浅析医生处方权的属性与规范——基于医疗卫生资源微观配置视角的分析

从医疗卫生资源微观配置视角分析,处方权是一种资源配置权力,属于公权力。主要分析了医生处方权的权力来源、医生处方权的职权性质和医生处方权的源权力属性。鉴于此,建立处方权独立行使的保障制度与处方权规范行使的程序控制制度可以有效规范医生处方权的行使。     

Constructing and contesting threat: Representations of white British Muslims across British national and Muslim newspapers

White British Muslims pose a challenge to racialised representations of British Muslims as non‐white, foreign and Other. By drawing on tools from Critical Discourse Analysis to develop Social Representations Theory on a micro‐analytic level, and making connections with other relevant social psychological theories on intergroup relations, this article examines the constructions of white British Muslims as a threat in six national and two Muslim British newspapers. It looks at how discourses are used to create, perpetuate and challenge the ‘hegemonisation’ of social representations in majority and minority press. The findings show that white British Muslims are portrayed as a threat not just despite of, but because of, their position as part of the ‘white British’ ingroup. Consequently, the threat they pose often leads to their Muslimness being emphasised. This was, at times, contested, however, either through direct challenges, or by making the threat ambivalent by drawing on their whiteness.     

Pride and punishment: Entitled people's self‐promoting values motivate hierarchy‐restoring retribution

What is the purpose of punishment? The current research shows that for entitled people—those with inflated self‐worth—justice is about maintaining societal hierarchies. Entitled people more strongly hold self‐enhancing values (power and achievement; Studies 1 and 3). They are also more likely, when thinking about justice for offenders, to adopt a hierarchy‐based justice orientation: Perceptions that crime threatens hierarchies, motives to restore those hierarchies, and support for retribution (Studies 2 and 3). Further, the relationship of entitlement to justice orientation is mediated by self‐enhancing values when entitlement is measured (Study 3) and manipulated (Studies 4, 5 and 6). Together these studies suggest that entitlement—and the resultant preoccupation with one's status—facilitates a view of justice as a hierarchy‐based transaction: one where criminal offenders and their victims exchange power and status. These findings reveal the self‐enhancing and hierarchy‐focused nature of entitlement, as well as the roots of retribution in concerns about status, power, and hierarchies.     

Empowerment,agency, and power

As ‘empowerment’ and ‘agency’ have received wider usage within development research and policy, ambiguities and variant meanings have proliferated. Amidst this conceptual drift, there has also been a tendency to assimilate the two concepts. This tendency is problematic in a number of ways. First, ‘agency’ has various meanings, and the weakest of these captures little of the concept of empowerment. Second, empowerment has a conceptual link with well-being that agency cannot have. Third, when empowerment is assimilated with expanded agency, that agency is not considered in a relational way: the focus is on how the agency of a group or individual becomes greater than it was, not on the degree to which their agency is dependent on or dominated by the agency of others. If ‘empowerment’ no longer refers to social relations, it loses its direct relevance to the transformation of those relations and, as some critics have claimed, it ceases to be a ‘transformative’ concept. After showing that there are cases of empowerment that cannot be captured by conceptions of empowerment that ‘take power out’, I draw upon the capability approach to propose relational conceptions of agency and empowerment that ‘bring power back in’.     

The Fork in the Road

This article conducts a normative evaluation of Operation Iraqi Freedom undertaken in 2003 by employing principles of prudence to enquire whether the use of force could be described as an action by a responsible great power. Along with relating the principles of prudence to the concept of great power responsibility, it highlights two pillars of prudent decision-making: circumspection and awareness of one's limits. This normative framework is then utilised to evaluate the invasion of Iraq from the perspective of these specific aspects of prudence. The conclusion shows that on the basis of this normative yardstick, it is not possible to classify Operation Iraqi Freedom as a prudent action by a responsible great power.     

Global basic structure and institutions: The WTO as a practical example

In this article, I discuss the location of the sources of global poverty and injustice. I take it as granted that the members of the globally lowest income group live in unacceptable conditions and suffer from injustice. Yet the source of this injustice is a debatable question. Often the existing global institutions are seen as major causes behind this injustice. By taking the World Trade Organization (WTO) negotiations as a practical example, I aim to show that blaming the institutions as such can lead to misguided conclusions. The WTO, in fact, is quite just if one merely analyses its institutional structure. I argue that the major source of injustice are rather the prevailing power structures and the conduct of individual governments within this institutional framework, in other words the metaprocedural unfairness in the trade negotiations. I further argue that applications of Rawlsian theory of justice tend to be misleading at the global institutional level, as they focus disproportionately on the institutional structure, and tend to underestimate the relevance of the conduct of governments and the existing power structures, which allow powerful countries to use the institutional framework unjustly in their favour.     

Great expectations for Ara Norenzayan's Big Gods

In Big Gods (2013), Ara Norenzayan argues that the rise of large-scale societies was made possible by an extension of small-scale religious prosociality, presided over (and enforced) by Big moralizing watchful Gods. While religious prosociality is, of course, a redundant characterization of any small-scale religious group, it is doubtful that its extension can account for the historical emergence of large-scale societies, nor can cooperation be explained as an effect of surveillance. Rather, the archaeological and historical record indicates that such large-scale expansions of human societies are better explained by economic factors, political power, and/or military force. Difficulties with Norenzayan's theory are explored and several alternative theories to his ‘neglect of history’ are suggested.     

When the Woman Presents Herself as "the Patient"

The thesis of this paper is that women are delegated by their families, by sociocultural norms and stereotypes, and by the psychotherapeutic community to perform in the role of patient. In many cases women are diagnosed, labeled and treated for supposed intrapsychic difficulties without adequate consideration of the relationships of the woman's social system to the dysfunction. This acceptance of the notion of intrapsychic causation in the woman, while ignoring the larger family system, grows out of a cultural world view which stresses individual self-determination is economically rewarding for the therapeutic community (two-thirds of the client population is female), it does a disservice to the woman and her family. A societal myth is perpetuated of the women as the "problem-bearer" and the one who is "sicker" or "crazier" than others in her family. The woman's symptoms need to be viewed as having interpersonal reality; symptoms are tactics of communication not mythological internalized driving forces with special attraction to the female psyche. An attempt will be made to outline how therapists may unwittingly collude in perpetuating the myth of individual dysfunction in the woman. Ideas are presented for viewing the woman's request for service as an attempt to solve a systemic problem and how therapists, by recognizing the function of the symptom in the woman's social system, can help the woman better define and solve the problem.     

Invited commentary on the interview with Jan Stensson

Abstract

The potential of psychoanalysis as social criticism is explored in the context of the major social divides of gender, sexual orientation, race, social class, and ethnicity. It is argued that these divides play central roles in constructing individual psyches, and that their influence is inseparable from other social/ familial forces. Further, analyst and patient alike, inevitably enact the imperatives of class, race, gender, and sexuality in the analytic dyad. It is crucial that psychoanalytic theory be extended to account for the formative power of these cultural categories both in the construction of individual identity, and on the course of analytic work. Further, individual psychoanalysts must be aware of cultural countertransference in the analytic engagement. Finally, as a profession we have an obligation publicly to oppose the destructive imperatives of our economic, political, and social systems in the interest of individual and community psychic well-being.