Schmidt Andreas T
J Med Ethics. 2016 Jul;42(7):450-4. doi: 10.1136/medethics-2015-102942. Epub 2016 Apr 20.
Recently, there has been a lot of enthusiasm for mindfulness practice and its use in healthcare, businesses and schools. An increasing number of studies give us ground for cautious optimism about the potential of mindfulness-based interventions (MBIs) to improve people's lives across a number of dimensions. This paper identifies and addresses some of the main ethical and political questions for larger-scale MBIs. First, how far are MBIs compatible with liberal neutrality given the great diversity of lifestyles and conceptions of the good characteristic of modern societies? It will be argued that the potential benefits of contemporary secular mindfulness practice are indeed of a sufficiently primary or all-purpose nature to qualify as suitable goals of liberal public policy. Second, what challenges are brought up if mindfulness is used in contexts and applications-such as military settings-whose goals seem incompatible with the ethical and soteriological views of traditional mindfulness practice? It will be argued that, given concerns regarding liberal neutrality and reasonable disagreement about ethics, MBIs should avoid strong ethical commitments. Therefore, it should, in principle, be applicable in contexts of controversial moral value. Finally, drawing on recent discussions within the mindfulness community, it is argued that we should not overstate the case for mindfulness and not crowd out discussion of organisational and social determinants of stress, lowered well-being, and mental illness and the collective measures necessary to address them.
最近,正念练习及其在医疗保健、商业和学校中的应用引发了广泛的热情。越来越多的研究让我们有理由对基于正念的干预措施(MBIs)在多个维度改善人们生活的潜力持谨慎乐观态度。本文识别并探讨了大规模MBIs面临的一些主要伦理和政治问题。首先,鉴于现代社会生活方式和善观念的巨大多样性,MBIs与自由主义中立性的契合程度如何?本文将论证,当代世俗正念练习的潜在益处确实具有足够的基础性或普适性,可被视为自由主义公共政策的合适目标。其次,如果正念被用于军事环境等目标似乎与传统正念练习的伦理和救赎观不相容的背景和应用中,会带来哪些挑战?本文将论证,鉴于对自由主义中立性的担忧以及关于伦理的合理分歧,MBIs应避免做出强烈的伦理承诺。因此,原则上它应适用于存在争议性道德价值观的背景。最后,借鉴正念社区最近的讨论,本文认为我们不应夸大正念的作用,也不应排挤对压力、幸福感降低和精神疾病的组织和社会决定因素以及应对这些问题所需的集体措施的讨论。