Most contemporary conflicts can be characterized as ‘wars or conflicts amongst the people’. International military forces deployed in such conflicts are confronted with complex operational environments where the distinction between combatants and non-combatants is often impossible to make. At the same time, there is a moral requirement imposed on Western coalition forces to perform in a humane manner and to keep casualties to a minimum. Non-lethal weapons are expected to enable military forces to accomplish their mission without having to kill (...) or destroy. The extent to which these weapons meet that promise in real world conditions is the subject of debate. A defence technology assessment of non-lethal weapons is proposed that validates their utility and moral implications by considering the user, the weapon and the target in the context of the deployment situation. It will be illustrated that the technical parameters of the non-lethal weapons are no guarantee that the weapons will perform as intended as the user and target introduce many factors of uncertainty in real world situations. Although such uncertainties undermine the moral acceptability of non-lethal weapons, it is argued that the principle of non-lethality is compliant with the Just War Tradition principle of proportionality. The principles of non-combatant immunity and discrimination need to be re-calibrated given the human-centricity of many military intervention operations. (shrink)

Until recently, physician assisted suicide was dealt with on the same basis as active voluntary euthanasia in the Netherlands. Over the last years, several cases relating to assistance in suicide of mental patients did raise specific issues, not addressed so far in the debate on euthanasia. One of these cases resulted in a Supreme Court decision. The paper summarizes this decision and comments on it from a legal point of view.

Until recently, physician assisted suicide was dealt with on the same basis as active voluntary euthanasia in the Netherlands. Over the last years, several cases relating to assistance in suicide of mental patients did raise specific issues, not addressed so far in the debate on euthanasia. One of these cases resulted in a Supreme Court decision. The paper summarizes this decision and comments on it from a legal point of view.

Developments in medical technology have increased the possibility of diagnosing severe structural abnormalities in the fetus If these occur, a woman may request termination of her pregnancy. This raises serious ethical and legal questions, in particular if the anomalies are discovered in the third trimester when the fetus is considered viable. Should doctors be allowed to act upon a request for abortion in such a situation, and, if so, which safeguards should be in place? These questions are discussed with special (...) reference to the Netherlands where a commission established by the government recently published a report on this matter. (shrink)

Addressing both the humanities and the social sciences, this volume aims to explore the enduring significance of the work of Jacques Derrida (1930-2004) in the field of cultural theory. It assembles a variety of articles by internationally renowned scholars from different academic disciplines and traditions. Contrary to recent commemorative publications on Derrida¿s oeuvre, this volume proposes to critically evaluate and rethink key concepts in Derrida¿s work within the present state of affairs in cultural theory. Centred around four main topics (manoeuvres, (...) societies, images and fictions), the sections propose a creative and contemporary reading of `Derrida¿ and its openings to new work in cultural theory. Ce livre qui se destine à la fois aux humanités et aux études sociales tente d¿explorer la signification durable de l¿¿uvre de Jacques Derrida (1930-2004) dans le champ de la théorie culturelle. Il rassemble un ensemble d¿articles variés écrits par des chercheurs de renommée internationale provenant de différentes disciplines et traditions académiques. S¿opposant par là à la majorité du flot de publications récentes sur l¿¿uvre de Derrida ce volume se propose d¿évaluer et de repenser d¿un point de vue critique les concepts clé de Derrida tenant compte de l¿état actuel de la recherche en études culturelles. Centrées autour de quatre domaines majeurs (man¿uvres ¿ sociétés ¿ images ¿ fictions), les sections offrent une lecture créatrice et actuelle de `Derrida¿ et des ouvertures que sa pensée permet vers une nouvelle idée de la théorie culturelle. (shrink)

