智能医学算法决策的伦理困境及风险规制

智能医学呈现出难追溯性、不公平性、过程难以理解性、结果不确定性和数据驱动性的技术特征。上述特征与诊疗场景特性的融合交叠可能诱发医生主体地位被削弱、医患信任危机、医疗资源分配不均加剧以及诊疗结果不确定性增加等风险。为有效防范智能算法的决策风险,在智能医学应用中必须遵循以强化医生主体地位为根本出发点,以降低医患信任危机为主导,以平衡资源分配为方向和以增加诊疗结果确定性为目标的伦理规制。

     

两难对策中价值取向对群体合作行为的影响

采用实验室方法,通过两难对策任务的情景模拟,研究群体成员的价值取向对群体合作行为的影响。62名被试参加了实验。结果发现：（1）群体合作行为受到群体成员价值取向的影响,合作型成员会产生更多的群体合作行为;（2）群体的合作行为也受到合作者对策策略的影响,对应策略将导致最多的群体合作行为;（3）两者的交互作用对群体的合作行为具有影响,但不显著。     

CNI模型在道德决策研究中的应用

道德决策是指个体面临两种或两种以上道德观或道德需求之间的冲突时, 对行为和行为结果进行利弊权衡并做出最终选择。道德两难困境是研究道德决策的经典范式, 而传统道德两难困境范式受到诸多质疑, 道德两难困境的不现实性及缺乏有效指标量化功利论和道义论倾向, 无法对道德决策进行准确解释。针对传统道德两难困境范式不足, 道德决策CNI模型通过多项式建模的方法, 分别计算个体对结果(Consequences)的敏感性、对道德规范(moral Norms)的敏感性以及个体的行为反应偏好(Inaction versus action), 能够更清晰的识别影响道德决策的重要因素。未来研究应围绕影响道德决策的其他因素、道德情境的生态效度以及跨文化适用性等方面继续完善CNI模型, 并进一步探索道德决策的潜在心理机制。     

Between the Horns: A Dilemma in the Interpretation of the Running of the Bulls – Part 1: The Confrontation

The essay, divided in two parts, examines the event of the running of the bulls (encierro in Spanish). The phenomenon of the encierro, a complex cultural activity of deep historical roots, demands to be understood: What drives people to risk injury or death at the horns of untamed bulls? How should we make sense of this, subjective and objectively? To answer these questions, I use a framework that relies on explanation and assessment of popular views on the way to arguing for a philosophical alternative. This arrangement is readily adaptable to many other sporting (and non-sporting) activities where risk and/or mass participation are key factors. Its unorthodox format – organised around an opening narrative of a paradigmatic, skilled and lucky run with the bulls, as well as hors texte (direct appeals to the reader) – brings the reader straight into the fray, philosophical and otherwise. Part I begins by presenting the history of the encierro. It also explains the dynamics of the event, often via images with pedagogical and critical side-commentaries. It proceeds to introduce and critically engage with prevalent explanations, most with ethnological tendencies, that conceive the running as tradition, rite, ritual and sport. This part ends with a dilemma whereby we either try to explain matters by resorting to particular and partial interpretations, or a ‘democratic’ conglomerate of superficial and confusing boundaries, or in the end we simply concede our inability to understand the phenomenon of the running of the bulls in toto. This philosophical impasse will be evaded in part 2 (Sport, Ethics and Philosophy 2, 1) via existentialist and phenomenological analysis.     

Intercultural Model of Ethical Decision Making: Addressing Worldview Dilemmas in School Counseling

The role of school counselors has expanded and deepened over the past few decades, just as the K–12 student population has become more diversified. Professional school counselors regularly encounter ethical dilemmas related to the intersection of their transformed role and students' needs. School counselors, therefore, need assistance and support to develop the skills and problem‐solving strategies to effectively, ethically, and respectfully negotiate these dilemmas. The authors propose the Intercultural Model of Ethical Decision Making as a practical, user‐friendly tool to help school counselors meet these complex challenges.     

The issue of human existence as represented in dreaming: A new Daseinsanalytic interpretation of the meaning of dreams

Abstract

Dreams are associated with those issues of our waking life which preoccupy us emotionally. According to our Daseinsanalytic view, however, the issue that concerns us while dreaming is actually not the concrete worrying matter itself, but its existential dimension. This view is based on Martin Heidegger's concept of human being as that being to which its own being is an issue. It means that all feeling and understanding dealing with concrete issues concurrently refer to fundamental issues of our existence. Dreaming though, we are focused entirely on the fundamental aspects. Dreams show the very individual and specific struggle of the dreamer with certain conditions of human life, which he or she is unable or unwilling to accept because they seem too difficult to endure. I want to demonstrate this method of interpretation on a dream of a depressive patient. The example illustrates that the concerns of dreaming are rooted in and refer to an existential dilemma that is hidden in the concrete difficulties of waking life and represented in the concrete dream events. In addition, it gives us the opportunity to inquire into the specificity of the fundamental dilemma of a personality with a “depressive view” of the world.     

