{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:26:40Z","timestamp":1791505600216,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Bioethics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This paper argues that philosophical practice can complement existing medical ethics structures by offering a publicly accessible space for discourse and negotiation of basic concepts that are relevant to ethical decision making. The potential of collaboration becomes particularly evident by the example of assisted dying: it raises a wide range of philosophical questions which, however, tend to remain unarticulated where there is urgency for action and focus on ethical dilemma. In this paper, we first provide an analysis of the neglect of profound questions in ethics consultation and why these need to be considered and negotiated within a broader socio\u2010philosophical framework and place. These reflections are grounded in conceptual approaches informed by Immanuel Kant, Charles Taylor, and the tradition of Hellenistic philosophy as interpreted by Pierre Hadot. These frameworks are not presented as final answers, but as productive starting points and historically significant philosophical thought figures for engaging with the complex philosophical dimensions of assisted suicide. Then, we draw upon insights from an ongoing research project on philosophical practice in palliative care and hospice work. Interim results indicate that people experience a need for a kind of dialogue that gives such philosophical considerations a space and a person who is capable of facilitating it. Synthesizing theoretical\u2010philosophical and empirical insights, the paper provides an outlook for fruitful collaboration amongst medical ethics structures and philosophical practice.<\/jats:p>","DOI":"10.1111\/bioe.70031","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T14:52:33Z","timestamp":1757688753000},"page":"291-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Thoughtful Accompaniment in Life's Final Stages: Philosophical Practice as a Complement to Ethics Consultation"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5471-9251","authenticated-orcid":false,"given":"Patrick","family":"Schuchter","sequence":"first","affiliation":[{"name":"Center for Interdisciplinary Research on Aging and Care (CIRAC) University of Graz Graz Austria"},{"name":"Center for Applied Nursing Research University of Applied Sciences Campus Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7566-4424","authenticated-orcid":false,"given":"Sandra","family":"Radinger","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pastoraltheologie und Pastoralpsychologie University of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie Veronika","family":"Rieger","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research on Aging and Care (CIRAC) University of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Wegleitner","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Research on Aging and Care (CIRAC) University of Graz Graz Austria"},{"name":"Institut f\u00fcr Pastoraltheologie und Pastoralpsychologie University of Graz Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-017-9784-z"},{"key":"e_1_2_9_3_1","first-page":"1","volume-title":"Ethik im Gesundheitswesen. Springer Reference Pflege \u2013 Therapie \u2013 Gesundheit","author":"Schuchter P.","year":"2021"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-64347-1"},{"key":"e_1_2_9_5_1","volume-title":"Kritik der reinen Vernunft","author":"Kant I.","year":"1966"},{"key":"e_1_2_9_6_1","unstructured":"Plato. (2009\u20132011).S\u00e4mtliche Werke(Vols.1\u20134). (Transl. F. Schleiermacher Ed. U. Wolf). Hamburg: Rowohlt Seventh Letter 341c\u2010d."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.30965\/9783969758007"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4159\/9780674237117"},{"key":"e_1_2_9_9_1","volume-title":"Qu'est\u2010ce que la philosophie antique?","author":"Hadot P.","year":"1995"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1515\/spircare-2019-0112"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","unstructured":"Epiktet. (1994) \u201cEncheiridion (Handbuch der Moral) und Diatriben (Lehrgespr\u00e4che) \u201d inR.Nickel(Ed. & Trans.) Epiktet. Teles. Musonius. Ausgew\u00e4hlte Schriften.Artemis & Winkler 1.","DOI":"10.1515\/9783110359435"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1086\/233525"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9337.2010.00473.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","unstructured":"R.Jaeggi On the Critique of Forms of Life(Transl. C. Cronin) (Belknap Press 2018).","DOI":"10.2307\/j.ctv24w63s7"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.04.003"},{"key":"e_1_2_9_16_1","volume-title":"Risikogesellschaft: Auf dem Weg in eine andere Moderne","author":"Beck U.","year":"2016"},{"key":"e_1_2_9_17_1","unstructured":"B.Cador\u00e9 L'\u00e9thique clinique comme philosophie contextuelle(Fides 1997)."},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","unstructured":"U.Gahlings Philosophische Praxis: Grundlagen\u2014Situationen\u2014Ethik(Verlag Karl Alber 2023).","DOI":"10.5771\/9783495999295"},{"key":"e_1_2_9_19_1","first-page":"114","article-title":"Socrates in the 21st Century: A Justification of Skeptical Interventions in Narrative Encounters","volume":"8","author":"Haas de L.","year":"2018","journal-title":"Philosophical Practice and Counseling"},{"key":"e_1_2_9_20_1","first-page":"36","article-title":"Philosophical Practice: A Method and Three Cases","volume":"6","author":"Amir L.","year":"2003","journal-title":"Practical Philosophy"},{"key":"e_1_2_9_21_1","first-page":"37","volume-title":"Anregungen von Wittgenstein","author":"Ramharter E.","year":"2014"},{"key":"e_1_2_9_22_1","volume-title":"The Socratic Handbook: Dialogue Methods for Philosophical Practice","author":"Weiss M. N.","year":"2015"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.1003175"},{"key":"e_1_2_9_24_1","unstructured":"G.Achenbach Zur Einf\u00fchrung der philosophischen Praxis. Vortr\u00e4ge Aufs\u00e4tze Gespr\u00e4che und Essays mit denen sich die philosophische Praxis in den Jahren 1981 bis 2009 vorstellte: eine Dokumentation(Dinter 2010)."},{"key":"e_1_2_9_25_1","first-page":"45","volume-title":"The Socratic Handbook: Dialogue Methods for Philosophical Practice","author":"Lindseth A.","year":"2015"},{"key":"e_1_2_9_26_1","unstructured":"O.Brenifier \u201cPhilosophical Consultation. Independently published: Editions Alcofribas \u201d2020 http:\/\/www.pratiques-philosophiques.fr\/wp-content\/uploads\/2020\/01\/Philosophical-consultation-last-version.pdf."},{"key":"e_1_2_9_27_1","volume-title":"Theory and Practice of Logic\u2010Based Therapy: Integrating Critical Thinking and Philosophy Into Psychotherapy","author":"Cohen E. D.","year":"2013"},{"key":"e_1_2_9_28_1","volume-title":"What is Deep Philosophy? Philosophy From Our Inner Depth","author":"Lahav R.","year":"2021"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241234800"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2018.03.05"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.05.013"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780195123333.001.0001"}],"container-title":["Bioethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bioe.70031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/bioe.70031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bioe.70031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:22:55Z","timestamp":1772961775000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bioe.70031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,12]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/bioe.70031"],"URL":"https:\/\/doi.org\/10.1111\/bioe.70031","archive":["Portico"],"relation":{},"ISSN":["0269-9702","1467-8519"],"issn-type":[{"value":"0269-9702","type":"print"},{"value":"1467-8519","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,12]]},"assertion":[{"value":"2024-10-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}