Search results for 'Ineke Widdershoven-Heerding' (try it on Scholar)

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  1. G. A. M. Widdershoven & I. Widdershoven-Heerding (2003). Understanding Dementia: A Hermeneutic Perspective. In K. W. M. Fulford (ed.), Nature and Narrative: An Introduction to the New Philosophy of Psychiatry. Oxford University Press.score: 280.0
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  2. Halime Celik, Toine Lagro‐Janssen, Ineke Klinge, Trudy Van Der Weijden & Guy Widdershoven (2009). Maintaining Gender Sensitivity in the Family Practice: Facilitators and Barriers. Journal of Evaluation in Clinical Practice 15 (6):1220-1225.score: 240.0
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  3. Ineke Widdershoven-Heerding (1987). Medicine as a Form of Practical Understanding. Theoretical Medicine and Bioethics 2 (2).score: 87.0
    This paper is an attempt to reframe the debate of whether medicine is an art or a science in the Aristotelian sense. The recent book of Pellegrino and Thomasma, A Philosophical Basis of Medical Practice, serves as the starting point. Taking clinical interaction as the distinctive feature of medicine, the resemblances of medicine with the characteristics of practical reasoning in the Aristotelian sense are further explored. This comparison proves especially useful in discussing the special status of medical knowledge. Clinical reasoning, (...)
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  4. G. Meynen & G. Widdershoven (2012). Competence in Health Care: An Abilities-Based Versus a Pathology-Based Approach. Clinical Ethics 7 (1):39-44.score: 30.0
    Competence is central to informed consent and, therefore, to medical practice. In this context, competence is regarded as synonymous with decision-making capacity. There is wide consensus that competence should be approached conceptually by identifying the abilities needed for decision-making capacity. Incompetence, then, is understood as a condition in which certain abilities relevant to decision-making capacity are lacking. This approach has been helpful both in theory and practice. There is, however, another approach to incompetence, namely to relate it to mental disorder. (...)
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  5. Elleke Landeweer, Tineke A. Abma, Linda Dauwerse & Guy A. M. Widdershoven (2011). Triad Collaboration in Psychiatry: Privacy and Confidentiality Revisited. International Journal of Feminist Approaches to Bioethics 4 (1):121-139.score: 30.0
    Recently, there has been increased interest in the involvement of family members in treating psychiatric patients who are involuntarily admitted into mental hospitals (Goodwin and Happel 2006; Wilkinson and McAndrew 2008). Family is, for instance, expected to be of use in preventing escalations and aggression on the wards by giving information about patient needs and providing support to the patient. Yet, in practice, family is not routinely involved in the treatment process, and is not even regularly informed about situations (Marshall (...)
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  6. Jenny Slatman & Guy Widdershoven (2009). Being Whole After Amputation. American Journal of Bioethics 9 (1):48 – 49.score: 30.0
  7. Guy Widdershoven, Tineke Abma & Bert Molewijk (2009). Empirical Ethics as Dialogical Practice. Bioethics 23 (4):236-248.score: 30.0
    In this article, we present a dialogical approach to empirical ethics, based upon hermeneutic ethics and responsive evaluation. Hermeneutic ethics regards experience as the concrete source of moral wisdom. In order to gain a good understanding of moral issues, concrete detailed experiences and perspectives need to be exchanged. Within hermeneutic ethics dialogue is seen as a vehicle for moral learning and developing normative conclusions. Dialogue stands for a specific view on moral epistemology and methodological criteria for moral inquiry. Responsive evaluation (...)
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  8. Tineke Abma, Anne Bruijn, Tinie Kardol, Jos Schols & Guy Widdershoven (2012). Responsibilities in Elderly Care: Mr Powell's Narrative of Duty and Relations. Bioethics 26 (1):22-31.score: 30.0
    In Western countries a considerable number of older people move to a residential home when their health declines. Institutionalization often results in increased dependence, inactivity and loss of identity or self-worth (dignity). This raises the moral question as to how older, institutionalized people can remain autonomous as far as continuing to live in line with their own values is concerned. Following Walker's meta-ethical framework on the assignment of responsibilities, we suggest that instead of directing all older people towards more autonomy (...)
