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This paper examines some work in welfare economics based upon generalized social welfare function (GSWFs). Impartial welfarism consists in a set of apparently quite weak moral axioms concerning GSWFs. Using that framework, welfare economists have derived both utilitarian and Rawlsian doctrines. These results would seem to be of great importance to moral philosophy. I argue, however, that applying them presupposes a view of persons as mere place holders for preferences, thereby limiting the theorems' appeal for moral philosophers. I propose a more satisfactory view of impartial welfarism by replacing the term person by the more general welfare recipient, but this still fails to make the doctrine available to all moral philosophers.  相似文献   

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Against a backdrop of non-ideal political and legal conditions, this article examines the health capability paradigm and how its principles can help determine what aspects of health care might legitimately constitute positive health care rights—and if indeed human rights are even the best approach to equitable health care provision. This article addresses the long American preoccupation with negative rights rather than positive rights in health care. Positive health care rights are an exception to the overall moral range and general thrust of U.S. legal doctrine. Some positive rights to health care have arisen from U.S. Constitutional Eighth Amendment cases and federal and state laws like Medicare, Medicaid, the State Children’s Health Insurance Program, the Emergency Medical Treatment and Active Labor Act, and the Patient Protection and Affordable Care Act. Finally, this article discusses some of the difficulties inherent in implementing a positive right to health care in the U.S.  相似文献   

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The right to health care is a right to care that (a) is not too costly to the provider, considering the benefits it conveys, and (b) is effective in bringing about the level of health needed for a good human life, not necessarily the best health possible. These considerations suggest that, where possible, society has an obligation to provide preventive health care, which is both low cost and effective, and that health care regulations should promote citizens’ engagement in reasonable preventive health care practices.  相似文献   

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Reframing HIV prevention for gay men in the United States   总被引:1,自引:0,他引:1  
The HIV epidemic in the United States has affected at least two generations of gay men. Despite numerous efforts to intervene on this public health crisis, HIV infections continue to escalate, especially among young men. This condition is compounded by an ever-growing number of gay men who are aging and living with HIV. We must enact an innovative and proactive vision and framework for HIV prevention that moves us beyond the undertakings rooted in social-cognitive paradigms that have informed this work for the past 25 years. A new framework for HIV prevention must give voice to gay men; must consider the totality of their lives; must delineate the underlying logic, which directs their relation to sex and HIV; and must concurrently respect their diverse life experiences. This approach should be rooted in a biopsychosocial paradigm, should be informed by both theory and practice, and should be directed by three theoretical lenses--a theory of syndemics, developmental theories, and contextual understandings of HIV disease. Taken together, these elements are a call to action for research and practice psychologists who are working to improve the lives of gay men.  相似文献   

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The study examined the judgments made by four seventh-grade mathematics teachers of their 107 students' competence in solving mathematics problems. Simultaneously, the 107 students made self-efficacy judgments about their capability in solving mathematics problems. The two sets of judgments were tested for predicting students' mathematics performance. Also, students' prior mathematics achievement was studied for its influence on both teachers' and students' judgments and students' mathematics performance. Teachers were asked to make judgments of each student for every mathematics problem solved. Results were consistent with prior research indicating that students' mathematics self-efficacy beliefs were highly predictive of their performance. Path analysis indicated that the mathematics teachers' judgments were also highly predictive of students' performance and self-efficacy. In turn, these variables predicted students' postperformance judgments. Combining students' self-efficacy judgments and teachers' judgments of students increased predictiveness for students' mathematics performance. Educational implications were also discussed.  相似文献   

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Buchanan examines, and finds inadequate, several philosophical approaches to justifying and specifying the content of a universal right to a decent minimum of health care: utilitarian arguments, Rawlsian ideal contract arguments, and Norman Daniels' equality of opportunity argument. Also rejecting the libertarian hypothesis that there is no right to a decent minimum of care, he contends that the claim that society should guarantee certain health care services can be supported by a pluralistic approach encompassing special right-claims, harm prevention, prudential arguments emphasizing public health benefits, and beneficence.  相似文献   

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In this paper I use the concept of forbidden knowledge to explore questions about putting limits on science. Science has generally been understood to seek and produce objective truth, and this understanding of science has grounded its claim to freedom of inquiry. What happens to decision making about science when this claim to objective, disinterested truth is rejected? There are two changes that must be made to update the idea of forbidden knowledge for modern science. The first is to shift from presuming that decisions to constrain or even forbid knowledge can be made from a position of omniscience (perfect knowledge) to recognizing that such decisions made by human beings are made from a position of limited or partial knowledge. The second is to reject the idea that knowledge is objective and disinterested and accept that knowledge (even scientific knowledge) is interested. In particular, choices about what knowledge gets created are normative, value choices. When these two changes are made to the idea of forbidden knowledge, questions about limiting or forbidding lines of inquiry are shown to distract attention from the more important matters of who makes and how decisions are made about what knowledge is produced. Much more attention should be focused on choosing directions in science, and as this is done, the matter of whether constraints should be placed on science will fall into place.  相似文献   

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When people recall together in a collaborative group they recall less than their potential. This phenomenon of collaborative inhibition is explained in terms of retrieval disruption. However, collaborative recall also re-exposes individuals to items recalled by others that they themselves might otherwise have forgotten. This re-exposure produces post-collaborative benefits in individual recall. The current study examined whether reduced retrieval disruption during group recall is related not only to less collaborative inhibition, but also to greater post-collaborative recall benefits. To test this we devised a paradigm to calculate the extent to which each individual experienced retrieval disruption during group recall. We also included two types of collaborative groups, one of which was expected to experience greater retrieval disruption than the other. Results suggest that the relationship between retrieval disruption and recall performance depends on the level at which retrieval disruption is measured. When retrieval disruption was assessed at the individual level, then minimising retrieval disruption was associated with higher recall (i.e., less collaborative inhibition and greater post-collaborative individual recall). However, when retrieval disruption was assessed at the group level there was no relationship with recall. Furthermore, the findings from this design suggest a role of cross-cueing in modulating group recall levels.  相似文献   

