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6Dancing in the Wild Spaces of Love: A Theopoetics of Gift and Call, Risk and Promise, written by James H. OlthuisPhilosophia Reformata. forthcoming.
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100This chapter appeared in: G. J. van Nes et al. (eds.), Relational Anthropology for Contemporary Economics. Dordrecht: Springer, 121-132. Abstract: This chapter is a comment on the contribution of Rebecca Klein in this volume, preceded by a conceptual analysis of the argument that is developed in the Homo Amans position paper. The main question that is raised is twofold and concerns the relation between science and worldview on the one hand, and between science and economic life on the other. W…Read more
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5Truth, Truthfulness, and the I-Self RelationshipIn Lambert Zuidervaart, Allyson Carr, Matthew J. Klassen, Ronnie Shuker & Matthew J. Klaassen (eds.), Truth Matters: Knowledge, Politics, Ethics, Religion, Mcgill-queen's University Press. pp. 175-194. 2013.
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20Accountability as a virtue in medicine: from theory to practicePhilosophy, Ethics, and Humanities in Medicine 18 (1): 1-6. 2023.Accountability is a norm basic to several aspects of medical practice. We explore here the benefits of a more explicit focus on the virtue of accountability, which as distinct from the state of being held accountable, entails both welcoming responsibility to others and welcoming input from others. Practicing accountably can limit moral distress caused by institutional pressures on the doctor patient relationship. Fostering a mindset that is welcoming rather than resistant to feedback is critical…Read more
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18Public and Institutional Aspects of Professional Responsibility in Medicine and PsychiatryPhilosophia Reformata 82 (2): 146-166. 2017.
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26From Impairments in Reason-Responsiveness to Diminished Moral ResponsibilityAmerican Journal of Bioethics Neuroscience 7 (4): 202-224. 2016.
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25Dimensions of self-illness ambiguity – a clinical and conceptual approachPhilosophical Explorations 26 (2): 165-178. 2023.The article investigates the concept of self-illness ambiguity (SIA), which was recently re-introduced in the philosophy of psychiatry literature. SIA refers to situations in which patients are uncertain about whether features (symptoms, signs) of their illness should be attributed to their illness or to their ‘selves’. Identification of these features belongs to a more encompassing process of self- definition and -interpretation. The paper introduces a distinction between the notions of self-re…Read more
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6The Future of Creation Order: Vol. 1, Philosophical, Scientific, and Religious Perspectives on Order and Emergence (edited book)Imprint: Springer. 2017.This work provides an overview of attempts to assess the current condition of the concept of creation order within reformational philosophy compared to other perspectives. Focusing on the natural and life sciences, and theology, this first volume of two examines the arguments for and against the beauty, coherence and order shown in the natural world being related to the will or nature of a Creator. It examines the decay of a Deist universe, and the idea of the pre-givenness of norms, laws and st…Read more
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17Grievance-fueled violence can be better understood using an enactive approachFrontiers in Psychology 13. 2022.Understanding lone actor grievance-fueled violence remains a challenge. We believe that the concept of grievance provides an opportunity to add an engaged, first-person perspective to the assessment of lone actor extreme violence. We propose an enactivist philosophical approach that can help to understand the why and how of the pathway from grievance to violent extremism. Enactivism sees grievance as a dynamic, interpersonal, and context-sensitive construct that indicates how offenders make sens…Read more
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266Using Network Models in Person-Centered Care in Psychiatry: How Perspectivism Could Help To Draw BoundariesFrontiers in Psychiatry, Section Psychopathology 13 (925187). 2022.In this paper, we explore the conceptual problems arising when using network analysis in person- centered care (PCC) in psychiatry. Personalized network models are potentially helpful tools for PCC, but we argue that using them in psychiatric practice raises boundary problems, i.e., problems in demarcating what should and should not be included in the model, which may limit their ability to provide clinically-relevant knowledge. Models can have explanatory and representational boundaries, among …Read more
