The good death and the institutionalisation of dying: An interpretive analysis of the Austrian discourse

This article analyses how the discursive production of dying, the good death, and the issue of institutionalisation at the end of life are interrelated. The study empirically investigates a parliamentary enquiry on dying with dignity that took place in Austria between 2014 and 2015. It employs the Sociology of Knowledge Approach to Discourse to analyse parliamentary documents and minutes, written statements submitted by individuals and organisations, as well as newspaper articles. Data analysis shows a restrictive and a permissive normative position considering both killing on request and assisted suicide. Apart from their different political demands, they both reproduce a discourse constructing dying as a longer lasting and painful process striking old or ill people. In order to enable a good death, the dying person needs comprehensive support that the informal social environment is incapable to provide. Thereby, institutionalisation is associated with negative characteristics and at the same time identified as requirement for a good death considering its role in pain management and provision of care. The analysis interprets the call for institutionalisation in the context of medicalisation and the central role of physicians to alleviate pain. The article proposes a differentiated view on institutionalisation processes and practices in end-of-life care, also reflecting the potential of institutionalisation to obstruct fundamental societal transformation.
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research

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AbstractPurpose of ReviewSuicidal behaviours are a challenge for a medical system and public health, partly due to the current lack of evidence-based, effective, rapid tools for suicidal crisis management. Ketamine and its enantiomer esketamine have raised hopes regarding this issue in the recent years. However, their efficacy in suicidal behaviours and mechanisms for it remain a topic of debate.Recent FindingsSubanesthetic ketamine doses rapidly, albeit transiently decrease suicidal ideation, with effects emerging within an hour and persisting up to a week. Current evidence points to various and not necessarily exclusive ...
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research
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Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Editorial Source Type: research
Who remembers Jack Kevorkian, Doctor Death? He was found guilty in 1998 of second-degree murder. Still, it was because of his advocacy that the terminally ill patient’s right to die by physician-assisted suicide was propelled into the public arena. And who can forget Brittany Maynard? It was her advocacy for physician-assisted suicide that reignited the […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions heart failure Pain Management Palliative Care Source Type: blogs
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Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Tags: Original Article Source Type: research
The suicidal thoughts started when Kristina Mossgraber was 17. A loud voice in her head told her that she was a bad person, a failure, better off dead. She cut herself in secret and told no one about the thoughts slamming around her brain, except her pediatrician, who dismissed them as normal teen angst. But her suicidal thoughts and behaviors didn’t stop. “I was so good at hiding it and kind of normalizing it.” She remembers thinking, “I just need to keep these to myself.” She did, all through her 20s and early 30s, until one September day in 2014 she drove three hours from her home in Roches...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Suicide Source Type: news
Jeffrey A. SingerThe Drug Enforcement Administration, having virtually eliminated the diversion of prescription pain relievers into the underground market for nonmedical users, appears to be setting its sights on regulating the medical management of pain, a mission not suited for law enforcement. Acting under the authority of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act), the DEA  announced a proposal to reduce, once again, the national production quotas for fentanyl, morphine, hydromorphone (Dilaudid), oxycodone, and oxymorphone, ...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
CONCLUSIONS: These results provide initial psychometric validation of the SSF for use with adolescents and indicate that it does not need to be adapted or modified for this age group. PMID: 31532846 [PubMed - as supplied by publisher]
Source: Suicide and Life-Threatening Behavior - Category: Psychiatry & Psychology Authors: Tags: Suicide Life Threat Behav Source Type: research
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Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Children and Teens Family Inside Schizophrenia Parenting Bipolar disorder and schizophrenia Family Mental Health family mental illness Helping Families in Mental Health Crisis life with schizophrenia Mental Disorder Mental illness and Source Type: blogs
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Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Children and Teens Family General Inside Schizophrenia Mental Health and Wellness Parenting Bipolar disorder and schizophrenia Family Mental Health family mental illness Helping Families in Mental Health Crisis life with schizophrenia Source Type: blogs
Today’s guest is Okpara Rice, CEO of Tanager Place, a mental health facility for children in Cedar Rapids, Iowa.  Unlike adults, children are not in control of their own environment, and anything that affects a child will affect their families, and vice versa.  So, what is the best way to help these kids?  Join us as Okpara and Gabe talk about the importance of a holistic approach to mental illness in children, approaches which may or may not include medication. SUBSCRIBE &REVIEW   Guest information for ‘Children’s Mental Health’ Podcast Episode Okpara Rice joined Tanager...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Children and Teens Mental Health and Wellness Relationships The Psych Central Show Treatment Source Type: blogs
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