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When people recall together in a collaborative group they recall less than their potential. This phenomenon of collaborative inhibition is explained in terms of retrieval disruption. However, collaborative recall also re-exposes individuals to items recalled by others that they themselves might otherwise have forgotten. This re-exposure produces post-collaborative benefits in individual recall. The current study examined whether reduced retrieval disruption during group recall is related not only to less collaborative inhibition, but also to greater post-collaborative recall benefits. To test this we devised a paradigm to calculate the extent to which each individual experienced retrieval disruption during group recall. We also included two types of collaborative groups, one of which was expected to experience greater retrieval disruption than the other. Results suggest that the relationship between retrieval disruption and recall performance depends on the level at which retrieval disruption is measured. When retrieval disruption was assessed at the individual level, then minimising retrieval disruption was associated with higher recall (i.e., less collaborative inhibition and greater post-collaborative individual recall). However, when retrieval disruption was assessed at the group level there was no relationship with recall. Furthermore, the findings from this design suggest a role of cross-cueing in modulating group recall levels.  相似文献   

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In the postmodern information era with its increasing complexity and demands on my time, I find storytelling increasingly attractive. The right story told to the right person(s) at the right time in the right way can powerfully define and shape both individuals and the systems into which they organize themselves. As interventions go, I find stories to be relatively high impact, low-risk, parsimonious, and user-friendly. This paper contains some of my favorite teaching stories and describes why and how I use them as both a family therapist and teacher of family therapy.  相似文献   

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Many psychoanalysts treat individuals who are simultaneously in couples therapy or whose partners are in individual therapy. If such cases stall, some analysts may seek consultation from a colleague, though most have accepted the tacit historical prohibition against communication between therapists treating members of the same family. Experience, however, suggests that a certain form of communication between such therapists can have a powerfully enhancing effect on the concurrent therapies. After a review of the literature, the advantages, disadvantages, and impediments to collaborative cross-communication are examined. A model is then presented for use in ongoing discussion between therapists, and is illustrated with two clinical examples. The proposed model centers on the transference-countertransference configurations within the therapeutic field, and serves as an organizer highlighting areas for discussion.  相似文献   

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Sløk  Camilla 《Pastoral Psychology》1997,46(2):119-129
The purpose of this article is to deal with the advantage of combining short-term counseling with reframing techniques. Short-term counseling states that a) focusing on only one problem, and b) agreeing on a fixed amount of sessions will make the counselee more eager to change before the amount of sessions are spent. The thesis of the paper is that those counselees that engage in short-term counseling will be more resistant to change than the criteria of short-term counseling suggests. Some counselees want to initiate a power struggle with the counselor about the impossibility of change. Rather than giving in to such a struggle, the counselor should use reframing techniques to make the counselee see the problem from a new perspective. Reframing techniques are more likely to make the counselee solve the problem.  相似文献   

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Excepting psychiatry, psychology and medicine remain largely separate disciplines. In forensic inquiries, the psychologist assesses the mind, whereas the pathologist examines the body. Both fields, however, actively participate in the same investigations, albeit from different standpoints, contributing to explorations of crime scene dynamics, identification of offenders, and legal proceedings. In recent years, peer review has become a staple of research, because subjecting work to scrutiny by other experts promotes accuracy. Forensic pathologists would benefit from insights provided by investigative psychology, particularly if asked to apply psychology to their testimony, and integration with forensic pathology may increase the acceptance of empirical profiling evidence in the courtroom. Additionally, incorporation of medical findings—such as wound patterns, evidence of range of fire, and cause of death determinations—could add another level of detail to techniques like smallest space analysis. The following functions as a proposal for the incorporation of forensic pathological findings into investigative psychology research and the application of investigative psychology to forensic pathology practice. Cooperation has the potential to extend the scope of knowledge in both disciplines, to increase their applicability to and acceptance in legal contexts and to maximize the probative value of evidence provided in the court of law.  相似文献   

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道教正一派斋醮科仪中,高功法师斋法行持是沟通人和神鬼的重要的途径。这种斋法行持就是以法术的召神遣将达到祈禳消灾、集福迎祥、保太平安或超度亡爽、荐先登真的目的。当正一道士在坛场诵经、念咒或在步虚声中掐块步罡或在悠扬音乐声中于罡毯上步罡踏斗时,人们通过自己的视觉与听觉感受到道教传统文化的魅力,也可以更多地理解道教的教义思想及其神学意义。然而在赞叹道教文化丰富多彩、博大精深的时候,人们对于道士们在科仪行持中的内秘功夫却是无法用感官认知的。正一派的斋醮科仪,包含着内秘功夫。这种功夫来自于道士们的内炼。从…  相似文献   

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An agenda for day care research that is tailored to current policy concerns is presented. Familiar developmental issues related to the quality of day care are recast within a policy perspective. Largely unexamined issues pertaining to the costs and supply of day care, the preventative role of day care services, economic and employment-related effects, links between day care and other settings that comprise children's environments, and alternative approaches to day care such as employer-sponsored care, are also identified. It is argued that these issues extend current conceptualizations of interdisciplinary and ecological research. By way of introduction, an overview of recent sociodemographic trends and changes in federal day care policy is provided. A discussion of emerging policy issues that could profit from input by child development research then serves as background to detailed suggestions for research that can advance the dual goals of informing day care policy-makers and contributing to developmental theory.  相似文献   

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