生前预嘱选择缓和医疗的伦理法律问题探讨

从自由意志与生命权之处置两个角度入手,探讨生前预嘱与缓和医疗相关的伦理与法律问题。发现自由意志系生前预嘱的生效基础,对于不涉及生命权处置的预立医疗计划依现行法律“当然有效”;而对于选择缓和医疗、放弃治疗等涉及生命权消极处置的生前预嘱,则需严格限定其生效条件,且医院应当建立一套机制对此予以审查。此外,亦探讨了生前预嘱确定的消极治疗所带来的其他问题,有助于相关领域的继续深入与补充立法,并对医生选择绝症患者的治疗方案及减小医院法律风险具有实际意义。

     

Split Self Affairs and Their Treatment

SUMMARY

The Split Self Affair is a long-term serious relationship. The split being played out in the affair reflects an internal split between doing things “right” and the emotional self. Treatment for those involved centers on understanding the origins of the internal split and on reclaiming the neglected emotional self. Long term individual therapy is the treatment of choice, augmented by other modalities.     

右侧脑发育不全遗忘症患者的启动效应与右侧皮层的分离

采用ＷＭＳ－ＣＲ、ＷＩＳＣ－ＣＲ和４项内隐记忆任务（偏好、自由联想、字根补笔和字辨认）观察一例右侧大脑发育不全患者和两组正常对照的知觉性启动效应和语义性启动效应。发现该患者智力发育迟滞、记忆功能严重障碍,但两种启动效应正常。显示右侧大脑皮层发育不全不影响两种启动效应任务操作,启动效应与右侧大脑皮层分离。不支持Ｋｅａｎｅ等人认为知觉性启动效应的神经学基础在大脑皮层的结论。结合先的研究结果认为知觉性启动效应可能与基底神经节有关,语义性启动效应可能与左侧大脑皮层有关。     

Victims,Their Stories,and Our Rights

Diana Meyers argues that breaking the silence of victims and attending to their stories are necessary steps towards realizing human rights. Yet using highly personal victims' stories to promote human rights raises significant moral concerns, hence Meyers suggests that before victims' stories can be accessed and used, it is morally imperative that requirements of informed consent and non‐retraumatization are secured. This article argues that while Meyers' proviso is important, and necessary, it may not be sufficient. First, one potential problem with seeking to secure “informed consent” is that one has to ask for the consent, and in the act of asking one is potentially retraumatizing the victim. Secondly, the assumption that victims have ownership right over their stories, which is a key premise in Meyers's argument, is much more problematic than may appear.     

Human values and ideological beliefs as predictors of attitudes toward immigrants across 20 countries: The country-level moderating role of threat

Immigration is a worldwide subject of interest, and studies about attitudes toward immigrants have been frequent due to immigration crises in different locations across the globe. We aimed at understanding individual-level effects of human values and ideological beliefs (Right-Wing Authoritarianism—RWA, and Social Dominance Orientation—SDO) on attitudes toward immigrants, and whether country-level variables (perception of Islamic fundamentalism as a threat, perception of immigrants as a threat, and international migrant stock) moderate these relations. With representative samples from 20 countries (N = 21,362; the Americas, Europe, Asia, and Oceania), and using Multilevel Bayesian regressions, results showed the negative effect of RWA, SDO, and existence values on attitudes toward immigrants, and the positive effects of suprapersonal and interactive values. Cross-level interactions indicated that the effects of RWA, SDO, and suprapersonal and existence values were intensified in countries with societally high levels of perceiving Islamic fundamentalism as a threat. International migrant stock served as a country-level moderator for the effects of SDO and RWA only. When country-level moderators were included simultaneously, Islamic fundamentalism as a threat was the most consistent moderator. Framing theory is offered as a plausible explanation of these results.     

The Two Dimensions of Narcissistic Personality and Support for the Radical Right: The Role of Right-wing Authoritarianism,Social Dominance Orientation and Anti-immigrant Sentiment

This paper offers an explanation of the link between grandiose narcissism and support for radical right parties. Drawing on representative data of the GESIS Panel (N = 2827), focusing on support for the German radical right populist party Alternative for Germany in 2016 and treating grandiose narcissism as a two-dimensional concept, it is shown that the effects of grandiose narcissism are indirect rather than direct. The paper also reveals that it is mainly narcissistic rivalry that accounts for radical right party support, whereas narcissistic admiration has a protecting relationship. Finally, our results indicate that the indirect effects of narcissistic rivalry on radical right party support via right-wing authoritarianism and social dominance orientation, respectively, are mediated by anti-immigrant sentiment. All in all, our results suggest that in studies on ideological orientations and voting behaviour, both dimensions of grandiose narcissism should be considered due to their contradictory relationship. Moreover, our findings indicate that the success of radical right parties might be the expression of personality dispositions of some parts of the electorate. © 2020 The Authors. European Journal of Personality published by John Wiley & Sons Ltd on behalf of European Association of Personality Psychology     

视剥夺及视剥夺学习后Jun样蛋白在雏鸡两侧半球中不同表达的研究

该实验免疫组化技术,在已有实验的基础上进一步观察比较了左眼视剥夺及单眼学习后,Ｊｕｎ样蛋白在雏鸡则半ＨＶ和ＬＰＯ中表达的差异,实验表明：１．视剥夺２．２４、４８、７２小时后观测到Ｊｕｎ样蛋白在左、右半球ＨＶ和ＬＰＯ中的表达逐渐增高,并且于视剥夺４８小时表达到达峰值。同时仅在视剥夺２小时后观测到两半球ＬＰＯ中Ｊｕｎ样蛋白的表达存在差异,在其余各视剥夺时程中两侧半球的ＬＰＯ、ＨＶ中Ｊｕｎ样蛋白的表达均     

我国资源物权立法的生态伦理考量

人际伦理观下的资源物权立法的理论与实践局限,导致了人与资源的紧张关系。资源物权立法应凸现生态伦理观的价值取向,并具体贯彻生态限制、可持续发展的资源利用、环境权限制以及强化资源物权的生态义务等原则。加强生态伦理观的价值取向在我国资源物权立法中的渗透力度,确立有关资源物权立法的一般生态原则,为防止生态伦理成为生态乌托邦,特别应将资源物权的生态义务类型化、内化。     

西方政治伦理思想的历史流变及其启示

自古至今,西哲们紧跟时代的脚步,不断把西方的政治伦理观推陈出新:美德政治伦理、神性政治伦理、非道德主义的政治伦理、权利政治伦理。全面、系统地梳理和展现西方政治伦理思想的演变及其价值诉求,对于理解和把握政治伦理学中的一些重要理论问题具有重大的启迪意义。     

肢体严重毁损伤保留与否的循证思考

肢体严重毁损伤的修复是当今医学领域的一个研究热点.从循证医学角度对肢体严重毁损伤的保肢与截肢提出思考并加以阐述,同时结合当前我国医疗环境提出一些这方面的倡议.