Life history, sin, and disease.

On the basis of experiences in pastoral hospital care, the relationship between disease, sin, and guilt in the life of patients is explored. Against the disregard of this subject in medicine, and even in most of pastoral care, it is argued that patients' interest requires that their hidden or manifest questions be addressed, rather than their being exposed to efforts at "helping" through mere attempts at "debt clearance." Only by openly confronting sin and guilt can the patient be taken seriously in his role as subject of his disease. Theological and anthropological background considerations revealing the essence of sin as a disruption or even destruction of the Divine gift of life in its realization through a lived relationship to God and other humans are offered as evidence for this claim.     

The Function of Confession: A Study Based on Experiences

In Finland, confession has been an object of discussion within the Church for a long time. While people have demanded that its role be increased, it has almost solely been discussed in terms of quantity. This study examines people's experiences of confession on the basis of 200 letters. These experiences show that it is not the form of confession that is the central issue, but rather its function, that is, giving relief. Thus the artificial borderline between confession, pastoral counselling, and psychotherapy is blurred. The goal should thus be not to stimulate confession, but rather to stimulate ways of helping people. The starting point must be a person's distress and on the basis of this one should decide which form of help is the most relevant in any given situation.     

"...As we forgive those who trespass against us...": theological reflections on sin and guilt in the hospital environment.

In general parlance the term sin has lost its existential meaning. Originally a Jewish-Christian term within a purely religious context, referring to a wrongdoing with regard to God, sin has slowly become reduced to guilt in the course of the secularization process. Guilt refers to a wrongdoing, especially with regard to fellow human beings. It also refers to errors of judgement with what can be tragic consequences. These errors can occur whenever human beings are called upon to act, including the hospital environment. A Christian hospital has to address the issue of how to deal not only with guilt-ridden misdemeanors, but also with wrongdoing unto God, which overshadows every instance of guilt-ridden human behavior. Here, as in every parish, the Church Service is the place to acknowledge sin, confess sin, and forgive sin, beyond the boundaries of the parish itself.     

The Psychological and Spiritual Efficacy of Confession

Several aspects of confession are discussed. A distinction is made between personal narrative and confession in the analytic setting, focusing on the emergence of the psychogenic secret: that secret which is hidden from the analysand's ego consciousness. Such an unconscious secret can lead to emotional and psychological guilt and distress. The transference is seen as an essential dynamic for psychologically efficacious confession.     

On the connection between sickness and sin: a commentary.

In response to the articles by Eibach and Groenhut in this issue, I argue that there is a general connection between sickness and the entrance of sin into the world. There are times when there is a causal link between more specific sin and sickness, though often the patient is the one who has been sinned against. Illness can also expose sin in a patient's life. Integrating the reality of illness into the life history of a patient is a significant pastoral care issue and can be done with humility and sensitivity if done in accordance with the teaching of Job and Ecclesiastes. These books argue that "under the sun" or this side of eternity, human beings can't grasp the coherence of life, including the "why" of illness. Rather, God provides His loving presence, through His people as a comfort to those suffering from illness.     

Resisting the therapeutic reduction: on the significance of sin.

Sin-talk, though politically incorrect, is indispensable. Placing human life under the "hermeneutic of sin" means acknowledging that one ought to aim flawlessly at God, and that one can fail in this endeavor. None of this can be appreciated within the contemporary post-Christian, mindset, which has attempted to reduce religion to morality and culture. In such a secular context, the guilt-feelings connected with the recognition of sin are considered to be harmful; the eternal benefit of a repentance is disregarded. Nevertheless, spirituality appears to have therapeutic benefits. Therefore attempts are made to re-locate within healthcare a religion shorn of its transcendent claims, so as then to harvest the benefits of a spirituality "saved from sin". This reduction of religiosity to its therapeutic function is nourished by a post-modern constructivist construal of religion. This article critically examines the dis-ingenuity marring such recasting, as well as the incoherence of related attempts to reduce transcendence to solidarity, and to re-shape the significance of religious rituals.     

Not without hope: a Reformed analysis of sickness and sin.

A Reformed understanding of sickness requires that connections be drawn between the structural effects of sin and the ways that sickness is experienced in people's lives. Such an understanding can be an important resource for the bioethicist, both the bioethicist who speaks from the Reformed tradition and the bioethicist who speaks to patients and caregivers who may assume that sin and sickness are connected, but may understand that linkage in overly simplistic ways.     

