对军队医院合理用药的伦理学思考

本文通过“军卫一号”系统,截取了某军队医院2003年～2006年同一时段军队各类人员门诊及住院药品费用情况,与各统计时段军人疾病谱排序情况以及药品消耗金额排序情况进行了对比分析,并从医学伦理学的角度,阐述了军人用药合理性方面存在的问题及成因,提出了相应的对策。     

糖尿病与恶性肿瘤

糖尿病伴发恶性肿瘤的患者越来越多,两者并存时,相互作用,加重病情,预后不良,且有其一定的特点。二者都是消耗性疾病,免疫力低下,对化疗耐受性差,糖尿病的饮食控制与恶性肿瘤的营养支持又非常矛盾,因此治疗上有其一定的特殊性．这就要求我们用哲学上的具体问题具体分析的思想来正确认识其特点与治疗,在化疗过程中两者兼顾并注重药物、支持及心理等综合治疗,以达到最大限度的改善病情,提高病人的生存质量。     

Searching for certainty in an uncertain world: the difficulty of giving up the experiential for the rational mode of thinking

Our research explores predictions that people make in a simple environment consisting of sequences of a binary signal followed by two possible outcomes. In order to optimize their prediction success, respondents should use a very simple decision rule, called maximization, whereby they consistently predict according to the signal. In line with past research, our findings show that even respondents who realized after the experiment that maximization is optimal failed to use it during the experiment itself. We discuss conditions that weaken or reinforce behaving according to the optimal rule in a repeated choice situation. Experiment 1 shows that individuals who are forced to plan their strategy and justify their actions are more likely to discover and use the optimal rule than those not forced to do so. Thinking about the appropriateness of one's performance can be done in two different orientations: focusing on the past (justifying past actions) or on the future (planning future action). Experiment 2 shows that planning induces rule‐base thinking, while justifying fails to do so. These findings are discussed within a theoretical framework which suggest an interplay between the experiential and the rational modes of processing. Copyright © 2003 John Wiley & Sons, Ltd.     

Reasons Why Rational Emotive Behavior Therapy Is Relatively Neglected in the Professional and Scientific Literature

Although rational emotive behavior therapy (REBT) has been the pioneering cognitive behavior therapy (CBT) of the twentieth century, and although its main methods are very popular among practicing clinicians as well as members of the public, it has been relatively neglected in the professional and scientific literature. Reasons for this neglect are discussed and some steps are suggested to make REBT more effective and more scientifically accepted.     

理性情绪教育对提高学生心理健康的作用研究

目的:探讨理性情绪教育在提升学生自我概念,增进情绪稳定性,促进心理健康方面的有效性.方法:选取丽水市花园中学初二年级学生92人(实验班46人,对照班46人),对实验班进行一个学期(18周)的理性情绪教育,对照班不接受理性情绪教育.用自行设计的理情教育教材对实验班学生进行每周一课时的干预.最后用SCL-90量表、田纳西自我概念量表和艾森克情绪稳定性量表进行评定.结果:理性情绪教育对提升学生的自我概念、情绪稳定性和增进学生心理健康方面有良好的促进作用;理性情绪教育十分适合成长中青少年的需要.     

Reasoning under Scarcity

Practical deliberation consists in thinking about what to do. Such deliberation is deemed rational when it conforms to certain normative requirements. What is often ignored is the role that an agent's context can play in so-called ‘failures’ of rationality. In this paper, I use recent cognitive science research investigating the effects of resource-scarcity on decision-making and cognitive function to argue that context plays an important role in determining which norms should structure an agent's deliberation. This evidence undermines the view that the norms of ‘ideal’ rationality are necessary and universal requirements on deliberation. They are a solution to the problems faced by cognitively limited agents in a context of moderate scarcity. In a context of severe scarcity, the problems faced by cognitively limited agents are different and require deliberation structured by different norms. Agents reason rationally when they use the norms best suited to their context and cognitive capacities.     

The Origin and Differentiation of the Theories of Human Nature in Pre-Qin China

In early China, views concerning human nature underwent significant development, with philosophers moving from seeing it as desire or instinct to seeing it as virtue or essence. Before Confucius’s time, human beings’ xing, or nature, was construed as desire and instinct, i.e., as a physical nature. The key problem faced by theorists of human nature at that time was how to manage nature with virtue, i.e., how to use virtue to both control and enrich nature. A later, wide-reaching development was the use of qi to explain human nature. Laozi began, taking de or virtue to be the internal essence of the human being; Confucius took de or virtue to be xing or nature. Following this development, the main current of the theory of human nature in the pre-Qin period divided into two branches. One, created by the later Confucius, inherited in part by Zisi, and developed by Mencius, took virtue as nature and insisted on the a priority of internal morality. The other branch, inherited in part by Zisi and developed by the author of Xing Zi Ming Chu and Xunzi, featured the development of the old tradition which took yu, or desire, as nature.     

理性思考转基因植物生产药物

转基因植物生产药物是植物栽培、基因工程与分子医学三者相结合而发展起来的.目前还没有足够科学证据表明转基因植物具有长远的安全性.利用转基因植物生产药物技术是"双刃剑",应辩证分析安全性,要全面了解其试验和应用范围的可控性、安全评价方法的科学性、应急处理措施的可操作性、安全管理的严格性.     

“Critique” immanent in “practice”: New Frankfurt School and American pragmatism

As a result of a new understanding of the relation between theory and practice, the “New Frankfurt School,” with Jürgen Habermas as its major representative, highly values the philosophical tradition of American pragmatism, in contrast to the first generation Critical Theorists represented by Max Horkheimer. In Habermas, the idea of “critique” is, both substantially and methodologically, closely connected with the idea of “praxis” in the following senses: communicative action, rational argumentation, public discussion and political culture. “Critique” is thus found to be immanent in “praxis”; or, a la Horkheimer, pragmatism turns out to be a “critical philosophical analysis” without “falling back upon objective reason and mythology.” __________ Translated from Huadong Shifan Daxue Xuebao 华东示范大学学报 (Journal of Huadong Normal University), 2001 (5), with minor modifications