ABSTRACT
This chapter begins by briefly outlining the structure and framework of MAiD in the Canadian context, followed by a constructivist-informed view of MAiD illustrating some of the potential underlying psychological facets in the wish to die. Before considering the clinical implications of a meaning-based approach to MAiD, the people give some attention to the role of the therapist, which may exist both in tension and in harmony with the goals of MAiD. It therefore becomes important to consider the meaning the patient attributes to a conversation with a therapist. This chapter concerns ways to access the untold intersubjective meanings of MAiD. Meaninglessness inhibits fullness of life and is therefore equivalent to illness. The appeal of MAiD seems to be driven in part by the anguish in facing an intolerable intrapsychic state of physical symptomatology.