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  9. Bert Molewijk, Dick Kleinlugtenbelt & Guy Widdershoven (2011). The Role of Emotions in Moral Case Deliberation: Theory, Practice, and Methodology. Bioethics 25 (7):383-393.score: 30.0
    In clinical moral decision making, emotions often play an important role. However, many clinical ethicists are ignorant, suspicious or even critical of the role of emotions in making moral decisions and in reflecting on them. This raises practical and theoretical questions about the understanding and use of emotions in clinical ethics support services. This paper presents an Aristotelian view on emotions and describes its application in the practice of moral case deliberation.According to Aristotle, emotions are an original and integral part (...)
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  10. Guy Widdershoven (1999). Cognitive Psychology and Hermeneutics: Two Approaches to Meaning and Mental Disorder. Philosophy, Psychiatry, and Psychology 6 (4):245-253.score: 30.0
  11. Rouven Porz & Guy Widdershoven (2011). Predictive Testing and Existential Absurdity: Resonances Between Experiences Around Genetic Diagnosis and the Philosophy of Albert Camus. Bioethics 25 (6):342-350.score: 30.0
    Predictive genetic testing may confront those affected with difficult life situations that they have not experienced before. These life situations may be interpreted as ‘absurd’. In this paper we present a case study of a predictive test situation, showing the perspective of a woman going through the process of deciding for or against taking the test, and struggling with feelings of alienation. To interpret her experiences, we refer to the concept of absurdity, developed by the French Philosopher Albert Camus. Camus' (...)
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  12. Guy A. M. Widdershoven (1992). Hermeneutics and Relativism: Wittgenstein, Gadamer, Habermas. Theoretical and Philosophical Psychology 12 (1):1-11.score: 30.0
  13. Tineke A. Abma, Vivianne E. Baur, Bert Molewijk & Guy A. M. Widdershoven (2010). Inter-Ethics: Towards an Interactive and Interdependent Bioethics. Bioethics 24 (5):242-255.score: 30.0
    Since its origin bioethics has been a specialized, academic discipline, focussing on moral issues, using a vast set of globalized principles and rational techniques to evaluate and guide healthcare practices. With the emergence of a plural society, the loss of faith in experts and authorities and the decline of overarching grand narratives and shared moralities, a new approach to bioethics is needed. This approach implies a shift from an external critique of practices towards embedded ethics and interactive practice improvement, and (...)
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  14. Guy Widdershoven (ed.) (2008). Empirical Ethics in Psychiatry. Oxford University Press.score: 30.0
    Psychiatry presents a unique array of difficult ethical questions. However, a major challenge is to approach psychiatry in a way that does justice to the real ethical issues. Recently there has been a growing body of research in empirical psychiatric ethics, and an increased interest in how empirical and philosophical methods can be combined. Empirical Ethics in Psychiatry demonstrates how ethics can engage more closely with the reality of psychiatric practice and shows how empirical methodologies from the social sciences can (...)
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  15. Jenny Slatman, Annemie Halsema & Guy Widdershoven (2010). Sex and Enhancement: A Phenomenological-Existential View. American Journal of Bioethics 10 (7):20-22.score: 30.0
  16. S. Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven (2012). “Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care. Health Care Analysis 20 (3):250-267.score: 30.0
    Our study presents an overview of the issues that were brought forward by participants of a moral case deliberation (MCD) project in two elderly care organizations. The overview was inductively derived from all case descriptions (N = 202) provided by participants of seven mixed MCD groups, consisting of care providers from various professional backgrounds, from nursing assistant to physician. The MCD groups were part of a larger MCD project within two care institutions (residential homes and nursing homes). Care providers are (...)
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  17. Kathrin Ohnsorge & Guy Widdershoven (2011). Monological Versus Dialogical Consciousness – Two Epistemological Views on the Use of Theory in Clinical Ethical Practice. Bioethics 25 (7):361-369.score: 30.0
    In this article, we argue that a critical examination of epistemological and anthropological presuppositions might lead to a more fruitful use of theory in clinical-ethical practice. We differentiate between two views of conceptualizing ethics, referring to Charles Taylors' two epistemological models: ‘monological’ versus ‘dialogical consciousness’. We show that the conception of ethics in the model of ‘dialogical consciousness’ is radically different from the classical understanding of ethics in the model of ‘monological consciousness’. To reach accountable moral judgments, ethics cannot be (...)
