医学人文教育的关怀哲学基点探究

医学人文教育固然以提倡患者的自主存在性突破了医学技术主义形态,但若对患者自主地位的过度强调则会使其陷入二律背反的困境,于此之上的关怀哲学探究则把患者视为处于具体情境中的特殊他人,如此便能建立并维持医学人文情境中的医患和谐。透过耕犁"以患者自主为核心的医学教育限度"、"以关怀为始点的医学哲学诠解"与"关怀哲学在医学人文中的教育张力"三重意涵来突显关怀哲学在医学人文教育中的本位复归,期使医学教育能够透过关怀哲学的融汇从而在医疗临床过程中达成其效力显现的人文基点。     

临床医学教育中的医学哲学

医学哲学是现代医学教育中的重要组成部分,医学科学必须与医学哲学相结合才是未来医学教育的发展方向。在以岗位胜任能力为导向的医学教育转型中,培养医学生的哲学思维无疑是其重要环节之一。为适应全球卫生事业的迅猛发展,医学教育务必在临床思维上进行整合。本文从培养合格医学毕业生的角度出发,阐述了医学与哲学的关系、医学教育中的哲学地位及哲学在临床医学教育中的具体应用。旨在提高医学生的哲学理念,促进现代医学教育的转型发展。     

人文关怀与临床思维的整合与互动——一例罕见病的诊治经过启示

医学人文关怀一直以来与医学技术相伴而生,相互依存.然而,在当代医学技术已进入后基因时代的今天,医学人文关怀还部分地被理解为“临终关怀”.事实上,做好医学人文关怀,不仅是人文、伦理的需要,同样对指导临床思维、提高诊疗水平有重要意义.但目前国内外医学教育和临床医疗实践中,关于人文关怀与临床思雏整合与互动的议题还极少见诸报道.而笔者近期在对一例罕见病的成功诊治经历中,体会到了医学人文关怀对临床诊疗水平的重要作用.     

循证卫生管理的探讨

培养博学而人道的医学工作者是医学教育所追求的目标。作为一门交叉学科,医学哲学在医学生的人文素质培养中占有重要地位。对医学哲学的教学内容、理念与方法分别进行探讨,期望医学哲学教育能够提高医学生对与现代医学有关的知识、活动和态度进行批判性反思的意识和能力。     

医学生临床实习应掌握的几种哲学思维方式

为适应全球卫生事业的迅猛发展,面对医学教育落后于医学发展的现状,转化医学教育迫在眉睫。在第三代“以系统为基础”的教育改革中,培养医学生的哲学思维无疑是其重要环节之一。思维方式必须在医学生步入临床时就要开始正确培养,一旦开始阶段就养成不正确的思维方式、不但会导致医疗过程中的失误,而且再想改变将会有很大难度。本文通过对医学哲学重要性的探讨,剖析医学生哲学思维的不足,阐述了医学生,临床实习过程中应掌握的几种哲学思维方式。旨在提高医学生的哲学理念,促进以岗位胜任能力为导向的医学教育转型发展。     

医学技术化与人：医学哲学的反思

医学本质上是一门人学，对人的全面关怀为医学应有之意。医学技术主义和医学技术过度商业化导致了医学技术的异化，偏离了对“人”的关怀，加重了患者的负担，恶化了医患关系，破坏了良好的就医环境。医学的出路是实现对“人”的回归，即医学技术人本化和医学技术生态化，通过人本化使医学技术回归到其最初目的———预防疾病、维护健康、延长生命、提高患者带病的生活质量、减少死亡；通过生态化实现自然生态、社会生态和人文生态的有机统一。     

微创外科手术的人文关怀

医学存在自然和人丈双重属性.医疗服务必须体现人文关怀.人文关怀的核心是以人为本.强调对人的尊重、理解、关心和爱护,重视人的作用.微创外科是传统外科的一场深刻的技术革命,其哲学基础是以人为本.微创外科手术以患者为主体和中心,提出对患者的主体地位和自由权的尊重;以减少对患者的创伤和痛苦为目的,强调患者的价值和尊严,重视对患者的无限关怀,其开创和发展充分体现了人文关怀的精神实质.     