Constitutive elements of the concept of human aggression

An analysis of the constitutive elements of the concept of human aggression is made. These constitutive elements are explications of the analytically true implications of the concept of human aggression as they are imbedded into the structure of “normal” language. The analysis results in the following proposal for a definition of the concept of human aggression. Human aggression is characterized—at least from the point of view of the person affected or a neutral judge—as an inconsiderate or malicious violation of a norm which implies current or potential harm by a person actively responsible; characterizing the violation of the norm as “inconsiderate” or “malicious” implies that no arguments for exoneration (e.g., excuses or justifications) will be accepted. These six constitutive elements of the concept of human aggression are discussed; in particular, the structure of possible arguments for incrimination and exoneration is outlined in detail. Finally, some consequences for future research are drawn from this suggestion for the definition of human aggression.     

Save It for God: Confession and the Irrelevance of the Judicial System with Special Attention to Dostoevsky's The Brothers Karamazov

Confession is essential for spiritual growth, but the judicial system provides little room for it. The judiciary is particularly unequipped to help convicts grapple with their guilt. Dostoevsky was the first to raise this critique in The Brothers Karamazov.     

Widows, women, and the bioethics of care.

Widows, women, and the bioethics of care must be understood within an authentic Christian ontology of gender. Men are men and women are women, and their being is ontologically marked in difference. There is an ontology of gender with important implications for the role of women in the family and the Church. The Christian Church has traditionally recognized a role for widows, deaconesses, and female monastics, which is not that of the liturgical priesthood, but one with a special relationship to care and therefore with particular implications for health care and a Christian bioethics of care in the twenty-first century. In the shadow of early male mortality, women as wives should turn to support their husbands and as widows to support those in need. Widows, in becoming authentic Christian monastics, can bring into the world an icon of rightly ordered women providing rightly ordered Christian care for those in need. They can enter the moral vacuum created by misunderstandings of the place of women and the service vacuum created by a disappearance of religious nuns in Western health care facilities with a presence that is at one with the Church of the Fathers.     

The Sins of Their Fathers: When Current Generations Are Held to Account for the Transgressions of Previous Generations

When are current generations held accountable for transgressions committed by previous generations? In two studies, we test the prediction that current generations will only be assigned guilt for past atrocities when victim group members perceive high levels of cultural continuity between historical perpetrators and the current generation within the perpetrator group. Japanese participants were presented with information describing the current generation of Americans as either similar or dissimilar in personality to the Americans who were implicated in dropping the atomic bomb on Japan during World War II. The results of both studies revealed that victim group members assigned more guilt to current Americans when they perceived high (compared to low) outgroup continuity, and they did so relatively independently of the transgressor group's guilt expressions.     

The concept of quality in clinical research

Quality in clinical research may be defined as compliance with requirements together with credibility and reliability of the data obtained. Sponsors usually apply Quality Management Systems (QMS) to ensure, control, maintain, and improve quality. These systems encompass several preventive measures, tools, and controls. Standard QMS applied by clinical research sponsors may be based on ISO 9000. An earlier version of the paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.     

宽宏大量与睚眦必报:宽恕和报复对愤怒的降低作用

本研究通过3个实验比较宽恕和报复对愤怒的降低作用。采用假设情景的方法,实验1通过在冒犯行为之后直接启动宽恕或报复,结果显示宽恕比报复对愤怒的降低作用更好,并且对消极情绪也具有降低作用;实验2考察在不同冒犯行为意图下宽恕与报复对愤怒的降低作用,结果显示不管是有意而为还是无心之过的冒犯行为,宽恕对愤怒的降低作用均要优于报复。实验3要求被试在冒犯行为后进行宽恕或报复,结果显示宽恕和报复对愤怒均有降低作用,但是宽恕的降低效果要显著优于报复。研究显示,对于冒犯行为后的愤怒感,宽恕的降低作用优于报复。     

The bioethics of care: widows, monastics, and a Christian presence in health care.

