Guy Widdershoven
Biographic Data
| ID | 1357004 |
|---|---|
| NAME | Guy Widdershoven |
| GIVEN NAMES | Guy |
| FAMILY NAME | Widdershoven |
| SIGNATURE | WIDDERSHOVEN G |
| AFFILIATIONS | Amsterdam University Medical Centers |
| ORCID | 0000-0001-7620-6812 |
| VERIFIED | Yes |
| TOTAL WORKS | 60 |
| TOTAL CITATIONS | 70 |
| AUTHOR COUNT | 60 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1985 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Adrift in life: A longitudinal qualitative study into the lived experience of persistent suicidality
BACKGROUND: Despite growing scholarly interest in persistent or chronic suicidality, the lived experience and the meaning of being persistently suicidal remain inadequately understood. Therefore, this study longitudinally examines the lived experience of individuals with persistent suicidality. METHODS: This study entails a phenomenological, longitudinal analysis of serial interviews with 10 participants with lived experience of persistent suicid…
Just culture as dialogical learning: Theoretical foundations and practical implications of restorative justice
Just culture is a recent perspective on responding to accidents or incidents in organisations. It refers to the importance of doing justice to the situation and the people involved, aimed at strengthening safety in the workplace and preventing future harm. There are two main conceptualisations of just culture, implying different views on justice, namely retributive and restorative justice. The concept of retributive justice emphasises individual …
Stakeholder experiences with compulsory treatment at home: A focus-group study
BACKGROUND: Since 2020, Dutch mental health legislation has provided scope for compulsory treatment at home (CTH). Unlike compulsory community treatment (CCT), CTH allows for the use of compulsion in a patient's home, and thus not only in hospital. AIM: To examine several stakeholders' experiences and views regarding CTH and its implementation. METHODS: Four focus-groups were performed: one with patients, one with significant others, one with psy…
Organ donation after medically assisted death on psychiatric grounds: An ethical analysis
Organ donation after medical assistance in dying (MAID) on psychiatric grounds is a relatively new practice that poses complex ethical challenges. This paper explores several ethical issues that are important for guiding current and future practice. While organ donation after MAID may alleviate organ shortages, it also prompts concerns regarding the instrumentalization of human life. However, it can be argued that if a patient wishes to donate, b…
Finding a balance: Resilience in Older Adults After Depression in Later Life
Older adults who have had a major depressive disorder (MDD) have a high risk of relapse. Although risk factors for depression have been researched extensively, less is known about protective factors, and what experiences might strengthen subsequent resilience and help to prevent relapse. Therefore, this qualitative study explored factors of resilience in older adults who recovered from MDD and did not relapse across at least six years. Twenty-fiv…
Can moral case deliberation in research groups help to navigate research integrity dilemmas? A pilot study
There is an increased focus on fostering integrity in research by through creating an open culture where research integrity dilemmas can be discussed. We describe a pilot intervention study that used Moral Case Deliberation (MCD), a method that originated in clinical ethics support, to discuss research integrity dilemmas with researchers. Our research question was: can moral case deliberation in research groups help to navigate research integrity…
Sexual Boundary Violations: Exploring How the Interplay Between Violations, Retributive, and Restorative Responses Affects Teams
Studying and discussing boundary violations between people is important for potentially averting future harm. Organizations typically respond to boundary violations in retributive ways, by punishing the perpetrator. Interestingly, prior research has largely ignored the impact of sexual boundary violations and retributive dynamics on teams. This is problematic as teams provide an obvious setting not only to detect and discuss troubling behavior by…
The BigMove Intervention for People With Physical and Mental Health Conditions: A First Evaluation of Self-Perceived Health, Quality of Life, Coping and Mental and Social Functioning
This pilot study provides preliminary evidence that the intervention has positive effects on SPH, QoL, active coping behaviour, and mental and social functioning
Communication about euthanasia in Dutch nursing homes
In this research, we explore how competent nursing home residents in the Netherlands experience communication about euthanasia. Interviews were conducted with 15 nursing home residents. Three themes were found during data analysis: 1) The possibility to discuss euthanasia; 2) Interaction and 3) Anticipating the future. Whether or not euthanasia was discussed was influenced by the openness of the resident and the accessibility and openness of thei…
