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Japanese Psychiatrists' Attitudes toward Patients Wishing to Die in the General Hospital: A Cultural Perspective

  • Douglas Berger (a1), Yoshitomo Takahashi (a2), Isao Fukunishi (a3), Takashi Hosaka (a4), Mary Alice O'Dowd (a5), Yutaka Ono (a6), Tomifusa Kuboki (a7) and Yoshihiro Ishikawa (a8)...

In 1961 in Japan, the son of a hospitalized man suffering from severe pain after a stroke mixed a cup of milk with insecticide and arranged for his unsuspecting mother to give this to the patient, who had requested that his son assist him in dying. The son could not endure his father's condition and killed him in order to show his love.

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3. Anonymous. Doctor free in case of mercy killing. Asahi Evening News 1995 03 28:1(col 5).

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5. See note 2, Hoshino, 1993.

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8. See note 4, Anonymous 1995.

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12. See note 7, Kito, 1993.

13. See note 9, Anonymous 1994.

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15. See note 14, Takahashi, 1995.

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20. Ganzini, L et al. , The effect of depression treatment on elderly patients' preferences for lifesustaining medical therapy. American Journal of Psychiatry 1994;151:1631–6.

21. Brown, JH et al. , Is it normal for terminally ill patients to desire death? American Journal of Psychiatry 1986;143:208–11.

22. Chochinov, HM et al. , Desire for death in the terminally ill. American Journal of Psychiatry 1995;152:1185–91.

23. See note 7, Kito, 1993.

24. See note 16, Sullivan, and Youngner, 1994.

25. See note 20, Ganzini, et al. , 1994.

26. Cohen, JS et al. , Attitudes toward assisted suicide and euthanasia among physicians in Washington State. New England Journal of Medicine 1994;331:8994.

27. See note 20, Ganzini, et al. , 1994.

28. See note 22, Chochinov, et al. , 1995;152:1185–91.

29. See note 11, Takahashi, and Berger, 1996:248–58.

30. Ching, JWJ et al. , Perceptions of family values and roles among Japanese Americans: clinical considerations. American Journal of Orthopsychiatry 1995;65(2):216–24.

31. Berger, D. On the practice of medicine and on the culture and customs in Japan. Tokai Journal of Experimental and Clinical Medicine 1985;10(6):637–45.

32. See note 20, Ganzini, et al. , 1994.

33. See note 16, Brown, et al. , 1986.

34. See note 22, Chochinov, et al. , 1995.

35. See note 20, Ganzini, et al. , 1994.

36. See note 22, Chochinov, et al. , 1995.

37. Berger, D. Suicide evaluation in medical patients: a pilot study. General Hospital Psychiatry 1993;15(2):7581.

38. Berger, D. Suicide risk in the general hospital. Psychiatry and Clinical Neurosciences 1995;49 (Suppl l):S85–9.

39. Swartz, CM, Stewart, C. Melancholia and orders to restrict resuscitation. Hospital and Community Psychiatry 1991;42:189–91.

40. See note 37, Berger, 1993.

41. See note 38, Berger, 1995.

42. See note 20, Ganzini, et al. , 1994.

43. See note 16, Sullivan, , Youngner, 1994.

44. See note 5, Takeo, et al. , 1991.

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Cambridge Quarterly of Healthcare Ethics
  • ISSN: 0963-1801
  • EISSN: 1469-2147
  • URL: /core/journals/cambridge-quarterly-of-healthcare-ethics
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