dianna
2nd November 2013, 22:02
I do not know a single person that this topic has not touched ...
fe·lo-de-se [fel-oh-di-see, -sey]
noun, plural fe·lo·nes-de-se [fel-uh-neez-di-see, -sey, fuh-loh-neez-] fe·los-de-se [fel-ohz-di-see, -sey]
1.a person who commits suicide or commits an unlawful malicious act resulting in his or her own death.
2.the act of suicide.
"Suicide is Painless"
http://www.youtube.com/watch?v=y-JCQep-H3Y
Suicide
Throughout history, suicide has evoked an astonishingly wide range of reactions—bafflement, dismissal, heroic glorification, sympathy, anger, moral or religious condemnation—but it is never uncontroversial. Suicide is now an object of multidisciplinary scientific study, with sociology, anthropology, psychology, and psychiatry each providing important insights into suicide. Particularly promising are the significant advances being made in our scientific understanding of the neurological and genetic bases of suicidal behavior and the mental conditions associated with it. Nonetheless, many of the most controversial questions surrounding suicide are philosophical. For philosophers, suicide raises a host of conceptual, moral, and psychological questions. Among these questions are: What makes a person's behavior suicidal? What motivates such behavior? Is suicide morally permissible, or even morally required in some extraordinary circumstances? Is suicidal behavior rational? This article will examine the main currents of historical and contemporary philosophical thought surrounding these questions.
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2. Highlights of Historical Thought
2.1 Ancient and Classical Views of Suicide
Philosophical discourse about suicide stretches back at least to the time of Plato. Still, prior to the Stoics at least, suicide tended to get sporadic rather than systematic attention from philosophers in the ancient Mediterranean world. As John Cooper has noted , neither ancient Greek nor Latin had a single word that aptly translates our ‘suicide,’ even though most of the ancient city-states criminalized self-killing.
Plato explicitly discussed suicide in two works. First, in Phaedo, Socrates expresses guarded enthusiasm for the thesis, associated with the Pythagoreans, that suicide is always wrong because it represents our releasing ourselves (i.e., our souls) from a “guard-post” (i.e., our bodies) the gods have placed us in as a form of punishment (Phaedo 61b-62c). Later, in the Laws, Plato claimed that suicide is disgraceful and its perpetrators should be buried in unmarked graves. However, Plato recognized four exceptions to this principle:
(1) when one's mind is morally corrupted and one's character can therefore not be salvaged ,
(2) when the self-killing is done by judicial order, as in the case of Socrates,
(3) when the self-killing is compelled by extreme and unavoidable personal misfortune, and
(4) when the self-killing results from shame at having participated in grossly unjust actions .
Suicide under these circumstances can be excused, but, according to Plato, it is otherwise an act of cowardice or laziness undertaken by individuals too delicate to manage life's vicissitudes. Aristotle's only discussion of suicide (Nicomachean Ethics 1138a5–14) occurs in the midst of a discussion of the possibility of treating oneself unjustly. Aristotle concludes that self-killing does not treat oneself unjustly so long as it is done voluntarily because the harm done to oneself is consensual. He concludes that suicide is somehow a wrong to the state or the community, though he does not outline the nature of this wrong or the specific vices that suicidal individuals exhibit.
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When a man's circumstances contain a preponderance of things in accordance with nature, it is appropriate for him to remain alive; when he possesses or sees in prospect a majority of the contrary things, it is appropriate for him to depart from life…. Even for the foolish, who are also miserable, it is appropriate for them to remain alive if they possess a predominance of those things which we pronounce to be in accordance with nature (Cicero, III, 60–61).
Hence, not only may concerns related to one's obligations to others justify suicide, but one's own private good is relevant too. The Roman Stoic Seneca, who was himself compelled to commit suicide, was even bolder, claiming that since “mere living is not a good, but living well”, a wise person “lives as long as he ought, not as long as he can.” For Seneca, it is the quality, not the quantity, of one's life that matters.
2.2 The Christian Prohibition
The advent of institutional Christianity was perhaps the most important event in the philosophical history of suicide, for Christian doctrine has by and large held that suicide is morally wrong, despite the fact that no passage in Scripture unequivocally condemns suicide. Although the early church fathers opposed suicide, St. Augustine is generally credited with offering the first justification of the Christian prohibition on suicide (Amundsen 1989). He saw the prohibition as a natural extension of the fifth commandment:
God's command ‘Thou shalt not kill,’ is to be taken as forbidding self-destruction, especially as it does not add ‘thy neighbor’, as it does when it forbids false witness, ‘Thou shalt not bear false witness against thy neighbor’ (Augustine, book I, chapter 20).
Suicide, Augustine determined, was an unrepentable sin. St. Thomas Aquinas later defended this prohibition on three grounds.
(1) Suicide is contrary to natural self-love, whose aim is to preserve us.
(2) Suicide injures the community of which an individual is a part.
(3) Suicide violates our duty to God because God has given us life as a gift and in taking our lives we violate His right to determine the duration of our earthly existence .
This conclusion was codified in the medieval doctrine that suicide nullified human beings' relationship to God, for our control over our body was limited to usus (possession, employment) where God retained dominium (dominion, authority). Law and popular practice in the Middle Ages sanctioned the desecration of the suicidal corpse, along with confiscation of the individual's property and denial of Christian burial.
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In all likelihood, the first comprehensive modern defense of suicide was John Donne's Biathanatos.
Not intended for publication, Biathanatos drew upon an array of classical and modern legal and theological sources to argue that Christian doctrine should not hold that suicide is necessarily sinful. His critique is in effect internal, drawing upon the logic of Christian thought itself to suggest that suicide is not contrary to the laws of nature, of reason, or of God. Were it contrary to the law of nature mandating self-preservation, all acts of self-denial or privation would be similarly unlawful. Moreover, there may be circumstances in which reason might recommend suicide. Finally, Donne observes, not only does Biblical Scripture lack a clear condemnation of suicide, Christian doctrine has permitted other forms of killing such as martyrdom, capital punishment and killing in wartime (Minois 1999, 20–21).
2.3 The Enlightenment and Modern Developments
Donne's casuistical treatise was an early example of the liberalized Enlightenment attitudes of the 1700's. The Thomistic natural-law stance on suicide came under increasing attack as suicide was examined through the lens of science and psychology. Where Christian theology has understood suicide as “an affair between the devil and the individual sinner” (Minois 1999, 300), Enlightenment philosophers tended to conceive of suicide in secular terms, as resulting from facts about individuals, their natural psychologies, and their particular social settings. David Hume gave voice to this new approach with a direct assault on the Thomistic position in his unpublished essay “Of suicide” (1783). Hume saw traditional attitudes toward suicide as muddled and superstitious. According to the Thomistic argument, suicide violates the order God established for the world and usurps God's prerogative in determining when we shall die. Hume's argument against this thesis is intricate and rests on the following considerations:
If by the ‘divine order’ is meant the causal laws created by God, then it would always be wrong to contravene these laws for the sake of our own happiness. But clearly it is not wrong, since God frequently permits us to contravene these laws, for he does not expect us not to respond to disease or other calamities. Therefore, there is not apparent justification, as Hume put it, for God's permitting us to disturb nature in some circumstances but not in others. Just as God permits us to divert rivers for irrigation, so too ought he permit us to divert blood from our veins.
