从《夷坚志》看宋代旴江医家为医处世之道

吁江,古称吁水,流经江西16个县市.其流域自古人文荟萃,不仅有名闻天下的文人学士,更不乏学验俱丰的医药学家.南宋洪迈所著笔记小说集《夷坚志》中记载了王、李两位吁江医家的小故事.从这则诊疗故事可以窥见古代吁江医家的生存状态,认为古代吁江医家不仅有着高超的治疗技术,更秉承传统医学一贯的医德思想,对病人细心体贴、对同行互敬互帮.更为难得的是,在金钱利益面前能做到重义轻利,表现出了谦虚谨慎的为医态度与谦和有礼的处世智慧.     

Thinking ethically about the global in ‘Global Ethics’

In what follows, I claim that the ‘global’ in ‘Global Ethics’ needs also to be thought about in a different way, not as the scope or object of ethical judgement but in relation to the worlds reproduced by the practice of ethical judgement itself. In summary, ethical reflection on the meaning of the ‘global’ in the practice of Global Ethics as a field of academic inquiry is what is required if the future of Global Ethics is to be something other than Ethics or Applied Ethics as traditionally conducted.     

Sexual Orientation and Human Rights in the Ethics Code of the Psychology and Counseling Organization of the Islamic Republic of Iran (PCOIRI)

The aim of this study is to investigate the necessity of revising the Ethics Code of the Psychology and Counseling Organization of the Islamic Republic of Iran (PCOIRI) with respect to people’s rights and dignity and to avoid unfair discriminations toward sexual orientation and gender identity. It is said that confused diagnoses; wrong decision making; unethical practice; and the subsequent harm caused to lesbian, gay, bisexual, and transgender clients result from the lack of a clear code and relevant guidelines. In addition, certain conditions in Iran (such as religious perspectives, laws, cultural biases, misunderstandings, a lack of local academic and scientific resources, and Western conspiracy theories) lead professional psychologists and researchers to avoid researching sexual minorities and gender identity, which negatively impacts the Ethics Code of the PCOIRI. Iranian and Western researchers have identified four primary sources to which psychologists and counselors can refer when faced with ethical dilemmas: developmental psychology, professional ethics codes, philosophy of psychology literature, and available researches and compilations on professional ethics. Finally it is suggested that, when dealing with homosexual clients and the related ethical dilemmas, Iranian psychologists and counselors need clear and specific guidelines and a professional ethics code developed from more appropriate reference points than legal and religious sources.     

Ethical Issues and Potential Solutions Surrounding the Use of Spoken Language Interpreters in Psychology

The need for psychological services to limited English proficient clients is increasing. Psychologists who provide clinical services to limited English proficient clients are frequently required to use the services of spoken language interpreters. Research has shown that the quality and consistency of interpretation services are often in question. Interpreters are generally not required to hold any certifications or to meet training requirements prior to providing interpretation services. This lack of oversight leaves the psychologist responsible for the quality of the interpretation when adhering to the American Psychological Association’s (APA) 2010 Ethical Principles of Psychologists and Code of Conduct. This article includes a discussion of the ethical and clinical issues inherent in providing psychological services through an interpreter, how those issues affect a psychologist’s adherence to the APA Ethics Code, and recommendations for meeting the ethical standards while providing sound clinical services through the use of spoken language interpreters.     

Conducting Health Disparities Research with Criminal Justice Populations: Examining Research,Ethics, and Participation

This study explored the challenges of informed consent and understanding of the research process among Black and Latino men under community supervision (e.g., parole and/or probation). Between February and October 2012, we conducted cognitive face-to-face interviews using open-ended questions on the significant areas of research participation (i.e., the informed consent process, confidentiality, compensation, what is meant by human subject and clinical trials) among 259 men aged 35 to 67 under community supervision in Bronx, New York. Content analysis of the open-ended questions revealed limited knowledge concerning the understanding of research participation. The study participants appeared to generally understand concepts such as compensation after research participation and confidentiality. Participants demonstrated a lack of understanding of certain aspects of the research process—informed consent, human subject, Institutional Review Board, and clinical trials. These findings are informative to researchers conducting studies with criminal justice populations and Institutional Review Boards reviewing research studies.     

