RT Journal A1 McCue JD, Cohen LM T1 FReud's physician-assisted death JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD July 26 VO 159 IS 14 SP 1521 OP 1525 DO 10.1001/archinte.159.14.1521 UL http://dx.doi.org/10.1001/archinte.159.14.1521 AB IN 1923, Sigmund Freud, an academic neurologist and the first psychoanalyst, was found to have a malignant oral epithelioma. By 1939, at the age of 83 years, he had endured for many years the necessity of using crude prostheses simply to talk and eat, terrible suffering from more than 30 surgical procedures, repeated courses of primitive x-ray and radium therapy, and disruptions to his life from Nazi persecution. In spite of the suffering from his chronic illness and disrupted professional life, his record of productivity during those 16 years was impressive. When his pain was no longer bearable, however, he asked his physician to honor a long-standing agreement to assist him in preemption of certain death from cancer.1