The role of the ethics expert in Spanish legislation on euthanasia and mental health

This article examines the assessment of mental capacity in the context of euthanasia,particularly when requested by patients with mental illnesses. It proposes a holisticalternative approach to the traditional functional model, arguing that the latter isinsufficient to capture the complexity of thes...

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Autor: Ramos Pozón, Sergio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::74ca31b72d5b40a85c35b92f0d70a824
Acceso en línea:https://hdl.handle.net/2445/229681
Access Level:acceso abierto
Palabra clave:Bioètica
Eutanàsia
Persones amb discapacitat mental
Legislació
Espanya
Bioethics
Euthanasia
People with mental disabilities
Legislation
Spain
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spelling The role of the ethics expert in Spanish legislation on euthanasia and mental healthRamos Pozón, SergioBioèticaEutanàsiaPersones amb discapacitat mentalLegislacióEspanyaBioethicsEuthanasiaPeople with mental disabilitiesLegislationSpainThis article examines the assessment of mental capacity in the context of euthanasia,particularly when requested by patients with mental illnesses. It proposes a holisticalternative approach to the traditional functional model, arguing that the latter isinsufficient to capture the complexity of these patients’ decisions. Using approachesbased on narrative, hermeneutic, and dialogical ethics, it offers an evaluation thatconsiders the patient’s life story, values, and context. Shared decision-making andempathy are identified as fundamental components to ensure informed and consensualdecisions, promoting an environment of respect and mutual understanding. Thearticle reviews Spanish legislation on euthanasia, highlighting the need to includemedical ethics experts in the Guarantee and Evaluation Commissions. These expertsprovide a comprehensive ethical perspective essential for addressing the ethicalcomplexities in euthanasia requests and ensuring fair decisions that reflect the patient’strue will. It recommends reviewing and expanding current protocols, as wellas including continuous ethics training to improve medical practice in this context.The conclusions suggest that an assessment of mental capacity based on ethicalprinciples and an integrated narrative can significantly improve medical practiceand decision-making in euthanasia, especially for these patients. Furthermore, theinclusion of ethics experts in the commissions can provide a more humane andjust perspective, ensuring that decisions respect the patient’s dignity and autonomy.Springer Nature2026202620252026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion15 p.application/pdfhttps://hdl.handle.net/2445/229681Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1007/s40592-025-00228-3Monash Bioethics Review, 2025, vol. 43, p. 82-96https://doi.org/10.1007/s40592-025-00228-3cc-by (c) Ramos Pozón, 2025http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:recercat____::74ca31b72d5b40a85c35b92f0d70a8242026-05-29T05:05:01Z
dc.title.none.fl_str_mv The role of the ethics expert in Spanish legislation on euthanasia and mental health
title The role of the ethics expert in Spanish legislation on euthanasia and mental health
spellingShingle The role of the ethics expert in Spanish legislation on euthanasia and mental health
Ramos Pozón, Sergio
Bioètica
Eutanàsia
Persones amb discapacitat mental
Legislació
Espanya
Bioethics
Euthanasia
People with mental disabilities
Legislation
Spain
title_short The role of the ethics expert in Spanish legislation on euthanasia and mental health
title_full The role of the ethics expert in Spanish legislation on euthanasia and mental health
title_fullStr The role of the ethics expert in Spanish legislation on euthanasia and mental health
title_full_unstemmed The role of the ethics expert in Spanish legislation on euthanasia and mental health
title_sort The role of the ethics expert in Spanish legislation on euthanasia and mental health
dc.creator.none.fl_str_mv Ramos Pozón, Sergio
author Ramos Pozón, Sergio
author_facet Ramos Pozón, Sergio
author_role author
dc.subject.none.fl_str_mv Bioètica
Eutanàsia
Persones amb discapacitat mental
Legislació
Espanya
Bioethics
Euthanasia
People with mental disabilities
Legislation
Spain
topic Bioètica
Eutanàsia
Persones amb discapacitat mental
Legislació
Espanya
Bioethics
Euthanasia
People with mental disabilities
Legislation
Spain
description This article examines the assessment of mental capacity in the context of euthanasia,particularly when requested by patients with mental illnesses. It proposes a holisticalternative approach to the traditional functional model, arguing that the latter isinsufficient to capture the complexity of these patients’ decisions. Using approachesbased on narrative, hermeneutic, and dialogical ethics, it offers an evaluation thatconsiders the patient’s life story, values, and context. Shared decision-making andempathy are identified as fundamental components to ensure informed and consensualdecisions, promoting an environment of respect and mutual understanding. Thearticle reviews Spanish legislation on euthanasia, highlighting the need to includemedical ethics experts in the Guarantee and Evaluation Commissions. These expertsprovide a comprehensive ethical perspective essential for addressing the ethicalcomplexities in euthanasia requests and ensuring fair decisions that reflect the patient’strue will. It recommends reviewing and expanding current protocols, as wellas including continuous ethics training to improve medical practice in this context.The conclusions suggest that an assessment of mental capacity based on ethicalprinciples and an integrated narrative can significantly improve medical practiceand decision-making in euthanasia, especially for these patients. Furthermore, theinclusion of ethics experts in the commissions can provide a more humane andjust perspective, ensuring that decisions respect the patient’s dignity and autonomy.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/229681
url https://hdl.handle.net/2445/229681
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1007/s40592-025-00228-3
Monash Bioethics Review, 2025, vol. 43, p. 82-96
https://doi.org/10.1007/s40592-025-00228-3
dc.rights.none.fl_str_mv cc-by (c) Ramos Pozón, 2025
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Ramos Pozón, 2025
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 15 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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