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  18. Bert Molewijk, Dick Kleinlugtenbelt, Scott Pugh & Guy Widdershoven (2011). Emotions and Clinical Ethics Support. A Moral Inquiry Into Emotions in Moral Case Deliberation. HEC Forum 23 (4):257-268.score: 30.0
    Emotions play an important part in moral life. Within clinical ethics support (CES), one should take into account the crucial role of emotions in moral cases in clinical practice. In this paper, we present an Aristotelian approach to emotions. We argue that CES can help participants deal with emotions by fostering a joint process of investigation of the role of emotions in a case. This investigation goes beyond empathy with and moral judgment of the emotions of the case presenter. In (...)
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  19. Merel Visse, Guy A. M. Widdershoven & Tineke A. Abma (2012). Moral Learning in an Integrated Social and Healthcare Service Network. Health Care Analysis 20 (3):281-296.score: 30.0
    The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear who is responsible for what because this new network structure requires rules and procedures to be re-interpreted and re-negotiated. A new moral climate needs to be developed, particularly in the early stages of integrated services. Who should do what, with (...)
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  20. Guy A. M. Widdershoven (2002). Beyond Autonomy and Beneficence. Ethical Perspectives 9 (2):96-102.score: 30.0
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  21. H. M. Buiting, D. J. H. Deeg, D. L. Knol, J. P. Ziegelmann, H. R. W. Pasman, G. A. M. Widdershoven & B. D. Onwuteaka-Philipsen (2012). Older Peoples' Attitudes Towards Euthanasia and an End-of-Life Pill in The Netherlands: 2001-2009. Journal of Medical Ethics 38 (5):267-273.score: 30.0
    Introduction With an ageing population, end-of-life care is increasing in importance. The present work investigated characteristics and time trends of older peoples' attitudes towards euthanasia and an end-of-life pill. Methods Three samples aged 64 years or older from the Longitudinal Ageing Study Amsterdam (N=1284 (2001), N=1303 (2005) and N=1245 (2008)) were studied. Respondents were asked whether they could imagine requesting their physician to end their life (euthanasia), or imagine asking for a pill to end their life if they became tired (...)
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  22. Minke Goldsteen, Tineke Abma, Barth Oeseburg, Marian Verkerk, Frans Verhey & Guy Widdershoven (2007). What is It to Be a Daughter? Identities Under Pressure in Dementia Care. Bioethics 21 (1):1–12.score: 30.0
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  23. R. Janssens, J. J. M. van Delden & G. A. M. Widdershoven (2012). Palliative Sedation: Not Just Normal Medical Practice. Ethical Reflections on the Royal Dutch Medical Association's Guideline on Palliative Sedation. Journal of Medical Ethics 38 (11):664-668.score: 30.0
    The main premise of the Royal Dutch Medical Association's (RDMA) guideline on palliative sedation is that palliative sedation, contrary to euthanasia, is normal medical practice. Although we do not deny the ethical distinctions between euthanasia and palliative sedation, we will critically analyse the guideline's argumentation strategy with which euthanasia is demarcated from palliative sedation. First, we will analyse the guideline's main premise, which entails that palliative sedation is normal medical treatment. After this, we will critically discuss three crucial propositions of (...)
