The struggle to become lucid is at the heart of The Myth of Sisyphus. To understand the absurd is to understand that the fit between our conception of the world and the world itself is fraught with uncertainty; lucidity is the elucidation of the absurd. To be lucid is to revolt against the type of certainty that leads to suffering; to revolt against philosophical suicide. Camus teaches us the intellectual humility that stays hands; there is no reasoning that (...) justifies suffering. If it is granted that the ability to recognise and respond to our own and others suffering is an important part of being human, and the task of education is to develop humans, then lucidity, in so far as it holds promise for the development of such an ability, has the potential to contribute positively to education. (shrink)

In response to the view that death is bad when it ruins our lives by interrupting what gives our lives meaning, my approach in this paper is to consider the meaning of life as something that ends at death. With this, I focus on the meaning of life rather than our vulnerability to the badness of death. Specifically, I consider two responses to the myth of Sisyphus—one from Albert Camus and one from Thomas Nagel—both of which take our lives to (...) be absurd. Ultimately, I argue for a form of what Camus calls philosophical suicide by embracing categorical desires and life-projects as meaningful even in the absence of proof. (shrink)

자살을 바라보는 다양한 시각이 존재할 수 있지만 통상적으로 두 가지 시선이 존재한다. 첫째로 자살은 광범위한 정신적 질병의 결과로 보는 것이며, 둘째로 사회적 현상으로서의 자살이다. 그러나 이러한 두 가지 입장은 인간의 자살을 충분히 이해하고 설명하기에는 한계를 가진다. 우울증과 같은 정신적 질병으로 인해 인간이 자살을 실행한다는 입장이나 사회적 현상에 의해 인간의 자살이 결정된다는 입장 어디에도 행위의 주체로서 무제약적 결단에 나설 수 있는 인간의 실존적 의지는 간과되기 때문이다. 이 글에서는 야스퍼스(Jaspers)의 『철학』II 권을 중심으로 한계상황에 부딪친 인간이 선택할 수 있는 무제약적 행위로서의 자살을 규명한다. (...) 그리고 이와 연관하여 현존적 조건과 함께 무제약성을 고려한 실존적 소통으로서의 상담과 이를 적용한 로고테라피의 철학상담적 의의를 자살문제와 연관시켜 보려고 한다. (shrink)

_Suicide_ was selected as a Choice _Outstanding Academic Title_ for 2012! _Suicide: The Philosophical Dimensions_ is a provocative and comprehensive investigation of the main philosophical issues surrounding suicide. Readers will encounter seminal arguments concerning the nature of suicide and its moral permissibility, the duty to die, the rationality of suicide, and the ethics of suicide intervention. Intended both for students and for seasoned scholars, this book sheds much-needed philosophical light on one of the (...) most puzzling and enigmatic human behaviors. (shrink)

Since the Phaedo characterizes Socrates’s death as a punishment by Athens, many scholars argue that he could neither have been responsible for nor have intended his death, so that his death was not suicide. This is no mere semantic quibble: the question turns on issues of responsible and intentional action. I argue that the dialogues portray Socrates as committing suicide. To do so, I use a Platonic account of responsibility and intention to show how Athens and Socrates were (...) jointly responsible for Socrates’s death and that his intention was not only to do what justice requires but also to kill himself. (shrink)

Suicide prevention is a National Health Service priority in the United Kingdom. People with mental illness are seen to represent one of the most vulnerable groups for suicide and recent British Government policy has focused on prevention and management of perceived risk. This approach to suicide prevention is constructed under a biomedical model of psychiatry, which maintains that suicidal persons suffer from some form of disease or irrational drive towards self-destruction. Many react to the idea of self-inflicted (...) death with instinctive revulsion, which has prevented serious discussion of the concept of rational suicide, particularly in relation to those with schizophrenia. The idea that there may be circumstances in which suicide can be viewed as rational is discussed within the biomedical approach to ethics and wider literature primarily in relation to physical disease, terminal states and chronic pain. It is not deemed a viable choice for those who are considered ‘non-autonomous’ due to the controlling forces of mental illness. I propose that suicide is not a consequence of mental illness per se, and that it may be seen as a rational response to a realistic perspective on the course and consequences of living with schizophrenia. The denial of dialogue about the validity of suicidal ideation for people with schizophrenia has led to negative consequences for people with serious mental illness in terms of justice and recognition of person-hood. (shrink)

