Identity and moral responsibility of healthcare organizations

In this paper the moral responsibility of a Healthcare Organization (HCO) is conceived as an inextricable aspect of the identity of the HCO. We attempt to show that by exploring this relation a more profound insight in moral responsibility can be gained. Referring to Charles Taylor we explore the meaning of the concept of identity. It consists of three interdependent dimensions: a moral, a dialogical, and a narrative one. In section two we develop some additional arguments to apply his concept of personal identity to organizations. The final section works out the relationship of three dimensions of identity to some actual issues in contemporary HCOs: the tension between care and justice, the importance of dialogues about the diversity of goods, and the relevance of becoming familiar with the life-story of the HCO. Identity of an HCO is established and developed in commitments to and identification with certain goods that are central for a HCO. However, many of these goods are interwoven with everyday practices and policies. Therefore, moral responsibility asks for articulation of goods that often stay implicit and should not be reduced to a merely procedural approach. However difficult this articulation may be, if it is not tried at all HCOs run the risk of drifting away from their very identity as healthcare institutions: to offer care to patients and to do this in accordance with demands of social justice.     

Reaction in action: intergroup contrast in automatic behavior

Whereas previous research has shown automatic behavior conforming to outgroup stereotypes, the authors demonstrate automatic behavioral contrast away from a stereotype/trait associated with an outgroup (Study 1 and 2) and point to the importance of an "us-them" intergroup comparison in this process. In Study 1, participants colored pictures more messily when neatness was associated with an outgroup rather than the ingroup. In Study 2, using a different behavior, participants primed with busy business people reacted faster than controls (assimilation) but became slower when their student ingroup identity was activated (contrast). Subliminally priming an "us-them" intergroup comparison set undermined the accessibility of outgroup stereotypic words (Study 3), especially for those higher in prejudice (Study 4). This suggests that people automatically distance themselves from outgroup attributes when intergroup antagonism is cued or chronic. Implications for the role of self and comparison processes in automatic behavior are discussed.     

Was It One of Us? How People Cope with Misconduct by Fellow Ingroup Members

How do group members cope with misconduct by members of their own group? Strong evidence for a positive bias in people's evaluations of their own group and its members suggests that an ingroup perpetrator is likely to be treated more leniently than an outgroup perpetrator. However, research has also demonstrated a “Black Sheep‐Effect”, such that ingroup members who deviate negatively from relevant ingroup norms are evaluated and punished even more harshly than outgroup deviants. Both reactions – positive ingroup bias and the Black Sheep Effect – may serve the same goal, namely maintaining positive regard for the ingroup. In this paper, we present several moderators that have been shown to affect responses to negative ingroup deviance. We propose a model that incorporates and organizes these moderators in order to predict whether negatively deviant ingroup members will receive especially lenient or rather harsh and negative evaluations from their fellow ingroup members.     

全球生命伦理学

探讨生命伦理学的起源,并阐述了不同理论支持者的观点,发现无论准确的生命伦理学历史起源是什么,目前生命伦理学已经变成了一种真正的全球现象。它在全世界具有重要的意义,因为人类不仅仅是欧洲人或亚洲人,也是世界公民和一个全球道德共同体的成员。生命伦理学对任何地方、任何人都是重要的,并不是因为它是"拿来"的,而是因为它提供了一个普遍的框架去解释和管理正在经历的变化,这个变化包括了目前所有的国家和文化。然而,这个框架的解释和应用必须依据本土环境。因此,现代生命伦理学具有全球性和本土特征的特点。     

Beyond the Equivalence Thesis: how to think about the ethics of withdrawing and withholding life-saving medical treatment

Theoretical Medicine and Bioethics - With few exceptions, the literature on withdrawing and withholding life-saving treatment considers the bare fact of withdrawing or withholding to lack...     

Looking through the eyes of the powerful

Across four experiments, we test the idea that power decreases metastereotyping, and that this effect is mediated by reduced perspective taking. Metastereotypes refer to the beliefs that members of group A share about the stereotypes that members of specific outgroup B typically have about ingroup A. We propose that the dominant psychological orientation of the powerless is aimed at seeing how others see them. In an intergroup situation they are therefore inclined to activate and apply metastereotypes. In the first three experiments we consistently find that low power leads to more metastereotyping than high power and control (in Experiment 3). Specifically, we show this effect with three different manipulations of power, namely a role manipulation (Experiment 1), experiential priming (Experiment 2), and parafoveal priming (Experiment 3). In the fourth experiment we uncover the mediating role of perspective taking. Together these findings provide strong evidence that powerlessness leads to metastereotyping.     

Iron ladies,men of steel: The effects of gender stereotyping on the perception of male and female candidates are moderated by prototypicality

Women remain a minority in politics. In nearly all countries, including parliamentary democracies, women are still underrepresented in national parliament and other representative institutions. Research has argued that there is a bias against women in elections. Here we study the process behind this phenomenon by investigating the effect of a candidate's gender and gender prototypicality on judgment of the suitability of this candidate in elections. The first experiment shows that when voters think topics that stereotypically demand male characteristics (e.g., competitiveness) are important, they prefer male candidates, while they prefer female candidates when topics that stereotypically demand female characteristics (e.g., pro‐sociability) are important. Experiment 2 replicates this and shows that this effect is fully reversed for counterprototypical (i.e., in physical appearance) candidates. This supports a stereotyping as prediction account, and has important theoretical and practical implications. Copyright © 2008 John Wiley & Sons, Ltd.     

Does an Appeal to the Common Good Justify Individual Sacrifices for Genomic Research?

In genomic research the ideal standard of free, informed, prior, and explicit consent is believed to restrict important research studies. For certain types of genomic research other forms of consent are therefore proposed which are ethically justified by an appeal to the common good. This notion is often used in a general sense and this forms a weak basis for the use of weaker forms of consent. Here we examine how the notion of the common good can be related to individual health, health care, and genomic research and we use this analysis to propose more precise criteria to justify forms of consent which diverge from the ideal standard.     

The Ethics of Geoengineering: A Literature Review

Science and Engineering Ethics - Geoengineering as a technological intervention to avert the dangerous climate change has been on the table at least since 2006. The global outreach of the...