Le Coz Pierr, Tassy Sebastien
Espace Ethique Méditerranéen, Hôpital d'adultes de la Timone 264 rue Saint Pierre 13385 Marseille Cedex 5, France.
J Med Ethics. 2007 Aug;33(8):470-2. doi: 10.1136/jme.2006.016741.
The present investigation looks for a solution to the problem of the influence of feelings and emotions on our ethical decisions. This problem can be formulated in the following way. On the one hand, emotions (fear, pity and so on) can alter our sense of discrimination and lead us to make our wrong decisions. On the other hand, it is known that lack of sensitivity can alter our judgment and lead us to sacrifice basic ethical principles such as autonomy, beneficence, non-maleficence and justice. Only emotions can turn a decision into an ethical one, but they can also turn it into an unreasonable one. To avoid this contradiction, suggest integrating emotions with the decisional factors of the process of "retrospective thinking". During this thinking, doctors usually try to identify the nature and impact of feelings on the decision they have just made. In this retrospective moment of analysis of the decision, doctors also question themselves on the feelings they did not experience. They do this to estimate the consequences of this lack of feeling on the way they behaved with the patient.
本研究旨在寻找解决情感对我们伦理决策影响这一问题的方法。这个问题可以用以下方式表述。一方面,情感(恐惧、怜悯等)会改变我们的辨别力,导致我们做出错误的决策。另一方面,众所周知,缺乏敏感性会改变我们的判断力,导致我们牺牲诸如自主性、 beneficence、不伤害和公正等基本伦理原则。只有情感能使一个决策成为符合伦理的决策,但它们也可能使其成为不合理的决策。为避免这种矛盾,建议将情感与“回顾性思考”过程中的决策因素相结合。在这种思考过程中,医生通常会试图确定情感对他们刚刚做出的决策的性质和影响。在对决策进行回顾性分析的这个时刻,医生也会对自己没有体验到的情感提出疑问。他们这样做是为了评估这种情感缺失对他们与患者相处方式的后果。 (注:原文中“beneficence”未翻译,可能是个特定术语或拼写有误,若有准确含义可进一步完善翻译)