Personal Autonomy

个人自主权
  • 文章类型: Journal Article
    对人们相信人们可以改变的程度(增量信念)的研究表明,增量主义信念与幸福呈正相关,而实体信仰(人不能改变)则不是。对这种关系的一种解释是,递增的信念与掌握取向有关,而实体信仰不是。如果是这样的话,那么自主和能力动机应该调解增量主义和幸福之间的关系,因为这些动机反映了掌握的不同方面。本研究考察了自主和能力动机调解自我理论与幸福感之间关系的可能性。参与者是成年社区成员(n=428),他们完成了生活参与测试(eudaimonic幸福感),生活满意度量表(享乐幸福感),心理健康连续量表(eudaimonic,主观,和心理健康),基本需求满意度量表(自主性,能力,相关性),以及对自我的内隐理论(增量和实体信念)的衡量。回归分析发现,增量信念与所有三个幸福感指标显着相关(正相关),而实体信念与幸福感没有显著相关。回归分析还发现,递增的信念与自主性和能力需求的满足呈正相关,但与相关性需求的满足无关。实体信念与满足三种基本需求中的任何一种都无关。一系列中介分析发现,能力和自主性动机介导了增量信念与所有三种幸福感之间的关系。除了一种情况,对生活的满意度,当自主性和能力需求的满足被纳入调停者时,递增信念对幸福感的直接影响并不显著.本结果证实并扩展到一般领域,假设掌握取向负责幸福与自我增量理论之间的关系。它们还符合自决理论租户在理解自我理论方面的重要性。
    Research on the extent to which people believe that people can change (incremental beliefs) suggests that incrementalist beliefs are positively related to well-being, whereas entity beliefs (people cannot change) are not. One explanation for this relationship is that incremental beliefs are associated with a mastery orientation, whereas entity beliefs are not. If this is the case, then autonomous and competence motives should mediate relationships between incrementalism and well-being because these motives reflect different aspects of mastery. The present study examined the possibility that autonomous and competence motives mediate relationships between self-theories and well-being. Participants were adult community members (n = 428) who completed the Life Engagement Test (eudaimonic well-being), the Satisfaction with life Scale (hedonic well-being), the Mental Health Continuum Scale (eudaimonic, subjective, and psychological well-being), the Basic Needs Satisfaction scale (autonomy, competence, relatedness), and a measure of implicit theories of the self (incremental and entity beliefs). Regression analyses found that incremental beliefs were significantly related (positively) to all three measures of well-being, whereas entity beliefs were not significantly related to well-being. Regression analyses also found that incremental beliefs were positively related to satisfaction of autonomy and competence needs but were not related to satisfaction of relatedness needs. Entity beliefs were not related to the satisfaction of any of the three basic needs. A series of mediational analyses found that competence and autonomy motives mediated relationships between incremental beliefs and all three measures of well-being. In all but one case, satisfaction with life, the direct effects of incremental beliefs on well-being were rendered non-significant when satisfaction of autonomy and competence needs were included as mediators. The present results confirm and extend to the general domain the supposition that a mastery orientation is responsible for relationships between well-being and incremental theories of the self. They also conform the importance of the tenants of Self-Determination Theory in understanding self-theories.
