从李丽云事件看生命健康权、患者自主权和医生干涉权

当患方行使自主权所做的决定危及自身生命健康权时,能否赋予医生干涉权以实现生命高于一切的理念？阐明了生命健康权、患者自主权和医生干涉权的关系．并从我国实际出发,论述不能通过赋予医生干涉权来避免类似李丽云悲剧的发生,建议立法完善对民事行为能力的规定,建立司法机关或其他第三方机构提前快速审查机制来解决自主权与生命权的冲突。     

医疗纠纷泛化原因多视角分析

随着社会的发展,医疗纠纷日趋增多,成为各卫生部门的最大难题,是继医疗改革之后的又一备受社会各界关注的热门话题,医患关系成为社会最不和谐的声音。医患关系是在社会政治、经济、文化、法律等因素共同作用,围绕“治病”所形成的道德、诚信、契约、经济利益关系,通过分析现代医患关系的变化,探讨医疗纠纷增多的原因。     

医护人员人文素质缺乏的管理责任及干预策略

医护人员人文素质缺乏与医学教育缺陷、人文管理意识不强、后续人文素质培养不利及执业环境恶化等综合因素密切相关。卫生行政主管部门和医院管理者首先应当确立人文管理理念,营造医院的人文氛围,承担起促进医学教育体制改革、加强岗位培训和着力培养社会需要的“人文科学型”医护人员的责任。     

当代医药卫生改革的话语逻辑

运用语言哲学的方法分析了目前中国关于深化医药卫生体制改革意见的话语方式和文本内容,认为,如何划分医药卫生体系往往是界定问题和言语行动的逻辑前提,也是最重要的话语权的体现;“看病难”和“看病贵”可能是被误读的流行语;文件说什么,如何说,这是一种影响政府和市场行为的言语行为;如果作为医改指导思想的核心概念的语义含糊不清,那么,就难以保证言语行为的正确了。     

福柯与《临床医学的诞生》

《临床医学的诞生》是20世纪法国著名学者福柯的一部医学史研究专著,主要从空间、语言和死亡三个方面探讨了现代医学也就是临床医学诞生的可能性条件,兼具历史与批判的性质。它揭示了隐藏在医学话语背后的权力关系,反映了福柯瓦解传统、颠覆理性的新型历史观。     

三维物体识别的心理表征：角度依赖还是角度独立

“物体识别是角度独立还是角度依赖”的问题一直存在着争议。以物体为中心理论认为是角度独立, 以观察者为中心理论认为是角度依赖。研究参照物体识别的“小几何体”思想自制实验材料, 采用启动范式, 在两个实验中通过考察结构信息和视图信息对物体识别的影响, 揭示物体识别的心理表征。结果发现: (1)形状信息和类别空间关系信息影响物体识别, 表明以物体为中心理论对物体识别表征机制解释的合理性; (2)角度信息可能独立于形状信息表征, 深度旋转方式下的识别成绩优于平面旋转, 表明以观察者为中心理论能够更好地解释三维物体识别的深度旋转现象。研究结果为物体识别理论的融合提供了实证依据。     

接纳与承诺疗法的理论背景、实证研究与未来发展

接纳与承诺疗法(Acceptance and Commitment Therapy, ACT)于上世纪90年代初由美国治疗师Steven C. Hayes提出。作为基于正念技术的第三代行为治疗理论之一, 该疗法以功能情境主义为哲学基础, 立足于人类认知和语言基本性质的实证研究, 旨在通过平衡接纳与改变来提高心理灵活性。临床研究已证明其在相当广泛的临床问题上都取得了良好效果, 并在与CBT等传统疗法的对比中展现优势。ACT的临床效果和技术细节可做进一步研究, 该疗法与CBT的融合及其在临床领域之外的应用也是未来的研究方向。     

Temptation and Deliberation

There is a great deal of plausibility to the standard view that if one is rational and it is clear at the time of action that a certain move, say M₁, would serve one’s concerns better than any other available move, then one will, as a rational agent, opt for move M₁. Still, this view concerning rationality has been challenged at least in part because it seems to conflict with our considered judgments about what it is rational to do in cases of temptation that share the structure of Warren Quinn’s self-torturer case. I argue that there is a way to accomodate our considered judgments about the relevant cases of temptation without giving up the standard view or dismissing, as in some way rationally defective, the concerns of the agents in the relevant cases. My reasoning relies on the idea that, at least in some cases, whether an action serves one’s concerns well depends on what action(s) or course(s) of action it is part of. In the final section of the paper, I explain how this idea sheds light on an important source of frustration in collective decision-making.     

THE MEDIATING ROLE OF PROCEDURAL JUSTICE IN RESPONSES TO PROMOTION DECISIONS

This study used structural equations modeling to examine the mediating role of procedural justice in the relationships between promotion decisions and organizational commitment and between promotion decisions and intent to leave the organization. 156 managers and executives in Italian subsidiaries of two large multinational organizations in the chemical industry were surveyed about their career history within the organization and their reactions to promotion decisions over an 8-year period. The results showed that promotion decisions influenced feelings of organizational commitment through perceptions of procedural justice in promotion decision-making processes. The theoretical and practical implications of the study’s findings are discussed.This research was supported by the Italian Ministry of University and Scientific Research (MURST). A previous version of this paper was presented at the 2000 Academy of Management meetings in Toronto and published in the Best Paper Proceedings. We would like to thank Paula Caliguiri, Jason Shaw, M. Susan Taylor, and two anonymous Academy reviewers for their helpful suggestions on prior drafts of this article.