본 논문은 자살을 현존을 넘어서는 ‘무제약적 행위’로 규정하는, 아직 국내에서는 다뤄지지 않은 야스퍼스의 자살론을 철학상담적관점에서 모색하고, 자살에 대한 실존철학적 이해를 도모한 뒤, 철학상담에서 자살위기에 내몰린 내담자를 도울 방안을 모색한다. 본 논문은 내담자로 하여금 자신이 당면한 문제를 비판적으로 성찰하게 한 뒤, 어떤 문제가 계속 살기를 포기하게 만드는지, 그 이유의 정당성을 합리적으로 검토하게 하고, 이를 넘어서서 죽어야할 이유가 아닌, 살아야 할 이유에 대해 질문의 초점을 달리함으로써 새로운 희망과 삶의 의미를 발견할 가능성을 상담자와 함께깊이 반성해봄으로써 자살위기의 내담자를 돕는데 목표를 둔다. 이를 위해 우선 (...) 고대에서부터 현재까지 이어져 온 자살에 대한 다양한 논의들을 몇몇 철학자들을 중심으로 살펴본 뒤, 이러한 이해를 바탕으로 무제약적 행위에 대한 결의론을 통해 실존론적 자살론을 발전시키는 야스퍼스의 철학적 논의를 이어갈 것이다. 그런다음 야스퍼스의 자살론을 철학상담에 적용하여 자살 담론의 지평을 확장해보고자 한다. (shrink)

This paper introduces and examines the concept of permitted suicide in the context of philosophical counseling. It argues that clients suffering from serious, irremediable physical illnesses, such as Lou Gehrigs, multiple sclerosis, cancer, and HIV, should be free to philosophically explore the option of suicide with their philosophical counselors without undue fear of paternalistic intervention to thwart a rational suicide decision. Legal liability, professional duties, and qualifications of philosophical counselors who counsel such clients are (...) explored. It is argued that, within certain professional and legal limits, philosophical counselors are uniquely qualified to take on this professional challenge. (shrink)

This chapter explores some of the major developments in the philosophical understanding of suicide in 19th Century Western thought. Two developments in particular are considered. The first is a widespread shift towards thinking about suicide in medical terms rather than moral terms. Deploying methods initiated by a number of French and German thinkers in the preceding century who worked at the then emerging interface between the social and biological sciences, a number of 19th century thinkers ejected what (...) they took to be old metaphysical superstitions about ‘good’ and ‘evil’, and replaced them with (allegedly) hard-nosed scientific diagnoses of ‘health’ and ‘sickness’. Dismissing traditional moral arguments against the permissibility of suicide, the phenomenon came to be viewed as a symptom of decline or degeneration. How variations of this view, in biological and social contexts, reorientated practical responses to suicide in terms of treatment rather than moral condemnation is explored. The second 19th century development in philosophical thought with respect to suicide the chapter considers concerns its place in one of the most significant controversies in Germany from 1860 to the turn of the century: the Pessimismusstreit or ‘pessimism dispute’. While philosophical pessimism might be thought to vindicate or even entail suicide, many of the most prominent pessimists—including Arthur Schopenhauer and Eduard von Hartmann—denied that this was the case, and perhaps surprisingly took suicide to involve a special kind of moral and/or epistemic failing. The chapter aims to elucidate the different arguments which pessimists appealed to in order to ground this position. (shrink)

The lack of consensus in American society regarding the permissibility of assisted suicide and euthanasia is due in large part to a failure to address the nature of the human person involved in the ethical act itself. For Karol Wojtyla, philosopher and Pope, ethical action finds meaning only in an authentic understanding of the person; but it is through acting ( actus humanus ) alone that the human person reveals himself. Knowing what the person ought to be cannot be (...) divorced from what he ought to do; forWojtyla, the structure of the ethical “do” – the act itself – comes first. The current paper will focus on four arguments used to justify assisted suicide and euthanasia: (1) the argument from autonomy, (2) the argument from compassion, (3) the argument from the evil of suffering, and (4) the argument from the loss of dignity. It will seek to answer each claim from the perspective of Karol Wojtyla's philosophical anthropology. Much of this will come from his defining work in pure philosophy, The Acting Person (1969). The final part of the paper will suggest some positive solutions to the stalemate over the euthanasia debate, again drawn from Wojtyla's idea of human fulfillment through participation with the other, and with the community itself. (shrink)

