Vernieuwd onderzoeksprogramma drinkwatersector: één jaar op weg

De Nederlandse drinkwaterbedrijven investeren al meer dan veertig jaar in een collectief onderzoeksprogramma (BTO) en een gezamelijk kennisinstituut (KWR). Deze bundeling van krachten resulteert in internationaal toonaangevend drinkwateronderzoek; het kennisnetwerk, ontmoetingsplatform en cofinancieringsbrug. Eens per jaar vindt een uitgebreide evlauatie van het BTO plaats. De resultaten over het eerste jaar van het nieuwe BTO zijn onlamgs bekend gemaakt. Wat is de stand van zaken en wat zijn de lessen die we kunnen leren?Water ManagementCivil Engineering and Geoscience

La stigmatisation de la maladie physique: Le cas du cancer

The literature shows ample evidence of stigmatization of mental illness and infectious diseases. Although cancer does not fall under any of the above categories, it has been stigmatized because of the deleterious consequences of its course and treatment. In fact, in the 21st century, cancer remains a dreaded disease associated with social representations of death, impairment, disfigurement, suffering, and pain. The objectives of this paper are twofold: first, to review theoretical elements that can help understand the stigma associated with physical illness, by defining the concept of stigma, presenting the different theoretical models of stigmatization of physical illness, and describing the psychosocial functions of stigma for both the stigmatized and stigmatizing individuals. Second, to focus on the specificity of cancer-related stigma, with particular reference to the cultural aspects of coping strategies used by oncological patients to address illness and the related stigma, through practices based on popular medicine. As part of the conclusion, it is suggested that cancer-related stigma has undergone several changes during history, from being a fatal disease to being a chronic disease. However, its initially silent course, alarming epidemic behaviour (still uncontrollable despite scientific advances), and treatment characteristics favour negative social representations of cancer (as conviction, sentence of death, suffering, deterioration, pain, affliction, and guilt), which act as iatrogenic factors in the health–disease process, interfering especially in the decision making regarding effective treatments and leading patients to prefer alternative methods based on popular medicine, even if those methods imply risks for their health and quality of life. © Springer-Verlag France 2012