老年病诊疗中的几个问题

老年医学是哲学思维和理论含量很高的科学,老年病科医生要学会科学应用哲学的思维方法,克服临床思维过程中的缺点,将哲学思维应用于实际临床实践中,既要科学地分析,又要哲学地概括,在实际工作中做到主观与客观、理论与实践的具体统一,避免误诊、误治,提高老年病人的生活质量。     

人类辅助生殖技术中的伦理监督与实践

我国人类辅助生殖技术的开展以及相关法律规范的实施为该技术的运用带来伦理管理的新课题。分别阐述辅助生殖技术中伦理监督的重要意义、重点与难点,对我院具体管理工作与实践探索作了介绍,并对该技术伦理监督管理中的几个问题进行了讨论。     

Dilemmas of Practice: Challenges to Program Quality Encountered by Youth Program Leaders

To create and sustain high quality youth development programs it is important to understand the challenging situations and dilemmas that emerge in program leaders’ daily work with youth. In this research the experiences of leaders in 12 programs were followed over a 2–9 month period, which led to the identification of 250 dilemma situations. Qualitative analyses identified 5 categories and 12 subcategories of dilemmas that reflected distinct types of considerations (e.g., youth’s personalities, relationships with the community). The analyses also found that the experienced leaders in the study typically responded to these dilemmas in ways that were youth-centered and that balanced multiple considerations. It is argued that researchers need to go beyond identifying features of high quality programs, and more fully examine how effective leaders create and sustain high quality in response to the challenging situations of practice.     

轻重学说在唐代的接受与实践

轻重学说是封建政府加强财政收入的理财理论。本文在简要分析唐代财政状况的基础上,分别论述了刘彤、刘秩、第五琦、刘晏、陆贽、白居易对轻重学说的理论接受与财政实践。     

JEFFREY STOUT ON DEMOCRACY AND ITS CONTEMPORARY CHRISTIAN CRITICS

Jeffrey Stout addresses two of the main criticisms of liberal democracy by its contemporary neotraditionalist Christian critics: that liberal democracy is destructive of social tradition, and thereby of virtue in the citizenry, and that liberal democracy is inherently secular, committed to expunging religious voices from the public arena. I judge that Stout effectively answers these charges: liberal democracy has its own tradition, it cultivates the virtues relevant to that, and it is not inherently hostile to piety. What Stout does not do, I suggest, is take the next step of showing, positively, that Christianity can and should affirm the substance of liberal democratic society. This is due, in good measure, to the fact that Stout never tells us, except in off‐hand comments, what he takes the substance of liberal democracy to be. And this, in turn, is due to his way of employing pragmatism: he uses pragmatism to give an account of human society generally, not of liberal democratic society. I raise some questions about the general account that pragmatism gives of human society, and thus about the account that it would give of liberal democracy.     

Language, moral order and political praxis

The paper argues that the debate between objectivist criticism and postmodern critique represents a fracturing of the modes of mundane social and linguistic practice. The two together miss the open-textured character of language-in-use and the reflexive properties of situated human practice. Both difference and agreement are grounded in the multiplicity of criteria that are a feature of the logical grammar of language, and therefore of everyday praxis, including that of critique. To escape the duality of foundationalism on the one hand, and radical relativism on the other, attention to the praxiological details of human action and reasoning is needed. The paper draws on Wittgensteinian philosophy and ethnomethodological studies of reasoning to make its case.     

Teaching psychological knowledge and skills to family physicians

Psychological problems (e.g., anxiety, depression, substance abuse) are prevalent in primary care medical settings. Family physicians (FPs) treat more patients than any other primary care medical specialists. Thus, FPs can play an extremely important role in providing psychological services to their patients. In contrast to other specialists (e.g., internists, obstetricians), FPs are required to complete behavioral science training in their residencies. In this paper, we describe standard undergraduate, graduate, and postgraduate training of FPs. We present our unique program for teaching psychological principles and skills to family practice residents at the University of Kansas Medical Center. And finally, we introduce an instrument, the Interview Rating Scale (IRS), for evaluating the interviewing skills of physicians and residents.     

Ecumenism in the 21st Century

This article explores the challenges facing the ecumenical movement at the beginning of the 21st century: global demographic trends and a shift in the centre of gravity of Christianity toward the global South; the need for ecumenical structures and institutions to change in response to new realities; the need to widen the ecumenical fellowship so that Roman Catholics, Pentecostals, and evangelicals who have not played a part in the WCC may participate more fully; the urgency of inter‐religious dialogue; and the need to discover a “spirituality of engagement” in interaction with the world and its people.     

Conceptual engineering for mathematical concepts

In this paper I investigate how conceptual engineering applies to mathematical concepts in particular. I begin with a discussion of Waismann’s notion of open texture, and compare it to Shapiro’s modern usage of the term. Next I set out the position taken by Lakatos which sees mathematical concepts as dynamic and open to improvement and development, arguing that Waismann’s open texture applies to mathematical concepts too. With the perspective of mathematics as open-textured, I make the case that this allows us to deploy the tools of conceptual engineering in mathematics. I will examine Cappelen’s recent argument that there are no conceptual safe spaces and consider whether mathematics constitutes a counterexample. I argue that it does not, drawing on Haslanger’s distinction between manifest and operative concepts, and applying this in a novel way to set-theoretic foundations. I then set out some of the questions that need to be engaged with to establish mathematics as involving a kind of conceptual engineering. I finish with a case study of how the tools of conceptual engineering will give us a way to progress in the debate between advocates of the Universe view and the Multiverse view in set theory.