生命伦理之争的文化视角——以安乐死和人工流产为例

从文化的角度看,生命伦理之争是文化之争。也就是说,生命伦理之争的背后是不同文化传统之间、同一文化内部不同派别之间、对同一经典的不同诠释之间的争论。然而,东西方文化之间,以及同一文化内部各派别之间也并非完全不可通约,未来生命伦理学的发展必须保持其普世性和多元性之间的张力。     

Peaceful waters: Community action in sustainable scarce resource management in a rural Zimbabwean setting

I explored community collation approaches to sustainable water management by a rural Zimbabwean community for social justice and equity with inclusivity. Informants were a convenience sample of 27 community dwellers; including villagers (n = 20), community leaders (n = 2), and policy makers (n = 5). They responded to semi-structured interviews regarding their engagement in community action for sustainable water resource management. Thematic analysis of the data yielded themes to suggest diversity in stakeholder interest, the importance of collective community participation, and attending to group cohesion processes. Regular community dwellers appeared to value local oversight and control of the water resource management; while policy makers were more invested in water resource management institution building than the mundane water resource management issues. Sustainable water resource management in rural settings is likely with identifying and bridging any gaps between local user interests and institutional policy interests.     

When Is It Ethical for Physician-Investigators to Seek Consent From Their Own Patients?

Classic statements of research ethics advise against permitting physician-investigators to obtain consent for research participation from patients with whom they have preexisting treatment relationships. Reluctance about “dual-role” consent reflects the view that distinct normative commitments govern physician–patient and investigator–participant relationships, and that blurring the research–care boundary could lead to ethical transgressions. However, several features of contemporary research demand reconsideration of the ethics of dual-role consent. Here, we examine three arguments advanced against dual-role consent: that it creates role conflict for the physician-investigator; that it can compromise the voluntariness of the patient-participant’s consent; and that it promotes therapeutic misconceptions. Although these concerns have merit in some circumstances, they are not dispositive in all cases. Rather, their force—and the ethical acceptability of dual-role consent—varies with features of the particular study. As research participation more closely approximates usual care, it becomes increasingly acceptable, or even preferable, for physicians to seek consent for research from their own patients. It is time for a more nuanced approach to dual-role consent.     

The Quarter-life Time Period: An Age of Indulgence,Crisis or Both?

A new developmental stage called the quarter-life is proposed, extending from approximately 18–29 years of age and sometimes later. The emergence of this period is believed to be the result of several social, historic and economic factors that occurred post WWII. This article explores these changes in terms of the experiences of affluent young people in today’s Western society. A typology of adaptational responses are presented and explored as the quarter-lifers attempt to navigate their way to adulthood within the context of this ‘new’ affluent society. Implications for family therapists are considered.     

STRUCTURES OF EVIL ENCOUNTERED IN PASTORAL COUNSELING

This essay explores some relationships between social structures or systems and the internal psychological structures or systems of individuals. After defining evil, pastoral counseling, and structures or systems, I present examples of persons affected by social systems of power who have sought counseling. I present a form of counseling known as Internal Family System Therapy (IFS) and show with an extended example how I have worked with clients using this approach. In this process the client is guided to use “Self‐leadership” in healing and transforming inner conflict between various subpersonalities or “parts.” I then compare the IFS approach to one used by mediators in community conflict transformation and peacebuilding.     

Review of refugee mental health and wellbeing: Australian perspectives

This review covers refugee mental health and wellbeing within the Australian context to assist psychologists who provide services for, or who conduct research with, refugees. It provides a brief overview of the refugee movement, prior to examining evidence relating to the impacts of pre‐displacement, displacement and resettlement factors on psychological adjustment in the resettlement phase, and the systemic and sociopolitical factors that influence the process of adaptation during resettlement. Australian findings suggest that mental health and wellbeing outcomes are influenced by a complexity of pre‐displacement, displacement, resettlement and systemic factors; the detention or award of temporary residence to refugees who are already experiencing psychological distress on arrival are cases in point. Limitations of the findings are considered. More research into the combined, pathwise relations between the psychosocial pre‐determinants and psychological sequelae of the refugee experience is required. Finally, suggestions for the development of practice, training and ethical guidelines are offered.     

Notes on Cultures of Violence, Cultures of Caring and Peace, and the Fulfillment of Basic Human Needs

Some conditions in the lives of children, adults, and groups can be construed as fulfilling universal human psychological needs. The constructive fulfillment of these basic needs promotes caring and positive, helpful relations; their frustration creates an inclination toward hostility and aggression. The article describes diverse influences that can lead to violence between individuals, groups, and societies, as well as ways to halt and prevent genocide, mass killing, and other intergroup violence, including terrorism, in part by fostering culture changes that promote harmony and peace. Ideally such culture change would involve healing from past wounds, the creation of positive (rather than destructive) ideologies, supportive communities, reconciliation and the creation of a shared collective memory, education that promotes peace, and the development of inclusive caring in children. The article also refers to work in Rwanda that aims to foster healing and reconciliation, in part by helping people understand the roots of violence and its implication for prevention. Societies and families that help to fulfill basic needs promote goodness as well as optimal human functioning—the continued growth and development of individuals.     

Subjective person-organization fit: Bridging the gap between conceptualization and measurement

In this paper, we present a critical examination of the literature on subjective person-organization (P-O) fit and highlight several conceptual and measurement issues that may be perpetuating confusion in this literature. Specifically, we reviewed 46 empirical studies that have measured P-O fit perceptions and identified three primary sources of inconsistency among these studies, including (a) how P-O fit is conceptualized, (b) the operational definition of ‘organization,’ and (c) the content domain used to assess P-O fit. We discuss several implications of this review, including the potential role that individual differences play in fit perceptions. We also make a case for the development and adoption of uniform, validated measures of P-O fit that incorporate the multidimensional nature of fit.     

人类干细胞研究的伦理学争论

关于干细胞研究的伦理学争论越来越成为热门话题。2000年8月23日,美国卫生研究所颁布了涉及人类多能胚胎干细胞研究的指南。指南允许联邦政府资助的研究者进行干细胞研究,但是按照布什总统2001年8月9日的决定,政府只资助有限制的干细胞研究。而在英国、法国、日本、澳洲、以及其他国家,干细胞研究不仅在私人的实验室里而且也在政府的实验室里进行着。无论如何,人类干细胞研究应该按照一定规范谨慎进行。     

Some ethical concerns about counselling research

The whole approach of counselling researchers to ethics may be assumed to have been improving in recent years, especially with the BACP research guidelines (Bond, 2004 Bond, T. 2004. Ethical guidelines for researching counselling and psychotherapy. Counselling and Psychotherapy Research, 4(2): 4–9. [Taylor & Francis Online] [Google Scholar]), with its focus on trustworthiness and on the researcher engaging with ethical issues. In this paper we share our concerns about the background to ethical decision making for researchers today followed by our specific concerns for counselling researchers namely: why do counselling research at all?; research that hurts participants; the impact of research on the therapeutic process; restrictive notions around what is data; the politics of funding and informed consent revisited.