If by ‘divine order’ is meant the natural laws God has willed for us, which are (a) discerned by reason, (b) such that adherence to them will produce our happiness, then why should not suicide conform to such laws when it appears rational to us that the balance of our happiness is best served by dying?
Finally if by ‘divine order’ is meant simply that which occurs according to God's consent, then God appears to consent to all our actions (since an omnipotent God can presumably intervene in our acts at any point) and no distinction exists between those of our actions to which God consents and those to which He does not. If God has placed us upon the Earth like a “sentinel,” then our choosing to leave this post and take our lives occurs as much with his cooperation as with any other act we perform.
Furthermore, suicide does not necessarily violate any duties toward other people, according to Hume. Reciprocity may require that we benefit society in exchange for the benefits it provides, but surely such reciprocity reaches its limit when by living we provide only a “frivolous advantage” to society at the expense of significant harm or suffering for ourselves. In more extreme situations, we are actually burdens to others, in which case our deaths are not only “innocent, but laudable.”
Finally, Hume rejects the thesis that suicide violates our duties to self. Sickness, old age, and other misfortunes can make life sufficiently miserable that continued existence is worse than death. As to worries that people are likely to attempt to take their lives capriciously, Hume replies that our natural fear of death ensures that only after careful deliberation and assessment of our future prospects will we have the courage and clarity of mind to kill ourselves.
In the end, Hume concludes that suicide “may be free of imputation of guilt and blame.” His position is largely utilitarian, allied with a strong presumption of personal liberty. The Enlightenment was of course not univocal in its comparatively permissive attitudes toward suicide. The most noteworthy opponent of suicide in this period was Immanuel Kant. Kant's arguments, though they reflect earlier natural law arguments, draw upon his view of moral worth as emanating from the autonomous rational wills of individuals (Cholbi 2000, 2010). For Kant, our rational wills are the source of our moral duty, and it is therefore a kind of practical contradiction to suppose that the same will can permissibly destroy the very body that carries out its volitions and choices. Given the distinctive worth of an autonomous rational will, suicide is an attack on the very source of moral authority.
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Suicide was an important concern for the twentieth century existentialists, who saw the choice to take one's life as impressed upon us by our experience of the absurdity or meaninglessness of the world and of human endeavor. Albert Camus illustrated this absurdity in his philosophical essay The Myth of Sisyphus. For Camus, Sisyphus heroically does not try to escape his absurd task, but instead perseveres and in so doing resists the lure of suicide. Suicide, Camus contends, tempts us with the promise of an illusory freedom from the absurdity of our existence, but is in the end an abdication of our responsibility to confront or embrace that absurdity head on.
Jean-Paul Sartre was likewise struck by the possibility of suicide as an assertion of authentic human will in the face of absurdity. Suicide represents, according to Sartre, an opportunity to stake out our understanding of our essence as individuals in a godless world. For the existentialists, suicide was not a choice shaped mainly by moral considerations but by concerns about the individual as the sole source of meaning in a meaningless universe.
3. The Morality and Rationality of Suicide
3.1 Moral Permissibility
The principal moral issue surrounding suicide has been
Are there conditions under which suicide is morally justified, and if so, which conditions?
Several important historical answers to (1) have already been mentioned.
This question should be distinguished from three others:
Should other individuals attempt to prevent suicide?
Should the state criminalize suicide or attempt to prevent it?
Is suicide ever rational or prudent?
Obviously, answers to any one of these four questions will bear on how the other three ought to be answered. For instance, it might be assumed that if suicide is morally permissible in some circumstances, then neither other individuals nor the state should interfere with suicidal behavior (in those same circumstances). However, this conclusion might not follow if those same suicidal individuals are irrational and interference is required in order to prevent them from taking their lives, an outcome they would regret were they more fully rational. Furthermore, for those moral theories that emphasize rational autonomy, whether an individual has rationally chosen to take her own life may settle all four questions. In any event, the interrelationships among suicide's moral permissibility, its rationality, and the duties of others and of society as a whole is complex, and we should be wary of assuming that an answer to any one of these four questions decisively settles the other three.
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3.3 Religious Arguments
Two general categories of arguments for the moral impermissibility of suicide have emerged from the Christian religious tradition. The first of these is the aforementioned Thomistic natural law position, critiqued by Hume (see section 2.3) According to this tradition, suicide violates the natural law God has created to govern the natural world and human existence. This natural law can be conceived of in terms of (a) natural causal laws, such that suicide violates this causal order, (b) teleological laws, according to which all natural beings seek to preserve themselves, or (c) the laws governing human nature, from which it follows that suicide is ‘unnatural’ (Pabst Battin 1996, 41–48). These natural law arguments are no longer the main focus of philosophical discussion, as they have been subjected to strenuous criticism by Hume and others (though see Gay-Williams 1996). These criticisms include the following: (1) the natural law arguments cannot be disentangled from a highly speculative theistic metaphysics; (2) the claims of natural law are confuted by observations of human nature (e.g., the existence of self-destructive human behaviors casts doubt on the claim that we “naturally” preserve ourselves); and (3) other acts (e.g., religious martyrdom) which God is assumed not to condemn, also violate these natural laws, making the prohibition on suicide appear arbitrary.
The second general category of religious arguments rest on analogies concerning the relationship between God and humanity. For the most part, these arguments aim to establish that God, and not human individuals, has the proper moral authority to determine the circumstances of their deaths. One historically prominent analogy (suggested by Aquinas and Locke) states that we are God's property and so suicide is a wrong to God akin to theft or destruction of property. This analogy seems weak on several fronts. First, if we are God's property, we are an odd sort of property, in that God apparently bestowed upon us free will that permits us to act in ways that are inconsistent with God's wishes or intentions. It is difficult to see how an autonomous entity with free will can be subject to the kind of control or dominion to which other sorts of property are subject. Second, the argument appears to rest on the assumption that God does not wish his property destroyed. Yet given the traditional theistic conception of God as not lacking in any way, how could the destruction of something God owns (a human life) be a harm to God or to his interests (Holley 1989, 105)? Third, it is difficult to reconcile this argument with the claim that God is all-loving. If a person's life is sufficiently bad, an all-loving God might permit his property to be destroyed through suicide. Finally, some have questioned the extent of the duties imposed by God's property right in us by arguing that the destruction of property might be morally justified in order to prevent significant harm to oneself. If the only available means to saving myself from a ticking bomb is to stash it in the trunk of the nearest car to dampen the blast, and the nearest car belongs to my neighbor, then destroying his property appears justified in order to avoid serious harm to myself. Likewise, if only by killing myself can I avoid a serious future harm to myself, I appear justified in destroying my life even if it is God's property.
