伦理与法律对冲下的代孕思考

人类辅助生殖技术的进步使代孕成为可能,因女性子宫机能障碍而丧失生育能力的夫妇可以借别人的子宫获得与自己有遗传关系的子女,因而代孕有其社会必然性,合理的非商业化的代孕渐被多数国家接受并立法。我国禁止任何形式的代孕,但是近年来国内不少地区代孕现象屡见报端。通过对代孕现象的探讨分析,建议应从对社会和个人有利的原则出发,制定相应的伦理规范和严格的法律政策,允许代孕技术的合理应用。     

CHARLES LYELL,UNIFORMITARIANISM, AND INTERPRETIVE PRINCIPLES

I examine the development of Charles Lyell's principle of uniformity and its influence on the development of modern geology and biology and argue that distinguishing between philosophical starting points and empirical findings is essential for clarity in the discussion between science and religion. First, I explore Lyell's arguments against catastrophism and how these were both empirically and religiously motivated. I then consider how David Hume's empiricism, theory of causation, and rejection of miracles influenced Lyell. Using these insights, Lyell formulated his principle of uniformity, which he believed was based on current empirical findings, and rejected explanatory hypotheses that used the biblical Flood or other catastrophist accounts as violations of uniform causation and introductions of theological concepts into empirical science. I next examine the influence of Lyell's principle on Charles Darwin. Although Lyell opposed Darwinism for most of his life, Darwin relied heavily on Lyell, as is evidenced by references throughout The Origin of Species. I contend that the most important aspect of Lyell's principle for Darwin is that it makes natural evil (the struggle for survival) a process that has always been occurring rather than something introduced after the Fall as recorded in Genesis. Finally, I discuss the role that uniformity plays for Lyell, Darwin, and modern science as an interpretive principle rather than as an inference from empirical data, and I conclude by noting that keeping the distinction in mind between interpretive principles and empirical findings will help clarify debates between science and religion.     

血液肿瘤的基因治疗及伦理学问题

基因治疗是一种新的有希望的抗肿瘤治疗方法。本文首先简述基因治疗发展史,然后介绍目前尝试性用于血液系统肿瘤的反义核酸疗法、抑癌基因疗法、自杀基因疗法以及过继性免疫疗法等基因治疗方法,进一步阐述基因治疗在血液系统肿瘤患者中应用存在的伦理学问题。     

关于地区机构伦理委员会的调研与思考

通过对辽宁地区29家机构伦理委员会的机构设置情况、工作内容、伦理审查工作的管理等状况的调研,为了解我国医学伦理委员会的发展现状,存在的问题及发展方向提供局部的现实依据,为进一步完善我国医学伦理委员会建设提出建议。     

提高生命科学研究中的伦理审查质量的思考

我们曾经的生物医学研究中,有些研究者往往只注重自己研究的目的,违犯如《纽伦堡法典》,《赫尔辛基宣言》,《贝尔蒙报告:保护人体受试者伦理学原则及准则》等伦理原则。通过建立健全伦理评审系统,规范伦理审查程序,建立对伦理委员会的审查评估系统,期望使生物医学研究更加符合保护和促进人类健康的目的。     

ART伦理委员会构建与作用的探讨

辅助生殖技术(Assisted Reproduction Technique,ART)的飞速发展给社会带来了复杂的伦理难题。实践证明,只有发挥伦理委员会作为一个工作机构的职能,在医患人群中加强ART技术基本原理及相关伦理原则的宣传教育,才能促使医患人群都能够自觉遵守优良的医学伦理道德规范,保证人类辅助生殖技术的健康发展。     

Desire, Judgment, and Reason: Exploring the Path not Taken

At the outset of The Possibility of Altruism Thomas Nagel charts two paths out of the fundamental dilemma confronting metaethics. The first path rejects the claim that a persuasive account of the motivational backing of ethical judgments must involve an agent’s desires. But it is the second path, a path that Nagel charts but does not himself take, that is the focus of this essay. This path retains the standard account, upon which all motivation involves desire, but denies that desires are given prior to reason. Instead, these attitudes that motivate are themselves open to rational assessment. One reason for this focus is that many philosophers, including Quinn, Raz, and Scanlon, have come to reject the claim Nagel takes to block this path – that desires are somehow given prior to reason, hence are not in the relevant way proper objects of rational assessment. A second reason is that unlike the first path, this second does not require the rejection of the belief-desire theory, only the rejection of one assumption about the nature of conative attitudes. Unlike Nagel’s chosen path, then, the second holds out the prospect of reconciling ethical objectivity, internalism, and the belief-desire theory within a unified account. I argue that the account of desire found in Quinn, Raz, and Scanlon, augmented by aspects of Davidson’s account of propositional attitudes, yields a coherent account of the involvement of reason even in basic desires, an account that is well suited to Nagel’s intriguing path not taken. Earlier versions of this paper were presented at UC Santa Barbara and the University of Michigan. I am grateful to members of those audiences for helpful comments, in particular to Stephen Darwall, David Velleman, Kevin Toh, Voula Tsouna, and Tony Anderson. I have also benefited from helpful discussions of these arguments with Peter Thielke, Ted Hinchman, Dion Scott-Kakures, and Charles Young.     

企业中的道德决策

企业道德决策研究主要关注个体如何进行道德决策,以及哪些因素影响企业中的道德决策这两个基本问题。首先介绍企业道德决策的主要理论模型;然后简要总结实证研究的研究方法和基本结论;最后分析以往研究中存在的问题,并展望我国的企业道德决策研究     

古代奥运会的伦理精神及其对现代奥运的启示

古代奥运会的伦理精神包括效忠国家、身心和谐、公平竞争、追求和平等,同时有其时代和阶级的局限性,在伦理方面主要表现为阶级歧视、性别歧视、极其残酷、走入职业化等。古代奥运会的伦理精神对现代奥林匹克运动产生深远的影响,现代奥运的起源与发展是对古代奥运会伦理精神的继承与超越,古代奥运会伦理精神对北京奥运会的筹办也具有启示性的意义。     

Placebo in the investigation of psychotropic drugs,especially antidepressants

The paper presents major ethical, legal and methodological problems related to the use of placebo in mental disorders, especially in depression. It is pointed out that although authoritative groups of experts and numerous publications in the field of psychopharmacology indicate advisability of the double blind design with placebo in clinical trials of antidepressants, in recent years there have been more and more voices questioning legitimacy of this method. Objections of an ethical nature are raised, and reliability of this approach is put into doubt from the methodological viewpoint. These issues are discussed in more detail in the paper. Available alternative solutions should be implemented in psychotropic drug studies. The author shares these objections and doubts of an ethical nature, and believes that the placebo procedure is not a necessity in clinical trials of antidepressants. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.