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[社会工作的基本原则——(也是)对公共卫生伦理的一项贡献]

[Fundamental principles of social work--(also) a contribution to public health ethics].

作者信息

Lob-Hüdepohl A

机构信息

Rektor der Katholischen Hochschule für Sozialwesen Berlin, Köpenicker Allee 39, 10318 Berlin, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2009 May;52(5):549-56. doi: 10.1007/s00103-009-0841-5.

Abstract

Social work and public health are different but mutually connected. Both are professions with their own ethical foundations. Despite all differences, they have the same goal: to protect and to enhance the well-being of people. This is, in part, why the fundamental ethical principles of social work are salient for developing public health ethics. As a human rights profession, social work respects the personal autonomy of clients, supports solidarity-based relationships in families, groups or communities, and attempts to uphold social justice in society. Social workers need to adopt special professional attitudes: sensibility for the vulnerabilities of clients, care and attentiveness for their resources and strengths, assistance instead of paternalistic care and advocacy in decision making for clients' well-being when clients are not able to decide for themselves. These fundamental ethical principles are the basis for discussion of special topics of social work ethics as public health ethics, for example, in justifying intervention in individual lifestyles by public services without the participation or consent of the affected persons.

摘要

社会工作与公共卫生虽有所不同,但相互关联。二者均为拥有自身伦理基础的专业领域。尽管存在诸多差异,但它们有着相同的目标:保护并增进人们的福祉。这在一定程度上解释了为何社会工作的基本伦理原则对公共卫生伦理的发展至关重要。作为一门人权专业,社会工作尊重服务对象的个人自主权,支持家庭、群体或社区中基于团结的关系,并致力于维护社会正义。社会工作者需要秉持特殊的专业态度:对服务对象的脆弱性保持敏感,关注他们的资源与优势并给予关怀,提供协助而非家长式的照料,在服务对象无法自行决策时为其福祉进行倡导。这些基本伦理原则是将社会工作伦理的特殊议题作为公共卫生伦理进行讨论的基础,例如,在为公共服务在未经受影响者参与或同意的情况下干预个人生活方式进行辩护时。

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