急危重症患者的诊治方略：技术与人文兼备

急危重症患者随时可能有生命危险,医务人员往往只关注于患者的生命体征、脏器功能以及诊疗方案。因此,很容易忽略了患者精神和心理层面的需求,会带来一系列新的临床问题及心理创伤。“早期的舒适化镇痛、最小化的镇静和最大的人文关怀”概念真正以急危重症患者为中心,站在了生物心理社会医学模式的制高点,提出了一个整体性框架,医护结合临床实际可以最大化丰富其内涵,让患者在接受高精尖医疗技术诊治的同时,获得更全面的照护。     

Marx,Stalin, Marcuse: Die Kritische Theorie in Ideengeschichtlicher Sicht

Zusammenfassung Die Kritische Sozialtheorie sowie die kommunistische Herrschaftsphilosophie haben in der posthegelianischen Befreiungslehre ihren Ursprung. Die Kritische Theorie versuchte diesen Denkansatz gegen seine totalitären Konsequenzen anzuwenden. Dieselben Weltdeutungschemata, die man an der Sowjetideologie anstößig fand, galten aber als akzeptabel, sobald man nur zur Kritik der westlichen Industriegesellschaft überging. Der Hauptpunkt der neomarxistischen Kritik des Sowjetsystems bestand darin, daß man die besondere institutionelle Form, in der der reale Sozialismus das Heil zu verwirklichen beanspruchte, in Frage stellte, ohne andere Lösungen der institutionellen Probleme anzubieten oder das zugrundeliegende Denkprogramm aufzugeben, in dessen Kontext diese Probleme durchaus legitim gestellt werden konnten. Die relativen Leistungen der Kritischen Theorie sind in ihren sozial-politischen Folgen zu suchen, u. zw. darin, daß sie zwei Grundlagen der totalitären Ideologie, von der die Legitimierung des Gesellschaftssystems herrühte, erschütterte: (1) Verfügung über die Tradition; (2) Verfügung über die Sprache, in der über heilsrelevante Fragen gesprochen wurde.

---

Summary Both critical theory and communist philosophy arise from the posthegelian theory of salvation. Critical theory undertook the effort to preserve the hard core of this theoretical background and at the same time to criticize by its means the totalitarian consequences the communist ideology had derived from it. In effect, the very same patterns of thought which critical theory believed to denounce as instruments of totalitarian manipulation were accepted as soon as they proved useful to contest advanced industrial society and its world view. The crucial point of the new-leftist criticism of the Stalinist ideology was the rejection of a central claim of the latter according to which the salvation predicted in the leftist-revolutionary tradition has found its actual fulfilment in the institutional framework of the Soviet state. Challenging this claim, the Neomarxists neither abandoned this tradition nor offered another solution to the institutional problems which result from it. The relative achievements of critical theory lie in the damage it has caused to the two foundations of the totalitarian ideology, i.e.: (1) its authority over tradition and (2) its authority over language.

     

Book Reviews

Kressel, Neil J. (ed.) Political Psychology: Classic and Contemporary Readings
Barber, James David The Book of Democracy
Aron, Adrianne and Corne, Shawn (eds) Writings for a Liberation Psychology: Ignacio Martin-Baró
Ettin, Mark F.; Fidler, Jay W. and Cohen, Bertram D. Group Processes and Political Dynamics     

CRITICAL REALISM IN THEORY AND PRACTICE: RESPONSE TO ROBBINS, VAN HUYSSTEEN, AND HEFNER

Abstract. I read Robbins's essay as a hermeneutics of suspicion against the claims of critical realism, especially the tendency of critical realism to achieve correspondence with the world rather than participation in changing it. I read van Huyssteen's essay as an application of critical realism which tends toward correspondence in spite of his correct statement of the theory. I read Hefner's paper as an exposition of both claims and methods capable of conveying truth and genuine knowledge. As such, Hefner's paper illustrates an adequate application of the theory of critical realism and overcomes the suspicion suggested by Robbins.     

Long-term potential for imprinting in ducks and chickens

In the first of five experiments, three of four adult ducks who had been reared in visual isolation gradually developed strong approach responses towards a moving panel of colored lights. Experiment 2 provided evidence that the ducks' approach response reflected the same sort of social attachment that is typically formed to moving objects by newly hatched ducklings. Experiment 3 revealed that the fourth duck would not approach the moving stimulus even after additional exposure to it, but would approach a conspecific after group housing had been enforced for seven days. In Experiment 4, none of five adult chickens who had been reared in visual isolation developed approach responses towards the moving stimulus, even though in Experiment 5, newly hatched chicks approached the stimulus quite readily. Taken together, these findings (a) indicate that ducks retain the ability to form filial-type attachments to novel objects throughout their lives, and (b) offer preliminary evidence that chickens do not retain this ability into adulthood.     