Suicide is devastating. It is an assault on our ideas of what living is about. In Contemplating Suicide Gavin Fairbairn takes fresh look at suicidal self harm. His view is distinctive in not emphasising external facts: the presence or absence of a corpse, along with evidence that the person who has become a corpse, intended to do so. It emphasises the intentions that the person had in acting, rather than the consequences that follow from those actions. Much of (...) the book is devoted to an attempt to construct a natural history of suicidal self harm and to examine some of the ethical issues that it raises. Fairbairn sets his philosophical reflections against a background of practical experience in the caring professions and uses a storytelling approach in offering a critique of the current language of self harm along with some new ways of thinking. Among other things he offers cogent reasons for abandoning the mindless use of terms such as attempted suicide and parasuicide , and introduces a number of new terms including cosmic roulette , which he uses to describe a family of human acts in which people gamble with their lives. By elaborating a richer model of suicidal self harm than most philosophers and most practitioners of caring professions currently inhabit, Fairbairn has contributed to the development of understanding in this area. Among other things a richer model and vocabulary may reduce the likelihood that those who come into contact with suicidal self harm, will believe that familiarity with the physical facts of the matter - the actions of the suicider and the presence or absence of a corpse - is always sufficient to justify a definite conclusion about the nature of the self harming act. (shrink)

Plotin (205-270) est le premier des philosophes néoplatoniciens aussi bien d'un point de vue chronologique que par son importance. Auteur de 54 traités regroupés en six Ennéades ("neuvaines"), il consacra l'un d'eux, le traité 16 (Ennéade I, 9), très bref, à la question du suicide. Dans cet ouvrage Plotin se demande si et quand le suicide peut être un choix légitime. Le commentaire qui accompagne la traduction de ce traité s'efforce de l'éclairer même pour un lecteur qui ne (...) connaîtrait rien de la pensée de son auteur, et de déployer les différentes problématiques, issues de la pensée antique et en particulier platonicienne et stoïcienne, dans lesquelles s'inscrit l'analyse de Plotin."--Page 4 of cover. (shrink)

In an original and provocative study of suicide, Ian Marsh examines the historical and cultural forces that have influenced contemporary thought, practices and policy in relation to this serious public health problem. Drawing on the work of French philosopher Michel Foucault, the book tells the story of how suicide has come to be seen as first and foremost a matter of psychiatric concern. Marsh sets out to challenge the assumptions and certainties embedded in our beliefs, attitudes and practices (...) concerning suicide and the suicidal, and the resulting account unsettles and informs in equal measure. The book will be of particular interest to researchers, professionals and students in psychology, history, sociology and the health sciences. (shrink)

Suicide is devastating. It is an assault on our ideas of what living is about. In Contemplating Suicide Gavin Fairbairn takes fresh look at suicidal self harm. His view is distinctive in not emphasising external facts: the presence or absence of a corpse, along with evidence that the person who has become a corpse, intended to do so. It emphasises the intentions that the person had in acting, rather than the consequences that follow from those actions. Much of (...) the book is devoted to an attempt to construct a natural history of suicidal self harm and to examine some of the ethical issues that it raises. Fairbairn sets his philosophical reflections against a background of practical experience in the caring professions and uses a storytelling approach in offering a critique of the current language of self harm along with some new ways of thinking. Among other things he offers cogent reasons for abandoning the mindless use of terms such as attempted suicide and parasuicide , and introduces a number of new terms including cosmic roulette , which he uses to describe a family of human acts in which people gamble with their lives. By elaborating a richer model of suicidal self harm than most philosophers and most practitioners of caring professions currently inhabit, Fairbairn has contributed to the development of understanding in this area. Among other things a richer model and vocabulary may reduce the likelihood that those who come into contact with suicidal self harm, will believe that familiarity with the physical facts of the matter - the actions of the suicider and the presence or absence of a corpse - is always sufficient to justify a definite conclusion about the nature of the self harming act. (shrink)

Philosophical discussions of the morality of suicide have tended to focus on its justifiability from an agent’s point of view rather than on the justifiability of attempts by others to intervene so as to prevent it. This paper addresses questions of suicide intervention within a broadly Kantian perspective. In such a perspective, a chief task is to determine the motives underlying most suicidal behaviour. Kant wrongly characterizes this motive as one of self-love or the pursuit of happiness. (...) Psychiatric and scientific evidence suggests that suicide is instead motivated by a nihilistic disenchantment with the possibility of happiness which, at its apex, results in the loss of the individual’s conception of her practical identity. Because of this, methods of intervention that appeal to agents’ happiness, while morally benign, will prove ineffective in forestalling suicide. At the same time, more aggressive methods violate the Kantian concern for autonomy. This apparent dilemma can be resolved by seeing suicide intervention as an action undertaken in non-ideal circumstances, where otherwise unjustified manipulation, coercion, or paternalism are morally permitted. (shrink)

