Ethical dilemmas in testing for late onset conditions: reactions to testing and perceived impact on other family members

This paper examines some of the ethical dilemmas that arise when testing for the late onset, untreatable condition of Huntington disease (HD) specifically now that technology allows us to test younger generations of the family for the mutant gene. Drawing on interview data from families with Huntington disease, the reactions to testing and perceived impact on other family members are considered. These are discussed in the light of the possible lowering of the age of test applicants. This potentially raises problems for a younger generation as they are confronted with reproductive decisions that the older generation did not have to face. It also means that individuals have the prospect of living with knowledge of a future illness for much longer.     

时间、目的与行为特征对群体决策绩效的影响

96名大学生,4人一组,参加了评价警察行为的决策实验.研究采用2×2×2(时间×目的×行为特征)因子式设计,旨在分析时间、目的和行为特征如何对中国人群体决策行为产生影响.结果表明,决策群体在行为记忆上的准确性优于成员个体,但群体的决策标准比个体冒险;时间、目的及行为特征影响群体决策的绩效.结论支持了"互补性假设"及K R Murplhy对时间与目的之间交互作用的解释.     

What's measured is not necessarily managed: cognitive contingencies of organizational measurement

Organizational measurement is necessary for managing incremental improvements or change efforts. Some have argued that indicators of financial performance measure the past and should be joined by "lead" measures such as management development and customer relations, assumed to be drivers of performance. Approaches of "lead" measures have met criticism for not contributing to operational management. The present is an empirical case study where measures from a customer satisfaction survey and a management assessment instrument were analyzed and compared to actual measures of financial performance. The effects of measures obtained seem to depend on the interpretations and reflection taking place in the organization. The pursuit of "lead" indicators did not seem to drive results. Counter-intuitively, higher scores on these measures were related to poorer financial performance. The explication of and reflection on the underlying dynamic seemed to turn the development in a profitable direction.     

Identity and moral responsibility of healthcare organizations

In this paper the moral responsibility of a Healthcare Organization (HCO) is conceived as an inextricable aspect of the identity of the HCO. We attempt to show that by exploring this relation a more profound insight in moral responsibility can be gained. Referring to Charles Taylor we explore the meaning of the concept of identity. It consists of three interdependent dimensions: a moral, a dialogical, and a narrative one. In section two we develop some additional arguments to apply his concept of personal identity to organizations. The final section works out the relationship of three dimensions of identity to some actual issues in contemporary HCOs: the tension between care and justice, the importance of dialogues about the diversity of goods, and the relevance of becoming familiar with the life-story of the HCO. Identity of an HCO is established and developed in commitments to and identification with certain goods that are central for a HCO. However, many of these goods are interwoven with everyday practices and policies. Therefore, moral responsibility asks for articulation of goods that often stay implicit and should not be reduced to a merely procedural approach. However difficult this articulation may be, if it is not tried at all HCOs run the risk of drifting away from their very identity as healthcare institutions: to offer care to patients and to do this in accordance with demands of social justice.     

Institutional conflicts in Jungian analysis

This paper explores how the institutional life of analytical psychology has been beset by its historical and continuing conflictual relationship with psychoanalysis. Stemming from a division in Jung's identity, that of the spiritual seeker and that of a mental health practitioner, the organizations of analytical psychology have repeatedly enacted that division, resulting in an unclear mission and considerable conflict. In England those conflicts have led to schisms; in America they have played out in internal conflicts within training institutes. Examples of areas of conflict are provided, along with suggestions for addressing these conflicts by recognizing them more openly.     

Culture Is More than a Static Residual: Introduction to the Special Section on Culture and Foreign Policy

The literature on international relations frequently refers to culture in broad, macro-level ways to explain what cannot be explained by economic or military power. The assumptions that culture is simple, uniform and the opposite of power are, in the view of the authors, erroneous. Also, the authors note that there is a lack of scholarly interaction among psychologists interested in cross-cultural phenomena and international relations specialists interested in questions of identity and foreign policy. As an introduction to a special section on culture and foreign policy, this article calls for more communication among these scholarly communities; provides a set of observations about foreign policy and culture understood as a complex, dynamic concept; and calls for specific kinds of studies to better understand foreign policy in the context of cultural complexity and richness.     

“组织学习障碍”研究

组织要进行真正的学习 ,就必须克服“组织学习障碍”。“组织学习障碍”分为“单环学习障碍”和“双环学习障碍”两大类。为了克服“组织学习障碍”,首先必须消除组织的习惯性防御机制 ,然后进行“学习型组织”的各项修炼。     

Faulty Judgment,Expert Opinion,and Decision-Making Capacity

An assessment of decision-making capacity is the accepted procedure for determining when a person is not competent. An inferential gap exists between the criteria for capacity specific abilities and the legal requirements to understand relevant information and appreciate the consequences of a decision. This gap extends to causal influences on a person'scapacity to decide. Using a published case of depression, we illustrate that assessors' uses of diagnostic information is frequently not up to the task of bridging this inferential gap in a justifiable way. We then describe cases of faulty judgement which challenge the understanding of diagnostic causal influences. These cases help to clarify the nature of the expertise required for capacity assessments. In practice, the requirements of decision-making capacity are often abandoned to other considerations due to a lack of requisite expertise. The legal policy supporting decision-making capacity as a means to protective intervention is justified only if the requisite expertise is developed. We propose the requisite expertise to be developed in the long term as a distinct multidisciplinary endeavour.     

Psychoanalysis and Diplomacy: Part III. Potentials for and Obstacles Against Collaboration

Given the pervasive influence of Realpolitik over government and the study of international relations, and some inherent difficulties within the field of psychoanalysis, it is not surprising that political science and psychoanalysis remain distant cousins. Part III in this series on diplomacy and psychoanalysis discusses obstacles against collaboration between these two disciplines, but also points to areas where collaboration is possible and can be useful.