This book brings phenomenology, the main player in the continental tradition of philosophy, to bioethics. Medical science and emerging technologies are examined as endeavours that bring enormous possibilities in relieving human suffering but also great risks in transforming our fundamental life views.

After examining the problem that gratuitous suffering poses for Nietzsche's notion of life affirmation, I mount a skeptical response to this problem on Nietzsche's behalf. I then consider an orthogonal objection to Nietzschean life affirmation, which argues that the need to justify life is symptomatic of life denial and show how strengthening the skeptical defense sidesteps this worry. Nietzsche's skepticism about our all‐too‐human, epistemic position thus aids his project of life affirmation in two ways. First, it suggests that we (...) are unable to determine reliably whether a given instance of suffering is, in fact, gratuitous. Second, it provides a corrective to the moralistic need to redeem life, showing that all attempts to justify life as a whole are epistemically fraught. Before concluding, I examine Nietzsche's reasons for advancing such an epistemological argument and suggest how we might approach life affirmation in nonrational terms. (shrink)

Animal ethics has received a lot of attention over the last four decades. Its focus, however, has almost exclusively been on the welfare of captive animals, ignoring the vast majority of animals: those living in the wild. I suggest that this one-sided focus is unwarranted. On the empirical side, I argue that wild animals overwhelmingly outnumber captive animals, and that billions of wild animals are likely to have lives that are even more painful and distressing than those of their captive (...) counterparts. On the normative side, I argue that as long as we have duties of assistance towards humans suffering from natural causes, and we reject anthropocentrism, we also have duties of assistance towards animals suffering in the wild.Article first published online: 22 MARCH 2016. (shrink)

Nursing, or caring science, is mainly concerned with developing knowledge of what constitutes ideal, good health care for patients as whole persons, and how to achieve this. The aim of this study was to find clinical empirical indications of good ethical care and to investigate the substance of ideal nursing care in praxis. A hermeneutic method was employed in this clinical study, assuming the theoretical perspective of caritative caring and ethics of the understanding of life. The data consisted of two (...) Socratic dialogues: one with nurses and one with nursing students, and interviews with two former patients. The empirical data are first described from a phenomenological approach. Observations of caregivers offering `the little extra' were taken to confirm that patients were `being seen', not from the perspective of an ideal nursing model, but from that of interaction as a fellow human being. The study provides clinical evidence that, as an ontological response to suffering, 'symbolic acts' such as giving the `little extra' may work to bridge gaps in human interaction. The fact that `little things' have the power to preserve dignity and make patients feel they are valued offers hope. Witnessing benevolent acts also paves the way for both patients and caregivers to increase their understanding of life. (shrink)

Research Problem: The onset of the COVID-19 pandemic has triggered a multi-faceted crisis worldwide. Researchers and health authorities in various parts of the world echoed the dire condition of the public's mental health. This study sought to examine the mediating effect of personal meaning on the association between coronavirus -related suffering, mental health problems, and life satisfaction. Participants included 231 adults and completed measures of suffering related to COVID-19, meaning, life satisfaction, and mental health problems online.Results: Findings from (...) mediation analysis showed that suffering had significant associations with personal meaning, mental health, and well-being. Furthermore, personal meaning was significantly associated with adults' mental health and well-being and mediated the negative effect of suffering on mental health and well-being.Discussion: Overall, results from this study indicate that personal meaning is an important promotive factor that may help to understand the negative effect of coronavirus-related suffering on mental health and well-being amid the public health crisis. (shrink)

Recent events around the globe reflect the tensions and ethical dilemmas of the postmodern, postcolonial and neocolonial world that have far reaching implications for health, well-being, and human suffering. As we consider what is at stake, and what this means for local lives and human relationships, we need to examine whether the theories we draw on are adequate to further our understanding of health, and the social and material conditions of human suffering. In this paper I begin to (...) explore the question, ‘Can postcolonial feminist theories provide an inclusive scholarship that would further our understanding of human suffering and open up a path to healing?’ At issue here is whether this scholarship adds another dimension to a praxis-oriented nursing science. (shrink)

