Do liberals’ and conservatives’ brain processes differ in moral reasoning? This research explains these groups’ dissimilar moral stances when they face ethical transgressions in business. Research that explores the effects of ideological asymmetry on moral reasoning processes through moral foundations has been limited. We hypothesize two different moral reasoning processes and test them in the South Korean culture. Study 1 uses the neuroscientific method of event-related potentials to explore the dissociable neural mechanisms that underlie Korean liberals’ and conservatives’ moral reasoning (...) processes in business ethical transgressions. Liberals’ early frontal negative-going brain waves showed that they are quick to pass negative judgment by intuitively detecting violations of fairness, while conservatives’ temporoparietal positive-going brain waves showed that they have a higher motivation to respect authority. Both liberals’ and conservatives’ ERP components occur within the first second of the decision-making phase, suggesting the rapid and intuitive nature of moral reasoning processes. Study 2 tests a mediating process and confirms that Korean liberals exhibit the moral engagement strategy, through the fairness foundation. These findings from our interdisciplinary research deepen the knowledge of the complexity of human morality in business ethics research. (shrink)

BackgroundThe Life Extension Medical Decision law enacted on February 4, 2018 in South Korea was the first to consider the suspension of futile life-sustaining treatment, and its enactment caused a big controversy in Korean society. However, no study has evaluated whether the actual implementation of life-sustaining treatment has decreased after the enforcement of this law. This study aimed to compare the provision of patient consent before and after the enforcement of this law among cancer patients who visited a tertiary university (...) hospital's emergency room to understand the effects of this law on the clinical care of cancer patients.MethodsThis retrospective single cohort study included advanced cancer patients aged over 19 years who visited the emergency room of a tertiary university hospital. The two study periods were as follows: from February 2017 to January 2018 (before) and from May 2018 to April 2019 (after). The primary outcome was the length of hospital stay. The consent rates to perform cardiopulmonary resuscitation (CPR), intubation, continuous renal replacement therapy (CRRT), and intensive care unit (ICU) admission were the secondary outcomes.ResultsThe length of hospital stay decreased after the law was enforced from 4 to 2 days (p = 0.001). The rates of direct transfers to secondary hospitals and nursing hospitals increased from 8.2 to 21.2% (p = 0.001) and from 1.0 to 9.7%, respectively (p < 0.001). The consent rate for admission to the ICU decreased from 6.7 to 2.3% (p = 0.032). For CPR and CRRT, the consent rates decreased from 1.0 to 0.0% and from 13.9 to 8.8%, respectively, but the differences were not significant (p = 0.226 and p = 0.109, respectively).ConclusionAfter the enforcement of the Life Extension Medical Decision law, the length of stay in the tertiary university hospital decreased in patients who established their life-sustaining treatment plans in the emergency room. Moreover, the rate of consent for ICU admission decreased. (shrink)

The oriental culture has generally been known to bloom in China in regional framework, and established the form of a country in ancient times, and continuously develop as Yu (虞) / Xia (夏) / Yin (殷) [Shang=商] / Zhou (周) in periodical framework. There are several documents to discover the origin along with archaeological and cultural configuration related to prehistory tales or the history of tribal settlement in ancient times. Unfortunately, however, there were few outputs that unveiled the original source (...) in cultural or theoretical angles. Generally, a certain race and a local culture can be a good resource to be considered, the base of ideology, and further, the root of philosophy in a country. It can be found that, in comparison with pre-history legends and archaeological research results, the source of Chinese philosophy is mainly composed of exterior cultures from foreign settlers rather than its own one. In short, it is possible to setup the preposition or hypothesis that the source of Chinese philosophy and thoughts was not from Han (漢) race, but from old Dongyi (東夷) race. Thus, it is necessary to study deeply on that point as a key clue, linking the characteristics of Zhouyi (周易) philosophy' which is the origin of Chinese philosophy to Dongyi culture. As mentioned in the passages above, it was demonstrated that the fundamental issue of Yi philosophy lies in the principle of time operation in Tiantao (天道), and the formulation of Yi philosophy, and through the analysis of fourteen saints in the process of review of Shengtong, (聖統) the stream of old saints by the principle of Lishu (曆數) more than half of saints were from Dongyi family. In addition, the historical fact that the Dongyi tribe had raised the Yin (Shang) culturewhich mainly formed the base of Chinese cultures as a ancient dynasty shows the deep relation between Zhouyi and the Dongyi culture, and further, it seems that the relation was from the tribe's realization of the principle of time operation of Heaven which had been accumulated for a long time as the culture of agricultural settlement, the conceptual characteristics in the Dongyi culture, and it can be found that the cultural characteristics are in connection with Yi philosophy which considers the principle of time operation in Tiantao as the fundamental ground. It also can be detected that they have connection with the original meaning ofseveral concepts in Yixue (易學) and the culture which emphasize the bottom line of the nature of time. This study focused on questioning issues of these findings as a preliminary research in order to prepare for the formal works which will scrutinize the details of circumstances. In brief, the fact that the fundamental issue of Yi philosophy which is the source of Chinese philosophy lies in the nature of time in the operation of Tiantao should be demonstrated, and the matter that the root was from the Dongyi family who had lived in the north-eastern area in the ancient period and had raised the culture which stressed the principle of time operation as the agricultural settlement culture, and moved to the central area of old China should be unveiled through the trace, which, in the future, might be able to enlighten roots of thoughts in Chinese philosophy in the right course, and make them realize that the work process which is being operated in the north-eastern part would be of no use in the after all. (shrink)

