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INSIDE THE ETHICS COMMITTEE
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Inside the Ethics Committee
Wednesdays 29 Aug, 05 & 12 Sep 2007 8.00-8.45pm
Repeated Saturdays 01, 08 & 15 Sep 2007 10.15-11.00pm
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Wed 05 Sep 2007 (rpt. Sat 08 Sep 2007)
Programme 2 - Your Comments

Should Kate, a young woman with anorexia nervosa, be allowed to refuse treatment and be allowed to die? To stop assisted feeding and opt for having palliative care in a hospice?

In the second programme of Inside the Ethics Committee, Vivienne Parry is joined by a panel of experts to discuss Kate’s case.

Kate has had Anorexia Nervosa since her early teens and has had more than 10 years of treatment with limited success. She finds the treatment process extremely difficult and can’t face the prospect of having any more.

She has been at a healthy weight but only after being tube fed under sedation. She wants to go to a hospice instead of more treatment.

How much is someone with a mental illness like Anorexia Nervosa able to make decisions about refusing treatment and when do those decisions have to be overridden?
“I think it is a terrible idea to ever offer someone with anorexia the chance to die. I have had this illness 15 years, now 27, and have begged and begged to die, but this has always been the illness talking. It is just that you get tired of fighting. Recovery can happen at any time, and many years at attempts at recovery does not mean you should ever let the person die.”
Sarah

“I have suffered from anorexia since I was twenty, when I was first treated (reluctantly) in hospital. I am now 50. Although I have often been aggressively resistant to interventionist treatment, and hospitalisation (I have been in hospital loads and loads of times), I am now in a position to be very grateful for those long-enduring hospital nurses who repeatedly rescued me. Anorexics can get beyond it, and must never be left to die of their condition. It is several years since I have had to be treated for anorexia. Surviving it is nothing to get excited about, admittedly - I am just older, wiser, and, yes, sadder. But grateful to be alive.”
P.

“I am compelled to contact you. I am a 36 year old female having suffered anorexia and bulimia since I was 13. I too have been sectioned on several occasions due to life threatening weight loss. I too have asked to be left to die; I looked at options for euthanasia. I too have felt completely at loss, utterly convinced I couldn’t get better. I had lost hope as well as those in my care. I have been on life support on two occasions. It wasn't until I was in my thirties that I felt a glimpse of thinking maybe I could try something different; that I started to make the tentative steps towards changing my behaviour. The progress is painstakingly slow - my thinking has changed and I am wholly shocked at my 'progress' - nevertheless my issues and difficulties are no less. My heart churns as I listen to this programme; the individual discussed could be myself. I've got no opinion as such because the subject is far too close to home - nevertheless this email poses as evidence for supporting this individual and for her to see that she could well want to change in time. I am evidence; but on the other hand, I appreciate where she is at. My prayers and my heart go out to this individual.”
Name withheld

“A fabulous bit of broadcasting. Thank you so much!”
Jules

“Until I listened to this programme, I had not realised the depth of the problems caused by anorexia, thank you for expanding my knowledge.”
Yvonne

“I don't wish to comment on the issues raised in this programme, but to say how much I appreciate the approach of the series. In contrast to The Moral Maze which almost always leaves me distressed by its negativity and adversarial structure, Inside the Ethics Committee gives me hope that broadcasting really can serve the common good and that it is possible to present deeply held and conflicting positions constructively and with courtesy and respect.”
Catherine
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