moral

道德
  • 文章类型: Journal Article
    这项研究调查了父母教养方式与恶意创造力之间的关系。
    它使用潜在的概况分析,以在线样本(N=620)比较了父母教养方式的不同组合之间恶意创造力的差异。
    研究结果表明,三剖面解决方案最适合数据,这三个配置文件被标记为积极的开放育儿,无差异育儿和消极有限育儿。随后的分析表明,三种父母教养方式之间的恶意创造力表现存在显着差异,积极开放育儿的参与者具有更多恶意的创造力。那些未分化的父母的得分最低。
    研究结果为育儿策略提供了理论指导。未来对恶意创造力的干预研究还应考虑父母教养方式的潜在影响,以获得更好的结果。
    UNASSIGNED: This study investigated the association between parenting styles and malevolent creativity.
    UNASSIGNED: It used latent profile analysis to compare the differences in malevolent creativity between different combinations of parenting styles with an online sample (N = 620).
    UNASSIGNED: The results of the study suggest that a three-profile solution best fits the data, and the three profiles were labelled positive open parenting, undifferentiated parenting and negative limited parenting. Subsequent analyses revealed that there were significant differences in malevolent creativity performance among the three parenting styles, with participants in the positive open parenting having more malevolent creativity. Those with undifferentiated parenting had the lowest scores.
    UNASSIGNED: The findings provide theoretical guidance for parenting strategies. Future intervention studies on malevolent creativity should also consider the potential impact of parenting style to obtain better results.
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  • 文章类型: Journal Article
    法医精神病医生可能会被要求在其专业知识范围之外对神经系统证据或神经系统疾病发表意见。本文讨论了在这种情况下,让受过行为神经病学培训的专家参与的价值。首先,我们描述了行为神经病学和神经精神病学领域,神经学家和精神病学家都可以使用的亚专业专注于行为,认知,和神经系统疾病的神经精神表现。接下来,我们讨论了行为神经学家在法医案件中的附加值,包括协助复杂神经精神疾病的诊断评估,利用本地化专业知识为将神经诊断测试与相关神经精神症状联系起来提供强有力的科学依据,并在法医精神病医生不太熟悉这些症状的情况下,协助将这些症状与相关法律问题联系起来,如额叶综合征。我们讨论了将行为神经病学与法医精神病学相结合的方法,强调学科之间合作和指导的必要性。最后,我们讨论了几个法医案例,突出了接受过行为神经病学培训的专家的附加价值。我们得出的结论是,当遇到超出其专业知识范围的神经学证据时,法医精神病学家应该让行为神经学专家参与进来,以及需要进一步的跨学科合作和培训。
    Forensic psychiatrists may be asked to opine on neurological evidence or neurological diseases outside the scope of their expertise. This article discusses the value of involving experts trained in behavioral neurology in such cases. First, we describe the field of behavioral neurology and neuropsychiatry, the subspecialty available to both neurologists and psychiatrists focused on the behavioral, cognitive, and neuropsychiatric manifestations of neurological diseases. Next, we discuss the added value of behavioral neurologists in forensic cases, including assisting in the diagnostic evaluation for complex neuropsychiatric diseases, using expertise in localization to provide a strong scientific basis for linking neurodiagnostic testing to relevant neuropsychiatric symptoms, and assisting in relating these symptoms to the relevant legal question in cases where such symptoms may be less familiar to forensic psychiatrists, such as frontal lobe syndromes. We discuss approaches to integrating behavioral neurology with forensic psychiatry, highlighting the need for collaboration and mentorship between disciplines. Finally, we discuss several forensic cases highlighting the additional value of experts trained in behavioral neurology. We conclude that forensic psychiatrists should involve behavioral neurology experts when encountering neurological evidence that falls outside their scope of expertise, and the need for further cross-disciplinary collaboration and training.