“医学人文走向临床学术论坛”在南京医科大学举行

为了提高医学生和医务人员的医学人文素质和人文关怀能力,建构和谐医患关系,进一步提高医疗质量,配合将于2009年举行的“医学发展高峰论坛暨纪念新医学模式提出、广州医学辩证法讲习会召开、《医学与哲学》杂志创刊30周年”纪念大会,2008年10月31日下午至11月1日,“医学人文走向临床学术论坛”在南京医科大学举行。     

论医学院校哲学教育的必要性

1　医学与哲学的联系医学与哲学有着共同的关注对象 ,医学与哲学都关注人和人的生命。作为社会科学 ,医学本身隐含着深厚的人文关怀和固有的道德原则 ,有着深刻而明显的文化标记。医学本质上是一门富于人性和批判理性的学科 ,是科学技术和人文文化内在统一的学问。医学的这种人文关怀和道德原则与哲学有着共同之处。哲学的本意是爱智慧 ,这种对智慧的爱就是对人类的爱 ,它使得人的在世本身具有了一种崇高的使命感和深切的忧患意识。因此 ,良好的哲学意识都具有深厚的人文情怀。这种情怀孕育和涵养了医学的人文精神。为此 ,全面关照人类命运…     

重建医学哲学学科的“公共性”

作为医学科学技术类硕士生的一门公共课,医学哲学学科有其独特的“公共性”。医学哲学学科当前面临的一个大的问题就是整个知识系统“公共性”的丧失和它原有的“公共性”的失效。医学哲学学科必须在新语境下重建“公共性”,才能寻回自身的合理性。医学哲学学科的“公共性”需要从开放性、批判性、学术性、介入性、当下性和人文性等几个方面来进行重建。     

Analytic philosophy, 1925–69: emergence,management and nature

ABSTRACT

This paper shows that during the first half of the 1960s The Journal of Philosophy quickly moved from publishing work in diverse philosophical traditions to, essentially, only publishing analytic philosophy. Further, the changes at the journal are shown, with the help of previous work on the journals Mind and The Philosophical Review, to be part of a pattern involving generalist philosophy journals in Britain and America during the period 1925–69. The pattern is one in which journals controlled by analytic philosophers systematically promote a form of critical philosophy and marginalize rival approaches to philosophy. This pattern, it is argued, helps to explain the growing dominance of analytic philosophy during the twentieth century and allows characterizing this form of philosophy as, at least during 1925–69, a sectarian form of critical philosophy.     

On the emergence of American analytic philosophy

This paper is concerned with the reasons for the emergence and dominance of analytic philosophy in America. It closely examines the contents of, and changing editors at, The Philosophical Review, and provides a perspective on the contents of other leading philosophy journals. It suggests that analytic philosophy emerged prior to the 1950s in an environment characterized by a rich diversity of approaches to philosophy and that it came to dominate American philosophy at least in part due to its effective promotion by The Philosophical Review’s editors. Our picture of mid-twentieth-century American philosophy is different from existing ones, including those according to which the prominence of analytic philosophy in America was basically a matter of the natural affinity between American philosophy and analytic philosophy and those according to which the political climate at the time was hostile towards non-analytic approaches. Furthermore, our reconstruction suggests a new perspective on the nature of 1950s analytic philosophy.     

论马克思实践哲学的政治意蕴

In order to deepen the studies on the philosophy of practice, it is essential to explore the political significance of Marx's philosophy of practice. Marx's philosophy of practice is rooted in the problem of modernity and the separation between “individual subjectivity” and “societal community” in the modern context is the basic background of Marx's practical philosophy. It is the basic interest of Marx's philosophy of practice to find a way to end this separation via critique of civil society. Therefore, Marx's philosophy of practice has a clear significance, which manifests in the following aspects: one is “liberation politics,” and the other, “the regulatory mode of the socio-political institution.” Translated by Zhang Lin from Zhexue Yanjiu 哲学研究 (Philosophical Research), 2007, (1): 3–10     

Why Talk about Chinese Metaphysics?

Chinese philosophy in the twentieth century has often been related to some sort of cultural or other particularism or some sort of philosophical universalism. By and large, these still seem to be the terms along which academic debates are carried out. The tension is particularly manifest in notions such as “Chinese philosophy,” “Daoist cosmology,” “Neo-Confucian idealism,” or “Chinese metaphysics.” For some, “Chinese metaphysics” may be a blatant contradictio in adiecto, while others may find it a most ordinary topic to be discussed at the beginning of the twenty-first century. In this article, I set out to examine two major discourses in which talk about “metaphysics” is frequent and popular and to which talk of “Chinese metaphysics” may wish to contribute: the history of philosophy and analytic philosophy. My contention is that it is usually far from obvious what reasons are behind putting “Chinese metaphysics” on the academic agenda and to what precise purpose this is done. What my discussion seeks to highlight is the as yet often largely unarticulated dimension of the politics of comparative philosophy—of which talk about “Chinese metaphysics” may but need not be an example.     

