The growing prevalence of health care ethics consultation (HCEC) services in the U.S. has been accompanied by an increase in calls for accountability and quality assurance, and for the debates surrounding why and how HCEC is evaluated. The objective of this study was to evaluate the effectiveness of HCEC as indicated by several novel outcome measurements in East Asian medical encounters.

Commentary on Yon tan rin po cheʼi mdzod text of ʼJigs-med-gliṅ-pa Raṅ-byuṅ-rdo-rje, 1729 or 30-1798, dealing on Rdzogs-chen doctrine of Rñiṅ-ma-pa sect.

This study uses a rational ethical decision-making framework to examine the influence of moral intensity (potential harm and social pressure) on whistleblowing intention and behaviour using organisational commitment as a moderator. A scenario was developed, and an online questionnaire was used to conduct an empirical analysis on the responses of 533 participants. The mean age and years of work experience of the respondents were 31 and 8.2 years, respectively. The results show, first, that while moral intensity is correlated with whistleblowing (...) intention, only the potential harm is positively correlated with such intention. Second, potential harm and social pressure differentially affect whistleblower choice of using an internal or external channel. Third, organisational commitment has a moderated mediation effect among moral intensity, whistleblowing intention and behaviour. Fourth, whistleblowers may be grouped into four conceptual types: indifferent, rebel, mature and spoil. Finally, theoretical and managerial implications of the findings are discussed. (shrink)

We investigated the implicit learning of a linguistically relevant variable in a natural language context . Trial by trial subjective measures indicated that exposure to a form–animacy regularity led to unconscious knowledge of that regularity. Under the same conditions, people did not learn about another form–meaning regularity when a linguistically arbitrary variable was used instead of animacy . Implicit learning is constrained to acquire unconscious knowledge about features with high prior probabilities of being relevant in that domain.

Using Robert Merton’s perspective on social structure [Social theory and structure. Free Press, New York, 1968], this study tested the individual-level association between job position and ethical reasoning. Anomie theory was employed to examine how country-level factors moderate that individual-level association. The hierarchical linear modeling (HLM) method was used to analyze 22,359 subjects from 28 nations. The statistical results proved that workers are more likely to justify ethically suspect behaviors, and that this individual-level relationship is moderated by the country-level factors (...) of power distance, masculinity, social inequality, and education accessibility. These results imply that Merton’s view of social structure and contemporary anomie theorists’ perspective of anomie [Messner and Rosenfeld (Crime and the American dream. Wadsworth, Belmont, 2001); Rosenfeld and Messner (The future of anomie theory. Northeastern University Press, Boston, 1997)] are mutually complementary rather than exclusive. (shrink)

This study examines whether human gaze lacking the confounding factor of eye whites can be processed unconsciously and explores the critical aspects for such process. Utilizing the continuous flash suppression paradigm, a schematic face—with direct or averted gaze, and with neutral, fearful or happy expressions—was presented to one eye while dynamic masks rendered it invisible to the other eye. Schematic faces were used to avoid unwanted influence from salient eye whites. Participants’ detection time of anything other than the masks was (...) used as an index of unconscious processing time. Faster detection was found for faces with direct gaze than those with averted gaze. However, there was no difference between detection times for different facial expressions and upright-face, inverted-face, and eyes-only conditions . These results confirm that, with schematic faces, gaze can be processed unconsciously regardless of facial expression, and eyes alone are sufficient for such process. (shrink)

This essay illustrates what the Chinese family-based and harmony-oriented model of medical decision making is like as well as how it differs from the modern Western individual-based and autonomy-oriented model in health care practice. The essay discloses the roots of the Chinese model in the Confucian account of the family and the Confucian view of harmony. By responding to a series of questions posed to the Chinese model by modern Western scholars in terms of the basic individualist concerns and values (...) embedded in the modern Western model, we conclude that the Chinese people have justifiable reasons to continue to apply the Chinese model to their contemporary health care and medical practice. (shrink)

Previous studies have identified the critical role of the left fusiform cortex in visual word form processing, learning, and memory. However, this so-called visual word form area's other functions are not clear. In this study, we used fMRI and the subsequent memory paradigm to examine whether the putative VWFA was involved in the processing and successful memory encoding of faces as well as words. Twenty-two native Chinese speakers were recruited to memorize the visual forms of faces and Chinese words. Episodic (...) memory for the studied material was tested 3. h after the scan with a recognition test. The fusiform face area and the VWFA were functionally defined using separate localizer tasks. We found that, both within and across subjects, stronger activity in the VWFA was associated with better recognition memory of both words and faces. Furthermore, activation in the VWFA did not differ significantly during the encoding of faces and words. Our results revealed the important role of the so-called VWFA in face processing and memory and supported the view that the left mid-fusiform cortex plays a general role in the successful processing and memory of different types of visual objects. © 2010 Elsevier Inc. (shrink)