Recovery-oriented care in Teams Working with the ART Model in long-term Mental Health care: A Qualitative Study on the Experiences of Service Users and Their Significant Others
The Active Recovery Triad (ART) model provides a framework for recovery-oriented care in long-term mental health settings. The aim of this study is to gain insight into the experiences and views of service users and their significant others regarding care and support they receive from teams working with the ART model. Semi-structured interviews were performed with nineteen service users and five significant others of teams operating in Dutch long…
Co-creating Research Integrity Education Guidelines for Research Institutions
To foster research integrity (RI), research institutions should develop a continuous RI education approach, addressing various target groups. To support institutions to achieve this, we developed RI education guidelines together with RI experts and research administrators, exploring similarities and differences in recommendations across target groups, as well as recommendations about RI education using approaches other than formal RI training. We…
The Contribution of Moral Case Deliberation to Teaching RCR to PhD Students
Teaching responsible conduct of research (RCR) to PhD students is crucial for fostering responsible research practice. In this paper, we show how the use of Moral Case Deliberation—a case reflection method used in the Amsterdam UMC RCR PhD course—is particularity valuable to address three goals of RCR education: (1) making students aware of, and internalize, RCR principles and values, (2) supporting reflection on good conduct in personal daily pr…
The age limit for euthanasia requests in the Netherlands: A Delphi study among paediatric experts
BACKGROUND: The Dutch Euthanasia Act applies to patients 12 years and older, which makes euthanasia for minors younger than 12 legally impossible. The issue under discussion specifically regards the capacity of minors to request euthanasia. OBJECTIVE: Gain insight in paediatric experts' views about which criteria are important to assess capacity, from what age minors can meet those criteria, what an assessment procedure should look like and what …
Stakeholders’ Experiences of Research Integrity Support in Universities: A Qualitative Study in Three European Countries
Fostering research integrity (RI) increasingly focuses on normative guidance and supportive measures within institutions. To be successful, the implementation of support should be informed by stakeholders’ experiences of RI support. This study aims to explore experiences of RI support in Dutch, Spanish and Croatian universities. In total, 59 stakeholders (Netherlands n = 25, Spain n = 17, Croatia n = 17) participated in 16 focus groups in three E…
Diversity in Advance Care Planning and End-Of-Life Conversations: Discourses of Healthcare Professionals and Researchers
To meet the end-of-life needs of all patients, ongoing conversations about values and preferences regarding end-of-life care are essential. Aspects of social identity are associated with disparities in end-of-life care outcomes. Therefore, accounting for patient diversity in advance care planning and end-of-life conversations is important for equitable end-of-life practices. We conducted 16 semi-structured interviews to explore how Dutch healthca…
BigMove: A Group Intervention for People with Physical and Mental Health Conditions
For people with physical and mental health conditions, the intervention BigMove provides an innovative integrated care approach that addresses aspirations people have regarding their functioning and focuses on individual goal setting and behaviour change
A resilience enhancing trauma‐informed program for children and mothers in domestic violence shelters: A qualitative study
In domestic violence (DV) shelters, offering psychosocial support services to mothers and children is vital. The program ‘Time for Tony the Turtle’ has been developed for mothers and children residing in DV shelters in the Netherlands. It aims to foster attachment and regulation skills, which can also prepare for trauma treatment if sought after later on. This qualitative study explores the experiences of mothers, children and professionals with …
Important Topics for Fostering Research Integrity by Research Performing and Research Funding Organizations: A Delphi Consensus Study
To foster research integrity (RI), it is necessary to address the institutional and system-of-science factors that influence researchers’ behavior. Consequently, research performing and research funding organizations (RPOs and RFOs) could develop comprehensive RI policies outlining the concrete steps they will take to foster RI. So far, there is no consensus on which topics are important to address in RI policies. Therefore, we conducted a three …
Self-binding directives under the new Dutch Law on Compulsory Mental Health Care: An analysis of the legal framework and a proposal for reform
The Role of Worldview in Moral Case Deliberation: Visions and Experiences of Group Facilitators
