Women, particularly educated White women, are at the forefront of the U.S. physician-assisted-suicide legalization movement, as advocates and leaders. They also represent half of decedents by physicianassisted suicide, though they are a minority among unassisted-suicide decedents. The dominant physician-assisted-suicide narrative is framed in terms of choice. This article focuses on the rhetoric and the reality of choice in physician-assisted suicide for White women in the United States, consistent with an intersectional perspective and with attention to context. It examines the idea of choice in physicianassisted suicide in light of women’s lives, and also considering dominant narratives of physician-assisted suicide and of femininity. A mix of privilege (e.g., White women’s good-enough experiences with medical systems, relative to ethnic-minority women) and disadvantage (e.g., White women’s economic and care challenges, given their longevity but in poor health), combined with dominant physicianassisted-suicide rhetoric (e.g., physician-assisted-suicide as a death of dignity and graceful selfdetermination) and dominant-femininity ideals (e.g., femininity as graceful self-abnegation), likely contribute to White women’s strong participation in physician-assisted suicide. The implications for professional psychology of intersectional and contextual perspectives on physician-assisted-suicide discourses and practices are discussed.

中文翻译：

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如果医生协助自杀是现代女性最后一个强有力的选择，为什么白人女性是其主要倡导者和主要使用者？

作为倡导者和领导者，女性，尤其是受过教育的白人女性，处于美国医生协助自杀合法化运动的最前沿。他们也代表了医生协助自杀的死者的一半，尽管他们在无人协助的自杀死者中占少数。占主导地位的医生辅助自杀叙事是根据选择来构建的。本文重点关注美国白人女性医生协助自杀的修辞和现实选择，与交叉视角和对背景的关注相一致。它根据女性的生活检查了医生辅助自杀的选择理念，并考虑了医生辅助自杀和女性气质的主要叙述。特权的混合（例如，白人女性在医疗系统方面的经验足够好，相对于少数族裔妇女）和劣势（例如，白人妇女的经济和护理挑战，鉴于她们长寿但健康状况不佳），结合占主导地位的医生辅助自杀言论（例如，医生辅助自杀是尊严和优雅的死亡）自我决定）和占主导地位的女性气质理想（例如，女性气质作为优雅的自我克制），可能有助于白人女性强烈参与医生协助自杀。讨论了医生辅助自杀话语和实践的交叉和上下文观点对专业心理学的影响。医生协助自杀作为尊严和优雅自决的死亡）和主导女性气质理想（例如，女性气质作为优雅的自我克制），可能有助于白人女性强烈参与医生协助自杀。讨论了医生辅助自杀话语和实践的交叉和上下文观点对专业心理学的影响。医生协助自杀作为尊严和优雅自决的死亡）和主导女性气质理想（例如，女性气质作为优雅的自我克制），可能有助于白人女性强烈参与医生协助自杀。讨论了医生辅助自杀话语和实践的交叉和上下文观点对专业心理学的影响。