The paper presents an account of suffering as a multi-level phenomenon based on concepts such as mood, being-in-the-world and core life value. This phenomenological account will better allow us to evaluate the hardships associated with dying and thereby assist health care professionals in helping persons to die in the best possible manner. Suffering consists not only in physical pain but in being unable to do basic things that are considered to bestow meaning on one’s life. The suffering (...) can also be related to no longer being able to be the person one wants to be in the eyes of others, to losing one’s dignity and identity. These three types of suffering become articulated by a narrative that holds together and bestows meaning on the whole life and identity of the dying person. In the encounter with the patient, the health-care professional attempts to understand the suffering-experience of the patient in an empathic and dialogic manner, in addition to exploring what has gone wrong in the patient’s body. Matters of physician assisted suicide and/or euthanasia—if it should be legalized and if so under which conditions—need to be addressed by understanding the different levels of human suffering and its positive counterpart, human flourishing, rather than stressing the respect for patient autonomy and no-harm principles, only. In this phenomenological analysis the notions of vulnerability and togetherness, ultimately connecting to the political-philosophical issues of how we live together and take care of each other in a community, need to be scrutinized. (shrink)

Volume 19, Issue 10, October 2019, Page 46-47.

Over the past years, various accounts of ethical consumption have been produced which identify certain concepts as central to mediating the ethical relationship between the consumer and the consumed. Scholars across disciplinary fields have explored how individuals construe their ethical consumption responsibilities and commitments through the notions of identity, taking care and doing good, proximity and distance, suggesting the centrality of these themes to consumer engagement in ethical practices. This paper contributes to the body of research concerned with unravelling consumers’ (...) conceptually mediated relationship to moral and ethical issues in the sphere of consumption by revealing a new set of ideas through which people interpret and relate to consumption ethics. Drawing upon findings from an empirical study on self-perceived ethical food consumers, I demonstrate that people’s perceptions and views of ethical problems around consumption are bound up with notions of vulnerability, suffering, and harm, and that these notions permeate and impact all aspects of ethical consumer behaviour. The paper concludes by arguing that we need to further explore the conceptual underpinnings of ethical consumer commitments and practices, and expand the conceptual toolkit of research on ethical consumption to account for a wider range of ideas and notions that shape individual as well as collective motivations, intentions, and actions throughout the process of becoming and being an ethical consumer. Finally, the paper suggests a specific analytical framework to facilitate such research. (shrink)

Offender populations experience their incarceration through different lenses and often as a spiritual journey of suffering. During 2017 and 2018 a study was conducted by the authors with 30 men serving long-term sentences in Correctional Centre A, Zonderwater Management Area in the Gauteng province of South Africa. Following interviews and focus group sessions, the authors report on participants’ representations on how their constructed views of God assist them to find meaning in suffering while incarcerated. Narrative inquiry as a (...) philosophical framework was applied, which presupposes equality between the researcher and the participant, the unmediated representation of words as data, the researcher as auto-ethnographer and respectful submission to subjectivity. Participants’ views of God are thematised according to sets of God-images, firstly, as identified by Van der Ven in his book God Reinvented?, adapted by the authors to suit the contents of the participants’ God talk. Secondly, the ‘God-images in Africa’ were applied. The participants’ constructed God-images are divided into two categories: images that feed on the binary between divine and human and images that function in the dialogical spaces between divine and human where the incarcerated have internalised an external God. Binary images of God are presented by the apathetic God, retributive God, controlling God and the purifying God. However, a significant number of participants expressed their belief in God through the dialogical image of the compassionate God, and the suffering God as co-sufferer. The role of Africanness in constructing these God-images constitutes a special point of inquiry in this article, as reflected in the images of God defined by God the Great Ancestor and Divine Spirit, and God with whom a mystical union is formed. (shrink)

Abstract“Suffering” is a central concept within bioethics and often a crucial consideration in medical decision making. As used in practice, however, the concept risks being uninformative, ambiguous, or even misleading. In this paper, we consider a series of cases in which “suffering” is invoked and analyze them in light of prominent theories of suffering. We then outline ethical hazards that arise as a result of imprecise usage of the concept and offer practical recommendations for avoiding them. Appeals (...) to suffering are often getting at something ethically important. But this is where the work of ethics begins, not where it ends. (shrink)

