•  1
    Ingarden en de fenomenologie van de lezer
    de Uil Van Minerva 20 (2-3): 79-99. 2005.
  •  89
    The clinical introduction of medical devices often occurs with relatively little oversight, regulation and (long-term) follow-up. Some recent controversies underscore the weaknesses of the current regime, such as the complications surrounding the metal-on-metal hip implants and the scandal surrounding the global breast implant scare of silicone implants made by France's Poly Implant Prothese (PIP) Company. The absence of national registries hampered the collection of reliable information on the …Read more
  •  18
    How and When Does Consent Bias Research?
    with R. H. H. Groenwold and R. van der Graaf
    American Journal of Bioethics 13 (4). 2013.
    No abstract
  •  24
    Palliative sedation: not just normal medical practice. Ethical reflections on the Royal Dutch Medical Association's guideline on palliative sedation
    with Rien Janssens and Guy A. M. Widdershoven
    Journal of Medical Ethics 38 (11): 664-668. 2012.
    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 norma…Read more
  • Wandering minds: the default network and stimulus-independent thought
    with M. F. Mason, M. I. Norton, D. M. Wegner, S. T. Grafton, and C. N. Macrae
    Science 315 (5810): 393-395. 2007.
  •  40
    Dutch experience of monitoring active ending of life for newborns
    with H. M. Buiting, M. A. C. Karelse, H. A. A. Brouwers, B. D. Onwuteaka-Philipsen, and A. van Der Heide
    Journal of Medical Ethics 36 (4): 234-237. 2010.
    Introduction In 2007, a national review committee was instituted in The Netherlands to review cases of active ending of life for newborns. It was expected that 15–20 cases would be reported. To date, however, only one case has been reported to this committee. Reporting is essential to obtain societal control and transparency; the possible explanations for this lack of reporting were therefore explored. Methods Data on end-of-life decision-making were scrutinised from Dutch nation-wide studies (1…Read more
  •  36
    The justificatory power of moral experience
    with G. J. M. W. van Thiel
    Journal of Medical Ethics 35 (4): 234-237. 2009.
    A recurrent issue in the vast amount of literature on reasoning models in ethics is the role and nature of moral intuitions. In this paper, we start from the view that people who work and live in a certain moral practice usually possess specific moral wisdom. If we manage to incorporate their moral intuitions in ethical reasoning, we can arrive at judgements and (modest) theories that grasp a moral experience that generally cannot be found outside the practice. Reflective equilibrium (RE) provid…Read more
  •  59
    Can we justify eliminating coercive measures in psychiatry?
    with E. J. D. Prinsen
    Journal of Medical Ethics 35 (1): 69-73. 2009.
    The practice of coercive measures in psychiatry is controversial. Although some have suggested that it may be acceptable if patients are a danger to others or to themselves, others committed themselves to eliminate it. Ethical, legal and clinical considerations become more complex when the mental incapacity is temporary and when the coercive measures serve to restore autonomy. We discuss these issues, addressing the conflict between autonomy and beneficence/non-maleficence, human dignity, the ex…Read more
  •  37
    Medical decision making in scarcity situations
    Journal of Medical Ethics 30 (2): 207-211. 2004.
    The issue of the allocation of resources in health care is here to stay. The goal of this study was to explore the views of physicians on several topics that have arisen in the debate on the allocation of scarce resources and to compare these with the views of policy makers. We asked physicians and policy makers to participate in an interview about their practices and opinions concerning factors playing a role in decision making for patients in different age groups. Both physicians and policy ma…Read more
  •  17
    Phase IV research: innovation in need of ethics
    with G. J. M. W. van Thiel
    Journal of Medical Ethics 34 (6): 415-416. 2008.
    Worries about safety of approved drugs have pushed post registration research to become the fastest growing drug research phase. Until recently, phase IV studies were mainly conducted for marketing purposes and run much like a phase III trial—at institutions with experienced investigators and a list of inclusion and exclusion criteria. Innovative phase IV studies involve ordinary physicians in research naïve communities. This brings ethical issues familiar to medical research into clinical pract…Read more
  •  35
    Dutch criteria of due care for physician-assisted dying in medical practice: a physician perspective
    with H. M. Buiting, J. K. M. Gevers, J. A. C. Rietjens, B. D. Onwuteaka-Philipsen, P. J. van der Maas, and A. van der Heide
    Journal of Medical Ethics 34 (9). 2008.
    Introduction: The Dutch Euthanasia Act states that euthanasia is not punishable if the attending physician acts in accordance with the statutory due care criteria. These criteria hold that: there should be a voluntary and well-considered request, the patient’s suffering should be unbearable and hopeless, the patient should be informed about their situation, there are no reasonable alternatives, an independent physician should be consulted, and the method should be medically and technically appro…Read more
  •  44
    The unfeasibility of requests for euthanasia in advance directives
    Journal of Medical Ethics 30 (5): 447-451. 2004.
    In April 2002 a new law regarding euthanasia came into effect in the Netherlands. This law holds that euthanasia remains a criminal offence unless it is performed by a physician who acts according to six specified rules of due care and reports the case to a review committee. The six rules of due care are similar to those of the previous regulation and are largely based on jurisprudence. Completely new, however, is the article concerning a competent patient who has written an advance directive re…Read more
  •  25
    Terminal sedation: source of a restless ethical debate
    Journal of Medical Ethics 33 (4): 187. 2007.
    Slow euthanasia or a good palliative intervention?There are many ways in which doctors influence the circumstances and/or the timing of a patient’s death. Some of these are accepted as normal medical practice—for instance, when a disproportional treatment is forgone, others are considered tolerable only under strict conditions or even intolerable, such as non-voluntary active euthanasia. A relatively new phenomenon in the ethical discussion on end-of-life decisions is terminal sedation. Terminal…Read more
  •  45
    Extending the global workspace theory to emotion: Phenomenality without access
    with J. L. Schutter
    Consciousness and Cognition 13 (3): 539-549. 2004.
    Recent accounts on the global workspace theory suggest that consciousness involves transient formations of functional connections in thalamo-cortico-cortical networks. The level of connectivity in these networks is argued to determine the state of consciousness. Emotions are suggested to play a role in shaping consciousness, but their involvement in the global workspace theory remains elusive. In the present study, the role of emotion in the neural workspace theory of consciousness was scrutiniz…Read more
  •  95
      Transcranial magnetic stimulation (TMS) is a method capable of transiently modulating neural excitability. Depending on the stimulation parameters information processing in the brain can be either enhanced or disrupted. This way the contribution of different brain areas involved in mental processes can be studied, allowing a functional decomposition of cognitive behavior both in the temporal and spatial domain, hence providing a functional resolution of brain/mind processes. The aim of the pre…Read more