Daniel Callahan - The troubled dream of life: living with mortality
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Modern medicine has discovered a vast array of new and often radical cures and treatments for saving and lengthening lives, but in doing so, has opened a new wound: science has made death more difficult to accept. Drawing on his own experience and on literature, philosophy and medicine, the author offers an insight on how to deal with the rewards of modern medicine without upsetting our equilibrium and perspective on death and dying. He asserts that it is time we respected the natural course and length of human life, argues against euthanasia, and points the reader towards a better and more peaceful understanding of his or her own mortality.
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The Troubled Dream of Life : In Search of Peaceful Death
author
:
Callahan, Daniel.
publisher
:
Georgetown University Press
isbn10 | asin
:
0671887211
print isbn13
:
9780671887216
ebook isbn13
:
9780585250205
language
:
English
subject
Death, Terminal care.
publication date
:
1996
lcc
:
R726.8.C34 1996eb
ddc
:
174/.24
subject
:
Death, Terminal care.
Page 2
Also by Daniel Callahan
What Kind of Life: The Limits of Medical Progress
Setting Limits: Medical Goals in an Aging Society
The Tyranny of Survival
Abortion: Law, Choice, and Morality
Page 3
The Troubled Dream of Life
In Search of a Peaceful Death
Daniel Callahan
A TOUCHSTONE BOOK Published by Simon & Schuster New York London Toronto Sydney Tokyo Singapore
Page 4
TOUCHSTONE Rockefeller Center 1230 Avenue of the Americas New York, New York 10020 Copyright 1993 by Daniel Callahan
All Rights Reserved including the right of reproduction in whole or in part in any form. First Touchstone Edition 1994 TOUCHSTONE and colophon are registered trademarks of Simon & Schuster Inc. Designed by Irving Perkins Associates Manufactured in the United States of America
3 5 7 9 10 8 6 4 2
Library of Congress Cataloging-in-Publication Data CALLAHAN, DANIEL, DATE. THE TROUBLED DREAM OF LIFE : IN SEARCH OF A PEACEFUL DEATH / DANIEL CALLAHAN. P. CM. INCLUDES BIBLIOGRAPHICAL REFERENCES AND INDEX. 1. DEATH. 2. TERMINAL CARE. 1. TITLE. R726.8.C34 1993 174'.24dc20 92-40448 CIP ISBN: 0-671-70830-9 ISBN: 0-671-88721-1(PBK)
Page 5
Acknowledgments
I long ago learned that it is perfectly possible to write a book without having another soul look at it prior to publication. I also learned that this is not wise. We profit from the counsel and criticisms of others, and that has been true with this book. A number of my friends and colleagues read draft chapters. They have improved this book greatly, even if I have not always taken their advice. Courtney Campbell has, once again, been a careful and thoughtful reader. Gilbert Meilaender not only read the manuscript but had to put up with a number of letters from me arguing about this point or that to which he had objected. He probably should have been spared such a response, but he invited it by his willingness to listen and to answer. Joseph Fins, Stephen I. Chavras, Linda Emanuel, and Norton Spritz, all physicians, provided me with a helpful combination of medical experience and ethical insight. Another physician, Eric Cassell, has been immensely helpful over the years in teaching me to understand the meaning of suffering for the sick and dying. My colleagues Willard Gaylin, Bruce jennings, James L. Nelson, Ellen Moskowitz, and Susan Wolf each made many helpful suggestions along the way.
I was able to discuss a number of the ideas in this book with other colleagues and visitors during our daily luncheons at The Hastings Center. Darrel Amundsen gave me the benefit of his
Page 6
historical knowledge, always enriching. Susan Glassman gave me the help of an expert outside editorial eye. My wife, Sidney, was forced, yet again, to talk endlessly with me about topics that are not always the easiest or most pleasant for domestic conversation. Her good sense and extensive knowledge are a great marital benefit. Ellen McAvoy was, as always, indispensable in helping me prepare the manuscript. Finally, I want to thank my editor, Alice Mayhew, who has worked with me on this and earlier books. She is a splendid editor and a no less splendid friend.
The phrase in the title, "The troubled dream of life," is taken from an essay by William Hazlitt, "The Fear of Death," from his Table Talk (1822).
Page 7
For Alexander Morgan Capron Eric J. Cassell Rene C. Fox Margaret O'Brien Steinfels Peter Steinfels
Good friends, stimulating colleagues
Page 9
Contents
Introduction Can Death Be Shaped to Our Own Ends?
11
Chapter 1 The First Illusion: Mastering Our Medical Choices
23
Chapter 2 Stripping Death Bare: The Recovery of Nature
57
Chapter 3 The Last Illusion: Regulating Eurhanasia
91
Chapter 4 Living with the Mortal Self
120
Chapter 5 Nature, Death, and Meaning: Shaping Our End
156
Chapter 6 Pursuing a Peaceful Death
209
Chapter 7 Watching and Waiting
220
Notes
232
Index
247
Page 11
Introduction: Can Death Be Shaped to Our Own Ends?
Like any other adult with some accumulated years behind me, I have known many people who have died and are no longer part of my life. A few of those deaths are more vivid in my memory than othersin great part, I suspect, because they came to symbolize some of the many possible ways of dying. My grandmother's death in her mid-eighties, when I was about ten, remains in my imagination as a perfect kind of old-fashioned ending. She died at home in her sleep, of causes never divulged to me other than "old age," and was laid out in the living room, where neighbors, friends, and family came to pay what were called their "last respects." I do not recall any weeping or great sorrow. She had lived a long life, and her death seemed to be taken for granted. The visitors chatted and gossiped, as if it were just another social gathering of the kind she had presided over for years.
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