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Addiction is a Dignity Disorder. 成瘾是一种尊严障碍。
IF 0.5 Q4 MEDICAL ETHICS Pub Date : 2024-10-18 eCollection Date: 2025-08-01 DOI: 10.1177/00243639241290849
Matthew Robert Dernbach

Human dignity refers to the value of the human person. By clarifying distinctions within human dignity, we can conclude that, whereas a person's ontological dignity cannot be lost or diminished regardless of circumstance, a person's existential, moral, or social dignity can be impaired. We describe the state of impaired existential, moral, or social dignity as a dignity disorder, which is defined by the criteria of: impaired rationality; impaired will; impaired capacity to love; and impaired body. We further demonstrate how addiction can be characterized as a dignity disorder with the associated benefit of emphasizing a personalist approach to addiction treatment with the principal intent of promoting existential, moral, and social dignity, which entails: restoring agency, self-efficacy, and freedom of choice; reconciling the internal conflict of akrasia; restoring loving, disinterested relationships; and healing the dysfunctional neuroadaptations and medical sequelae of substance use. This nosology reveals that the distinction between addiction as a choice and addiction as a disease is a false dichotomy; rather, addiction represents an impairment in both body and spirit. By incorporating the criteria of love, this nosology also reveals that addiction is an issue of both personal and societal responsibility.

人的尊严是指人的价值。通过厘清人的尊严内部的区别,我们可以得出这样的结论:一个人的本体尊严无论在什么情况下都不会丧失或减损,但一个人的存在尊严、道德尊严或社会尊严却可能受损。我们将生存、道德或社会尊严受损的状态描述为尊严障碍,其标准是:理性受损;意志受损;爱的能力受损;身体受损。我们进一步说明了如何将成瘾定性为尊严障碍,其相关的益处是强调以促进存在、道德和社会尊严为主要目的的个人主义成瘾治疗方法,这需要:恢复代理、自我效能和选择自由;调和 "阿克拉西亚"(akrasia)的内部冲突;恢复爱的、无私的人际关系;以及治愈功能失调的神经适应和药物使用的医学后遗症。这种命名法揭示了成瘾是一种选择和成瘾是一种疾病之间的区别是一种错误的二分法;相反,成瘾代表了身体和精神的双重损伤。通过纳入 "爱 "的标准,该命名法还揭示了成瘾既是个人责任问题,也是社会责任问题。
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引用次数: 0
Principles of Bioethics for Christian Physicians: Autonomy and Respect. 基督教医生的生命伦理学原则》:自主与尊重。
IF 0.5 Q4 MEDICAL ETHICS Pub Date : 2024-08-01 Epub Date: 2024-02-28 DOI: 10.1177/00243639241228664
Alexander J Lozano
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引用次数: 0
Infinite Dignity of the Human Person: Implications for Health Systems. 人的无限尊严:对卫生系统的影响》。
IF 0.5 Q4 MEDICAL ETHICS Pub Date : 2024-08-01 Epub Date: 2024-08-02 DOI: 10.1177/00243639241255565
Matthew Robert Dernbach
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引用次数: 0
A Modern-Day Widow's Mite. 现代寡妇的微薄之力
IF 0.5 Q4 MEDICAL ETHICS Pub Date : 2024-08-01 Epub Date: 2024-08-02 DOI: 10.1177/00243639241257130
Mark Redmond
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引用次数: 0
Returning to Prayer. 回归祈祷
IF 0.4 Q4 MEDICAL ETHICS Pub Date : 2024-05-01 Epub Date: 2024-05-07 DOI: 10.1177/00243639241242347
Michelle Stanford, Barbara Golder
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引用次数: 0
A Reply: Conversation, Not Compulsion. 回复:对话,而非强迫。
IF 0.4 Q4 MEDICAL ETHICS Pub Date : 2024-02-01 Epub Date: 2024-01-30 DOI: 10.1177/00243639241227104
Abram Brummett, Marlee Mason-Maready, Victoria Whiting
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引用次数: 0
Winners of the Annual Education Conference Poster Session 2023. 2023 年教育年会海报环节获奖者。
IF 0.4 Q4 MEDICAL ETHICS Pub Date : 2024-02-01 Epub Date: 2024-01-30 DOI: 10.1177/00243639231210191
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引用次数: 0
Five-Year Lookback. 五年回顾
IF 0.4 Q4 MEDICAL ETHICS Pub Date : 2024-02-01 Epub Date: 2024-01-30 DOI: 10.1177/00243639231215650
Barbara Golder
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引用次数: 0
The Ethical Physician as Negative Gatekeeper? 伦理医生是消极守门人?
IF 0.4 Q4 MEDICAL ETHICS Pub Date : 2024-02-01 Epub Date: 2023-11-22 DOI: 10.1177/00243639231210192
Michael Manning
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引用次数: 0
The Crumbs 面包屑的
Q4 MEDICAL ETHICS Pub Date : 2023-11-03 DOI: 10.1177/00243639231210208
Benjamin W. Frush
Contemporary medicine strains our ability as practitioners to attend adequately to the patients we serve in their moments of need. The account of Jesus’ interaction with the Canaanite woman depicted in the gospel of Matthew offers a vision of patience, humility, and kindness that we as time and resource-stretched practitioners might emulate when faced with such challenges.
当代医学使我们作为医生在病人需要的时候充分照顾他们的能力变得紧张。马太福音中描述的耶稣与迦南妇人的互动,提供了一个耐心、谦卑和善良的愿景,我们作为时间和资源紧张的从业者,在面对这样的挑战时可能会效仿。
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引用次数: 0
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