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The equipoise requirement in clinical research demands that, if patients are to be randomly assigned to one of two interventions in a clinical trial, there must be genuine doubt about which is better. This reflects the traditional view that physicians must never knowingly compromise the care of their patients, even for the sake of future patients. Equipoise has proven to be deeply problematic, especially in the Third World. Some recent critics have argued against equipoise on the grounds that clinical research is fundamentally distinct from clinical care, and thus should be governed by different norms. I argue against this “difference position,” and instead take issue with the traditional, exclusively patient-centered account of physicians' obligations that equipoise presupposes. In place of this traditional view, I propose a Kantian test for the reasonable partiality that physicians should show their patients, focusing on its application in clinical research and medical education. 相似文献
853.
《Journal of couple & relationship therapy》2013,12(3):1-4
Abstract This article provides a beginning exploration of the pro cess involved in becoming an emotionally focused therapist. The under lying assumptions of emotionally focused therapy (EFT) are identified and examined in relation to how the theory affects therapeutic practice with couples and families. A number of themes are outlined including fit between the therapist and EFT, the challenges of working within this model and transference issues. The authors utilize examples from their supervisory experience in training therapisLs to illustrate common strug gles, pitfalls and the necessary clinical set required in becoming an emo tionally focused therapist. 相似文献
854.
《Journal of couple & relationship therapy》2013,12(3):17-18
Abstract The purpose of this paper is to review recent findings in neuroscience for offering suggestions for further revisions of marriage education programs. Suggestions include paying more attention to the history of each partner; understanding the attachment styles of each partner; using both explicit and implicit learning; helping couples understand the role of emotions in rational decision making; promoting activation of the left hemisphere of the brain; focusing on process instead of content; increasing religious experiences and spirituality; the use of humor, absurdity and unordered material; and creating self-directed, technologically advanced modules that can be used as periodic checkups. 相似文献
855.
《Journal Of Applied School Psychology》2013,29(1):43-65
Abstract This study focused on strategies school psychologists and special education teachers report they would use to resist administrative pressures to practice unethically. Data came from a national sample of 141 school psychologists and 130 special education teachers who responded to a survey by predicting how they and others would respond to four ethical dilemmas. Qualitative analysis of data revealed four strategies that were generalized across all dilemmas. These general strategies were: preventing dilemmas from occurring; educating and/or threatening others; involving others in solutions; and combining strategies into more comprehensive responses. Qualitative analysis also revealed three strategies that were suggested for only some of the dilemmas (dilemma-specific strategies). Both the general and dilemma-specific strategies appear potentially useful to practitioners seeking ways of resisting pressures to practice unethically. 相似文献
856.
《Journal of Religion, Spirituality & Aging》2013,25(3):25-40
ABSTRACT The religiousness of individuals and communities can be effective resources for healthcare practitioners serving older Americans. Such effectiveness can be more fully realized if theology and epidemiology are recognized as complementary ways of understanding aging and health. The ways in which theologians and epidemiologists can be complementary consist of the different modalities of hope they engender, the different types of preferential recollection they exercise, and the different stages of life they address. The complementarity of theology and epidemiology is dependent upon a spiritual but not supernatural conception of the relationship between religion and health. 相似文献
857.
858.
This article offers the case study of a contemporary mediatized Christian passion event that takes place annually in the public sphere in the Netherlands. Contributing to debates in various studies of religion regarding religious change in late modern societies, the authors propose the concept of ‘play’ that, although not a new concept to the study of religion or ritual, is well suited to investigate religious ritual in a liquid modern world that is characterized by, as scholars state, a global ludification of culture. Play helps to explain that and in what ways a mediatized event like The Passion in a digital media culture opens a ludic space for many people, where their hermeneutical faculty to deal with the sacred is activated. This can resolve the paradox that, in a still secularizing country like the Netherlands, a ritual on the suffering and death of Jesus Christ can be so popular. 相似文献
859.
Ruth Wills 《International Journal of Children's Spirituality》2017,22(3-4):317-328
Experiencing something of a renaissance, the German pedagogical idea ‘Bildung’ has recently been reconsidered for contemporary education. Historically proposed by von Humboldt, Bildung’s interplay represents a relational movement between a learner and the world that aims for personal freedom and growth. It is also identified as a means by which learners might become aware of their personal capacity to develop responses to daily experiences. Thus, it attends to agency and has resonance with children’s spirituality. Whilst such a notion of learning might be promoted as an alternative to a functionalistic educational paradigm, this paper highlights ethical concerns regarding pedagogical freedom. It highlights philosophically the illusion of freedom and considers critically the place of power in learner-led methods. Finally, the paper proposes how a nuanced, Kierkegaardian application of Bildung might address the ethical concerns raised and proposes how a re-considered understanding of the notion might be valuable for education today. 相似文献
860.
W. R. Klemm 《Mental health, religion & culture》2017,20(1):1-19
Science and religion commonly reside in either an awkward peaceful co-existence or in bitter conflict. That conflict emerges especially in college students as they acquire knowledge about physical, biological, and social sciences. Most college students bring their shallow childhood religious instruction to their college classes. Neuroscience can help students realise how their religious views are affected by their biology, conditioning, experiences, culture, education, emotions, and cognitive processes. In turn, religion can provide world views that challenge neuroscience and remind us of how much remains unknown and may even be unknowable. This report summarises the author’s three semesters’ experience of teaching an upper-division undergraduate essay and discussion course in which students discover how neuroscience and religion inform each other. 相似文献