HIV and the obligation to treat

The paper is an attempt to review the basis for the claim that physicians have a professional obligation to treat AIDS patients. Considered are the historical record, two professional codes of ethics, and several recent articles. The paper concludes that the arguments considered, which attempt to support the claim that physicians have an obligation to treat, fail. It is suggested, rather, that common humanity, which physicians share with those who suffer from AIDS, ought to be the basis for engaging in the care of AIDS patients.     

Detachment and defeasibility in deontic logic

The purpose of the paper is to present a logical framework that allow to formalize a kind of prima facie duties, defeasible conditional duties, indefeasible conditional duties and actual (indefeasible) duties, as well as to show their logical interconnections.     

Value and Obligation Once More

In Understanding Moral Obligation (2012), Robert Stern sets out to provide a fresh interpretation of the role of autonomy in Kant's moral philosophy and attempts to rectify J. B. Schneewind's standard account in The Invention of Autonomy (1998). While Stern agrees that Kant's resort to autonomy is at the basis of a constructivist account of moral obligation, he claims that autonomy plays no role in Kant's theory of value, such that, in this respect, Kant remains a realist. Accordingly, Stern characterizes Kant's moral philosophy as a “hybrid” view because he sees it as involving a compromise between realism with regard to value and constructivism with regard to obligation. Stern's interpretation relies on a sharp distinction between value and obligation. The purpose of the present article is to question Stern's reliance on that rigid distinction, which involves intermixing theoretical and practical reason and assumes a distorted view of human agency.     

The Morality System with and without God

What I set out to do is to cast some doubt on the thesis that, in Bernard Williams's words, any appeal to God in morality either adds nothing at all, or it adds the wrong sort of thing. A first conclusion is that a morality of real, inescapable and (sometimes) for the agent costly obligations, while being at home in a theistic metaphysic, does not sit easily with metaphysical, atheistic naturalism. The second conclusion is that Christine Korsgaard's impressive ethical project which is neutral towards theism and atheism fails in giving a satisfying account of such obligations. My final claim is that a theistic account in terms of a strong divine command theory might succeed where non- and atheistic accounts seem to founder.     

The moral obligations of trust

Moral obligation, Darwall argues, is irreducibly second personal. So too, McMyler argues, is the reason for belief supplied by testimony and which supports trust. In this paper, I follow Darwall in arguing that the testimony is not second personal ‘all the way down’. However, I go on to argue, this shows that trust is not fully second personal, which in turn shows that moral obligation is equally not second personal ‘all the way down’.     

ATTACKS ON LINKING OR A DRIVE TO COMMUNICATE? TOLERATING THE PARADOX

The notion of attacks on linking, as described by Bion, may depict a patient's drive to communicate the internalization of a destructive relationship between a primary object and an infant. This may be enacted between patient and analyst in the here and now of the analysis, whereby fragmentation and numbing of thinking may point to a primitive catastrophe relived in the psychoanalytic setting. The patient's material may seem incoherent, but incoherence might be the communication the patient is unconsciously trying to convey. Thus, the notion of attacks on linking depicts a paradoxical, caesural experience in which the attack on linking is itself a link.     

认知心理学视角下的医师告知义务探析

Ellis的ABC理论和Schachter的情绪认知理论及试验说明,个体的认知信念影响情绪和行为反应.也就是说,患者对疾病事件的认知评价直接影响着情绪和行为表现.因此,在认知心理学相关理论指导下,医师对患者履行告知义务时必须遵循准确性原则、个性化原则及艺术性原则等,让患者对疾病事件有充分的知情与信息掌握,帮助患者改变观察问题的角度,正确认知与评价疾病事件,进而以积极、健康的情绪和行为表现来配合医务人员的诊治.     

Felt obligation and the family life cycle: A study on intergenerational relationships

Since the 1990s researchers have considered as the dominant view on family obligation a set of responsibilities, duties, and obligation of care and assistance, that adult children should assume when parents are old or infirm. This concept is limited, because it assumes that family obligation is salient only in one period of life: when parents reach old age and are infirm. In contrast, a relational approach to family obligation considers family relationships as central to understanding children's duties and responsibilities. Following Stein, family obligation can be defined as felt obligation: expectations for appropriate and negotiated behaviour, perceived within the context of specific personal relationships with kin across life course. Felt obligation is conceptualized in five dimensions: a duty to maintain contact, assistance, avoidance of conflict, personal sharing, and self‐sufficiency. The purpose of the present study was to analyze perceptions of felt obligation in intergenerational relationships (parent–child and family of origin) in different phases of the family life cycle in a specific cultural context (Italy). The sample was composed of 92 parents with children of different ages (infants, school‐aged children, and young adults). The measure addressed the five dimensions of felt obligation, all assessed in various phases of family life. Results indicated differences in dimensions of felt obligation between intergenerational relationships (both parent–child and with family of origin). Some of these differences, such as self‐sufficiency and personal sharing, assumed more importance and salience in some periods of the life cycle than in others.     

A Primer on Psychological Theory

This paper addresses some of the principal constituent elements in the formation of theories in the science of psychology. To that end, means of theory construction, concomitant theory functions and types, and norms of acceptance are presented. Where appropriate, efforts were made to cite particular historic or contemporary theories of human behavior as cogent exemplars.