Another common analogy asserts that God bestows life upon us a gift, and it would be a mark of ingratitude or neglect to reject that gift by taking our lives. The obvious weakness with this “gift analogy” is that a gift, genuinely given, does not come with conditions such as that suggested by the analogy, i.e., once given, a gift becomes the property of its recipient and its giver no longer has any claim on what the recipient does with this gift. It may perhaps be imprudent to waste an especially valuable gift, but it does not appear to be unjust to a gift giver to do so. As Kluge (1975, 124) put it, “a gift we cannot reject is not a gift”. A variation of this line of argument holds that we owe God a debt of gratitude for our lives, and so to kill ourselves would be disrespectful or even insulting to God, (Ramsey 1978, 146) or would amount to an irresponsible use of this gift. Yet this variation does not really evade the criticism directed at the first version: Even if we owe God a debt of gratitude, disposing of our lives does not seem inconsistent with our expressing gratitude for having lived at all (Beauchamp 1992). Furthermore, if a person's life is rife with misery and unhappiness, it is far from clear that she owes God much in the way of gratitude for this apparently ill-chosen “gift” of life. Defenders of the gift analogy must therefore defend the claim that life, simply because it is given to us by a loving God, is an expression of God's benevolent nature and is therefore necessarily a benefit to us (Holley 1989, 113–114).
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3.4 Libertarian Views and the Right to Suicide
For libertarians, suicide is morally permissible because individuals enjoy a right to suicide. (It does not of course follow that suicide is necessarily rational or prudent.) Libertarianism, which has historical precedent in the Stoics and in Schopenhauer, is strongly associated with the ‘anti-psychiatry’ movement of the last half century. According to that movement, attempts by the state or by the medical profession to interfere with suicidal behavior are essentially coercive attempts to pathologize morally permissible exercises of individual freedom (Szasz 2002).
Libertarianism typically asserts that the right to suicide is a right of noninterference, to wit, that others are morally barred from interfering with suicidal behavior. Some assert the stronger claim that the right to suicide is a liberty right, such that individuals have no duty not to commit suicide (i.e., that suicide violates no moral duties), or a claim right, according to which other individuals may be morally obliged not only not to interfere with a person's suicidal behavior but to assist in that behavior. (See the entry on rights.) Our having a claim right to suicide implies that we also have rights of noninterference and of liberty and is a central worry about physician-assisted suicide (Pabst Battin 1996, 163–164). Since whether we have a liberty right to suicide concerns whether it violates other moral obligations, including obligations to other people, I shall leave discussion of that issue to section 3.5 and focus here on whether there is a right of noninterference.
A popular basis supporting a right to suicide is the idea that we own our bodies and hence are morally permitted to dispose of them as we wish. (Recall from section 3.3 that some religious arguments for the impermissibility of suicide depend on God's ownership of our bodies.) On this view, our relationship to our bodies is like that of our relationship to other items over which we enjoy property rights: Just as our having a right to a wristwatch permits us to use, improve, and dispose of it as we wish, so too does our having a right to our bodies permit us to dispose of them as we see fit.
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Another rationale for a right of noninterference is the claim that we have a general right to decide those matters that are most intimately connected to our well-being, including the duration of our lives and the circumstances of our deaths. On this view, the right to suicide follows from a deeper right to self-determination, a right to shape the circumstances of our lives so long as we do not harm or imperil others.
As presented in the “death with dignity” movement, the right to suicide is the natural corollary of the right to life. That is, because individuals have the right not to be killed by others, the only person with the moral right to determine the circumstances of a person's death is that person herself and others are therefore barred from trying to prevent a person's efforts at self-inflicted death.
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3.5 Social, Utilitarian, and Role-Based Arguments
A fourth approach to the question of suicide's permissibility asks not whether others may interfere with suicidal behavior but whether we have a liberty right to suicide, whether, that is, suicide violates any moral duties to others. Those who argue that suicide can violate our duties to others generally claim that suicide can harm either specific others (family, friends, etc.) or is a harm to the community as a whole.
No doubt the suicide of a family member or loved one produces a number of harmful psychological and economic effects. In addition to the usual grief, suicide “survivors” confront a complex array of feelings. Various forms of guilt are quite common, such as that arising from
(a) the belief that one contributed to the suicidal person's anguish, or
(b) the failure to recognize that anguish, or
(c) the inability to prevent the suicidal act itself. Suicide also leads to rage, loneliness, and awareness of vulnerability in those left behind. Indeed, the sense that suicide is an essentially selfish act dominates many popular perceptions of suicide (Fedden 1938, 209). Still, some of these reactions may be due to the strong stigma and shame associated with suicide, in which case these reactions cannot, without logical circularity, be invoked in arguments that suicide is wrong because it produces these psychological reactions.
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A second brand of social argument echoes Aristotle in asserting that suicide is harm to the community or the state. One general form such arguments take is that because a community depends on the economic and social productivity of its members, its members have an obligation to contribute to their society, an obligation clearly violated by suicide (Pabst Battin 1996, 70–78, Cholbi 2011, 58–60). For example, suicide denies a society the labor provided by its members, or in the case of those with irreplaceable talents such as medicine, art, or political leadership, the crucial goods their talents enable them to provide. Another version states that suicide deprives society of whatever individuals might contribute to society morally (by way of charity, beneficence, moral example, etc.) Still, it is difficult to show that a society has a moral claim on its members' labor, talents, or virtue that compels its members to contribute to societal well-being no matter what. After all, individuals often fail to contribute as much as they might in terms of their labor or special talents without incurring moral blame. It does not therefore seem to be the case that individuals are morally required to benefit society in whatever way they are capable, regardless of the harms to themselves. Again, this line of argument appears to show at most only that suicide is sometimes wrong, namely, when the benefit (in terms of future harm not suffered) the individual gains by dying is less than the benefits she would deny to society by dying.
A modification of this argument claims that suicide violates a person's duty of reciprocity to society (Cholbi 2011, 60–62). On this view, an individual and the society in which she lives stand in a reciprocal relationship such that in exchange for the goods the society has provided to the individual, the individual must continue to live in order to provide her society with the goods that relationship demands. Yet in envisioning the relationship between society and the individual as quasi-contractual in nature, the reciprocity argument reveals its principal flaw: The conditions of this “contract” may not be met, and also, once met, impose no further obligations upon the parties. As Baron d'Holbach (1970, 136–137) pointed out, the contract between an individual and her society is a conditional one, presupposing “mutual advantages between the contracting parties.” Hence, if a society fails to fulfill its obligations under the contract, namely to provide individuals with the goods needed for a decent quality of life, then the individual is not morally required to live in order to reciprocate an arrangement that society has already reneged on. Moreover, once an individual has discharged her obligations under this societal contract, she no longer is under an obligation to continue her life. Hence, the aged or others who have already made substantial contributions to societal welfare would be morally permitted to commit suicide under this argument.
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3.7 Autonomy, Rationality, and Responsibility
A more restricted version of the claim that we have a right to noninterference regarding suicide holds that suicide is permitted so long as—leaving aside questions of duties to others—it is rationally chosen. In a similar vein, Kantians might claim that suicidal choices must be respected if those choices are autonomous, that is, if an individual chooses to end her life on the basis of reasons that she acknowledges as relevant to her situation. Such positions are narrower than the libertarian view, in that they permit suicide only when it is performed on a rational basis (or a rational basis that the individual acknowledges as relevant to her situation) and permits others to interfere only when it is not performed on that basis.
