Gerrit Glas

I tend to agree with Hillel Braude’s thesis that alleviation of suffering is not an aim, at least not the primary aim, of medicine. However, this thesis needs to be refined and reformulated, because it at best expresses half the truth. The other half is that it is not justifiable for doctors to pay no attention to suffering. In other words, the thesis I would have liked Braude to defend is that it is true that doctors are no experts in existential issues and concerns and that it is equally true that they cannot ignore these existential issues and concerns without harming the relationship with their patients. After having read “Affecting the Body and Transforming Desire” (Braude 2012) another time, however, I ..

Which moral consequences are implied in conceiving mental health care delivery as a market? It is argued that the market, as a term, does not function as a description of what actually occurs, but as a metaphor, albeit an effective one, which structures the behavior of managers and administrators. Three models of mental health care are described, including the moral principles, which prevail in each of them. In the Dutch situation there, in fact, appears to be a mix of these models. Competition between health care providers according to the principles of the free market burdens the patient-physician relationship, as relation of trust; it offers a potential threat to the principles of justice and solidarity; and to the autonomy of the medical profession. These hazards are illustrated by focusing on different types of markets.

Psychotherapy is a professional activity because the therapist focuses his attention on a certain aspect of his patient’s problem and by this restriction attempts to achieve a deeper insight. A to-be-feared secularization of psychotherapy can be averted if the therapist continues to be aware of the abstract nature of theory, and realizes that one’s affective experience and religious life are intertwined. Dooyeweerd’s philosophical anthropology can be used to clarify this intertwinement. When treating patients with a Christian outlook on life the therapist will attempt to link his patients affective experience to their religious life by strengthening and restructuring those moments in the emotional domain that anticipate faith. This is an extremely professional and at the same time extremely normative enterprise.

What is the purpose of Friesen’s 95 theses and what is the audience he has in mind? The title refers to a major church historical event and suggests that — like in 1517 — we are dealing with a concise statement of a new and radical doctrine that is unfolded in opposition to an established canon. But who is the opponent in this case? What is the established canon that is rejected? And what is new or radical in the summary? Dooyeweerd’s philosophy was definitely new and radical at the time of its conception. It still has an enormous potential for the special sciences. It offers important resources for any critique of ‘immanence’ philosophies. However, on first reading and without knowledge of the context, Friesen does not seem to aim at offering a new or radical interpretation of Dooyeweerd’s philosophy. I read the 95 theses as an attempt to wipe off the dust, to provide the overall picture, doing justice to aspects that were neglected or were wrongly understood in the reformational tradition. However, the audience he has in mind seems to be one that is already familiar with the basic concepts and the thrust of Dooyeweerdian thinking; not an audience that is opposed to reformational philosophical thinking, but one that might be helped by a succinct summary in order to encourage further study and discussion