At the beginning of the twenty-first century, with vocations to the Christian religious orders of the West in marked decline, an authentic Christian presence in health care is threatened. There are no longer large numbers of women willing to offer their life labors bound in vows of poverty, chastity, and obedience, so as to provide a real preferential option for the poor through supporting an authentic Christian mission in health care. At the same time, the frequent earlier death of men leaves a large number of widows, some in need of care and some able to provide care. Drawing on the role of widows sketched in 1 Timothy 2, one can envision Christian widows entering a life of prayer and service in health care settings. As female monastics, such widows could reintroduce a salient Christian presence in health care. How one ties this response to the message of 1 Timothy 2 will depend on one's understanding of the status of Scripture, the significance of tradition, the nature of theological epistemology, the meaning of theology, the nature of the Church, and the ontology of gender. The position taken on these issues will define the character of a Christian bioethics of care.     

“企业公民”与医药事业的境界

指出了医药行业对企业公民和企业社会责任的忽视,分析了企业公民和企业社会责任在医药行业发展中的对应要求,强调了医药行业在注重经济利益的同时,要充分重视对社会责任的承担,并从医药行业作为社会事业的角度,提出了树立企业公民意识对提升医药事业发展境界的必要性和重要性。     

The Marxist-Leninist concept of personality and its significance for the integration of psychiatric patients

The Marxist view of man as the "ensemble of social relations" is a prerequisite for understanding the personality of the mentally handicapped. The dialectic relationship between biological and social events permits the conclusion that restrictedly developed versions of the personality must be accepted as natural. The particular obligation of society is to ensure the all-round integration, encouragement and care of such handicapped persons. The task of the medical fraternity is to establish a comprehensive system to prevent such handicaps.     

责任关系视角下的儿童责任行为发展研究

为了解社会转型期儿童责任行为的发展特点,本研究以“责任关系”的视角,通过问卷调查的方式考察了儿童的责任行为发展特点及其与学校、家庭表现之间的关系。结果显示：（1）不同性别儿童责任行为存在显著差异,女生的责任行为水平无论在总体或各因子得分上,均显著高于男生;（2）不同年级儿童责任行为存在显著差异,小学生的总体责任行为水平高于初中生;（3）独生子女的自我责任行为显著低于非独生子女,核心家庭儿童在自我责任行为上显著低于扩展家庭中的儿童;（4）责任行为水平高的儿童具有更高的社会能力,家长问卷中参与家务的行为也更多。总之,儿童的责任行为水平与年龄、性别、家务劳动和社会能力均有显著的关联。     

Why patients should give thanks for their disease: traditional Christianity on the joy of suffering.

Patristic teaching about sin and disease allows supplementing well-acknowledged conditions for a Christian medicine with further personal challenges, widely disregarded in Western Christianities. A proper appreciation of man's vocation toward (not just achieving forgiveness but) deification reveals the need to cooperate with the Holy Spirit's offer of grace toward restoring man's pre-fallen nature. Ascetical exercises designed at re-establishing the spirit's mastery over the soul distance persons from (even supposedly harmless) passion. They thus inspire the struggle towards emulating Christ's (self-crucifying) kenotic love, and to accept even secularly "undeserved" suffering as spiritually deserved in view of his (forever) lacking fervor in that struggle. Only in the spirit of that love can the evil Adam's sin brought into this world work its therapeutic impact, the eschatological purpose of which explains God's lovingly permitting that evil. This therapeutic impact is physically manifested already in this life through the transforming energies granted the saints of the church.     

The ethical implications of the new research paradigm

Research is now an increasingly heterogeneous activity involving an expanded range of new actors and stake-holders and employing an eclectic range of epistemologies and methodologies. The emergence of these new research paradigms — and, in particular, of so-called ‘Mode 2’ knowledge production that is highly contextualised and socially distributed — raises new and challenging ethical issues and also important questions about the autonomy of science and the social responsibilities of scientists.     

The Ethics of Opinion in Academe: Questions for an Ethical and Administrative Dilemma

If we accept that all plagiarism is wrong, the issue is black and white. But are there more challenging questions that color the issue with shades of gray that may influence or help clarify the ethical underpinnings of the act? Does intent matter? Does the venue matter? Does the form of writing matter? What about a professor when working as a private citizen, rather than in his/her academic role? Might plagiarism be mitigated when there is no associated financial gain? Is a writer’s history that exhibits impeccable ethical integrity relevant? Should these factors, and/or other factors, even be considered in a university’s administrative response — or non-response? What might employing an ethical approach contribute to wrestling with the dilemma? The authors explore critical issues that might face a senior academic administrator when confronting the need to respond on behalf of a university to a charge of plagiarism leveled by an influential newspaper against a university professor for a social responsibility-focused opinion-editorial published in this newspaper.