chapter  30
12 Pages

Grief Dimensions Associated with Hastened Death: Clinical and Ethical Implications: Louis A. Gamino and Clint Moore III

W hen it comes to end-of-life decision making by medical patients with terminal illness, Welfel (2006) summarized ethical controversies that arise when patients approaching the end of life encounter pain and suffering that lead them to consider “hastening” their own deaths:

Situations of hastened death raise clinical questions as well, such as how the mental state of the patient, including grief factors, affects the calculus of decision making. In this chapter, we explore the clinical and ethical problems involved in evaluating and treating an individual contemplating hastened death when faced with the prospect of a potential life-threatening malignancy, using a case study.