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- W1570541131 abstract "Self-determination has become the central ideal governing medical treatment for patients generally and for terminally ill people specifically. Proponents of physician-assisted suicide set this ideal as their core claim. Opponents assert that the practice, if legally recognized, would inevitably slide into involuntary euthanasia for vulnerable people. This article explores internal tensions within the self-determination ideal as applied to the administration of death that give plausibility to this slippery slope concern. Three different aspects of the self-determination ideal illuminate its vulnerability in approaching death. (1) By tracing the historic development in Western culture of the idea of the rational, secular, self-determining self, the article identifies logical contradictions and vulnerabilities that persist in that idea. (2) By tracing contemporary individual psychological development from infancy into the mature adult attainment of the culturally prized conception of the rational, self-determining self, the article identifies the emotional ambivalence and vulnerabilities that persist in the self-perceptions of normal adults. (3) By tracing the apparently triumphant progression of the self-determination ideal in American cultural history, the article identifies a dark side to this progression, the way in which this ideal both masked and gave impetus to the infliction of terrible oppressions on vulnerable people. The article concludes that these persistent contradictions and vulnerabilities in the self-determination ideal are magnified -- for the culture and for individuals -- by the imminent approach of death, and that this magnification provides an impetus in practice for the slippery slope toward involuntary euthanasia." @default.
- W1570541131 created "2016-06-24" @default.
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- W1570541131 date "1999-09-29" @default.
- W1570541131 modified "2023-09-26" @default.
- W1570541131 title "Self-determination and the Wrongfulness of Death" @default.
- W1570541131 hasPublicationYear "1999" @default.
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