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耶和华见证人中拒绝医疗输血的情况:拯救与牺牲生命之间矛盾的情绪调节

Refusal of Medical Blood Transfusions Among Jehovah's Witnesses: Emotion Regulation of the Dissonance of Saving and Sacrificing Life.

作者信息

Ringnes Hege Kristin, Hegstad Harald

机构信息

MF Norwegian School of Theology, P.O.Box. 5144, Majorstuen, N-0302, Oslo, Norway.

出版信息

J Relig Health. 2016 Oct;55(5):1672-87. doi: 10.1007/s10943-016-0236-5.

DOI:10.1007/s10943-016-0236-5
PMID:27094707
Abstract

This study focuses on the requirement of JWs to refuse medical blood transfusions. We identified a life-death cognitive dissonance among JWs, with the opposing cognitions of being willing to sacrifice life by religious standards, while being unwilling to do so. Using a theory that connects cognitive dissonance with the need to regulate difficult emotions to analyze our qualitative data material, we identified two sets of dissonance reduction strategies among the JWs. Set 1 was tied to the individual-group: selective focus on eternal life, a non-blood support and control system, and increased individualization of treatment choices. Set 2 was in the religion versus medicine intersection: denial of risk combined with optimism, perception of blood as dangerous, and use of medical language to underscore religious doctrine.

摘要

本研究聚焦于耶和华见证者拒绝医疗输血的要求。我们在耶和华见证者中识别出一种生死认知失调,其存在两种相互对立的认知:按照宗教标准愿意牺牲生命,同时又不愿意这么做。运用一种将认知失调与调节困难情绪的需求联系起来的理论来分析我们的定性数据资料,我们在耶和华见证者中识别出了两组减少失调的策略。第一组与个体 - 群体相关:有选择地关注永生、一个非输血支持和控制系统,以及治疗选择的个体化增强。第二组处于宗教与医学的交叉领域:否认风险并保持乐观、将血液视为危险物,以及使用医学术语来强化宗教教义。

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Neonatal Herpes Simplex Virus Type 1 Infection and Jewish Ritual Circumcision With Oral Suction: A Systematic Review.新生儿1型单纯疱疹病毒感染与采用口腔吸引的犹太宗教割礼:一项系统评价
J Pediatric Infect Dis Soc. 2015 Jun;4(2):126-31. doi: 10.1093/jpids/piu075. Epub 2014 Jul 23.
2
Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness.一名耶和华见证会信徒的非输血原位心脏移植手术
A A Case Rep. 2015 May 15;4(10):140-2. doi: 10.1213/XAA.0000000000000067.
3
Conversation and the Jehovah's Witness dying from blood loss.与耶和华见证人就失血濒死情况进行的交流。
Narrat Inq Bioeth. 2014 Winter;4(3):253-61. doi: 10.1353/nib.2014.0071.
4
Bloodless surgery in a pediatric Jehovah's Witness.一名小儿耶和华见证会信徒的非输血手术。
J Extra Corpor Technol. 2013 Dec;45(4):251-3.
5
Bioethics and religious bodies: refusal of blood transfusions in Germany.生命伦理学与宗教团体:德国的输血拒绝现象。
Soc Sci Med. 2013 Dec;98:271-7. doi: 10.1016/j.socscimed.2013.02.043. Epub 2013 Mar 14.
6
Bovine hemoglobin: a nontraditional approach to the management of acute anemia in a Jehovah's Witness patient with autoimmune hemolytic anemia.牛血红蛋白:一种治疗患有自身免疫性溶血性贫血的耶和华见证会患者急性贫血的非传统方法。
J Pharm Pract. 2013 Jun;26(3):257-60. doi: 10.1177/0897190012451928. Epub 2012 Aug 6.
7
Refusal of blood transfusion by Jehovah's Witness women: a survey of current management in obstetric and gynaecological practice in the U.K.耶和华见证人女性拒绝输血:英国产科和妇科实践中当前管理的调查
Blood Transfus. 2012 Oct;10(4):462-70. doi: 10.2450/2012.0105-11. Epub 2012 Jul 4.
8
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Negotiating religious beliefs in a medical setting.在医疗环境中协商宗教信仰。
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Maternal mortality and serious maternal morbidity in Jehovah's witnesses in The Netherlands.荷兰耶和华见证人的孕产妇死亡率和严重孕产妇发病率。
BJOG. 2009 Jul;116(8):1103-8; discussion 1108-10. doi: 10.1111/j.1471-0528.2009.02191.x.