麻醉医生与围手术期患者的人文关怀

围手术期患者紧张、忧郁、焦虑和恐惧等心理反应会对其生理功能产生巨大的不良影响,这对于麻醉和手术极为不利。为了降低围手术期患者心理应激产生的不良影响,同时适应生理-心理-社会医学模式的转变,麻醉医生在围手术期必须对手术患者实施有效的人文关怀。麻醉医生可以在三个阶段对患者实施相应的人文关怀。     

The issue of human existence as represented in dreaming: A new Daseinsanalytic interpretation of the meaning of dreams

Abstract

Dreams are associated with those issues of our waking life which preoccupy us emotionally. According to our Daseinsanalytic view, however, the issue that concerns us while dreaming is actually not the concrete worrying matter itself, but its existential dimension. This view is based on Martin Heidegger's concept of human being as that being to which its own being is an issue. It means that all feeling and understanding dealing with concrete issues concurrently refer to fundamental issues of our existence. Dreaming though, we are focused entirely on the fundamental aspects. Dreams show the very individual and specific struggle of the dreamer with certain conditions of human life, which he or she is unable or unwilling to accept because they seem too difficult to endure. I want to demonstrate this method of interpretation on a dream of a depressive patient. The example illustrates that the concerns of dreaming are rooted in and refer to an existential dilemma that is hidden in the concrete difficulties of waking life and represented in the concrete dream events. In addition, it gives us the opportunity to inquire into the specificity of the fundamental dilemma of a personality with a “depressive view” of the world.     

青壮年肝癌患者围手术期心理特征与人文关怀

青壮年患者因其在家庭、社会生活中的重要角色,其在治疗阶段情绪波动较大,而围手术期患者紧张、悲观、焦虑和恐惧等心理反应会对其生理功能产生巨大的不良影响,限制了对患者诊疗过程中配合,尤其是对围手术期影响明显。为了降低围手术期患者心理应激产生的不良影响,同时适应生理一心理一社会医学模式的转变,管床医生在围手术期必须对手术患者...     

青少年的个人未来发展目标和担忧

目标和担忧是个体关于未来的心理表征,对个体日常指向未来的行为具有引导作用。采用青少年未来取向问卷中文版调查了近2000名初中、高中和大学青少年,结果发现,青少年的目标和对未来的担忧反映了青少年期的主要发展任务,同时它们又因被试的年龄、性别、城乡背景以及思考内容领域的不同而表现出不同的特点。     

中国传统文化以人为终极关怀的当代价值研究

中西文化比较有一种强势话语误导,即认为中国古代文化忽视人的价值。这是片面的。相反,中国文化的特质就是以人为终极关怀的人本文化,而不是像西方一样诉诸宗教信仰的神本文化。中国传统文化以人为终极关怀的价值观主要体现在几个方面：人与万物相比,以人的生命和道德理义为终极关怀;在国家和社会生活中,以民（人）为终极关怀;在对待人本身的道德理想问题上,以人格意志为终极关怀。中国文化对人的终极关怀的思想是最为值得珍贵的文化财富。它所包含一些优秀的思想仍然对我国当代以人为本价值观在人的内涵、人的素质培育、人的全面发展的具体内容和途径等的理解方面有重要的价值和意义。     

Global ethics: a short reflection on then and now

Ten years on from the first issue of the Journal of Global Ethics, Darrel Moellendorf and Heather Widdows reflect on the current state of research in global ethics. To do this, they summarise a recent comprehensive road map of the field and provide a map of research by delineating the topics and approaches of leading scholars of global ethics collected together in the recently published Routledge Handbook of Global Ethics which they have co-edited. Topics fall under issues of war, conflict and violence; poverty and development; economic justice; bioethics and health justice; and environmental and climate justice. In all these areas, ethicists are becoming ever more engaged in the details and mechanisms of actually delivering justice in the real world.     

IN PRAISE OF FOLLY? THEOLOGY AND THE UNIVERSITY

To suppose the possibility of dialogue between theology and science is to suppose that theology is an intellectually worthy partner to engage in dialogue with science. The status of theology as a discipline, however, remains contested, one sign of which is the absence of theology from the university. I argue that a healthy theology‐science dialogue would benefit from the presence of theology as an academic discipline in the university. Theology and theologians would benefit from the much closer contact with university disciplines, including the sciences. The university and the sciences would benefit from the presence of theology, providing a department of ultimate concern, where big questions may be asked and ideologies critiqued. A university theology would need to meet standards of academic integrity.     