Gathering a few thoughts on ‘Neo‐Confucian epistemology and Chinese philosophy’

In Neo‐Confucian Epistemology and Chinese Philosophy: Practical Postulates for Actioning Psychology as a Human Science, Professor Liu offers a critique of the Cartesian underpinnings of psychology as a natural science. Drawing on Chinese cultural postulates, Professor Liu offers a vision for a global psychology more orientated towards the morally centered person and which developed a culturally‐informed ethics. This commentary explores the implications of this rethinking of psychology for indigenous and applied social psychologies in Aotearoa/New Zealand.     

What’s wrong with contemporary philosophy?

Philosophy in the West divides into three parts: Analytic Philosophy (AP), Continental Philosophy (CP), and History of Philosophy (HP). But all three parts are in a bad way. AP is sceptical about the claim that philosophy can be a science, and hence is uninterested in the real world. CP is never pursued in a properly theoretical way, and its practice is tailor-made for particular political and ethical conclusions. HP is mostly developed on a regionalist basis: what is studied is determined by the nation or culture to which a philosopher belongs, rather than by the objective value of that philosopher’s work. Progress in philosophy can only be attained by avoiding these pitfalls.     

The Convergent Conceptions of Being in Mainstream Analytic and Postmodern Continental Philosophy

This article argues that there is ultimately a very close convergence between prominent conceptions of being in mainstream Anglo‐American philosophy and mainstream postmodern Continental philosophy. One characteristic idea in Anglo‐American or analytic philosophy is that we establish what is meaningful and so what we can say about what is, by making evident the limits of sense or what simply cannot be meant. A characteristic idea in Continental philosophy of being is that being emerges through contrast and interplay with what it is not, with what has no being at all and so is beyond sense. The two traditions consequently conceive being in significantly related ways. As a result, what the Continental tradition gets at with “the meaning of being as such and in general,” and how it gets at it, has much in common with what the Anglo‐American tradition gets at, and how it gets at it, by establishing “what can be meaningfully said.”     

Critical Notice of Beyond the Analytic-Continental Divide: Pluralist Philosophy in the Twenty-First Century. Edited by Jeffrey A. Bell,Andrew Cutrofello,and Paul M. Livingston (New York: Routledge, 2016. 334 + viii pp)

This collection maintains a dialogue between the analytic and continental traditions, while aspiring to situate itself beyond the analytic-continental divide. It divides into four parts, (1) Methodologies, (2) Truth and Meaning, (3) Metaphysics and Ontology, and (4) Values, Personhood and Agency, though there is considerable overlap among the categories. History and temporality are recurrent themes, but there is a lot of metaphysics generally, with some philosophy of language, philosophy of social science, ethics, political philosophy and epistemology. Less prominent is a pragmatic, deflationary attitude, and at a number of points I argue for the virtues of such an approach.     

Athletic Virtue: Between East and West

Despite the rich philosophical heritage of the East, the connection between athletics and education for character or virtue is more commonly associated with the West. Classical Eastern philosophy does focus on virtue, but it seems to exclude sport as a means of cultivation since the Confucian is uninterested in victory and the Daoist seeks passivity and avoids contention. A closer look reveals, however, that Eastern conceptions of virtue have much in common with those of Ancient Greece so often linked to sport. Combining research in the history and philosophy of sport with analysis of such texts such as the Analects of Kongzi (Confucius), Laozi's Daodejing, Plato's Republic and Epictetus's Handbook, this paper argues that the enlightened practice of sport has the potential to cultivate qualities common both to de and aretē. The fact that sport was linked to virtue in Ancient Greece but not Ancient China derives from different ideas about social prestige more than different conceptions of ethical education. Indeed, the enlightened practice of modern sport may develop a more universal kind of virtue; thereby providing common ground upon which to heal the East-West split in a way characterised by mutual respect and emphasising our common humanity.     

Philosophy for Children and the Extrinsic Value of Academic Philosophy

External pressure on Higher Education Institutes in the United Kingdom has brought the question of the extrinsic value of academic philosophy into focus. One line of research into questions about the extrinsic value of philosophy comes from the Philosophy for Children (P4C) movement. There is a large body of literature about the benefits of P4C. This paper argues that the distinctive nature of the P4C pedagogy limits the claims made by the P4C literature about the extrinsic value of philosophy to claims about the value of P4C. While this is not a problem within the P4C literature that recognises these limitations, the paper makes three claims about why it is sometimes inappropriate to extend claims from research into the value of P4C to claims about the value of non-P4C philosophy. It argues that more research is needed to investigate the value of non-P4C philosophy.