As science has grown in size and scope, it has also presented a number of ethical and moral challenges. Approaching these challenges from an ethical framework can provide guidance when engaging with them. In this article, I place science within a virtue ethics framework, as discussed by Aristotle. By framing science within virtue ethics, I discuss what virtue ethics entails for the practicing scientist. Virtue ethics holds that each person should work towards her conception of flourishing where the virtues enable (...) her to realize that conception. The virtues must become part of the scientist’s character, undergirding her intentions and motivations, as well as the resulting decisions and actions. The virtue of phronêsis, or practical wisdom, is critical for cultivating virtue, enabling the moral agent to discern the appropriate actions for a particular situation. In exercising phronêsis, the scientist considers the situation from multiple perspectives for an in-depth and nuanced understanding of the situation, discerns the relevant factors, and settles upon an appropriate decision. I examine goods internal to a practice, which are constitutive of science practiced well and discuss the role of phronêsis when grappling with science’s ethical and moral features and how the scientist might exercise it. Although phronêsis is important for producing scientific knowledge, it is equally critical for working through the moral and ethical questions science poses. (shrink)

Background eHealth was widely used during the COVID-19 pandemic. Much attention was given to the technical aspects of eHealth, such as infrastructure and cost, while the soft skill of compassion remained underexplored. The wide belief in compassionate care is more compatible with in-person interactions but difficult to deliver via e-platforms where personal and environmental clues were lacking urges studying this topic. Purpose to explore the experience of delivering compassionate care via an eHealth platform among healthcare professionals working to contain the (...) COVID-19 pandemic. Methods A qualitative study design with an interpretative phenomenological analysis approach was used. Twenty healthcare professionals (fifteen nurses and five physicians) who provided care using technology platforms, such as telephone hotlines, mobile apps, and social media, were interviewed individually. Ethical considerations Permission to conduct the study was obtained from the Institutional Review Board. Results Participants stated that “eHealth enabled compassionate care during the pandemic” by ensuring patient care availability and accessibility. They shared experiences of “communicating compassionate care via eHealth” with suggestions of addressing patients’ needs with empathy, adopting a structured protocol to guide eHealth communication, and using more advanced visual-media methods to promote human-to-human interaction. They recommended “setting realistic mutual expectations” considering the limitations of eHealth in handling complex health situations and staffing shortages. Participants considered “low eHealth literacy hinders compassion.” Additionally, they recommended the need for “institutional/system-level support to foster compassionate care.” Conclusion Participants recognized the importance of integrating compassion into eHealth services. Promotion of compassionate care requires standardization of eHealth services with institutional and system-level support. This also includes preparing adequate staffing who can communicate compassionate care via eHealth, set realistic expectation, and adjust communication to eHealth literacy level while meeting the needs of their patients. (shrink)

In this article I explain why scientists cannot always resolve their disagreements about experiments even if they do not hold conflicting theoretical assumptions, and how incommensurability in experiments can occur even if experiments are not deeply encumbered by theoretical assumptions. On the basis of recent discoveries in cognitive psychology and an extended analysis of a historical case, I explore a cognitive mechanism that may generate incommensurability in experiment appraisal. I find that, because of the involvement of goal-derived categories, incommensurability in (...) experiments may result from the conflict of goals that scientists pursue in their researches, from the differences of goal-derived classification schemata that they employ in analyzing experiments, and from discrepancies between skills that they have developed in their practices. This account differs from the conventional interpretation of Kuhn’s thesis, which attributes the cause of incommensurability solely to theoretical differences. In the conclusion, I further discuss the implications of this new account of incommensurability for both philosophical and historical studies of science. (shrink)

Kuhn regards local incommensurability as an unavoidable result of changes in worldview, but his account fails to explain both historical cases in which rivals with different paradigms obtained consensus, and psychological experiments in which people with different cultural backgrounds accurately presented other points of view. Although the conditions required to generate local incommensurability were present in the dispute between Brewster and Herschel on light absorption, they succeeded in communicating. Ultimately Brewster understood his opponent's position, in the same way that subjects (...) in Barsalou's recent psychological experiments proved able to comprehend alien conceptual structures. Building upon recent cognitive theories of graded conceptual structures, I offer a new account of incommensurability, which accommodates these historical cases and psychological results. By correcting and extending Kuhn's account I show that local incommensurability may be a matter of degree. (shrink)

Clinical simulation is used in nursing education and in other health professional programs to prepare students for future clinical practice. Simulation can be used to teach students communication skills and how to deliver bad news to patients and families. However, skilled communication in clinical practice requires students to move beyond simply learning superficial communication techniques and behaviors. This article presents an unexplored concept in the simulation literature: the exercise of moral imagination by the health professional student. Drawing from the works (...) of Hume, Aristotle and Gadamer, a conceptualization of moral imagination is first provided. Next, this article argues that students must exercise moral imagination on two levels: towards the direct communication exchange before them; and to the representative nature of simulation encounters. Last, the limits of moral imagination in simulation-based education are discussed. (shrink)