A challenge to ‘self’ centred ‘psycho’: Therapy as an introduction to an ‘inter-relational therapy’

This paper focuses on ‘psychotherapy’, particularly exploring the emphasis on the ‘psyche’. The term ‘psyche’ is described as potentially having different interpretations depending on the underlying ontological assumptions that influence its understanding and these, it is suggested, will have considerable implications for the therapy that identifies with the label ‘psychotherapy’. Two very different ontological perspectives are highlighted in this paper in order to illustrate the different conception of the term ‘psyche’; firstly, Freud’s interpretation of what is meant by ‘psyche’, which is then contrasted with a phenomenological perspective, with reference to the philosophy of Husserl and Heidegger. Both the Freudian and phenomenological approaches are then criticised for focusing on, what is described here as, an egocentric perspective and it is suggested that the term ‘psycho-therapy’ will inevitably lead to a preoccupation with putting the ‘self’ first as a basis for relating to the external world. An alternative term, ‘Inter-relational therapy’, is presented based on the ideas of Levinas and MacMurray, both of who are critical of a cultural preoccupation with focusing on the ‘self’ and suggest a need to acknowledge relationships with the external world, including the other people that populate it, prior to a ‘self’ reflective process.     

What anorexic and bulimic patients have to tell: the analysis of patterns of unconscious conflict expressed in stories about everyday events

The development of European associations for counselling and psychotherapy raises questions about the challenge of producing pan-European statements of professional ethics. This article explores the range of ethical predispositions associated with different cultures to be found in Europe before examining how the European Association for Counselling and European Association for Psychotherapy have responded to this diversity. Recently produced ethical statements are examined in some detail. Both are found to be compatible with some of the culturally endorsed ethical predispositions to the exclusion of others. the article concludes by suggesting some of the issues that need to be considered in constructing a truly European ethic for counselling and psychotherapy.     

Deliverance,demonic possession,and mental illness: some considerations for mental health professionals

This paper outlines an unconventional treatment for mental illness, the exorcism or deliverance ritual used by Pentecostals and some other charismatic Christians. Deliverance beliefs and practices are based on the assumption that both mental and physical ills result from possession of the sufferer by demons, and are to be treated by the expulsion of those demons. Deliverance practitioners claim to treat schizophrenia, ADHD, and Reactive Attachment Disorder, and believe that these problems are related to sins either of the person in treatment or of an ancestor. Clinicians and counsellors dealing with clients who partially or completely espouse deliverance beliefs may need to understand their worldviews and to discuss their belief system before managing to engage them in conventional mental health treatments. Unusual ethical problems may also be met in the course of such work.     

Between Hippocrates and God: Ugandan mental health professional's views on suicide

A negative attitude towards suicide is generally assumed to be predominant in low-income countries. In order to understand the negative attitude in general it is necessary to look at how religion and morality influence the attitudes. Our aim in this qualitative interview study was to investigate what attitudes professional mental health workers in Uganda bear towards suicide and suicidal persons. The professionals argue for their attitude by employing religious, communal and medical ethics arguments, which draw both in a negative and positive direction. The professionals are in general unambiguously negative towards suicide and positive towards suicidal people who are mentally ill. In cases other than mental illness non-accepting attitudes surface. This is discussed against previous research showing that effective treatment of suicidal people is to be based on a trusting and accepting relationship.     

Sociality and solitude

“How can I, who am thinking about the entire, centerless universe, be anything so specific as this: this measly creature existing in a tiny morsel of space and time?” This metaphysically self-deprecating question, posed by Thomas Nagel, holds an insight into the nature of personhood and the ordinary ways we value it, in others and in ourselves. I articulate that insight and apply it to the phenomena of friendship, companionship, sexuality, solitude, and love. Although love comes in many forms, I say, it always involves a sense of wonder at a finite creature thinking infinite thoughts.