This study investigates the role of worldview in moral case deliberation (MCD). MCD is a form of clinical ethics support which aims to assist caregivers in reflection on moral dilemmas, experienced in daily practice. Bioethicists acknowledge that existential and religious aspects must be taken into account in the analysis of ethical questions, but it remains unclear how these elements are addressed in clinical ethics support. We investigated how …
Researchers’ Perceptions of a Responsible Research Climate: A Multi Focus Group Study
The research climate plays a key role in fostering integrity in research. However, little is known about what constitutes a responsible research climate. We investigated academic researchers’ perceptions on this through focus group interviews. We recruited researchers from the Vrije Universiteit Amsterdam and the Amsterdam University Medical Center to participate in focus group discussions that consisted of researchers from similar academic ranks…
The influence of cognitive distortions on decision-making capacity for physician aid in dying
Moral Dilemmas in Contact-Based Care: The Relevance of Moral Case Deliberation for Forensic Psychiatry
Currently, forensic psychiatry shows a shift from a control-based to a contact-based approach. Working from contact may, however, entail new moral questions and dilemmas. How to secure safety when focusing on contact? Does contact imply being physically close to the patient, or should one refrain from intimate relations? In order to help care professionals to deal with these moral issues, clinical ethics support can be useful. A specific approach…
The Active Recovery Triad Model: A New Approach in Dutch Long-Term Mental Health Care
Unlike developments in short-term clinical and community care, the recovery movement has not yet gained foothold in long-term mental health services. In the Netherlands, approximately 21,000 people are dependent on long-term mental health care and support. To date, these people have benefited little from recovery-oriented care, rather traditional problem-oriented care has remained the dominant approach. Based on the view that recovery is within r…
What does quality of life mean to older adults? A thematic synthesis
BACKGROUND: Consideration of older adults' quality of life (QoL) is becoming increasingly important in the evaluation, quality improvement and allocation of health and social care services. While numerous definitions and theories of QoL have been proposed, an overall synthesis of the perspective of older adults themselves is lacking. METHODS: Qualitative studies were identified in PubMed, Ebsco/Psycinfo and Ebsco/CINAHL, through a search on 28 No…
The meaning of frailty according to Dutch older frail and non-frail persons
Evaluation and/as Social Relation
This article discusses the importance of social relations in evaluation. It focuses first on social relations among stakeholders in the evaluation setting. It is argued that social relations are crucial as an object of study, since they are integral to and partly constitutive of the quality and effectiveness of the programme being evaluated. Next, it focuses on the social relations between the evaluator and the stakeholders in the programme. Seve…
Hand Transplants and Bodily Integrity
In this article, we present an analysis of bodily integrity in hand transplants from a phenomenological narrative perspective, while drawing on two contrasting case stories. We consider bodily integrity as the subjective bodily experience of wholeness which, instead of referring to actual bodily intactness, involves a positive identification with one's physical body. Bodily mutilations, such as the loss of a hand, may severely affect one's bodily…
What Does It Mean to Be a Patient Research Partner? An Ethnodrama
There is a trend in medical and health research to involve patients in the research process. A recent role is the patient acting as a research partner in a team of professionals. There are a few publications about these collaborations and the value of research partners. But is the research partner accepted as a credible knower? How can equality in the collaboration be reached? And how to handle tensions between the research partner's personal age…
Dialogue on Dialogue
The text you are about to read is a dialogical text on dialogue and evaluation. It is a conversation between a group of scholars who have studied and published on the concept of dialogue and the value of dialogue for the practice of evaluation. The text is based on the field notes of a panel meeting held during a gathering of the European Evaluation Society to discuss this topic. It also contains an analysis of essays written in preparation for t…
Facing a Disruptive Face: Embodiment in the Everyday Experiences of “Disfigured” Individuals
In recent years, facial difference is increasingly on the public and academic agenda. This is evidenced by the growing public presence of individuals with an atypical face, and the simultaneous emergence of research investigating the issues associated with facial variance. The scholarship on facial difference approaches this topic either through a medical and rehabilitation perspective, or a psycho-social one. However, having a different face als…