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  • 文章类型: Journal Article
    哲学家和认知科学家长期以来一直在争论“真实,好的,美丽的\“(以下简称TGB)。在当前的文章中,我们直接探讨了中国大陆受试者在TGB中的认知内涵。使用1-7(实验1)和1-6(实验2)李克特量表,我们一致地观察到,中国大陆的受试者倾向于认为美丽不是真实的,好的就是美。此外,实验一还显示,中国大陆受试者倾向于认为真实不是美丽。其中一些结果可能反映了人类学的普遍性,和其他一些可能反映文化细节。实验3显示,TGB最受欢迎的中文翻译为英语,那种,美丽的\”,这表明用中文映射到TGB的三个概念不是一对一映射到用英文映射到TGB的三个概念。因此,将来对TGB进行跨语言或跨文化比较时应谨慎行事。
    Philosophers and cognitive scientists have long debated about the entailments among \"the true, the good, the beautiful\" (TGB hereafter). In the current article, we directly probed mainland Chinese subjects\' cognitive entailment among TGB. Using 1-7 (Experiment 1) and 1-6 (Experiment 2) Likert scales, we convergently observed that mainland Chinese subjects tend to think that the beautiful is not the true, and that the good is the beautiful. Additionally, Experiment 1 also revealed that mainland Chinese subjects tend to think that the true is not the beautiful. Some of these results may reflect anthropological universals, and some others may reflect cultural specifics. Experiment 3 revealed that the most popular translation of TGB in Chinese into English is rather \"the true, the kind, the beautiful\", suggesting that the three concepts mapped to TGB in Chinese is not one-to-one mapped to the three concepts mapped to TGB in English. Therefore, caution should be exercised when making cross-linguistic or cross-cultural comparisons about TGB in the future.
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  • 文章类型: Journal Article
    在这篇文章中,我们关注大流行对情绪的一种特殊影响,即医疗保健专业人员道德伤害经历的现象学。借鉴韦伯在他的演讲中的思考,政治是一种职业,以及来自COVID-19大流行调查中社会距离经历的数据,我们分析了医疗保健专业人员的反应,这些反应显示了职业倦怠的经历,沮丧和阳痿的感觉,以及这些如何影响临床医生的情绪状态。我们认为,这可能与他们在被迫做出没有最佳结果的临床决策时所经历的道德冲突有关,以及这反过来如何影响他们自己的情绪状态。然后,我们进一步研究了“倦怠”的概念和“道德伤害”的现象学。我们的论点是,在大流行期间,一系列临床医生的道德伤害经历可能在精神病学和精神健康领域比在其他医疗保健领域更普遍和长期存在,在危机时期之外,道德上困难的决策和资源限制是常见的。因此,在这些临床领域,道德伤害和情绪变化的现象学可能与大流行无关。在大流行期间获得的见解可能会对发展服务和培训劳动力以提供适当的精神保健的挑战提供更广泛的见解。
    In this article, we focus on a particular kind of emotional impact of the pandemic, namely the phenomenology of the experience of moral injury in healthcare professionals. Drawing on Weber\'s reflections in his lecture Politics as a Vocation and data from the Experiences of Social Distancing during the COVID-19 Pandemic Survey, we analyse responses from healthcare professionals which show the experiences of burnout, sense of frustration and impotence, and how these affect clinicians\' emotional state. We argue that this may relate to the ethical conflicts they experience when they are forced to make clinical decisions where there are no optimal outcomes, and how in turn that impacts on their own emotional state. We then further examine the notion of \'burnout\' and the phenomenology of \'moral injury\'. Our argument is that these experiences of moral injury across a range of clinicians during the pandemic may be more prevalent and long-standing in psychiatry and mental health than in other areas of healthcare, where ethically difficult decisions and resource constraints are common outside times of crisis. Hence, in these clinical arenas, moral injury and the phenomenology of emotional changes may be independent of the pandemic. The insights gained during the pandemic may provide wider insights into the challenges of developing services and training the workforce to provide appropriate mental health care.