Suicide, which is defined as the attempt of the human being against his life using his will, has been a subject of deep discussions of the philosophical field as an equivalent of the search for the meaning in the existential sense beyond just a sociological fact. In this sense, suicide has been debated in the philosophical field from antiquity to nowadays and different approaches to this phenomenon have been made. While Greek philosophy opposes suicide in (...) a holistic sense, in the Roman philosophy, positive approaches have been taken towards suicide, particularly in Stoicism. Plotinus, the founding philosopher of Neoplatonism who spent the last days of his life in Rome, was not unfamiliar to the subject, and he wrote a treatise on suicide albeit small. In this article, it will be dealt with general approaches to the suicide in the Greek and Roman philosophies, followed evaluations by Plotinus regarding the suicide. (shrink)

In the Phaedo the character Socrates argues that suicide is morally wrong. This is in fact one of only two places in the entire Platonic corpus where suicide is discussed. It is a brief passage, and a notoriously perplexing one. In this article, I distinguish between two arguments that Socrates gives in support of his claim. I argue that one of them is not to be taken literally, while the other represents the deeper reason for the prohibition of (...) suicide. I further relate the question of suicide to the overarching concerns of the Phaedo as a whole: the nature of our incarnate “imprisonment”, the nature and purpose of philosophy, the philosophical “purification” of the soul, the human pursuit of knowledge, and the nature of the divine. (shrink)

In this paper, I argue that within the Japanese social context, the act of suicide is a positive moral act because the values underpinning it are directly related to a socially pervasive moral belief that any act of self-sacrifice is a worthy pursuit. The philosophical basis for this view of the self and its relation to society goes back to the writings of Confucius who advocated a life of propriety in which being dutiful, obedient, and loyal to one's (...) group takes precedence over the desires of the individual selves that make up the group. I argue that this philosophical perspective poses formidable challenges to Japanese psychiatry (which accepts a contrary western perspective) because, as western psychiatry is based on the concept of autonomous individuality, the Japanese conceive of the self as socially embedded. Because suicide in Japan is viewed as a potentially honorable, virtuous, and even beautiful act of self-sacrifice expressing one's duty to one's group, the western perspective is quite foreign to the Japanese self-conceptual framework. Therefore, since Japanese psychiatry and law have embraced the western medical tradition of viewing suicide as a non-rational response to mental illness, which runs counter to the cultural view that suicide is a moral (and rational) act, I argue that western explanations of suicide present significant cross-cultural problems for Japanese psychiatry. (shrink)

This paper offers a philosophical analysis of the connection between mental disorder and suicide risk. In contemporary psychiatry, it is commonly suggested that this connection is a causal connection that has been established through empirical discovery. Herein, I examine the extent to which this claim can be sustained. I argue that the connection between mental disorder and increased suicide risk is not wholly causal but is partly conceptual. This in part relates to the way suicidality is built (...) into the definitions of some psychiatric diagnoses. It also relates to the broader normative assumption that suicidal behavior is by definition mentally disordered behavior. The above has significant epistemological implications, which I explore. I propose that the claim that suicide is connected with mental disorder cannot be justified solely by appealing to empirical evidence but also warrants a justification on conceptual and normative grounds. (shrink)

When is it rational to commit suicide? More specifically, when is it rational for a Platonist to commit suicide, and more worryingly, is it ever not rational for a Platonist to commit suicide? If the Phaedo wants us to learn that the soul is immortal, and that philosophy is a preparation for a state better than incarnation, then why does it begin with a discussion defending the prohibition of suicide? In the course of that discussion, Socrates (...) offers (but does not necessarily endorse) two arguments for the prohibition of self-killing, at least in most circumstances, which have exerted a long and powerful influence over subsequent discussion of the topic, particularly in theist contexts. In the context of the Phaedo itself, however, this introductory conversation plays a crucial role in setting the agenda for the remainder of the dialogue and offering an initial discussion of the major concerns of the argument as a whole. In particular, the discussion of the nature of suicide is intimately bound up with Socrates¿ conception of true philosophy as a ¿preparation for death¿, the relationship between soul and body, and the immortality of the soul. My intention is to provide a reading of that passage (61e-69e) which asks whether the Phaedo can offer a philosophically satisfying distinction between suicide and philosophy and how it relates to other ancient philosophical attitudes to self-killing. I argue that Socrates does not think that being dead is always preferable to being alive, and that the religious views expressed in the passage are consistent with his general stance on the benevolence of the gods. (shrink)

