Cover image for Negotiating a good death : euthanasia in the Netherlands
Negotiating a good death : euthanasia in the Netherlands
Pool, Robert, 1955-
Personal Author:
Publication Information:
New York : Haworth Press, [2000]

Physical Description:
xviii, 253 pages ; 22 cm

Format :


Call Number
Material Type
Home Location
Item Holds
R726 .P66 2000 Adult Non-Fiction Central Closed Stacks

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Social Work Theory and Practice with the Terminally Ill, second edition, takes a compassionate look at ways that social workers can help dying people and their families. The social workers who work most effectively with terminally ill patients and their families are the ones who best understand the multifaceted nature of the dying process and its impact on the the patient, the family, and even on the health care professionals who work with patients at the end of life. Dr. Parry--who specializes in dying and bereavement--offers astute observations on the stages of dealing with the diagnosis of a terminal illness and the impending death that patients and their families confront.

This updated second edition provides valuable new information on ways that social workers can help those with AIDS and their families, on traumatic death from any cause, and on the grieving processes of parents.

Social Work Theory and Practice with the Terminally Ill, second edition, also includes stimulating discussions on: the interdisciplinary health team the grieving process professional burnout how social workers adapt to working with dying patients euthanasia and physician-assisted dying living wills and patients'rights In touching case studies, this volume illustrates the particular needs and concerns of the terminally ill and their families--impending losses, financial worries, job concerns, pain, unfinished business, and spiritual needs--and reviews successful interventions used by social workers to help patients and their families work through the dying process.

Table of Contents

Preface. Euthanasia in the Netherlands: Twenty-Five Years of Debatep. xi
The Present Studyp. xv
Acknowledgmentsp. xvii
Chapter 1. Death and the Anthropologist: On the Problem of Studying Euthanasiap. 1
The End: The Death of Davidp. 1
Emotion and the Anthropology of Deathp. 9
Participant Observationp. 12
Performative Ethnographyp. 14
Chapter 2. Euthanasia According to the Rulesp. 17
The Endoscopy Roomp. 17
The Attending Physicianp. 18
Mrs. Keesp. 21
The Sonp. 22
The Psychologistp. 23
The Second Opinionp. 25
Dr. Van Hamp. 26
The Head Nursep. 27
The Daughterp. 29
Euthanasiap. 31
The Coronerp. 32
The Anesthetistp. 32
The Euthanasia Requestp. 35
The Participantsp. 37
Did She Really Want to Die?p. 38
The Rules of Due Carep. 39
On the Role of the Researcher Once Morep. 41
Chapter 3. Where the Responsibility Liesp. 43
Mrs. Van Nellep. 43
She Wants Euthanasia, but She is Afraid to Take the Responsibilityp. 45
Increasing the Morphinep. 49
Was She Suffering Unbearably?p. 55
Did She Really Want to Die?p. 56
Dr. Glas's Intentionp. 59
Assuming Responsibilityp. 62
Chapter 4. The Line Between Euthanasia and Symptom Alleviationp. 65
Mr. Strasser's Denialp. 65
The Reversalp. 67
Gerrit Knol's Interpretationp. 69
Dr. Schuyt's Interpretationp. 72
Was It Euthanasia or Just Symptom Alleviation?p. 77
Chapter 5. Coping with Pressure from the Familyp. 81
Mrs. Lanserp. 81
Mrs. Jonasp. 89
The Euthanasia Requests, the Relatives, and the Conservative Optionp. 94
Chapter 6. A Reflexive Intermezzop. 99
Dialoguep. 99
The Doctors' Discussionp. 100
Themesp. 110
Chapter 7. Turning Off Mr. Joost's Respiratorp. 115
Amyotrophic Lateral Sclerosisp. 115
The Joost Familyp. 116
Shifting the Boundaryp. 120
Turning Off the Respiratorp. 124
What the Nurses Said, and What They Meantp. 128
Doubt, Uncertainty, and Hesitationp. 129
Chapter 8. When Doctors Refuse a Euthanasia Requestp. 135
Mr. Oosten's Euthanasia Requestp. 135
Mr. Oosten's Deathp. 140
The Nursing Recordsp. 140
The Doctors' Interpretationsp. 144
When Is Euthanasia Negotiable?p. 148
Euthanasia and Alleviationp. 154
Chapter 9. The Negotiation Processp. 157
Prerounds Discussion on the AIDS Wardp. 157
Background of the Euthanasia Requestp. 158
The Requestp. 163
Bryan Mayflowerp. 166
The Request Consideredp. 171
Preparationsp. 175
The Mysteryp. 179
Dr. Edelman and the AIDS Patientsp. 180
Was It the Right Decision?p. 184
Chapter 10. Unreported Euthanasiap. 187
Uncle Max's Storyp. 187
Increasing the Morphinep. 193
Euthanasiap. 195
Where Was the Specialist? Dr. Schuyt's Explanationp. 196
The Reason Whyp. 198
Chapter 11. The Social Context of Euthanasiap. 201
The Patientsp. 202
The Relativesp. 204
The Ideology of Easy Deathp. 207
Control and the Negotiation of a Good Deathp. 210
The Doctorsp. 212
The Nursesp. 218
The Culture of the Wardp. 222
Language, Discourse, and Communicationp. 224
Chapter 12. What Is Euthanasia?p. 229
Euthanasia and Assisted Suicidep. 230
Euthanasia and Symptom Alleviationp. 232
Euthanasia and the Withdrawal or Nonimplementation of Life-Prolonging Treatmentp. 234
Euthanasia As Cultural Constructp. 236
Appendix Euthanasia Declarationp. 239
Notesp. 241
Referencesp. 243
Indexp. 245