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  • 文章类型: Journal Article
    摘要在这篇文章中,我讨论了提供者在追求代理决策时可能采取的最佳方法。这里潜在的关键问题是一些提供者的方法与其他提供者的方法不同。在这种情况发生的程度上,结果可能是任意的,由此造成的伤害可能是深远的,因为这可能会影响,当然,甚至这些患者中的一些人是否会生存或死亡。可能导致这些差异的一个因素是,当这些结果与他们认为患者想要的不同时,道德体重提供者对家庭成员想要的东西的看法。现在,提供者通常将最大的道德重心放在遵循患者想要最大程度地尊重他们的自主权上,但是这种观点可能会与其他人的观点相冲突,他们认为自治更有关系,因此基于与他人的先前和现在的社会关系。给予家庭成员“想要更多的道德分量”与提供者现在所做的事情大相径庭,并可能增加这些差异。我在这里讨论支持和反对这些竞争选择的理由。
    AbstractIn this piece I discuss optimal approaches that providers may take when pursuing surrogate decision-making. A potential critical problem here is some providers\' approach differing from that of others. To the extent that this occurs, the results may be arbitrary, and the harm from this may be profound since this may affect, of course, even whether some of these patients will live or die. One factor possibly resulting in these differences is the moral weight providers place on what family members want when these outcomes differ from what they think patients would want. Providers now most commonly place greatest moral weight on following what patients would want to maximally respect their autonomy, but this view may clash with the view of others who see autonomy as more relational and thus based on prior and present social relations with others. Giving family members\' wants more moral weight is a radical departure from what providers do now and may increase these differences. I discuss here the rationales for and against these competing choices.
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  • 文章类型: Journal Article
    许多技术伦理学家认为,现在是阐明神经的时候了:我们相对于我们的大脑和思想的规范性主张。一种这样的主张是精神完整权(“MI”)。我首先考虑对MI的一些范式威胁(第1节),以及MI的基于自治的主导概念(“ABC”)如何试图理解它们(第2节)。接下来,我认为ABC对威胁MI的理解过于宽泛,并建议对ABC进行友好的修订,以解决该异议(第3节)。然后,我考虑第二个反对意见:ABC无法理解非自治的MI。即使对修订后的ABC(第4节)也是致命的。在这个基础上,我开发了一种替代概念,MI以多种更简单的能力为基础,即,那些影响,认知,和意志这些更基本的能力中的每一个都以一系列根本利益为基础,因此,即使它们没有达到自治所必需的复杂性水平,它们也值得保护(第5节)。这产生了一个完全通用的MI理论,该理论解释了其在自治和非自治中的表现。
    Many technology ethicists hold that the time has come to articulate neurorights: our normative claims vis-à-vis our brains and minds. One such claim is the right to mental integrity (\'MI\'). I begin by considering some paradigmatic threats to MI (§1) and how the dominant autonomy-based conception (\'ABC\') of MI attempts to make sense of them (§2). I next consider the objection that the ABC is overbroad in its understanding of what threatens MI and suggest a friendly revision to the ABC that addresses the objection (§3). I then consider a second objection: that the ABC cannot make sense of the MI of the non-autonomous This objection appears fatal even to the revised ABC (§4). On that basis, I develop an alternative conception on which MI is grounded in a plurality of simpler capacities, namely, those for affect, cognition, and volition Each of these more basic capacities grounds a set of fundamental interests, and they are for that reason worthy of protection even when they do not rise to the level of complexity necessary for autonomy (§5). This yields a fully general theory of MI that accounts for its manifestations in both the autonomous and the non-autonomous.