Explanations of interindividual – intergroup discontinuity: A review of the evidence

The authors review and evaluate various explanations for the tendency of intergroup relations to be more competitive, or less cooperative, than interindividual relations (the discontinuity effect). They distinguish between two general perspectives, each comprising a set of explanations for the discontinuity effect. The fear and greed perspective assumes that intergroup relations are characterised by greater fear and greed than are interindividual relations. The group decision-making perspective assumes a crucial role for group discussion in facilitating rational comprehension of mixed-motive situations. In general, explanations from the fear and greed perspective were found to be more consistent with the empirical record than explanations from the group decision-making perspective. The authors propose that a complete understanding of the discontinuity effect is yet to be achieved.     

A closer look at moral dilemmas: Latent dimensions of morality and the difference between trolley and footbridge dilemmas

Although a distinction between moral-personal and moral-impersonal dilemmas (Greene, Sommerville, Nystrom, Darley, & Cohen, 2001 Greene, J. D., Sommerville, R. B., Nystrom, L. E., Darley, J. M. and Cohen, J. D. 2001. An fMRI investigation of emotional engagement in moral judgement. Science, 293: 2105–2108. doi:10.1126/science.1062872.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) has been widely accepted as an explanation for a difference between the trolley and footbridge dilemmas (Thomson, 1985 Thomson, J. J. 1985. “The trolley problem”. In Ethics: Problems and principles, Edited by: Fischer, J. M. and Ravizza, M. Fort Worth, TX: Harcourt Brace Jovanovich.  [Google Scholar]), its psychometric properties remain a mystery. In this study 219 participants completed 62 moral dilemma tasks used in Greene et al. (2001 Greene, J. D., Sommerville, R. B., Nystrom, L. E., Darley, J. M. and Cohen, J. D. 2001. An fMRI investigation of emotional engagement in moral judgement. Science, 293: 2105–2108. doi:10.1126/science.1062872.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), and the correlation structure among the dilemmas was analysed through factor analysis and structural equation modelling. Findings suggest that, first, moral-personal dilemmas are composed of one factor, indicating that the assumption in Greene et al. (2001 Greene, J. D., Sommerville, R. B., Nystrom, L. E., Darley, J. M. and Cohen, J. D. 2001. An fMRI investigation of emotional engagement in moral judgement. Science, 293: 2105–2108. doi:10.1126/science.1062872.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) was supported. Second, moral-impersonal dilemmas are explained by two factors that reflect procedural and consequential aspects of decision making. Third, the trolley and footbridge dilemmas fall under the same factor category; therefore the difference between the two dilemmas cannot be attributed to emotional involvement. Additionally, the results of the structural equation modelling suggest that they differ in the engagement of rational processing.     

Belief merging and the discursive dilemma: an argument-based account to paradoxes of judgment aggregation

The aggregation of individual judgments on logically interconnected propositions into a collective decision on the same propositions is called judgment aggregation. Literature in social choice and political theory has claimed that judgment aggregation raises serious concerns. For example, consider a set of premises and a conclusion where the latter is logically equivalent to the former. When majority voting is applied to some propositions (the premises) it may give a different outcome than majority voting applied to another set of propositions (the conclusion). This problem is known as the discursive dilemma (or paradox). The discursive dilemma is a serious problem since it is not clear whether a collective outcome exists in these cases, and if it does, what it is like. Moreover, the two suggested escape-routes from the paradox—the so-called premise-based procedure and the conclusion-based procedure—are not, as I will show, satisfactory methods for group decision-making. In this paper I introduce a new aggregation procedure inspired by an operator defined in artificial intelligence in order to merge belief bases. The result is that we do not need to worry about paradoxical outcomes, since these arise only when inconsistent collective judgments are not ruled out from the set of possible solutions.     

Effects of trait anger and anger expression style on competitive attack responses in a wartime prisoner’s dilemma game

We assessed the role of trait anger and anger expression style on competitive/aggressive decision making and responding. In a 100‐trial iterated Prisoner’s Dilemma (IPD), with instructions to simulate wartime interactions, competition/aggression was defined as “attacking the opponent,” and “waiting for troop reinforcements” was the noncompetitive alternative response. Prior to play, 92 university student players completed the State‐Trait Anger Expression Inventory. They were then paired to play the IPD against partners of similar or dissimilar trait anger levels. At postplay, the State Anger scale was readministered. Results showed significant preplay to postplay increases in state anger, with greater increases shown by high trait anger players. Thus, high trait anger players were especially subject to arousal. Players in the high trait anger group made more competitive/attack responses, and they were more likely to do so when paired with a high trait anger partner. As a result of the high level of competitive/aggressive play, both groups ended with a negative troop count. Trait anger as a general personality temperament was predictive of state anger, competitive/attack responses, and the number of trials before a retaliation was made. The expressive style of anger‐control was also related to manner of play. Trait anger had strong direct and indirect effects through anger control on the number of competitive attack responses. It was concluded that trait anger, especially trait anger/temperament, and anger control difficulties may be toxic personality factors in decision making and competitive behavior. Aggr. Behav. 28:117–125, 2002. © 2002 Wiley‐Liss, Inc.