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  • 文章类型: Journal Article
    几乎所有国家和生育诊所都对希望通过辅助生殖技术(ART)怀孕的妇女施加年龄限制。有抱负的父亲的年龄限制,然而,不太常见,仍然是一个辩论的话题。本文从生殖自主权和有条件的积极接受ART的原则出发,并询问是否有令人信服的论据对有抱负的父亲施加年龄限制。在考虑了三种结果主义方法来证明有抱负的父亲的年龄限制后,我们采取具体的规范立场,认为这些立场不足以证明这种切断是合理的。我们通过比较一名39岁的女性想要通过精子捐赠者成为单身母亲的案例来加强我们的立场,另一方面,同一个女人想和一个她爱的64岁男人生孩子,只要他有能力,他就愿意照顾孩子。我们的结论是,只要采取适当的预防措施来保护未来儿童的福利,希望接受生育治疗的夫妇绝不应根据(男性)伴侣的年龄受到限制。对男性没有年龄限制将尊重男性和女性的生殖自主权。
    Almost all countries and fertility clinics impose age limits on women who want to become pregnant through Assisted Reproductive Technologies (ART). Age limits for aspiring fathers, however, are much less common and remain a topic of debate. This article departs from the principle of reproductive autonomy and a conditional positive right to receive ART, and asks whether there are convincing arguments to also impose age limits on aspiring fathers. After considering three consequentialist approaches to justifying age limits for aspiring fathers, we take in a concrete normative stance by concluding that those are not strong enough to justify such cut-offs. We reinforce our position by drawing a comparison between the case of a 39-year-old woman who wants to become a single mother via a sperm donor on the one hand, and on the other hand the same woman who wants to have a child with a 64-year-old man who she loves and who is willing to care for the child as long as he is able to. We conclude that, as long as appropriate precautions are taken to protect the welfare of the future child, couples who want to receive fertility treatment should never be limited on the basis of the age of the (male) partner. An absence of age limits for men would respect the reproductive autonomy of both the man and the woman.
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  • 文章类型: Systematic Review
    背景:护士在照顾患者时面临各种道德冲突,这种冲突需要道德勇气。本系统评价旨在调查护士的道德勇气及其相关因素。
    方法:为了找到相关的研究,遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目。PubMed,WebofScience,谷歌学者,Scopus,使用Courage等关键字搜索Embase和ScienceDirect数据库,道德勇气,还有护士,并且在进行搜索时没有施加较低的时间限制。已确定的研究发表于2000年1月至2023年3月之间。使用STROBE检查表评估文章的质量。
    结果:19项纳入研究的合并样本量为7863。所有研究均为观察性和横断面研究。结果表明,与道德勇气最相关的三类因素是个体,道德,以及与组织相关的因素。本文还提供了每个类别的基本因素。
    结论:道德勇气是护理不可或缺的一部分,作为一种职业,随着科学技术的进步,挑战越来越大。因此,护士,特别是护理管理者需要考虑影响护士道德勇气的因素,以加强积极因素,减少负面影响。
    BACKGROUND: Nurses face various ethical conflicts when taking care of patients, and such conflicts require moral courage. This systematic review was conducted with the aim of investigating moral courage and its related factors among nurses.
    METHODS: To find related studies, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The PubMed, Web of Science, Google Scholar, Scopus, Embase and Science Direct databases were searched using keywords such as Courage, Moral Courage, and Nurses, and no lower time limit was imposed when conducting the searches. The identified studies were published between January 2000 and March 2023. Quality of articles was assessed using the STROBE checklist.
    RESULTS: The pooled sample size for the 19 included studies was 7863. All studies were observational and cross-sectional. The results showed that three categories of factors most related to moral courage are individual, moral, and factors related to the organization. Underlying factors of each category are also provided within this paper.
    CONCLUSIONS: Moral courage is an integral part of nursing, which as a profession, is becoming even more challenging with the advancement of science and technology. Therefore, there is a need for nurses and especially nursing managers to be considerate of factors affecting moral courage of nurses, with a view to strengthening the positive factors and reducing the negative impacts.
