Urban commons is presented as a challenge of collaborative governance. This study delivers a normative perspective to analyse and evaluate processes and outcomes of the governance of urban commons. It demonstrates the development and application of the perspective in action research on Amsterdam’s Zero Waste Lab case, as a way to better understand successful and failing institutions in a concrete practice and to design interventions for improvement. Consequently, the (im)plausibility of collective action in urban communities and the participation of public actors present dilemmas for urban commons. The study specifically synthesises urban commons and collaborative governance scholarship and relates also in general to the transition towards co-creation in governing the city, e.g. in public administration or planning.
In this paper, we explore the desires that play a role at the palliative stage and relate them to various approaches to patient autonomy. What attitude can physicians and other caregivers take to the desires of patients at the palliative stage? We examine this question by introducing five physicians who are consulted by Jackie, an imaginary patient with metastatic lung carcinoma. By combining the models of the physician-patient relationship developed by Emanuel and Emanuel (1992) and the Hellenistic approaches to desires analyzed by Nussbaum (1994), five different ways of dealing with desires in the context of palliative care are sketched. The story of Jackie shows that desires are to a certain extent responsive to reasoning. In the palliative process, that can be a reason to devote attention to the desires of patients and caregivers and to determine which desires need to be fulfilled, which are less important, and how they are linked to emotions the patient has.