ObjectiveIn Belgium, people with an incurable psychiatric disorder can file a request for euthanasia claiming unbearable psychic suffering. For the request to be accepted, it has to meet stringent legal criteria. One of the requirements is that the patient possesses decision-making capacity. The patient’s decision-making capacity is assessed by physicians.The objective of our study is to provide insight in the assessment of decision-making capacity in the context of euthanasia for patients with psychic suffering caused by a psychiatric disorder.MethodTwenty-two (...) semistructured interviews with psychiatrists and neurologists were analysed with NVivo, a qualitative analysis software to code and organise transcribed data.ResultsDifferent views and approaches regarding decision-making capacity in the context of euthanasia emerged from the data.Most of the physicians have some knowledge of the cognitive ability approach on decision-making capacity. According to this approach, four abilities constitute decision-making capacity: communication, understanding, appreciation and reasoning. We observed differences in the way these abilities are valued in relation to competence. Some physicians take additional elements into consideration when assessing decision-making capacity.Physicians acquired their knowledge on the subject in many different ways. Most of the physicians reported that decision-making capacity was not part of their training.ConclusionWe conclude that physicians assess decision-making capacity in different ways and that personal values and beliefs influence their approach. As such, a common approach in assessing the decision-making capacity of a patient among the interviewed physicians is lacking. Less arbitrariness could be obtained by consistently implementing the cognitive ability approach. (shrink)

The suffering of womanhood and maltreatment are apparent when reading ancient writings. In Luke 13:10–17, it is possible to see how a number of women who suffered illnesses were treated in the hands of religious elites of the ancient world. However, the woman in Luke’s encounter with the Lukan Jesus during her illness redefined how religious leaders should deal with the suffering of womanhood. The woman was healed and treated with dignity by the Lukan Jesus in the Gospel (...) of Luke. Using socio-historical interpretation, the Lukan Jesus in the Gospel of Luke demonstrated that religion should be used to alleviate the suffering of women, not to exacerbate it. The lesson derived from the Lukan Jesus’ action and words on the suffering woman in Luke 13:12 is significant for the African religious setting in an endeavour to alleviate women’s suffering in Africa in the coronavirus disease 2019 (COVID-19) pandemic era.Contribution: This article adds to the ongoing discussion in biblical studies about gender equality, specifically in Africa where diseases such as COVID-19 have highlighted the need for change. It argues that African women should resist negative male dominance in society, similar to the woman in Luke, and work towards empowering women in Africa to achieve freedom and equality. (shrink)

Suffering, in one form or another, is present in all of our lives. But why do we suffer? On one reading, this is a question about the causes of physical and emotional suffering. But on another, it is a question about whether suffering has a point or purpose or value. In this ground-breaking book, Michael Brady argues that suffering is vital for the development of virtue, and hence for us to live happy or flourishing lives. After (...) presenting a distinctive account of suffering, and a novel account of its core element, unpleasantness, Brady proceeds to focus on three claims that are central to his picture. The first is that forms of suffering, like pain and remorse, can themselves constitute virtuous responses. The second is that suffering is essential for four important classes of virtue - virtues of strength, such as fortitude and courage; virtues of vulnerability, such as adaptability and humility; moral virtues, such as compassion; and the practical and epistemic excellences that make up wisdom. His final claim third is that suffering is vital for the social virtues of justice, love, and trust, and hence for the flourishing of social groups. (shrink)

In this article I claim that service-learning experiences, wherein students work directly with individuals in need—individuals from whom studentscan learn what they cannot learn elsewhere—are invaluable, and perhaps necessary, for any curriculum with an aim toward the development of ethical understanding, personal moral character and commitment, and/or conscientious citizenship, both local and global. My argument rests on Emmanuel Levinas’s philosophical ethical theory that re-envisions the ethical relation as arising out of revelation from the unique and precious Other, rather than reason (...) and the rational determinations and conceptions of the ethical agent. (shrink)

