Withholding and Withdrawing Life-Sustaining Treatment: Ethically Equivalent?

Withholding and withdrawing treatment are widely regarded as ethically equivalent in medical guidelines and ethics literature. Health care personnel, however, widely perceive moral differences between withholding and withdrawing. The proponents of equivalence argue that any perceived difference can be explained in terms of cognitive biases and flawed reasoning. Thus, policymakers should clear away any resistance to accept the equivalence stance by moral education. To embark on such a campaign of changing attitudes, we need to be convinced that the ethical analysis is correct. Is it? In this article, I take a closer look at the moral relation between withholding and withdrawing. My conclusion is that withholding and withdrawing are not in general ethically equivalent. Thus, medical guidelines should be rewritten, and rather than being “educated” away from their sound judgments, medical professionals and patients should have nuanced medico-ethical discussions regarding withholding and withdrawing treatment.     

企业中的道德决策

企业道德决策研究主要关注个体如何进行道德决策,以及哪些因素影响企业中的道德决策这两个基本问题。首先介绍企业道德决策的主要理论模型;然后简要总结实证研究的研究方法和基本结论;最后分析以往研究中存在的问题,并展望我国的企业道德决策研究     

Mindfulness-based stress reduction effects on moral reasoning and decision making

Previous research has demonstrated that mindfulness-based stress reduction (MBSR) improves psychological functioning in multiple domains. However, to date, no studies have examined the effects of MBSR on moral reasoning and decision making. This single group design study examined the effect of MBSR on moral reasoning and ethical decision making, mindfulness, emotion, and well-being. Additionally, we investigated whether there was an association between the amount of meditation practice during MBSR and changes in moral reasoning and ethical decision making, emotions, mindfulness, and well-being. Results indicated that MBSR was associated with improvements in mindful attention, emotion and well-being. Further, amount of meditation practice was associated with greater improvement in mindful attention. Two-month follow-up results showed that, MBSR resulted in improvements in moral reasoning and ethical decision making, mindful attention, emotion, and well-being. This study provides preliminary evidence that MBSR may potentially facilitate moral reasoning and decision making in adults.     

Developing Moral Decision-Making Competence: A Quasi-Experimental Intervention Study in the Swiss Armed Forces

Moral development has become an integral part in military training and the importance of moral judgment and behavior in military operations can hardly be overestimated. Many armed forces have integrated military ethics and moral decision-making interventions in their training programs. However, little is known about the effectiveness of these interventions. This study examined the effectiveness of a 1-week training program in moral decision making in the Swiss Armed Forces. The program was based on a strategy-based interactional moral dilemma approach. Results of this quasi-experimental intervention study showed significant improvements in content-related (moral and instrumental awareness, quality of moral information processing, development of compensatory actions) as well as process-related (situational analysis, development and evaluation of alternative solutions, justification of decision) aspects in moral decision making. Results of a follow-up test indicated positive long-term effects with regard to moral and instrumental awareness and process-related aspects. Findings are discussed, and consequences for leadership development programs and further research are explored.     

Limiting Underage Alcohol Purchases: An Application of the Consumer Decision Model

The consumer decision-making model is applied to store clerks faced with determining which customers should be carded for the purchase of alcohol. Manipulated decisional time pressure induced either a vigilant (high involvement) or hypervigilant (low involvement) decision state. Clerks (N = 256) rated four combined shopper–product profiles under conditions of high or low time pressure and assessed the likelihood that the shopper would be carded. Results indicated that increased time pressure reduced the likelihood of being required to present identification and that males were least likely to be asked for identification under high time pressure. The managerial implications and utility of the consumer decision model for enhancing compliance with minimum legal drinking age laws are considered.     

Between an Example and a Precept,Which Has Greater Importance? A Comparison of the Channels of Socialization in Military Ethics

In this study, I examined what channels of socialization influence the moral behavior of cadets. We conducted a regression analysis of the effects of parents' attitudes to moral education, the standard and potential curriculum of schools, peer groups, and communication media on individual ethics and discipline using 399 sample participants. The participants were recruited through a questionnaire survey on cadets from academy of military, naval, and air force, and four-year based students from R.O.C. National Defense University. The analysis results showed that the cultivation of morality among cadets was directly influenced by the school's potential curriculum (i.e., intern cadres and officers in company) and their parents' attitudes to moral education during early childhood. The results also indicated that the influence of teaching by example was more significant than that of teaching by precept.     

计算模型在道德认知研究中的应用

道德认知关注道德心理背后的信息加工。近年来, 研究者开始将计算模型应用于道德认知研究, 以探索道德认知如何在大脑中实现。但目前研究者对道德认知进行计算建模的研究处于起步阶段。计算模型(漂移扩散模型、效用模型、强化学习模型和分层高斯过筛器模型)在道德认知行为和生理研究上的运用量化了道德决策、道德判断和道德推理背后的认知过程和神经机制。此外, 这一新进展对理解反社会行为和精神障碍等有所助益。最后, 计算建模有待完善, 未来研究需要关注其潜在的问题。     

Is There Social Consensus Regarding Researcher Conflicts of Interest?

Consensus around what constitutes researcher conflicts of interest (COIs) and awareness of their influence on our research are two critical steps in ensuring the integrity of our science. In this research, data were collected from individual scholars via 2 surveys 5 years apart and from journals and associations to examine the level of social consensus and moral awareness among scholars, journals, and associations regarding researcher COIs. Although we observed increases in level of social consensus and moral awareness between 2012 and 2017, results still revealed limited agreement about what relationships constitute a COI and limited awareness about the presence of and the ethical issues surrounding COIs. Although all journals and associations we examined supported COI disclosure, most did not provide researchers with detailed COI-related information, guidance, or disclosure tools. Limited social consensus and moral awareness regarding COIs is problematic because it inhibits the recognition, disclosure, and management of COIs and limits ethical decision making. We need to continue and enhance discussions about COIs and aim to create consensus and awareness where we do not have it with the goal of reducing potential scientific misconduct related to COIs.