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  • 文章类型: English Abstract
    本文从个人主义的生物伦理学出发,分析了由无控制的自治和受格言支配的命令所支持的技术进步模型:如果可以做到,让我们做吧!,作为进步的必要和充分条件。这使我们处于技术上可行和道德上合法之间的滑坡。哲学家的开创性工作,JoséSanmartinEsplugues2,敦促反思面对技术的丰富,将人类视为有用的具体对象,并提供干预人类生活的权力,这是以前无法想象的。将人减少到仅仅是生物材料数据,通过服从工具理性主义的计算,为增加去人性化打开了大门。在看到自己处于世界之巅的愿望和遗传技术的基础上,是对人类解放的渴望的最终表达,这种渴望渴望通过抽象的后生物学想象来控制进化。Sanmartin提出了一种超越传统影响类别的技术科学活动的道德评估和社会插入模型,区分社会的使用和有效性,文化,经济,政治和价值观相关,为了通过既不无害也不中性的技术来绣出一种决定人类生活方式和目的的图案。一个没有解毒剂的社会,也教会我们培养关于人性的乌托邦梦想,很容易被那些承诺幸福世界并从我们的脆弱中拯救我们的精英们所塑造。
    This essay analyzes from a personalistic bioethics the model of technological progress supported by an autonomy without controls and an imperative that is governed by the maxim: if it can be done, let\'s do it!, as a necessary and sufficient condition of progress. This puts us on the slippery slope between the technically feasible and the morally lawful. The pioneering work of the philosopher, José Sanmartin Esplugues 2 , urges reflection in the face of a technological profusion that sees the human being as a useful embodied object and offers powers of intervention on human life that were previously unimaginable. The reduction of the person to mere biological-material data opens the door to increasing deshumanization by subordination to the calculations of an instrumental rationalism. Underlying the desire to see ourselves at the top of the world and genetic techniques are the ultimate expression of a longing for human emancipation that aspires to take the reins of evolution through an abstract postbiological imaginary. Sanmartin proposes a model of ethical evaluation and social insertion of technoscientific activity that goes beyond the conventional categories of impact, use and effectiveness to distinguish social, cultural, economic, political and values correlates, in order to embroider a pattern that decides on the means and ends of human life through technologies that are neither innocuous nor neutral. A society without antidotes to manipulation that also teaches us to cultivate utopian dreams about human nature is easily malleable by elites who promise happy worlds and redeem us from our vulnerability.
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  • 文章类型: Journal Article
    在COVID-19大流行期间,生物伦理学的担忧被提出,甚至出现了“生物伦理学的复兴”。“在这项工作中,我们回顾了西班牙作者在宣布大流行后三年内发表的与生物伦理问题有关的科学文章.选择了70种出版物。在他们当中,引起争论最多的话题是卫生资源使用的优先次序。达成共识,排除了年龄可以被视为医疗保健或可能进入ICU的唯一排除标准。回顾了特别照顾最脆弱的人并使护理适应每个患者的状况而不排除任何人的重要性。其他相关主题是自主性与共同利益之间的对比,免疫护照,疫苗接种,严谨的研究和结果的发表,卫生人员的专业精神,错误信息,护理疗养院,远程医疗,以及锻炼美德的重要性。在经历了脆弱和团结的需要之后,许多作品提高了更好地克服大流行的愿望和可能性。
    During the COVID-19 pandemic, bioethical concerns were raised and there was even a ″resurgence of bioethics. ″ In this work, we review the scientific articles published by Spanish authors in relation to bioethical issues in the three years following the declaration of the pandemic. Seventy publications have been selected. Of all of them, the topic that lent itself to the most debate was that of prioritization in the use of health resources. A consensus was reached that ruled out that age could be considered as a sole exclusion criterion in healthcare or in a possible admission to the ICU. And the importance of taking special care of the most vulnerable and adapting care to the conditions of each patient without excluding anyone was recalled. Other relevant topics were the contrast between autonomy and the common good, the immune passport, vaccination, rigor in research and the publication of results, the professionalism of health personnel, misinformation, care for nursing homes, telemedicine, and the importance of the exercise of virtues. After the experience of both vulnerability and the need to exercise solidarity, many works raise the desire and the possibility of being able to overcome the pandemic being better.
