医学伦理学发展新阶段的历史使命

每个时代都有每个时代伦理学的主轴。当今医学伦理学面临崭新的境遇,资本、技术、权力和全民健康等问题,已经构成医学伦理学应对和挑战的主要课题。新形势向医学伦理学提出了种种新任务,探索完成这些新任务的政策建议和伦理举措;适应新形势医学伦理学如何加强自身理念的充实、创新和提高;在新情境下如何促进医学伦理学在医学领域内的全面覆盖,让医学伦理学在医学中深深扎根,促进医学技术更好地服务于人民大众的健康,都是开启医学伦理学新征程面临的担当。

     

患者的诊治期望值与医患矛盾的关系研究

从患者视角来探索医患矛盾发生的原因,寻找一种有效的医患沟通方法。研究认为医患矛盾的核心问题是患者对诊治期望值的不满意,通过构建以患者诊治期望值为主体的医患沟通方法,发现医生和患者之间对诊治期望值存在明显差异。医生通过对医患之间存在的差异性诊治期望值进行充分沟通,形成医患诊治期望值差异下的共识,建立互信合作的关系,最终实现医患互惠共赢。以患者诊治期望值为主体的医患沟通方法,为避免医患矛盾发生,促进和谐医患关系提供一种新的思路。

     

从伦理辩护到国家权力、个人权利界限的划定——公共卫生领域特殊伦理冲突的和解之道

在流行病防控等公共卫生工作中,为了维护公共健康不得不侵犯传染病患者的个人权利,这是公共卫生领域不同于临床医学的特殊伦理冲突。虽然有学者分别依据“效果论”、“差异原则”和“公共善优先”为公共健康的优先性进行了辩护,但都不能与医学伦理学的个体论视角相融洽。实际上,固守单一的理论视角是伦理冲突和解的最大障碍,只有改变单一视角,才能开启理论的兼容性。伦理辩护必须转化为实践智慧,即必须在公共卫生实践中实现国家权力与个人权利的有序协调,使国家权力和个人权利坚守各自的界限。     

Equal prioritisation does not yield lower levels of participation in physical activities than higher prioritisation

ObjectivesThis study examined whether individuals who assigned equal priority to physical activity and an alternative activity exhibited lower levels of participation in physical activities than individuals who assigned higher priority to physical activity than an alternative activity. In addition, we examined whether a measure of prioritisation derived from an algebraic difference index provided a rigorous test of prioritisation effects.DesignWe employed a two-wave prospective design that aimed to predict physical activity participation.MethodPrioritisation, intentions and perceptions of control were measured at the first wave of data collection. After five weeks, we administered follow-up measures of behavioural conflict and physical activity participation.ResultsA hierarchical regression analysis showed that although the algebraic difference index was positively associated with measures of physical activity participation, equal prioritisation did not yield lower levels of physical activity participation than high prioritisation.ConclusionsFindings suggest that equal prioritisation is not a less optimal self-regulatory strategy than high prioritisation in the domain of physical activity. Regression coefficients associated with algebraic difference indexes should be interpreted with caution and consider analyses that examine effects of component measures of prioritisation on physical activity participation.     

Are high levels of religiosity inconsistent with a high valuation of science? Evidence from the United States,China and Iran

We asked whether high levels of religiosity are inconsistent with a high valuation of science. We explored this possibility in three countries that diverge markedly in the relation between the state and religion. Parents in the United States (n = 126), China (n = 234) and Iran (n = 77) completed a survey about their personal and parental stance towards science. The relation between religiosity and the valuation of science varied sharply by country. In the U.S. sample, greater religiosity was associated with a lower valuation of science. A similar but weaker negative relation was found in the Chinese sample. Parents in the Iranian sample, by contrast, valued science highly, despite high levels of religiosity. Given the small size of our United States and Iranian samples, and the non-probabilistic nature of our samples in general, we caution readers not to generalise our findings beyond the current samples. Despite this caveat, these findings qualify the assumption that religiosity is inconsistent with the valuation of science and highlight the role of sociocultural context in shaping adults' perception of the relation between religion and science.     

