随机对照试验与伦理学的冲突——椎管内阻滞分娩镇痛效果分析

以随机对照试验(RCT)的方法验证椎管内阻滞分娩镇痛的效果有违试验设计的伦理学要求,现有关于椎管内阻滞分娩镇痛的文献都存在着试验设计的死角,导致了医学科学试验与伦理学的水火不容.循证医学(EBM)方法为科学地解决这一问题带来了曙光.     

医学伦理学‘97综述

医学伦理学’９７综述北京医科大学医学伦理学教研室（１０００８３）丛亚丽１９９７年,医学伦理学领域发生了许多事情,最引人注目的是对“克隆人”问题的伦理讨论,另外,医助自杀是美国对安乐死问题的热门话题,胚胎的地位和科研问题、医学伦理学理论的探讨及医学伦理...     

论医学伦理学的定位问题

医学伦理学是伦理学的分支吗？是理论医学的分支吗？是医学与伦理学交叉的边缘科学吗？这些问题,就是医学伦理学的定位问题或者称归属问题。这个定位问题能定下来吗？本文对此作一探讨。１医学伦理学是个模糊的概念,已不能笼统地谈定位问题了医学伦理学（Ｍｅｄｉｃａｌ...     

医学伦理学课改革的实践与思考

医学伦理学课改革的实践与思考广西医科大学社科部（南宁５３００２１）蔡建章李小萍一、精心编好实用性教材,是搞好医学伦理学教学的前提条件教材是教学内容的主要载体,医学伦理学的教学改革首先要认真抓好教材的改革与编写。目前这些教材各有所长,但也存在三个主要问...     

医学伦理学1998年综述

理论的探讨１１医学伦理学研究核心的转变杜治政认为：为适应新的形式,医学伦理学应有一个转变,即从以往的围绕医疗新技术（如试管婴儿、代理母亲、安乐死、基因工程等）的出现而进行医学伦理学的讨论向广大群众的健康伦理转变。因现今人们对健康的需求普遍增长,而在...     

比较伦理学与医学德育教学

比较伦理学与医学德育教学安徽省卫生干部进修学校（合肥２３００６１）汪洪杰一、比较伦理学的概念及其在医学专业德育教学中的地位１什么是比较伦理学自英国哲学家和社会学家霍尔霍斯在本世纪初，首创“比较伦理学”以来，作为伦理学的一个分支，在全世界都有所发展。...     

医学伦理学的床边教学与案例分析

医学伦理学的床边教学与案例分析上海第二医科大学（２０００２５）应秀娣范以农曹佳玺近几年来,我们一改医学伦理学单纯的课堂教学法,狠抓案例分析,“床边”教学,笔、口试结合三个环节,形成了适合学科性质的新颖教学方法。在医疗、检验系的实践证明,效果是好的。一...     

案例伦理讨论在《医学伦理学》教学中的应用

案例伦理讨论在《医学伦理学》教学中的应用北京医科大学（１０００８３）李本富由美国纽约中华医学基金会资助我校的“医学伦理学教学模式改革实验”中,将案例伦理讨论引入教学是一项重要的改革内容。我们几年的教学实践证明,这种教学方法是可行的、有效的。作者在《医...     

医学伦理学教学目的商榷

医学伦理学教学目的商榷贵阳医学院社科部（５５０００４）陈康目前我国各高等医科院校对医学伦理学这门课程的开设仍都是根据本校的特点和需要来安排、制定教学计划的。因此,有的院校将其作为必修课,有的则作为选修课,授课形式或为课堂系统讲授,或为专题讲座,或二者...     

全膝关节置换术后镇痛策略

安全、有效的术后镇痛是全膝关节置换术（total knee replacement,TKR）后各项功能恢复的有力保证,与术后很长一段地间内患者的生活质量息息相关。目前关于TKR术后镇痛策略有多种形式和方法。外周神经阻滞和硬膜外镇痛（epidural control analgesia,CEA）的效果可靠,而外周神经阻滞的术后并发症更少,更为理想。     

Together – apart: in touch in a time of separation

This paper explores the experience of working as a Jungian analyst through the various phases of the global COVID-19 pandemic, examining the importance of the physical containing space alongside the analyst’s internal mind and how technology can both help and hinder understanding. A number of clinical vignettes illustrate the challenge of communicating over a distance, paying particular attention to the way countertransference phenomena can become re-attuned. Reference is made to mythology and symbols of hope, and consideration given to the meaning and purpose of the pandemic.     