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  24. Bert Molewijk & Guy A. M. Widdershoven (2012). Don't Solve the Issues! Cambridge Quarterly of Healthcare Ethics 21 (04):448-456.score: 30.0
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  25. A. H. G. van Elteren, T. A. Abma & G. A. M. Widdershoven (2012). Empirical Ethics Within Rapidly Changing Practices. Cambridge Quarterly of Healthcare Ethics 21 (04):493-504.score: 30.0
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  26. L. Kater, R. Houtepen, R. Vries & G. Widdershoven (2003). Health Care Ethics and Health Law in the Dutch Discussion on End-of-Life Decisions: A Historical Analysis of the Dynamics and Development of Both Disciplines. Studies in History and Philosophy of Science Part C 34 (4):669-684.score: 30.0
    Over the past three or four decades, the concept of medical ethics has changed from a limited set of standards to a broad field of debate and research. We define medical ethics as an arena of moral issues in medicine, rather than a specific discipline. This paper examines how the disciplines of health care ethics and health care law have developed and operated within this arena. Our framework highlights the aspects of jurisdiction (Abbott) and the assignment of responsibilities (Gusfield). This (...)
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  27. Rouven Porz, Elleke Landeweer & Guy Widdershoven (2011). Theory and Practice of Clinical Ethics Support Services: Narrative and Hermeneutical Perspectives. Bioethics 25 (7):354-360.score: 30.0
    In this paper we introduce narrative and hermeneutical perspectives to clinical ethics support services (CESS). We propose a threefold consideration of ‘theory’ and show how it is interwoven with ‘practice’ as we go along. First, we look at theory in its foundational role: in our case ‘narrative ethics’ and ‘philosophical hermeneutics’ provide a theoretical base for clinical ethics by focusing on human identities entangled in stories and on moral understanding as a dialogical process. Second, we consider the role of theoretical (...)
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  28. J. Sitvast, G. Widdershoven & T. Abma (2011). Moral Learning in Psychiatric Rehabilitation. Nursing Ethics 18 (4):583-595.score: 30.0
    The purpose of this article is to illustrate moral learning in persons with a psychiatric disability who participated in a nursing intervention, called the photo-instrument. This intervention is a form of hermeneutic photography. The findings are based on a multiple case study of 42 patients and additional interviews with eight of them. Photo groups were organized within three settings of psychiatric services: ambulatory as well as clinical, all situated in the Netherlands. Data were analysed according to hermeneutic and semiotic principles. (...)
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  29. Guy Widdershoven, Annemie Halsema & Jenny Slatman (2010). Sex and Enhancement: A Phenomenological-Existential View. American Journal of Bioethics 10 (7):20-22.score: 30.0
  30. G. A. M. Widdershoven (2005). Euthanasia, Ethics and Public Policy. An Argument Against Legislation. Journal of Medical Ethics 31 (1):e6-e6.score: 30.0
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  31. Guy A. M. Widdershoven (2000). The Doctor-Patient Relationship as a Gadamerian Dialogue: A Response to Arnason. Medicine, Health Care and Philosophy 3 (1):25-27.score: 30.0
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  32. Marli Huijer & Guy Widdershoven (2001). Desires in Palliative Medicine. Five Models of the Physician‐Patient Interaction on Palliative Treatment Related to Hellenistic Therapies of Desire. Ethical Theory and Moral Practice 4 (2):143-159.score: 30.0
    In this paper, we explore the desires that play a role at the palliative stage and relate them to various approaches to patient autonomy. What attitude can physicians and other caregivers take to the desires of patients at the palliative stage? We examine this question by introducing five physicians who are consulted by Jackie, an imaginary patient with metastatic lung carcinoma. By combining the models of the physician-patient relationship developed by Emanuel and Emanuel (1992) and the Hellenistic approaches to desires (...)
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  33. Lieke van Der Scheer & Guy Widdershoven (2004). A Response to Levitt and Molewijk. Medicine, Health Care and Philosophy 7 (1):89-91.score: 30.0
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  34. Lieke van Der Scheer & Guy Widdershoven (2004). Integrated Empirical Ethics: Loss of Normativity? [REVIEW] Medicine, Health Care and Philosophy 7 (1):71-79.score: 30.0
    An important discussion in contemporary ethics concerns the relevance of empirical research for ethics. Specifically, two crucial questions pertain, respectively, to the possibility of inferring normative statements from descriptive statements, and to the danger of a loss of normativity if normative statements should be based on empirical research. Here we take part in the debate and defend integrated empirical ethical research: research in which normative guidelines are established on the basis of empirical research and in which the guidelines are empirically (...)