One initial challenge to the possibility of rational suicide rests on the notion that suicide, being a choice to end one's life, is necessarily irrational. The thought here is that any coherent judgment of suicide's rationality requires comparing the state of being alive (or continuing to live) with being dead. But either because no one has sufficient knowledge of the state of being dead (Devine 1978) or because suicide ensures that the suicidal person has no future to look forward to (Cowley 2006), judgments that ending one's life is rational are incoherent or misplaced.
In recent years, this 'two-state' requirement (that death can only be judged rational or irrational if it is possible to compare the state of being alive with the state of being dead) has been widely rejected. In particular, the rationality of the decision to end one's life need not be construed in terms of the value of being alive versus the value of being dead (Luper 2009, 82–88). What those contemplating ending their lives are considering are different durations of their lives, or as Richard Brandt put it:
The person who is contemplating suicide is obviously making a choice between future world-courses: the world-course that includes his demise, say, an hour from now, and several possible ones that contain his demise at a later point… The basic question a person must answer in order to determine which world-course is best or rational for him to choose, is which he would choose under conditions of optimal use of information, when all of his desires are taken into account. (Brandt 1975).
Hence, on this view, a rational judgment about one's own death requires a comparison between the overall goodness of one's life as it would be if it continued on its present course and the overall goodness of one's life if that life ended before its present course. This view has given rise to a rich philosophical literature trying to identify the conditions under which a person's decision to die is rational. For the most part, this literature divides the conditions for rational suicide into cognitive conditions, conditions ensuring that individuals' appraisals of their situation are rational and well-informed, and interest conditions, conditions ensuring that suicide in fact accords with individuals' considered interests.
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For the most part, suicidal individuals do not manifest signs of systemic irrationality, much the less the signs of legally definable insanity, and engage in suicidal conduct voluntarily. However, these facts are consistent with the choice to engage in suicidal behavior being irrational, and serious questions can be raised about just how often the conditions for rational suicide are met in actual cases of self-inflicted death. Indeed, the possibility of rational suicide requires that certain assumptions about suicidal individuals' rational autonomy be true which may not be in many cases. A person's choice to undertake suicidal behavior may not be a reflection of her considered interests and her self-inflicted death could be an act that she would, in calmer and clearer moments, recoil at. In other words, even if there is a right to suicide rooted in the value of rational autonomy, it seems to imply a right to commit suicide only when one makes that determination on minimally rational grounds, and there are numerous factors that may compromise a person's rational autonomy and hence make the decision to engage in suicidal behavior not a reflection of one's considered values or aims. Some of these factors cognitively distort agents' deliberation about whether to commit suicide. Though many suicidal persons engage in extensive planning for their own deaths, the final determination to end one's life is often impulsive, reflecting the intense psychological vulnerability of suicidal persons and their proclivity toward volatility and agitation. Suicidal persons can also have difficulty fully acknowledging the finality of their death, believing that (assuming there is no afterlife) they will somehow continue to be subjects of conscious experience after they die.
Particularly worrisome is the evident link between suicidal thoughts and mental illnesses such as depression. While disagreement continues about the strength of this link (Pabst Battin 1996, 5) little doubt exists that the presence of depression or other mood disorders greatly increases the likelihood of suicidal behavior. Some studies of suicide indicate that over 90% of suicidal persons displayed symptoms of depression before death, while others estimate that suicide is at least 20 times more common among those with clinical depression than in the general population. In cases of suicide linked with depression, individuals' attitudes toward their own death are colored by strongly negative and occasionally distorted beliefs about their life situations (career prospects, relationships, etc.). As Brandt (1975) observed, depression can “primitivize one's intellectual processes,” leading to poor estimation of probabilities and an irrational focus on present suffering rather than on possible good future states of affairs. The suicidally depressed can also exhibit romanticized and grandiose beliefs about the likely effects of their deaths (delusions of martyrdom, revenge, etc.)
Furthermore, suicidal persons are often hesitant about their own actions, hoping that others will intervene and signaling to others the hope that they will intervene (Shneidman 1985). Finally, although repeated suicide attempts by the same individual are common, the impulse to suicidal behavior is often transient and dissipates of its own accord (Blauner 2003). Taken together, these considerations indicate that the scope of suicidal conduct that genuinely manifests fully informed and rational self-evaluation may be rare and so only occasionally will suicide be rational or morally permissible. Moreover, if suicide is frequently not an expression of individuals' rational appraisal of their own well-being, that suggests that others may have a prima facie reason to interfere with suicidal behavior and so is there is no general right to noninterference. (See section 3.7.)
3.8 Duties Toward the Suicidal
With the exception of the libertarian position that each person has a right against others that they not interfere with her suicidal intentions, each of the moral positions on suicide we have addressed so far would appear to justify others intervening in suicidal plans, at least on some occasions. Little justification is necessary for actions that aim to prevent another's suicide but are non-coercive. Pleading with a suicidal individual, trying to convince her of the value of continued life, recommending counseling, etc. are morally unproblematic, since they do not interfere with the individual's conduct or plans except by engaging her rational capacities (Cosculluela 1994, 35; Cholbi 2002, 252). The more challenging moral question is whether more coercive measures such as physical restraint, medication, deception, or institutionalization are ever justified to prevent suicide and when. In short, the question of suicide intervention is a question of how to justify paternalistic interference.
As mentioned in section 3.6, the impulse toward suicide is often sporadic, ambivalent, and influenced by mental illnesses such as depression, all indicators that suicide may be undertaken with less than full rationality. And while individuals usually have the right to make bad or irrational decisions on their own behalf, these indicators, when juxtaposed with the stakes of the decision to end one's life (that death is irreversible, that continued life is a condition of all other goods, etc.), justify intervention in others' suicidal plans on the 'soft' paternalist grounds that suicide is not in the individual's interests as they would rationally conceive those interests. We might call this the ‘no regrets' or ‘err on the side of life’ approach to suicide intervention (Martin 1980; Pabst Battin 1996, 141; Cholbi 2002). Since most situations in which another person intends to kill herself will be ones where we are unsure of whether she is rationally choosing to die, it is better to temporarily prevent “an informed person who is in control of himself from committing suicide” than to do “nothing while, say, a confused person kills himself, especially since, in all likelihood, the would-be suicide could make another attempt if this one were prevented and since the suicidal option is irreversible if successful.”
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4. Conclusion
As the foregoing discussion indicates, suicide has been and continues to be a rich field of philosophical investigation. Recent advances in medical technology are responsible for the extensive philosophical attention paid to one kind of suicide, euthanasia or physician-assisted suicide (PAS), while more “run-of-the-mill” suicide motivated by psychological anguish is somewhat overlooked. This is somewhat unfortunate: Euthanasia and physician-assisted suicide raise issues beyond those associated with other suicides, including the allocation of health care resources, the nature of the medical profession, the patient-physician relationship, and the prospect that allowing relatively benign forms of killing such as voluntary euthanasia of PAS will lead down a “slippery slope” to more morally worrisome killings. However, many of the same issues and concerns that surround PAS and euthanasia also surround run-of-the mill suicide, and many writers who address the former often disregard the vast literature on the latter.
