Euthanasia and Medical Assistance in Dying as Challenges for Physicians’ Well-Being
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While the debate about the ethical and moral implications and contrasting positions on active euthanasia (EU) and medical assistance in dying (MAiD) for terminally ill patients has been part of medicine for a long time, a significant change in the organization of health systems in several countries where these practices are today legal makes this a pressing issue. Since both EU and MAiD may also include patients not at the end of their life but affected by other forms of suffering, such as major neurocognitive disorders (e.g., dementia) or psychiatric disorders (e.g., depression, personality disorders, schizophrenia), that makes their quality of life poor, the challenge for physicians has increased. There are a few studies available on the emotional impact on physicians performing EU and/or MAiD and a relative dearth of research on the characteristics of physicians providing EU and MAiD and how this may influence and impact on physician health and well-being. The psychological implications on physicians of practices involving hastening the death of a patient should be more specifically examined in the light of the professional roles, responsibilities, personal expectations, moral boundaries, and duties associated with the practice of medicine.
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Health care professionals are at risk of suffering and becoming psychologically vulnerable because of emotional exhaustion, detachment toward patients, poor professional accomplishment, moral distress, or even depression and risk of suicide.
“The risk for health care professional to suffer and become psychologically vulnerable because of emotional exhaustion, detachment toward patients, poor professional accomplishment, moral distress, or even depression and risk of suicide should be considered when examining the implications of MAiD-NT [76].”
From Debating Euthanasia and Physician-Assisted Death in People with Psychiatric Disorders (2022) · cites this paper as [76]
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Debating Euthanasia and Physician-Assisted Death in People with Psychiatric Disorders
Grassi, L., Folesani, F., Marella, M., Tiberto, E., Riba, M. B., Bortolotti, L., Toffanin, T., Palagini, L., Belvederi Murri, M., Biancosino, B., et al. (2022) · Current Psychiatry Reports · doi:10.1007/s11920-022-01339-y · Cited by 39 · see citing works
Self-citation
- Authors
- Grassi, L., Gaind, K. S., Nash, T., & Caruso, R.
- Affiliations
- University of Ferrara (IT)
- University of Toronto (CA)
- University of Wales Trinity Saint David (GB)
- Corresponding author
- Grassi, Luigi
- Venue
- Depression, Burnout and Suicide in Physicians
- Publisher
- Springer International Publishing
- Published
- 2021-12-01
- Pages
- 113-125
- OpenAlex
- W3215607073
- Cited by
- 3
- References
- 47
- Citations by year
- 2025: 2 · 2022: 1
- FWCI
- 1.63
- Type
- book chapter
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Springer eBooks (publishedVersion, cc-by-nc-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- euthanasia, medical assistance in dying, physician well-being, psychological distress, professional roles and responsibilities, dying patients, dementia, mental illness, physician characteristics
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