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14Person-centered Care in Psychiatry. Self-relational, Contextual, and Normative PerspectivesRoutledge/Taylor&Francis. 2019.This book focuses on two important, interlinked themes in psychiatry, i.e., the relation between self (or: person), context and psychopathology; and the intrinsic value-ladenness of psychiatry as a practice. Written against the background of scientistic tendencies in today’s psychiatry, it is argued in Part I that psychiatry needs a clinical conception of psychopathology alongside more traditional scientific conceptions; that this clinical conception of psychopathology must be based on a fundam…Read more
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47The Network Theory of Psychiatric Disorders: A Critical Assessment of the Inclusion of Environmental FactorsFrontiers in Psychology 12. 2021.Borsboom and colleagues have recently proposed a “network theory” of psychiatric disorders that conceptualizes psychiatric disorders as relatively stable networks of causally interacting symptoms. They have also claimed that the network theory should include non-symptom variables such as environmental factors. How are environmental factors incorporated in the network theory, and what kind of explanations of psychiatric disorders can such an “extended” network theory provide? The aim of this arti…Read more
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52Reintroducing Consciousness in Psychopathology: Review of the Literature and Conceptual Framework (review)Frontiers in Psychology 11. 2020.Alterations in consciousness are among the most common transdiagnostic psychopathological symptoms. Therefore clinical practice would benefit from a clear conceptual framework that guides the recognition, comprehension, and treatment of consciousness disorders. However, contemporary psychopathology lacks such a framework. We describe how pathology of consciousness is currently being addressed in clinical psychology and psychiatry so far, and how the Diagnostic and Statistical Manual of Mental Di…Read more
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19Self-Management as Socially Embedded EndeavorPhilosophy, Psychiatry, and Psychology 27 (4): 425-430. 2020.When we first anticipated the research project concluded with this special issue, about 8 years ago, it seemed timely and appropriate to investigate the opportunities and the challenges of self-management in mental health care. At the time self-management was well on the rise in general health care, offering both empowerment to patients and efficiency and cost-effectiveness to the health care system. It seemed a most promising approach in an era that celebrates individualistic self-reliance. And…Read more
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43Dealing with Self-Illness Ambiguity: A RebuttalPhilosophy, Psychiatry, and Psychology 27 (4): 353-354. 2020.We thank Sanneke de Haan for her thoughtful response. We agree with what she says and consider it as a further specification of our intentions. We particularly endorse the two main points she raises, that is, that dealing with self-illness ambiguity requires a relational perspective; and that relying on reflection solely is problematic since it plays an only modest role in the resolution of self-illness ambiguity. We discuss both points in reverse order.With respect to the role of reflection, we…Read more
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53Self-Management in Psychiatry as Reducing Self-Illness AmbiguityPhilosophy, Psychiatry, and Psychology 27 (4): 333-347. 2020.ARRAY
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8Validation of the Apperception Test God Representations: An implicit measure to assess attachment to God representations. Associations with explicit attachment to God measures and with implicit and explicit measures of distressArchive for the Psychology of Religion 42 (2): 262-291. 2020.In the context of theistic religions, God representations are an important factor in explaining associations between religion/spirituality and well-being/mental health. Although the limitations of self-report measures of God representations are widely acknowledged, well-validated implicit measures are still unavailable. Therefore, we developed an implicit Attachment to God measure, the Apperception Test God Representations. In this study, we examined reliability and validity of an experimental s…Read more
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5On Stories Within and Stories Behind Symptoms: Response to Colombetti and SteinPhilosophy, Psychiatry, and Psychology 27 (1): 57-58. 2020.I thank Giovanna Colombetti and Dan Stein for their careful reading and thoughtful comments.Colombetti is right when she suggests that in enactivism there are no 'mere physiological states.' She criticizes the following quotation: "If there is no self-referentiality, even after attempts at clarification, the putative emotion is just a physiological state or a sensation." My formulation, she says, echoes traditional, disembodied cognitivist accounts of emotion, according to which bodily arousal a…Read more
