Professional Autonomy and the Normative Structure of Medical Practice

Professional autonomy is often described as a claim of professionalsthat has to serve primarily their own interests. However, it can also beseen as an element of a professional ideal that can function as astandard for professional, i.e. medical practice. This normativeunderstanding of the medical profession and professional autonomy facesthree threats today. 1) Internal erosion of professional autonomy due toa lack of internal quality control by the medical profession; 2)the increasing upward pressure on health care expenses that calls for ahealth care policy that could imply limitations for the professionalautonomy of physicians; 3) a distorted understanding of theprofession as being based on a formal type of knowledge and relatedtechnology, in which other normative dimensions of medical practice areneglected and which frustrates meaningful communication betweenphysicians and patients. To answer these threats a normative structureanalysis of medical practice is presented, that indicates whichprinciples and norms are constitutive for medical practice. It isconcluded that professional autonomy, normatively understood, should bemaintained to avoid the lure of the technological imperative and toprotect patients against third parties' pressure to undertreatment.However, this professional autonomy can only be maintained if members ofthe profession subject their activities and decisions to a criticalevaluation by other members of the profession and by patients and ifthey continue to critically reflect on the values that regulate today'smedicine.     

Reflective,Critical, and Reconstructing Contemporary Chinese Ethics

Contemporary Chinese ethics faces two theoretical tasks: expansion in breadth and exploration in depth. The former refers to the opening of the problem area, and the latter refers to the deepening of ethics itself. To get out of the dilemma that academic results in the area are abundant in quantity but low in quality, contemporary Chinese ethics should expand and deepen in the three dimensions, namely, “no longer,” “being” and “not yet.” Within the framework of “no longer,” efforts should be made to deepen the studies of the history of moral concept and practice, and the ethics of culture from the perspective of genetics; with regard to the perspective of “being,” the ethical reflection on public crisis, system and Lnstitutional ethics, the dilemma of virtue theory and normative theory, and the conflicts and generalization between different moral paradigms will become the difficulties that require in-depth analysis and demonstration. As for the contemporary Chinese ethics towards “not yet,” attention must be paid to the duality of modern technology, the origin of human ethics based on building a community with a shared future for mankind and the moral philosophy that goes deep into people’s minds. To complete the above theoretical tasks, one must have judgment, thinking, and willingness, which can only be cultivated in the experience and thinking of “practical” life.     

Demographic correlates of normative beliefs about aggression among adolescents from low income communities in South Africa

The present study investigated the association of age, gender, and family size with normative beliefs about aggression among South African adolescents from low-income areas. Adolescents (n = 229; mean age = 16 years; female = 61%) completed the Normative Beliefs about Aggression Scale. Step-wise regression analyses were conducted with age, gender, and family size as predictors of normative beliefs about aggression. Boys demonstrated greater endorsement of physical, non-physical, and relational aggression; as compared to girls. Living in an extended family was associated with less approval of aggression. Aggression reduction interventions with children from disadvantaged areas need to consider the role of gender and family-related factors.     

A semantic challenge to non-realist cognitivism

Abstract

Recently, some philosophers have attempted to escape familiar challenges to orthodox nonnaturalist normative realism by abandoning the robust metaphysical commitments of the orthodox view. One such view is the ‘Non-Metaphysical Non-Naturalism’ or ‘Non-Realist Cognitivism’ proposed by Derek Parfit and a few others. The trouble is that, as it stands, Non-Realist Cognitivism seems unable to provide a substantive non-trivial account of the meaning and truth conditions of moral claims. The paper considers various strategies one might use to address the challenge. There is a rich field of views that are cognitivist and non-realist. But the paper is skeptical of the prospects of Non-Realist Cognitivism.     

Are Past Normative Behaviors Predictive of Future Behavioral Intentions?

We acknowledge the limitations in measures of moral reasoning and pursue an alternative technique by investigating past behaviors as they relate to present behavioral intentions. Our purpose is to evaluate the merits of patterned normative behavior for predicting present and future, morally relevant outcomes. Participants (N = 177) completed a policy capturing experimental design responding to questions that orthogonally varied the situational nature of the decision context. Results indicate that past normative behaviors are significantly and directly related to ethical behavioral intentions. Moreover, they moderate the relationships between situational factors and intended outcomes as well as moral reasoning and intended outcomes.     

Reasons and practical possibility

According to a common thesis about normative reasons for action, you have a reason to perform a given action only if you can act for that reason. This thesis has long had broad appeal and is intended to capture the practical character of practical reasons. I’ll call it the ‘Practicality Thesis’. Recently, however, various writers have developed subtly different objections to it, each designed to show that there can be actions you have a reason to perform even though you could not act for that reason – because, were you aware of the reason-giving facts in the ways needed to act for the reason, it would no longer be a reason for you to so act. This article defends the Practicality Thesis against such objections. It considers some extant defences but shows that these are inadequate. It then advances an alternative approach intended to counter any structurally similar objection.