肝性糖尿病

肝性糖尿病由严重慢性肝脏病变所引发,常见于非酒精性脂肪肝、病毒性肝炎、酒精性肝病及血色病等,多出现于肝硬化失代偿期,不论是发病机制,还是临床表现与治疗均与2型糖尿病不同。本文将就此方面对近几年的研究进展进行综述。     

检验医学的医学伦理学思考

检验医学发展迅速,然而对其医学伦理学的思考却常被人忽视。本文对日常检验工作中存在的伦理学问题进行了初步探讨,从检验机构设置、检验项目管理、日常检验工作及检验与,临床的沟通等方面思考了当今检验医学领域医学伦理学的现况。加强检验医学的医学伦理学建设,真正体现出对患者的人文关怀。     

西方心理学对禅定的功效研究

禅定是一种精神训练的方法。近年来,禅定越来越成为西方心理学中的热点课题,尤其是对禅定的功效研究。本文总结了近十年西方心理学对于禅定功效的研究成果。认为西方心理学对于禅定的功效研究,主要集中于对其心理功效、生理功效,以及临床功效的检验。大量的研究表明,禅定是一种有意义的科学现象,而不仅是一种简单的宗教现象。禅定在西方心理学的未来发展中将会占据越来越重要的位置,并成为心理治疗领域的未来发展趋势。     

一种全新的领导理念——仆人式领导的兴起与发展

仆人式领导是近年来西方领导学研究的前沿课题。本文通过仆人式领导与几种相似的领导模式的对比,阐述了仆人式领导的特别之处,进而,在阅览相关文献的基础上,解释了仆人式领导的内涵并总结了国内外关于仆人式领导的各种理论。仆人式领导这一理论虽然尚未成熟,但其对未来组织发展和社会进步的推动作用是毋庸置疑并且十分巨大的。     

False Memories,Negative Affects,and Psychic Reality: The Role of Extra‐Clinical Data in Psychoanalysis1

Psychoanalysis as a treatment originated in the idea that neurosis is related to the ways in which individual psychic reality departs from actuality. Psychic reality includes memories, beliefs and their associated affects and fantasies connected with an individual's experience of the inner and outer world. The psychoanalytic determination of what meaningful memories or beliefs are inaccurate, distorted or false ordinarily relies upon principles of intra‐clinical validation. By itself, however, intra‐clinical validation is subject to limitations and pitfalls that conviction alone about what is actual cannot circumvent. Despite this fact, there are remarkably few analytic case reports demonstrating false or signifi cantly distorted memories through the use of data obtained from outside the consulting room. This paucity of reports may be related, at least in part, to the belief that the use of extra‐clinical data is essentially unanalytic or supports resistance. Based on the views that (a) psychic reality cannot be regarded as exclusively subjective or objective but is inherently both; and that (b) a goal of analysis is to achieve a different, acceptable and more accurate view of reality, the authors report a clinical case involving a confi rmably false pivotal memory and its associated negative affects. They discuss theoretical and technical considerations in utilizing extra‐clinical data during the treatment process.     

Fabricated Humans? Human Genetics,Ethics and the Christian Wisdom Tradition1

Abstract: This article highlights the key social issues associated with genetic screening and testing. It identifies an uneasy combination of a cultural drive towards perfection alongside heightened perception of a risk society. Awareness of risk is particularly in evidence in clinical genetics, but is surprisingly silent in public discourse about stem cell research, which has tended to flounder through its unilateral focus on the status of the early embryo. This article concentrates on current practice, such as the use of preimplantation genetic diagnosis, and offers a critical analysis of current debates about ethical issues. It argues that Christian ethics can contribute positively to the debate by drawing on the tradition of prudence or practical wisdom, which goes beyond the secular alternatives of both the consequential analysis of risk and benefit and the precautionary principle.     

Ethics and Intuitions

For millennia, philosophers have speculated about the origins of ethics. Recent research in evolutionary psychology and the neurosciences has shed light on that question. But this research also has normative significance. A standard way of arguing against a normative ethical theory is to show that in some circumstances the theory leads to judgments that are contrary to our common moral intuitions. If, however, these moral intuitions are the biological residue of our evolutionary history, it is not clear why we should regard them as having any normative force. Research in the neurosciences should therefore lead us to reconsider the role of intuitions in normative ethics.     

CHRISTIANITY AND POSSIBILITY: ON KEARNEY'S THE GOD WHO MAY BE

Abstract: This essay interprets and responds to Richard Kearney's metaphysics of possibility and hermeneutics of religion against the background of Nietzsche's proclamation of the death of God and the theodicy problem. Kearney's work is thus read as an interesting but ultimately problematic attempt to preserve or perhaps reinstate religious thought after the modern critique of idols. In addition, his positions are compared and contrasted with some of authors with whom he seems to be in limited agreement (for example, Plotinus, Hillesum) as well as some with whom he clearly breaks (for example, Girard, Sölle).     

The patient's private construction of meaning and canons of science: Freud's case studies noch einmal1

Starting from Freud's classical case studies, the author highlights the tension between the psychoanalytical starting point in the subject's own meaning construction and the claims of the professional expert to objectivity, privileged knowledge and interpretative precedence. Psychoanalytic investigation of subjective phenomena came into existence parallel with Freud's magnifi cent project to furnish ‘a psychology that shall be a natural science’. The privileged knowledge of the specialist was substituted by the explicit intention to listen to the individual's own stories and private explanatory constructions. In order to investigate the territory of the unconscious, Freud had to develop various strategies for uncovering and correcting errors, and for testing clinically anchored hypotheses. However, Freud regularly failed to follow his own intentions. The thesis the author presents here is that departures from the explicit ambition to follow the subject's own meaning construction, and departures from the scientifi c attitude, easy to trace in Freud's case studies, accompany each other. These departures have had far‐reaching consequences for the present status of the psychoanalytic knowledge.     

基因专利保护的伦理审视

基因专利与普通专利不同,需要兼顾资源提供者的利益.当前,基因专利保护中出现的诸多问题背离了尊重、公正、有利的普遍伦理原则.基因专利需要接受伦理的考量,道德规范是消解基因专利冲突的理性选择.