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  35. Gerben Meynen, Dick F. Swaab & Guy Widdershoven (2012). Nocebo and Informed Consent in the Internet Era. American Journal of Bioethics 12 (3):31-33.score: 30.0
    The American Journal of Bioethics, Volume 12, Issue 3, Page 31-33, March 2012.
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  36. Tineke A. Abma, Bert Molewijk & Guy A. M. Widdershoven (2009). Good Care in Ongoing Dialogue. Improving the Quality of Care Through Moral Deliberation and Responsive Evaluation. Health Care Analysis 17 (3):217-235.score: 30.0
    Recently, moral deliberation within care institutions is gaining more attention in medical ethics. Ongoing dialogues about ethical issues are considered as a vehicle for quality improvement of health care practices. The rise of ethical conversation methods can be understood against the broader development within medical ethics in which interaction and dialogue are seen as alternatives for both theoretical or individual reflection on ethical questions. In other disciplines, intersubjectivity is also seen as a way to handle practical problems, and methodologies have (...)
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  37. K. Schipper, G. A. M. Widdershoven & T. A. Abma (2011). Citizenship and Autonomy in Acquired Brain Injury. Nursing Ethics 18 (4):526-536.score: 30.0
    In ethical theory, different concepts of autonomy can be distinguished. In this article we explore how these concepts of autonomy are combined in theory in the citizenship paradigm, and how this turns out in the practice of care for people with acquired brain injury. The stories of a professional caregiver and a client with acquired brain injury show that the combination of various concepts of autonomy in practice leads to tensions between caregivers and clients. These dynamics are discussed from a (...)
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  38. Guy Widdershoven, Bert Molewijk & Tineke Abma (2009). Improving Care and Ethics: A Plea for Interactive Empirical Ethics. American Journal of Bioethics 9 (6):99-101.score: 30.0
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  39. Donna Dickenson & Guy Widdershoven (2001). Ethical Issues in Limb Transplants. Bioethics 15 (2):110–124.score: 30.0
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  40. G. Widdershoven (2001). Advance Directives in Psychiatric Care: A Narrative Approach. Journal of Medical Ethics 27 (2):92-97.score: 30.0
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  41. Elleke Landeweer, Tineke Abma, Jolijn Santegoeds & Guy Widdershoven (2008). Psychiatry in the Age of Neuroscience: The Impact on Clinical Practice and Lives of Patients. Poiesis and Praxis 6 (1-2):43-55.score: 30.0
    Due to the progress being made in the neurosciences, higher expectations for the use of medication, even against the patient’s will, are arising in mental hospitals. In this article, we will discuss whether the neurosciences and new psychopharmacological solutions really support patients who suffer from mental illnesses. To answer this question, we will focus on the perspective of patients and their experiences with psychiatric (coercive) treatments. The analysis of one person’s story shows that other issues besides appropriate medication are important (...)
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  42. F. C. Weidema, T. A. Abma, G. A. M. Widdershoven & A. C. Molewijk (2011). Client Participation in Moral Case Deliberation: A Precarious Relational Balance. [REVIEW] HEC Forum 23 (3):207-224.score: 30.0
    Moral case deliberation (MCD) is a form of clinical ethics support in which the ethicist as facilitator aims at supporting professionals with a structured moral inquiry into their moral issues from practice. Cases often affect clients, however, their inclusion in MCD is not common. Client participation often raises questions concerning conditions for equal collaboration and good dialogue. Despite these questions, there is little empirical research regarding client participation in clinical ethics support in general and in MCD in particular. This article (...)
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  43. F. C. Weidema, A. C. Molewijk, G. A. M. Widdershoven & T. A. Abma (2012). Enacting Ethics: Bottom-Up Involvement in Implementing Moral Case Deliberation. [REVIEW] Health Care Analysis 20 (1):1-19.score: 30.0
    In moral case deliberation (MCD), healthcare professionals meet to reflect upon their moral questions supported by a structured conversation method and non-directive conversation facilitator. An increasing number of Dutch healthcare institutions work with MCD to (1) deal with moral questions, (2) improve reflection skills, interdisciplinary cooperation and decision-making, and (3) develop policy. Despite positive evaluations of MCD, organization and implementation of MCD appears difficult, depending on individuals or external experts. Studies on MCD implementation processes have not yet been published. The (...)