Distant Suffering examines the moral and political implications for a spectator of the distant suffering of others as presented through the media. What are the morally acceptable responses to the sight of suffering on television, for example, when the viewer cannot act directly to affect the circumstances in which the suffering takes place? Luc Boltanski argues that spectators can actively involve themselves and others by speaking about what they have seen and how they were affected by (...) it. Developing ideas in Adam Smith's moral theory, he examines three rhetorical 'topics' available for the expression of the spectator's response to suffering: the topics of denunciation and of sentiment and the aesthetic topic. The book concludes with a discussion of a 'crisis of pity' in relation to modern forms of humanitarianism. A possible way out of this crisis is suggested which involves an emphasis and focus on present suffering. (shrink)

본 연구의 목적은 의학 처치와 약물처방으로 자칫 표백 될 수 있는 고통의 의미를 성찰함으로써, 죽어가는 사람의 인간다움을 나타낼 수 있는 이론적 근거를 탐색하는 데 있다. 죽어가는 사람의 고통이 언어-표상적인 원인에 의해 발생한 것이라면 그 치유도 역시 언어-표상으로 해결되어야 한다. 따라서 임종 시에 고통이 감소되고 화해와 용서, 사랑을 전하고 또 사랑을 안고 떠날 수 있기 위해서는 자신의 고통을 ‘합리적으로 이해하고 적합한 언어로 표현하고 상징화’할 수 있는 의미화가 반드시 작동되어야 한다. 따라서 연구자는 본 논문에서 ‘합리적 이해와 적합한 언어 표상’의 요체인 의미화에서 고통의 (...) 의미화(언어-표상)를 탐색하고자 한다. 의미화(언어-표상)의 이론적 기반은 후설의 ‘의식의 재구성’과 ‘시간의 종합화’, 프로이트의 ‘사후성’에 두고 있다. 이 두 이론의 근간은 언어를 사용하는 모든 인간의 심적 기제는 언제나 두 개의 이미지(이항기표)로 작동되며, 그 구조는 ‘시간 의식의 재구성(과거-현재-미래)’과 ‘사후적 종합화’에 있다. 따라서 언어표상으로 작동되는 심적 기제는, 신체 물리적인 치료로부터 의미-의지적 가치를 지향함으로써 인간다움의 실존성을 회복할 수 있게 된다. 그렇게 될 때, 죽어가는 사람은 자신의 고통을 적합한 언어표상으로 명시화 되어 고통을 감소시킬 수 있다. 결과적으로, 고통은 인간다움의 다른 이름인 화해와 용서로 이어진다. (shrink)

This paper examines one particular justification for the screening and termination of embryos/fetuses which possess genetic features known to cause disability. The particular case is that put forward in several places by John Harris. He argues that the obligation to prevent needless suffering justifies the prevention of the births of disabled neonates. The paper begins by rehearsing Harris's case. Then, drawing upon claims advanced in a recent paper in the Journal of Medical Ethics, it is subjected to critical scrutiny, (...) focusing on Harris's “suffering claim” .1 It is argued that the suffering claim must be false if understood as an empirical claim. And, even if understood as a conceptual truth, it mistakenly assimilates the concepts of harm and suffering. Finally, again focusing on Harris's recent work in this area, his characterisation of disability as a “harmed condition” is shown not to apply in the case of at least some moderate forms of intellectual disability. (shrink)

A life-threatening illness such as cancer can bring about much existential suffering and a disconnect to self in spite of surviving cancer. In my recent research project, I interviewed 14 long-term cancer survivors on being post cancer. Contrary to common assumptions about long-term survivorship, my interviewees reported grave existential difficulties in finding a firm footing in their sense of self, fostering a variety of stories of despair. This article examines long-term cancer survivors’ suffering from the vantage point of (...) selfhood and provides a philosophical interpretation of the reintegration of the self by illuminating their stories of despair through the Danish philosopher Søren Kierkegaard’s seminal work The Sickness Unto Death. The participating survivors described how the cancer experience had quaked old perceptions of self, instigating them to question the depth of their self-understanding before the cancer and who they really were. In relating to themselves, they realized the dynamic process of becoming who they are by continuing to balance opposing poles within the self. This act of relating to self revealed the limit of the autonomous self in the creation of selfhood. The article intends to illustrate how a philosophical reading of selfhood and suffering in survivorship can inform medicine and inspire models for follow-up cancer care for long-term survivors. (shrink)

In the book Kłopot z istnieniem.[The Trouble with the Existence (1963).Ed. Toruń 2002] Henryk Elzenberg formulates valuable philosophical remarks about suffering. I present them here as “statements”. They provoke many questions defining here as „problems”.At the end in appendix I confront briefly the epistemological position of Elzenberg with that postulated by Jan Srzednicki in the book Kłopoty pojęciowe [Notional Troubles], Warszawa 1993.

