Contents:Section One: Introduction. 1: Opening: Why is it important to know about patients' wishes to die, Christoph Rehmann-Sutter, Heike Gudat, Kathrin Ohnsorge. Section Two: Research. 2: Illness narratives, meaning making and epistemic injustice in research at the end of life, Yasmin Gunaratnam. 3: Expressed desire for hastened death: a phenomenological inquiry, Nessa Coyle and Lois Sculco. 4: Commentary: 10 years later - a nursing perspective, Nessa Coyle. 5: Euthanasia (requests) after the implementation of the euthanasia law in 2002 in Belgium. Results of empirical studies in Flanders, Belgium, Luc Deliens and Tinne Smets. 6: The journey to understanding the wish to hasten death, Tracy A. Schroepfer. 7: The desire for hastened death in patients in palliative care, Rinat Nissim, Chris Lo, and Gary Rodin. 8: Intentions, motivations and social interactions regarding a wish to die, Kathrin Ohnsorge. 9: Acting on a wish to die at the end of life. The Swiss situation, Alexandre Mauron. 10: Understanding older people's wish to die, Bregje D. Onwuteaka-Philipsen. 11: Dialogue Intermezzo. Part I. Section Three: Ethics. 12: Caring and killing in the clinic: the argument of self-determination, Lars Johan Materstvedt. 13: Towards responsive knowing in matters of life and death, Marian Verkerk. 14: Dealing with dilemmas around patients' wishes to die: Moral Case Deliberation in a Dutch hospice, Guy Widdershoven, Margreet Stolper and Bert Molewijk. 15: End-of-life ethics from the perspectives of patients' wishes, Christoph Rehmann-Sutter. 16: Dialogue Intermezzo Part II. Section Four: Practice. 17: Issues of palliative medicine in end-of-life care, H. Christof Müller-Busch. 18: Spirituality at the bedside: negotiating the meaning of dying, Settimio Monteverde. 19: Communication on wishes to die, Heike Gudat, Christoph Rehmann-Sutter and Kathrin Ohnsorge. 20: From understanding to patient centred management: clinical pictures of a wish to die, Heike Gudat. 21: What does the wish to hasten death mean for the palliative patient? Clinical implications, Cristina Monforte-Royo, Albert Balaguer and Christian Villavicencio-Chávez. Section Five: Conclusion. 22: Concluding Dialogue