Medical Ethics Research Between Theory and Practice

The main object of criticism of present-day medical ethics is the standard view of the relationship between theory and practice. Medical ethics is more than the application of moral theories and principles, and health care is more than the domain of application of moral theories. Moral theories and principles are necessarily abstract, and therefore fail to take account of the sometimes idiosyncratic reality of clinical work and the actual experiences of practitioners. Suggestions to remedy the illnesses of contemporary medical ethics focus on re-establishing the connection between the internal and external morality of medicine. This article discusses the question how to develop a theoretical perspective on medical ethical issues that connects philosophical reflection with the everyday realities of medical practice. Four steps in a comprehensive approach of medical ethics research are distinguished: (1) examine health care contexts in order to obtain a better understanding of the internal morality of these practices; this requires empirical research; (2) analyze and interpret the external morality governing health care practices; sociological study of prevalent values, norms, and attitudes concerning medical-ethical issues is required; (3) creation of new theoretical perspectives on health care practices; Jensen's theory of healthcare practices will be useful here; (4) develop a new conception of bioethics that illuminates and clarifies the complex interaction between the internal and external morality of health care practices. Hermeneutical ethics can be helpful for integrating the experiences disclosed in the empirical ethical studies, as well as utilizing the insights gained from describing the value-contexts of health care practices. For a critical and normative perspective, hermeneutical ethics has to examine and explain the moral experiences uncovered, in order to understand what they tell us.     

Research on Dead Infants

This paper examines the ethicalproblems that arise when research is carriedout after autopsy on dead infants. It comparesthe right of parents against that of the publicinterest in matters of research on dead minors. The basis for the respect that is widelyaccorded to the body of a dead person isexamined and is shown to ground the parentalinterest. A discussion of the nature of thefamily suggests that `informed consent' is notthe best term to apply to the process ofparental consultation. Some reasons areprovided against using this term in the contextin which bereaved parents are consulted aboutautopsy and research on their dead infants. Itis suggested that a term such as `authorize'might better apply to this situation.     

On the relation between recent neurobiological data on perception (and action) and the Husserlian theory of constitution

The phenomenological theory of constitution promises a solution for the problem of consciousness insofar as it changes the traditional terms of this problem by systematically correlating subject and object in the unifying context of intentional acts. I argue that embodied constitution must depend upon the role of kinesthesia as a constitutive operator. In pursuing the path of intentionality in its descent from an idealistic level of pure constitution to this fully embodied kinesthetic constitution, we are able to gain access to different ontological regions such as physical thing, owned body and shared world. Neuroscience brings to light the somatological correlates of noemata. Bridging the gap between incarnation and naturalisation represents the best way of realizing the foundational program of transcendental phenomenology.     

Internalism and the Origin of Rational Motivation

What makes a subject's motivationrational is its originating in her practicalreasoning. I explain the appeal of this thesisabout rational motivation, and explore itsrelation to recent discussions of internalismabout reasons for action. I do so in theservice of clarifying an important meta-ethicaldebate between Humean motivational skeptics andtheir Kantian opponents. This debate is oneover whether, as this skeptic contends andKantians deny, considerations about ourmotivational capacities, together withinternalism, restrict genuine reasons foraction to merely instrumental ones. I arguethat properly adjudicating this debate requiresidentifying one particular way in which thethesis about rational motivation has beendeveloped – namely, as a part of what I term``the traditional conception' of themotivational efficacy of practical reason. Onthis conception, rational motivation consistsin choosing some course of conduct out of one'scognitive appreciation of the way its relationto one's practicable good gives one reason todo so. And I side with Kantians against theHumean motivational skeptic in part on groundsthat Kant himself – though not all Kantians –would find congenial: namely, that we shouldaccept the traditional conception.     

A Research Tool to Increase Attention to Experimental Materials: Manipulating Presentation Format

Experimental approaches require researchers in a variety of applied business disciplines to design experimental materials. This research is often busy and difficult to secure high-level professionals; thus, researchers must ensure sufficient attention to experimental materials to provide usable data. The current study suggests an experimental design feature to encourage participants to thoroughly process information contained in experimental materials. Based on Reynolds' (1992) selective attention strategy (SAS) model, variations in presentation format were expected to influence the relative salience of information presented. Two aspects of presentation format were manipulated to increase salience: display (paragraph vs. bullet point) and typeface (standard vs. bold underlined). Results indicate display improved ability to retrieve information, but typeface did not. Implications for the design of experimental materials are discussed.     