The paper explores the manners in which suffering, both natural and moral suffering, is understood and defeated in the lives of different ‘knights of faith,’ who emerge in ‘conversation’ with the book of Job. I begin with Maimonides’ Job who emerges as a ‘knight of wisdom’; it is through wisdom that his suffering is defeated, dissolving into mere pain. I proceed with Kierkegaard’s Job, who emerges as a ‘knight of loving trust,’ who defeats suffering by seeing (...) it as a divine gift, and by obediently and lovingly accepting it as such. Through his loving trust, suffering transforms into blessedness and joy, without diminishing or disappearing, a transformation referred to as a ‘miracle’ by Kierkegaard. I end with my own Hasidic-inspired Job, whom I portray as a ‘knight of protest,’ who defeats what he takes to be divine abuse by protesting against it, forgiving God while refusing to be reconciled with Him. I argue that it is by paying attention to these diverse Jobs that the complex nature of faith can be elucidated. Moreover, I argue that all three Jobs, despite their differences, may be embraced, both from a philosophically descriptive perspective as well as from a religiously committed one. (shrink)

This paper explores the ways in which a fuller attention to suffering in the tradition of the early Frankfurt School might valuably inform international political thought. Recent poststructural writing argues that trauma is silenced to prevent it disrupting narratives of order and progress and instead advocates a continual ‘encircling’ of trauma that refuses incorporation into a broader historical narrative. This paper welcomes this challenge to mainstream international ethics: attention to particular suffering provides an important challenge to the abstraction, (...) instrumentalism and universalism of modernity. However, if we simply mark trauma and refuse to incorporate it into any kind of narrative, we cannot profit from the ways in which suffering can illuminate the structures and ways of thinking that create it. Drawing on Adorno's negative dialectics, the paper argues that a dialectical understanding of the relationship between universalising order and disrupting particularity can lead from individual suffering towards a political re-engagement with the universal. (shrink)

Several Dutch politicians have recently argued that medical voluntary euthanasia laws should be extended to include healthy elderly citizens who suffer from non-medical ‘existential suffering’. In response, some seek to show that cases of medical euthanasia are morally permissible in ways that completed life euthanasia cases are not. I provide a different, societal perspective. I argue against assessing the permissibility of individual euthanasia cases in separation of their societal context and history. An appropriate justification of euthanasia needs to be (...) embedded in a wider solidaristic response to the causes of suffering. By classifying some suffering as ‘medical’ and some as ‘non-medical’, most societies currently respond to medical conditions in importantly different ways than they do to non-medical suffering. In medical cases, countries like the Netherlands have a health care, health research and public health system to systematically assign responsibilities to address causes of medical suffering. We lack such a system for non-medical suffering among elderly citizens, which makes completed life euthanasia importantly different from euthanasia in medical cases. Because of this moral ‘responsibility gap’, focusing on the permissibility of completed life euthanasia in separation of wider societal duties to attend to possible causes is societally inappropriate. To spell out this objection in more philosophical terms, I introduce the concept of acts that are morally permissible but contextually problematic. (shrink)

