当代中国临床医学伦理准则建设论纲

我国当代临床医学伦理准则亟待出台，建设时机现已水到渠成，为积极参与这项重要的建设工程，本文提出了找准现实生长点为根本课题的基本建设思路，并以病人中心准则为核心探索性地设计出了准则体系。     

《周易》思想与文化传播——以道教和西南少数民族禹步为例

《周易》是中华传统文化的组成部分,是道家道教思想的重要来源.《周易》中有关乾坤、卦的思想,是道教和西南少数民族禹步的理论基础.论文以道教和西南少数民族禹步为例,详细考察其宗教法术蕴涵的《周易》思想,指出道教和西南少数民族宗教法师的禹步,其科仪始终按九宫八卦布局行法,此深得《周易》思想天人关系的精要.作为仪式中具有宗教象征意义的《周易》八卦符号,表达出中华先民对自然界阴阳运动规律的认识.     

On the construction of thinking

In this study the author attempts to widen our understanding of language and thought construction by using Chinese ideograms as a model. This allows us to understand how concrete internal objects can coalesce to form abstract internal objects, e.g. concepts, ideas, symbols, and metaphors. One can establish a pictorial language that antedates verbal language. This is the case in the dream work that we routinely study. Thus, this study delves into the physiology of the alpha function. To this end the author not only relies on psychoanalytic concepts but also on concepts from philosophy and from language itself. The author presents the ideograms not only for discussion but also for their visual impact. If we really want to understand pictorial images, they must be seen and not just discussed from a theoretical point of view. Based on this understanding the author advances a proposal for the technique used in treating patients who cannot establish mental representations for their affect. And the technical proposal is illustrated in two clinical cases.     

Discussions

Summary  In their paper, ‘When are thought experiments poor ones?’ (Peijnenburg and David Atkinson, 2003, Journal of General Philosophy of Science 34, 305-322.), Jeanne Peijnenburg and David Atkinson argue that most, if not all, philosophical thought experiments are “poor” ones with “disastrous consequences” and that they share the property of being poor with some (but not all) scientific thought experiments. Noting that unlike philosophy, the sciences have the resources to avoid the disastrous consequences, Peijnenburg and Atkinson come to the conclusion that the use of thought experiments in science is in general more successful than in philosophy and that instead of concocting more “recherché” thought experiments, philosophy should try to be more empirical. In this comment I will argue that Peijnenburg’s and Atkinson’s view on thought experiments is based on a misleading characterization of both, the dialectical situation in philosophy as well as the history of physics. By giving an adequate account of what the discussion in contemporary philosophy is about, we will arrive at a considerably different evaluation of philosophical thought experiments.

For I am convinced that we now find ourselves at an altogether decisive turning point in philosophy, and that we are objectively justified in considering that an end has come to the fruitless conflict of systems. We are already at the present time, in my opinion, in possession of methods which make any such conflict in principle unnecessary. What is now required is their resolute application. (Schlick, ‘The Turning Point in Philosophy’, 1930/1959, p. 54).

     

肝癌时间生物学研究的启示

在临床一线工作中发现肝癌病人就诊率有一定的时间现象,而在时间生物学理论启发下开拓了肝癌时间生物学研究的创新思路,体会到新科学理论是一把开启科学思维的金钥匙,但还必须善于用在科学实践上。在“对立统一”哲学原理的启发下,根据爱因斯坦“弯曲时空”原理找到气候差异很大的不同经纬度区域的肝癌临床时间生物学特征是否为同一性的论证方法。根据“对立统一”哲学原理,对肝癌细胞内正/负向癌基因进行对应表达实验研究,探索肝癌时间生物学特征的分子机制。对肝癌时间生物学研究最终目标进行了哲理性思考。     

浅议辩证思维方法在高血压预防及治疗中的应用

辩证思维方法是最普遍适用、最重要的科学思维方法之一。高血压的预防及治疗中的各个方面无不渗透着丰富的哲学思想,理解和把握哲学思想对高血压的防治具有重要的指导意义。     

5～9岁儿童对心理过程差异的理解

对心理过程差异的理解是学龄后儿童心理理论发展的一部分。本文主要探讨5-9岁儿童对心理过程差异的理解,即理解两个体在看到同样的物体时思维过程是否相同。采用“思想泡泡”的方法给5岁、7岁、9岁各20名儿童讲述故事,考察故事中人物背景知识的有无、对象的不同(自我-他人/他人-他人)及对象间关系的不同(朋友/陌生人)对儿童判断心理过程差异的影响。结果发现,有无背景信息对儿童理解心理过程差异有显著影响,而故事中对象不同及对象之间关系的不同对儿童理解心理过程差异无显著影响。同时还发现,随着年龄的增长,儿童逐渐意识到两个体的思维过程是不同的且能提供比较充分的解释,对心理过程差异的理解使学龄后儿童对个体独特性有更深的了解。     

Thought experiments and conceptual revision

The idea that claims about the physical world might be arrived through a priori reasoning has a long history in physics. But it is clear that empiricist notions of the nature of science, and in particular the empirical nature of physics, have held sway in this century. Yet, in the idea of thought experiments in science, we might find the survival of earlier a priori reasoning to the truth of claims about the physical world. This paper challenges the notion that science can be understood as a purely empirical endeavor and points out what reforms would be necessary for teaching the image of science to our young.     

Assisted death and martyrdom.

Against the backdrop of ancient, mediaeval and modern Catholic teaching prohibiting killing (the rule against killing), the question of assisted suicide and euthanasia is examined. In the past the Church has modified its initial repugnance for killing by developing specific guidelines for permitting killing under strict conditions. This took place with respect to capital punishment and a just war, for example. One wonders why in the least objectionable instance, when a person is already dying, suffering, and repeatedly requesting assistance in dying, there is still such widespread condemnation of assisted suicide and euthanasia. In a Gedankexperiment, I suggest that certain stories of martyrdom in the history of the Christian Church shed some light on the role of taking one's life, or putting one's life in danger out of love. I further suggest that requesting assisted suicide and/or euthanasia from the motive of love of one's family or care givers might possibly qualify as one instance of justifiable euthanasia, although I acknowledge that the Church will not be making changes in its stance any time soon.     

Critical Consciousness: An Alternative Pathway for Positive Personal and Social Development

This paper presents a conceptual model of the integrative psychological construct of critical consciousness (CC), defined as a moral awareness which propels individuals to disembed from their cultural, social, and political environment, and engage in a responsible critical moral dialogue with it, making active efforts to construct their own place in social reality and to develop internal consistency in their ways of being. The ontogeny of CC is analyzed in terms of the synergistic interaction between its two main components, structural developmental and moral motivation. The paper describes the cross-cultural interview research which allowed the elaboration of the CC developmental pathway. It posits the dimension of moral motivation as distinguishing the CC pathway, and illustrates the continuum between predominantly moral and expediency motivation through brief case vignettes. The paper differentiates three developmental macrolevels of CC, and illustrates through case vignettes two alternatives of social consciousness at the level of conventional morality—CC and non-CC. Some possible sources of moral motivation in personal history and biography are discussed.