Ecological Momentary Assessment Research in Behavioral medicine

Behavioral medicine research often seeks to examine relatively complex theoretical models and clinical processes. Traditional designs, based on retrospective self-report in the natural environment or laboratory-based studies, cannot assess complex and temporally dynamic psychological, behavioral, and physiological processes in the natural environment. An alternate research approach, Ecological Momentary Assessment (EMA), provides a method to collect such data. This research approach and these data allow investigation of a number of research questions not amenable to other data collection methods. Examples of research questions uniquely suited for EMA data include, but are not limited to: (1) the comparison of retrospective data to momentary data; (2) evaluation of physiological and psychosocial processes in the natural environment; (3) the relation of symptoms and other disease processes to characteristics of the natural environment; and (4) examination of dynamic changes in psychosocial variables that may mediate improvement following treatment. Despite the strengths of EMA data, a number of challenges exist – including logistic, analytic, and interpretation problems – to the easy implementation of EMA approaches in behavioral medicine.     

The Life and Works of a Bottom-Up Thinker

A brief account is given of the author's life as a physicist and then a priest. The twin foundations of the author's theological endeavors have been a respect for traditional Christian thinking, though not exempting it from revision where this is needed, and a style of argument termed bottom-up thinking, which seeks to proceed from experience to understanding. The diversity of the world faith traditions is perceived as a major source of perplexity. A revised and modest natural theology and the issue of divine action have been at the top of a science and theology agenda. A defense is sketched in realist terms of the metaphysical strategy of using an ontological interpretation of the unpredictabilities of chaos theory to support a notion of top-down causality through active information. The success of Christian theology as a resource of total explanation depends on a credible account of eschatological hope. Reference is made to practical experience of ethics in the public square.     

Differential effects of age-of-acquisition for concrete nouns and action verbs: evidence for partly distinct representations?

There is growing evidence that words that are acquired early in life are processed faster and more accurately than words acquired later, even by adults. As neuropsychological and neuroimaging studies have implicated different brain networks in the processing of action verbs and concrete nouns, the present study was aimed at contrasting reaction times to early and later-acquired action verbs and concrete nouns, in order to determine whether effects of word learning age express differently for the two types of words. Our results show that while word frequency affected both types of words in the same way, distinct learning age effects were observed for action verbs and concrete nouns. A further experiment specified that this difference was observed for verbs describing actions belonging to the human motor repertoire, but not for verbs denoting actions past this repertoire (e.g., to neigh). We interpret these data within a recently emerging framework according to which language processing is associated with sensory motor programs.     

石峻先生和伦理学研究

石峻先生对伦理学研究有很深的造诣,他认为,伦理道德问题必须提高到哲学的高度来解决,在中国传统的人性学说中包含着深厚的伦理意蕴。石先生对中国伦理思想的批判继承抱有十分强烈的自信心．认为学术研究应以过去为起点才能进步,反对对外国文化和伦理的移植,强调马克思主义哲学的指导是伦理学研究的根本。     

Crime and punishment: distinguishing the roles of causal and intentional analyses in moral judgment

Recent research in moral psychology has attempted to characterize patterns of moral judgments of actions in terms of the causal and intentional properties of those actions. The present study directly compares the roles of consequence, causation, belief and desire in determining moral judgments. Judgments of the wrongness or permissibility of action were found to rely principally on the mental states of an agent, while judgments of blame and punishment are found to rely jointly on mental states and the causal connection of an agent to a harmful consequence. Also, selectively for judgments of punishment and blame, people who attempt but fail to cause harm more are judged more leniently if the harm occurs by independent means than if the harm does not occur at all. An account of these phenomena is proposed that distinguishes two processes of moral judgment: one which begins with harmful consequences and seeks a causally responsible agent, and the other which begins with an action and analyzes the mental states responsible for that action.