The oriental culture has generally been known to bloom in China in regional framework, and established the form of a country in ancient times, and continuously develop as Yu (虞) / Xia (夏) / Yin (殷) [Shang=商] / Zhou (周) in periodical framework. There are several documents to discover the origin along with archaeological and cultural configuration related to prehistory tales or the history of tribal settlement in ancient times. Unfortunately, however, there were few outputs that unveiled the original source (...) in cultural or theoretical angles. Generally, a certain race and a local culture can be a good resource to be considered, the base of ideology, and further, the root of philosophy in a country. It can be found that, in comparison with pre-history legends and archaeological research results, the source of Chinese philosophy is mainly composed of exterior cultures from foreign settlers rather than its own one. In short, it is possible to setup the preposition or hypothesis that the source of Chinese philosophy and thoughts was not from Han (漢) race, but from old Dongyi (東夷) race. Thus, it is necessary to study deeply on that point as a key clue, linking the characteristics of Zhouyi (周易) philosophy' which is the origin of Chinese philosophy to Dongyi culture. As mentioned in the passages above, it was demonstrated that the fundamental issue of Yi philosophy lies in the principle of time operation in Tiantao (天道), and the formulation of Yi philosophy, and through the analysis of fourteen saints in the process of review of Shengtong, (聖統) the stream of old saints by the principle of Lishu (曆數) more than half of saints were from Dongyi family. In addition, the historical fact that the Dongyi tribe had raised the Yin (Shang) culturewhich mainly formed the base of Chinese cultures as a ancient dynasty shows the deep relation between Zhouyi and the Dongyi culture, and further, it seems that the relation was from the tribe's realization of the principle of time operation of Heaven which had been accumulated for a long time as the culture of agricultural settlement, the conceptual characteristics in the Dongyi culture, and it can be found that the cultural characteristics are in connection with Yi philosophy which considers the principle of time operation in Tiantao as the fundamental ground. It also can be detected that they have connection with the original meaning ofseveral concepts in Yixue (易學) and the culture which emphasize the bottom line of the nature of time. This study focused on questioning issues of these findings as a preliminary research in order to prepare for the formal works which will scrutinize the details of circumstances. In brief, the fact that the fundamental issue of Yi philosophy which is the source of Chinese philosophy lies in the nature of time in the operation of Tiantao should be demonstrated, and the matter that the root was from the Dongyi family who had lived in the north-eastern area in the ancient period and had raised the culture which stressed the principle of time operation as the agricultural settlement culture, and moved to the central area of old China should be unveiled through the trace, which, in the future, might be able to enlighten roots of thoughts in Chinese philosophy in the right course, and make them realize that the work process which is being operated in the north-eastern part would be of no use in the after all. (shrink)

In this article we describe four previous Tai-Chi models based on the I-Ching and their limitations. The I-Ching, the most important ancient source of information on traditional Chinese culture and cosmology, provides the metaphysical foundation for this culture, especially Confucian ethics and Taoist morality. To overcome the limitations of the four previous Tai-Chi models, we transform I-Ching cultural system into a psychological theory by applying the cultural system approach. Specifically, we propose the Jun-zi Self-Cultivation Model, which argues that an individual (...) can become an ideal person, or jun-zi, through the process of self-cultivation, leading to good fortune and the avoidance of disasters. The state of jun-zi is that of the well-functioning self, characterized by achieving one’s full potential and an authentic, durable sense of wellbeing. In addition, we compare egoism and jun-zi as modes of psychological functioning. The JSM can be used to as a framework to explain social behavior, improve mental health, and develop culturally sensitive psychotherapies in Confucian culture. Finally, an examination of possible theoretical directions, clinical applications, and future research is provided. (shrink)

