互联网连接性降低自主性的机制与后效

万物可互联了, 时间却稀缺了, 情感也耗竭了。把这三种现实工作中的趋势关联起来的关键概念是自主性：员工不能自主控制工作时间引发时间稀缺和情感耗竭。过往研究认为, 在一般情景中, 互联网连接性会增加自主性。但是, 当处于一种不对称的权力依赖关系中时, 互联网连接性反而会降低自主性。借助权力依赖理论, 相对依赖性和家长式领导监控氛围是逆转互联网连接性增强自主性的关键条件。通过引入权力依赖理论, 从一个新颖的视角探讨互联网连接性降低自主性的作用机制及其后效, 所构建的理论模型挑战了以往文献中互联网连接性增加自主性的主流理论观点, 也为互联网连接性环境下的自主性问题构建了一个新的理论基础。     

I need to be your only friend: the effect of salesperson network centrality on opportunistic behavior

Transaction cost economics can be used to detect opportunistic behavior by one or more actors within a sales network. Using a sample of firms in the medical industry, where the role of salespeople is important, this study examines network centrality as a determinant of a salesperson’s opportunistic behavior in intrafirm relationships. The results indicate that opportunistic behavior is affected differently depending on a salesperson’s relational and positional centralities. While relational centrality decreases opportunistic behavior by providing motivation to protect one’s reputation, positional centrality negatively moderates the effect of relational centrality on opportunistic behavior. However, with a high relational centrality, a salesperson is less likely to be opportunistic when she or he is low in positional centrality than when her or his positional centrality is high.     

病人自主性与家庭本位主义之间的张力

在中国几千年小农经济和传统文化背景下,个人利益、个人权利一直被置于家庭之下,个人自主性被包含在家庭自主性之内,表现为一种家庭本位主义。源自西方历史、文化的知情同意移植到中国后,受传统文化观念的影响,中国人对知情同意的认知、理解以及实践方式均不同于西方人。这种不同集中表现在人们对家属同意权的认可。以个人本位主义为背景的病人自主性与中国文化中的家庭本位主义之间存在张力。对知情同意在不同文化环境中不同践行方式,应以文化宽容主义的态度对待之。     

医疗监管的自律与他律

自律和他律理论对加强和完善我国医疗行业监管具有重要的理论价值。自律和他律在医疗行业监管领域中的具体表现为,卫生行政部门的监督管理与医疗机构的自我约束和医疗行业的自律监管。指出我国医疗行业监管中存在的主要问题并提出健全医疗行业监管机制的思路。     

The conscience debate: resources for rapprochement from the problem’s perceived source

This article critically evaluates the conception of conscience underlying the debate about the proper place and role of conscience in the clinical encounter. It suggests that recovering a conception of conscience rooted in the Catholic moral tradition could offer resources for moving the debate past an unproductive assertion of conflicting rights, namely, physicians’ rights to conscience versus patients’ rights to socially and legally sanctioned medical interventions. It proposes that conscience is a necessary component of the moral life in general and a necessary resource for maintaining a coherent sense of moral agency. It demonstrates that an earlier and intellectually richer conception of conscience, in contrast with common contemporary formulations, makes the judgments of conscience accountable to reason, open to critique, and protected from becoming a bastion for bigotry, idiosyncrasy, and personal bias.

The relationship between child-report, parent self-report, and partner report of perceived parental rearing behaviors and anxiety in children and parents

This study investigated the relationship between child anxiety, parental anxiety, and perceived current parental rearing practices, using a multiple informants approach, that is, by aggregating the perception of the child, parent and partner on parental rearing behaviors. Unselected children aged 9–12 (n=75) and both their biological parents filled in the SCARED-C to measure child anxiety, and parents completed the SCARED-A to measure parental anxiety. In addition, child report, parental self-report, and partner report of the rearing dimensions “autonomy-encouragement versus overprotection”, “acceptance versus rejection”, and “psychological control” of both parents was assessed. Results showed that the homogeneity of some rearing dimensions using a single informant was insufficient, but sufficient when using multiple informants. Inter-informant agreement was low (M=0.29). Three-informants' aggregates yielded good generalizability (M=0.54), and the generalizability of six-informants' aggregates (combining both parents) was impressive (M=0.76). Using multiple informants, parental autonomy granting versus overprotection was substantially related to child anxiety (r=−0.41, p<0.001), as well as to parental anxiety (r=−0.45, p<0.001). More precisely, paternal autonomy–overprotection was predominantly related to child anxiety, whereas maternal autonomy–overprotection was predominantly related to maternal anxiety. Acceptance versus rejection and psychological control were only modestly related to child and parental anxiety.     

