诚信与医德建设

医疗行业的信用危机是职业道德建设中的突出问题.诚信是职业道德建设的灵魂.诚实守信是医务人员必须遵守的基本准则.信息公开和建立诚信档案是促进医德建设的有效途径.     

"好人"如何一生平安?——走出"德福悖论"的怪圈

德福悖论现象一直是道德生活中所面,临的重大问题之一,为历代思想家所关注。在市场经济时代,“好人”虽不再是一个不言“利”的主体,但他能否“一生平安”,德福之间能否统一,关键在于“好人”是否处于一个“有道”或公正的社会制度里。     

Welfare and Wealth, Poverty and Justice in Today’s World

This article argues that there is no sound basis for thinking that we have a general and strong duty to rectify disparities of wealth around the world, apart from the special case where some become wealthy by theft or fraud. The nearest thing we have to a rational morality for all has to be built on the interests of all, and they include substantial freedoms, but not substantial entitlements to others assistance. It is also pointed out that the situation of the worlds poor is not that of victims of disasters, but simply of less-developed technology, which can be repaired by full and free trade relations with others. The true savior of the worlds poor is the businessman, not the missionary. What we do need to do is strike down barriers to commerce, rather than requisition aid.     

Neural correlates of a default response in a delayed go/no-go task

Working memory, the ability to temporarily retain task-relevant information across a delay, is frequently investigated using delayed matching-to-sample (DMTS) or delayed Go/No-Go tasks (DGNG). In DMTS tasks, sample cues instruct the animal which type of response has to be executed at the end of a delay. Typically, performance decreases with increasing delay duration, indicating that working memory fades across a delay. However, no such performance decrease has been found when the sample cues exist of present vs. absent stimuli, suggesting that pigeons do not rely on working memory, but seem to respond by default in those trials. We trained 3 pigeons in a DGNG task and found a similar default response pattern: The diverging slopes of the retention functions on correct Go and No-Go trials suggested that pigeons by default omitted their response following No-Go stimuli, but actively retained task-relevant information across the delay for successful responses on Go trials. We conducted single-cell recordings in the avian nidopallium caudolaterale, a structure comparable to the mammalian prefrontal cortex. On Go trials, many neurons displayed sustained elevated activity during the delay preceding the response, replicating previous findings and suggesting that task-relevant information was neurally represented and maintained across the delay. However, the same units did not show enhanced delay activity preceding correct response suppressions in No-Go trials. This activation-inactivation pattern presumably constitutes a neural correlate of the default response strategy observed in the DGNG task.     

POETIC NATURALISM: SEAN CARROLL,SCIENCE, AND MORAL OBJECTIVITY

Physicist Sean Carroll has developed a new theory of the fundamental nature of reality, which he calls “Poetic Naturalism,” with the stated goal of developing a theory of what is real that is consistent with the findings of natural science. Carroll claims to prove that morality cannot be seen as objectively true. This essay argues that Carroll's conclusion is not convincing; there is no good reason to reject moral objectivity within a purely naturalistic worldview.     

PHILOSOPHICAL ANTHROPOLOGY,ETHICS, AND LOVE: TOWARD A NEW RELIGION AND SCIENCE DIALOGUE

Religion and science dialogues that orbit around rational method, knowledge, and truth are often, though not always, contentious. In this article, I suggest a different cluster of gravitational points around which religion and science dialogues might usefully travel: philosophical anthropology, ethics, and love. I propose seeing morality as a natural outgrowth of the human desire to establish and maintain social bonds so as not to experience the condition of being alone. Humans, of all animals, need to feel loved—defined as a compassionate present‐with in dynamic dyadic relation such that one experiences the sense of mattering—but that need has an equally natural tendency to be met by creating biased us‐and‐them distinctions. A “critical” natural ethics, then, is one in which we become aware of and work to undermine our tendency to reify in‐group distinctions between “us” and “them.” Religious communities that work intentionally on this can be seen, to some extent, as laboratories of love—or as sites for co‐creating knowledge in perilous times.     

医科生医德认知度影响因素分析

通过对医务人员和在校医科生的广泛问卷调研,我们发现,医科生还普遍存在着医学伦理学基础知识不牢、过于重视医学专业知识的学习而轻视人文哲学社会科学知识的学习,以及轻视高尚人生观的追求等诸多问题。为此,我们可以采取多种综合性的措施来强化医德教育的有效性,全面提升医学生的医德认知度水平。关键词:医德认知度;医德修养;创新;     

儒家伦理的基德和荣格的道德观

作为中国传统文化之主体的儒家伦理,已经确立了中国传统文化的"基德"或"母德",这是在长达2000多年历史发展中形成的,经过先秦时期的百家争鸣,形成了独树一帜的儒家思想,董仲舒提出"抑黜百家、独尊儒术"的建议,确立了儒家在中国社会的统治地位。经过以后历代的兼收并蓄和对立融合,发展成为儒、道、佛融合一体的宋明理学,近代中国社会对儒家思想的批判性发展,促使人们对儒家伦理思想进行时代的反思。荣格的分析心理学思想为东西方道德观的比较提供了一种独特的研究视角。     

论红色政权区域的道德变化

在红色政权区域,中国共产党开展了以土地革命为基础的经济改革和民主政治建设,通过教育等途径培育了人们新的世界观、人生观,对传统习俗和道德进行了更为深入的荡涤,推进了区域内以全心全意为人民服务为宗旨,以集体主义为核心的新道德的建立,两性伦理方面的自由在理论和操作层面更为广泛。     

Empathy, values, morality and Asperger's syndrome

The aims of this study were, first, to re-address the issue of empathy among people with autism conditions; second, to explore the relationships between empathy and values among autistic populations and controls; and third, to explore the capacity for moral agency among those affected by autism. We compared responses of an Asperger group (N = 41) and a control group (N = 139) to measures of self-reported empathy (Davis's IRI) and value priorities (Schwartz's PVQ). Control group results were largely in line with previous studies, such that empathy subscales of perspective taking and empathic concern showed their strongest positive and negative relations to the Schwartz self-transcendence/self-enhancement dimensions. Results for the Asperger group showed that although on the one hand there were self-reported difficulties in perspective taking and the cognitive recognition of affect, and that on the other hand there were less connections between the empathy and value measures, there was nevertheless a comparable prioritization of moral values. Conclusions suggest that different people may acquire moral values through different mechanisms.