Among contemporary philosophers, David Benatar espouses a form of pessimism most closely aligned with Schopenhauer’s. Both maintain that human existence is a misfortune, such that each of us would have been better off having never existed at all. Here my concerns are twofold: First, I investigate why, despite these similarities, Schopenhauer and Benatar arrive at divergent positions regarding suicide. For whereas Benatar concludes that suicide is sometimes a moral wrong to others but is prudentially rational in a wider (...) array of circumstances than we ordinarily expect, Schopenhauer largely sets aside questions of both interpersonal morality and prudence to argue that suicide is self-contradictory or futile because it does not undermine the metaphysical facts concerning the place of will in human life, facts ultimately responsible for our unfortunate condition. Second, I consider Schopenhauer’s attempt to show that suicide is a mistaken response to human suffering. Under any of several plausible interpretations of Schopenhauer’s argument that suicide is a futile exercise, his reasoning is unconvincing. Drawing upon Schopenhauer’s admiration for ‘ascetic’ suicide, I then propose an alternative expressive route for Schopenhauer: that suicide is usually mistaken because it fails to manifest integrity in light of the unfortunate truth about the human condition. (shrink)

One of the greatest philosophers of the nineteenth century, Arthur Schopenhauer is best known for his writings on pessimism. In this 1851 collection of essays, he offers concise statements of the unifying principles of his thinking. Schopenhauer, unlike most philosophers, expressed himself in simple, direct terms. These essays offer an accessible approach to his main thesis, as stated in The World as Will and Representation. They include "On the Sufferings of the World," "On the Vanity of Existence," "On Suicide," (...) "Immortality: A Dialogue," "Further Psychological Observations," "On Education," "On Women," and On Noise," plus "A Few Parables.". (shrink)

RESUMEN Al definir “suicidio”, la Real Academia Española toma una opción filosófica que se aleja de algunos propósitos y puntos de vista de la salubridad pública, y acentúa su carácter de actividad íntima que realiza un sujeto capaz de acción. Los límites del concepto no son claros; hay un continuo entre el suicidio y encontrar la muerte por causa natural, accidental o conducta de riesgo. Pero el suicidio solo puede ser fruto de un acto soberano, de modo que quien esté (...) privado de voluntad no es un suicida. Esto permite discutir los planteamientos de B. Spinoza e I. Kant, así como algunas posturas de sanidad pública que no ven ese carácter soberano del suicidio. ABSTRACT In its definition of “suicide”, the dictionary of the Spanish Royal Academy opts for a philosophical position that distances itself from some public health objectives and points of view, in order to emphasize the nature of suicide as an intimate act carried out by a subject capable of action. The boundaries of the concept are unclear: there is a continuum between suicide and death due to natural or accidental causes or reckless behavior. But suicide can only be the result of a sovereign act, and, therefore, someone who lacks will cannot be a suicide. This makes it possible to discuss the proposals of B. Spinoza and I. Kant, as well as some of the public health approaches that disregard the sovereign nature of suicide. (shrink)

Schopenhauer’s stance on suicide focuses on the possibility of achieving freedom from suffering through the denial of the individual will-to-life. Ultimately, Schopenhauer argues that suicide fails to achieve this freedom, primarily because it is an act of will that confirms, rather than denies, the will-to-life. Suicide, he argues, is a kind of contradiction in that it involves the individual will’s willfully seeking to exterminate itself as a way of escaping the wretchedness of willing. While Schopenhauer explicitly states (...) that one possesses the individual right to commit suicide in order to attempt to obtain freedom from suffering, and even admits that he can understand why one would attempt to do so, he denies that there is any possibility that this freedom may be actualized. To take one’s life indicates a lack of awareness of the futility of the individual will and the experience of the wholeness and totality of will-in-itself. One has the freedom to destroy oneself, but one’s freedom to free oneself from suffering is an illusion. If one concurs with Schopenhauer that suicide should be understood as a futile escape from the freedom of suffering, one cannot deny the brilliant insights of his argument. His is, one the one hand, a brilliant articulation of the function of suicide—placing the act squarely within what one would intuit as its primary purpose . On the other hand, given Schopenhauer’s philosophical framework, it negates that possibility and precludes consideration of any others. (shrink)