This paper addresses the Basic Argument in favour of incompatibilism, both in its Strawsonian form and in its weakened form (the CDA). After examining the worries raised by this argument, I will defend a version of semi-compatibilism that is motivated by a narrative theory of the self, arguing that moral responsibility is possible even if the thesis of determinism is taken to be incompatible with the thesis of freedom of will. The semi-compatibilist argument that I provide lowers the standard of (...) proof, stops the regress of causes, finds a buck-stopper in the form of a self who can be held morally responsible for a choice or an action, and avoids committing the Strawsonian fallacy of circular reasoning by not setting impossible demands on moral responsibility. (shrink)

Most studies have examined the outcomes of patients supported by extracorporeal membrane oxygenation as a life-sustaining treatment. It is unclear whether significant social events are associated with the use of life-sustaining treatment. This study aimed to compare the trend of extracorporeal membrane oxygenation use in Taiwan with that in the world, and to examine the influence of significant social events on the trend of extracorporeal membrane oxygenation use in Taiwan.

This investigation analyzed Islamic spirituality as measured by a Muslim Experiential Religiousness Scale. Iranian university and seminary students responded to this instrument along with the Psychological Measure of Islamic Religiousness and Perceived Stress and Self-Esteem scales. Muslim Experiential Religiousness correlated predictably with all PMIR sub-scales, Perceived Stress, and Self-Esteem, and mediated almost all relationships of the PMIR Islamic Beliefs subscale with religious functioning. When evaluated by participants, Muslim Experiential Religiousness items proved to be “rational” relative to their Muslim religious ideals. (...) Women in an Islamic seminary scored higher on Muslim Experiential Religiousness than Islamic women in a more general university, and Muslim Experiential Religiousness also mediated the many other religious differences observed between these two student groups. These data most importantly identified the Muslim Experiential Religiousness Scale as a useful instrument for testing hypotheses about the dynamics of Muslim spirituality. (shrink)

In contemporary China, physicians tend to require more diagnostic work-ups and prescribe more expensive medications than are clearly medically indicated. These practices have been interpreted as defensive medicine in response to a rising threat of potential medical malpractice lawsuits. After outlining recent changes in Chinese malpractice law, this essay contends that the overuse of expensive diagnostic and therapeutic interventions cannot be attributed to malpractice concerns alone. These practice patterns are due as well, if not primarily, to the corruption of medical (...) decision-making by physicians being motivated to earn supplementary income, given the constraints of an ill-structured governmental policy by the over-use of expensive diagnostic and therapeutic interventions. To respond to these difficulties of Chinese health care policy, China will need not only to reform the particular policies that encourage these behaviors, but also to nurture a moral understanding that can place the pursuit of profit within the pursuit of virtue. This can be done by drawing on Confucian moral resources that integrate the pursuit of profit within an appreciation of benevolence. It is this Confucian moral account that can formulate a medical care policy suitable to China's contemporary market economy. (shrink)

该书通过对宋明时代有代表性的二十余位理学思想家的介绍,叙述了宋明理学产生、发展、演变的过程,展示了宋明理学的基本人物、学术派别、概念命题与思想特色等内容。.

Over the last quarter-century, China has experienced dramatic changes associated with its development of a market economy. The character of clinical practice is also profoundly influenced by the ways in which reimbursement scales are established in public hospitals. The market distortions that lead to the over-prescription of drugs and the medically unindicated use of more expensive drugs and more costly high-technology diagnostic and therapeutic interventions create the most significant threat to patients. The payment of red packets represents a black-market attempt (...) to circumvent the non-market constraint on physicians' fees for services. These economic and practice pattern changes are taking place as China and many Pacific Rim societies are reconsidering the moral foundations of their professional ethics and their bioethics. The integrity of the medical profession and the trust of patients in physicians can only be restored and protected if the distorting forces of contemporary public policy are altered. (shrink)

Though Congress passed the American Recovery and Reinvestment Act earlier this year, debate continues to swirl around the provision of funds for comparative effectiveness research. Critics warn that government bodies could use such research to dictate “appropriate” care and impose third‐party oversight so intrusive it would impinge upon the interaction between doctors and their patients. On the contrary, I believe that comparative effectiveness has the potential to strengthen the patient‐doctor relationship. How? By keeping all of us from being blindsided by (...) our own best intentions. (shrink)

The Buddhist master Fazang is regarded as one of the greatest metaphysicians in medieval Asia.

