Responds to Werth's (1992) arguing for rational suicide for individuals diagnosed with Acquired Immune Deficiency Syndrome (AIDS). Commends Werth's willingness to address issue of rational suicide for individuals diagnosed with AIDS, but expresses concerns about data supporting his rationale and implications for counseling psychology and society…

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)

Evaluated a project to catalyze New York State medical schools to develop and implement strategic plans for curricular change to enhance palliative care education. Found that the project's process of self-assessment and curriculum mapping with the Palliative Education Assessment Tool, along with strategic planning for change, appears to have…

Presents results of an exploratory study of social workers' views on physician-assisted suicide (PAS), situations in which PAS would be favored, and whether there is a difference in education or training on mental health issues, ethics, or suicide between social workers who favor PAS and those who oppose PAS. (BF)

This program guide on the right to die provides policy issue information where ethical concerns have a prominent place. Three positions about the right to die are presented: (1) mercy killing and assisted suicide should be legally permitted in certain cases; (2) legal status should be given to living wills and other advance directives that would…

Examined medical school education on relating to terminally ill patients based on data from national surveys conducted in 1975, 1985, and 1995. The number of schools offering occasional lectures or short courses on death and dying increased from 80% in 1975 to 82% in 1985 to 90% in 1995. (MDM)

Examined circumstances in the last 3 days of life for a sample of 1,227 elderly decedents. Interviews were with a surviving next-of-kin or a nonrelative about three months after the event of death. Around 34% of the decedents knew that death was impending, while about 40% had difficulty recognizing family members. (RJM)

College students (n=228) completed a suicide ideation questionnaire and read one of 4 scenarios: cancer, AIDS, schizophrenia, and depression. People in the cancer and AIDS scenario were viewed as the most justified in committing suicide. Suicide ideators saw the people in the scenarios as justified in committing suicide more often than did…

Conducted national survey of public opinion on age-based rationing of health care resources. Oversampled older adults to allow more precise comparisons of attitude by age cohort as well as by other demographic variables. Found majority of people accepted withholding of life-prolonging medical care to hopelessly ill patients, but few would…

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.…

The relationship between medical illness and suicide seems to be multi-faceted. While medical illness is not the sole determinant of suicide, certain illnesses, such as HIV/AIDS and brain cancers, do appear to elevate the risk of suicide. Possible effective prevention efforts include education of primary care providers, and improved medication…

The belief that dying and grieving are natural processes is widely held in modern bereavement care. Examines four assumption often made in this connection: (1) most primitive cultures deal with death in an accepting way; (2) this way is different than our own; (3) it is a good and noble way; and (4) traditional societies see death as natural. (JBJ)

Discusses progeria (or Hutchinson-Gilford syndrome), a rare childhood disorder that invariably results in death during adolescence. Describes the major medical aspects of progeria, and discusses the psychosocial implications of the disorder with particular emphasis on grief-triggered reactions. Presents an overview of psychosocial intervention…

Presents findings from a mail survey of 414 persons regarding organ transplantation and donation policy issues. Gauged three measures of support for organ donation: donor card commitment, required request of next-of-kin support, and weak presumed consent support. High levels of support exist for organ donor cards and the next-of-kin law. Little…

Purpose: This study explored the psychosocial dynamics of short hospice stays (less than 2 weeks) of cancer patients age 65 and older. Design and Methods: In-depth interviews with 59 caregivers of 50 patients were audiotaped, transcribed, and coded by using Atlas ti software. Results: A descriptive typology is presented. A late diagnosis (n = 22…