Assessing attitudes toward euthanasia: an analysis of the subcategorical approach to right to die issues.

Abstract This study was designed to investigate the way people perceive and respond to the issue of euthanasia. Four models were developed to reflect the subcategorical distinctions of 1. (1) active vs passive euthanasia, 2. (2) voluntary vs involuntary euthanasia, 3. (3) active-voluntary, active-involuntary, passive-voluntary, passive-involuntary and 4. (4) a single-factor euthanasia model. In study 1, exploratory factor analysis identified a two-factor structure representing the voluntary-involuntary subcategorical distinction. This two-factor structure of euthanasia was cross-validated with a different sample in study 2, via confirmatory factor analysis. Model comparisons indicated that the two-factor voluntary vs involuntary euthanasia model offered the best fit to the data relative to the other hypothesised models. These findings suggest that the presence or absence of the wish of the patient to die may be the most important factor influencing attitudes toward life and death issues.

[1]  B. Davies.,et al.  Families in Supportive Care — Part I: The Transition of Fading Away: The Nature of the Transition , 1990, Journal of palliative care.

[2]  H. Koenig.  Legalizing physician-assisted suicide: some thoughts and concerns. , 1993, The Journal of family practice.

[3]  R. Hunter.  Article Commentary: Euthanasia a Paper for Discussion by Psychiatrists , 1980, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[4]  R. Shapiro.  Liability issues in the management of pain. , 1994, Journal of pain and symptom management.

[5]  H. Akaike.  Factor analysis and AIC , 1987 .

[6]  Robert Ho,et al.  FACTORS INFLUENCING DECISIONS TO TERMINATE LIFE: CONDITIONS OF SUFFERING AND THE IDENTITY OF THE TERMINALLY ILL , 1999 .

[7]  H. Kuhse,et al.  Doctors' practices and attitudes regarding voluntary euthanasia , 1988, The Medical journal of Australia.

[8]  J. Rogers.  Assessing right to die attitudes: a conceptually guided measurement model. , 1996, The Journal of social issues.

[9]  D. Lester.  Psychological issues in euthanasia, suicide, and assisted suicide. , 1996, The Journal of social issues.

[10]  L. Derogatis,et al.  An Empirical Comparison of Three Indices of Factorial Similarity , 1972 .

[11]  J. Darley,et al.  Community attitudes on the family of issues surrounding the death of terminal patients. , 1996, The Journal of social issues.

[12]  Lawrence O Gostin,et al.  Drawing a Line between Killing and Letting Die: The Law, and Law Reform, on Medically Assisted Dying , 1993, Journal of Law, Medicine & Ethics.

[13]  N. Smith.  The impact of terminal illness on the family , 1990 .

[14]  K. Foley,et al.  Character of terminal illness in the advanced cancer patient: pain and other symptoms during the last four weeks of life. , 1990, Journal of pain and symptom management.

[15]  K. Clouser.  The challenge for future debate on euthanasia. , 1991, Journal of pain and symptom management.

[16]  Y. Conwell.  Physician-assisted suicide: a mental health perspective. , 1994, Suicide & life-threatening behavior.

[17]  M. Anglin,et al.  Factors influencing decisions to terminate life. , 1987, Social biology.

[18]  Herbert W. Marsh,et al.  Multidimensional students' evaluations of teaching effectiveness : a test of alternative higher-order structures , 1991 .

[19]  B. Beck-Friis,et al.  The Family in Hospital-Based Home Care with Special Reference to Terminally Ill Cancer Patients , 1993, Journal of palliative care.

[20]  P. Britton,et al.  AIDS and Rational Suicide , 1994 .

[21]  A. Buchanan,et al.  Deciding for others. , 1990, The Milbank quarterly.

[22]  P. Bentler,et al.  Comparative fit indexes in structural models. , 1990, Psychological bulletin.

[23]  H. Kuhse,et al.  Euthanasia: a survey of nurses' attitudes and practices. , 1992, The Australian nurses' journal. Royal Australian Nursing Federation.

[24]  H. Akaike,et al.  Information Theory and an Extension of the Maximum Likelihood Principle , 1973 .

[25]  H W Marsh,et al.  Positive and negative global self-esteem: a substantively meaningful distinction or artifactors? , 1996, Journal of personality and social psychology.

[26]  R. Penney,et al.  Euthanasia and abortion: personality correlates for the decision to terminate life. , 1992, The Journal of social psychology.

[27]  J. Ostheimer.  The polls: changing attitudes toward euthanasia. , 1980, Public opinion quarterly.

[28]  Herbert W. Marsh,et al.  Goodness of fit in confirmatory factor analysis: The effects of sample size and model parsimony , 1994 .

[29]  Larry J. Williams,et al.  Antecedents and consequences of satisfaction and commitment in turnover models: A reanalysis using latent variable structural equation methods. , 1986 .

[30]  Second Edition,et al.  Statistical Package for the Social Sciences , 1970 .

[31]  K. Foley,et al.  Suffering in the Advanced Cancer Patient: A Definition and Taxonomy , 1994, Journal of palliative care.

[32]  Active Versus Passive Euthanasia: An Attributional Analysis1 , 1986 .

[33]  P. Bentler,et al.  Significance Tests and Goodness of Fit in the Analysis of Covariance Structures , 1980 .

[34]  H. Marsh.  The Structure of Masculinity/Femininity: An Application of Confirmatory Factor Analysis to Higher-Order Factor Structures and Factorial Invariance. , 1985, Multivariate behavioral research.