title: [Assisted suicide in the movies - what is (not) shown?]
abstract: Whereas changes to the existing legal situation regarding assisted suicide have been a topic of controversial debate in Germany for the last few years, this issue has long been of interest for international film-makers. Since the mid-1980s, the theme of assisted suicide has repeatedly been taken up by cinema, predominantly as central to a relationship drama. A sick person asks somebody close to them for help. Often this somebody is a physician or a nurse, ultimately an obvious way of solving the practical problem of how the assistant is to gain access to a lethal substance. At the same time, this constellation enables a physician or nurse to be forced into a dramatic conflict between professional ethics and a personal obligation towards a loved one.Alongside more classic clinical pictures such as terminal cancer, recent films about assisted suicide have featured neurodegenerative diseases and physical disabilities. Another new development is that elderly patients are no longer alone in requesting assistance; films also and increasingly portray young adults. Besides a fear of unbearable pain, more recent films have also increasingly addressed the worry that permanent nursing might be required, as well as the subjectively experienced loss of dignity. The possibilities offered by palliative care hardly play a role in feature films. However, we should not forget, that movies are fictional and orchestrated, or, in other words, they are neither educational nor documental. They neither need nor want to portray reality, although they do wish to draw upon real experiences. They exploit highly emotional and ethically controversial themes to create tensions and stir up emotions in the audience, but ultimately they seek to entertain. Movies about death and dying are always "die-tainment".
authors.affiliation: Zentrum für Ethik in der Medizin am Agaplesion Markus Krankenhaus, Wilhelm-Epstein-Str. 4, 60431, Frankfurt/M., Deutschland. ZEMmarkus@aol.com.
authors.forename: Kurt W
authors.initials: KW
authors.lastname: Schmidt
mesh_terms: D001293:Attitude to Death; D016638:Critical Illness / Q000523:psychology*; D006801:Humans; D009040:Motion Pictures / Q000706:statistics & numerical data*; D010166:Palliative Care / Q000523:psychology; D026684:Personal Autonomy; D017236:Suicide, Assisted / Q000523:psychology*; D013727:Terminal Care / Q000523:psychology*; D019452:Terminally Ill / Q000523:psychology*
keywords: Ambivalence; Assisted suicide; Movies; Palliative care; Self-determination