Body Size Beliefs and Weight Concerns Among Mothers and Their Adolescent Children

African American and White mother/adolescent pairs were examined for familial associations in body size and weight concerns. Mothers' and adolescents' estimates of adolescents' body mass index (BMI) were significantly correlated. Compared to boys, girls had greater body dissatisfaction, higher weight concerns, and perceived higher family/friend weight concerns. By race, White adolescents had more body dissatisfaction and greater concern about weight than African American adolescents. Four items explained 70.4% of the variance in adolescents' weight concern scores: adolescents' weight management practices, mothers' reports of adolescents' saying they were too fat, adolescents' perceptions of family/friends' weight concerns, and adolescents' body dissatisfaction. Our study suggests White girls are more concerned about their weight and perceive greater weight and dieting concerns among family/friends than African American girls.     

Autonomy,life as an intrinsic value,and the right to die in dignity

This paper examines two models of thinking relating to the issue of the right to die in dignity: one takes into consideration the rights and interests of the individual; the other supposes that human life is inherently valuable. I contend that preference should be given to the first model, and further assert that the second model may be justified in moral terms only as long as it does not resort to paternalism. The view that holds that certain patients are not able to comprehend their own interests in a fully rational manner, and therefore ‘we’ know what is good for these patients better than ‘they’ do, is morally unjustifiable. I proceed by refuting the ‘quality of life’ argument, asserting that each person is entitled to decide for herself when it is worth living and when it is not. In this connection, a caveat will be made regarding the role of the family. The author’s research interests include bioethics, free speech, tolerance and ethics in the media.     

Spiritual struggles and compassion: the positive side of moral concerns

A large body of research has focused on the negative consequences associated with spiritual struggles, with little consideration to the potential positive aspects of these experiences. To fill this void in literature, we investigated the relationship between spiritual struggles and state compassion using film methodology. The results of this study show that the moral concerns component of spiritual struggles is the only one that predicted feelings of compassion, and this relation was not explained by other individual differences factors. The results demonstrated that one facet of spiritual struggles can predict positive outcomes, such as compassion.     

Artificial Intelligence, Religion, and Community Concern

Future developments in artificial intelligence (AI) will likely allow for a greater degree of human-machine convergence, with machines becoming more humanlike and intelligent machinery becoming more integrated into human brain function. This will pose many ethical challenges, and the necessity for a moral framework for evaluating these challenges will grow. This paper argues that community concern constitutes a central factor in both the evolution of religion and the human brain, and as such it should be used as the organizing principle for moral evaluations of AI technologies.     

人生终极的理性自觉——儒家"命"的观念

The Confucian idea of “ming 命 (destiny)” holds that in the course and culmination of human life, there exists some objective certainty that is both transcendent and beyond human control. This is a concept of ultimate concern at the transcendental theoretical level in Confucianism. During its historical development, Confucianism has constantly offered humanist interpretations of the idea of “destiny”, thinking that the transcendence of “destiny” lies inherently within the qi endowment and virtues of human beings, that the certainty of “destiny” is in essence contingency at the beginning of life and linear irreversibility towards its end, and that to live in light of ethics and physical rules — having a “commitment to human affairs” — means putting “destiny” into practice. As all these facts show, the Confucian ultimate concern regarding human life is full of rational awareness. __________ Translated by Huang Deyuan from Kongzi yanjiu 孔子研究 (Study on Confucius), 2008, (2): 4–11     

Will it be me? Identity,concern and perspective

Self-reflexive or egocentric concern has been taken to present a serious problem for reductionist and eliminativist metaphysical accounts of personal identity. Philosophers have tended to respond in one of three ways: by continuing the search for a metaphysical account of identity that (prudentially if not morally) justifies egocentric concern; by accepting that egocentric concern can hold between persons who are not numerically identical; or by advocating the abandonment of egocentric concern altogether. All these approaches, however, distinguish between metaphysical ‘facts’ and affective responses to them. Exploring a well-known example from Bernard Williams, I argue that egocentric concern presents itself as irreducibly first-personal and as making its own set of numerical personal identity claims on the phenomenal level. Williams' example also points to the need to complicate the first/third person schema by factoring in a further distinction between present-tense and implicitly atemporal perspectives on the self. Once this move is made, we can see that the identity claims figured in first-person present-tense experience and those arrived at through metaphysical deliberation need to be distinguished. We should resist the temptation to privilege one perspective over the other in all instances, or to collapse them into a unitary account of selfhood.     

