Life-Review Technique in the Treatment of PTSD in Elderly Patients: Rationale and Three Single Case Studies

Persons exposed to traumatic events in childhood and adolescence may suffer from the symptoms of posttraumatic stress disorder (PTSD) well into old age. The aim of this paper is to introduce a structured life-review technique for the treatment of elderly PTSD patients. This technique centers on the discussion and evaluation of each consecutive stage of life. The therapist encourages the patient to reminisce on both positive and negative experiences; positive coping experiences are reinforced. A single session on the traumatic event is integrated into the discussion of the stages of life, which are dealt with in chronological order. In the following, 3 case studies (e.g., survivors of the 1945 Dresden bombing) are presented. Psychometric measures (PTSS-10, IES-R) for the case studies are reported. Finally, the potential and limitations of the pilot study and the new approach are discussed.     

"旧人"的否弃和"新人"的形塑--论马克思对人的价值形象的设计

任何关于人的理论都有自己理想的人的价值形象。它既是观察和评价现实生活的标准,也是实践活动所追求的目标。本文旨在将马克思所设计的人的价值形象从他复杂的理论构造中剥离出来。马克思关于人的理论以批判性的建构为鲜明特色,他对理想的人的价值形象的设计跟他对人的实际生活状况的否定是相辅相成的,亦即对“旧人”的否弃和对“新人”的塑形是同时进行的。这个“新人”的主要内涵如下：人应该是民主制度下的人。应该是追求现实幸福的人,应该是自由地自觉地活动的人,应该是全面发展的人。     

Christian Bioethics in Europe: In Defense against Reductionist Influences from the United States

Christian ideas have continued to inspire European bioethicsuntil now. The central thesis of this essay is that the open-mindednessof Roman Catholic and other Christian denominations in Europeis crucial for understanding why Christian ethics is so wellintegrated in the European culture. The essay describes firstthe institutional frameworks in which these Christian mainlyRoman Catholic ideas are developed. It analyzes further thedifference between the secular Anglo-American and European bioethicsas it has been influenced by these Christian ideas. It finallysummarizes the challenges to which Europe's Christian bioethicalidentity is presently exposed to. The essay states that theChristian inspiration of European bioethics is mainly connectedwith the ideologically moderate, tolerant, and dialogical participationof Christian bioethicists in the bioethical debate in Europe.     

Re‐examining Human Dignity in Literary Texts: In Seeking for a Continuous Dialogue Between the Conceptual and the Empirical Approaches

The article deals with the treatment of human dignity in three novels: The Ballad of Narayama (1956) by Shichiro Fukasawa; Never Let Me Go (2005) by Kazuo Ishiguro; and Still Alice (2007) by Lisa Genova. The article argues for a rich understanding of human dignity, an understanding that cannot be reduced to rigid principles. Cultural forms, imagination, and fantasy employed in literary fiction allow us to see this richness.     

Relationships,Human Nature,and the Four “Words” of Inspector Gamache1

The Inspector Gamache mysteries by Louise Penny are very popular, in no small part because of the appeal of the main character, Chief Inspector Armand Gamache. However, another main draw of the series is the small set of recurring main characters. In this article, I delve deeply into their lives and relationships, using as a lens the four sayings of Gamache as a means of illuminating both the brokenness and grace that characterize human relationality.     

Embodying Confident Agency: Luther's “Three Estates” as a Resource for Virtue Theory

Martin Luther's social writings (volumes 44–47 in the American edition) provide a robust account of human agency that might help Lutheran social ethics address contemporary crises of confidence. When Luther addresses concrete moral issues, he enriches his two‐kingdoms frame with a focus on particular social roles such as ruler, merchant, soldier, parent, etc. This (often tacit) “three‐estates” approach creates room for a distinctly Lutheran contribution to contemporary virtue theory by focusing on the functions served by particular social roles more than on individual self‐chosen pathways of moral improvement. It also supports a prophetic affirmation of vocation against the contemporary breakdown of expectations and confidence in social roles.     

国际合作中知情同意面临的难题及思考

目前在医学研究的国际合作中,知情同意原则在实施中出现了许多争议和难题.结合一些典型案例,对知情同意的跨文化研究、知情同意表格的误解以及保护受试者与自由研究之间的权衡等问题进行了深入地分析.指出:加强交流、相互尊重、求同存异是解决跨文化研究的必由之路;严格审查、加强监管是避免知情同意流于形式的重要手段;鼓励与防范并举才能达到双赢的局面.     

The Duty to Eradicate Global Poverty: Positive or Negative?

In World Poverty and Human Rights, Thomas Pogge argues that the global rich have a duty to eradicate severe poverty in the world. The novelty of Pogges approach is to present this demand as stemming from basic commands which are negative rather than positive in nature: the global rich have an obligation to eradicate the radical poverty of the global poor not because of a norm of beneficence asking them to help those in need when they can at little cost to themselves, but because of their having violated a principle of justice not to unduly harm others by imposing on them a coercive global order that makes their access to the objects of their human right to subsistence insecure. In this paper, I claim that although Pogge is right in arguing that negative duties are crucial in an account of global justice, he is wrong in saying that they are the only ones that are crucial. Harming the global poor by causing their poverty provides a sufficient but not a necessary condition for the global rich to have a duty of justice to assist them. After engaging in a critical analysis of Pogges argument, I conclude by suggesting the need for a robust conception of cosmopolitan solidarity that includes positive duties of assistance which are not mere duties of charity, but enforceable ones of justice.     

Reasonable Partiality Towards Compatriots

Ethical theories normally make room both for global duties to human beings everywhere and special duties to those we are attached to in some way. Such a split-level view requires us to specify the kind of attachment that can ground special duties, and to explain the comparative force of the two kinds of duties in cases of conflict. Special duties are generated within groups that are intrinsically valuable and not inherently unjust, where the duties can be shown to be integral to relationships within the group. Since nations can be shown to meet these conditions, acknowledging special obligations towards compatriots is justified. However for such partiality to be reasonable, it must be balanced against recognition of duties of global justice. These duties include duties to respect human rights and duties of fairness towards non-nationals. Weighing such duties against domestic duties of social justice is not a simple task, and the outcome should depend on the precise specification of the duty at stake. In particular, the duty to respect human rights fragments into four sub-duties whose force when set against local duties is markedly different.