On Replacing the Ethical Principle of Autonomy With an Ethical Principle of Accordance

The author defines and critiques the ethical principle of autonomy. As a concept, autonomy is most aligned with paradigms of counseling that focus on the individual as a psychological entity with moral agency. It is less consistent with frameworks that focus on relationships philosophically and in practice. Autonomy is paradoxical, because it is a consensually defined principle imposed on counseling practice while denying counselors a choice in its application. The author suggests accordance as an alternative ethical principle. Accordance is consistent with relational paradigms of practice and the other relationship‐focused ethical principles in counseling. Accordance fully contextualizes individual responsibility and choice.     

道德型领导者得到了什么？道德型领导、团队平均领导-部属交换及领导者收益

道德型领导是新近提出的一种领导理论,大量研究证实这种领导方式会对员工和组织带来积极影响。然而,在领导过程中处于主体地位的领导者从中获得了什么收益却较少受到关注。以50个工作团队的248名员工为研究对象,本研究基于社会交换理论考察了道德型领导与个体层次和团队层次上领导者收益的关系及其作用过程。跨层次分析结果表明：(1)道德型领导对个体层次的员工对领导的认知信任和情感信任,以及团队层次的团队绩效和领导者绩效均有显著正向作用;(2)团队平均领导-部属交换中介了道德型领导与下属对领导者的认知信任、情感信任以及团队绩效的关系,但在道德型领导与领导者绩效关系间无显著中介作用。本文揭示了道德型领导者在领导过程中获得的“收益”以及团队层次社会交换的中介作用,为道德型领导和团队社会交换的研究提供了启示。     

Ethical breaches and deviations of method in psychoanalysis: A heuristic model for the differentiation of boundary transgressions in psychoanalytic work

The boundary concept has been central to discussions on ethics and psychoanalysis over the past few decades. The main distinction has been between less malignant boundary crossings and more harmful violations. More recently, the concept has been criticized as not discriminating between technique and ethics. The author argues that these problems are connected to the way the boundary concept is defined. He suggests that it is specified to indicate a delimitation of an analytic area of conduct. In an analogous manner, an area of ethical conduct is framed by a boundary between ethical and unethical actions in the treatment situation. The analytic area has a narrower limitation than ethics and a stricter articulation of its concept of attitude; not all unanalytic actions are unethical. This simple model of interpersonally specified boundaries allows us to discriminate between different kinds of transgression in analytic work. In addition to violations and crossings, a third instance is described denoting a transgression of the analytic but not the ethical boundary. These can be called boundary stretchings, and are either intended or unintended deviations of method. The slippery slope mechanism of ethical misconduct is an imminent risk if boundary stretchings are ignored and not subject to scrutiny and analysis.     

中美辅助生殖技术伦理规范的比较研究

人类辅助生殖技术给不孕不育症患者带来了福音,但在一定程度上改变了人类的自然生殖过程,同时也为医务工作人员在实施该项技术的过程中增添了新的伦理困惑.通过比较研究,拟从伦理法规制定机构、单一精子供应上限、精子库精源、受者范围、捐献目的、捐献方式等对中美两国在人类辅助生殖技术方面伦理规范的差异进行阐述,为我国提高此项技术的伦理审查能力、增强政策研究、保证伦理监督的公平和客观提供科学合理的借鉴.     

Judgment Difficulty and the Moral Intensity of Unethical Acts: A Cognitive Response Analysis of Dual Process Ethical Judgment Formation

This study analyzes cognitive responses to explore a dual processing perspective of ethical judgment formation. Specifically, the study investigates how two factors, judgment task difficulty and moral intensity, influence the extent of deontological and teleological processing and their effects on ethical judgments. A single experiment on 110 undergraduate research participants found that judgment task difficulty affected the extent of deontological and teleological processing. Although moral intensity affected ethical judgments, it did not produce effects on either deontological or teleological cognitive responses. Results did not support the hypotheses that deontological and teleological cognitive responses would mediate the relationships between the experimental factors and ethical judgments. Overall, the results support continued research of factors that affect the nature of information processing in ethical decision situations and the use of cognitive response analysis as a tool for conducting this research.     

Turning a Blind Eye: A Study of Peer Reporting in a Business School Setting

This article examines student peer reporting by extending the findings from the business ethics and higher education literature. In the conceptual model we propose that reflective moral attentiveness, subjective knowledge of the code of ethics, and academic dishonesty beliefs antecede ethical judgment of peer reporting, which impacts intentions to report peers’ unethical behavior. The relationships are tested using structural equation modeling. The findings indicate that moral attentiveness significantly influences ethical judgment, which in turn affects intention. The relationship between beliefs about academic dishonesty and ethical judgment is partially supported. Based on these results, suggestions for higher education institutions are provided.     