Liberal articulations of the right to die generally focus on balancing individual rights against state interests, but this approach does not take full advantage of the disruptive potential of this contested right. This article develops an alternative to the liberal approach to the right to die by engaging the seemingly discordant philosophical perspectives of Michel Foucault and Thomas Hobbes. Despite Foucault’s objections, a rapprochement between these perspectives is established by focusing on their shared emphasis on the role that death (...) plays in the order of modernity. After the article has established the complementarity of Foucault and Hobbes, Hobbes’ unique stance toward suicide is first viewed in the context of the early-modern hostility toward suicide, and then contrasted with Foucault’s Stoic-inspired affirmation of suicide. This comparison of these two philosophers’ positions on suicide opens to contestation dimensions of modern subjects that remain undisturbed by liberal approaches to the right to die Key Words: bio-power • Michel Foucault • governmentality • Thomas Hobbes • liberalism • right to die • self-preservation • Seneca • Stoicism • suicide. (shrink)

A wide body of psychological research corroborates the claim that whether one’s life is (or will be) meaningful appears relevant to whether it is rational to continue living. This article advances conceptions of life’s meaningfulness and of suicidal choice with an eye to ascertaining how the former might provide justificatory reasons relevant to the latter. Drawing upon the recent theory of meaningfulness defended by Cheshire Calhoun, the decision to engage in suicide can be understood as a choice related to (...) life’s meaningfulness insofar as an individual can see no point in investing her agency in her anticipated future. These meaning-based reasons relevant to suicidal choice either cannot be reduced to the reasons of well-being that philosophers have typically used to analyse suicide decisions or at least forms a distinct class of reasons within those that contribute to well-being. (shrink)

One of the common domains in health care in which the concept of vulnerability is used is end-of-life care, including euthanasia and assisted suicide (EAS). Since different uses and implications of the notion have been recognised in the literature on EAS, this paper aims to analyse them and reflect on who is the most vulnerable in the context of EAS. A prior exploratory review of the literature has served as a starting point for the discussion. We concluded that vulnerability (...) is a complex, multi-perspective and multi-layered concept, which implies the vulnerability of different stakeholders involved in EAS practices and vulnerability in different aspects of being human (i.e., physical, mental, moral, social and spiritual). A comprehensive understanding of the notion of vulnerability, which balances as well as complements the concept of autonomy, seems to be an indispensable element of the discourse on EAS. (shrink)

This paper examines the complex research landscape of contemporary suicidology from a philosophy of science perspective. I begin by unpacking the methods, concepts, and assumptions of some of the prominent approaches to studying suicide causation, including psychological autopsy studies, epidemiological studies, biological studies, and qualitative studies. I then analyze the different ways these approaches partition the causes of suicide, with particular emphasis on the ways they conceptualize the domain of mental disorder. I argue that these different ways of (...) partitioning the causal space and conceptualizing mental disorder result in incommensurabilities between the approaches. These incommensurabilities restrict the degrees to which the different approaches can be integrated, thus lending support to explanatory pluralism in the study of suicide causation. They also shed light on some of the philosophical underpinnings of the disagreement between mainstream suicidology and the emerging area of critical suicidology. (shrink)

The practice whereby terminally ill patients choose to end their own lives painlessly by ingesting a drug prescribed by a physician has commonly been referred to as physician-assisted suicide. There is, however, a strong trend forming that seeks to deny that this act should properly be termed suicide. The purpose of this paper is to examine and reject the view that the term suicide should be abandoned in reference to what has been called physician-assisted suicide. I (...) argue that there are no good conceptual or philosophical reasons to avoid the suicide label. I contend that intending one’s death is essential to the nature of suicide, and this intention is normally required on the part of the terminally ill patient when she knowingly takes a life-ending drug. Additionally, the analysis shows that any plausible strategy that avoids the term suicide is counteracted by the way in which advocates of the practice want to make it legal. (shrink)

The moral issues involved in doctors assisting patients to die with dignity are of absolutely central concern to the medical profession, ethicists, and the public at large. The debate is fuelled by cases that extend far beyond passive euthanasia to the active consideration of killing by physicians. The need for a sophisticated but lucid exposition of the two sides of the argument is now urgent. This book supplies that need. Two prominent philosophers, Gerald Dworkin and R. G. Frey present the (...) case for legalization of physician-assisted suicide. One of the best-known ethicists in the US, Sissela Bok, argues the case against. (shrink)

This chapter contains section titled: I Argument II “The Philosopher's Brief” Arguments Acknowledgement.

