深化卫生事业改革应关注卫生经济伦理学研究

卫生经济伦理学是应用伦理学的一个分支,相对于经济学和卫生经济学的发展,卫生经济伦理学的建立和发展滞后,导致卫生经济体制改革的经济效果与社会效果的一定程度的偏离。卫生经济伦理学的理论前提是社会结构变迁要求各个相对独立社会领域的规则整合,其研究任务是为社会经济主体的行为提供一个规范性的评判,实现社会的和谐发展。     

Unpacking the relation between extraversion and volunteering in later life: The role of social capital

This study tested the hypothesis that the relation between extraversion and volunteering by older adults is fully mediated by social capital (participation in clubs and organizations, church attendance, and contact with friends). Data for this study come from 888 adults between the ages of 65–90 years old who participated in the Later Life Study of Social Exchanges (LLSSE). In support of our hypothesis, structural equation modeling revealed that extraversion exerted: (a) a significant total effect on volunteering (0.122), (b) significant indirect effects on volunteering via contact with friends (0.042), church attendance (0.034), and clubs and organizations (females only: 0.042), and (c) a non-significant direct effect on volunteering (0.010). These findings suggest that social capital provides a viable explanation for the association between extraversion and volunteering.     

What matters most? The relative role of mentoring and career capital in career success

This study used a career capital framework to compare the relative role of mentoring and three other forms of career capital (human, agentic, and developmental network capital) in predicting career success. Using a three-wave longitudinal design we found that mentoring added value, above and beyond the other forms of career capital, in predicting promotions and advancement expectations. However, although mentoring mattered for career success, it represented just a part of a constellation of career resources that are embedded within individuals and their relationships. Implications for future research are discussed.     

The Social Production of Altruism: Motivations for Caring Action in a Low-Income Urban Community

Contemporary social science paints a bleak picture of inner-city relational life. Indeed, the relationships of low-income, urban-residing Americans are represented as rife with distress, violence and family disruption. At present, no body of social scientific work systematically examines the factors that promote loving or selfless interactions among low-income, inner-city American individuals, families and communities. In an effort to fill that gap, this ethnographic study examined the motivations for altruism among a sample of adults (n = 40) who reside in an economically distressed housing community (i.e., housing project) in New York City. Content analyses of interviews indicated that participants attributed altruism to an interplay between 14 motives that were then ordered into four overarching categories of motives: (1) needs-centered motives, (2) norm-based motives deriving from religious/spiritual ideology, relationships and personal factors, (3) abstract motives (e.g., humanism), and (4) sociopolitical factors. The implications of these findings are discussed.     

Neighborhood Social Conditions Mediate the Association Between Physical Deterioration and Mental Health

This study investigates how neighborhood deterioration is associated with stress and depressive symptoms and the mediating effects of perceived neighborhood social conditions. Data come from a community survey of 801 respondents geocoded and linked to a systematic on-site assessment of the physical characteristics of nearly all residential and commercial structures around respondents’ homes. Structural equation models controlling for demographic effects indicate that the association between neighborhood deterioration and well-being appear to be mediated through social contact, social capital, and perceptions of crime, but not through neighborhood satisfaction. Specifically, residential deterioration was mediated by social contact, then, social capital and fear of crime. Commercial deterioration, on the other hand, was mediated only through fear of crime. Additionally, data indicate that the functional definition of a “neighborhood” depends on the characteristics measured. These findings suggest that upstream interventions designed to improve neighborhood conditions as well as proximal interventions focused on social relationships, may promote well-being. At the time of this study, Dr. Gee was at the University of Michigan.     

资本市场中投资者羊群行为的心理机制及其影响因素

资本市场中投资者的羊群行为是资本市场上的一种典型现象,它是指在不确定情境中,投资者在相同时间段内模仿他人进行投资决策的行为。通过比较羊群行为与从众行为发现,两者存在本质区别。目前,大量研究从社会影响、认知机制以及进化机制三个方面深入分析羊群行为的形成原因。此外,研究还发现,情境的不确定性、市场环境、群体内部一致性程度、个体的情绪与动机对投资者的羊群行为都会产生一定的影响。在总结相关研究后发现,羊群行为具有其自身独特的信息加工模式。未来关于羊群行为的研究应该从探索专家羊群行为的信息加工方式,提高研究的外部效度,探索认知神经机制,进行跨文化研究和探讨羊群行为与人格之间的关系等五个方面展开。     

Capital sentencing and neuropsychiatry

The neuropsychiatric contribution to capital sentencing proceedings has grown substantially in recent decades as the consideration of neurological and psychiatric factors in criminal behavior has been increasingly accepted as relevant to the quest for justice. This review article will focus on the legal theories underlying neuropsychiatric input into capital sentencing decisions, as well as some of the investigative techniques and resulting data which may be offered by forensic neuropsychiatrists in this context. The death penalty is unique in its severity and irreversibility, as the courts, including the U.S. Supreme Court, have noted repeatedly. “Death is different,” and the recognition of this has generated a set of court decisions and statutes pertinent specifically to capital proceedings, both procedural and substantive.     

医学哲学的思想者——读杜治政《医学在走向何处》

杜治政教授是我囯医学哲学的开拓者和奠基者之一,其新著《医学在走向何处》,在肯定医学辉煌的同时,也坚定不移地指明医学问题成堆,提出了公众关注的问题,并引导人们反思。本书的另一特点和优点是,力求达到理论化、学术化的高度。这是最难的,也是最可贵的。技术主体化和资本主体化,为观察现代医学,规范医学发展提供了重要的概念工具,表明杜治政教授当之无愧是医学哲学的思想者。思想者是一个崇高的称号、光荣的称号、骄傲的称号。     

做一个大写的人:我们在阅读中与《孟子》相逢

如果我们愿意在阅读中与《孟子》相逢,我们就应该立志去做一个大写的人。从道德理想主义层面看,《孟子》要求我们“证性善”,确立人之为人的性善之本;期盼我们“恶乡愿”,拒斥八面玲珑的伪善之方。从文化守成主义层面看,《孟子》呼唤我们“友古人”,经由对优秀文化传统的回想而求证本根之源;促使我们“辟邪说”,通过对异端邪说的批驳而澄清智慧之旅。有理想有文化的人,才会是一个大写的人。无论对于针砭欲望横流的当下世态,还是对于建构人皆尧舜的未来愿景,这种人格的理论意义和现实作用都是不可低估的。     

心理资本对大学生职业决策困难的影响:有调节的中介模型

本研究提出一个有调节的中介模型,揭示了心理资本"怎样"影响大学生职业决策困难及这种影响在不同个体中是否存在差异。采用心理资本量表、职业决策自我效能感量表、社会技能量表和职业决策困难量表对730名大学生进行研究。研究显示：（1）职业决策自我效能感部分中介了心理资本与大学生职业决策困难的关系;（2）社会技能调节了心理资本通过职业决策自我效能感影响大学生职业决策困难的中介过程的前半路径和后半路径。研究结论对促进大学生成功就业具有重要的理论与实证价值。