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  44. Tineke A. Abma, Barth Oeseburg, Guy Am Widdershoven, Minke Goldsteen & Marian A. Verkerk (2005). Two Women with Multiple Sclerosis and Their Caregivers: Conflicting Normative Expectations. Nursing Ethics 12 (5):479-492.score: 30.0
    It is not uncommon that nurses are unable to meet the normative expectations of chronically ill patients. The purpose of this article is to describe and illustrate Walker’s expressive-collaborative view of morality to interpret the normative expectations of two women with multiple sclerosis. Both women present themselves as autonomous persons who make their own choices, but who also have to rely on others for many aspects of their lives, for example, to find a new balance between work and social contacts (...)
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  45. Lazare Benaroyo & Guy Widdershoven (2004). Competence in Mental Health Care: A Hermeneutic Perspective. [REVIEW] Health Care Analysis 12 (4):295-306.score: 30.0
    In this paper we develop a hermeneutic approach to the concept of competence. Patient competence, according to a hermeneutic approach, is not primarily a matter of being able to reason, but of being able to interpret the world and respond to it. Capacity should then not be seen as theoretical, but as practical. From the perspective of practical rationality, competence and capacity are two sides of the same coin. If a person has the capacity to understand the world and give (...)
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  46. L. Dauwerse, T. Abma, B. Molewijk & G. Widdershoven (2011). Need for Ethics Support in Healthcare Institutions: Views of Dutch Board Members and Ethics Support Staff. Journal of Medical Ethics 37 (8):456-460.score: 30.0
    Next SectionObjective The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. Methods This study had a mixed methods design integrating quantitative and qualitative research methods. Two survey questionnaires, two focus groups and 17 interviews were conducted among board members and ethics support staff in Dutch healthcare institutions. Findings Most respondents see a (...)
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  47. G. Widdershoven (2006). Commentary: Euthanasia in Europe: A Critique of the Marty Report. Journal of Medical Ethics 32 (1):34-35.score: 30.0
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  48. K. Ohnsorge, H. R. G. Keller, G. A. Widdershoven & C. Rehmann-Sutter (2012). 'Ambivalence' at the End of Life: How to Understand Patients' Wishes Ethically. Nursing Ethics 19 (5):629-641.score: 30.0
    Health-care professionals in end-of-life care are frequently confronted with patients who seem to be ‘ambivalent’ about treatment decisions, especially if they express a wish to die. This article investigates this phenomenon by analysing two case stories based on narrative interviews with two patients and their caregivers. First, we argue that a respectful approach to patients requires acknowledging that coexistence of opposing wishes can be part of authentic, multi-layered experiences and moral understandings at the end of life. Second, caregivers need to (...)
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  49. Guy A. M. Widdershoven (1985). Handlung Und Struktur. Journal for General Philosophy of Science 16 (1):96-112.score: 30.0
    Summary If action theory is to be relevant for the study of social phenomena, its scope has to be enlarged so as to include social structures. A hermeneutic theory of action, which draws on the thoughts of Gadamer, Merleau-Ponty, Ricoeur and Giddens, can meet this requirement. The hermeneutic concept of action, which emphasises the importance of tradition, style and rituals, demonstrates that action and structure presuppose and explain each other. The mutual relationship between action and structure is particularly clear in (...)
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  50. Tineke A. Abma & Guy Am Widdershoven (2006). Moral Deliberation in Psychiatric Nursing Practice. Nursing Ethics 13 (5):546-557.score: 30.0
    Moral deliberation has been receiving more attention in nursing ethics. Several ethical conversation models have been developed. This article explores the feasibility of the so-called CARE (Considerations, Actions, Reasons, Experiences) model as a framework for moral deliberation in psychiatric nursing practice. This model was used in combination with narrative and dialogical approaches to foster discourse between various stakeholders about coercion in a closed admission clinic in a mental hospital in the Netherlands. The findings demonstrate that the CARE model provides a (...)
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