Eschatological images of Jesus as found in Jewish and Christian texts constitute the foundation of Edward Schillebeeckx’s positive orientation to suffering for others. Jewish prototypes provided the early Christians with an understanding of Jesus’ suffering, death, and resurrection as the advent of the eschaton. The pre‐existing biblical figures, which early Jewish Christians appropriated in the aftermath of the devastating crucifixion, provided traditional categories through which the life and death of Jesus could be meaningfully interpreted. Jesus as the eschatological (...) prophet‐martyr and Jesus as the suffering, eschatological high priest of the Epistle to the Hebrews are the most prominent and complex of the ancient figures. In Schillebeeckx’s analysis, each of the two composite titles ascribed to Jesus is an amplification of a prophetic or priestly prototype. The use of both models is predicted on Jesus’ compassionate and redemptive response to suffering – healing the sick, comforting the bereaved, giving hope to the oppressed, and proclaiming eschatological salvation.Schillebeeckx’s historical‐critical investigation of Jesus’ perception of his anticipated death, as revealed in the Last supper narrative, and his analysis of the meaning ascribed to the crucifixion in primitive Christianity establish the basis for a theology of redemptive suffering in the early church. Schillebeeckx has critically examined three pre‐New Testament interpretations applied to Jesus’ crucifixion: the death of the eschatological prophet‐martyr in the Deuteronomic tradition of the prophets whose proclamations were typically misjudged by Israel; the fulfilment of the divine scheme of salvation through the suffering of the ‘righteous one’, who is ultimately exonerated by God; and a vicarious, atoning sacrifice. The interpretative categories examined by Schillebeeckx with respect to the crucifixion are closely related to the biblical images upon which his theology of suffering is based. (shrink)

Feelings of shame are normal when suffering guilt from sin, but the church too often gives congregants a simplistic “shame script,” which paints God only as an angry or disappointed judge and so circumvents a lasting relational intimacy with him. For those who struggle to approach God because of the shame they suffer from past sins and current temptations, recent psychological research provides some insight. I demonstrate: those who agonize over feelings of shame need new “cultural scripts” and “life (...) scripts” by which to flourish, new narratives wherein a healthier view of God, self and community might emerge. The starting point is a proper biblical script of God as our Father, a vision of God the Father that resists one-dimensional notions of divine anger and disappointment. A more robust, intimate and grace-filled concept of God the Father, in other words, provides relief to the sufferers of unhealthy shame. (shrink)

This article is a contribution to the fifth part of the Common Knowledge symposium on forms of quietism. Responding to a sense that prior installments of the symposium had overlooked the phenomenology of quietism, of patient suffering, the essay details the daily life of Mary Rowlandson's captivity during King Philip's War in the 17th century and, in particular, her strategies for surviving the breakdown of every basic taxonomy that had until then structured her life in Puritan New England. Refusing (...) either suicide or rebellion and thus reduced to maintaining “bare life,” Rowlandson demonstrated by her resilience that quietist strategies can result in kinds of triumph. (shrink)

ABSTRACT This paper aims to offer both an interpretation and a critique of the epistemological foundations underlying one of the most recent approaches to trauma studies: cultural trauma theory. After the First World War, the founding father of psychoanalysis, Sigmund Freud, inquired into whether his diagnostic of “traumatic neurosis” could shed light on how collectives deal with unsettling experiences and memories. Throughout the intervening decades, Freud´s insights into collective trauma have attracted the interest of scholars from various disciplines within the (...) humanities and social sciences, from literary studies to historiography, memory studies, and, finally – the focus of this paper – cultural and social theory. By underlining the ways in which the proponents of cultural trauma theory – Jeffrey Alexander, Neil Smelzer, Piotr Sztompka, Bernhard Giesen, and Ron Eyerman – have reframed Freudian ideas regarding the transmission of legacies of collective suffering, the paper considers whether the notion of trauma can be extended to the analysis of cultures and societies. It explores the ambivalent relationship between psychoanalysis and contemporary cultural trauma theory to disclose the theoretical assumptions and weaknesses of the latter. (shrink)

The article takes up diverse strands of psychoanalytic thinking to investigate how desire is manifested in male team sporting environments. In particular, it is posited that sporting desire shares a remarkable structural similarity to the joking relationship in that they both work through the overcoming of obstacles. In doing so unconscious desires are long-circuited and only emerge in radically altered form, upending traditional gender and sexual subjectivities in the process. The paper explores the concept of desire from perspectives that are (...) either straightforwardly psychoanalytic or heavily influenced by psychoanalytic thought. Initially, I examine desire from a Freudian viewpoint before looking at how Jacques Lacan extended Freudian analysis through a linguistic lens. I then explore desire in terms developed by Gilles Deleuze before turning, in the second part of the paper, to an examination of the work of George Bataille to consider the desire of sport through the mechanism of the joke to trace the complex routing that it often takes. (shrink)

