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Symposium on decision making process regarding medical treatment in end of life situations 30 November – 1 December 2010 Palais de l’Europe, Strasbourg, France Conference organised by the Steering Committee on Bioethics (CDBI) of the Council of Europe The speakers: abstracts, full texts and biographical notes TABLE OF CONTENT Mr Jean Leonetti (France) - Introductory message 3 Prof. Eugenijus Gefenas (Lithuania) – Medical End-of-Life Decisions: Conceptual Clarifications and Ethical Implications 7 Prof. Stein Kaasa (Norway) - Shared historical evolution and international comparison 13 Mrs Isabelle Erny (France) – What is at Stake in the Symposium in Relation to the Principles of the Convention on Human Rights and Biomedicine 17 Prof. Andreas Valentin (Austria) - Nature of possible decisions in end of life situations in intensive care 26 Prof. Inez de Beaufort (The Netherlands) – Nature of Possible Decisions in End-of-Life Situations 32 Prof. Dr. Dr. Jochen Vollmann (Germany) – The Person, Even Though Sick, is in Full Capacity to Participate in the Decision Process 40 Prof. Thérèse St Laurent Gagnon (Canada) – End-of-Life Decisions in the Case of Children 46 Prof. Ergun ?zsunay (Turkey) – Participation in the Decision by the Person who is in a Situation that Affects or Limits His/Her Capacity to Express Will 49 Dr. Irma Pahlman (Finland) – Previously Expressed Wishes: Advanced Directives/Living Will/Continuing Power of Attorney 61 Prof. Pablo Simón Lorda (Spain) - Advance Directives in Europe and Spain: Situation and Challenges 66 Alzheimer Europe (Patient organisation) – The Use of Advance Directives by People with Dementia – the Views of Alzheimer Europe 73 Prof. Emmanuel Agius (Malta) – Safeguarding the Unconscious Patients’ Overall Benefit: Towards a “Consensus Building’ Approach” 77 Prof. Jane Seymour (United Kingdom) – The Person Cannot Take Part in the Decision 86 Prof. Anatoly Zilber (Russian Federation) – Making Decision and Specia