Robert Boyle and the Machine Metaphor

The seventeenth–century chemist and philosopher Robert Boyle argued that the world is like a clockwork machine. This led to the problems of the place of a Creator and of how one can explain the directed, "final–cause" nature of organisms. Boyle thought that he could wrap everything up in one neat package, with a clear place for a designing God, but of course the coming of Darwinism casts doubt on this. Nevertheless, Boyle's thinking does have some very interesting implications for the way in which we today should consider the science/religion relationship.     

Instrumental Values – Strong and Weak

What does it mean that an object has instrumental value? While some writers seem to think it means that the object bears a value, and that instrumental value accordingly is a kind of value, other writers seem to think that the object is not a value bearer but is only what is conducive to something of value. Contrary to what is the general view among philosophers of value, I argue that if instrumental value is a kind of value, then it is a kind of extrinsic final value.     

终末期肾脏疾病治疗的社会问题

终末期肾脏病是一种常见的导致劳动力丧失的疾病,在我国主要靠血液透析、腹膜透析或肾移植等替代治疗,医疗资源的不平衡分布致使只有部分患者能得以治疗,长期的替代治疗给患者的家庭造成巨大的经济负担,使患者对医护人员家庭成员等产生强烈的依赖感,从而使其处于焦虑、抑郁等负面心理状态,影响家庭与社会的稳定。针对这些社会和心理问题制定相关的行业规范是必需和必要的。     

心理咨询和治疗的知情同意原则及其影响因素

随着心理咨询和治疗的发展,患者的知情同意成为临床心理学实践的一个基本伦理观念和原则.首先提出心理咨询和治疗实践中的知情同意问题,介绍心理咨询和治疗知情同意的要素、过程、内容、意义和影响因素,并附心理咨询和治疗提供给患者的知情同意问卷,旨在引起从业者的注意和重视,并在临床实践中自觉地遵守.     

“Till Death Us Do Part”: Issues of Fidelity in End of Life Care

SUMMARY

This paper was born of the experience of caring for a loved one at the end of life. The sense of being torn between accepting one's lot and wishing for something “other” is at the heart of the concept described as “intimate fidelity.” Intimate fidelity is discussed as part of a multi-layered concept of fidelity, embracing aspects of the professional caring relationship, and which builds into a value that shapes the fabric of the community.

Academic literature fails to address this understanding of fidelity, so with some creativity, we turned to popular literature—novels and biographies—to find rich understandings of the concept of fidelity. Then following a traditional system of thematic analysis, three aspects of the concept of fidelity are presented, in the context of caring for loved ones, professional caring, and caring in the community.     

Young children's ability to solve spatial problems involving a choice

When do young children become able to make an adequate choice between two alternatives based on spatial information? Children of 20, 30, and 40 months of age were either presented with two objects with different cross-sections and one aperture, or one object and two different apertures. In each trial there was one object – aperture match and the task was to find that match and insert the object. All the children understood the task and tried to solve the problems but the 20-month-olds performed randomly and not even the 40-month-olds chose all the correct correspondences consistently. The results also showed that it is easier to choose between apertures than objects. This contrasts with the ability to solve the insertion problem once the choice was made. When choosing the correct object or aperture, the 40-month-olds inserted the triangle successfully in 85% of the cases. The boys and girls were equally good at solving the task, but the boys did it faster. The results show that making a choice adds significantly to the difficulty of solving spatial problems. It requires systematic examination of the objects and apertures involved, a working memory that can handle at least three items at a time, and an ability to inhibit an incorrect choice. Such executive functions are typically found in older preschool children but the present task shows that with an appropriate setup their development can be traced from a much earlier age.     

Hedonic Evaluation over Short and Long Retention Intervals: The Mechanism of the Peak–End Rule

The peak–end rule is used to explain how people make retrospective hedonic evaluations. This study advances our understanding of its mechanism by identifying the different effects of the rule on such evaluations over short and long retention intervals. The results of two experiments show that (i) respondents constructed their retrospective hedonic evaluations on the basis of the peak and end affects only over a short retention interval, not over a long one; and (ii) respondents relied on episodic information to construct their evaluations over a short retention interval, whereas they relied on both semantic and episodic information to construct their evaluations over a long retention interval. Our study also suggests that the “watershed” between short and long retention intervals is likely to lie between 3 and 7 weeks. Copyright © 2012 John Wiley & Sons, Ltd.     

For the Sake of the Final End

The question of the viability of theological eudaimonism as an interpretation of the moral life has generated increasing debate in recent years. This essay aims to advance the debate about theological eudaimonism (and eudaimonism more generally) by addressing a closely related but insufficiently discussed issue: the nature of human agency and its relationship to value. The most commonly raised objection to eudaimonism is that it is objectionably agent-oriented. I argue that worries about objectionable self-orientation often stem from importing foreign pictures of agency into the eudaimonist tradition. I make this case through an analysis of Nicholas Wolterstorff’s recent critique of eudaimonism. Wolterstorff presupposes a common contemporary conception of agency. Drawing on Thomas Aquinas and Elizabeth Anderson, I show that other conceptions of agency are available. Clarity about the nature of human agency and its relationship to value will bring greater clarity to the debate about eudaimonism and self-orientation.     

Cognitive Transformation,Dementia, and the Moral Weight of Advance Directives

Abstract

Dementia patients in the moderate-late stage of the disease can, and often do, express different preferences than they did at the onset of their condition. The received view in the philosophical literature argues that advance directives which prioritize the patient’s preferences at onset ought to be given decisive moral weight in medical decision-making. Clinical practice, on the other hand, favors giving moral weight to the preferences expressed by dementia patients after onset. The purpose of this article is to show that the received view in the philosophical literature is inadequate and is out of touch with real clinical practice. I argue that having dementia is a cognitive transformative experience and that preference changes which result from this are legitimate and ought to be given moral weight in medical decision-making. This argument ought to encourage us to reduce our confidence in the moral weight of advance directives for dementia patients.     

Grief,Death, and Longing in Stoic and Christian Ethics

The Stoic rejection of the passion of grief strikes many ethicists writing on dying as inhuman, selfish, or lacking appreciation for the world. This essay argues that Stoics rejected grief and the fear of death because these passions alienated one from the present through sorrow or anxiety for the future, disrupting one's ability to fulfill obligations of care for others and to feel gratitude for the gift of loved ones. Early Christian writers on death, such as Ambrose, maintained much of the substance of Stoic doctrine but transformed it through their belief in the resurrection and their corresponding revaluation of the future. While these writers rejected grief as an affective response to death, they affirmed longing for lost loved ones. These authors provide an example of how contemporary religious ethicists can use Stoic insights for recovering the tradition of the art of dying.