医疗暴力的危害、原因及对策

医疗暴力事件严重干扰医院正常诊疗秩序,给医疗服务带来许多负面影响,是急待解决的一个重要问题。介绍了部分国内外有关医疗暴力的报道,分析其危害及产生的原因,并提出相关对策。     

Shedding Dialectical Tiers: A Social-Epistemic View

Is there a duty to respond to objections in order to present a good argument? Ralph Johnson argues that there is such a duty, which he refers to as the “dialectical tier“ of an argument. I deny the (alleged) duty primarily on grounds that it would exert too great a demand on arguers, harming argumentation practices. The valuable aim of responding to objections, which Johnson 's dialectical tier is meant to satisfy, can be achieved in better ways, as argumentation is a social-epistemic activity.     

中医止血技术发展缓慢的原因和启示

以中国古代外伤止血技术为例,从医学发展进程的角度,比较东、西方止血技术发展的差异,分析外伤止血方法发展缓慢的原因,据此提出加快发展中医药现代化进程的若干建议.     

Particularism and Default Reasons

This paper addresses a recent suggestion that moral particularists can extend their view to countenance default reasons (at a first stab, reasons that are pro tanto unless undermined) by relying on certain background expectations of normality. I first argue that normality must be understood non-extensionally. Thus if default reasons rest on normality claims, those claims won't bestow upon default reasons any definite degree of extensional generality. Their generality depends rather on the contingent distributional aspects of the world, which no theory of reasons should purport to settle. Appeals to default reasons cannot therefore uniquely support particularism. But this argument also implies that if moral generalism entailed that moral reasons by necessity have invariant valence (in the natural extensional sense), it would be a non-starter. Since generalism is not a non-starter, my argument forces us to rethink the parameters of the generalism-particularism debate. Here I propose to clarify the debate by focusing on its modal rather than extensional aspects. In closing, I outline the sort of generalism that I think is motivated by my discussion, and then articulate some worries this view raises about the theoretical usefulness of the label ‘default reason’.     

Practical Reasons, Practical Rationality, Practical Wisdom

There are a number of proposals as to exactly how reasons, ends and rationality are related. It is often thought that practical reasons can be analyzed in terms of practical rationality, which, in turn, has something to do with the pursuit of ends. I want to argue against the conceptual priority of rationality and the pursuit of ends, and in favor of the conceptual priority of reasons. This case comes in two parts. I first argue for a new conception of ends by which all ends are had under the guise of reasons. I then articulate a sense of rationality, procedural rationality, that is connected with the pursuit of ends so conceived, where one is rational to the extent that one is motivated to act in accordance with reasons as they appear to be. Unfortunately, these conceptions of ends and procedural rationality are inadequate for building an account of practical reasons, though I try to explain why it is that the rational pursuit of ends generates intuitive but misleading accounts of genuine normative reasons. The crux of the problem is an insensitivity to an is-seems distinction, where procedural rationality concerns reasons as they appear, and what we are after is a substantive sense of rationality that concerns reasons as they are. Based on these distinct senses of rationality, and some disambiguation of what it is to have a reason, I offer a critique of internalist analyses of one’s reasons in terms of the motivational states of one’s ideal, procedurally rational self, and I offer an alternative analysis of one’s practical reasons in terms of practical wisdom that overcomes objections to related reasons externalist views. The resulting theory is roughly Humean about procedural rationality and roughly Aristotelian about reasons, capturing the core truths of both camps.

Gert on Subjective Practical Rationality

The purpose of this paper is to consider Joshua Gert’s novel view of subjective practical rationality in his book Brute Rationality. After briefly outlining the account, I present two objections to his view and then consider his own objections to a rival approach to understanding subjective rationality which I take to be much more plausible.

Not So Enticing Reasons

A common view of the relation between oughts and reasons is that you ought to do something if and only if that is what you have most reason to do. One challenge to this comes from what Jonathan Dancy calls ‘enticing reasons.’ Dancy argues that enticing reasons never contribute to oughts and that it is false that if the only reasons in play are enticing reasons then you ought to do what you have most reason to do. After explaining how enticing reasons supposedly work and why accepting them may appear attractive, I firstly show why we are not committed to accepting them into our conceptual framework and then argue that no reasons work in the way enticing reasons are claimed to. Thus we should reject the category of enticing reasons entirely.

Fischer and Ravizza on Moral Responsibility

The author argued elsewhere that a necessary condition that John Fischer and Mark Ravizza offer for moral responsibility is too strong and that the sufficient conditions they offer are too weak. This article is a critical examination of their reply. Topics discussed include blameworthiness, irresistible desires, moral responsibility, reactive attitudes, and reasons responsiveness.     

The Normative Core Of Paternalism

The philosophical debate on paternalism is conducted as if the property of being paternalistic should be attributed to actions. Actions are typically deemed to be paternalistic if they amount to some kind of interference with a person and if the rationale for the action is the good of the person interfered with. This focus on actions obscures the normative issues involved. In particular, it makes it hard to provide an analysis of the traditional liberal resistance to paternalism. Given the fact that actions most often have mixed rationales, it is not clear how we should categorize and evaluate interfering actions for which only part of the rationale is the good of the person. The preferable solution is to attribute the property of being paternalistic not to actions, but to compounds of reasons and actions. The framework of action–reasons provides the tools for distinguishing where exactly paternalism lies in the complex web of reasons and actions.     

The possibility of pragmatic reasons for belief and the wrong kind of reasons problem

In this paper I argue against the stronger of the two views concerning the right and wrong kind of reasons for belief, i.e. the view that the only genuine normative reasons for belief are evidential. The project in this paper is primarily negative, but with an ultimately positive aim. That aim is to leave room for the possibility that there are genuine pragmatic reasons for belief. Work is required to make room for this view, because evidentialism of a strict variety remains the default view in much of the debate concerning normative reasons for belief. Strict versions of evidentialism are inconsistent with the view that there are genuine pragmatic reasons for belief.