title: Discretionary death: conditions, dilemmas, and normative regulation.
abstract: The author examines a major shift in the conceptualization and practices relating to death and dying in Western and other societies with advanced medicine. This shift is the result of socio-technical and cultural developments characterized by but not limited to the routine widespread application of life support technologies in the hospital together with notions of increased patient rights. It has resulted in a class of end-of-life situations, which the author defines as "discretionary death." The concept of discretionary death underscores the role of contextual and discretionary factors in end-of-life decision-making. The author identifies and discusses the necessary and complex process of norm formation that informs and regulates end-of-life medical practice and establishes societal consensus across society with respect to legitimizing "discretionary death."
authors.affiliation: The Netherlands Institute for Advanced Studies, Meijboomslaan 1, Wassenaar, The Netherlands, and Department of Sociology, University of Gothenburg, Sweden, Skanstullsgatan 25, Gothenburg, Sweden. nora.machado@nias.knaw.nl or nora.machado@sociology.gu.se
authors.forename: Nora
authors.initials: N
authors.lastname: Machado
mesh_terms: D001293:Attitude to Death; D003422:Critical Care; D003643:Death; D004992:Ethics, Medical; D005060:Europe; D005065:Euthanasia; D006801:Humans; D008020:Life Support Care; D010166:Palliative Care; D011049:Social Control Policies; D012926:Social Control, Formal; D012962:Sociology, Medical; D017236:Suicide, Assisted; D013727:Terminal Care; D014481:United States