이 논문은 스피노자 철학의 개체론에서 핵심적인 지위를 차지하는 코나투스 개념의 단일성 문제를 살핀다. 최근 스피노자 연구자들은 한 개체의 본질(essentia)로 설명되는 코나투스 개념을 단일성으로 해석할 때의 여러 문제점을 제기하며 코나투스 개념을 복합적인 것으로 이해하는 경향이 있다. 하지만 필자는 스피노자 철학에서 코나투스는 신의 역량이 구체화 된 하나의 단위 혹은 단일성에 속하고, 본성(natura)으로서 운동량이 개체의 복합성과 상황 함수에 종속된다고 이해한다.BR 개체의 본질로서 코나투스는 신의 속성을 어떠한 결정된 방식으로 표현하는 양태이지만, 이때의 결정성은 개체의 역량을 제한하기보다는 신의 무한한 역량 안에 위치시키는 기능을 한다. 따라서 신의 (...) 역량이 일정한 방식으로 결정된 코나투스 개념 안에는 어떠한 부정이나 제한의 의미도 내포되지 않는다.BR 반면 개체의 결정된 본성은 본성 밖의 다른 것들에 대한 개체의 무능을 내포하기 때문에 개체의 본성을 통해서 비로소 유한한 양태가 겪을 수밖에 없는 다양한 제한적 상황들에 대한 해명이 가능하다. 따라서 본질과 본성을 이렇게 구분하는 것이 타당하다면 개체의 자기 폭력적인 현상으로서 자살의 문제를 해명하고자 할 때 본질이 아닌 본성 개념에 근거해야만 한다는 결론을 도출할 수 있을 것이다. (shrink)

It is plausible that what possible courses of action patients may legitimately expect their physicians to take is ultimately determined by what medicine as a profession is supposed to do and, consequently, that we can determine the moral acceptability of voluntary euthanasia and physician-assisted suicide on the basis of identifying the proper goals of medicine. This article examines the main ways of defining the proper goals of medicine found in the recent bioethics literature and argues that they cannot provide (...) a clear answer to the question of whether or not voluntary euthanasia and physician-assisted suicide are morally acceptable. It is suggested that to find a plausible answer to this question and to complete the task of defining the proper goals of medicine, we must determine what is the best philosophical theory about the nature of prudential value. (shrink)

Euthanasia and assisted suicide have proved to be very contentious topics in medical ethics. Some ethicists are particularly concerned that allowing physicians to carry out these procedures will undermine their professional obligations and threaten the very goals of medicine. However, I maintain that the fundamental goals of medicine not only do not preclude the practice of euthanasia and assisted suicide by physicians, but can in fact be seen to support these practices in some instances. I look at two (...) influential views of the goals of medicine, one based on the broad guiding principles of autonomy, beneficence and nonmaleficence, and the other focusing on several more concrete aims, concluding that both approaches can be seen to support euthanasia and assisted suicide. I then turn to the popular concern that allowing physicians to carry out euthanasia and assisted suicide will lead to widespread abuse. I argue that the possibility for abuse can be minimised if we make the patient's autonomous consent an essential requirement of the practice. (shrink)

It has been argued that voluntary euthanasia (VE) and physician-assisted suicide (PAS) are morally wrong. Yet, a gravely suffering patient might insist that he has a moral right to the procedures even if they were morally wrong. There are also philosophers who maintain that an agent can have a moral right to do something that is morally wrong. In this article, I assess the view that a suffering patient can have a moral right to VE and PAS despite the (...) moral wrongness of the procedures in light of the main argument for a moral right to do wrong found in recent philosophical literature. I maintain that the argument does not provide adequate support for such a right to VE and PAS. (shrink)

This two-volume set addresses key historical, scientific, legal, and philosophical issues surrounding euthanasia and assisted suicide in the United States as well as in other countries and cultures. * Addresses the extended history of debates regarding the ethical justifiability of assisted suicide and euthanasia * Analyzes assisted suicide and euthanasia in many cultural, philosophical, and religious traditions * Provides an interdisciplinary perspective on the subject, including coverage of topics such as the depictions of assisted dying (...) in popular culture, that enables a more complete understanding of this emotionally charged controversy * Spotlights the latest medical and scientific developments and examines the role of technology in the ethical debates on assisted dying. (shrink)

