Goto main content

Moral Compass Project

How do we know what the Good is? Is there such a thing as a ‘moral compass’ that all people share? The needle of a compass points to the north pole, but you can't reach the pole with it. Can the Good also be seen as such a pole? As something that speaks to us 'from the outside,' inescapably? The Good appeals to us in a way that gives us direction and encourages us to take concrete action. But that does not imply we are able to fully know or do the Good.

Subproject: Medical ethics at the end of life

This project focuses on thinking about the Good in relation to euthanasia and assisted suicide in the Netherlands. The research focuses on a number of aspects that are not or hardly addressed in other research.

Personal experiences with euthanasia

The project included interviews with relatives of people who have received euthanasia. These have been compiled in the book Leven met euthanasie (2021). Subsequently, doctors were also interviewed about their experiences with euthanasia requests. These, too, will be published in a volume.

Theological and pastoral aspects of euthanasia

A second research topic concerns views on the self-chosen end of life from a Christian perspective. A key belief here is that God created life and life is a gift. Research was conducted into how Dutch church documents and publications by theologians have contributed to thinking about euthanasia in the Netherlands in recent decades. In addition, empirical research was conducted on how pastors of the Protestant Church in the Netherlands think about euthanasia and what their pastoral practice around euthanasia looks like.

Regional variation in euthanasia

There is considerable regional variation in the Netherlands when it comes to euthanasia. In this project, for the first time, that variation has been mapped and possible reasons for that variation investigated. In a doctoral study together with TUU and RUN, the region variation is concretely investigated in physician practices in two Dutch regions. Researchers from this subproject are also involved in ZonMw research on regional variation. Permission was recently received to repeat the previous regional variation study, which covered the period 2013-2017, for the years 2018-2023.

Experiences from a euthanasia review board

Another source for this study is data from a regional euthanasia review board. One of the researchers kept a record of the main background characteristics (age, pathology, natural life expectancy, etc.) of each report for ten years as well as some morally and theologically important characteristics.

Theological and ethical aspects of overtreatment

Research on overtreatment is being conducted in collaboration with American researchers. These studies will appear in a volume Cambridge University Press will publish in 2025.

Researchers

Key publications

  • Stef Groenewoud, Theo Boer, Femke Atsma, Mina Arvin and Gert Westert, ‘Euthanasia in the Netherlands: a claims data cross-sectional study of geographical variation,’ BMJ Supportive & Palliative Care 2021;0:1–11. https://doi.org/10.1136/bmjspcare-2020-002573.
  • Theo Boer and Stef Groenewoud, ‘Dutch Reformed support for Assisted Dying in the Netherlands 1969-2019: An Analysis of the Views of Parishioners, Pastors, Opinion Makers, and Official Reports of the Protestant Church in the Netherlands’. Journal of the Society of Christian Ethics (JSCE) 41, 1 (spring/summer 2021), 125-47, https://doi.org/10.5840/jsce202161143
  • Jon Tilburt, Theo Boer, Heather Zeiger, and Maarten Verkerk (eds.), Overtreatment: European and American Perspectives. Cambridge: Cambridge University Press 2025.

Further discussion?

Does this topic appeal to you and would you like to discuss it in a group, for example through a lecture? Then invite one of the researchers to your discussion group, organisation or church for talks, interviews, advice or other contributions in the field of (Christian) medical ethics in general, and the ethics of end-of-life decisions in particular. Theo Boer also has expertise on the relevance of the Bible for contemporary moral issues.