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  • 文章类型: Journal Article
    背景:个人健康监测(PHM)具有增强士兵健康结果的潜力。促进道德上负责任的发展,实施,以及在武装部队中使用PHM,重要的是要意识到PHM的内在伦理维度。为了提高对伦理维度的理解,对现有的关于PHM伦理维度的学术文献进行了范围审查。
    方法:四个书目数据库(Ovid/Medline,Embase.com,ClarivateAnalytics/WebofScience核心合集,和Elsevier/SCOPUS)从成立到2023年6月1日进行了相关文献搜索。如果研究充分解决了PHM的道德层面,并且与军队有关或声称与军队有关,则包括这些研究。经过选择和提取,使用定性专题方法分析数据。
    结果:总共筛选了9,071个参考。经过资格筛选,本综述包括19篇文章。该评论确定并描述了反映军事中PHM道德维度的三个类别:(1)功利主义考虑,(2)基于价值的考虑,(三)监管责任。被确定为关注的四个主要价值观是隐私,安全,信任,和自主性。
    结论:这篇综述表明,武装部队中的PHM主要是从功利主义的角度出发,专注于它的好处,没有对PHM潜在的道德弊端进行明确的批判性审议。此外,该综述强调了一个显著的研究差距,特别是缺乏专门关注PHM伦理维度的实证研究。意识到PHM在军队中固有的伦理层面,包括价值冲突以及如何平衡它们,可以帮助促进道德上负责任的发展,实施,以及在武装部队中使用PHM。
    BACKGROUND: Personal Health Monitoring (PHM) has the potential to enhance soldier health outcomes. To promote morally responsible development, implementation, and use of PHM in the armed forces, it is important to be aware of the inherent ethical dimension of PHM. In order to improve the understanding of the ethical dimension, a scoping review of the existing academic literature on the ethical dimension of PHM was conducted.
    METHODS: Four bibliographical databases (Ovid/Medline, Embase.com, Clarivate Analytics/Web of Science Core Collection, and Elsevier/SCOPUS) were searched for relevant literature from their inception to June 1, 2023. Studies were included if they sufficiently addressed the ethical dimension of PHM and were related to or claimed relevance for the military. After selection and extraction, the data was analysed using a qualitative thematic approach.
    RESULTS: A total of 9,071 references were screened. After eligibility screening, 19 articles were included for this review. The review identifies and describes three categories reflecting the ethical dimension of PHM in the military: (1) utilitarian considerations, (2) value-based considerations, and (3) regulatory responsibilities. The four main values that have been identified as being of concern are those of privacy, security, trust, and autonomy.
    CONCLUSIONS: This review demonstrates that PHM in the armed forces is primarily approached from a utilitarian perspective, with a focus on its benefits, without explicit critical deliberation on PHM\'s potential moral downsides. Also, the review highlights a significant research gap with a specific lack of empirical studies focussing specifically on the ethical dimension of PHM. Awareness of the inherent ethical dimension of PHM in the military, including value conflicts and how to balance them, can help to contribute to a morally responsible development, implementation, and use of PHM in the armed forces.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    选择的自由增强了我们的代理意识。在目标导向行为期间,在不同的反应选项之间进行选择的自由增加了正反馈和负反馈的神经处理,表明在高机构经验的条件下加强了结果监测。然而,目前尚不清楚这种增强是否主要是由自我相对于外部确定的行动结果的显著性增加所驱动,或者在目标导向任务中,感知的结果工具价值的差异是否有助于结果监测.为了测试这个,我们记录了脑电图,而参与者执行了涉及自由选择的强化学习任务,与行动相关的强迫选择,和行动无关的强迫选择。与行动相关和行动无关的强迫选择相比,我们观察到自由选择后反馈的中额θ功率和N100幅度更大。此外,奖励积极性仅是免费的,而不是强迫选择的结果。至关重要的是,我们的结果表明,增强的结局处理不是由结局与未来行动的相关性驱动的,而是源于结局与近期自主选择的关联.我们的发现强调了自决在跟踪我们行为的后果中的关键作用,并有助于理解结果监测中选择引起的促进作用的认知过程。
    Freedom of choice enhances our sense of agency. During goal-directed behavior, the freedom to choose between different response options increases the neural processing of positive and negative feedback, indicating enhanced outcome monitoring under conditions of high agency experience. However, it is unclear whether this enhancement is predominantly driven by an increased salience of self- compared to externally determined action outcomes or whether differences in the perceived instrumental value of outcomes contribute to outcome monitoring in goal-directed tasks. To test this, we recorded electroencephalography while participants performed a reinforcement learning task involving free choices, action-relevant forced choices, and action-irrelevant forced choices. We observed larger midfrontal theta power and N100 amplitudes for feedback following free choices compared with action-relevant and action-irrelevant forced choices. In addition, a Reward Positivity was only present for free but not forced choice outcomes. Crucially, our results indicate that enhanced outcome processing is not driven by the relevance of outcomes for future actions but rather stems from the association of outcomes with recent self-determined choice. Our findings highlight the pivotal role of self-determination in tracking the consequences of our actions and contribute to an understanding of the cognitive processes underlying the choice-induced facilitation in outcome monitoring.
