Howe Edmund G
Uniformed Services University of the Health Sciences in Bethesda, Maryland, USA.
J Clin Ethics. 2012 Spring;23(1):3-12.
In this issue of JCE, Baum-Baicker and Sisti present senior psychoanalysts' views of wisdom. Although views on wisdom differ widely, there is agreement that when ethical conflicts arise, wisdom may be critical in bringing about an optimal result. Here I will present recent empirical findings on wisdom and the ways careproviders may acquire and apply it, especially in ethical conflicts.The findings are not well-known and may seem counterintuitive; I selected them, in large part, for those reasons. A core challenge may be to decide when to give patients standard care and when to make exceptions. In this issue of JCE, Baum-Baicker and Sisti discuss exceptions and Bursztajn and colleagues consider how these exceptions may be further validated as evidence-based treatments.
在本期《临床伦理杂志》中，鲍姆 - 贝克尔和西斯蒂介绍了资深精神分析学家对智慧的看法。尽管对智慧的观点差异很大，但人们一致认为，当出现伦理冲突时，智慧对于实现最佳结果可能至关重要。在此，我将介绍关于智慧的最新实证研究结果，以及医疗服务提供者获取和应用智慧的方式，尤其是在伦理冲突中。这些研究结果并不广为人知，而且可能看起来有悖常理；很大程度上正是出于这些原因我才选择了它们。一个核心挑战可能是决定何时给予患者标准治疗以及何时做出例外处理。在本期《临床伦理杂志》中，鲍姆 - 贝克尔和西斯蒂讨论了例外情况，而布尔兹泰恩及其同事则思考了如何将这些例外情况进一步确认为循证治疗方法。