Dialogue in Evaluation: A Hermeneutic Perspective
Dialogue is crucial to evaluation. Through dialogue, people are invited to develop new, shared ways of seeing and acting. From a hermeneutic perspective, dialogue implies consensus, based upon shared meanings and oriented towards reaching agreement. Dialogue also implies disagreement, in the form of a conflict between different, rival stories. The role of the evaluator is to enter into dialogue with people participating in practice. It is also to…
A resilience enhancing trauma‐informed program for children and mothers in domestic violence shelters: A qualitative study
In domestic violence (DV) shelters, offering psychosocial support services to mothers and children is vital. The program ‘Time for Tony the Turtle’ has been developed for mothers and children residing in DV shelters in the Netherlands. It aims to foster attachment and regulation skills, which can also prepare for trauma treatment if sought after later on. This qualitative study explores the experiences of mothers, children and professionals with …
Practising Political Care Ethics: Can Responsive Evaluation Foster Democratic Care
This paper examines if and how responsive evaluation as a deliberative approach can serve as a guide for a politically oriented care ethics. A political care ethics puts the assignment of responsibilities and the inclusion of multiple perspectives of people at the centre of care. It honours the expressive-collaborative nature of care practices. It is responsive to political positions of vulnerability, fragility and resilience of those whom it con…
Hermeneutics and relativism: Wittgenstein, Gadamer, Habermas
This article presents three hermeneutic answers to the problem of relativism. The first answer is drawn from Wittgenstein's anthropological hermeneutics. Wittgenstein goes beyond relativism by making explicit universal anthropological categories which are specified differently in different cultures. The second answer is to be found in Gadamer's historical hermeneutics. By introducing the concepts of tradition and fusion of horizons, Gadamer evade…
Finding a balance: Resilience in Older Adults After Depression in Later Life
Older adults who have had a major depressive disorder (MDD) have a high risk of relapse. Although risk factors for depression have been researched extensively, less is known about protective factors, and what experiences might strengthen subsequent resilience and help to prevent relapse. Therefore, this qualitative study explored factors of resilience in older adults who recovered from MDD and did not relapse across at least six years. Twenty-fiv…
Communication about euthanasia in Dutch nursing homes
In this research, we explore how competent nursing home residents in the Netherlands experience communication about euthanasia. Interviews were conducted with 15 nursing home residents. Three themes were found during data analysis: 1) The possibility to discuss euthanasia; 2) Interaction and 3) Anticipating the future. Whether or not euthanasia was discussed was influenced by the openness of the resident and the accessibility and openness of thei…
Recognizing difference: In/visibility in the everyday life of individuals with facial limb absence
People who lack part(s) of their face have a visibly different appearance both due to their facial difference itself and the medical aids that they use to cover it (e.g. prostheses, bandages). In this article, we draw on interviews with affected individuals in order to investigate how visible difference features in their everyday experience. The visibility of their facial difference, we show, comes into play as they interact with various others i…
To care or not to care a narrative on experiencing caring responsibilities
This paper explores caring responsibilities in everyday life by a thorough investigation of the lived experience of one woman, called Eva. We reflect on Eva's relational experiences in taking care of her own life and in relating to situations and events which more or less are the result of the relational web in which she is situated. Her narrative shows that for her, caring requires a relationship in which moral intimacy can be experienced. There…
Perceived control in health care: A conceptual model based on experiences of frail older adults
The discovery of deliberation. From ambiguity to appreciation through the learning process of doing Moral Case Deliberation in Dutch elderly care
Conceptualizing autonomy in the context of chronic physical illness: Relating Philosophical Theories to Social Scientific Perspectives
The aim of this article is to conceptualize autonomy in the context of chronic physical illness. To this end, we compare and contrast a selection of contemporary philosophical theories of autonomy with social scientific perspectives on chronic illness, particularly models of disability and symbolic interactionism. The philosophical theories mainly depart from a positive conceptualization of autonomy, which involves actively shaping one's life and…
