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In the first section of his article, "The Role of Suffering and Community in Clinical Ethics," Erich Loewy sketches a theory of suffering. His conviction is that clinical medical ethics is not clearly rooted in theory and is inadequately grounded because of this. While acknowledging the merits of virtue ethics and casuistry, Loewy quickly dispenses with them, as contenders for this theoretical basis. Kantianism and utilitarianism are likewise rejected as "a universally acceptable grounding for ethics." In their place, Loewy proposes that "a deeper and more universal grounding can be found in the capacity of sentient beings to suffer." It is on this capacity to suffer that he builds his hierarchies of moral value, including primary, secondary, and symbolic worth. This theory of suffering should be welcomed. It promises to expand our awareness of clinical experience, and moral life generally, away from autonomy, utility, or virtue orientations toward attention to suffering and our response to it. Such a theory can give us a revitalized language to probe the issues of medical ethics. This should lead us to a careful reading of Loewy's larger work on which this article is based. Yet my enthusiasm is tempered by Loewy's noncritical acceptance of a peculiar, yet pervasive, understanding of the role and use of theory in ethics....  相似文献   

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Geary DC  Flinn MV 《Psychological review》2002,109(4):745-50; discussion 751-3
Taylor and colleagues proposed that women uniquely respond to stressors by tending to children and befriending other women rather than by fighting or fleeing (S. E. Taylor et al., 2000). In this article, the authors expand Taylor et al.'s evolutionary frame and incorporate several unique aspects of human social dynamics. First, humans are characterized by extensive paternal investment, and thus men's tending is predicted and observed in some stressful contexts. Second, the dynamics of women's befriending suggest an evolutionary elaboration of the mechanisms that support reciprocal altruism. Third, coalitional male-male competition indicates that men's befriending is a predicted component of their fight-or-flight response. Finally, men's tending should result in the evolution of female-female competition over this form of parental investment.  相似文献   

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Most social and psychological phenomena occur not as the result of isolated decisions by individuals but rather as the result of repeated interactions between multiple individuals over time. Yet the theory-building and modeling techniques most commonly used in social psychology are less than ideal for understanding such dynamic and interactive processes. This article describes an alternative approach to theory building, agent-based modeling (ABM), which involves simulation of large numbers of autonomous agents that interact with each other and with a simulated environment and the observation of emergent patterns from their interactions. The authors believe that the ABM approach is better able than prevailing approaches in the field, variable-based modeling (VBM) techniques such as causal modeling, to capture types of complex, dynamic, interactive processes so important in the social world. The article elaborates several important contrasts between ABM and VBM and offers specific recommendations for learning more and applying the ABM approach.  相似文献   

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Strong arguments support the notion that much of modern bioethics is a result of appropriation rather than strict application of traditional moral philosophy. Nevertheless, it is important to recognize these sources and approaches associated with them, even when working with appropriated theories, since traditional ethical theory does and should influence modern bioethics.  相似文献   

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The effects of aging, chronic stress, and social support on cardiovascular functioning were examined using a cross-sectional design. Thirty-six family caregivers of Alzheimer's disease victims and 34 control Ss performed 2 active coping tasks while continuous noninvasive measures of cardiovascular activity were monitored. Results revealed that caregivers high in social support displayed typical age-related decreases in heart-rate reactivity, whereas caregivers low in social support displayed age-related increases in heart-rate reactivity. Analyses further indicated that only Ss with low social support were characterized by age-related increases in systolic blood pressure. These results suggest that social support can moderate age-related changes in cardiovascular functioning, particularly in Ss exposed to a chronic stressor.  相似文献   