Nanotechnology is an important platform technology which will add new features like improved biocompatibility, smaller size, and more sophisticated electronics to neuro-implants improving their therapeutic potential. Especially in view of possible advantages for patients, research and development of nanotechnologically improved neuro implants is a moral obligation. However, the development of brain implants by itself touches many ethical, social and legal issues, which also apply in a specific way to devices enabled or improved by nanotechnology. For researchers developing nanotechnology such issues (...) are rather distant from their daily work in the lab, but as soon as they use their materials or devices in medical applications such as therapy of brain diseases they have to be aware of and deal with them. This paper is intended to raise sensitivity for the ethical, legal and social aspects (ELSA) involved in applying nanotechnology in brain implants or other devices by highlighting the short term problems of testing and clinical trials within the existing regulatory frameworks (A), the short and medium-term questions of risks in the application of the devices (B) and the long-term perspectives related to problems of enhancement (C). To identify and address such issues properly nanotechnologists should involve ethical, legal and social experts and regulatory bodies in their research as early as possible. This will help to remove pressure from regulatory bodies, to settle public concern and to prevent non-acceptable developments for the benefit of the patients. (shrink)

Background In the ethical and clinical literature, cases of parents who want treatment for their child to be withdrawn against the views of the medical team have not received much attention. Yet resolution of such conflicts demands much effort of both the medical team and parents. Objective To discuss who can best protect a child9s interests, which often becomes a central issue, putting considerable pressure on mutual trust and partnership. Methods We describe the case of a 3-year-old boy with acquired (...) brain damage due to autoimmune-mediated encephalitis whose parents wanted to stop treatment. By comparing this case with relevant literature, we systematically explored the pros and cons of sharing end-of-life decisions with parents in cases where treatment is considered futile by parents and not (yet) by physicians. Conclusions Sharing end-of-life decisions with parents is a more important duty for physicians than protecting parents from guilt or doubt. Moreover, a request from parents on behalf of their child to discontinue treatment is, and should be, hard to over-rule in cases with significant prognostic uncertainty and/or in cases with divergent opinions within the medical team. (shrink)

The advent of personal genomics companies offering direct translation of scientific data into personal health information, calls into question traditional policies to refuse disclosure of such scientific data to research participants. This seems especially true for population biobanks, as they collect not only genotype information but also associated phenotype information, and thus may be in a unique position to translate their scientific findings into personal health information for their participants. Disclosure of such information seems mandated by the expectations raised by (...) biobanks ('to help bring about the era of personalized medicine') and their participants' rights to know health information, to know clinical research results, to life and health and particularly their right to benefit. Refusals to disclose such information can be grounded in the lack of analytical validity and/or clinical utility of most findings, the need to avoid the therapeutic misconception, the complexity and costs involved in translation and disclosure and the disproportionate burden resulting from the obligation to respect participants' right not to know before any disclosure can be made. Currently, any demands by participants in population biobanks for full disclosure of all pertinent personal health information potentially resulting from the biobank's scientific findings are unlikely to be granted by a Dutch court under Dutch and international law. As the law stands now, a population biobank is neither a doctor nor a personal genomics company. However, in view of the rapid scientific, medical, technological, commercial and social developments, population biobanks must prepare to take more care of their participants' legitimate interest in receiving as much validated personal health information as reasonably possible, in a timely fashion, by developing appropriate translation and disclosure mechanisms. This paper examines whether population biobank participants have the right, under Dutch civil law and international law, to full disclosure, i.e. to all information generated by the biobank that is pertinent to their present and future health. It pioneers the format of a hypothetical court case to elucidate the legal and policy arguments" for and against full disclosure. (shrink)

Du sommaire: Ambiguite et comprehension du langage (Paul Bogaards, Johan Rooryck). - Why pluralities don't mean a thing (Crit Cremers). - Aspects of interlingual ambiguity: polyglot punning (Dirk Delabastita). - Les feux de Saint-Antoine (Sjef Houppermans). - The semantics of Dutch moeten 'must, should, have to' from a typological and a relevance-theoretical perspective (Theo Janssen). - L'ambiguite en langue et en discours (Catherine Kerbrat-Orecchioni).".

Samuel Beckett Today/aujourd’hui 12. Pastiches, Parodies & Other Imitations/pastiches, Parodies & Autres Imitations. Edited by Marius Buning, Matthijs Engelberts and Sjef Houppermans (Amsterdam: Rodopi, 2002), 325 pp. $46.00/€35.00 paper; $98.00/€75.00 cloth. Samuel Beckett & Compagnie. By Sjef Houppermans (Amsterdam: Rodopi, 2003), 153 pp. $39.00/£27.00 paper.