医疗事故纠纷的本质及法律责任

医疗事故纠纷及处理的道德本质和司法原则在于对病人权利的维护。强化医务人员对病人生命与健康的医德责任感和病人权利意识,并使之成为自律、自觉的行为是预防和减少医疗事故纠纷发生的第一要素;而提高医务人员的法律意识,完善法律的制约机制,对医疗事故的防范是同样重要的。     

Confucian Ethics: Altruistic? Egoistic? Both? Neither?

Is Confucian ethics primarily egoistic or altruistic? There is textual support for both answers. For the former, for example, Confucius claims that one learns for the sake of oneself; for the latter, we can find Confucius saying that one ought to not impose upon others as one would not like to be imposed upon. This essay aims to explain in what sense Confucian ethics is egoistic (the highest goal one aims to reach is to become a virtuous person oneself) and in what sense it is altruistic (a virtuous person is necessarily concerned with the well-being, both external and internal, of others). The conclusion to be drawn, however, is not that Confucian ethics is both egoistic and altruistic, but that it is neither, since the Confucian ideal of a virtuous person is to be in one body with others so that there are really no others (since all others become part of myself), and since there are no others, there is no self either.     

The effect of leader moral development on ethical climate and employee attitudes

This study examines the effect of leader moral development on the organization’s ethical climate and employee attitudes. Results indicate that the relationship between leader moral development and ethical climate is moderated by two factors: the extent to which the leader utilizes his or her cognitive moral development (i.e., capacity for ethical reasoning), and the age of the organization. Specifically, the influence of the leader’s moral development was stronger for high utilizing leaders, those whose moral actions were consistent with their moral reasoning. Additionally, the influence of the leader’s moral development was stronger in younger organizations. Finally, as predicted, congruence between the leader’s moral development and the employee’s moral development was positively associated with job satisfaction and organizational commitment and negatively associated with turnover intentions.     

制度伦理思想的传统溯源

制度伦理的兴起,在今天的中国是与社会主义市场经济的建立与发展紧密相联的。市场经济从根本上改变了传统社会的生产方式,从而动摇了传统德性伦理的生存土壤,致使德性伦理的边缘化。但由此就认为制度伦理是现代社会的产物,是市场经济的唯一形式显然又是有失偏颇的。追溯制度伦理文化的传统根源,对于我们弘扬民族文化和培育民族精神有一定的现实价值和借鉴意义。     

Openness to experience and creativity: When does global citizenship matter?

The relationship between the openness to experience trait (OTE) and creativity has been well documented in previous research. Likewise, the global citizenship construct has theoretical overlap with both OTE and creativity. We hypothesised global citizenship would make a unique contribution to explaining variance in five types of creativity (self/everyday, scholarly, performance, mechanical/scientific and artistic), above and beyond the contribution of OTE. Participants were predominantly female, European American, traditionally aged college students (N = 407). Global citizenship prosocial outcomes explained unique variance in self/everyday (sr² = .10), scholarly (sr² = .03) and mechanical/scientific (sr² = .03) creativity. Results are discussed in terms of dual processes theories of cognition.     

Integrating the global neuronal workspace into the framework of predictive processing: Towards a working hypothesis

Hohwy (2013) proposed an account of conscious access that integrates the global neuronal workspace (GNW) into the framework of predictive processing, a view that I term the predictive global neuronal workspace (PGNW). Whilst promising, the PGNW is theoretically underdeveloped and empirically underexplored. The aim of this article is to outline the empirical predictions that distinguish the PGNW from other workspace models. I do so by (i) placing the PGNW in close contact with experimental work and cashing out a set of predictions that distinguish it from the standard formulation of the GNW, (ii) exploring the evidence for the first of these predictions in the context of bistable perception and the conscious processing of auditory regularities, and (iii), contrasting the PGNW with Chanes and Barrett (2016) limbic workspace. Combined, these arguments show that the PGNW is both testable and supported by current evidence.     

