Abstract
The Netherlands was the first country in which euthanasia (defined as the active termination of life by a physician at the request of the patient) and physician-assisted suicide (PAS) were legally permitted under specific circumstances. Much controversy exists regarding the moral legitimacy of assistance in dying, if this involves actively and deliberately shortening the life of the patient. This is particularly the case if patients do not (or do not only) suffer from somatic illnesses, but instead (or also) suffer from mental disturbance, such as in the case of chronic mental illness or Alzheimer's disease.
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