Les études sur le corps du siècle des Lumières se sont longtemps appuyées sur les traités de médecine, reprenant ainsi les représentations médicales plutôt que celles des malades. Les écrits ordinaires, parmi lesquels on peut compter les consultations épistolaires, permettent toutefois d’appréhender les perceptions corporelles des femmes du xviiie siècle. Ces lettres, envoyées par les malades à leur médecin, forment de véritables biographies médicales et constituent des sources d’une grande richesse pour explorer les écritures féminines du corps. On peut ainsi (...) mettre en évidence des manières spécifiques d’écrire le corps au féminin tout en soulignant les points communs avec les écritures masculines. (shrink)

Marije Brouwer et al. contend that collecting treatment experiences of newborns with life-threatening conditions can support both caregivers and parents in making difficult end-of-life decisions. They illustrate the importance of that understanding by narrating the heartbreaking story of the sisters Roos and Noor, two newborns in the last stage of their lives.1.

Notwithstanding fears of overly permissive approaches and related pleas to refuse euthanasia for psychological suffering, some Belgian hospitals have declared that such requests could be admissible. However, some of these hospitals have decided that such requests have to be managed and carried out outside their walls. Ghent University Hospital has developed a written policy regarding requests for euthanasia for psychological suffering coming from patients from outside the hospital. The protocol stipulates several due care criteria that go beyond the (...) requirements of the Belgian Euthanasia Law. For instance, the legally required first and second consulted physicians should all be psychiatrists and be affiliated with a psychiatry department of a Flemish university hospital. Moreover, euthanasia for psychological suffering can only be performed if the advices of these consulted physicians are positive. Importantly, preliminary reflection by the multidisciplinary Hospital Ethics Committee was introduced to discuss every request for euthanasia for psychological suffering coming from outside the hospital. In this way, the protocol supports psychiatrists faced with the complexities of assessing such requests, improves the quality of euthanasia practice by ensuring transparency and uniformity, and offers patients specialised support and guidance during their euthanasia procedure. Nevertheless, some concerns still remain. (shrink)

The current study is aimed at creating a psychological profile of characteristics of aggressive and self-aggressive behaviour exhibited by females with bulimia, as well as conducting a comparative analysis of the differences between bulimic females and individuals displaying no mental disorders in terms of the major characteristics of aggressive and selfaggressive behaviour. The methods: the Buss-Durkee Hostility-Guilt Inventory, the Psychological Inventory of Aggression Syndrome by Zbigniew. B. Gaś. The data analysis revealed significant differences between the females suffering from bulimia (...) and the subjects displaying no mental disorders in terms of the level of aggressive and self-aggressive tendencies. It was discovered that the control participants exhibited an appropriate level of aggressive behaviour as opposed to the subjects with bulimia. (shrink)

Nowadays, the major depressive disorder is a common disease that negatively affects the life quality of many people around the world. As MDD symptoms are closely related with the changes in food and eating, the relation between patients’ emotional responses and food tastes could be used as criteria for diagnostic. Until now, studies on the emotional response to different food tastes for patients affected by MDD have been poorly described in literature. Therefore, the aim of this study was to evaluate (...) the emotional response of patients suffering from MDD to the imagined different food tastes and to compare the results with a control group. Emotional responses in tested participants were induced by using cards with words of basic food tastes such as “sweet,” “salty,” “bitter,” “sour,” and “neutral.” The assessment of emotional response was performed with FaceReader 6 software. The outcome of this study showed that participants with MDD expressed lower “happy” and “contempt” and higher “surprised” emotions, along with a higher negative valence mean, in comparison with controls for all tested basic tastes of food. When Likert scale was used, significant differences in response were only found for “sour” and “salty” imaginary tastes between healthy group and patients with MDD. The findings of this study provide the additional data on food–associated emotion analysis of MDD patients and could be useful for the further development of the contactless method for early diagnosis of MDD. (shrink)