Autonomy,Sanity and Moral Theory

The concept of autonomy plays atleast two roles in moral theory. First, itprovides a source of constraints upon action:because I am autonomous you may not interferewith me, even for my own good. Second, itprovides a foundation for moral theory: humanautonomy has been thought by some to producemoral principles of a more general kind.This paper seeks to understand what autonomyis, and whether the autonomy of which we arecapable is able to serve these roles. We wouldnaturally hope for a concept of autonomy thatis value-neutral rather than value-laden. Thatis to say, we would want the judgement that Iam autonomous to depend wholly on, say,structural features of my psychology, and in noway to require us to make ethical judgements, orother value judgements. Being value-neutral isperhaps desirable in a concept of autonomyserving the first role, and plausiblyindispensible in one playing the second. Ishall argue, however, that value-neutral conceptionsof autonomy are impoverished and out of linewith our intuitions; set out and defendan explicitly value-laden conception ofautonomy; and explore the implications of such a view for theability of autonomy to play the rolesmentioned above.     

关于克隆人试验与伦理学的三原则

由于克隆人试验的对象是人的活细胞,不是人的胚胎;并且由于人只能有限地决定自己的未来,根本无法决定自己的出生;同时由于基因诊断和修复有助于新生儿的健康,因而克隆人试验既不会伤害任何人的生命体,也不会侵犯任何可能出现的克隆人的自主权和平等权,进而不会违反伦理学的三原则。     

The Role of Autonomy Support and Autonomy Orientation in Prosocial Behavior Engagement

Two studies examined individual and environmental forces that affect engagement in prosocial behavior. Self-determination theory was used to derive a model in which autonomy orientation and autonomy support predicted satisfaction of three core psychological needs, which in turn led to engagement in prosocial activities. In Study 1, college students reported their engagement in various prosocial activities, and completed measures of autonomy orientation, parental autonomy support, and general need satisfaction. In Study 2, volunteer workers completed measures of autonomy orientation, work autonomy support and need satisfaction at work. The number of volunteered hours indicated the amount of prosocial engagement. Results across the studies showed that autonomy orientation was strongly related to engagement in prosocial behavior, while autonomy support was modestly related. Need satisfaction partially mediated the effect of autonomy orientation, and fully mediated the effect of autonomy support. Interestingly, autonomy support predicted lower volunteer turnover. Implications for how prosocial behavior can be motivated are discussed.     

卫生行政强制与相对人自主权行使的道德缓冲

从卫生行政强制保护公共卫生利益与相对人自主权行使存在的矛盾出发,讨论建立道德缓冲机制解决两者间矛盾的必要性、可能性。阐述卫生行政执法者通过职业道德建设与人文精神关怀,以缓冲执法违法;相对人以道德约束缓冲自主权滥用。     

后现代主义思潮影响下的自我研究

后现代主义思潮的兴起使自我研究重新受到重视。后现代主义思潮影响下的自我研究将出现新的特征：从传统的个人主义取向的概念界定转向从社会和个人双重取向的概念界定;从单纯重视自我的稳定性研究转向将自我的稳定性与可变性结合;从重视自我发展的一般规律研究到重视文化对自我发展的影响。     

Selfhood and Self-government in Women’s Religious Writings of the Early Modern Period

ABSTRACT

Some scholars have identified a puzzle in the writings of Mary Astell (1666–1731), a deeply religious feminist thinker of the early modern period. On the one hand, Astell strongly urges her fellow women to preserve their independence of judgement from men; yet, on the other, she insists upon those same women maintaining a submissive deference to the Anglican church. These two positions appear to be incompatible. In this paper, I propose a historical-contextualist solution to the puzzle: I argue that the seeming inconsistency can be dispelled through a close examination of (i) the concepts of selfhood and self-government in Anglican women’s devotional texts of the period, and of (ii) the role that these concepts play in Astell’s feminist arguments.     

Libertarianism vs. Marxism: Reflections on G. A. Cohen‘s Self-Ownership, Freedom and Equality

Self-Ownership, Freedom and Equality is G.A. Cohens attempt to rescue something of the socialist outlook on society from the challenge of libertarianism, which Cohen identifies with the work of Robert Nozick in his famous book, Anarchy, State, and Utopia. Sympathizing with the leading idea that a person must belong to himself, and thus be unavailable for forced redistribution of his efforts, Cohen is at pains to reconcile the two. This cannot be done – they are flatly contrary. Moreover, equality is a nonsense principle, calling for such things as equal distribution of natural resources. But resources, as goods, are not natural: all require work to utilize. The only thing exchanged on markets is services, and estimates of value received are relevantly made only by those party to the exchanges in question. Imposition from above on voluntary exchange can only be socially counterproductive.     

Prescriptions: Autonomy,Humanism and the Purpose of Health Technology

My purpose is to examine two of the foundations of medical ethics: the principle of autonomy and the concept of the human. I also investigate the extent to which health technology makes autonomy and humanness possible. I begin by underlining Illich's point that the same health technology designed to promote health and autonomy also is pathogenic. I proceed to analyse the Kantian concept of autonomy, a concept which is closely associated with health and which continues to determine current ethical thinking. In so doing, I uncover an unexpected ontological function of health technology, a function described in Heidegger's work on technology. Based on this discovery, I suggest that calls for Kantian autonomy may often be self-defeating or even sometimes harmful. I conclude by calling for continued ethical vigilance, but also for a questioning of the hitherto virtually unquestionable concepts of ethics and humanness which may themselves play a role in our era's greatest problems.     

The Curious Case of the De-ICD: Negotiating the Dynamics of Autonomy and Paternalism in Complex Clinical Relationships

This article discusses the response of our ethics consultation service to an exceptional request by a patient to have his implantable cardioverter defibrillator (ICD) removed. Despite assurances that the device had saved his life on at least two occasions, and cautions that without it he would almost certainly suffer a potentially lethal cardiac event within 2 years, the patient would not be swayed. Although the patient was judged to be competent, our protracted consultation process lasted more than 8 months as we consulted, argued with, and otherwise cajoled him to change his mind, all to no avail. Justifying our at times aggressive paternalistic intervention helped us to reflect on the nature of autonomy and the dynamics of the legal, moral, and personal relationships in the clinical decision-making process.     

来访者动机:心理咨询与治疗理论与实践的整合

来访者动机是影响行为改变和治疗结果的重要因素,是贯穿心理咨询与治疗过程的关键问题。自我决定理论(SDT)是关于动机行为的一种宽泛理论,将动机看成一个随自主水平变化的连续体,认为来访者自主水平越高,治疗效果越好,并强调治疗师的自主支持对来访者参与和坚持改变的重要性;动机访谈(MI)则是在成瘾行为治疗中发展起来的一种临床技术和策略,遵循来访者中心的原则激发和增强来访者动机。在健康行为领域两种治疗模型有不同的起点、焦点和发展路径,研究者却发现两者可以系统而有机地整合,促进了有实证支持的实践发展。