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81.
郭永松 《医学与哲学(人文社会医学版)》2008,29(12)
长期以来,我国的卫生服务一直存在着不公平的状况,看病难、看病贵等问题在农村表现十分突出,一直是社会关注的焦点。对卫生服务不公平问题的讨论也已经持续很久,正因为如此,人们对新一轮的卫生体制改革寄予厚望。人们深知,实现卫生服务公平性需要从理念转变到人、财、物的支持,从构建相应的制度、机制、法规到付诸实践等多方面着手,只有这样才能实现人人享有卫生保健的目标。 相似文献
82.
Marilia Aisenstein 《The International journal of psycho-analysis》2006,87(3):667-680
Depending on whether or not psyche/soma is seen as singular or dual, one may construct different systems explaining man and the world, life and death. In the author's view, the discoveries of psychoanalysis offer a perfectly cogent and unique solution to the famous mind/body problem. In transferring the duality psyche/soma on to the duality of drives, psychoanalysis places the origin of the thought process in the body. In Beyond the pleasure principle, Freud discusses the drastic effect of a painful somatic illness on the distribution and modalities of the libido. He provides a starting point for the Paris Psychosomatic School's psychoanalytical approach to patients affl icted with somatic illnesses. To illustrate the technical implications of this theory the author relates two clinical cases. 相似文献
83.
Rebecca J. Hafner Mathew P. White Simon J. Handley 《British journal of psychology (London, England : 1953)》2016,107(1):36-51
Contrary to economic theory, psychological research has demonstrated increased choice can undermine satisfaction. When and why this ‘excess choice effect’ (ECE) occurs remains unclear. Building on theories of counterfactual thinking we argue the ECE is more likely to occur when people experience counterfactual thought or emotion and that a key trigger is a negative versus positive task outcome. Participants either selected a drink (Experiment 1) or chocolate (Experiment 2) from a limited (6) versus extensive (24) selection (Experiment 1) or were given no choice versus extensive (24) choice (Experiment 2). In both experiments, however, the choice was illusory: Half the participants tasted a ‘good’ flavour, half a ‘bad’ flavour. As predicted, extensive choice was only detrimental to satisfaction when participants tasted the ‘bad’ drink or chocolate, and this was mediated by the experience of counterfactual thought (Experiment 1) or emotion (Experiment 2). When outcomes were positive, participants were similarly satisfied with limited versus extensive and no choice versus extensive choice. Implications for our theoretical understanding of the ECE and for the construction of choice architectures aimed at promoting individual satisfaction and well‐being are discussed. 相似文献
84.
Dietmut Niedecken 《The International journal of psycho-analysis》2016,97(3):665-683
This article discusses the meaning of the primal scene for symbol formation by exploring its way of processing in a child's play. The author questions the notion that a sadomasochistic way of processing is the only possible one. A model of an alternative mode of processing is being presented. It is suggested that both ways of processing intertwine in the “fabric of life” (D. Laub). Two clinical vignettes, one from an analytic child psychotherapy and the other from the analysis of a 30 year‐old female patient, illustrate how the primal scene is being played out in the form of a terzet. The author explores whether the sadomasochistic way of processing actually precedes the “primal scene as a terzet”. She discusses if it could even be regarded as a precondition for the formation of the latter or, alternatively, if the “combined parent‐figure” gives rise to ways of processing. The question is being left open. Finally, it is shown how both modes of experiencing the primal scene underlie the discoursive and presentative symbol formation, respectively. 相似文献
85.
David Newheiser 《The Journal of religious ethics》2015,43(1):122-145
This essay aims to clarify the debate over same‐sex unions by comparing it to the fourth‐century conflict concerning the nature of Jesus Christ. Although some suppose that the council of Nicaea reiterated what Christians had always believed, the Nicene theology championed by Athanasius was a dramatic innovation that only won out through protracted struggle. Similarly, despite the widespread assumption that Christian tradition univocally condemns homosexuality, the concept of sexuality is a nineteenth‐century invention with no exact analogue in the ancient world. Neither heterosexuality nor homosexuality is addressed directly in Christian tradition; for this reason, the significance of older authorities for the modern debate is necessarily indirect. The dichotomy between progressive and conservative positions is therefore misguided: it is necessary neither to abandon tradition for the sake of progress nor to oppose innovation for the sake of fidelity. 相似文献
86.
Yonatan Brafman 《The Journal of religious ethics》2015,43(1):146-168
This essay explicates and assesses Yeshayahu Leibowitz's axiology, and its relation to the value he claims halakhic (Jewish legal) practice instantiates: service of God. It argues that, while Leibowitz often affirms a relativist “polytheism of values,” he sometimes implies that the religious value is the “most valuable value.” However, this is not due to its material content, because serving God is objectively best; rather it is because, consonant with his negative theology, it most fully instantiates the formal properties of a value. The essay concludes by assessing the tenability of Leibowitz's metaethics as well as the argument for positing this contentless value as an intention and reason for halakhic practice. 相似文献
87.
88.
TIM DE MEY 《Metaphilosophy》2006,37(2):222-239
Abstract: In part because “imagination” is a slippery notion, its exact role in the production of scientific knowledge remains unclear. There is, however, one often explicit and deliberate use of imagination by scientists that can be (and has been) studied intensively by epistemologists and historians of science: thought experiments. The main goal of this article is to document the varieties of thought experimentation, not so much in terms of the different sciences in which they occur but rather in terms of the different functions they fulfil. I argue that thought experimentation (and hence imagination) plays a role not only in theory choice but in singular causal analysis and scientific discovery as well. I pinpoint, moreover, some of the rules governing the use of thought experiments in theory choice and in singular causal analysis, that is, some of the criteria they should meet in order to fulfil those functions successfully. 相似文献
89.
RUTH WEINTRAUB 《Theoria》2006,72(4):319-335
Abstract: The reason Descartes cites for invoking the demon argument in addition to the dream argument is that the demon argument is intended to broaden the scope of Descartes' scepticism, to subsume additional beliefs under it. I present an additional, unfamiliar reason. There is, I argue, an important difference between the two sceptical arguments. It pertains not to their scope, but to their “depth”, to the kind of scepticism they are capable of inducing. 相似文献
90.
Marie Leclaire 《The International journal of psycho-analysis》2003,84(2):331-346
The author explores the concept of reality‐testing as a means of assessing the relationship with reality that prevails in dream and in virtual reality. Based on a model developed by Jean Laplanche, she compares these activities in detail in order to determine their respective independence from the function of reality‐testing. By carefully examining the concept of hallucination in the writings of Freud and Daniel Dennett, the author seeks to pinpoint the specific modalities of interaction between perceptions, ideas, wishes and actions that converge in the ‘belief’ and in the ‘sense of reality’. The paper's main thesis consists of the distinction that it draws between immediacy‐testing and reality‐testing, with the further argument that this distinction not only dissipates the conceptual vagueness that generally surrounds the latter of the two concepts but also that it promotes a more precise analysis of the function of reality in dream and in virtual reality. 相似文献