Stevens C, Firth S T
Can Psychiatr Assoc J. 1977 Dec;22(8):441-5. doi: 10.1177/070674377702200807.
There has been an increasing interest in the area of medical ethics as indicated not only by the recent proliferation of books and articles but also in the re-emergence of crucial moral issues such as euthanasia, abortion and the like. The difficulty with the existing literature is that these reports are often descriptive, anecdotal and situationally relative to the decision maker. In this study, the authors utilized a cognitive developmental approach to studying responses to moral situations not only because this approach is cross-culturally universal but also because it is not subject to situational variables. In this regard, the results of the assessment of medical students and psychiatric residents are presented as well as a comparison of moral reasoning stages in relation to the C.M.A. Code of Ethics. Recommendations for further research are presented.
医学伦理学领域越来越受到关注，这不仅体现在近期书籍和文章的大量涌现上，还体现在诸如安乐死、堕胎等关键道德问题的再度出现上。现有文献的问题在于，这些报告往往是描述性的、轶事性的，并且与决策者的具体情况相关。在本研究中，作者采用认知发展方法来研究对道德情境的反应，这不仅是因为这种方法具有跨文化普遍性，还因为它不受情境变量的影响。在这方面，展示了医学生和精神科住院医师的评估结果，以及与加拿大医学协会道德准则相关的道德推理阶段的比较。还提出了进一步研究的建议。
