处理疼痛的理念

处理疼痛的理念各有不同。有人认为手术后疼痛很正常,挺着吧。人老了,腰腿痛就该扛着。而有的人会积极给予止痛治疗,以患者舒适为目标。2007年7月我国卫生部签发了关于《医疗机构诊疗科目名录》中增加“疼痛科”的文件,说明我国进入了一个止痛治疗的新时代。得到疼痛治疗是患者的基本权利,也是医师的崇高职责。有疼有痛忍着不治的时代即将过去,及早、及时为患者止痛是人道主义的体现。     

Privacy Rights,Crime Prevention,CCTV, and the Life of Mrs Aremac

Over the past decade the use of closed circuit television (CCTV) as a means of crime prevention has reached unprecedented levels. Though critics of this development do not speak with one voice and have pointed to a number of different problems in the use of CCTV, one argument has played a dominant role in the debate, namely, that CCTV constitutes an unacceptable violation of people’s right to privacy. The purpose of this paper is to examine this argument critically. It is suggested that the argument is hard to sustain.     

Animal Minds,Cognitive Ethology,and Ethics

Our goal in this paper is to provide enough of an account of the origins of cognitive ethology and the controversy surrounding it to help ethicists to gauge for themselves how to balance skepticism and credulity about animal minds when communicating with scientists. We believe that ethicists’ arguments would benefit from better understanding of the historical roots of ongoing controversies. It is not appropriate to treat some widely reported results in animal cognition as if their interpretations are a matter of scientific consensus. It is especially important to understand why loose references to “cognitive ethology” by philosophers can signal ignorance of the field to scientists who are more deeply immersed in the relevant literature. Understanding the variety of approaches to cognitive phenomena in animals is essential if such capacities are to form the foundation of scientifically-informed ethical reasoning about animals.     

动物的元认知能力研究综述

“知道自己知道,知道自己不知道”,这种“元认知”能力被看成是人类最复杂的认知能力之一;目前学者们对人类的元认知能力进行了比较深入地研究,这时人们不禁会问:这种普遍存在于人类身上的基本认知能力,在动物身上是否也同样存在呢?一些学者做了实验研究加以考察,并提出两个相反的观点;这个领域的研究也在这样的争论中不断发展,通过对动物元认知模式的研究,科学家可以回答这一问题并试图描绘出动物进化的图谱,以及认知因素在物种进化中的作用,更重要的是,它为我们从物种学角度探讨意识和自我意识的起源提供了很好的思考角度。     

Ethics of aggression research: Papers from a symposium of International Society for Research on Aggression

Three papers are presented from the first symposium on ethical issues in aggression research of the International Society for Research on Aggression held at the biennial meetings 1980 in Haren, The Netherlands. The symposium reflected a growing awareness of the Society that their research is a matter for public concern and scrutiny, both for its potentially good uses, and for its potential misuse and misinterpretation. A paper by Santiago Genovés, a Mexican anthropologist, outlined some of the issues concerning the dissemination of information and misinformation of aggression to the public, along with an extensive bibliography on the subject. A paper by Paul Brain, a British zoologist, addressed the issues surrounding the use of animals in aggression research and the arguments being used in public attacks upon it. Daniel Wikler, a practitioner of normative ethics from the United States, discussed ethics as theory and as practice and suggested some of the types of actions that the Society could consider undertaking.     

Identity,Incentives, and Religious Defense of Human Rights: Marshall Meyer and the DAIA in Argentina's Dirty War

Whether religious groups advance or limit human rights has been a topic of recent debate among human rights scholars. This article studies the conditions under which religious leaders advance human rights in the context of Argentina's Jewish community during the country's 1976–1983 military dictatorship. Three major influences on religious support for human rights—autonomy from a religious community's establishment, a missionary-reformer identity, and congregational mobilization—are highlighted. Original archival research from the papers of U.S.-born rabbi Marshall T. Meyer illustrates his defense of human rights in Argentina, contrasting his work with the inaction of a major established Jewish organization. Quantitative cross-national analysis extends the case study findings by showing a relationship between religious institutions’ autonomy from the state and defense of human rights.     

Correspondence as conditional stimulus control: insights from experiments with pigeons.

