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。     

The council of Europe’s instruments on biomedical research: how is conflict of interest addressed?

Conflict of interest is an issue that has been put in the spotlight by the commercial application of the new biomedical technologies. This paper presents the approach of the Council of Europe and the binding legal instruments to deal with this problem. The main focus is on the Convention on Human Rights and Biomedicine, and its draft additional Protocol on Biomedical Research. An earlier version of this paper was presented at an International Conference on “Conflict of Interest and its Significance in Science and Medicine” held in Warsaw, Poland on 5–6 April, 2002. The views expressed are personal and do not necessarily reflect any official position of the Council of Europe.     

On Affectionate Respect in Gender Justice: An Inquiry into the Cultural Abuse of Sex

Phallogocentrism as cultural abuse of sex is a difficult issue that has been addressed by many modem Western feminist philosophers.By comparing their insights with those deriving from Chinese Confucianism and Daoism,I propose the concept of "affectionate respect" as an intellectual counterbalance to phallogocentrism.In this essay,I have discussed certain arbitrary fallacies based on masculine predominance and spotlighted the merits of being female in balancing emotion and reason,justice and fairness,and institutionally-biased powers and the human rights of innate dignity.To achieve gender justice and equality before God and under Heaven must be logically and morally extended to law and politics.     

Human rights and religious education in the contentious context of conflict-troubled societies: perspectives from human rights education

This article explores some of the tensions that are created from the entanglement of religion and human rights and offers a possible response to these tensions in the context of religious education in conflict-troubled societies. It is suggested that a historicised and politicised approach in religious education in conjunction with human rights education perspectives can promote three important aims: taking power relations between peoples, societies and cultures as sources of problematising the meaning(s) and consequences of both religion and human rights; developing a teaching and learning process in and through which the emphasis is not on identification with religious or cultural identity, but rather a process through which new and productive ways of relationality with the ‘other’ are developed; and, encouraging students to interrogate moralistic discourses of religion or human rights that often prevent the enactment of friendship, compassion and shared fate.     

Theosis and Baptist–Orthodox Discussions

Baptist–Orthodox discussions could take the shape of a continuous and constructive dialogue if their historical understandings of the Bible are investigated based on their specific perspectives on doctrine. Concretely, the idea of theosis, present in Greek Patristics and later used by the Eastern Orthodox Church as deification, can be investigated by Baptists in at least three distinct ways: as Christification, as participation, or as perichoresis. All these are prevalent in the works of contemporary Baptist theologians such as Dongsun Cho (United States), Paul Fiddes (United Kingdom), and Emil Barto? (Romania). Based on the foundation provided by theosis and its range of interpretations, the Baptist–Orthodox dialogue can be further strengthened by a series of common concerns such as apologetics, evangelism, politics, economics, social work, and education.     

Reply to Letter to the Editor

The current policy of the National Institute of Health designed to increase the participation of women and minorities is radically different from previous policies designed to protect minorities from abuses in research studies. The principal arguments to support this policy are twofold: 1) Increased representation of minorities and women in research would increase the generalizability of research data and allow for valid analyses of differences in subpopulations; and 2) being in a clinical research study is advantageous to participants regardless of the final research study results. It remains unclear whether minorities find these arguments compelling. Instead of telling minorities that participation in research is good for them, the research community should focus on understanding what minority communities want from clinical research and then tailoring the message to meet this need. Persuasive arguments to promote long-term increased representation of minorities in clinical research must come from within minority communities.     

Respect for People's Rights and Dignity

Summary

This article examines the nature and application of aspirational General Principle E (Respect for Peoples' Rights and Dignity) of the Ethical Principles of Psychologists and Code of Conduct (American Psychological Association [APA], 2002) and similar principles in other mental health professional ethics codes. Issues about aspirational versus enforceable standards are reviewed. Case examples and illustrations of the principle are provided.     

Achievement motive and sport participation

Three studies investigated the relationship between the achievement motive and sport participation. It was expected that both the implicit and the explicit achievement motives are positively associated with how frequently people engage in sport activities. The implicit achievement motive was assessed with indirect motive measures; the explicit achievement motive was either inferred from participants’ personal goals or measured with self-reports. Two hundred five athletes participated including college students enrolled in leisure sport programs offered at their university (Study 1), amateur athletes registered in sports clubs (Study 2), and elite tennis athletes (Study 3). The implicit achievement motive consistently predicted sport participation in all three studies. In contrast, the explicit achievement motive was uncorrelated with sport participation. The interaction between the two motives did not yield an effect on sport participation. The results indicate that the implicit, unconscious need to achieve facilitates regular engagement in sport activities, but the explicit, conscious orientation toward achievement does not. The enrichment of sports environments with incentives for the implicit achievement motive may thus attract more people to participate in sport activities.     

A Response to “Participation: A Religious Worldview” by James M. Gustafson

This response offers an interpretation of James Gustafson's “Participation: A Religious Worldview,” which thinks with Gustafson on the theme of “participation,” while highlighting points where my own thoughts diverge from his. The essay begins by drawing the reader's attention to Gustafson's style, arguing that the simple elegance of his writing constitutes part of his larger claim about the need to remove ourselves from the center of our thought. Next, the essay analyzes Gustafson's use of “participation” by putting it in context and connecting it with his broader methodology. Finally, I draw the reader's attention to important loci in the text in order to show how Gustafson's essay helps address various extant misinterpretations of his thought but also to point to ways in which my “thinking with” Gustafson leads me to think otherwise than he does.     

农村老年人社会参与对老化态度的影响：自我效能感和孤独感的中介作用

本文从积极老龄化的角度,采用入户问卷调查的方式,探究了河南某地农村老年人社会参与对其老化态度的影响,以及自我效能感和孤独感在二者关系中的作用。研究结果显示,社会参与对老化态度具有积极的促进作用,同时,自我效能感、孤独感以及自我效能感与孤独感的链式中介效应在社会参与和老化态度之间起部分中介作用。因此,提高农村老年人的社会参与度,能够一定程度上改变老年人的认知,减少消极情绪,促进成功老化。