Editor's Correspondence |

Freud's Death—Reply

Lewis M. Cohen, MD; Jack D. McCue, MD
Arch Intern Med. 2000;160(1):118. doi:.
Text Size: A A A
Published online


In reply

All 3 letters responding to our article1 that was recently published in the ARCHIVES reveal an appreciation of the semantic issues and strong emotional currents that are evident when one tries to label Freud's death a physician-assisted suicide, euthanasia, or terminal sedation. The title of our article was carefully chosen to provoke the reader to think about these issues. We recognize that the differences between these terms have crucial importance, and we believe that the text Schur provided leaves things somewhat ambiguous. If he performed a physician-assisted suicide, then it was the European (the Netherlands) form of this procedure and not the American (Oregon) approach (that entails writing a prescription permitting the patient to end his or her life). Many readers may be more comfortable with viewing Freud's death as an example of terminal sedation. By today's standards, this is an acceptable form of palliative care that is offered to help relieve unendurable suffering. However, even this approach is not without controversy, and when Billings and Block2 described terminal sedation as being slow euthanasia, they were pummeled by an unexpected onslaught of commentaries and replies.3

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles