预立医疗照护计划的国内外发展现状

随着医疗水平的不断提高,原本无法挽救的生命都可通过医疗技术给予维持,而与此同时,人们的自主意识在逐渐增强、生命价值观在不断完善,姑息照护也得到了持续发展.在这样的背景下,预立医疗照护计划慢慢引起人们重视,国外许多国家及我国台湾地区已给予了广泛认可.     

预立医疗照护计划的国内外发展现状

随着医疗水平的不断提高,原本无法挽救的生命都可通过医疗技术给予维持,而与此同时,人们的自主意识在逐渐增强、生命价值观在不断完善,姑息照护也得到了持续发展。在这样的背景下,预立医疗照护计划慢慢引起人们重视,国外许多国家及我国台湾地区已给予了广泛认可。     

Victims' Stories of Human Rights Abuse: The Ethics of Ownership,Dissemination, and Reception

This paper addresses three commentaries on Victims' Stories and the Advancement of Human Rights. In response to Vittorio Bufacchi, it argues that asking victims to tell their stories needn't be coercive or unjust and that victims are entitled to decide whether and under what conditions to tell their stories. In response to Serene Khader, it argues that empathy with victims' stories can contribute to building a culture of human rights provided that measures are taken to overcome the implicit biases and colonialist interpellations she identifies. In response to Andrea Westlund, it proposes a taxonomy of types of narrative closure and offers some arguments to strengthen her view that empathy with victims' stories endows audience members with a new reason and new motivation to support human rights.     

Racial Attitudes and the Death Penalty1

This study investigated the relationship between overt and subtle forms of racism with Whites' recommendations for capital sentencing of Black and White offenders convicted of murder. White participants (n= 104) viewed 5 other “jurors” (all Whites or 4 Whites and 1 Black) on videotape individually presenting their decisions to vote for the death penalty in the case. It was hypothesized that the bias of high prejudice-scoring participants would be overt, but that the pattern for low prejudice-scoring participants would be more complex. As predicted, among high prejudice-scoring participants, Black defendants received stronger recommendations for the death penalty than did White defendants. Among low prejudice-scoring White participants, Black offenders received stronger recommendations for the death penalty only when a Black juror advocated the death penalty.     

生前预嘱、预立医疗指示和预立医疗照护计划的概念关系辨析

通过回顾文献对生前预嘱、预立医疗指示、预立医疗照护计划三个概念产生的背景、定义、内容组成和法律实践等问题进行梳理与澄清,进一步指出概念之间的关系。生前预嘱与预立医疗指示属于归属关系。预立医疗照护计划是继预立医疗指示产生和应用后,为促进其签署而提出的概念,二者在内容、实施的侧重点及实施效果方面存在差异。通过概念辨析,旨在减少医务人员和公众对以上概念的混淆和误解,为后续研究和临床实践开展提供借鉴。     

Support for the Death Penalty: A Gender-Specific Model

Research on the public's level of death penalty support (DPS) has neglected gender-specific models. While most previous work has shown that women have lower DPS than men, it is not clear whether traditional models of DPS will work for a sample restricted to women. The greater intolerance of the death penalty among women may overshadow or reduce the impact of traditional predictors of DPS among women. The present paper performs the first systematic gender-specific analysis of DPS. It uses national data from the 1990 General Social Survey. Measures of three variable sets were employed: symbolic orientations (e.g., political conservatism, authoritarianism); crime salience (e.g., victimization, fear); and demographic controls. The results of a stepwise logistic regression analysis showed that political conservatism has a direct effect on the DPS of both men and women. For women only, authoritarianism also had a direct effect on DPS. Further analysis showed that for women, six variables exert an indirect effect on DPS through political conservatism and five through authoritarianism. Only three indirect effects were found for men. However, none of the 16 variables analyzed had a significant gendered effect. Indicators of traditional models of DPS were found to work as well for women as they did for men.     

The Community Response to Rape: Victims' Experiences with the Legal, Medical, and Mental Health Systems

This research examined how the legal, medical, and mental health systems respond to the needs of rape victims. A national random sample of rape victim advocates (N = 168) participated in a phone interview that assessed the resources available to victims in their communities. as well as the specific experiences of the most recent rape victim with which they had completed work. Results from hierarchical and iterative cluster analysis revealed three patterns in victims' experiences with the legal, medical, and mental health systems. One group of victims had relatively positive experiences with all three systems, a second group had beneficial outcomes with only the medical systems, and the final group had difficult encounters with all three systems. Multinominal logistic regression was then used to evaluate an ecological model predicting cluster membership. Community-level factors as well as features of the assault and characteristics of the victims predicted unique variance in victims' outcomes with the legal, medical, and mental health systems. These findings provide empirical support for a basic tenet of ecological theory: environmental structures and practices influence individual outcomes. Implications for ecological theory and interventions to improve the community response to rape victims' needs are discussed.     

The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

Christianity and Opposition to the Death Penalty: Late Modern Shifts

This article sketches the shifts in Christian thought and denominations on capital punishment from the early church to today in the United States, and then examines the ethical issues in the administration of capital punishment both before and since the Supreme Count stopped executions in 1972. The conclusion of the article is that overwhelming evidence of the injustice of death sentences could not sway popular support for capital punishment, but evidence that switching to life sentences could save states millions of dollars is swaying many pro‐death penalty voters and legislators.     

浅析死刑认同的心理根源

我国民众普遍认同死刑,这种"死刑认同"具有三种心理情绪根源:死亡情结、社会情感以及正义报复感。死刑认同实质上是国民的一种个人情绪和社会情感的表达和要求。取消死刑是必然趋势,但必须具备相应的社会条件。     

上帝与死囚:基督教视野中的美国死刑问题

死刑与宗教的互动从未停歇。作为大多数美国人信仰的基督教虽然面临着包括价值日趋多元、教义与当代科技日趋脱节、信众流失等诸多挑战,但其仍然在美国社会的各个方面扮演着十分重要的作用。而作为西方所谓民主国家当中唯一没有废除死刑的国家,美国国内目前围绕死刑存废以及死刑的具体执行过程中产生相关问题的争论需要在宗教,特别是在基督教的视野中加以解读。而这种基督教语境中的死刑问题研究将会从文化层面剥离与解析美国死刑的发展脉络、主要问题与未来的发展趋势。     

Advance Directives: Assessing Stage of Change and Decisional Balance in a Community-Based Educational Program

This study assessed the applicability of the transtheoretical model (TTM) to completing/revising advance directives (ADs). Participants in a community-based educational program completed pre- and post-program questionnaires concerning the completing/revising of ADs. Multiple-item scales were constructed to categorize participants into a stage of change: precontemplation (8%), contemplation (44%), preparation (4%), action (22%), and maintenance (19%). A decisional balance scale was constructed using 5 positive and 5 negative perceptions of ADs. The findings provided support for the applicability of the TTM to completing/revising ADs. The cons outweighed the pros among participants in the precontemplation stage, while the pros outweighed the cons among those in the action stage. One pro was that an AD would relieve family members of decision-making burdens.