Handlung und Struktur: Überlegungen zu einer handlungstheoretischen Gesellschaftstheorie
Handlung und Struktur: Überlegungen zu einer handlungstheoretischen Gesellschaftstheorie
Hermeneutics and relativism: Wittgenstein, Gadamer, Habermas
This article presents three hermeneutic answers to the problem of relativism. The first answer is drawn from Wittgenstein's anthropological hermeneutics. Wittgenstein goes beyond relativism by making explicit universal anthropological categories which are specified differently in different cultures. The second answer is to be found in Gadamer's historical hermeneutics. By introducing the concepts of tradition and fusion of horizons, Gadamer evade…
Patients' Information-Seeking Actions and Physicians' Responses in Gynecological Consultations
The focus of interactional studies on patients' information-seeking behavior has almost entirely been on asking direct questions. This article offers a systematic analysis of patients' information-seeking actions and physicians' responses. Verbatim transcripts of 32 gynecological interviews audiotaped in a natural situation were analyzed. Most information-seeking actions concern the nature or procedure of treatment and are formulated in a straigh…
Experts in Ethics
Madam: two articles on Experts in Ethics (HCR, November-December 1998) present an interesting view on the nature of expertise in the field of clinical ethics. first article (David J. Casarett, Frona Daskal, and John Lantos, The Authority of the Clinical Ethicist) stresses the importance of communication and consensus. second (Scot D. Yoder, The Nature of Ethical Expertise) defines expertise in terms of reasoning and providing justifications. As s…
Improving Informed Consent by Implementing Shared Decisionmaking in Health Care
Guy A. M. Widdershoven, Frank W. S. M. Verheggen, Improving Informed Consent by Implementing Shared Decisionmaking in Health Care, IRB: Ethics & Human Research, Vol. 21, No. 4 (Jul. - Aug., 1999), pp. 1-5
Truth and Meaning in Art: Merleau-Ponty's Ambiguity
Etude de l'interrelation de la verite et de la signification en art dans la «Phenomenologie de la perception» et dans «Le visible et l'invisible» de Merleau-Ponty. Proposant une interpretation d'une strophe du poeme «Burnt Norton» de T. S. Eliot comme l'expression poetique de la relation de la verite et de la signification, l'A. montre que, contrairement a la clarte de Sartre, Merleau-Ponty apparait comme un philosophe de l'ambiguite, effacant le…
Dialogue on Dialogue
The text you are about to read is a dialogical text on dialogue and evaluation. It is a conversation between a group of scholars who have studied and published on the concept of dialogue and the value of dialogue for the practice of evaluation. The text is based on the field notes of a panel meeting held during a gathering of the European Evaluation Society to discuss this topic. It also contains an analysis of essays written in preparation for t…
Dialogue on Dialogue
The text you are about to read is a dialogical text on dialogue and evaluation. It is a conversation between a group of scholars who have studied and published on the concept of dialogue and the value of dialogue for the practice of evaluation. The text is based on the field notes of a panel meeting held during a gathering of the European Evaluation Society to discuss this topic. It also contains an analysis of essays written in preparation for t…
Dialogue in Evaluation: A Hermeneutic Perspective
Dialogue is crucial to evaluation. Through dialogue, people are invited to develop new, shared ways of seeing and acting. From a hermeneutic perspective, dialogue implies consensus, based upon shared meanings and oriented towards reaching agreement. Dialogue also implies disagreement, in the form of a conflict between different, rival stories. The role of the evaluator is to enter into dialogue with people participating in practice. It is also to…
Medizinethik und Kultur: Grenzen medizinischen Handelns in Deutschland und den Niederlanden (review)
Since April 2002, the Netherlands is the first country in the world with a legal arrangement concerning euthanasia and physician-assisted suicide. The new law is the outcome of a political discussion of almost three decades, in which euthanasia became ever-more-accepted as a medical intervention, on the patient's request, in cases of unendurable suffering. Ethical and legal developments concerning euthanasia in the Netherlands have been followed …
Health care ethics and health law in the Dutch discussion on end-of-life decisions: A historical analysis of the dynamics and development of both disciplines
What does quality of life mean to older frail and non-frail community-dwelling adults in the Netherlands
Contemporary Epistemological Research in Education: Reconciliation and Reconceptualization of the Field
