Attitudes Toward Euthanasia and Justifying Reasons Of Elderly Israelis and Their Family Members

Abstract

The purpose of the current study was to reach an interpretive understanding of the reasons underlying favorable and unfavorable attitudes of Israeli elderly adults and their family members toward euthanasia. The informants were 47 individuals representing 19 families who were asked for their attitudes toward four case studies that represented withholding and withdrawing treatment, active euthanasia, and physician-assisted death. Results of the grounded theory analysis revealed that most of the participants favored withholding life-sustaining treatment and that almost half of them thought active euthanasia and physician-assisted suicide were morally acceptable as long as the decision was made by the individual patient himself or herself (voluntary). The reasons that justified their attitude positions were named according to six dimensions: promoting life, promoting death, self-control, dele-gators, allowing to die, and one-way street. The analysis further examined similar reasons that were provided as justifications for attitudes by two or more family members. These family reason dimensions were labeled according to their similarities to various ethical perspectives, including character ethics, natural laws, liberal individualism, communitarianism, beneficence, and casuistry. The research highlighted the importance of self-control as a core concern of individuals and family members when addressing the moral issues surrounding euthanasia.     

Parent–child warmth as a potential mediator of childhood exposure to intimate partner violence and positive adulthood functioning

Background and Objectives: Links between childhood exposure to intimate partner violence (IPV) and adult functioning are clear, but less research has examined the potential underpinnings of this association, especially the long-term effects of the parent–child relationship on adult well-being. We hypothesized that (i) childhood exposure to IPV would be negatively related to parent–child warmth and positively related to symptoms of psychopathology during adulthood and (ii) the relationship between IPV exposure and positive outcomes in adulthood (i.e., high life satisfaction and low psychopathology) would be mediated by parent–child warmth. Design: Participants included 703 Swedish adults (20–24). Methods: Participants responded to a self-report survey assessing violence exposure, parental warmth in childhood, and current mental health and well-being. Using multivariate regression and path analysis, models of the relationships between IPV exposure, parent–child warmth, symptoms of psychopathology during adulthood, and life satisfaction were examined. Mediation models were considered exploratory. Results: IPV exposure was related to lower levels of parent–child warmth, higher levels of psychopathology symptoms, and lower life satisfaction. The relationship between IPV exposure and positive outcomes in adulthood was mediated by parent–child warmth. Conclusions: Warm parent–child interactions may play a key role in long-term positive functioning for those exposed to IPV during childhood.