Cultural, moral, and ethical considerations in the inclusion of nonterminal conditions and mental illness in medical assistance in dying (MAiD) laws.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2025-05-01 DOI:10.1037/rep0000597

Kathleen S Brown

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引用次数: 0

Abstract

Purpose/objective: Medical assistance in dying (MAiD) is permitted in certain U.S. jurisdictions and other countries for suffering associated with terminal physical illness, such as advanced cancer, progressive neurological disease, and major organ failure, in which natural death is foreseeable. In a few European countries and Canada, eligibility for MAiD has recently been extended for nonterminal chronic health conditions and severe psychiatric illnesses that are considered to be irremediable.

Results: For psychologists, this expansion of eligibility for MAiD in other countries raises considerable questions within cultural, moral, and ethical contexts.

Design: This commentary is based on personal reflections within the framework of the foundational principles of rehabilitation psychology given our knowledge of how MAiD potentially differentially impacts the disability community.

Conclusions/implications: Rehabilitation psychologists need to grapple with the complexity of the issues to begin to forecast the research, education, practice standards, and policies that are needed before legislation is proposed in the United States. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

将非绝症和精神疾病纳入临终医疗援助法的文化、道德和伦理考虑。

目的/目标：在某些美国司法管辖区和其他国家，允许对与晚期身体疾病（如晚期癌症、进行性神经系统疾病和主要器官衰竭）相关的痛苦提供临终医疗援助（MAiD），这些疾病可以预见自然死亡。在一些欧洲国家和加拿大，最近延长了被认为无法补救的非晚期慢性健康状况和严重精神疾病的MAiD资格。结果：对于心理学家来说，其他国家MAiD资格的扩大在文化、道德和伦理背景下提出了相当大的问题。设计：这篇评论是基于个人在康复心理学基本原则框架内的思考，考虑到我们对MAiD如何潜在地影响残疾人社区的了解。结论/启示：康复心理学家需要与问题的复杂性作斗争，开始预测在美国提出立法之前所需的研究、教育、实践标准和政策。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.