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Abstract

When is it appropriate and when is it not appropriate for caregivers to intervene to ease the suffering of others? Suffering is not desirable in itself, but only as a means to some end. If the end (for example, spiritual growth or personal autonomy) is more desirable than the suffering associated with the means (for example, suffering arising from chronic physical pain) is undesirable, then intervention may not be appropriate. As a general rule, the person best located to make such an evaluation of means and ends is the suffering person. There are some exceptions to this rule. Sometimes someone other than the suffering person (for example, a caregiver) may be better located to decide that the suffering should not be ameliorated. However, in making such a decision, careful communication between caregivers and care recipients is necessary to avoid imposing one person's values and beliefs on another.

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References

Breck

(1995). Euthanasia and the quality of life debate. Christian Bioethics, 1 (3), 322, 337.

Caesar

(1993). Taking it like a man: Suffering, sexuality and the war poets: Brooke, Sassoon, Owen, Graves. New York: Manchester University Press.

Callahan

(1993). The troubled dream of life: In search of a peaceful death. New York: Touchstone.

Casey

(1990). Suffering and dying with dignity. In Eigo

F. A.

(Ed.), Suffering and healing in our day (pp. 137–166). Villanova, PA: Villanova University Press.

Cassell

E. J.

(1982). The nature of suffering and the goals of medicine. New England Journal of Medicine, 306 (1), 639–645.

Cassell

E. J.

(1991a). The nature of suffering and the goals of medicine. New York: Oxford University Press.

Cassell

E. J.

(1991b, May-June). Recognizing suffering. Hastings Center Report, 24–31.

Chidwick

(1988). Dying, yet we live: Our spiritual care of the dying. Toronto: Anglican Book Centre.

Edelman

J. T.

(1993). Suffering and the will of God. Faith and Philosophy, 10 (3), 380–388.

10.

Elizabeth BOUVIA, Petitioner, v. SUPERIOR COURT of the state of California for the County of Los Angeles, Respondent, June 5, 1986. 225 Cal. Rptr. 297 (Cal. App. 2 Dist. 1986).

11.

Fulton

(1986). Commentary. In Wald

F. S.

(Ed.), In quest of the spiritual component of care for the terminally ill (pp. 150–157. New Haven: Yale University Press.

12.

Hughes

E. W.

(1995). The act of death and the gift of suffering: A response to Breck, Amundsen, and Bresnahan. Christian Bioethics, 1 (3), 338–345.

13.

Kleinman

(1997). Everything that really matters: Social suffering, subjectivity, and the remaking of human experience in a disordering world. Harvard Theological Review, 90 (3), 315–335.

14.

Kumasaka

(1996). My pain is God's will. American Journal of Nursing, 96 (6), 45–47.

15.

Kupperman

(1994). Suffering, joy, and social choice. Public Affairs Quarterly, 8 (1), 51–65.

16.

Loewy

E. H.

(1991). Suffering and the beneficent community: Beyond libertarianism. Albany: State University of New York Press.

17.

Longaker

(1997). Facing death and finding hope: A guide to the emotional and spiritual care of the dying. New York: Doubleday.

18.

Melzack

(1990). The tragedy of needless pain. Scientific American, 262 (2), 27–33.

19.

O'Brien

M. E.

(1996). Relief of suffering/Where the art and science of medicine meet. Postgraduate Medicine, 99 (6).

20.

Rawlinson

M. C.

(1986). The sense of suffering. The Journal of Medicine and Philosophy, 11, 39–62.

21.

Scarry

(1985). The body in pain: The making and unmaking of the world. New York: Oxford University Press.

22.

S.C.D.F. (1982). Declaration on euthanasia. In Flannery

(Ed.), Vatican Council II: More postconciliar documents (pp. 510–517). Grand Rapids: Wm. B. Eerdmans.

23.

Shaffer

(1976). Pain and suffering. In Spicker

S. F.

& Engelhardt

H. T.

(Eds.), Philosophical dimensions of the neuro-medical sciences (pp. 221–233). Dordrecht: Reidel.

24.

Stump

(1985). The problem of evil. Faith and Philosophy, 2 (4), 392–423.

25.

Twycross

R. G.

(1995). Symptom management in advanced cancer. New York: Radcliffe Medical Press.

A Caregiver's Quandary: How am I to Evaluate and Respond to the Other's Suffering?

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