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fe·lo-de-se [fel-oh-di-see, -sey]
noun, plural fe·lo·nes-de-se [fel-uh-neez-di-see, -sey, fuh-loh-neez-] fe·los-de-se [fel-ohz-di-see, -sey]
1.a person who commits suicide or commits an unlawful malicious act resulting in his or her own death.
2.the act of suicide.
"Suicide is Painless"
http://www.youtube.com/watch?v=y-JCQep-H3Y
Suicide
Throughout history, suicide has evoked an astonishingly wide range of reactions—bafflement, dismissal, heroic glorification, sympathy, anger, moral or religious condemnation—but it is never uncontroversial. Suicide is now an object of multidisciplinary scientific study, with sociology, anthropology, psychology, and psychiatry each providing important insights into suicide. Particularly promising are the significant advances being made in our scientific understanding of the neurological and genetic bases of suicidal behavior and the mental conditions associated with it. Nonetheless, many of the most controversial questions surrounding suicide are philosophical. For philosophers, suicide raises a host of conceptual, moral, and psychological questions. Among these questions are: What makes a person's behavior suicidal? What motivates such behavior? Is suicide morally permissible, or even morally required in some extraordinary circumstances? Is suicidal behavior rational? This article will examine the main currents of historical and contemporary philosophical thought surrounding these questions.
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2. Highlights of Historical Thought
2.1 Ancient and Classical Views of Suicide
Philosophical discourse about suicide stretches back at least to the time of Plato. Still, prior to the Stoics at least, suicide tended to get sporadic rather than systematic attention from philosophers in the ancient Mediterranean world. As John Cooper has noted , neither ancient Greek nor Latin had a single word that aptly translates our ‘suicide,’ even though most of the ancient city-states criminalized self-killing.
Plato explicitly discussed suicide in two works. First, in Phaedo, Socrates expresses guarded enthusiasm for the thesis, associated with the Pythagoreans, that suicide is always wrong because it represents our releasing ourselves (i.e., our souls) from a “guard-post” (i.e., our bodies) the gods have placed us in as a form of punishment (Phaedo 61b-62c). Later, in the Laws, Plato claimed that suicide is disgraceful and its perpetrators should be buried in unmarked graves. However, Plato recognized four exceptions to this principle:
(1) when one's mind is morally corrupted and one's character can therefore not be salvaged ,
(2) when the self-killing is done by judicial order, as in the case of Socrates,
(3) when the self-killing is compelled by extreme and unavoidable personal misfortune, and
(4) when the self-killing results from shame at having participated in grossly unjust actions .
Suicide under these circumstances can be excused, but, according to Plato, it is otherwise an act of cowardice or laziness undertaken by individuals too delicate to manage life's vicissitudes. Aristotle's only discussion of suicide (Nicomachean Ethics 1138a5–14) occurs in the midst of a discussion of the possibility of treating oneself unjustly. Aristotle concludes that self-killing does not treat oneself unjustly so long as it is done voluntarily because the harm done to oneself is consensual. He concludes that suicide is somehow a wrong to the state or the community, though he does not outline the nature of this wrong or the specific vices that suicidal individuals exhibit.
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When a man's circumstances contain a preponderance of things in accordance with nature, it is appropriate for him to remain alive; when he possesses or sees in prospect a majority of the contrary things, it is appropriate for him to depart from life…. Even for the foolish, who are also miserable, it is appropriate for them to remain alive if they possess a predominance of those things which we pronounce to be in accordance with nature (Cicero, III, 60–61).
Hence, not only may concerns related to one's obligations to others justify suicide, but one's own private good is relevant too. The Roman Stoic Seneca, who was himself compelled to commit suicide, was even bolder, claiming that since “mere living is not a good, but living well”, a wise person “lives as long as he ought, not as long as he can.” For Seneca, it is the quality, not the quantity, of one's life that matters.
2.2 The Christian Prohibition
The advent of institutional Christianity was perhaps the most important event in the philosophical history of suicide, for Christian doctrine has by and large held that suicide is morally wrong, despite the fact that no passage in Scripture unequivocally condemns suicide. Although the early church fathers opposed suicide, St. Augustine is generally credited with offering the first justification of the Christian prohibition on suicide (Amundsen 1989). He saw the prohibition as a natural extension of the fifth commandment:
God's command ‘Thou shalt not kill,’ is to be taken as forbidding self-destruction, especially as it does not add ‘thy neighbor’, as it does when it forbids false witness, ‘Thou shalt not bear false witness against thy neighbor’ (Augustine, book I, chapter 20).
Suicide, Augustine determined, was an unrepentable sin. St. Thomas Aquinas later defended this prohibition on three grounds.
(1) Suicide is contrary to natural self-love, whose aim is to preserve us.
(2) Suicide injures the community of which an individual is a part.
(3) Suicide violates our duty to God because God has given us life as a gift and in taking our lives we violate His right to determine the duration of our earthly existence .
This conclusion was codified in the medieval doctrine that suicide nullified human beings' relationship to God, for our control over our body was limited to usus (possession, employment) where God retained dominium (dominion, authority). Law and popular practice in the Middle Ages sanctioned the desecration of the suicidal corpse, along with confiscation of the individual's property and denial of Christian burial.
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In all likelihood, the first comprehensive modern defense of suicide was John Donne's Biathanatos.
Not intended for publication, Biathanatos drew upon an array of classical and modern legal and theological sources to argue that Christian doctrine should not hold that suicide is necessarily sinful. His critique is in effect internal, drawing upon the logic of Christian thought itself to suggest that suicide is not contrary to the laws of nature, of reason, or of God. Were it contrary to the law of nature mandating self-preservation, all acts of self-denial or privation would be similarly unlawful. Moreover, there may be circumstances in which reason might recommend suicide. Finally, Donne observes, not only does Biblical Scripture lack a clear condemnation of suicide, Christian doctrine has permitted other forms of killing such as martyrdom, capital punishment and killing in wartime (Minois 1999, 20–21).
2.3 The Enlightenment and Modern Developments
Donne's casuistical treatise was an early example of the liberalized Enlightenment attitudes of the 1700's. The Thomistic natural-law stance on suicide came under increasing attack as suicide was examined through the lens of science and psychology. Where Christian theology has understood suicide as “an affair between the devil and the individual sinner” (Minois 1999, 300), Enlightenment philosophers tended to conceive of suicide in secular terms, as resulting from facts about individuals, their natural psychologies, and their particular social settings. David Hume gave voice to this new approach with a direct assault on the Thomistic position in his unpublished essay “Of suicide” (1783). Hume saw traditional attitudes toward suicide as muddled and superstitious. According to the Thomistic argument, suicide violates the order God established for the world and usurps God's prerogative in determining when we shall die. Hume's argument against this thesis is intricate and rests on the following considerations:
If by the ‘divine order’ is meant the causal laws created by God, then it would always be wrong to contravene these laws for the sake of our own happiness. But clearly it is not wrong, since God frequently permits us to contravene these laws, for he does not expect us not to respond to disease or other calamities. Therefore, there is not apparent justification, as Hume put it, for God's permitting us to disturb nature in some circumstances but not in others. Just as God permits us to divert rivers for irrigation, so too ought he permit us to divert blood from our veins.
