Professional autonomy is often described as a claim of professionalsthat has to serve primarily their own interests. However, it can also beseen as an element of a professional ideal that can function as astandard for professional, i.e. medical practice. This normativeunderstanding of the medical profession and professional autonomy facesthree threats today. 1) Internal erosion of professional autonomy due toa lack of internal quality control by the medical profession; 2)the increasing upward pressure on health care expenses that calls for ahealth care (...) policy that could imply limitations for the professionalautonomy of physicians; 3) a distorted understanding of theprofession as being based on a formal type of knowledge and relatedtechnology, in which other normative dimensions of medical practice areneglected and which frustrates meaningful communication betweenphysicians and patients. To answer these threats a normative structureanalysis of medical practice is presented, that indicates whichprinciples and norms are constitutive for medical practice. It isconcluded that professional autonomy, normatively understood, should bemaintained to avoid the lure of the technological imperative and toprotect patients against third parties' pressure to undertreatment.However, this professional autonomy can only be maintained if members ofthe profession subject their activities and decisions to a criticalevaluation by other members of the profession and by patients and ifthey continue to critically reflect on the values that regulate today'smedicine. (shrink)

This article critically analyzes the environmental economics paradigm of David Pearce and Robert Kerry Turner. Our analysis is inspired by the philosophy of Herman Dooyeweerd, in particular his transcendental criticism and theory of modalities. We describe how Pearce and Turner theorize the concept of sustainable development. On the basis of this description we identify immanent tensions in their approach and analyze to what extent these tensions are caused by implicit normative presuppositions in the key concepts used by Pearce and Turner. (...) Finally, we examine whether Dooyeweerd’s conception of the economic aspect can diminish these tensions. (shrink)

Vooral door het boek Dialektik der Aufklärung van Horkheimer en Adorno heeft het bewustzijn zich doorgezet dat een ten opzichte van zichzelf onkritische verlichting haar eigen tegenkrachten oproept. In deze bijdrage wordt op dit fenomeen nader ingegaan, in het bijzonder met het oog op een dogmatisch antireligieuze toespitsing van de verlichting, die daarmee zelf fundamentalistische trekken aanneemt.