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Rosh Hashanah 2009 - South African Jewish Board of Deputies

Rosh Hashanah 2009 - South African Jewish Board of Deputies

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JEWISH AFFAIRS ROSH HASHANAH <strong>2009</strong>it is not obligatory for doctors to administermedication to prolong life and suffering. In the case<strong>of</strong> Mike, the artificial ventilation with oxygen canjustifiably be construed as administering medicationto prolong life <strong>of</strong> a patient who cannot be cured andcannot live much longer. Withdrawal <strong>of</strong> life supportwould therefore be justified, not only on humanitariangrounds but also within the context <strong>of</strong> RabbiFeinstein’s injunction.Case no. 2Sarah and her husband, Sam, had immigrated to<strong>South</strong> Africa from Germany in the mid-1930s. Aftersome years, Sarah contracted a malignant illness towhich she ultimately succumbed. She had stipulatedin her will that she wished to be cremated – ananathema to Orthodox Judaism. Her family, whopracticed Orthodox Judaism, expressed extremediscomfort about her request and insisted on atraditional burial. This was reinforced by the fact thatSarah’s father had been an Orthodox Rabbi. However,the request <strong>of</strong> an individual stipulated in a will isregarded as sacrosanct and should be respected.The doctor counseled the family at great length,ultimately drawing their attention to the fact thatmany <strong>of</strong> Sarah’s acquaintances and family membershad perished in the crematoria <strong>of</strong> the Nazi deathcamps, and that she was manifesting what was referredto as ‘survivor guilt’, and desired the same fate. Thefamily gained insight into this dynamic and agreed tothe cremation that was then to be conducted by analternative congregation.The term ‘survivor guilt’ has been documentedby Holocaust commentators, such as Andy Doullardin 2005 in a lecture course on ‘interdisciplinaryPerspectives in the Holocaust’. The dynamic whichoperates in such cases was verbalized in thesewords… “why am I still alive when others haveperished…?” Survivor guilt is also connected to anunconscious feeling <strong>of</strong> powerlessness in the face <strong>of</strong>atrocities perpetrated against loved ones.For a Superior Service in:• Sectional Title Management• Rent Collection• Property ManagementWe care for your propertyClosed on Shabbat and Yom TovSIDNEY NEIMANNP.O. Box 46362, Orange Grove, Johannesburg, 2119Tel: (011) 485-5444 • Fax: (011) 485-5300Cell: 082-457-9764E-mail: sidney@linsid.co.zaNOTES1 Hancock, K et al, Palliative Medicine 2007, Vol. 21,pp507-5172 Jacobovits I. ‘Ethical and moral issues in contemporarymedical practice’. Proceedings <strong>of</strong> an in-house conference.Faculty <strong>of</strong> Medicine, University <strong>of</strong> Cape Town, 7-8 August,1985. Edited by Pr<strong>of</strong>essor S R Benatar, p42.3 Ibid.4 Fallowfield, I J et al: Truth may hurt but deceit hurts more.Communication in palliative care. Palliative Medicine, 2002:16 (4): pp297 – 3035 Weinreich, et al. ‘Communication with dying patients withinthe spectrum <strong>of</strong> medical care from terminal diagnosis todeath’. Arch. Intern. Med. 2001: 161 (6): pp868 - 746 Hancock, K et al, Palliative Medicine 2007, Vol. 21,pp507-5177 MacMillan (N.Y.) 1969.8 M. Abeles. ‘Features <strong>of</strong> Judaism for careers when lookingafter <strong>Jewish</strong> patients’, Palliative Medicine, 1991, Vol. 5,pp. 201-2059 Feinstein, M, Responsa: Iggrot Moshe. Hebrew MishpatPart II. No. 73: 1, in Rosner Fred. ‘Rabbi Moshe Feinstein onthe Treatment <strong>of</strong> the Terminally ill’, Judaism. Vol. 37. No.21955. p191AFRICA'S ONLYJEWISH CULTURALJOURNALMAKES AWONDERFUL GIFTFOR ALL OCCASIONS.WHY NOT TAKE OUT AGIFTSUBSCRIPTION?47

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