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  • 文章类型: Journal Article
    平台灵活员工的绩效是推动共享经济平台快速成长的核心要素。随着这些平台之间日益激烈的竞争,探索提高员工绩效的策略至关重要。只有少数研究证据被发现评估平台灵活员工的心理资本和工作参与度以提高他们的绩效。为了弥补差距,我们借鉴自决理论来发展一个有节制的调解模式,它研究了心理资本如何影响平台灵活员工的工作绩效。采用层次回归分析对理论模型进行检验,并进行了两轮调查,产生474份有效配对问卷。问卷评估了心理资本,工作参与,工作表现,和灵活平台员工的工作自主权。结果表明,工作投入在心理资本影响平台灵活员工工作绩效之间起着中介作用。此外,工作自主性调节了中介效应。这些发现不仅有助于有关员工心理资本和工作绩效的文献,也拓宽了自决理论的研究范围,为提升平台灵活员工的工作绩效提供新思路。
    The performance of platform flexible employees is a core element that contributes to the rapid growth of the sharing economy platform. It is crucial to explore strategies to improve employees\' performance with the growing competition among these platforms. Only a handful of research evidence has been found evaluating platform flexible employees\' psychological capital and work engagement to improve their performance. In order to remedy the gap, we draw on self-determination theory to develop a moderated mediation model, which examines how psychological capital affects platform flexible employees\' job performance. We employed hierarchical regression analysis to test the theoretical model and carried out two rounds of surveys, resulting in 474 valid paired questionnaires. The questionnaire assessed the psychological capital, work engagement, job performance, and job autonomy of flexible platform employees. The results indicate that work engagement plays a mediating role between psychological capital affects platform flexible employees\' job performance. Moreover, job autonomy moderates the mediating effect. The findings not only contribute to the literature on employees\' psychological capital and job performance, but also broaden the research scope of self-determination theory, and provide new ideas for improving the job performance of platform flexible employees.
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  • 文章类型: Journal Article
    天主教医疗保健通常被视为与世俗的自治观念背道而驰。这种观点可以引起人们在天主教设施中保护“选择”的呼吁。然而,这种观点是建立在对天主教卫生保健服务(ERD)的道德和宗教指令的根本误解之上的。这篇评论,这是对“原则良心规定:转介对称性及其对保护世俗良心的影响”的回应,“由AbramBrummett等人。,寻求展示ERD的细微差别,以及解决一些各种天主教身份的挑战时,解释和生活出ERD,使所有患者获得高质量,富有同情心的照顾。通过强调教会在每个阶段保护所有人的愿望,我希望消除通常由天主教徒和非天主教徒误解引起的漫画。
    Catholic health care is often viewed as antithetical to secular conceptions of autonomy. This view can engender calls to protect \"choice\" in Catholic facilities. However, this view is built on a fundamental misunderstanding of the Ethical and Religious Directives for Catholic Health Care Services (ERDs). This commentary, which responds to \"Principled Conscientious Provision: Referral Symmetry and Its Implications for Protecting Secular Conscience,\" by Abram Brummett et al., seeks to demonstrate the nuance of the ERDs as well as to address some of the challenges various Catholic identities have when interpreting and living out the ERDs so that all patients receive high-quality, compassionate care. By highlighting the Church\'s desire to protect all people at every stage, I hope to dispel the caricatures that often result from misunderstandings by Catholics and non-Catholics alike.
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