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90An Enactive Approach to Anxiety and Anxiety DisordersPhilosophy, Psychiatry, and Psychology 27 (1): 35-50. 2020.Enactive approaches to emotion are rare and to anxiety and anxiety disorder even more. This article aims to show how an enactive paradigm might be helpful in solving some problems in the clinical and scientific understanding of anxiety and anxiety disorder. I begin by pointing at a number of relevant clinical features of anxiety and anxiety disorder and by sketching how and why anxiety theories have difficulties with doing justice to these features. I specifically focus on two themes: a) how to …Read more
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12Translatie als filosofisch programmaAlgemeen Nederlands Tijdschrift voor Wijsbegeerte 111 (3): 453-476. 2019.Translation as philosophical program: An explorative reviewWhat does the concept of translation mean in the expression ‘translational neuroscience’? What are the different steps, or components, in the translation of neuroscientific findings to psychiatry? There are serious concerns about the validity and productivity of the traditional idea of a translational pipeline, starting in the fundamental sciences (chemistry, molecular and cellular biology) and ending in the practice of clinical medicine…Read more
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4Anxiety and PhobiasIn K. W. M. Fulford, Martin Davies, Richard Gipps, George Graham, John Sadler, Giovanni Stanghellini & Tim Thornton (eds.), The Oxford handbook of philosophy and psychiatry, Oxford University Press. 2013.Philosophical issues with respect to anxiety and its pathological variants arise at the border between everyday and clinical understanding of anxiety, between clinical and scientific approaches and between scientific concepts and the philosophical frameworks they refer to. These four ways of understanding can be seen as epistemic levels that point at different aspects and qualities of anxiety. After a brief historical introduction the three interfaces will be discussed. Philosophical questions a…Read more
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35Psychiatry as Normative PracticePhilosophy, Psychiatry, and Psychology 26 (1): 33-48. 2019.One of paradoxes of current mental health care is that we never have known more about mental disorder and at the same time been more uncertain about the conceptual basis—and, therefore, the legitimacy—of psychiatry.This is remarkable. Psychiatry as a science flourishes. Over the last three decades, there has been an enormous increase in empirical research on the genetic, neurobiological, psychological, and social determinants of mental disorder. At the same time, mental health care has improved …Read more
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25Sustainable Livestock Farming as Normative PracticePhilosophia Reformata 82 (2): 216-240. 2017.We argue that an understanding of livestock farming as normative practice clarifies how sustainability is to be understood in livestock farming. The sustainability of livestock farming is first approached by investigating its identity. We argue that the economic aspect qualifies and the formative aspect founds the livestock farming practice. Observing the normativity related to these aspects will be the first task for the livestock farmer. In addition, we can distinguish conditioning norms appli…Read more
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50Dimensions of the self in emotion and psychopathology: Consequences for self-management in anxiety and depressionPhilosophy, Psychiatry, and Psychology 24 (2): 143-155. 2017.Over the last years, self-management has become a central value in the practice of mental health care. Patients are positioned as expertclients who are actively involved in the management of their disease. Some of the ideas that are implied in the concept of self-management may raise important and intriguing questions. For instance, in the context of psychiatry impaired agency and altered self-experience are often part of the psychopathological process itself. The capacity to manage oneself may …Read more
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VU University AmsterdamDepartment of Philosophy
Amsterdam University Medical Centres (location VUmc)
Dimence Groep, hospital for mental healthcareProfessor (Part-time)
Amsterdam, North Holland, Netherlands
Areas of Specialization
Philosophical Traditions |
Value Theory |
Other Academic Areas |
Areas of Interest
Philosophy of Mind |
Philosophy of Religion |
Philosophy of Cognitive Science |