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11.
Richard J. Baron 《Theoretical medicine and bioethics》1990,11(1):25-28
The present paper is a commentary on an article by Drew Leder [1]. Leder identifies a series of texts in the clinical encounter, emphasizes the central role of interpretation in making sense of each of these texts, and articulates ordering principles to guide the interpretive work.The metaphor of clinical work as textual explication, however, creates the expectation that there is a text somewhere to be found. Such an expectation invites doctors and patients to search for the text and runs the risk of conceptualizing patients as more static than they are. If one is to use the textual metaphor, one must appreciate the radical extent to which the clinical encounter is a mutually produced and shifting entity. The qualities of mutuality and indeterminacy are not those one usually associates with texts. One might ultimately be better served by a different metaphor based more directly on uncertainty. 相似文献
12.
George J. Agich 《Theoretical medicine and bioethics》1990,11(4):311-324
This paper analyzes one dimension of the frequently alleged contradiction between treating medicine as a business and as a profession, namely the incompatibility between viewing the physician patient relationship in economic and moral terms. The paper explores the utilitarian foundations of economics and the deontological foundations of professional medical ethics as one source for the business/medicine conflict that influences beliefs about the proper understanding of the therapeutic relationship. It, then, focuses on the contrast and distinction between medicine as business and profession by critically analyzing the classic economic view of the moral status of medicine articulated by Kenneth Arrow. The paper concludes with a discussion of some advantages associated with regarding medicine as a business. 相似文献
13.
James F. Voss Rebecca Fincher-Kiefer Jennifer Wiley Laurie Ney Silfies 《Argumentation》1993,7(2):165-181
This paper is concerned with the processing of informal arguments, that is, arguments involving probable truth. A model of informal argument processing is presented that is based upon Hample's (1977) expansion of Toulmin's (1958) model of argument structure. The model postulates that a claim activates an attitude, the two components forming a complex that in turn activates reasons. Furthermore, the model holds occurrence of the reason, or possibly the claim and the reason, activates values. Three experiments are described that provide support for the model.This research was supported by the Mellon Foundation and by the Office of Educational Research and Improvement of the Department of Education via an award for the Center for the Study of Learning to the Learning Research and Development Center. The contents of the paper are not necessarily the position of any of these organizations. 相似文献
14.
Culture wars: American moral divisions across the adult lifespan 总被引:1,自引:0,他引:1
Lene Arnett Jensen 《Journal of Adult Development》1997,4(2):107-121
Sociologists have argued that the public moral debate in contemporary America is characterized by a “culture war,” pitting
“orthodox” and “progressivist” groups against one another (Hunter, 1991). This study addressed whether the culture war is
evident in the moral thinking of ordinary Americans, and whether age-related patterns exist. Sixty fundamentalist Baptists
(orthodox) and 60 mainline Baptists (progressivist) evaluated and reasoned about moral issues such as divorce and abortion.
Each group was divided evenly into three age groups copsisting of young, midlife, and older adults. Moral reasoning was analyzed
in terms of Shweder's (1990) ethics of autonomy, community, and divinity. Within all three age groups, progressivists used
the ethic of, autonomy more than orthodox participants. Orthodox participants used the ethic of divinity more than progressivists.
Orthodox and progressivist groups did not differ much in their use of the ethic, of community. Very few age group differences
were found within the orthodox and progressivist groups. It is concluded that morality is conceived of in markedly different
wasy by orthodox and progressivist groups, and that these conceptions are consistent across age groups. 相似文献
15.
This paper describes the basic elements of practice development and management within the academic medical setting. These include assessment of the market environment, both in the community and within the medical setting, product development, marketing, budget basics, quality, managed care negotiations, and finding time to do research in a financially-driven health care system. 相似文献
16.
四卡问题的内容促进效应的实验研究 总被引:21,自引:4,他引:17
本研究设计了2种抽象材料和4种具体材料的四卡问题,对436名大学生进行测试,以考察被试解决四卡问题时所采用的思维方式并检验命题内容对推理的影响。结果表明,四卡问题十分困难,具体内容的四卡问题并不能产生促进效应,大学生的推理表现出“匹配偏向”的特点。 相似文献
17.
We examined the effect of self-correction on the acquisition, maintenance, and generalization of written spelling of elementary school students attending an after-school clinic. Six students registered for remedial tutoring participated. During self-correction, students initially learned four proofreading marks and a procedure for using them that were subsequently applied as the students compared their spelling to a model. Results showed a functional effect between self-correction and improved student performance on target words. Using the self-correction procedure, the students spelled at least 98% of the target words accurately, maintained at least 85% of the correctly spelled words, and generalized at least 70% of the words at home, in context, and with word variations. Questionnaires administered to the students, their parents, and teachers indicated that students preferred self-correction. Parents noticed academic improvements in their child's spelling performance as well as positive changes in attitude toward school. Most teachers did not notice changes in spelling performance or attitude. 相似文献
18.
Agnes Verbiest 《Argumentation》1995,9(5):821-836
An incidental extension of the central domain of argumentation theory with non-classical ways of constructing arguments seems to automatically raise a question that is otherwise rarely posed, namely whether or not it is useful to consider the sex of the arguer. This question is usually posed with regard to argumentation by women in particular. Do women rely more, or differently than men do on non-canonical modes of reasoning stemming from the realm of the emotional, physical and intuitive, instead of the logical? One may simply refer this question to folk-linguistics. One may also take the question seriously, given the findings on women's linguistic behaviour, and for various other reasons that will be explained below.Section 1 sums up the most frequently quoted differences in language use between women and men. This is followed by a non-exhaustive, interdisciplinary review of studies on male/female differences in verbal and written argumentation.Section 2 discusses the role of language and texts in generating and maintaining ideas on gender. These gender messages not only influence the actual argumentation behaviour of women and men, but also the way such behaviour is valued.Section 3 subsequently shows that our ideas on rationality are gendered, and therefore also our ideas on the proper central domain of argumentation theory.Section 4 briefly reflects on why this kind of wrong question about the reasoning of women should sometimes be addressed seriously anyway. 相似文献
19.
Various complexities that arise in the application of legal and/or clinical criteria to the actual assessment of competence/capacity are discussed, and a particular way of understanding the nature of such criteria is recommended. 相似文献
20.
设计三种情境考察被试的推理情况,并试图揭示儿童是怎样进行传递性关系推理的。结果显示:(1)3—6岁儿童具有进行传递性关系推理能力;(2)造成我国3—6岁儿童作传递性关系推理失败的原因有二:一是错误理解比较句式,二是没有记住前提;(3)3—6岁儿童进行传递性关系推理的内部过程不同:小年龄段被试多采用“局部加工模式”,大龄段被试多采用“整体空间加工模式”。 相似文献