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61.
My purpose is to examine two of the foundations of medical ethics: the principle of autonomy and the concept of the human. I also investigate the extent to which health technology makes autonomy and humanness possible. I begin by underlining Illich's point that the same health technology designed to promote health and autonomy also is pathogenic. I proceed to analyse the Kantian concept of autonomy, a concept which is closely associated with health and which continues to determine current ethical thinking. In so doing, I uncover an unexpected ontological function of health technology, a function described in Heidegger's work on technology. Based on this discovery, I suggest that calls for Kantian autonomy may often be self-defeating or even sometimes harmful. I conclude by calling for continued ethical vigilance, but also for a questioning of the hitherto virtually unquestionable concepts of ethics and humanness which may themselves play a role in our era's greatest problems.  相似文献   
62.
Many decisions can be framed either as ‘choices’ between alternative courses of action (e.g. Should I move to New York or stay in Chicago?) or as ‘opportunities’ to pursue a particular course of action (i.e. Should I move to New York?). Although there is no logical difference between these two different decision frames, there may be important psychological differences between them. In four studies, we explore the differences between ‘choices’ and ‘opportunities’. The results of Studies 1 and 2 show that college students view many of the decisions they typically face as opportunities, rather than choices. Further, the results of Study 2 suggest that the frame students adopt is systematically related to the preferences they express. The latter finding led to Studies 3 and 4, where we show that preferences can be influenced by encouraging people to adopt one decision frame rather than another. © 1998 John Wiley & Sons, Ltd.  相似文献   
63.
Contemporary cognitive approaches to obsession assume that the content of clinical obsessions does not differ from non-clinical obsessive intrusions. This assumption goes back to a classic study by Rachman and De Silva [(1978). Abnormal and normal obsessions. Behaviour Research and Therapy, 16, 233-248]. In the present paper, it is argued that Rachman and De Silva did not postulate a complete indifference between clinical and non-clinical obsessions. Study 1 is a simple statistical analysis of data presented by Rachman and De Silva. This analysis suggested that psychologists are able to discriminate clinical and non-clinical obsessions beyond chance level, merely by looking at the content of obsessions. In study 2, a list of 23 clinical and 47 non-clinical obsessions was presented to 11 psychotherapists and 90 psychology undergraduates. Both therapists and students were able to distinguish clinical and non-clinical obsession beyond chance level. It is concluded that some clinical obsessions can be identified as being evidently abnormal, and that additional theory and research is needed to identify the causes of these recognisable obsessions.  相似文献   
64.
The present study analyzed rates of peer victimization in children with a chronic tic disorder as compared to children with type 1 diabetes and healthy controls. The associations among peer victimization, tic symptom severity, and psychological symptoms, as well as the potential mediating relationship between peer victimization, tic severity, and child internalizing symptoms, were also explored. Children with tics displayed higher rates of peer victimization than control groups, and peer victimization in children with tics was positively correlated with tic symptom severity, loneliness, anxiety symptoms, and parent report of child internalizing symptoms. Results also supported the hypothesis that peer victimization mediates the relationship between tic symptom severity and loneliness. Findings highlight the importance of the assessment and treatment of psychosocial variables in children with chronic tic disorders, including social functioning and peer relationships.  相似文献   
65.
While the concept of multiple realizability is widely used, it is sedom rigorously characterized. This paper defends a liberal conception of multiple realizability as sameness of type through any differences in the (lower-level) conditions that give rise to instances of that type. This kind of “sameness through difference” is contrasted with another type of asymmetric dependency relation between properties, multiple specification. This liberal conception is then defended from objections, and it is augmented by a concept of relativized multiple realizability. The last section presents a survey of the ontological, explanatory, and methodological consequences of this analysis of multiple realizability.  相似文献   
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The relationship between maternal symptoms of attention‐deficit/hyperactivity disorder (ADHD) and parenting cognitions and behaviors was studied in 86 first‐time expectant women. Women high on ADHD symptoms were less likely to be married, less likely to have obtained at least some university education, and less likely to report that they wanted to get pregnant at the time they became pregnant. As predicted, ADHD symptoms were positively correlated with symptoms of anxiety and depression, and predicted less positive prenatal expectations regarding the infant and the future maternal role and lower maternal self‐efficacy. Contrary to predictions, ADHD did not predict any incremental variance in maternal stressful life events or social support. Symptoms of ADHD were negatively correlated with attendance at recommended prenatal checkups, but were unrelated to other behaviors during pregnancy. Findings suggest that even prior to any contact with their infant, women with ADHD symptoms have maladaptive cognitions regarding their expectations of motherhood and parenting abilities. As a result, they may benefit from early interventions that focus on attenuating the potential negative effects that these maladaptive cognitions might have on the mother‐infant relationship and later developmental outcomes for their children.  相似文献   
69.
The relation between aggression and peer social status was investigated in a group of 238 third-through fifth-grade children. Peer social status refers to the degree to which a child is accepted by his or her peer group. By asking children to nominate peers they “like most” and “like least,” one can identify children who are popular, rejected, neglected, or viewed as average within their peer group. Results indicated low to moderate correlations between peer-nominated aggression and global indices of social acceptance. More specifically, it was found that aggressive children largely comprised the rejected and average social status groups, but not the popular or neglected groups. Furthermore, analyses indicated that according to both peers and teachers, aggressive/rejected children showed academic and social-skill deficits, whereas aggressive children of average peer status exhibited adequate adjustment similar to that of nonaggressive/average-status children. These results suggest the importance of considering peer social status when identifying aggressive children in need of intervention and in determining which skill deficits to address. In addition, knowledge of an aggressive child's peer status might be useful in enhancing the predictability of adult adjustment.  相似文献   
70.
Criteria Based Content Analysis (CBCA) is a forensic tool that aims atdistinguishing true from false statements made by crime victims. As such,CBCA and similar techniques are regularly employed by psychologicalexpert-witnesses in court. However, it could be argued that the diagnosticaccuracy of CBCA is moderate, and too low for application in the forensiccontext. The current article discusses problems that arise if conclusionsabout credibility of testimonies based on CBCA are presented in court. Afundamental, yet so far hardly addressed flaw is that CBCA suffers from aninherent truth bias. That is, the underlying notion that credibility isexamined by means of searching for signs supporting truthfulness isscientifically less valid than the approach in which credibility isestablished by focusing on alternative explanations and signs of deceit.  相似文献   
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