知情同意为什么难以实现

实施知情同意旨在有效地保护患者的合法权利不受侵犯,同时也是缓解医患关系,减少医疗纠纷的有效手段.但在实际临床实践中往往由于多种原因的制约和影响使其陷入困境,达不到预期的效果.从根本上讲,是由于医患双方在沟通理解上还存在问题,造成了医患之间的互不信任.     

人权视野中的医患关系转归

试图从人权的视角来审视医患关系,展示尊重和保障人权在医患关系中的重要作用:尊重和保障人权,医患关系将变得更为人性化、理性化、规范化,医患关系将走向法制化和全球化.旨在规范医患行为,为形成良好的医患关系,缓和医患矛盾和解决医患纠纷提供对策.     

Indigenous Rights in Chile: National Identity and Majority Group Support for Multicultural Policies

We examine support for policies affecting indigenous ethnic minorities in Chile. Specifically, we examine the role of national group definitions that include the largest indigenous group—the Mapuche—in different ways. Based on questionnaire data from nonindigenous Chilean students (N = 338), we empirically distinguish iconic inclusion, whereby the Mapuche are seen as an important part of Chile's history and identity on the one hand, from egalitarian inclusion, which represents the Mapuche as citizens of equal importance to the nonindigenous majority on the other. Both forms of inclusion positively predict support for indigenous rights, independent of participants' political affiliation, strength of national identification, and social distance. A second study (N = 277) replicates this finding whilst controlling for right‐wing authoritarianism, social dominance orientation, blind patriotism, and constructive patriotism. It also finds iconic inclusion to be predictive of a pro‐Mapuche position regarding the unrest over the issue of ancestral land in 2009. We conclude that understanding how national identity affects attitudes about minority rights necessitates appreciating the importance of particular meanings of nationality, and not only the strength of identification.     

反疾病歧视立法的相关问题探讨

许多国家已对遭遇疾病歧视的患者给予法律上的保护,而我国现有的法律不足以保护受歧视者权益。通过权衡疾病患者在工作生活中所受歧视的利弊,并从多角度分析,提出我国应进行相关立法,保护受歧视者的合法权益。     

社会正义是对健康的最好保障

健康是公民的一项基本权利,社会或政府有义务保障公民的这一权利。公民的健康除了由医疗卫生和生理因素决定外,还由诸多社会因素决定。这些健康的社会决定因素所反映的实际上是社会正义问题,因此要保障公民的健康权利,最根本的是要营造一个正义的社会环境,并建立一个正义的社会保障支持系统。     

ANIMALS AS KIN: THE RELIGIOUS SIGNIFICANCE OF MARC BEKOFF'S WORK

Abstract. Although the disciplines of religion and science often may seem to be at cross purposes with each other, some individuals are attempting to bridge the gap, particularly with regard to animals. Cognitive ethologist Marc Bekoff, who studies animals in their natural habitat, has addressed in his work the implications of the findings of animal study for religion and ethics. I provide here an overview of some of his most important ideas for the study of religion and animals. Bekoff argues that the differences between humans and animals are primarily ones of degree rather than kind and that our similarities are greater than our differences‐and that this reality should influence our actions. I explore three issues in particular. First, Bekoff's work, with his view of evolution, challenges the traditional Christian hierarchy of beings. Second, this evolutionary connection needs to move us in the direction of modifying our treatment of animals to make it more ethical. Third, our understanding of and relationship with animals can deepen our own spirituality. Applying some of Bekoff's findings to our religious and ethical understandings of and treatment of animals can move us closer to the peaceable kingdom toward which we all strive.     

Rights: Foundations, Contents, Hierarchy

It would seem that we in the West are suffering from an increasing glut of rights. To the sixty-odd human rights that the Universal Declaration and its Covenants have long given us, must now be added the particular rights claims of an increasing number of ‘oppressed’ minorities, claims to compensation rights for just about every conceivable harm done and claims to ever more trivial things. This tendency is harmful insofar as it trivialises rights and devalues the coverage of rights. Human rights are fundamental and ought to be protected from these tendencies. Using an analysis of the foundations of human rights, and their function in maintaining autonomy in particular, this article analyses the content of rights – what must be fulfilled in order for a right to be protected – as a means of demonstrating the possibility of reducing the volume of rights without reducing rights coverage and of creating a defensible hierarchy.     

Making Human Rights Emotional: A Research Agenda to Recover Shame in “Naming and Shaming”

Shame is an emotion that is the cornerstone of International Relations (IR) human rights scholarship but remains undertheorized from an explicitly emotional perspective. Given the dubious and unsettled efficacy of human rights “naming and shaming” campaigns, in this article, we outline the theoretical and methodological contours of a research agenda designed (1) to uncover the emotional content of naming and shaming and (2) to pay greater attention to how nonstate actors, especially human rights nongovernmental organizations (NGOs), evoke and experience shame, thus engaging in “emotional diplomacy.” Drawing on theories of emotions in IR and political psychology, we present a thicker account of shame by highlighting the individual and social origins of shame, discussing different varieties of shame, and by distinguishing between emotions that are often conflated with shame. We end with a discussion of the methodological tools suitable for pursuing this agenda, using examples of prominent human rights NGOs.     

WAIMH position paper: Infants’ rights in wartime

The World Association for Infant Mental Health (WAIMH) decided to compose a position paper on infants’ rights in wartime, as there is still a general lack of attention paid to the impact of war-related traumas on infants’ development and psychological health. Though there are numerous areas of violent conflicts around the globe, there have been few published studies that relate specifically to infants. Consequently, humanitarian aid programs tend to overlook infants’ psychological needs and to pay more attention to those of older children. This position paper first reviews the studies identified through a literature search, about the impact of war-related traumas during pregnancy and postnatal periods, then describes the existing recommendations that have been added to the Children Rights Convention and their implications for infant mental health clinicians.