人体生物医学研究中受试者权益保护对策

在人体生物医学研究日益发达的今天,受试者权益保护问题逐渐浮出水面。目前我国对受试者的保护主要依赖于知情同意书和伦理委员会,关于受试者权益保护的规范性文件存在层级低、不系统和不完整等问题。建立专门的受试者保护法,完善受试者权益保护相关制度迫在眉睫。研究认为,制定专门的人体生物医学研究受试者权益保护法律,完善伦理委员会制度,推行强制保险以及救济金制度,建立严格的责任体系、开展积极的社会教育是受试者权益保护的基本对策。     

“助手”还是“杀手”：用ChatGPT求医问药的风险分析

ChatGPT正在影响人们求医问药的传统方式,将医疗保健应用场景从院内转移到院外,提高了医学知识和诊疗信息的可及性。但ChatGPT在回答医学问题时也存在不足,如回答内容的不准确性和随意性,也难以将每个患者视为独立个体并给出体现医者智慧、思想和精神关怀的答案。用ChatGPT求医问药还存在生命健康、道德伦理、安全隐私和医疗公平风险。未来,在人工智能赋能医疗发展并促进人类健康的同时,仍应警惕ChatGPT对生命健康权、知情同意权、隐私保护权的冲击。

     

临床研究结果发布的伦理审查辨析

《涉及人的生命科学和医学研究伦理审查办法》对于临床研究结果的发布提出了伦理审查和知情同意告知的要求。探讨临床研究的结果发布可以最大程度实现临床研究的价值,包括有利于实现临床研究的透明性,有利于增强公众的信赖,有利于落实研究参与者的知情权,并分析了研究结果发布在隐私保护、发布形式、发布时间、科研诚信和学术不端方面带来的潜在伦理问题。建议伦理委员会从隐私风险最小化、发布形式规范化、发布时间合理化三方面进行伦理审查,同时给出了加强多部门协作和跟踪审查以及参与学术不端治理的伦理审查策略建议。

     

境遇伦理学与生命伦理决策

境遇伦理学是方法而不是体系;境遇伦理学认为任何事物正当与否,均因具体境遇而定;爱是永恒的善;爱是唯一的规范;爱同公正是一回事;爱不是喜欢;爱证明手段之正当性;爱是当时当地做决定。境遇伦理学厌恶伦理学的律法主义,反对僵硬不变的伦理规范教条;境遇伦理学对于处理生命伦理学的一些两难问题,有重要的参考意义。     

科学发展观与生态医学模式

分析了生物医学模式没有转型为生物心理社会医学模式的原因。认为生态危机背景下的医学发展模式研究,应把提高人的生命质量和改善人的生存、生活环境等相关条件,纳入视野之中,这正表现出生态医学模式的价值基础与科学发展观在根本上的一致性。以生态医学模式引领未来医学发展是实践科学发展观的必然要求和具体行动。     

Exploring New and Renewed Eco‐Spiritualities

This essay discusses five recent books, written in French, that contribute to refection in environmental ethics. Francophone literature on the topic is marked by resonant and divergent concerns, and rooted in a geography, politics, and history different from North America and marked by distinctive lines of intellectual influence. Jean‐Claude Eslin proposes recovering ecological resources from the Christian tradition and also suggests imagining new images of God: notably, God as pilote rather than artisan. Dominique Bourg takes a multi‐disciplinary approach that emphasizes the spiritual conditions for relating to the world ecologically and economically; he argues for sobriété (austerity) as a spiritual disposition and an economic model. Baptiste Morizot develops diplomacy as an ethical, political, and spiritual model for cohabiting with wolves, whose return to the French countryside has been highly controversial. Nastassja Martin offers an anthropological study of the indigenous Gwich’in community of Fort Yukon, Alaska that accentuates the mix of Protestant missional influences and Gwich’in spiritual affirmations and practices at play in their relationship to the nonhuman world. Attending to this literature may helpfully decenter anglophone debates and enrich their conceptual vocabulary.     

Loving the World We Are: Anthropology and Relationality in Laudato si’

There is a tension between Laudato si's consistent emphasis on relationships and interconnectedness and its acceptance of anthropocentrism. While Laudato si’ does reject certain problematic forms of anthropocentrism, the encyclical does not assert an alternative to this traditional framework. This article contends that “relatiocentrism” provides the best avenue for developing the convictions expressed within Laudato si’ while moving beyond the limitations of the encyclical itself. In so doing, this essay explores the use of narrative as a means of shaping identity by mapping significant relationships and points of meaning. It examines the central anthropological claims of the encyclical and the tensions these create with anthropocentric narratives. And it examines relatiocentrism in light of the biblical creation accounts, the eschatological perspective of Laudato si’, and virtue ethics. The essay concludes by suggesting further theological and moral implications of this shift in perspective.     

Exemplarist Environmental Ethics

This article argues that environmental ethics can deemphasize environmental problem‐solving in preference for a more exemplarist mode. This mode will renarrate what we admire in those we have long admired, in order to make them resonate with contemporary ethical needs. First, I outline a method problem that arose for me in ethnographic fieldwork, a problem that I call, far too reductively, “solution thinking.” Second, I relate that method problem to movements against “quandary ethics” in ethical theory more broadly. Third, I discuss some interpretive work I am engaged in about Henry David Thoreau and how it bears on the methodological issues my fieldwork raised. I argue that some of the most important icons of right relation to environment, especially Francis of Assisi and Thoreau, should be envisioned as far more politically invested than they usually are. They demonstrate to scholars of religious ethics that an exemplarist ethic focused on character need not neglect politics.     

Better Never to Have Been Born

The pro‐life paradox, as I call it, begins with a single claim endorsed by many American Christians: infants and young children are innocent in the sight of God because they cannot yet take responsibility for their spiritual well‐being. With this in mind, I argue that pro‐life believers have unwittingly fallen victim to a theological paradox in which their attempts to save the earthly lives of unborn children make it theoretically possible for said children to die an eternal death. On the one hand, many Christians trust in an eventual spiritual reckoning where God will separate the “sheep” from the “goats” (see Matthew 25:31–46), ushering the former into heaven while damning the latter to hell. However, those who cannot yet repent and seek salvation are not blamed for their spiritual failings. If they die, they go to heaven because they are too young and intellectually immature to know any better. But if dead children are spiritually blameless, then abortion practitioners have perversely and paradoxically saved millions of unborn souls by removing human volition (and thus damnation itself) from the equation and by making it possible for the unborn to experience the joys of heaven without the temptations of earth.     

Catholic Feminist Ethics Reconsidered

Taking Catholic sexual ethics and liberal feminist ethics as points of departure, this essay argues that both frameworks are ill‐prepared to deal with the moral problems raised by sex trafficking: while Catholic sexual ethics is grounded in a normative understanding of sexuality, liberal feminist ethics argues for women's sexual autonomy, resting upon freedom of action and consent. From a perspective that attends both to the phenomenological interpretation of embodied selves and the Kantian normative interpretation of dignity, it becomes possible to critique both the Catholic and the liberal feminist frameworks of ethics. I argue that Catholic sexual ethics requires a reconceptualization as social ethics in order to meet the challenges of our present time, but that the shift is possible without giving up the moral imperatives of both Catholic and feminist ethics to protect human dignity and women's rights.