Presents argument in favor of being supportive of terminally-ill person's choice to deny death's inevitability. Presents illustrative case study on choice of denial and draws upon supportive work of some of foremost experts in the field of death and dying. Addresses implications for dying person's counselor and consequences for dying person's…

Explores issues related to "right to die." Makes case for counselors to assist clients and families with concerns related to refusal or withdrawal of medical treatment in cases of terminal illness or in cases where quality of life is severely impaired such as permanent comatose state. Presents historical, ethical, and legal perspectives.…

This article presents a review of the literature on counseling adults with terminal illness, particularly the literature on the nature of preparation that counselors and other professionals who attend to the needs of adults with a terminal illness require. The authors review information and findings from philosophical, psychological, practical,…

Notes that role of psychologist on palliative care unit is to be there for terminally ill, their friends, and their families, both during the dying and the bereavement and for the caregiver team. Focuses on work of decoding ordinary words which for many patients hide painful past. Stresses necessity to remain open to unexpected. (Author/NB)

Explores many dimensions of suicide among the terminally ill, including preemptive, surcease, and rational suicide. The critical issues addressed are the incidence of suicide in HIV-positive individuals, contributing factors associated with the risk of suicide among people with HIV/AIDS, and the clinical and ethical implications of this issue for…

Whether or not suicide may be considered a rational choice for clients with terminal illness is controversial. Rational suicide and the literature and statistics pertaining to suicide and terminal illness are reviewed. Implications of accepting rational suicide as a treatment option, including moral and ethical issues, are addressed. (Author/EMK)

The rational suicide paradigm is contrasted with the traditional view of the mental health professions. Historical background on suicide in western civilization is supplied and the concept of rationality elucidated. Parallels between the questions of refusing life-prolonging therapy and rational suicide are discussed, as are reasons for suicide.…

Presents evidence for heightened need among dying to explore religious-spiritual issues and explains how counselors might best approach this need. Approach explicated centers on nonjudgmental openness toward all of client's religious-spiritual explorations. Presents psychosocial tools than can be used to assess, examine, and amplify client's…

Logical analysis of arguments in favor of rational suicide reveals 11 commonly encountered premises. These premises are listed, analyzed, and discussed. The arguments of the rational suicide literature are criticized on historical and philosophical grounds. Consensus-based reasonableness is found to provide an insubstantial base for social policy.…

The success of crisis intervention work with international students is highly dependent not only on the skill of the professional staff involved, but also the availability and use of other student services that may be provided to the International Student Services (ISS) Office. There are many cultural issues that must be considered when counseling…

This study examined the work behaviors of individuals with graduate degrees who provide clinical services to terminally ill individuals, family members, and the bereaved. An instrument was developed to assess the frequency and importance of work behaviors of individuals working with dying individuals and their families. Participants were randomly…

Responds to previous article by Douglas C. Smith on exploring the religious-spiritual needs of the dying in which Smith presents psychosocial tools than can be used to assess, examine, and amplify client's religious-spiritual strengths. Compares Smith's work to classic values clarification, addresses issues of counselor judgment and informed…

Alternative perspectives are presented on the issue of rational suicide. An operational definition is provided; areas needing clarification are highlighted. The meta-issues are reviewed with regard to specific points raised by Lokhandwala and Westefeld. Concerns with research often cited to question the possibility of rational suicide are…

This paper provides a personal account of the process of psychotherapy for Acquired Immune Deficiency Syndrome (AIDS) patients, as seen from both the client's and the psychotherapist's perspective, with a focus on countertransference issues found in the early phases of treatment. Based on case material, the discussion explores themes presented by…

At the end of the 1980s, counselors largely lacked an integrated approach to counseling people living with HIV disease. This book describes the experience of counseling this group of persons. The major premise here is that counselors who counsel HIV-positive clients must come to understand and affirm their clients' experiences. The text defines a…