Research Article

Death Wishes, Aging Patients, and Euthanasia

Mareike Wolf-Fédida, Jelena Rosic, Gilles Arsène Aizan, Fanny Houzé and Laurent Vidal

Published: 12 March, 2024 | Volume 8 - Issue 1 | Pages: 005-009

The authors are searchers in psychopathology and communicate here about the dead wishes in relation to euthanasia. In Europe, the question comes regularly up to know if the law should be changed concerning the prohibition of euthanasia. The health system obeys progressively a modern idea of comfort and the “good life”. The authors are psychotherapists and their methodology is based mainly on phenomenological psychology, psychoanalysis, and psychopathology. Statistics of the French Ministry of Health will support their statements. Different clinical experiences with young patients, aging patients, or near-to-death patients are crossed and compared to those marked by heavy experiences like rape or amputation. The unbearable nature of their suffering makes them ask frequently to stop the pain. They would prefer being dead. This contribution examinates this kind of demand to find a helpful position for the caregiver and the patient. We should consider that near-death patients may often be at the climax of anxiety and depression is likely to switch over to dementia. In asking to finish with life, this purpose may change one day to another – sometimes it just highlights the wish to see things changed. The position of society and the medical staff has a high influence as well. Asking for euthanasia shows the variety of the same words that have different meanings from a medical, psychological, or psychopathological viewpoint. The purpose is to consider these aspects with the patient’s demand.

Read Full Article HTML DOI: 10.29328/journal.ida.1001040 Cite this Article Read Full Article PDF


Aging; Death wishes; Care pathway; Caregivers; Euthanasia; Pain; Subjectivation; Suffering; Suicide; Trauma


  1. French Society of Palliative Care and Nursing. Facing the demand of euthanasia. Working Team on Ethics and Research for Euthanasia. October, 2004.
  2. Chalaye P. Asking for Euthanasia as Calling for help to the Other. Until Death, accompagniement of life. Grenoble, Grenoble University Press. 2021; 85-90.
  3. Tesu-Rollier DD, Wolf-Fédida M. Mental health in prison: Prevention from suicide. 2014; 5(13):1583–1590. https://doi.org/10.4236/psych.2014.513169
  4. Fazel S, Danesh J. Serious Mental Disorder in 23 000 Prisoners: A Systematic Review of 62 Surveys. Lancet. 2002; 359:545-550.
  5. Coldefy M, Prieto N, Faure P. Taking Care of Mental Health for Prisoners in 2004. Studies and Results of the French Ministery of Health. The Mental Health of New Prisoners or of Those Monitored in French Prisons with (SMPR). Elsevier Masson. 2006; 525-531.
  6. Binswanger L, Foucault M. Dream and Existence. Rêve et existence. Review of Existential Psychology and Psychiatry, Special Issue. 2013;1986.
  7. Fédida P. The Benefits of Depression. Paris, O. Jacob. 2002.
  8. Lacan J. The Seminary of Anxiety book ten. Paris, Seuil. 2004..
  9. Murphy JM, Monson RR, Laird NM, Sobol AM, Leighton AH. A comparison of diagnostic interviews for depression in the Stirling County study: challenges for psychiatric epidemiology. Arch Gen Psychiatry. 2000 Mar;57(3):230-6. doi: 10.1001/archpsyc.57.3.230. PMID: 10711909.
  10. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995 Dec;52(12):1048-60. doi: 10.1001/archpsyc.1995.03950240066012. PMID: 7492257.
  11. Seguin M, Terra JL. Training for Intervention in Suicidal Crisis. Training Manual. Lyon, French Ministry of Health. 2003.
  12. High Authority of Health. The End of Life: to speak about it, to prepare it and to accompany it. 15 march 2018. https://www.has-sante.fr/jcms/c_2834548/fr/fin-de-vie-en-parler-la-prep...
  13. High Authority of Health. Care Pathway for Persons with Chronicle Illness in Palliative Care. Paris. HAS. 2013. www.has-sante.fr
  14. High Authority of Health. Care Pathway for Aging Persons Near to Dath and in Institution. Paris. HAS. 2016. www.has-sante.fr
  15. Biotti-Mache Euthanasia: some words of vocabulary and history. Studies on death. 2016; 150:17-33. https://doi.org/10.3917/eslm.150.0017
  16. Le Jamtel C. To Receive ans Contain Together the Demand of Death. Until Death. accompagniement of life. Grenoble, 2021; 147:77-83.
  17. Consultative Committee of Nationals Ethics. Avis N° 63 of 27th January, 2000.
  18. WHO- Depression. https://www.who.int/health-topics/depression#tab=tab_1;
  19. Wolf-Fédida M. The Time when Growing Older and Space of Aging, Psychology of Aging. Paris, MJW Fédition. 2020.
  20. Fédida P. Humain/Unhumain, Pierre Fédida’s Speech in Progress. Paris, PUF. 2007.
  21. Guilbert E. Acting out of Speech towards a Possibility to Speack about Mistreatment in Geriartry. 2017; 95:229-243.
  22. Amar S. Care Pathway in Palliative Care. Psychoanalytical Approach. Paris, Dunod. 2012.
  23. Haute Autorité de la Santé/ High Authority of Health. Taking Care of Psychopathy. Paris. 2005.
  24. Loo H, Gourion D. The Enemy of Soul, How to Heal Depression. Paris, Odile Jacob. 2007.
  25. Dejours C, Debruy R, Fédida P. Psychopathology of Expressions of the Body. Paris, Dunod. 2002.
  26. High Authority of Health. Suicide worldwide in 2019. Global Health Estimates. Paris, HAS. 2019. www.has-sante.fr
  27. Unity of Care Alimentation Comportments. University Paris XI. BMC Psychiatry. 2006; 15:139-145.
  28. Lamothe P. Americain Psychopathy and French Psychopathy. Clinical and Culturel Confrontation. 2001; 66:602-608.
  29. Vogel RT. To Speack about Death in Psychotherapy. Integrative Manual to Evoke the End of Life, Death and Mourning. Paris, MJW Fédition. 2023.
  30. Aizan GA, Vidal L, Wolf-Fédida M. Sexual Abuse in Adolescence and Psychical Reconstruction, 2005. Let Us Speack about Suicide of Young People. 2024.
  31. FREUD S. 1922, Beyond the pleasure principle. Standard Edition. London, Hogarth Press, 1955.
  32. Terral-Vidal M. Acting Out or How to Escape from the Scene of World. 2010; 19:229-234.
  33. Czermak M. Acting Out: Should I Cut my Ear for Getting You Listening to Me? Paris, Erés. 2019.
  34. Steinberg PI. Psychoanalysis in medicine. Applying Psychoanalytic Thought to Contemporary Medical Care. London, Routledge, 2021.
  35. Mezzalira S, Santoro G, Bochicchio V, Schimmenti A. Trauma and The Disruption of Temporal Experience: A Psychoanalytical and Phenomenological Perspective. American Journal of Psychoanalysis. 2023; 83(1):36–55.
  36. Blitzer M. The Analyst’s Courage and Vulnerability in the Countertransference. American Journal of Psychoanalysis. 2023; 83(1):74–88.
  37. High Authority of Health. Evaluation of Therapeutical Caretaking for Pain from Old Persons with Communication Trouble. Paris, HAS. 2000. www.has-sante.fr


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