Huyard Caroline
CERAPS (Centre d'études et de recherches administratives, politiques et sociales), UMR CNRS 8026, université de Lille, 59000 Lille, France.
Med Sci (Paris). 2016 Dec;32(12):1130-1134. doi: 10.1051/medsci/20163212018. Epub 2017 Jan 3.
The concept of "nudge" has recently spread accross the field of research that addresses the issue of health behaviours change. According to Thaler and Sunstein (2008) a nudge is "any aspect of the choice architecture that alters people's behavior in a predictable way without forbidding any options or significantly changing their economic incentives". Similar concepts, such as persuasive technology or manipulation, have been studied for decades in the fields of design, psychology or communication. The novelty of the concept of "nudge"' lies in its particular political purpose, namely libertarian paternalism. Meanwhile, the analysis of the decision process induced by a nudge shows that it does not simply amount to a change in the environment and that its handling is ethically tricky. The main interest of this concept might actually lie in a better assessment and a better regulation of the public health impact of choice architecture for economic purposes, such as marketing and advertising.
“助推”这一概念最近已在涉及健康行为改变问题的研究领域中广泛传播。根据泰勒和桑斯坦(2008年)的说法,“助推”是“选择架构的任何方面,它以可预测的方式改变人们的行为,而不禁止任何选项或显著改变其经济激励措施”。类似的概念,如劝导技术或操纵,已经在设计、心理学或传播学领域研究了几十年。“助推”概念的新颖之处在于其特殊的政治目的,即自由意志家长制。与此同时,对助推所引发的决策过程的分析表明,它不仅仅等同于环境的改变,而且其处理在伦理上很棘手。这一概念的主要意义可能实际上在于为了经济目的(如营销和广告),对选择架构的公共卫生影响进行更好的评估和更好的监管。