Measuring driving workload of heavy vehicles at roundabouts

Correctly designed roundabouts proved to have positive safety and functional performances. However, they are also affected by peculiar disadvantages. In particular, they are difficult to manoeuvre, especially for heavy vehicle drivers. Despite these concerns, there are currently no driving workload metrics devoted to roundabouts.A novel methodological approach is proposed for trying to quantify workload impinging on heavy vehicle drivers when manoeuvring through complex at-grade intersections. Proper acquisition of input data constitutes the starting point for future research about ascertainment of workload for these particular road scenarios. The described procedure enables recording steering wheel angles performed by a driver when manoeuvring an articulated lorry through a complex at-grade intersection. A field trial was carried out for verifying the practical feasibility of proposed method in capturing driver’s steering behaviour. Dynamic data acquired via global navigation satellite system instrumentation were related to actual driver’s steering wheel behaviour captured by camera frames. As a complement to the experiment, selected steering behaviour metrics were calculated. Steering Entropy attributed a high difficulty level to the manoeuvres performed through the roundabout, whereas High Frequency Component and Steering Reversal Rate showed intensity and occurrences of driver’s corrections needed for controlling position of the semitrailer at the ring. It appears that even a single roundabout may represent an arduous task for drivers. The study concludes with recommendations for further research about workload imposed by roundabouts to heavy vehicle drivers, with special attention to successions of closely spaced roundabouts.     

How do affected interests support global democracy?

In this paper, I critique one way of arguing for global democracy on grounds of affected interests and defend another. A famous argument for global democracy, which I call the Demos-Based Argument, attempts to justify global democracy based on the claim that affected interests vindicate individual claims to democratic participation or representation. I analyze and evaluate the Demos-Based Argument and consider different ways of interpreting and justifying its crucial premise: the Principle of Affected Interests. The result is that the argument fails. One lesson of the discussion of the Demos-Based Argument is that the most promising, though eventually unsuccessful, justification of the Principle of Affected Interests is utilitarian. Given the failure of the Demos-Based Argument, the question suggests itself if there is another way to argue for global democracy on utilitarian grounds. I will outline a promising alternative argument for global democracy, which I call the Direct Argument. Like the Demos-Based Argument, the Direct Argument is based on affected interests and ultimately on utilitarianism, but unlike the former, the Direct Argument avoids the detour over stating a criterion for individual claims to democratic participation and representation.     

When Will a Consequentialist Push You in Front of a Trolley?

As the trolley problem runs its course, consequentialists tend to adopt one of two strategies: (a) silently take comfort in the fact that deontological rivals face their own enduring difficulties, or (b) appeal to cognitive psychology to discredit the deontological intuitions on which the trolley problem depends. I refer to the first strategy as silent schadenfreude and the second as debunking attack. My aim in this paper is to argue that consequentialists ought to reject both strategies and instead opt for what I call robust advantage. This strategy emphasizes the intricate calculations that consequentialists employ to defend against objections based on friendship and integrity. I argue that these calculations offer consequentialism an explanatory advantage over deontology in the context of the trolley problem. It requires striking a delicate balance between deeply internalized dispositions to avoid causing harm and a context-sensitive ability to prevent disasters; however, empirical data help consequentialism on this front by illustrating that the integration of separate cognitive functions is an ordinary part of human psychology.     

Negotiating Ethical Paradoxes in Conducting a Randomized Controlled Trial: Aligning Intervention Science with Participatory Values

In this article, we describe ethical tensions we have faced in the context of our work as intervention scientists, where we aim to promote social justice and change systems that impact girls involved in the juvenile legal system. These ethical tensions are, at their core, about resisting collusion with systems of control while simultaneously collaborating with them. Over the course of designing and implementing a randomized controlled trial (RCT) of an ecological advocacy intervention for girls, called ROSES, ethical paradoxes crystalized and prompted us to engage in critical reflection and action toward the aim of moving away from conducting research on legal‐system‐involved girls and moving toward a more democratic, participatory process of inquiry with girls. Our experience revealed two intertwined paradoxes that ultimately served generative purposes. First, in collaborating with legal system stakeholders, we observed a single story of girls’ pathology narrated for girls, without girls, and ultimately internalized by girls. Second, in reflecting critically on the ethical implications of our study design, it became clear that the design was grounded in a medical model of inquiry although the intervention we sought to evaluate was based, in part, on resistance to the medical model. We describe emergent ethical tensions and the solutions we sought, which center on creating counternarratives and counterspaces that leverage, extend, and disrupt our existing RCT. We detail these solutions, focusing on how we restructured our research team to enhance structural competence, shifted the subject of inquiry to include the systems in which youth are embedded, and created new opportunities for former research participants to become co‐researchers through formal roles on an advisory board.