If by ‘divine order’ is meant the natural laws God has willed for us, which are (a) discerned by reason, (b) such that adherence to them will produce our happiness, then why should not suicide conform to such laws when it appears rational to us that the balance of our happiness is best served by dying?
Finally if by ‘divine order’ is meant simply that which occurs according to God's consent, then God appears to consent to all our actions (since an omnipotent God can presumably intervene in our acts at any point) and no distinction exists between those of our actions to which God consents and those to which He does not. If God has placed us upon the Earth like a “sentinel,” then our choosing to leave this post and take our lives occurs as much with his cooperation as with any other act we perform.
Furthermore, suicide does not necessarily violate any duties toward other people, according to Hume. Reciprocity may require that we benefit society in exchange for the benefits it provides, but surely such reciprocity reaches its limit when by living we provide only a “frivolous advantage” to society at the expense of significant harm or suffering for ourselves. In more extreme situations, we are actually burdens to others, in which case our deaths are not only “innocent, but laudable.”
Finally, Hume rejects the thesis that suicide violates our duties to self. Sickness, old age, and other misfortunes can make life sufficiently miserable that continued existence is worse than death. As to worries that people are likely to attempt to take their lives capriciously, Hume replies that our natural fear of death ensures that only after careful deliberation and assessment of our future prospects will we have the courage and clarity of mind to kill ourselves.
In the end, Hume concludes that suicide “may be free of imputation of guilt and blame.” His position is largely utilitarian, allied with a strong presumption of personal liberty. The Enlightenment was of course not univocal in its comparatively permissive attitudes toward suicide. The most noteworthy opponent of suicide in this period was Immanuel Kant. Kant's arguments, though they reflect earlier natural law arguments, draw upon his view of moral worth as emanating from the autonomous rational wills of individuals (Cholbi 2000, 2010). For Kant, our rational wills are the source of our moral duty, and it is therefore a kind of practical contradiction to suppose that the same will can permissibly destroy the very body that carries out its volitions and choices. Given the distinctive worth of an autonomous rational will, suicide is an attack on the very source of moral authority.
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Suicide was an important concern for the twentieth century existentialists, who saw the choice to take one's life as impressed upon us by our experience of the absurdity or meaninglessness of the world and of human endeavor. Albert Camus illustrated this absurdity in his philosophical essay The Myth of Sisyphus. For Camus, Sisyphus heroically does not try to escape his absurd task, but instead perseveres and in so doing resists the lure of suicide. Suicide, Camus contends, tempts us with the promise of an illusory freedom from the absurdity of our existence, but is in the end an abdication of our responsibility to confront or embrace that absurdity head on.
Jean-Paul Sartre was likewise struck by the possibility of suicide as an assertion of authentic human will in the face of absurdity. Suicide represents, according to Sartre, an opportunity to stake out our understanding of our essence as individuals in a godless world. For the existentialists, suicide was not a choice shaped mainly by moral considerations but by concerns about the individual as the sole source of meaning in a meaningless universe.
3. The Morality and Rationality of Suicide
3.1 Moral Permissibility
The principal moral issue surrounding suicide has been
Are there conditions under which suicide is morally justified, and if so, which conditions?
Several important historical answers to (1) have already been mentioned.
This question should be distinguished from three others:
Should other individuals attempt to prevent suicide?
Should the state criminalize suicide or attempt to prevent it?
Is suicide ever rational or prudent?
Obviously, answers to any one of these four questions will bear on how the other three ought to be answered. For instance, it might be assumed that if suicide is morally permissible in some circumstances, then neither other individuals nor the state should interfere with suicidal behavior (in those same circumstances). However, this conclusion might not follow if those same suicidal individuals are irrational and interference is required in order to prevent them from taking their lives, an outcome they would regret were they more fully rational. Furthermore, for those moral theories that emphasize rational autonomy, whether an individual has rationally chosen to take her own life may settle all four questions. In any event, the interrelationships among suicide's moral permissibility, its rationality, and the duties of others and of society as a whole is complex, and we should be wary of assuming that an answer to any one of these four questions decisively settles the other three.
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3.3 Religious Arguments
Two general categories of arguments for the moral impermissibility of suicide have emerged from the Christian religious tradition. The first of these is the aforementioned Thomistic natural law position, critiqued by Hume (see section 2.3) According to this tradition, suicide violates the natural law God has created to govern the natural world and human existence. This natural law can be conceived of in terms of (a) natural causal laws, such that suicide violates this causal order, (b) teleological laws, according to which all natural beings seek to preserve themselves, or (c) the laws governing human nature, from which it follows that suicide is ‘unnatural’ (Pabst Battin 1996, 41–48). These natural law arguments are no longer the main focus of philosophical discussion, as they have been subjected to strenuous criticism by Hume and others (though see Gay-Williams 1996). These criticisms include the following: (1) the natural law arguments cannot be disentangled from a highly speculative theistic metaphysics; (2) the claims of natural law are confuted by observations of human nature (e.g., the existence of self-destructive human behaviors casts doubt on the claim that we “naturally” preserve ourselves); and (3) other acts (e.g., religious martyrdom) which God is assumed not to condemn, also violate these natural laws, making the prohibition on suicide appear arbitrary.
The second general category of religious arguments rest on analogies concerning the relationship between God and humanity. For the most part, these arguments aim to establish that God, and not human individuals, has the proper moral authority to determine the circumstances of their deaths. One historically prominent analogy (suggested by Aquinas and Locke) states that we are God's property and so suicide is a wrong to God akin to theft or destruction of property. This analogy seems weak on several fronts. First, if we are God's property, we are an odd sort of property, in that God apparently bestowed upon us free will that permits us to act in ways that are inconsistent with God's wishes or intentions. It is difficult to see how an autonomous entity with free will can be subject to the kind of control or dominion to which other sorts of property are subject. Second, the argument appears to rest on the assumption that God does not wish his property destroyed. Yet given the traditional theistic conception of God as not lacking in any way, how could the destruction of something God owns (a human life) be a harm to God or to his interests (Holley 1989, 105)? Third, it is difficult to reconcile this argument with the claim that God is all-loving. If a person's life is sufficiently bad, an all-loving God might permit his property to be destroyed through suicide. Finally, some have questioned the extent of the duties imposed by God's property right in us by arguing that the destruction of property might be morally justified in order to prevent significant harm to oneself. If the only available means to saving myself from a ticking bomb is to stash it in the trunk of the nearest car to dampen the blast, and the nearest car belongs to my neighbor, then destroying his property appears justified in order to avoid serious harm to myself. Likewise, if only by killing myself can I avoid a serious future harm to myself, I appear justified in destroying my life even if it is God's property.
