Bioethics 24 (3):134-144 (2010)
AbstractIn the latter half of the 20th century, Western medicine moved death from the home to the hospital. As a result, the process of dying seems to have lost its spiritual dimension, and become a matter of prolonging material life by means of medical technology. The novel quandaries that arose led in turn to medico-legal regulation. This paper describes the recent regulation of dying in Israel under its Dying Patient Law, 2005. The Law recognizes advance directives in principle, but limits their effect and form through complex medico-legal artifices. It reflects a culture that places high value on both scientific medicine and the sanctity of life as such, and illustrates a medical culture that pitches battle against death. At the same time, the Law constructs the will of the individual in a medico-legal language that is alien to the lay person. The paper suggests an alternative approach to advance care planning that is patient-centred and addresses the psycho-social needs of the individual in terms of her relational autonomy. From this perspective, advance care planning becomes an opportunity to extract the patient from the medical context and allow her to speak about her approaching death with close ones in her own terms of reference. To this end, there is a need for facilitation of an intimate encounter where patients can speak about their concerns with their loved ones. The paper also presents a methodological approach of attentive listening, which can be applied across diverse cultures and circumstances.
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Citations of this work
“What the Patient Wants…”: Lay Attitudes Towards End-of-Life Decisions in Germany and Israel.Julia Inthorn, Silke Schicktanz, Nitzan Rimon-Zarfaty & Aviad Raz - 2015 - Medicine, Health Care and Philosophy 18 (3):329-340.
The Cultural Context of Patient’s Autonomy and Doctor’s Duty: Passive Euthanasia and Advance Directives in Germany and Israel. [REVIEW]Silke Schicktanz, Aviad Raz & Carmel Shalev - 2010 - Medicine, Health Care and Philosophy 13 (4):363-369.
Exploring the Positions of German and Israeli Patient Organizations in the Bioethical Context of End-of-Life Policies.Aviad Raz, Isabella Jordan & Silke Schicktanz - 2014 - Health Care Analysis 22 (2):143-159.
Beyond Cultural Stereotyping: Views on End-of-Life Decision Making Among Religious and Secular Persons in the USA, Germany, and Israel.Mark Schweda, Silke Schicktanz, Aviad Raz & Anita Silvers - 2017 - BMC Medical Ethics 18 (1):13.
Saving or Subordinating Life? Popular Views in Israel and Germany of Donor Siblings Created Through PGD.Aviad Raz, Christina Schües, Nadja Wilhelm & Christoph Rehmann-Sutter - 2017 - Journal of Medical Humanities 38 (2):191-207.
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