The Possibility of Meaning in Human Evolution

Science undermines the certitude of non-naturalistic answers to the question of whether human life has meaning. I explore whether evolution can provide a naturalistic basis for existential meaning. Using the work of philosopher Daniel Dennett and scientist Ursula Goodenough, I argue that evolution is the locus of the possibility of meaning because it has produced intentionality, the matrix of consciousness. I conclude that the question of the meaning of human life is an existentialist one: existential meaning is a product of the individual and collective tasks human beings undertake.     

Phenotypic plasticity and archetype: a response to common objections to the biological theory of archetype and instinct

Since Jung’s death in 1961, scholars have attempted to integrate growing biological science data into Jungian concepts such as the collective unconscious, instincts and the archetypes. This enterprise has been challenging due to persistent false dichotomies of gene and environment occasionally arising. Recent works by Roesler (2022a, 2022b) for example, have raised objections to the biological theory of archetypes, but the objections are plagued by such dichotomies. The concept of phenotypic plasticity, however, helps to both avoid this problem as well as bridge the gap between competing theories into a more integrated model with solid biological foundations.     

When is it time to stop? When good enough becomes bad enough

This article draws on Winnicott’s concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the ‘Casablanca dilemma’, based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann.     

Kann Es Ein Argument Für Den Skeptizismus Geben? Das Epistemische Problem Der Irrtumsmöglichkeit

Summary  Is there any argument for scepticism? The epistemic problem of the possibility of error. Arguments for scepticism rest on the assumption that knowledge claims are fallible. For this reason the concept of knowledge appears to be questionable. Since it is necessary to distinguish doubts from possible doubts, the arguments for scepticism appear to be unconvincing. If we take it into account that we know something that is immune to doubt, we should draw the conclusion that, contrary to scepticism, knowledge claims have to be compatible with being fallible. Thus any knowledge claim is capable of being doubted.     

The transcendent function in Spitteler’s Prometheus and Epimetheus

In August 2020, John Beebe and Steve Myers met via Zoom to discuss their differing interpretations of psychological typology and the different sources within Jung’s writings that influenced their books: Integrity in Depth: Energies and Patterns in Psychological Type (Beebe), and Myers-Briggs Typology vs Jungian Individuation (Myers). The discussion centred on Spitteler’s epic poem Prometheus und Epimetheus, which forms the basis of chapter V of Psychological Types. This is both the largest chapter and one of two chapters that Jung highlighted in the Argentine foreword as containing the essence of the book. Jung’s book is primarily about the transformation of personality rather than the categorization of people. Although it contains a critical psychology that deconstructs the nature of consciousness, that is only one half of the book and a stepping-stone to the other half, which is the reconciliation of opposites with particular emphasis on the relation of consciousness and the unconscious. Jung assumed that readers were already familiar with Prometheus und Epimetheus, an understanding of which sheds light on the nature of the transformation that Jung described – the development of a new attitude towards attitude itself.     

Chapter 6: Biblical Foundations for a Practical Theology of Aging

SUMMARY

This article reviews Biblical sources pertaining to the elderly, particularly the frail elderly. Founded on these sources, implications for elderly with Alzheimer's Disease and other forms of dementia are addressed through a personal perspective informed by writings of Christian mystics.     

Seeing in the Dark: A View into Dissociation and Healing

In this paper, I will explore the role of art-making, the experience of trauma and dissociation, and the process of working with self-states from an analytic and creative frame. Relevant literature on dissociation, trauma, and the use of art will be discussed. A case involving my work with an adolescent girl who had experienced sexual abuse from a family member will be shared, with an emphasis on the meaningful role images played during the therapeutic process. Both Jungian and psychoanalytic models of conceptualizing and working with dissociation are included, following Donald Kalsched’s (2013) recommendation for a “binocular stance” to treatment, including both a focus on the inner, intrapsychic world and the interpersonal, relational realm, and how art images both illuminated and expressed these realms. Within the therapeutic process, art images allowed the therapist a view into the client’s unconscious process, and created a meeting ground for dissociative barriers to be gradually seen, felt and known, by both therapist and client. The experience of dissociation, in images and in session, provided a reference point for myself and my client, Taylor, to develop a shared understanding and a framework for growth.