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231.
Why should I take care of my aging parents? How far will morality require me to sacrifice for this cause? I will study these questions from the perspectives of Confucianism and rule‐consequentialism. Confucians believe that the continuity of families and the interactions between members of different generations can enhance the integrity of society in the long run. However, since Confucianism may impose extreme demands on its followers, this theory may be problematic. In this paper, I argue that despite its demands, the Confucian doctrines are defensible and are worth upholding. To explain my view, I draw upon rule‐consequentialism and explain how the rule‐consequentialist analysis complements and enhances the Confucian claims. I believe that the consequentialist conception of Confucianism can provide a useful resource for responding to the moral challenge of population aging in the current state of the world.  相似文献   
232.
The paper summarizes recently published dataand recommendations about healthcaredisparities experienced by African Americanswho have Medicare or other healthcare coverage.Against this background the paper addresses theethics of such disparities and howdisadvantages of vulnerable populations likeAfrican Americans are typically maintained indecision making about how to respond to suchdisparities. Considering how to respond todisparities reveals much that vulnerablepopulations would bring to the policy-makingtable, if they can also be heard when they getthere. The paper argues that vulnerablepopulations like African Americans need fairrepresentation in bodies deciding what to doabout such disparities and that fairnessrequires proportional representation at alllevels of decisions that affect healthcare – aradical change. In this decision setting, howto provide adequate protection of minoritiesneeds much further attention. The mostattractive decision-making model isdeliberative democracy. The paper shows thatin deliberation, fair representation requiresnot only having a voice in decisions, but afair hearing of those voices. Achieving a fairhearing requires changes in norms ofcommunication and training of all to giveimportance to greetings and other measures ofcivility and trust building, and to be open todiverse forms of expression. Decisions abouthow to respond to healthcare disparities wouldinclude what programs to initiate for whom, howto evaluate the programs, and what to do inresponse to such evaluations. Conclusions arethat achieving such goals will take a seachange in how healthcare institutions andproviders do their business, and that socialactivism at every level will be needed toeffect these changes. The discussionhighlights many ethical issues that need muchgreater attention.  相似文献   
233.
回顾了该研究的思路,指出进行这样的研究,关键是建立一个有代表性的监测系统,针对同一监测人群,开展综合监测,发展规范的现场工作程序,确保获得高质量数据。建立标准的、动态的人口库、出生、死亡和危险因素个案库,是完成这项研究的前提,世界卫生组织专家称这是中国人在流行病学监测中的天才创新。  相似文献   
234.
Scott Spector 《Jewish History》2006,20(3-4):349-361
Between the Enlightenment and the Holocaust, a wide range of German-speaking Jewish subjects shared certain assumptions about a problematic associated with being Jewish and living in a non-Jewish German society (and the concomitant process of relative “assimilation”). The categories of identity and culture that undergirded this problematic became part of a shared lexicon of a German-Jewish “identity crisis”—a lexicon that was handed down to the historiography of German Jews that would develop after the community’s destruction. The author of this contribution challenges the validity of some of these categorical assumptions by setting them against the varied background of German-Jewish experience in the nineteenth and twentieth centuries, offering a model of subjectivity (rather than identity) that might allow the historiography to break out of the cyclical repetition in which it currently finds itself. By examining specific exemplars, including Gershom Scholem, Edith Stein, Martin Buber, and others, the author models a reading strategy that would be appropriate for German-Jewish subjectivity.  相似文献   
235.
Ethical dilemmas are often not discussed in the dissemination of educational research. While the ethical guidelines for research seem clear at first glance, a closer look at the intimate nature of qualitative research reveals that there are many ambiguities or ‘grey’ areas where researchers must rely on their personal value systems. This article discusses the challenges faced by an experienced educator, although novice researcher, in considering the ethical parameters of her own research with adolescents with hearing loss. In particular, the grey ethical areas identified by the researcher include: (a) vulnerable population; (b) researcher role confusion; (c) consent; (d) privacy, confidentiality, and anonymity; as well as (e) the nature of risk. Based on the author’s own reflections on beginning the research process, the article presents possible pitfalls and ways of overcoming the possibility of becoming immobilized by the ethical enigmas of research.  相似文献   
236.
The Narcissistic Personality Inventory (NPI) is commonly used in empirical studies of narcissism. Few population-based studies have been published. Our aim was to do a confirmatory factor analysis (CFA) of the NPI 29 item version with a four-factor structure, in two population-based samples and in a patient sample, and present normative population-based data. The NPI-29 was filled in by 324 respondents from the Norwegian population, 231 from the Swedish population and 167 Norwegian psychiatric patients. The four-factor structure of the NPI-29 with Leadership/Power, Exhibitionism/Self-admiration, Superiority/Arrogance and Uniqueness/Entitlement was reproduced in these samples. The CFA models showed good fit indices in all samples. Mean scores on the NPI-29 and four subscales hardly differed between the samples. For the NPI-29 total score and factors, few significant differences were observed. CFA of the samples supported the factor structure of the NPI-29 formerly identified by principal component analysis of the Swedish population sample.  相似文献   
237.
Fifty years after the Holocaust, Jews in various parts of Poland who were raised as Christians are discovering their Jewish identity. Upon disclosing it, they may undergo personal crises. They are required to revise their sense of identity. Support groups conducted by the writer in the United States served as a model for similar groups in Warsaw, Poland. This paper explains the dimensions of this work, provides clinical examples from accounts of the participants, and discusses the problem of Jewish identity from various vantage points.  相似文献   
238.
健康的现代诠释:基于农村流动人口的研究   总被引:1,自引:1,他引:1  
现代语境里的健康不仅指涉生理与心理健康,社会与文化健康亦为不可或缺的维度,以农村流动人口为研究对象,结合健康这一研究主体,既对健康予以现代诠释,又对农村流动人口给以高度人文关注,力使他们在健康的现代话语中逐步向新市民转型。  相似文献   
239.
    
This study explores how acculturation is related to adaptation across different life spheres for 162 Soviet Jewish refugee adolescents in a suburban community in Maryland. Because the different contexts of refugee adolescents' lives vary in acculturative demands, different patterns of acculturation should be related to adaptation in different life spheres. The study uses a multidimensional measure of acculturation and assesses acculturation to both American and Russian cultures as it relates to psychological adaptation, peer relations, and school and family outcomes. Findings support the general ecological thesis that acculturation to different cultures is differentially related to adaptation across life domains. Acculturation to American culture predicted better grades and perceived support from American peers. Acculturation to Russian culture predicted perceived support from Russian peers. Both American acculturation and Russian acculturation predicted reduced loneliness and perceived support from parents. Further, different dimensions of acculturation, such as language and identity, were differentially related to adaptation. Implications for acculturation theory and measurement are drawn, and cautions are offered about the interpretation of acculturation studies using single proxies such as language use or preference.  相似文献   
240.
    
Jewish Americans may grapple with issues of ethnic identity differently than the larger White American group. Drawn from a large multisite sample (N = 8,501), 280 Jewish American (207 female, 73 male) emerging adults were compared with White American and ethnic minority samples on ethnic and U.S. identity. Jewish Americans rated themselves as significantly higher on measures of ethnic and U.S. identity compared with White Americans but not as highly as ethnic minorities. Ethnic identity search, affirmation, and resolution also predicted higher self-esteem for Jewish Americans, similar to the pattern for other ethnic groups. In addition, ethnic identity search and affirmation moderated the link between perceived discrimination and depressive symptoms among Jewish Americans.  相似文献   
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