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In a student sample, we examined two major issues in relation to primary/secondary subtypes of psychopathy and the reinforcement sensitivity theory of personality: the roles played by (a) fear (related to the fight-flight-freeze system, FFFS) and anxiety (related to the behavioural inhibition system, BIS), and (b) different aspects of the behavioural approach system (BAS). Largely consistent with Corr’s (2010a) proposal concerning the neuropsychological deficits associated with the psychoticism-psychopathy continuum, results confirmed that low BIS activity was associated with both primary and secondary psychopathy; whereas low FFFS activity was associated with only primary psychopathy. In relation to the BAS, reward sensitivity and drive were positively related to primary psychopathy; whereas Fun Seeking was negatively related to primary psychopathy but positively related to secondary psychopathy. These results represent a more nuanced picture of FFFS/BIS/BAS and dispositional psychopathy in a student sample. Specifically, they challenge the view that low BIS is preferentially associated with primary psychopathy and a high BAS is preferentially associated with secondary psychopathy. Further work is needed to confirm that these findings extend to clinical and forensic psychopathy populations.  相似文献   

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This commentary on Tantam and van Deurzen's vision for psychotherapy in Europe (this issue, pp. 228-235) interrogates their seeming modernity-driven, rights-obsessed convictions. Specifically, their uncritical advocacy of control-fixated political intrusions into the cultural-spiritual sphere is challenged; and critical reflections are offered on institutional professionalization; the authors' profession-centred, grandiose discourse; and therapy's alleged scientificity. Some dangers associated with individualised therapy's becoming a fetishized, institutionally sanctioned ‘regime of truth’ are voiced — one practicable antidote to which is the deliberate cultivation of an ongoingly deconstructive, ‘New Paradigm’ approach to therapy which, not least, mistrusts therapy's tendency towards delusory, self-interested exaggeration of its own cultural indispensability.  相似文献   

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Two experiments examined how people respond to upward social comparisons in terms of the extent to which they categorize the self and the source of comparison within the same social group. Self‐evaluation maintenance theory (SEM) suggests that upward ingroup comparisons can lead to the rejection of a shared categorization, because shared categorization makes the comparison more meaningful and threatening. In contrast, social identity theory (SIT) suggests that upward ingroup comparisons can lead to the acceptance of shared categorization because a high‐performing ingroup member enhances the ingroup identity. We attempted to resolve these differing predictions using self‐categorization theory, arguing that SEM applies to contexts that make salient one's personal identity, and SIT applies to contexts that make collective identity salient. Consistent with this perspective, the level of identity activated in context moderated the effect of an upward ingroup comparison on the acceptance of shared social categorization. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   

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Trait anxiety is believed to be a hierarchical construct composed of several lower-order factors (Adv. Behav. Res. Therapy, 15 (1993) 147; J. Anxiety Disorders, 9 (1995) 163). Assessment devices such as the Social Interaction Anxiety Scale, the Social Phobia Scale (SIAS and SPS; Behav. Res. Therapy, 36 (4) (1998) 455), and the Anxiety Sensitivity Index (ASI; Behav. Res. Therapy, 24 (1986) 1) are good measures of the presumably separate lower-order factors. This study compared the effectiveness of the SIAS, SPS, ASI-physical scale and STAI-T (State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press (1970)) as predictors of anxious response to a social challenge (asking an aloof confederate out on a date). Consistent with the hierarchical model of anxiety, the measures of trait anxiety were moderately correlated with each other and each was a significant predictor of anxious response. The specific measures of trait social anxiety were slightly better predictors of anxious response to the social challenge than was either the ASI-physical scale or the STAI-T. The results provide evidence of the predictive validity of these social trait measures and some support for their specificity in the prediction of anxious response to a social challenge.  相似文献   

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The development of reflex theory in its Pavlovian interpretation had significant resonance in a wide range of academic research areas. Its impact on the so-called humanities was, perhaps, no less than the effect it had in medical science. The idea of the conditioned reflex suggesting a physiological explanation of behaviour patterns received a particularly warm welcome in philosophy and psychology as it provided a scientifically-based tool for a conceptual u-turn towards objectivism. This article looks into the ways these ideas contributed to the formation of the Soviet language theory, namely, to the sociological interpretation of language development and speech production presented in the pioneering works of Sergej M. Dobrogaev (1873–1952).
Katya ChownEmail:
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