With the growing amount of clinical research, regulations and research ethics are becoming more stringent. This trend introduces a need for quality assurance measures for ensuring adherence to research ethics and human research protection beyond Institutional Review Board approval. Audits, one of the most effective tools for assessing quality assurance, are measures used to evaluate Good Clinical Practice and protocol compliance in clinical research. However, they are laborious, time consuming, and require expertise. Therefore, we developed a simple auditing process and (...) evaluated its feasibility and effectiveness. The screening audit was developed using a routine audit checklist based on the Severance Hospital’s Human Research Protection Program policies and procedures. The measure includes 20 questions, and results are summarized in five categories of audit findings. We analyzed 462 studies that were reviewed by the Severance Hospital Human Research Protection Center between 2013 and 2017. We retrospectively analyzed research characteristics, reply rate, audit findings, associated factors and post-screening audit compliance, etc. Investigator reply rates gradually increased, except for the first year. The studies were graded as “critical,” “major,” “minor,” and “not a finding”, based on findings and number of deficiencies. The auditors’ decisions showed fair agreement with weighted kappa values of 0.316, 0.339, and 0.373. Low-risk level studies, single center studies, and non-phase clinical research showed more prevalent frequencies of being “major” or “critical”. Inappropriateness of documents, failure to obtain informed consent, inappropriateness of informed consent process, and failure to protect participants’ personal information were associated with higher audit grade. We were able to observe critical GCP violations in the routine internal audit results of post-screening audit compliance checks in “non-responding” and “critical” studies upon applying the screening audit. Our screening audit is a simple and effective way to assess overall GCP compliance by institutions and to ensure medical ethics. The tool also provides useful selection criteria for conducting routine audits. (shrink)

Previous studies have shown that the perception of neutral emotion stimuli can be negative rather than absolutely neutral. In the current study, we examined the negative bias of both neutral faces...

Despite the prevailing discourses on the importance of top management ethical leadership, related theoretical and empirical developments are lacking. Drawing on institutional theory, we propose that top management ethical leadership contributes to organizational outcomes by promoting firm-level ethical and procedural justice climates. This theoretical framework was empirically tested using multi-source data obtained from 4,468 employees of 147 Korean companies from various industries. The firm-level analysis shows that top management ethical leadership significantly predicts ethical climate, which then results in procedural justice (...) climate that fully mediates the effects of top management ethical leadership on two organizational outcomes, namely, firm-level organizational citizenship behavior and firm financial performance. The present study provides a plausible theoretical account and empirical validation of a mechanism through which top management ethical leadership enhances organizational performance. (shrink)

This study explores how and when ethical leadership predicts three forms of team-level creativity, namely team creativity, average of member creativity, and dispersion of member creativity. The results, based on 230 members of 44 knowledge work teams from Chinese organizations, showed that ethical leadership was positively related to team creativity and average of member creativity but was negatively related to dispersion of member creativity. Consistent with the predictions of uncertainty reduction theory, psychological safety climate mediated the relationship between ethical leadership (...) and the three forms of team-level creativity. Furthermore, supervisor support for creativity positively moderated the effect of ethical leadership on psychological safety climate and the indirect effects of ethical leadership on the three forms of team-level creativity through psychological safety climate. The analysis offers significant theoretical and practical implications on ethical leadership and creativity in organizations. (shrink)

Medical missionaries made a breakthrough in Korean history in healing and caring for many Hansen and tuberculosis patients. There was a missionary who had no less good influence than medical missionaries at this time. The person is missionary Sarah Barry, who inspired and developed one of the most influential student movements in South Korea. The aim of the present study is to examine life of Sarah Barry and her ministry, focusing upon her positive influences on Korean intellectuals. The relevance of (...) the study is conditioned by the fact that there is no professional academic research on her ministry except for one short paper, which discusses the importance of her role in formulating campus evangelism. In order to achieve the aim of the study, the method of analysis and synthesis of biographical and historical data was used. As a result of the study, Sarah Barry’s biography was researched and systematized. It gave ground to a conclusion that her role in South Korea’s gradual resurgence after the Civil War was seminal. (shrink)

v. 1. Chugŭl ttae kkaji i kŏrŭm ŭro -- v. 2. kyŏul i manil ondamyŏn -- v. 3. pabosae ŭi norae.

BackgroundThe COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus far has collated the deeply personal reflections of physicians and ascertained how their self-concept, self-esteem and perceived self-worth has altered during this crisis. Without adequate intervention, this may (...) have profound effects on their mental and physical health, personal relationships and professional efficacy.MethodsWith mentions of the coronavirus pervading social media by the millions, this paper set out to collate and thematically analyse social media posts containing first-person physician reflections on how COVID-19 affected their lives and their coping mechanisms. A consistent search strategy was employed and a PRISMA flowchart was used to map out the inclusion/exclusion criteria.ResultsA total of 590 social media posts were screened, 511 evaluated, and 108 included for analysis. Salient themes identified include Disruptions to Personal Psycho-Emotional State, Disruptions to Professional Care Delivery, Concern for Family, Response from Institution, Response from Society and Coping Mechanisms.ConclusionIt is evident that the distress experienced by physicians during this time has been manifold, multi-faceted and dominantly negative. Self-concepts were distorted with weakened self-esteem and perceived self-worth observed. The Ring Theory of Personhood (RToP) was adopted to explain COVID-19’s impact on physician personhood as it considers existential, individual, relational and social concepts of the self. These entwined self-concepts serve as ‘compensatory’ to one another, with coping mechanisms buffering and fortifying the physician’s overall personhood. With healthcare institutions playing a vital role in providing timely and targeted support, it was further proposed that a comprehensive assessment tool based on the RToP could be developed to detect at-risk physicians and evaluate the presence and effectiveness of established support structures. (shrink)