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  • 文章类型: Journal Article
    心脏手术室医疗保健专业人员的道德智慧是专业能力的最重要方面之一。然而,道德智力是一个抽象的多维概念,需要基于组织文化和环境加以阐明和描述。因此,有必要设计一个特定的量表来衡量心脏手术室医疗保健专业人员的道德智慧。这项研究旨在为心脏手术室的医疗保健专业人员设计和评估道德智力量表的心理测量特性。本研究是一项混合方法研究,采用序贯探索性方法。这项研究于2023年至2024年在伊朗进行。第一阶段数据来自20名医疗保健专业人员,并通过常规内容分析方法进行分析。在第二阶段,本研究通过在心脏手术室的300名医疗专业人员参与评估了该仪器的有效性和可靠性.心脏手术室卫生保健专业人员的道德智慧被定义为道德敏感性与道德承诺和道德勇气相结合,以提供尊重医学伦理原则的优质护理。在推导了概念框架之后,心脏手术室医疗专业人员的道德智力量表从三个维度开发:“道德敏感度,道德承诺,“和”道德勇气。“在测试过程中删除了11个项目,以确保内容的有效性。面部有效性得到确认,所有项目的影响得分>1.5。通过因子分析开发了一个量表,其中三个因素占观察到的方差的73.04%。使用Cronbach的α系数计算的仪器的可靠性报告为整个仪器的0.94。测试显示,道德智力的测试前和测试后得分之间没有统计学上的显着差异(p=0.51)。道德智力量表表现出可接受的心理测量特性。心脏手术室医疗保健专业人员的道德智力量表显示出可接受的心理测量特性。该工具可用于评估医疗保健专业人员的道德智慧,并确定是否需要教育干预措施,以减少道德挑战并提高这种医疗保健的道德智慧。
    The moral intelligence of healthcare professionals in the cardiac operating room is one of the most important aspects of professional competence. However, moral intelligence is an abstract and multidimensional concept that needs to be clarified and described based on organizational culture and environment. Therefore, there is a need to design a specific scale for measuring the moral intelligence of healthcare professionals in the cardiac operating room. This study aims to design and assess the psychometric properties of a moral intelligence scale for healthcare professionals in the cardiac operating room. The present study was a mixed method study with a sequential exploratory approach. The research was conducted in 2023-2024 in Iran. The first phase data were collected from 20 healthcare professionals and were analyzed by conventional content analysis method. In the second phase, the validity and reliability of the instrument were evaluated by involving 300 healthcare professionals in the cardiac operating room. The moral intelligence of health care professionals in the cardiac operating room was defined as moral sensitivity combined with moral commitment and moral courage for the provision of quality care that respects the principles of medical ethics. After deducing the conceptual framework, the moral intelligence scale for healthcare professionals in the cardiac operating room was developed with three dimensions: \"moral sensitivity,\" \"moral commitment,\" and \"moral courage.\" 11 items were removed during testing to ensure content validity. Face validity was confirmed with impact scores > 1.5 for all items. A scale was developed through factor analysis with three factors that accounted for 73.04% of the observed variance. The instrument\'s reliability using Cronbach\'s alpha coefficient calculation was reported as 0.94 for the entire instrument. The testretest showed no statistically significant difference between the pre and post-test scores of moral intelligence (p = 0.51). The moral intelligence scale demonstrated acceptable psychometric properties. The moral intelligence scale for health care professionals in the cardiac operating room demonstrated acceptable psychometric properties. This instrument may serve to assess the moral intelligence of healthcare professionals and determine the need for educational interventions to reduce the ethical challenges and improve the moral intelligence of this healthcare.
