论健康伦理学及其基本理论架构——“九大理论”视野中的健康伦理

当代医学道德发展的走向理应是健康道德,后医学伦理学时代理应是健康伦理学。建设健康伦理学需要搭成一个基本理论架构。其组成至少应该有“九大理论”,即生命神圣论、生命质量论、生命价值论,医学人本论、医学功利论、医学公正论,医者美德论、医者义务(患者权利)论、医患和谐论。其间,按顺序由每三论构成一个“统一论”,将第一个“统一论”作为立论前提,将第二个“统一论”作为直接依据,将第三个“统一论”作为应用指南,如此,才能由三个“统一论”共同地更好地阐释全部健康伦理学问题。     

任务框架及利他人格对社会折扣的影响

与自我存在一定社会距离的他人获得收益或遭受损失都会给自我带来一定的效用,这种效用随着与他人间社会距离的增加而减少,该现象被称为社会折扣。本研究采用情境式选择滴定程序,探索并比较了“为他人得益而放弃自我得益”(NG-G)、“为他人不失而放弃自我得益”(NG-NL)、“为他人得益而承担自我损失”(L-G)以及“为他人不失而承担自我损失”(L-NL)4种任务框架下的社会折扣程度。结果发现：(1)4种框架下,指数模型均比双曲模型更好地描绘了被试的社会折扣规律;(2)任务框架影响社会折扣程度,“为他人不失”框架下(含NG-NL、L-NL)的折扣程度比“为他人得益”框架下(含NG-G、L-G)低;(3)任务框架与社会距离的交互作用影响社会折扣程度。随着社会距离增加, NG-G与NG-NL框架下折扣程度的差异逐渐变小, L-G与L-NL框架下折扣程度的差异也逐渐变小;(4)社会距离与利他人格的交互作用显著,高低利他人格者的社会折扣程度只在社会距离较远时存在显著差异。上述结果表明,个体不仅存在自我损失规避倾向,也存在不同程度的他人损失规避倾向。     

Lived religion meets secular life: the dynamics of framing and the subjunctive power of ritual

ABSTRACT

In spite of the variety of often welcome everyday enchantments and empowerment that lived religion may bring to an individual in his/her personal life, it may become problematic in a person’s social life due to provoking tensions with significant others who hold different worldviews. This controversy necessitates the adoption of tactics and practices for adjustment and regulation, should that individual wish to enhance the benefits of religious enchantment and, simultaneously, maintain his/her position in the shared social lifeworld. This article argues that ritual theory, particularly in combining the notions of ritual framing and the subjunctive mode of ritual, offers a promising approach to researching this dynamic. The ritual studies approach helps shed light on the sometimes quite subtle ways in which moving in and out of the ritual frame makes it possible to regulate the often delicate balance of enchantment and disenchantment. This article examines the case study of women engaging in angel spirituality in Finland and the way they are able to navigate different ‘religious’ and ‘secular’ worlds. It argues that the dynamic combination of ritual framing and the subjunctive mode of ritual works as important possibility work in everyday life in a society which is uneasy about very strong expressions of lived religion.