Another common analogy asserts that God bestows life upon us a gift, and it would be a mark of ingratitude or neglect to reject that gift by taking our lives. The obvious weakness with this “gift analogy” is that a gift, genuinely given, does not come with conditions such as that suggested by the analogy, i.e., once given, a gift becomes the property of its recipient and its giver no longer has any claim on what the recipient does with this gift. It may perhaps be imprudent to waste an especially valuable gift, but it does not appear to be unjust to a gift giver to do so. As Kluge (1975, 124) put it, “a gift we cannot reject is not a gift”. A variation of this line of argument holds that we owe God a debt of gratitude for our lives, and so to kill ourselves would be disrespectful or even insulting to God, (Ramsey 1978, 146) or would amount to an irresponsible use of this gift. Yet this variation does not really evade the criticism directed at the first version: Even if we owe God a debt of gratitude, disposing of our lives does not seem inconsistent with our expressing gratitude for having lived at all (Beauchamp 1992). Furthermore, if a person's life is rife with misery and unhappiness, it is far from clear that she owes God much in the way of gratitude for this apparently ill-chosen “gift” of life. Defenders of the gift analogy must therefore defend the claim that life, simply because it is given to us by a loving God, is an expression of God's benevolent nature and is therefore necessarily a benefit to us (Holley 1989, 113–114).
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3.4 Libertarian Views and the Right to Suicide
For libertarians, suicide is morally permissible because individuals enjoy a right to suicide. (It does not of course follow that suicide is necessarily rational or prudent.) Libertarianism, which has historical precedent in the Stoics and in Schopenhauer, is strongly associated with the ‘anti-psychiatry’ movement of the last half century. According to that movement, attempts by the state or by the medical profession to interfere with suicidal behavior are essentially coercive attempts to pathologize morally permissible exercises of individual freedom (Szasz 2002).
Libertarianism typically asserts that the right to suicide is a right of noninterference, to wit, that others are morally barred from interfering with suicidal behavior. Some assert the stronger claim that the right to suicide is a liberty right, such that individuals have no duty not to commit suicide (i.e., that suicide violates no moral duties), or a claim right, according to which other individuals may be morally obliged not only not to interfere with a person's suicidal behavior but to assist in that behavior. (See the entry on rights.) Our having a claim right to suicide implies that we also have rights of noninterference and of liberty and is a central worry about physician-assisted suicide (Pabst Battin 1996, 163–164). Since whether we have a liberty right to suicide concerns whether it violates other moral obligations, including obligations to other people, I shall leave discussion of that issue to section 3.5 and focus here on whether there is a right of noninterference.
A popular basis supporting a right to suicide is the idea that we own our bodies and hence are morally permitted to dispose of them as we wish. (Recall from section 3.3 that some religious arguments for the impermissibility of suicide depend on God's ownership of our bodies.) On this view, our relationship to our bodies is like that of our relationship to other items over which we enjoy property rights: Just as our having a right to a wristwatch permits us to use, improve, and dispose of it as we wish, so too does our having a right to our bodies permit us to dispose of them as we see fit.
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Another rationale for a right of noninterference is the claim that we have a general right to decide those matters that are most intimately connected to our well-being, including the duration of our lives and the circumstances of our deaths. On this view, the right to suicide follows from a deeper right to self-determination, a right to shape the circumstances of our lives so long as we do not harm or imperil others.
As presented in the “death with dignity” movement, the right to suicide is the natural corollary of the right to life. That is, because individuals have the right not to be killed by others, the only person with the moral right to determine the circumstances of a person's death is that person herself and others are therefore barred from trying to prevent a person's efforts at self-inflicted death.
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3.5 Social, Utilitarian, and Role-Based Arguments
A fourth approach to the question of suicide's permissibility asks not whether others may interfere with suicidal behavior but whether we have a liberty right to suicide, whether, that is, suicide violates any moral duties to others. Those who argue that suicide can violate our duties to others generally claim that suicide can harm either specific others (family, friends, etc.) or is a harm to the community as a whole.
No doubt the suicide of a family member or loved one produces a number of harmful psychological and economic effects. In addition to the usual grief, suicide “survivors” confront a complex array of feelings. Various forms of guilt are quite common, such as that arising from
(a) the belief that one contributed to the suicidal person's anguish, or
(b) the failure to recognize that anguish, or
(c) the inability to prevent the suicidal act itself. Suicide also leads to rage, loneliness, and awareness of vulnerability in those left behind. Indeed, the sense that suicide is an essentially selfish act dominates many popular perceptions of suicide (Fedden 1938, 209). Still, some of these reactions may be due to the strong stigma and shame associated with suicide, in which case these reactions cannot, without logical circularity, be invoked in arguments that suicide is wrong because it produces these psychological reactions.
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A second brand of social argument echoes Aristotle in asserting that suicide is harm to the community or the state. One general form such arguments take is that because a community depends on the economic and social productivity of its members, its members have an obligation to contribute to their society, an obligation clearly violated by suicide (Pabst Battin 1996, 70–78, Cholbi 2011, 58–60). For example, suicide denies a society the labor provided by its members, or in the case of those with irreplaceable talents such as medicine, art, or political leadership, the crucial goods their talents enable them to provide. Another version states that suicide deprives society of whatever individuals might contribute to society morally (by way of charity, beneficence, moral example, etc.) Still, it is difficult to show that a society has a moral claim on its members' labor, talents, or virtue that compels its members to contribute to societal well-being no matter what. After all, individuals often fail to contribute as much as they might in terms of their labor or special talents without incurring moral blame. It does not therefore seem to be the case that individuals are morally required to benefit society in whatever way they are capable, regardless of the harms to themselves. Again, this line of argument appears to show at most only that suicide is sometimes wrong, namely, when the benefit (in terms of future harm not suffered) the individual gains by dying is less than the benefits she would deny to society by dying.
A modification of this argument claims that suicide violates a person's duty of reciprocity to society (Cholbi 2011, 60–62). On this view, an individual and the society in which she lives stand in a reciprocal relationship such that in exchange for the goods the society has provided to the individual, the individual must continue to live in order to provide her society with the goods that relationship demands. Yet in envisioning the relationship between society and the individual as quasi-contractual in nature, the reciprocity argument reveals its principal flaw: The conditions of this “contract” may not be met, and also, once met, impose no further obligations upon the parties. As Baron d'Holbach (1970, 136–137) pointed out, the contract between an individual and her society is a conditional one, presupposing “mutual advantages between the contracting parties.” Hence, if a society fails to fulfill its obligations under the contract, namely to provide individuals with the goods needed for a decent quality of life, then the individual is not morally required to live in order to reciprocate an arrangement that society has already reneged on. Moreover, once an individual has discharged her obligations under this societal contract, she no longer is under an obligation to continue her life. Hence, the aged or others who have already made substantial contributions to societal welfare would be morally permitted to commit suicide under this argument.
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3.7 Autonomy, Rationality, and Responsibility
A more restricted version of the claim that we have a right to noninterference regarding suicide holds that suicide is permitted so long as—leaving aside questions of duties to others—it is rationally chosen. In a similar vein, Kantians might claim that suicidal choices must be respected if those choices are autonomous, that is, if an individual chooses to end her life on the basis of reasons that she acknowledges as relevant to her situation. Such positions are narrower than the libertarian view, in that they permit suicide only when it is performed on a rational basis (or a rational basis that the individual acknowledges as relevant to her situation) and permits others to interfere only when it is not performed on that basis.
