Physician-assisted suicide: the role of mental health professionals

A review of the literature was conducted to better understand the (potential) role of mental health professionals in physician-assisted suicide. Numerous studies indicate that depression is one of the most commonly encountered psychiatric illnesses in primary care settings. Yet, depression consistently goes undetected and undiagnosed by nonpsychiatrically trained primary care physicians. Noting the well-studied link between depression and suicide, it is necessary to question giving sole responsibility of assisting patients in making end-of-life treatment decisions to these physicians. Unfortunately, the use of mental health consultation by these physicians is not a common occurrence. Greater involvement of mental health professionals in this emerging and debated area is advocated. Beyond describing mental health professionals' role in the assessment of patient competency or decision making capacity, other areas of potential involvement are described. A discussion of ethical principles relevant to this area follows, along with comments on the training necessary to adequately serve patient needs.     

对人的尊严的挑战——试论P.辛格的优先权——实利主义

一个社会对其成员重视和承认的程度,首先表现为这个社会如何对待其成员中的弱者和受歧视的人。而在每个社会遭受歧视的人中,无疑也包括那些由于先天或后天的缘故患有精神上或肉体上的疾病而需要特别照顾的人。1989年以来,首先是这一社会群体的代言人,对他们的遭遇提出了强烈的抗议。而他们的抗议,又引发了德国舆论界对澳大利亚哲学家彼得·辛格的关注。特别是辛格关于可以对残疾人(既包括先天不足的婴儿,也包括老年人)施行强制性安乐死的论述,点燃了论战的烽火,更激起了一部分人的强烈抗议。残疾人的代盲人指出,辛格的“实用伦理学”不仅是对“残疾人”,而且从根本上讲是对人的错误认识。     

外向性格、场独立性及认知作业的操作

 取120名12岁儿童作被试.(a)调查外向性格、神经过敏症及场独立性之间的关系.(b)调查外向性格和场依存性对两个认知作业(推理和回忆散文)的影响.(c)研究人格特点和言语——表象学习方式之间的关系.     

A multi-systems theory of the structure and dynamics of motor functions

A theoretical analysis of the structure and dynamics of human motor functioning is presented from the perspective of a general theory of individuality. Within multifactor-systems theory, the structural units of the six systems of integrative personality (i.e., sensory, motor, cognitive, affect, style, and value) are hierarchical factor structures. Integrative functioning, both within and among systems, is described via the principles of general systems and information-processing theory. Our theoretical synthesis of the structure and dynamics of human motor functioning involves conceptualizing the hierarchy of motor factors as: (a) the basic dimensions of individual differences in the motor domain, (b) classes of decomposable motor programs that specify the spatio-temporal organization of behavior, and (c) decomposable classes of processing components entailed by motor programs. Some of the implications for understanding the role of affect in motor functioning and some research suggestions were presented.     

The relative law of effect: effects of shock intensity on response strength in multiple schedules

Key pecking of four birds was reinforced with food according to a two-component multiple variable-interval 1-minute variable-interval 4-minute schedule. In addition, key pecking was punished by a brief shock according to a variable-interval 30-second schedule during both components of the multiple schedule. The intensity of the shock was varied. For all birds, punishment had a stronger suppressive effect on the responding maintained by the leaner food schedule, and the ratio of responding during the two components of the multiple schedule became closer to the ratio of reinforcement as shock intensity was increased, as the relative law of effect predicts. At the higher shock intensity, there was some evidence that the ratio of responses overmatched the ratio of reinforcements.     

The effects of different component response requirements in multiple and concurrent schedules

Six pigeons were trained on multiple and concurrent schedules. The reinforcement rates were varied systematically (a) when lever pressing was required in one component and key pecking in the successive component; (b) when lever pressing was required in both multiple components; (c) when key pecking was required in both multiple components; and (d) when key pecking was required on one schedule and lever pressing was required on the concurrently-available schedule. Only the absolute level of responding was changed by different response requirements. Analyzed by the generalized matching law, performance under different response requirements resulted in a bias toward key pecking, and the measured response bias was the same in multiple and concurrent schedule arrangements. The bias in time measures obtained from concurrent schedule performance was reliably smaller than the obtained response biases. The sensitivity to reinforcement-rate changes was ordered: concurrent key-lever; multiple key-key; multiple lever-key; and, the least sensitive, multiple lever-lever. The results confirm that requirements of different topographical responses can be handled by the generalized matching law mainly in the bias parameter, but problems for this type of analysis may be caused by the changing sensitivity to reinforcement in multiple schedule performance as response requirements are changed.     

法兰克福哲学-社会学学派基本思想的历史发展

在六十年代,资本主义用以攻击马克思列宁主义的新手法,特别清楚地表现在所谓“新左派”运动这种独特的左倾机会主义思想体系中。这种运动在1968年法国五一六月事件中表现得最为明显。在此之前不久,它也表现在六十年代左翼学生运动中,这个运动开始于美国、后来波及西欧许多资本主义国家,还传播到日本。对六十年代思想斗争所作的分析令人信服地证明,这种左倾机会主义的主要思想根源之一,就是所     

哲学的实践

哲学的功用问题,一经深究,便显得非常困难了。它包括许许多多重要而详尽的课题,需要从意识形态、方法论和历史上去作具体的阐述。“功用”(function)这个词,源于拉丁文“functio”,主要是指活动、作业、任务和位置的意思。因此,它包含很广泛的一类问题,在这篇文章中,只讨论社会意识那些最普遍的形式。正因为如此,我现在至多只能提出我自己     

关于制定唯物辩证法

在当前,世界观科学,尤其是我们世界观的核心——马克思列宁主义哲学的作用正在急剧地增长。马克思列宁主义哲学是工具,党借助于它影响我们的思想意识、引导我们沿着建设共产主义社会的道路前进,引导我们和敌对思潮进行斗争。在马克思列宁主义哲学中辩证唯物主义是主要的,这是列宁多次强调过的。同时,列宁也指出,辩证唯物主义和历史唯物主义是不可分割的。因为历史唯物主义是哲学唯物主义的继续,是哲学唯物主义在社会领域的彻底运用。列宁在辩证法是马克思列宁主义的灵魂这一著名原理中表述了这个思想。我们