特征注意的全局性调制作用——增强还是抑制?

特征注意(feature-based attention)是个体根据特定的特征维度或特征值分配视觉注意资源的能力。在注意焦点内, 特征注意会增强对注意特征具有反应选择性的神经元活动, 并抑制对干扰特征具有反应选择性的神经元活动。大量研究表明, 特征注意的调制作用可以扩散到注意焦点以外, 具有全局性的特点, 但这种全局性调制作用是增强机制还是抑制机制仍然存在争议。这可能是由于两种机制在时间进程等属性上存在差异, 在视觉信息加工中可能扮演着不同角色。相对而言, 全局性抑制作用可能更易受实验设计和实验参数的影响。后续研究应该探究全局性抑制机制在什么条件下发挥作用, 以及进一步对全局性的增强机制和抑制机制进行分离。     

Explaining the procedural justice–perceived legitimacy relationship: Relying on relational concern or instrumental concern?

People can extract relational information (i.e., relational concern) as well as instrumental information (i.e., instrumental concern) from decision‐making procedures. Thus, both instrumental and relational concerns are assumed to influence the procedural justice–perceived legitimacy relationship. Drawing from social exchange theory, the different kinds of concerns may lead to form different exchange relationships (social exchange relationship vs. economic relationship), which can be indicated by two forms of trust (affect‐based trust vs. cognition‐based trust). We built a model of trust mediation in which procedural justice predicted affect‐based and cognition‐based trust. Further, we also tested the hypothesis that high (compared with low) group identification individuals are more likely to rely on relational concern to construct procedural justice and judge legitimacy of authority, because they use procedural fairness information to infer the quality of their relationships with the authority. The results of an experiment (Study 1) demonstrated that both affect‐based trust and cognition‐based trust mediated the procedural justice–perceived legitimacy relationship. Moreover, a field study (Study 2) showed that affect‐based trust mediated the relationship between procedural justice and perceived legitimacy primarily among individuals with high group identification whereas cognition‐based trust mediated this relationship primarily among those with low group identification.     

Keynote Address to the Third International Global Ethics Association, 30 June 2010, Bristol Human dignity,respect, and global inequality

In this paper I argue that respect for human dignity establishes a justificatory presumption in favor of egalitarian rules, which presumption is applicable to the global economic association. This is the basis for condemning several feature of current global inequality as unjust.     

Transparent emotions? A critical analysis of Moran's transparency claim

I critically analyze Richard Moran's account of knowing one's own emotions, which depends on the Transparency Claim (TC) for self-knowledge. Applied to knowing one's own beliefs, TC states that when one is asked “Do you believe P?”, one can answer by referencing reasons for believing P. TC works for belief because one is justified in believing that one believes P if one can give reasons for why P is true. Emotions, however, are also conceptually related to concerns; they involve a response to something one cares about. As a consequence, acquiring self-knowledge of one's emotions requires knowledge of other mental attitudes, which falls outside the scope of TC. Hence, TC cannot be applied to emotions.     

荣格与罗杰斯的人格及其治疗观的比较探究

本文对荣格与罗杰斯的理论的背景渊源,他们人格理论中的意识、无意识、自我及前者的自性化或后者的自我实现的潜能,他们的治疗目标、态度及方法作了一个浅显的比较,以期在共性与个性之中有所发现。     

The distortion of criteria after decision-making

The results of two experiments indicate that decision-makers separately distort their interpretations of decision criteria and evaluations of information in a manner that justifies their decisions. In Study 1, participants reported a yes/no decision either before or after they rated the applicable decision criterion and problem information. Participants distorted their criterion and information ratings more when they reported their decisions before, rather than after, they rated the decision criterion and problem information. Study 2 demonstrated that distortion of decision criterion ratings occurred after a decision had been made whereas distortion of information evaluations occurred during the process of reaching a decision. These results are consistent with a two-stage model of decision-making in which the distortion of decision criteria is distinct from the distortion of decision information.