Consultatie, onderwijs en bij- en nascholing in de filosofie en ethiek van de zorg, geneeskunde en psychiatrie

Welkom op de website van Amedea

Op deze startpagina post ik -ter leering ende vermaeck- kritische aantekeningen bij actuele en minder actuele gebeurtenissen, publicaties of debatten die betrekking hebben op ethiek, filosofie, zorg en/of psychiatrie. Reacties welkom! Kijkt u vooral ook verder op de site, bij het aanbod bijvoorbeeld of de thema's.  


Nieuwe publicatie

J Med Ethics. 2016 May 10. pii: medethics-2014-102575. doi: 10.1136/medethics-2014-102575. [Epub ahead of print]

Competence in chronic mental illness: the relevance of practical wisdom.
Widdershoven GA, Ruissen A, van Balkom AJ, Meynen G.
Author information

The concept of competence is central to healthcare because informed consent can only be obtained from a competent patient. The standard approach to competence focuses on cognitive abilities. Several authors have challenged this approach by emphasising the role of emotions and values. Combining cognition, emotion and values, we suggest an approach which is based on the notion of practical wisdom. This focuses on knowledge and on determining what is important in a specific situation and finding a balance between various values, which are enacted in an individual’s personal life. Our approach is illustrated by two cases of patients with obsessive-compulsive disorder.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

Capacity; Clinical Ethics; Competence/incompetence; Psychiatry

Andrea Ruissen - 19:28 @ publicaties | Een opmerking toevoegen