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The Troubled Dream of Life: In Search of a Peaceful Death [Paperback]

Daniel Callahan (Author)
4.3 out of 5 stars  See all reviews (3 customer reviews)

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Book Description

June 12, 2000

Drawing on his own experience, and on literature, philosophy, and medicine, Daniel Callahan offers great insight into how to deal with the rewards of modern medicine without upsetting our perception of death. He examines how we view death and the care of the critically ill or dying, and he suggests ways of understanding death that can lead to a peaceful acceptance. Callahan's thoughtful perspective notably enhances the legal and moral discussions about end-of-life issues.

Originally published in 1993 by Simon and Schuster.


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Editorial Reviews

From Publishers Weekly

Modern medicine, according to medical ethicist Callahan ( Setting Limits ), believes that the many advances in biological research and new technology should extend life indefinitely. In clear, unmoralizing terms, and calling on apt literary and philosophical allusions, the author stresses that except for a reasonable desire for a "tame" death--which has fueled intense debates about legalization of "living wills" and euthanasia--we must relinquish the modern desire for ultimate control over the body's fate in order to prepare for the natural end of the human lifespan. He concludes that despite fears, suffering and high medical costs, if death is "to make sense," we must develop a "shared communal meaning," based on the fact recognized by both science and religion that "death itself is necessary for life."
Copyright 1993 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

From Kirkus Reviews

A provocative analysis of how our attitudes toward our own mortality underlie society's health-care policies, especially regarding care of the dying and termination of medical treatment, as well as laws on living wills, euthanasia, and assisted suicide. These issues have long concerned medical ethicist Callahan (What Kind of Life, 1990, etc.), but, here, his focus shifts from legal and policy questions to the relationship of death to the self, as well as to nature, society, and modern medicine. The author examines some of our present ``illusions''--that death can be eliminated by eradicating lethal diseases; that we can manage both our selves and technology well enough to select the moment when medical treatment should be halted; that euthanasia or assisted suicide is an acceptable way to achieve a peaceful death. He targets what he terms the ``mistaken belief'' that control over one's life is a necessary condition of self-worth, as well as the notion that death is a great evil. For Callahan, death is an unavoidable part of life, acceptable when neither biologically nor morally wrong. His concluding chapter deals with the pursuit of a peaceful death, which he defines at some length in specific personal, medical, and social terms. The goal of a peaceful death, he says, should be an integral part of medicine- -but he cautions that this isn't likely to happen outside of a supportive cultural and economic context. Callahan believes that public ambivalence and confusion about the proper stance toward death shape medicine's viewpoint and, in turn, are shaped by it. As he sees it, the task is to create a new cultural understanding of death that will help define our social policies. Well-considered and convincing arguments designed to stimulate private thought and public discussion; of special interest to medical ethicists and health-care policy-makers. -- Copyright ©1993, Kirkus Associates, LP. All rights reserved. --This text refers to an out of print or unavailable edition of this title.

Product Details

  • Paperback: 256 pages
  • Publisher: Georgetown University Press; 1 edition (June 12, 2000)
  • Language: English
  • ISBN-10: 0878408150
  • ISBN-13: 978-0878408153
  • Product Dimensions: 8.3 x 5.5 x 0.7 inches
  • Shipping Weight: 10.4 ounces (View shipping rates and policies)
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Best Sellers Rank: #722,993 in Books (See Top 100 in Books)

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Customer Reviews

3 Reviews
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Average Customer Review
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10 of 10 people found the following review helpful:
5.0 out of 5 stars Truly Unique, July 11, 2003
By 
tzefirah "tzefirah" (Media, PA United States) - See all my reviews
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This review is from: The Troubled Dream of Life: In Search of a Peaceful Death (Paperback)
I've never read another book quite like this one. The author describes the history of society's attitude toward death and how it has changed with advances in medicine. Early on, death was accepted at any age as inevitable and in its own time. This attitude is contrasted with our modern-day concept of life being forever, with all of us hanging on by our fingernails until the last gasp.

The examples, particularly ones from the Civil War of the mortally wounded soldiers preparing themselves to become corpses, affected me profoundly. I haven't seen life or death the same since reading this book.

Are we asking too much of our doctors? Are we ungracious or blind in our wish to ignore the inevitable? These days, someone must be at fault for a death; someone should pay. Very little grace when confronting the vast eternal that comes to us all. Or are we, after all, entitled to life everlasting on earth if only science and medicine could just hurry up?

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4 of 4 people found the following review helpful:
5.0 out of 5 stars Troubling Review, October 22, 2007
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This review is from: The Troubled Dream of Life: In Search of a Peaceful Death (Paperback)
Callahan will be troubling if you demand the latest and most expensive healthcare, even though the treatment will only extend your life a brief period-life at any cost! The author is not decrying medicine, health care, or related technologies. He does, however, state that other things to consider are the patient's age, the value of improving the person's quality of life, (is their condition terminal?), and financial costs to the patient and her family. For example, should an 85 year old person with a chronic heart condition be able to receive a heart transplant if it would only extend the patient's life a few months, and the surgery might actually kill the person?
If a family member is in a "consistent vegetative state", should the family keep the body alive at all costs?
Callahan asks hard questions and points out that there are no simple answers. This book is a great starting point for beginning a long overdue discussion on ethics and healthcare.
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4 of 5 people found the following review helpful:
3.0 out of 5 stars The Troubled Dream of Life, February 26, 2006
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This review is from: The Troubled Dream of Life: In Search of a Peaceful Death (Paperback)
This book provides a fuller explanation (fuller than that provided in Setting Limits) of Daniel Callahan's opposition to using biomedicine for old people (people 75 and older) who are seriously ill and who would likely die were it not for biomedicine. Callahan makes a compelling argument against using biomedicine for this poplulation.

Not as compelling (for me) is his argument against euthanasia. Addressing euthanasia is something Callahan must do. He wants to limit (eliminate?) the use of biomedicine for old people who are seriously ill. If he supports elimnating biomedicine, doesn't it follow that he supports euthanasia? Callahan says, "No" and makes his case.

Although I did not agree with many of the themes developed in this book, it did make me think. That, I think, is one of Callahan's overall objectives.
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Inside This Book (learn more)
First Sentence:
Sometimes we are lost and know it. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
technological brinkmanship, technological attenuation, technological monism, biological evil, tame death, wild death, peaceful death, modem medicine, medical futility, terminating treatment, letting die, death with dignity, technological medicine, poor death
Key Phrases - Capitalized Phrases (CAPs): (learn more)
The Last Illusion, Paul Ramsey, United States
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