behaviour, even in blackest despair; suicide can never be experienced as fully self-determined, even if valued as the authentic thing to do, because no (...) retrospective re-evaluation from some future vantage is possible. The phenomenological descriptions of the possible scope of lived self-determination in suicidality, presented in this paper, should prove to be extremely helpful in three different fields of interest: (a) ethical debates regarding the pros and cons of autonomous or heteronomous suicide; (b) clinical day-to-day practice with respect to treating suicidal people; (c) people who suffered a suicidal crisis, attempted suicide or lost loved ones through suicides. (155 words). (shrink)

Recent observations associate naturally occurring trace levels of Lithium in ground water with significantly lower suicide rates. It has been suggested that adding trace Lithium to drinking water could be a safe and effective way to reduce suicide. This article discusses the many ethical implications of such population-wide Lithium medication. It compares this policy to more targeted solutions that introduce trace amounts of Lithium to groups at higher risk of suicide or lower risk of adverse effects. The question of mass (...) treatment with Lithium recalls other choices in public health between population-wide and more targeted interventions. The framework we propose could be relevant to some of these other dilemmas. (shrink)

This essay examines Hume’s attitude to suicide, in which he had an ongoing philosophical interest, as found in the dialogue at the end of An Enquiry concerning the Principles of Morals, and in his brief essay on the topic. His attitude to, arguments, and views on suicide are placed in the context of his other writings and biographical elements from his own life. The views of other early modern thinkers to suicide, Locke, Kant, and Montaigne, are presented and their arguments (...) evaluated for contrast and comparison with Hume’s views. The views of other writers, most notably the Stoics and St. Thomas Aquinas, are also examined to further elucidate Hume’s views. By carefully reconstructing and evaluating his argument, Hume’s line of reasoning on suicide is found to be out of harmony with his general moral philosophy. The major weakness of his argument is identified as the failure to realize the harm caused to others by suicide. (shrink)

For about five decades the phrase "sanctity-of-life" has been part of the Anglo-American biomedical ethical discussion related to abortion and end-of-life questions. Nevertheless, the concept's origin and meaning are unclear. Much controversy is based on the mistaken assumption that the concept denotes the absolute value of human life and thus dictates a strict prohibition on euthanasia and physician-assisted suicide. In this paper, I offer an analysis of the religious and philosophical history of the idea of "sanctity-of-life." Drawing on biblical texts (...) and interpretation as well as Kant's secularization of the concept, I argue that "sanctity" has been misunderstood as an ontological feature of biological human life, and instead locate the idea within the historical virtue-ethical tradition, which understands sanctification as a personal achievement through one's own actions. (shrink)

Terminally ill people might want to discuss the options they have of hastening their deaths with their psychologists who should therefore know the law that regulates euthanasia in the jurisdictions where they practice. The legal, and therefore ethical, situation that influences psychologists’ position and terminally ill people’s options, however, differs notably across jurisdictions. Our aim is to provide a brief moral-legal historical context that explains how the law reform processes in different jurisdictions created these different legal contexts and options that, (...) in turn, influence psychologists’ ethical position. We conclude by considering 8 specific ethical issues at a conceptual level that might confront psychologists irrespective of where they practice. (shrink)

Since humankind’s earliest philosophical inquiries, society has been plagued by the taboos associated with suicide. It has been rebuked without respite, both on moral and religious grounds. This paper comes to the defense of suicide by combating the opprobrious arguments that have been raised against it. It begins by exploring what exactly constitutes ‘suicide’, then follows a historical account of the ethics surrounding it from antiquity to modern times. Specific focus is given to Kant’s deontological secularization of the previously, strictly (...) theological, natural law argument. It claims that Kant is in large part to blame for the stigma around suicide, and by proxy mental health in general in the twenty-first century. Finally, this paper will address said stigma vis-à-vis psychoanalytic ethics and offer a complete restructuring of the concept of suicide in an attempt to change how the western world perceives it. (shrink)

Translated from: W.V.O.Quine, W. H. O. (1986): Philosophy of Logic. Second Edition. Harvard University Press. Cambridge, Massachusetts and London, England, 47-61.