
Contents
-
-
-
-
-
-
-
-
-
-
-
Introduction Introduction
-
Historical Evolution Historical Evolution
-
International MAiD Legislation International MAiD Legislation
-
MAiD and Palliative Care MAiD and Palliative Care
-
MAiD and Psychiatry MAiD and Psychiatry
-
MAiD Practice Points MAiD Practice Points
-
Patient Factors and Family Impacts of MAiD Patient Factors and Family Impacts of MAiD
-
Impacts of MAiD on Medicine Impacts of MAiD on Medicine
-
Impact of MAiD on Healthcare Providers Impact of MAiD on Healthcare Providers
-
Future Directions Future Directions
-
Key Points Key Points
-
References References
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8 C8Medical Assistance in Dying
Get access-
Published:December 2022
Cite
Abstract
Medical assistance in dying (MAiD) is increasingly garnering global support, with 24 jurisdictions having legalized one or more forms of MAiD and several more considering legislation. In this chapter, the authors present a historical and global overview of MAiD; characteristics of individuals who pursue it; impacts of MAiD on family, health professionals, and medicine; and key practice challenges of MAiD with case illustrations. The majority of those who pursue MAiD receive palliative care services, and there has been little global evidence of MAiD being disproportionately provided to unwilling or vulnerable populations. The most common reason cited by individuals who receive MAiD is psychological distress, including loss of autonomy, dignity, and ability to participate in valued activities. Patients with significant depressive symptoms or death anxiety are often ambivalent about their MAiD requests. Paramount in ensuring that MAiD is delivered safely and ethically is differentiating the desire for death as an indicator of pathology from that as a rational choice undertaken by an autonomous individual. A common reason for psychiatric referral in MAiD is the determination of capacity. However, palliative psychiatry is also uniquely positioned to conduct psychodiagnostic assessment and deliver psychotherapeutic interventions to relieve existential suffering. Palliative psychiatry should play a significant role in developing frameworks and safeguards in jurisdictions considering expansion of MAiD to controversial areas such as mature minors, for psychiatric disorders, and as advance requests.
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
March 2023 | 3 |
May 2023 | 7 |
July 2023 | 1 |
September 2023 | 6 |
October 2023 | 2 |
December 2023 | 1 |
January 2024 | 2 |
April 2024 | 4 |
May 2024 | 3 |
June 2024 | 1 |
July 2024 | 1 |
August 2024 | 3 |
January 2025 | 3 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.