One initial challenge to the possibility of rational suicide rests on the notion that suicide, being a choice to end one's life, is necessarily irrational. The thought here is that any coherent judgment of suicide's rationality requires comparing the state of being alive (or continuing to live) with being dead. But either because no one has sufficient knowledge of the state of being dead (Devine 1978) or because suicide ensures that the suicidal person has no future to look forward to (Cowley 2006), judgments that ending one's life is rational are incoherent or misplaced.
In recent years, this 'two-state' requirement (that death can only be judged rational or irrational if it is possible to compare the state of being alive with the state of being dead) has been widely rejected. In particular, the rationality of the decision to end one's life need not be construed in terms of the value of being alive versus the value of being dead (Luper 2009, 82–88). What those contemplating ending their lives are considering are different durations of their lives, or as Richard Brandt put it:
The person who is contemplating suicide is obviously making a choice between future world-courses: the world-course that includes his demise, say, an hour from now, and several possible ones that contain his demise at a later point… The basic question a person must answer in order to determine which world-course is best or rational for him to choose, is which he would choose under conditions of optimal use of information, when all of his desires are taken into account. (Brandt 1975).
Hence, on this view, a rational judgment about one's own death requires a comparison between the overall goodness of one's life as it would be if it continued on its present course and the overall goodness of one's life if that life ended before its present course. This view has given rise to a rich philosophical literature trying to identify the conditions under which a person's decision to die is rational. For the most part, this literature divides the conditions for rational suicide into cognitive conditions, conditions ensuring that individuals' appraisals of their situation are rational and well-informed, and interest conditions, conditions ensuring that suicide in fact accords with individuals' considered interests.
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For the most part, suicidal individuals do not manifest signs of systemic irrationality, much the less the signs of legally definable insanity, and engage in suicidal conduct voluntarily. However, these facts are consistent with the choice to engage in suicidal behavior being irrational, and serious questions can be raised about just how often the conditions for rational suicide are met in actual cases of self-inflicted death. Indeed, the possibility of rational suicide requires that certain assumptions about suicidal individuals' rational autonomy be true which may not be in many cases. A person's choice to undertake suicidal behavior may not be a reflection of her considered interests and her self-inflicted death could be an act that she would, in calmer and clearer moments, recoil at. In other words, even if there is a right to suicide rooted in the value of rational autonomy, it seems to imply a right to commit suicide only when one makes that determination on minimally rational grounds, and there are numerous factors that may compromise a person's rational autonomy and hence make the decision to engage in suicidal behavior not a reflection of one's considered values or aims. Some of these factors cognitively distort agents' deliberation about whether to commit suicide. Though many suicidal persons engage in extensive planning for their own deaths, the final determination to end one's life is often impulsive, reflecting the intense psychological vulnerability of suicidal persons and their proclivity toward volatility and agitation. Suicidal persons can also have difficulty fully acknowledging the finality of their death, believing that (assuming there is no afterlife) they will somehow continue to be subjects of conscious experience after they die.
Particularly worrisome is the evident link between suicidal thoughts and mental illnesses such as depression. While disagreement continues about the strength of this link (Pabst Battin 1996, 5) little doubt exists that the presence of depression or other mood disorders greatly increases the likelihood of suicidal behavior. Some studies of suicide indicate that over 90% of suicidal persons displayed symptoms of depression before death, while others estimate that suicide is at least 20 times more common among those with clinical depression than in the general population. In cases of suicide linked with depression, individuals' attitudes toward their own death are colored by strongly negative and occasionally distorted beliefs about their life situations (career prospects, relationships, etc.). As Brandt (1975) observed, depression can “primitivize one's intellectual processes,” leading to poor estimation of probabilities and an irrational focus on present suffering rather than on possible good future states of affairs. The suicidally depressed can also exhibit romanticized and grandiose beliefs about the likely effects of their deaths (delusions of martyrdom, revenge, etc.)
Furthermore, suicidal persons are often hesitant about their own actions, hoping that others will intervene and signaling to others the hope that they will intervene (Shneidman 1985). Finally, although repeated suicide attempts by the same individual are common, the impulse to suicidal behavior is often transient and dissipates of its own accord (Blauner 2003). Taken together, these considerations indicate that the scope of suicidal conduct that genuinely manifests fully informed and rational self-evaluation may be rare and so only occasionally will suicide be rational or morally permissible. Moreover, if suicide is frequently not an expression of individuals' rational appraisal of their own well-being, that suggests that others may have a prima facie reason to interfere with suicidal behavior and so is there is no general right to noninterference. (See section 3.7.)
3.8 Duties Toward the Suicidal
With the exception of the libertarian position that each person has a right against others that they not interfere with her suicidal intentions, each of the moral positions on suicide we have addressed so far would appear to justify others intervening in suicidal plans, at least on some occasions. Little justification is necessary for actions that aim to prevent another's suicide but are non-coercive. Pleading with a suicidal individual, trying to convince her of the value of continued life, recommending counseling, etc. are morally unproblematic, since they do not interfere with the individual's conduct or plans except by engaging her rational capacities (Cosculluela 1994, 35; Cholbi 2002, 252). The more challenging moral question is whether more coercive measures such as physical restraint, medication, deception, or institutionalization are ever justified to prevent suicide and when. In short, the question of suicide intervention is a question of how to justify paternalistic interference.
As mentioned in section 3.6, the impulse toward suicide is often sporadic, ambivalent, and influenced by mental illnesses such as depression, all indicators that suicide may be undertaken with less than full rationality. And while individuals usually have the right to make bad or irrational decisions on their own behalf, these indicators, when juxtaposed with the stakes of the decision to end one's life (that death is irreversible, that continued life is a condition of all other goods, etc.), justify intervention in others' suicidal plans on the 'soft' paternalist grounds that suicide is not in the individual's interests as they would rationally conceive those interests. We might call this the ‘no regrets' or ‘err on the side of life’ approach to suicide intervention (Martin 1980; Pabst Battin 1996, 141; Cholbi 2002). Since most situations in which another person intends to kill herself will be ones where we are unsure of whether she is rationally choosing to die, it is better to temporarily prevent “an informed person who is in control of himself from committing suicide” than to do “nothing while, say, a confused person kills himself, especially since, in all likelihood, the would-be suicide could make another attempt if this one were prevented and since the suicidal option is irreversible if successful.”
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4. Conclusion
As the foregoing discussion indicates, suicide has been and continues to be a rich field of philosophical investigation. Recent advances in medical technology are responsible for the extensive philosophical attention paid to one kind of suicide, euthanasia or physician-assisted suicide (PAS), while more “run-of-the-mill” suicide motivated by psychological anguish is somewhat overlooked. This is somewhat unfortunate: Euthanasia and physician-assisted suicide raise issues beyond those associated with other suicides, including the allocation of health care resources, the nature of the medical profession, the patient-physician relationship, and the prospect that allowing relatively benign forms of killing such as voluntary euthanasia of PAS will lead down a “slippery slope” to more morally worrisome killings. However, many of the same issues and concerns that surround PAS and euthanasia also surround run-of-the mill suicide, and many writers who address the former often disregard the vast literature on the latter.
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