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  • 文章类型: Journal Article
    在心理健康和精神护理方面,对精神障碍患者使用非自愿精神病治疗仍然是一个核心和有争议的问题。这项范围审查的主要目的是绘制和系统化有关非自愿精神病治疗的临床决策中有关伦理问题的文献。五个数据库(Embase,PsycINFO,CINAHL,Medline,和Scopus)搜索了有关此主题的文章。在总共找到的342篇文章中,根据选择标准,纳入了来自14个国家的35项研究。文章采用归纳内容分析法进行分析。确定了以下主要类别:(1)指导临床决策的道德基础;(2)非自愿精神病治疗的标准;(3)差距,障碍,以及与非自愿精神病治疗相关的风险;(4)用于减少,替换,改善非自愿治疗的负面影响;(5)循证建议。大多数选定的文章讨论了非自愿治疗精神病患者的逻辑,探索自治等伦理原则,仁慈,非恶意,或者正义,以及这些应该如何适当平衡。在非自愿精神病患者入院的过程中,明显缺乏有效的沟通和严重的权力不平衡,剥夺了寻求服务的人的权利。经常在没有明确决策理由的情况下使用强制措施的专业人员以及强烈依赖住院的家庭成员进一步加剧了这种差距。由于关于法律行为能力的意见的多元性和两极分化性质以及非自愿承认的复杂性和细微差别,进一步的研究应针对具体情况,并基于联合制作和参与式研究。
    In mental health and psychiatric care, the use of involuntary psychiatric treatment for people with mental disorders is still a central and contentious issue. The main objective of this scoping review was to map and systematize the literature on ethical issues in clinical decision-making about involuntary psychiatric treatment. Five databases (Embase, PsycINFO, CINAHL, Medline, and Scopus) were searched for articles on this topic. Out of a total of 342 articles found, 35 studies from 14 countries were included based on the selection criteria. The articles were analyzed using the inductive content analysis approach. The following main categories were identified: (1) ethical foundations that guide clinical decision-making; (2) criteria for involuntary psychiatric treatment; (3) gaps, barriers, and risks associated with involuntary psychiatric treatment; (4) strategies used to reduce, replace, and improve the negative impact of involuntary treatment; and (5) evidence-based recommendations. Most of the selected articles discuss the logic underlying involuntary treatment of the mentally ill, exploring ethical principles such as autonomy, beneficence, non-maleficence, or justice, as well as how these should be properly balanced. During the process of involuntary psychiatric admission, there was a notable absence of effective communication and a significant power imbalance that disenfranchised those seeking services. This disparity was further intensified by professionals who often use coercive measures without a clear decision-making rationale and by family members who strongly depend on hospital admission. Due to the pluralistic and polarized nature of opinions regarding legal capacity and the complexity and nuance of involuntary admission, further studies should be context-specific and based on co-production and participatory research.
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  • 文章类型: English Abstract
    代表别人说话不是一件容易的事。当精神病院伦理委员会的30名成员依靠其中的3名成员向新手解释其功能和作用时,用语言表达委员会在他们眼中所代表的东西,任务很微妙。我们必须像忠于集团精神一样忠于自己的思想。我们将尽力回答这些问题,阐明起源,精神病医院伦理委员会的任务和具体特征,不会背叛我们自己或同事的想法。
    Speaking on behalf of others is no easy task. When 30 members of a psychiatric hospital\'s ethics committee rely on three of them to explain its functions and roles to neophytes, and to put into words what the committee represents in their eyes, the mission is a delicate one. We have to remain as faithful to our own thinking as we are to the spirit of the group. We will try to answer these questions as best we can, to shed light on the origins, missions and specific features of an ethics committee in a psychiatric hospital, without betraying our own thinking or that of our colleagues.
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  • 文章类型: Journal Article
    道德认知的范例数据库(DOE)账户的出现在一定程度上解释了错误的伤害是如何产生的(Royzman&Borislow,2022年;此后,RB)尽管被大多数传统模式(Schein&Gray,2018;Turiel,1983;Shweder,1997年;海特,2012).在这里,我们为这一说法辩护,反对一系列声称反驳它的结果(Kurthy&Sousa,这个问题;从今以后,KS).我们认为DOE与KS认为的所有发现都是一致的(评估一个不公正的行为会导致错误的判断),而RB的发现(Royzman&Borislow,2022年,研究2和3)确实在不同的概念下挑战KS,即代理人在对待他人时会成为或显得不公正,确认错误的不公正是一个经验事实,人们必须努力解释,DOE帮助我们解释。
    The Database of Exemplars (DOE) account of moral cognition emerged in part to explain how wrongless harms could arise (Royzman & Borislow, 2022; henceforth, RB) in spite of being denied by most traditional models (Schein & Gray, 2018; Turiel, 1983; Shweder, 1997; Haidt, 2012). Herein, we defend this account against a set of results that have been claimed to disprove it (Kurthy & Sousa, this issue; henceforth, KS). We argue that DOE is in line with all the findings KS perceive as uniquely supportive of their own account (appraising an act as unjust engenders a judgment of wrong) while RB\'s findings (Royzman & Borislow, 2022, Studies 2 and 3) do challenge KS under varied conceptions of what it would take for an agent to be or appear unjust in his or her treatment of others, affirming that wrongless injustice is an empirical fact that one must strive to explain and that DOE helps us explain.
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