It is estimated that up to 7500 people develop schizophrenia each year in the UK. Schizophrenia has significant consequences, with 28% of the excess mortality in schizophrenia being attributed to suicide. Previous research suggests that suicide in schizophrenia may be more related to affective factors such as depression and hopelessness, rather than psychotic symptoms themselves. Considering suicide in schizophrenia within this framework enables us to develop a novel philosophical approach, in which suicide may not be (...) related to loss of self-consciousness, thought processing dysfunctions or perception disturbances. The action of suicide may be due neither to persistent hallucinations nor other psychotic symptoms, such as delusional beliefs, but to other underexamined, perhaps rational reasons, such as extreme social isolation, severe depression or emotional withdrawal. This paper does not examine the moral character of suicide. Instead, it argues that we should conceive the action of suicide in schizophrenia as an act that is not necessarily irrational. People with schizophrenia might end their life based on reasons if suicide is the best means to achieve their ends. However, the paper does not support assisted suicide. It aims to provide a better understanding of the reasons why people take their own lives and suggests that understanding can inform effective interventions to reduce high rates of suicide. (shrink)

Several versions of Diogenes of Sinope’s death are reported in Book VI of the Lives and Opinions of Eminent Philosophers. The heirs of Diogenes have transmitted to posterity that of suicide by self-asphyxiation, a death they deem worthy of his philosophy. This study aims to identify the Cynic foundation of Diogenes’ suicide by reconstructing the Cynic outlook on voluntary death. Several fragments and testimonies show that the Cynics consider life and death indifferent: what matters above all is to (...) lead a good life. Suicide is only justified when the philosopher’s body suffers from extreme and lasting weakness. To reach and maintain his ideal of freedom, the Cynic must submit his body to a training that requires some physical strength. Therefore, as soon as he loses the capacity to practise the Cynic askesis because of the physical limitations brought on by old age or illness, the philosopher does not hesitate commit suicide. This justification is attested in the exhortations to suicide formulated by the Cynics and in the accounts of the self-inflicted deaths of Metrocles, Heracles, Demonax and Peregrinus. (shrink)

RESUMEN El suicidio o el interfictium spinoziano es a simple vista una categoría marginal en el pensamiento de Spinoza. La vasta producción filosófica en torno a quien ha sido considerado como el filósofo de la "anomalía salvaje" o al mismo tiempo el pensador de los "afectos alegres" ignora, o en el mejor de los casos trata oblicuamente, las nociones de muerte y suicidio. La paradoja es total porque el rechazo hacia el pensamiento de la muerte contrasta con la profusa interpelación (...) a dicha categoría en su Ética. El propósito de este artículo es mostrar que la expresión negativa del suicidio, como pura imposibilidad y servidumbre respecto a causas externas es, sin embargo, menos literal y clara, cuando en su análisis se incorporan aquellos elementos centrales de su obra más emblemática. Libertad, Necesidad y Sustancia, entre otros, son conceptos que, desde el suicidio se tensionan mostrando los propios límites del orden geométrico esbozado por Spinoza. ABSTRACT Suicide or spinozian interfictium is at first sight a marginal category in Spinoza's thought. The vast philosophical production on who has been considered the philosopher of the "savage anomaly" or at the same time the "cheerful affects" thinker, ignores or, in the best-case scenario, obliquely addresses the notions of death and suicide. The paradox is complete because the rejection towards the thought of death contrasts with the profuse questioning of the aforesaid category in its Ethics. The goal of this article is to show that the negative expression of suicide, as pure impossibility and servitude with respect to external causes is however, less literal and clear when some central elements of its most emblematic work are incorporated in its analysis. Liberty, Need, and Substance, among others, are concepts that from suicide get tensioned showing the own limits of the geometric order insinuated by Spinoza. (shrink)

Nietzsche’s view of suicide is a topic which in the last years has been the focus of works such as Julian Young’s and Paul S. Loeb’s. Within this context, this paper seeks to add new elements to the discussion. To this purpose, Nietzsche’s attitude to suicide will be explored from two different points of view. The first part of the paper focuses on the distinction between voluntary (free) and involuntary (natural) death. Nietzsche’s appraisal of both will be scrutinized. (...) In particular, through the comparison with the Classical and, especially, Stoic philosophy and through the critique of the religious (particularly Christian) conception of death, it will be shown, among other things, that Nietzsche defends the rationality of suicide, presents a view of voluntary death as emptied of morality and fights against the Christian denaturalization of suicide. In the second part of the paper, suicide will be considered from a philosophical-existentialist viewpoint, that is, as a possible consequence of the meaninglessness of human existence. The problem is to judge whether life is or is not worth living in a world devoid of meaning and purpose. Nietzsche’s attitude to suicide will be analyzed in a chronological way (early, middle and late Nietzsche). Special attention will be given to the role played by art. The relevant conclusion is that, although in different ways, Nietzsche gives an affirmative answer to the question whether life is worth living in a world devoid of meaning and purpose. (shrink)