Medicine and the Cartesian image of man.
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Biomedical subjects
Publications and source records attributed to H ten Have.
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This article discusses various ethical and philosophical aspects of heroin addiction. It arose as a result of the plan by the Amsterdam city council to supply free heroin to drug addicts. The objective of treatment of heroin addicts is ambivalent because what is in fact a socio-cultural problem is transformed into a medical problem. The characteristics of this treatment are made explicit through a philosophical analysis which sees the medical intervention as part of a strategy aimed at achieving social normalisation. The reason why such a social control function is practised by physicians is discussed, as well as the reason why heroin users in particular are the object of such a process. In this paper, heroin addiction is considered primarily as a cultural problem. The consequences of this for treatment and ethics form the conclusion.
In this article the author makes a number of theoretical comments on role conception and role behaviour in the therapeutic milieu of the nursing home for the somatically ill. To begin with he draws a comparison between this milieu and that in a psychiatric hospital, where the notion of the therapeutic living environment has already been put into practice. A conspicuous feature is the difference in the nature of the inhabitants of the two milieus and the reason for their admission. The patient at a psychiatric hospital is there in order to learn to manage a role in society in a new way, the nursing home patient has to try, in an appropriate manner, to learn again to give meaning to the role which he has been deprived of by his physical disability. In this article the author hopes that he has demonstrated that the inmate of the nursing home is doomed to fail without the real and active help of his family or other people who are important to him. Through adequate reflection on their own role behaviour, the staff must try to provide a response to the subjective experience of reality encountered by the patient and his relatives and friends.
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