Defensive Partisanship? Evidence that In-Party Scandals Increase Out-Party Hostility

Contemporary U.S. politics is characterized by polarization and interpartisan antipathy. This is accompanied by a media landscape saturated with coverage of political scandals. Applying a social identity perspective, we examined whether exposure to scandals that threaten partisan's moral group image (i.e., in-party scandals), may motivate defensive hostility against opposing partisans. Across three experiments we exposed U.S. partisans to scandals attributed to either in-party or out-party politicians. We then assessed partisan hostility using a variety of operationalizations, including anger at a real outgroup politician (Study 1), judgments about the alleged misdeeds of a fabricated outgroup politician (Study 2), and negative perceptions of opposing party members (Study 3). Strength of partisan identity was assessed as a predicted moderator (Study 3). As expected in- (vs. out-) party scandals, were perceived as group-image threats and elicited greater hostility towards opposing partisans, independent of partisans' ideological extremity or prior affective polarization.     

冲突水平的变化诱发冲突适应

冲突适应是重要的认知控制现象, 反映了认知控制的动态过程。然而, 目前为止对于冲突水平上的差异能否诱发冲突适应尚不清楚。本研究采用字母Flanker的变式, 通过改变目标-分心物的一致性操纵冲突水平, 探究冲突水平的变化对认知控制调整的影响。结果发现被试的反应时间随冲突水平的提高而增加; 而且先前试次的一致性影响当前试次的干扰效应, 无冲突和低冲突、无冲突和高冲突、低冲突和高冲突条件之间均出现了典型的冲突适应。本研究结果表明, 除了冲突的有无, 冲突水平的变化也能诱发冲突适应, 支持更大的冲突驱动更强的认知控制, 而且冲突诱发的认知控制的功能可能通过注意聚焦实现。这一发现为冲突监测理论的注意调节机制提供了直接的支持证据, 对于促进冲突适应的相关研究具有重要意义。     

父母协同教养与学前儿童社会行为的关系:亲子关系和同胞关系的链式中介作用

以河南省某市四所幼儿园大、中、小班共196名学前儿童及其父母和教师为研究对象,基于家庭系统理论,采用父、母填写的父母感知协同教养量表和亲子关系量表、母亲填写的儿童早期同胞关系质量问卷和幼儿教师报告的儿童行为量表探讨亲子关系、同胞关系在父母感知协同教养与学前儿童社会行为之间的中介作用。结果发现：（1）母子冲突和母子亲密分别在母亲感知协同教养与同胞冲突和同胞温暖间起部分中介作用;父子冲突和父子亲密分别在父亲感知协同教养与同胞冲突和同胞温暖间起完全中介作用;（2）父/母子冲突和同胞冲突在母亲感知协同教养和儿童攻击行为间起链式中介作用;父子冲突和同胞冲突在父亲感知协同教养和儿童攻击行为间起链式中介作用。     

和平心理学的经典传统与现代研究趋向

本文讨论了不同历史时期的心理学家对和平心理的看法,以“和平”为主线,追溯和平心理学思潮兴起的历史逻辑。毕达哥拉斯、恩培多克勒、柏拉图、奥古斯丁、夸美纽斯、康德等从本体论视角,确立了实现永久和平的理想追求。冯特的民族心理学重视研究原始人、战争英雄等的和平心理品质,早期的意动心理学重视人类和平意识研究,机能心理学强调通过建设学校“微型共同体”,提高儿童的和平意识。精神分析心理学则为战争与和平心理提供了新视角。人本主义心理学主张研究人的和平潜能、致力于世界和平冲突化解,推动了和平心理学的兴起。20世纪末的和平心理学主张用和平的方式实现和平,发生了“政治道歉”、和平冲突化解、“人类命运共同体”等研究趋向。     

Readers and service commissioners require clear financial disclosures: Comment on innovation,research integrity,and change: A conflict of interest management framework for program developers (Sanders et al., 2019)

Sanders et al.'s proposal for a management framework for conflicting interests among program developers is very welcome. The underlying principles of such a framework must nevertheless prioritise the need for researchers and commissioners of services to make objective assessments of the impact of interventions reported in journal articles. This is particularly important in the field of randomised trials which may influence public sector expenditure. Using a strict definition derived from known financial conflict of interest, we have demonstrated that child-based effect sizes are much lower for independent studies than for studies with developer involvement. On this basis, we propose that journals publishing evaluations of psychosocial interventions should agree a standardised format for declarations of conflicts of interest based on that recommended by the International Committee of Medical Journal Editors.