Examples from Chinese, Thai, and Finnish illustrate why researchers cannot always be confident about the precise nature of the word unit. Understanding ambiguities regarding where a word begins and ends, and how to model word recognition when many derivations of a word are possible, is essential for universal theories of reading applied to both developing and expert readers.

While translation competence assessment has been playing an increasingly facilitating role in translation teaching and learning, it still failed to offer fine-grained diagnostic feedback based on certain reliable translation competence standards. As such, this study attempted to investigate the feasibility of providing diagnostic information about students’ translation competence by integrating China’s Standards of English with cognitive diagnostic assessment approaches. Under the descriptive parameter framework of CSE translation scales, an attribute pool was established, from which seven attributes were identified based on (...) students’ and experts’ think-aloud protocols. A checklist comprising 20 descriptors was developed from CSE translation scales, with which 458 students’ translation responses were rated by five experts. In addition, a Q-matrix was established by seven experts. By comparing the diagnostic performance of four widely-used cognitive diagnostic models, linear logistic model was selected as the optimal model to generate fine-grained information about students’ translation strengths and weaknesses. Furthermore, relationships among translation competence attributes were discovered and diagnostic results were shown to differ across high and low proficiency groups. The findings can provide insights for translation teaching, learning and assessment. (shrink)

On the Definition of Religion in Hobbes’ Leviathan It has long been a controversial topic whether Hobbes was an atheistic philosopher or a sincere Christian. A clear understanding of the issue requires an investigation into Hobbes’ view of religion. This paper tends to provide such an examination. First, it analyses the legal point of view by which Hobbes distinguishes religion from superstition. Secondly, it examines the two elements by which Hobbes defines religion: fear and power. Thirdly, it explores what true (...) religion is for Hobbes. Fourthly, after dealing with Hobbes’ rational theology, it raises certain questions about difficulties and contradictions in Hobbes’ definition of religion and true religion. Fifthly and finally, drawing on the double teaching theory and taking the purpose of Hobbes’ political theory into account, it concludes that there is a double doctrine in Hobbes on the one hand and, on the other hand, Hobbes desires to publicize the esoteric philosophic teaching in accordance with the purpose of his political philosophy, i.e. with the pursuit of a rational and free world state. (shrink)

Paul Ricoeur develops a hermeneutics of tradition centered on a threefold conception of tradition which involves the notions of traditionality, traditions, and Tradition. These refer to form, content, and truth-claims within the framework of the hermeneutics of historical consciousness. This hermeneutics of tradition is treated in a panchronic and ternary way. Both methods operate at the levels of past, future and present, while the ternary method also consists in the rhetoric of truth-claims, the dialectic of remoteness vs. de-distanciation and that (...) of question vs. answer. This article attempts to study three aspects of the panchronic and ternary approach: (1) a living and ternary tradition with an ongoing dialectic interweaving the ecstases of time; (2) tradition in relation to historical consciousness and the spatialization of historicity; (3) temporalizing history and historicizing schematism in threefold mimesis. (shrink)

Morin (1921) founded the complex mode of thinking in order to remedy the defects of the Western classic simple mode of thinking. In doing so, he approached to some degree the mode of thinking inherent to the Eastern civilization. This article elucidates that for some principles of Morin's complex thinking, such as correlation of opposites, recursive causality, and union of unity of multiplicity, there were similar ideas in Chinese classic philosophy. This shows that the complex paradigm of thinking, in a (...) certain point of view, will be the fusion of Western and Eastern cultural factors. Besides, in integrating his theory of complexity with the reality of our time to find out solutions to the issues of globalization, Morin has become one of the representative thinkers of the planetary age of humankind. (shrink)

The stars and the planets must have been in alignment when Paul Hager needed a doctoral student to work on his research grant at the same time that I had transitioned from 20 years as business practitioner to become an educator interested in workplace learning. This paper explores the Bakhtinian ways in which I learned about learning with Paul, and how our process of engagement continues to influence my appreciation of the philosophy and practice of education. In such musings, I (...) draw upon Bakhtin’s concepts of dialogism, answerability and ideological becoming to discuss how the invitational qualities of engagement sustain a pedagogy of practice that I am privileged to share with my guide and friend, Emeritus Professor Paul Hager. (shrink)

This paper discusses Hacking’s experimental realism and suggests a concept of realization to the issue about realism. I first rephrase Hacking’s experimental realism by reconstructing them into two theses and three arguments. Then I consider that Resnik’s objection to Hacking’s experimental realism. According to my understanding of Hacking’s experimental realism, Resnik’s objection failed because of his position at theory realism. Nevertheless, I think that there are still two problems about the experimental aspect of the experimental realism. They are the pessimistic (...) induction of experimental science argument and the combination of apparatus argument. I attempt to give a new perspective on the realism issue by proposing a set of related concepts containing categorization, model, and realization. Last, I show that this conceptual scheme can give a better solution of the two problems and cast a new light on the realism issue. (shrink)