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现代生物伦理问题:安乐死、医生协助自杀与堕胎。医生与法律专业人士态度的比较研究。

Modern bioethical issues: Euthanasia, physician assisted suicide and abortion. Comparative study of attitudes between physicians and law professionals.

作者信息

Malikentzou Nafsika, Douzenis Athanasios, Chatzinikolaou Fotios, Bali Panagiota, Michopoulos Ioannis

机构信息

MSc Program "Forensic Psychiatry", School of Medicine, National and Kapodistrian University of Athens.

Department of Psychiatry, University of Thessaly Medical School, University Hospital of Larisa, Larisa, Greece.

出版信息

Psychiatriki. 2022 Mar 28;33(1):49-55. doi: 10.22365/jpsych.2021.043. Epub 2021 Nov 26.

Abstract

We aimed to examine and compare the attitudes of physicians and law professionals on modern bioethical issues. Euthanasia, physician assisted suicide and abortion were selected for this study, as they underline the conflict between human life as a fundamental value, and the individual's right to self-determination. The demand of euthanasia and physician assisted suicide services reflects each person's right to decide on the way their life will end, while the legalization of abortion determines the individual's right to self-determination. These are complex issues with moral, religious and social implications, and as such tend to divide public opinion. In order to investigate their attitudes, physicians of all specialties, as well as law professionals from all over Greece, were invited to participate in the study. In total, 220 professionals responded to the call and participated in the survey. The professionals involved showed fairly high rates of agreement in all the issues studied, but a significant difference in results was found when the occupation of participants was set as a criterion, with physicians being more negative to euthanasia, physician assisted suicide and abortion than lawyers. Religiousness, age and male sex were negatively correlated with "positive" attitudes towards euthanasia, physician assisted suicide and abortion. Moreover, participants' attitudes towards euthanasia and physician assisted suicide were found to predict their attitudes towards abortion, indicating a single ideological direction of agreement or disagreement, accordingly. Individuals' attitudes and opinions are complicated issues, not easy to be categorized. However, it is of scientific interest to shape a legislative framework that is close to the social consensus, ideological evolution and moral needs. This study tried to pave the way for a modern approach to the issues of euthanasia, physician assisted suicide and abortion.

摘要

我们旨在研究和比较医生和法律专业人士对现代生物伦理问题的态度。本研究选择了安乐死、医生协助自杀和堕胎,因为它们突显了作为基本价值的人类生命与个人自决权之间的冲突。对安乐死和医生协助自杀服务的需求反映了每个人决定自己生命终结方式的权利,而堕胎合法化则决定了个人的自决权。这些都是具有道德、宗教和社会影响的复杂问题,因此往往会使公众意见产生分歧。为了调查他们的态度,邀请了所有专业的医生以及来自希腊各地的法律专业人士参与研究。总共有220名专业人士响应号召并参与了调查。参与研究的专业人士在所有研究问题上都表现出相当高的认同率,但当以参与者的职业为标准时,结果发现存在显著差异,医生对安乐死、医生协助自杀和堕胎的态度比律师更为消极。宗教信仰、年龄和男性性别与对安乐死、医生协助自杀和堕胎的“积极”态度呈负相关。此外,研究发现参与者对安乐死和医生协助自杀的态度能够预测他们对堕胎的态度,表明相应地存在单一的同意或不同意的思想倾向。个人的态度和观点是复杂的问题,不容易进行分类。然而,构建一个贴近社会共识、思想演变和道德需求的立法框架具有科学意义。本研究试图为以现代方式处理安乐死、医生协助自杀和堕胎问题铺平道路。

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