何以应对道德自我威胁?道德记忆偏差的视角

人们会做出一些不道德的事情,这可能对他们积极的道德自我概念构成威胁。为了应对这种道德自我威胁,人们会表现出道德记忆偏差,即遗忘威胁道德自我的不道德事件或信息。近年来,研究者基于自传体记忆范式、游戏范式、代入范式和自我参照范式,为道德记忆偏差现象提供了证据支持。研究还进一步表明,这种道德记忆偏差可能出于应对道德自我威胁的需要,即人们希望通过有选择地遗忘来维护积极的道德自我概念。 值得注意的是,道德记忆偏差现象存在一些不一致的发现。未来研究应该寻求可能的调节变量,以整合现有不一致的发现,揭示人们使用道德记忆偏差应对道德自我威胁的情境或个体差异。此外,根据道德自我威胁的解释,道德记忆偏差的存在可能需要一定条件。人们做出有意不道德行为时,应该能够意识到自身行为有违道德标准、体验到道德自我威胁,进而表现出道德记忆偏差;但是人们在做出无意不道德行为时,可能不会体验到道德自我威胁,也就不会表现出道德记忆偏差。人们做出不太严重的不道德行为时,道德记忆偏差能够帮助人们很好地应对道德自我威胁。但是人们在做出严重违反道德的行为时,道德记忆偏差可能不足以应对道德自我威胁,该偏差可能就不复存在。 道德记忆偏差与其他应对道德自我威胁策略之间可能存在一定的联系。一种可能性是,道德记忆偏差与这些策略之间是相关补充、共同发挥作用的。还有一种可能性是,其他策略可能为道德记忆偏差的出现提供了条件。人们在做出不道德行为后,可能会通过道德推脱和自我合理化等方式来降低其道德标准,改观其对该事件的评价,从而更容易地模糊不道德行为,表现出道德记忆偏差。除应对道德自我威胁外,道德记忆偏差还存在其他可能的解释。道德记忆偏差可能源自人们的印象管理动机,即人们可能为了维护在他人面前的道德形象而表现出道德记忆偏差。道德记忆偏差还可能发生在记忆加工的不同阶段,比如该现象可能发生在编码阶段,即人们对道德事件的编码加工多于不道德事件;储存阶段,即人们可能受到积极自我图式的影响而对不道德事件产生遗忘;也可能在提取阶段,即人们可能会主动地抑制对不道德事件的提取。未来研究应关注道德记忆偏差存在条件,并在研究广度上扩展其研究范畴,在研究深度上揭示其认知机制,并探究与其他应对道德自我威胁策略的关系。     

道德型领导在护理领域中的研究进展

结合既往资料,基于对国内外相关文献的梳理与分析,探讨道德型领导在护理领域中的研究进展情况。分析文献发现,道德型领导在护理领域中的内涵尚未完全统一,国外有关道德型领导在护理领域中的研究较国内更成熟,从定性研究、测评工具的编制、量性研究到干预策略的构建等一步步在完善中;而国内的研究起步较晚,形式比较单一,均为量性研究。本研究对国内外护理领域中的道德型领导概念、研究现状、测量工具、积极影响及培训策略进行阐述,以期为道德型领导在我国护理领域中的相关研究提供借鉴和参考。

     

ChatGPT在医疗领域中的应用、伦理风险与治理研究

以ChatGPT为代表的人工智能技术将为传统医疗领域带来一系列变革,主要体现在病症早期诊断、提供医疗解释、改变传统就医模式、担任“医生助理”、推动医学教育升级等方面。同时,ChatGPT在医疗领域也面临主体性责任缺失、患者是否信任、技术异化等诸多问题和伦理风险。目前,以ChatGPT为代表的人工智能技术并不能取代临床医生在诊疗过程中做出的“以病人为中心”,基于医学事实、道德、价值等多维度的综合判断。对ChatGPT为代表的人工智能技术在医疗中的应用风险的治理需要从技术可靠性、技术可信性、人文关怀等多方面进行研究。

     

大语言模型在临床医学的可应用性探讨

科学技术的发展推动以大语言模型为代表的人工智能领域取得了重大突破,大语言模型优势与风险并存,其展现了在临床医学领域巨大的可能性。新的医疗技术的引入可以极大地提升工作效率,同时也带来一定的道德伦理及法律风险。为应对大语言模型产生的不利影响,需要加快立法进程,制定明确的使用规范和监管机制,在技术迭代的同时完善立法及规范。期望大语言模型未来在临床医学的应用方面能够助力我国卫生健康事业的发展。