In this article the authors challenge contemporary epistemological research within educational settings. After a reconciliation of the current models which treat epistemological beliefs as static and mechanical, the authors present a teaching experience to illustrate their enactivist view that epistemological beliefs should be conceptualized as fluid and dynamic constructs, emerging in web-like configurations. Answers to epistemological questions…
Self-management of type 2 diabetes mellitus: A qualitative investigation from the perspective of participants in a nurse-led, shared-care programme in the Netherlands
Self-management consists of a complex and dynamic set of processes and it is deeply embedded in one's unique life situation. Support from diabetes specialist nurses and family caregivers is a necessity of self-managing diabetes
Clinical and cost-effectiveness of computerised cognitive behavioural therapy for depression in primary care: Design of a randomised trial
The study has been registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236)
Evaluation and/as Social Relation
This article discusses the importance of social relations in evaluation. It focuses first on social relations among stakeholders in the evaluation setting. It is argued that social relations are crucial as an object of study, since they are integral to and partly constitutive of the quality and effectiveness of the programme being evaluated. Next, it focuses on the social relations between the evaluator and the stakeholders in the programme. Seve…
Conceptualizing autonomy in the context of chronic physical illness: Relating Philosophical Theories to Social Scientific Perspectives
The aim of this article is to conceptualize autonomy in the context of chronic physical illness. To this end, we compare and contrast a selection of contemporary philosophical theories of autonomy with social scientific perspectives on chronic illness, particularly models of disability and symbolic interactionism. The philosophical theories mainly depart from a positive conceptualization of autonomy, which involves actively shaping one's life and…
Patients as Partners in Responsive Research: Methodological Notions for Collaborations in Mixed Research Teams
Patients are increasingly actively involved in research. We depart from an approach that understands patient participation as dialogue. This idea is grounded in hermeneutic philosophy and responsive research. Patients are engaged in research via dialogues with other stakeholders. New is the inclusion of patients as research partners. Several methodological notions underpin responsive research. In two health research agenda-setting processes (inte…
The meaning of frailty according to Dutch older frail and non-frail persons
Hand Transplants and Bodily Integrity
In this article, we present an analysis of bodily integrity in hand transplants from a phenomenological narrative perspective, while drawing on two contrasting case stories. We consider bodily integrity as the subjective bodily experience of wholeness which, instead of referring to actual bodily intactness, involves a positive identification with one's physical body. Bodily mutilations, such as the loss of a hand, may severely affect one's bodily…
What Does It Mean to Be a Patient Research Partner? An Ethnodrama
There is a trend in medical and health research to involve patients in the research process. A recent role is the patient acting as a research partner in a team of professionals. There are a few publications about these collaborations and the value of research partners. But is the research partner accepted as a credible knower? How can equality in the collaboration be reached? And how to handle tensions between the research partner's personal age…
Triad collaboration in psychiatry: Privacy and confidentiality revisited
Within psychiatry, patients, family, and professionals are involved and interrelated. Yet it is not easy for healthcare professionals to involve family actively in patient care. Taking a feminist perspective, we investigate why health-care professionals experience ambivalence in involving family in attempts to reduce seclusion, suggesting how they can improve family involvement by adopting a relational view on autonomy. Professionals should view …
Autonomy, dialogue, and practical rationality
The discovery of deliberation. From ambiguity to appreciation through the learning process of doing Moral Case Deliberation in Dutch elderly care
Bipolar disorder: Idioms of susceptibility and disease and the role of 'genes' in illness explanations
This qualitative study explores (1) how members of the Dutch Association for People with Bipolar Disorder explain the affliction of bipolar disorder; (2) the relationship between genetic, environmental and personal factors in these explanations and (3) the relationship between illness explanations, self-management and identity. A total of 40 participants took part in seven different focus group discussions. The results demonstrate that there are …
Psychology (47 works) · Political science (34 works) · Sociology (32 works) · Medicine (31 works) · Social Psychology (23 works) · Epistemology (20 works) · Computer Science (17 works) · Law (17 works) · Nursing (15 works) · Social Psychology (15 works)