The ethics of hastened death are complex. Studies on physicians’ opinions about assisted dying exist, but changes in physicians’ attitudes towards hastened death in clinical decision-making and the background factors explaining this remain unclear. The aim of this study was to explore the changes in these attitudes among Finnish physicians. A questionnaire including hypothetical patient scenarios was sent to 1182 and 1258 Finnish physicians in 1999 and 2015, respectively. Two scenarios of patients with advanced cancer were presented: one requesting an (...) increase in his morphine dose to a potentially lethal level and another suffering a cardiac arrest. Physicians’ attitudes towards assisted death, life values and other background factors were queried as well. The response rate was 56%. The morphine dose was increased by 25% and 34% of the physicians in 1999 and 2015, respectively. Oncologists approved the increase most infrequently without a significant change between the study years. Oncological specialty, faith in God, female gender and younger age were independent factors associated with the reluctance to increase the morphine dose. Euthanasia, but not assisted suicide, was considered less reprehensible in 2015. In both years, most physicians withheld cardiopulmonary resuscitation. Finnish physicians accepted the risk of hastening death more often in 2015 than in 1999. The physicians’ specialty and many other background factors influenced this acceptance. They also regarded euthanasia as less reprehensible now than they did 16 years ago. (shrink)

Combining theological and medical perspectives is indispensable for the historical study of the interconnections between mind, body, and soul. This article explores these relations through the history of Finnish psychosomatic medicine, and uses published and archival materials to examine the intellectual biography of the Finland-Swedish theologian turned psychiatrist Asser Stenbäck (1913–2006). Stenbäck's career, which evolved from priesthood to psychiatry and politics, reveals a great deal about the tensions between religion and medicine, the spiritual and scientific groups that impinged upon psychosomatic (...) medicine, and ideas on how health and Christian morality were interconnected. The biographical approach is adopted to unearth the values encoded in medical concepts, and through this, to point towards another, underexplored dimension of the health–religion relationship. In addition to their emotional aspect, religious doctrines are intended to organise life and give it meaning. Stenbäck's ideas tied these experiential and normative spheres together by defending an irrationalist substratum of the world in the secular age of medicine. His work illustrates how the inner experience of faith can become both medically and politically purposive. It is worth combining these perspectives in historical research as well in order to better understand how the theological, medical, and political worlds are in dialogue when it comes to human problems. (shrink)

ABSTRACTThe discursive analysis of criminal organizations’ family dynamics and ideological devices may provide important insights into the inner functioning of these groups. In this article, we describe and analyze a specific set of discursive strategies and the thematic narratives emerging from a TV interview with Giuseppe Riina, a member of Cosa Nostra and the son of one of the most important mafia bosses. Our analyses demonstrate the existence of recurring ideological devices such as reductionism, amoralism, familism, verticalism, normalism, victimism (...) and religious relativism. The results are discussed in light of previous research that examines how discursive strategies and narratives may represent powerful tools for understanding criminal organizations. Family-related discourses, in particular, reveal meanings, values and ideas that contribute to constructing criminal organizations’ internal structure, as well as their relationship with the external world. (shrink)