School of Public Health and Health Professions, University at Buffalo, SUNY, Buffalo, New York 14214-3079, USA.
J Public Health Policy. 2010 Apr;31(1):1-16. doi: 10.1057/jphp.2009.52.
Scientific disputes about public health issues can become emotional battlefields marked by strong emotions like anger, contempt, and disgust. Contemporary work in moral psychology demonstrates that each of these emotions is a reaction to a specific type of moral violation. Applying this work to harm reduction debates, specifically the use of smokeless tobacco to reduce harm from tobacco use, we attempt to explain why some public health disputes have been so heated. Public health ethics tend to emphasize social justice concerns to the exclusion of other moral perspectives that value scientific authority, professional loyalty, and bodily purity. An awareness of their different emotional reactions and underlying moral motivations might help public health professionals better understand each others' viewpoints, ultimately leading to more productive dialogue.
关于公共卫生问题的科学争议可能会变成充满强烈情绪(如愤怒、轻蔑和厌恶)的情绪化战场。道德心理学的当代研究表明,这些情绪中的每一种都是对特定类型的道德违规的反应。将这项工作应用于减少伤害的辩论中,特别是使用无烟烟草来减少烟草使用造成的伤害,我们试图解释为什么有些公共卫生争议如此激烈。公共卫生伦理学往往强调社会正义问题,而排除了其他重视科学权威、专业忠诚度和身体纯洁性的道德观点。了解他们不同的情绪反应和潜在的道德动机可能有助于公共卫生专业人员更好地理解彼此的观点,最终导致更富有成效的对话。