From Nature to Culture? Diogenes and Philosophical Anthropology

This essay is concerned with the central issue of philosophical anthropology: the relation between nature and culture. Although Rousseau was the first thinker to introduce this topic within the modern discourse of philosophy and the cultural sciences, it has its origin in Diogenes the Cynic, who was a disciple of Socrates. In my essay I (1) historically introduce a few aspects of philosophical anthropology, (2) deal with the nature–culture exchange, as introduced in Kant, then I (3) relate this topic to the Ancient Cynic Diogenes. Surprisingly, although we usually identify Critical Theory and Freudian psychoanalysis as theories that have shown that cultural progress should not be comprehended as a development from nature to culture, and that instead it should be conceived as a development from culture against (external as well as internal) nature, I show that Cynicism can be conceived as a vivid example within the history of our culture that reveals a double sense of repression and alienation, which is part of human civilization and mankind.     

Giving Science a Bad Name: Politically and Commercially Motivated Fallacies in BSE Inquiry

It is a feature of scientific inquiry that it proceeds alongside a multitude of non-scientific interests. This statement is as true of the scientific inquiries of previous centuries, many of which brought scientists into conflict with institutionalised religious thinking, as it is true of the scientific inquiries of today, which are conducted increasingly within commercial and political contexts. However, while the fact of the coexistence of scientific and non-scientific interests has changed little over time, what has changed with time is the effect of this coexistence on scientific inquiry itself. While scientists may no longer construct their theories with various religious dictates in mind, growing commercial and political interests in science have served to distort the interpretation of science. Using the U.K.’s recent crisis with bovine spongiform encephalopathy (BSE) as my context, I examine two ways in which this distortion has occurred – the interpretation of the science of BSE by politicians and by commercial parties for the purposes of justifying policy decisions and informing the public of risk, respectively. Fallacious reasoning, I contend, is the manifestation of this distortion in these contexts. In demonstration of this claim, I examine how politicians and commercial parties alike have employed two fallacies in their assessments of the science of BSE. These fallacies extend in novel ways the set of so-called traditional informal fallacies. The interpretation of science, I conclude, is a rich context in which to conduct a study of fallacious reasoning; moreover, such a study can contribute in significant ways, I argue, to the public understanding of science.     

Exploring moderators of the relationship between adolescents' social responsibility and civic actions

Scholars have regarded social responsibility as a motivator of civic actions. Social responsibility, however, does not consistently lead to civic actions. Informed by sociopolitical development theory and social cognitive theory, the present study examined critical reflection about societal inequalities and intentional self-regulation as potential moderators of the relationships between adolescents' social responsibility and political activities, social activism and community service. Survey data were collected from 737 adolescents in the Northeastern United States (M_age = 14.52, 58.2% girls, 57.5% White/European American). Path analysis indicated that social responsibility was associated with all three types of civic actions, and critical reflection moderated the relationship between social responsibility and political activities. We discussed limitations, implications and directions for future research. See Supplementary Material section to find this article's Community and Social Impact Statement .     

Belief,attitude and critical understanding. A systematic review of social justice in Service-Learning experiences

This systematic review examined the role of Service-Learning experiences promoted by higher education institutions to strengthen the achievement of social justice outcomes among youth. We screened and coded studies following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Of the 555 articles found in the database search, 47 peer-reviewed studies were included in the final sample. Social justice construct, together with research location, participants, target community and outcomes, were coded. Results show effects of Service-Learning experiences on (a) fostering significant improvement of students' social justice beliefs, (b) stimulating significant changes in students' attitudes with respect to the development of altruistic behaviours and their commitment to social justice, and (c) increasing students' critical understanding by sparking questioning processes related to personal assumptions of inequalities. This systematic review provides insights into the strengths and challenges of implementing social justice-oriented Service-Learning experiences.     

Unpacking psychological inequalities in organisations: Psychological capital reconsidered

In this paper, we argue that psychological capital is unequally distributed among people from different social classes, ethnic backgrounds and genders. Confronting the limitations of the current, individualistic perspective on psychological capital, we offer a re-conceptualisation of the construct from a critical, interdisciplinary perspective, placing it at the intersection of sociology and psychology. We discuss the various mechanisms through which social inequalities may cause differential access to psychological capital for members of low- and high-status social groups and show how this differential access to psychological capital results in and exacerbates social inequalities. By doing this, we postulate a recursive theory on psychological capital that both recognises the formative effect of socio-organisational structures on one's psychology and vice versa.