论自主性与公正之间的张力--一试管受精案例引起的伦理困境

高科技医疗技术,如试管受精技术在医疗实践中往往引发伦理原则之间的冲突.通过对英国一试管受精案例的分析,展示自主性原则与公正原则之间存在的深层张力.在对两个基本范畴作哲学解析的基础上,寻找两个基本原则的契合点,为解决类似的伦理困境提供一奈可能的途径.     

A Woman's Choice? — On Women, Assisted Reproduction and Social Coercion

This paper critically discusses an argument that is sometimes pressed into service in the ethical debate about the use of assisted reproduction. The argument runs roughly as follows: we should prevent women from using assisted reproduction techniques, because women who want to use the technology have been socially coerced into desiring children--and indeed have thereby been harmed by the patriarchal society in which they live. I call this the argument from coercion. Having clarified this argument, I conclude that although it addresses important issues, it is highly problematic for the following reasons. First, if women are being coerced to desire to use AR, we should eradicate the coercive elements in pro-natalist ideology, not access to AR. Second, the argument seems to have the absurd implication that we should prevent all women, whether fertile or not, to try to have children. Third, it seems probable that women's welfare will be greater if we let well informed and decision-competent women decide for themselves whether they want to use AR.     

Co‐sleeping: Help or hindrance for young children's independence?

This study investigated the relationship between sleep arrangements and claims regarding possible problems and benefits related to co‐sleeping. Participants were 83 mothers of preschool‐aged children. Data were collected through parent questionnaires. Early co‐sleepers (who began co‐sleeping in infancy), reactive co‐sleepers (children who began co‐sleeping at or after age one), and solitary sleepers were compared on the dimensions of maternal attitudes toward sleep arrangements; night wakings and bedtime struggles; children's self‐reliance and independence in social and sleep‐related behaviours; and maternal autonomy support. The hypothesis that co‐sleeping would interfere with children's independence was partially supported: solitary sleepers fell asleep alone, slept through the night, and weaned earlier than the co‐sleepers. However, early co‐sleeping children were more self‐reliant (e.g. ability to dress oneself) and exhibited more social independence (e.g. make friends by oneself). Mothers of early co‐sleeping children were least favourable toward solitary sleep arrangements and most supportive of their child's autonomy, as compared to mothers in other sleep groups. Reactive co‐sleepers emerged as a distinct co‐sleeping sub‐type, with parents reporting frequent night wakings and, contrary to early co‐sleepers, experiencing these night wakings as highly disruptive. Implications for parents and pediatricians are discussed. Copyright © 2004 John Wiley & Sons, Ltd.     

Schools as promoters of moral judgment: the essential role of teachers’ encouragement of critical thinking

The assumption that high level functioning is characterized by a great deal of autonomy is central to some major theories of moral development [Kohlberg (in T. Lickona (ed.) Moral development and behavior: Theory, research and social issues, 1976); Piaget (The moral judgment of the child, 1932)] and to the self-determination theory of motivation [Ryan and Deci (The American Psychologist, 55, 68–78, 2000)]. Based on these theories, we hypothesized that students’ perceptions of their teachers as autonomy supportive, mainly in the form of encouragement of critical thinking, and perhaps also choice, would be positively associated with students’ advanced moral judgment. Data collected from 12th grade students in two regular schools and two democratic schools supported this hypothesis. Results also showed that being a student in a democratic school (as opposed to a regular one) was associated with autonomous moral judgment, and that this association was mediated by students’ perceptions of teachers as encouraging criticism, but not choice. A possible implication is that programs of moral education should explicitly promote teachers’ inclination to encourage critical thinking in their students.