First, do no harm

Case vignette: sharing unanticipated genetic information. The Questor family has experienced an unusual number of malignancies in the past two generations and has been advised by an oncologist that the p53 oncogene known as Li-Fraumeni Syndrome may be present in the family genome. The option of predictive genetic testing has been raised and several branches of the family have chosen to undergo screening to determine whether they are at risk for cancer because of the gene. Roger and Liz Questor have arranged for screening of themselves and their three children, ages 12, 10, and 7. The couple has, by all appearances, been happily married for 14 years. None of the family members are found to carry the oncogene; however, the geneticist conducting the analyses has made an interesting incidental discovery. The 10-year-old child is not the biological progeny of Roger Questor. Although the 12-and 7-year-olds are clearly the biological children of the couple, it is evident that the 10-year-old born to Liz Questor was fathered by a person other than Roger. What are the ethical obligations of the geneticist with respect to any sharing or disclosure of the information that has been discovered incidentally? What course of action, if any, do you recommend?     

2001年的科学哲学

一种民主制度的最重要也是讨论最少的任务之一就是要保护它的成员免遭这种制度中的意识形态的伤害.必须正确地看待所有的意识形态.人们必须把它们当作神话故事来看待,它们能告诉人很多有趣的事,但也包含了很多谬误和令人生厌的谎言.当人们按照某一观点行动时,他们的态度也应该像密探一样,为了在一个陌生的国家里获得成功而采纳它的信仰并在细枝末节上按照这些信仰去做,但并不全盘接受.这一点适用于所有的信仰,适用于基督教上帝的存在这一信仰,适用于所有的人生来平等的信仰,也适用于科学.那么,这是否是一种陌生和荒谬的态度呢?科学当然总是处在与权威主义和迷信战斗的前沿.相对于宗教信仰而言,我们有了越来越大的思想自由,这应当归功于科学;人类从古代的僵硬思维方式中解放出来,也应当归功于科学.今天,这些思维方式仅仅是一些糟糕的     

道教生命哲学及其在日本的影响

现代日本的医学医疗明显地表现出偏重“技”即偏重机械和技术的倾向,这与老庄道家的“道”哲学明显不同①。“道”哲学是以与“技”相对应的“道”为中心,探究人的生命根源（即人的生命本来是什么）的问题。我是一个专门研究中国思想的学者,据我所知,“道”哲学无论是在过去,还是现在,在日本都有很大的影响,因此,今天我将站在老庄道家的“道”哲学的立场,围绕“技”和“道”的实践哲学问题,着重讨论以“道”为核心的道教生命哲学的内容及其在日本的影响。一“技”和“道”是中国古代老庄哲学和依据这种哲学发展起来的道教宗教哲学…     

拉卜楞寺的法会

拉卜楞寺每年举行许多法会,主要的有正用法会,七日法会,九月法会。正司法会它源于宗喀巴大师于14O9年在拉萨举办的祈愿会法,在拉卜楞寺开始于第二世嘉木样活佛久美昂吾（172～1729）时期,法会自正月初三晚站起,到正月十七日止·历时十五天,正司法会的特点是举汗一系列活动。在法会期间,拉卜楞寺的全体增人,每天要在大经堂诵经六次。等一次叫晓会,等二次叫晨会辨诵,第三次叫午时会,第四次叫祈愿会,第五次为晚茶会,第六次为晚辨诗会。正月初八为“放生”节,这项活动在图丹颇章院内举行,摆出寺内珍藏的宝物,供人们参观,随后…     

Ethical problems in research on risky behaviors and risky populations

The articles by Brooks-Gunn, Fisher, Hoagwood, Liss and Scott-Jones (all in this issue) present a panoply of real-world ethical issues in conducting scientific research on risky behaviors of children, adolescents, and their parents, particularly those from vulnerable populations. The universal, ethical principles of beneficence, justice, and respect for others are always applicable, but they do not resolve issues of child assent, parental consent, legal reporting requirements for illegal behaviors, and the special problems of studying risky behaviors in risky populations. Taken as a group, the articles raise some of the most interesting ethical problems that arise in developmental research. My discussion elaborates some issues and fails to resolve others. I hold the view that both science and ethics can be served by thoughtfully designed and implemented research on important social issues, but that the studies themselves cannot simultaneously solve the many societal problems of participants and be scientifically credible.     

The use of consultation in psychological practice: ethical, legal, and clinical considerations

The importance of consulting with other professionals to maintain acceptable standards of care is well documented in many health care professions. However, evidence indicates that many psychologists fail to utilize consultation when needed, and that consultation use varies along dimensions such as the education and training of the consultee, the type of setting, number of years in practice, and proximity to available consultants. In this article, we review the research on the use of consultation by psychologists as well as other health care professionals. We discuss the clinical, ethical, and legal implications of seeking consultation as a professional psychologist. Finally, a detailed and practical model for the regular use of consultation is given to improve the routine use of consultation in clinical practice.     

现实化的可能体与最简的量化模态逻辑

现实论(actualism)这项方案,旨在清除逻辑与模态形而上学中那些讨人嫌的本体论承诺。它从一切存在的都是现实的这个观点出发,试图重新解释语言,以避免承诺“可能体”(possibilia)的存在。所谓“可能体”,指那些可能的,但非现实的对象。量化模态逻辑(QML)似乎就要求这种对象存在。最简QML为古典量化理论与模态命题逻辑之合并,可是它使巴康(Barcan)公式(今日x由→ax令Q)有效。从而,由可能存在一头会说话的驴子这个事实,就推出了存在某物,它可能是一头会说话的驴子。这看起来在宣称一个可能实体的存在(假定每个现实的东西都不可能是会说话的驴子)。现实论者们大力主张克里普克(Kripke)所描述的语义学,以此来免除这项承诺,这种语义学采用了可变论域,因而使巴康公式归于无效。     

生命保护的推断论理由

推断论伦理学家就堕胎和安乐死的问题而提出的命题,主要是澳大利亚人P.辛格的那些命题,一直引起激烈的论战。推断论将生命保护理解为一种利益保护,它使个体的生命权利依赖于成为人的那种特性。按照推断论的观点,不是所有人类的个体都是人,因而就不能赋予非—个人的人类个体以生命权利——这在实践中是有相应的结果的。不管对P.辛格的命题在感情上的反应多么可以理解,光靠这些命题是得不到什么结果的,因为重要的是研究这些命题所引用的证据,研究那些已经决定了推断论的问题表述的前概念。只要推断论的潜在的前题不受到怀疑,人们也许将无法摆脱单纯的口头侮辱。