Correspondence between saying and doing, typically studied in young children and individuals with developmental disabilities, was examined as an instance of conditional stimulus control. In Experiment 1, 3 pigeons were exposed to a two‐component repeated‐trials procedure. In the first—sample or say—component, two response keys transilluminated by different colored lights were presented and the pigeon pecked one of the keys. After 1 s of darkness in the chamber, the second—choice or do—component was presented, in which the two keys again were transilluminated, one by the color selected in the first component and the second by another color. Selecting the color that matched that selected in the say component resulted in access to food. Selecting the other color produced a blackout of the chamber. After an intertrial interval (ITI), the next say component was programmed, and the procedure was repeated. Correspondence remained at chance levels through several manipulations of ITI duration and sample response requirement. When a correction procedure was added such that only the originally selected sample stimulus was re‐presented until a correct choice response occurred, reliable correspondence developed in 2 pigeons. This correspondence was eliminated by making reinforcement independent of correspondence and subsequently was reestablished when reinforcement again depended on correspondence. In Experiment 2, 3 other pigeons rapidly acquired correspondence under the final procedure used in Experiment 1. Increasing the time interval between the say and do components diminished correspondence. The results of the two experiments suggest how correspondence may be considered an instance of conditional stimulus control and that it is possible to construct a homologue of human say‐do correspondence with pigeons.     

Using robots to understand animal cognition

In recent years, robotic animals and humans have been used to answer a variety of questions related to behavior. In the case of animal behavior, these efforts have largely been in the field of behavioral ecology. They have proved to be a useful tool for this enterprise as they allow the presentation of naturalistic social stimuli whilst providing the experimenter with full control of the stimulus. In interactive experiments, the behavior of robots can be controlled in a manner that is impossible with real animals, making them ideal instruments for the study of social stimuli in animals. This paper provides an overview of the current state of the field and considers the impact that the use of robots could have on fundamental questions related to comparative psychology: namely, perception, spatial cognition, social cognition, and early cognitive development. We make the case that the use of robots to investigate these key areas could have an important impact on the field of animal cognition.     

Factors that distinguish aggression toward animals from other antisocial behaviors: Evidence from a community sample

Animal cruelty is a form of passive and active aggression that is largely undocumented and unreported. Given that animals are voiceless victims, we have to rely on witnesses and frontline staff (e.g., veterinarians) to report incidents of abuse, which suggests the number of convicted animal abusers is an under‐representation of actual perpetrators. The primary aim of the current study was to identify the static and dynamic factors that distinguish animal abusers from non‐abuse offenders (i.e., individuals who self‐reported antisocial behavior, but not animal abuse), and non‐offenders (i.e., individuals who have not engaged in any antisocial behavior) in a community sample. The secondary aim was to identify the potential pathways that distinguish animal abuse perpetration from other types of antisocial behavior. Three hundred and eighty‐four participants took part in this retrospective, correlational study. We found that animal abusers share similar socio‐demographic characteristics to other offenders but are distinct in their exposure to animal harm/killing during childhood. Low animal‐oriented empathy and low self‐esteem distinguished animal abusers from non‐abuse offenders when controlling for confound variables and other psychological characteristics. We also found that low animal‐oriented empathy mediated the relationship between childhood exposure to animal killing and animal abuse perpetration, and that this relationship was stronger among participants with anger regulation issues. This is the first study to examine similarities and differences between animal abusers, non‐abuse offenders, and non‐offenders on socio‐demographic and psychological characteristics. The findings highlight potential treatment targets that are unique to animal abusers with implications for prevention and intervention strategies.

     

患者权利冲突的法伦理思考

随着患者权利意识的增强及患者权利趋于多元化,医患关系逐渐由医生家长主义模式向患者自主决定模式转变,患者权利冲突日益增多并呈现多面向的图景。这种冲突引发如下之追问:患者权利冲突有什么特点?应当如何进行价值判断与取舍?医学的终极目的是什么?应当依据医疗卫生事业的终极人文价值与伦理原则,实现一般情况下的对患者所有权利的同等保护和特定情况下的对患者某种权利的优先保护,从而实现权利与善的统一。