C. Peter Hertogh

This article reviews the Dutch societal debate on euthanasia/assisted suicide in dementia cases, specifically Alzheimer's disease. It discusses the ethical and practical dilemmas created by euthanasia requests in advance directives and the related inconsistencies in the Dutch legal regulations regarding euthanasia/assisted suicide. After an initial focus on euthanasia in advanced dementia, the actual debate concentrates on making euthanasia/assisted suicide possible in the very early stages of dementia. A review of the few known cases of assisted suicide of people with so-called early dementia raises the question why requests for euthanasia/assisted suicide from patients in the early stage of Alzheimer's disease are virtually non-existent. In response to this question two explanations are offered. It is concluded that, in addition to a moral discussion on the limits of anticipatory choices, there is an urgent need to develop research into the patient's perspective with regard to medical treatment and care-giving in dementia, including end-of-life care.

ABSTRACT: René Descartes' Cogito is an example of a paradigmatic thought experiment, herald of both subjectivism and new science in Europe's Modern Age, that seems to have escaped the attention of thought experiment philosophers. On deep analysis, the Cogito appears as universal instantiation. The Cogito has strong rhetorical effects for it narratively generalizes from I to all human kind, and its historical and philosophical success can be explained from its concise enthymematic structure that rings true in many possible senses. We consider it a preeminent example of a thought experiment as it states the power of thinking as its very contents. From Descartes' methodology of doubt we can conclude that, e.g., on a Wittgensteinian interpretation, the Cogito is a logical thought experiment rather than a psychological one. RESUMO: O Cogito de René Descartes é um exemplo de experimento mental paradigmático, precursor tanto do subjetivismo quanto da nova ciência, na Idade Moderna europeia, o qual parece ter escapado à atenção dos filósofos que estudaram o experimento mental. Na análise profunda, o Cogito aparece como uma instanciação universal. O Cogito tem fortes efeitos retóricos por si mesmo, generalizando narrativamente desde o eu para toda a espécie humana, e seu sucesso histórico e filosófico pode ser explicado por sua estrutura entimemática concisa, que soa através de muitos sentidos possíveis. Consideramos que é um exemplo proeminente de um experimento mental, na medida em que afirma o poder de pensar como seus próprios conteúdos. A partir da metodologia da dúvida de Descartes, podemos concluir que, em uma interpretação wittgensteiniana, o Cogito é um experimento mental mais lógico que psicológico.