对真实的自我判断,认识论的访问和医疗决策的定性研究
James Toomey1, Jonathan Lewis2, Ivar R Hannikainen3
1University of Iowa, Iowa City, Iowa, USA james-toomey@uiowa.edu.
Journal of medical ethics
|July 23, 2025
概括
人们优先考虑别人的医疗偏好,而不是自己的未来自我,特别是当直接的自我认识有限时. 这项研究探讨了人们对"真我"的感知如何影响医疗治疗决策.
科学领域:
- 认知心理学 认知心理学
- 医学伦理 医学伦理
- 决策科学 决策科学 决策科学
背景情况:
- 美国参与者更喜欢第三方医疗偏好,而不是他们自己未来的自我后认知衰退.
- 这种偏好与将第三方视为他们的"真实自我"而不是他们未来的自我相关.
研究的目的:
- 调查是否对"真实自我"的差异性认识学访问影响了医疗治疗偏好.
- 了解优先考虑第三方与自己未来的医疗决策背后的推理.
主要方法:
- 对参与者对医疗治疗决定的解释进行定性分析.
- 编码参与者的推理,使用开发的代码书来提供证据和理由.
主要成果:
- 在第一人称决策中,直接接触"真正的自我"作为理由.
- 第三人称决策依赖于像假定真实性或偏好的认知表达等代理.
结论:
- 对"真实自我"的不同认识体系访问可能会推动不同的医疗治疗选择.
- 个人可能旨在尊重真实的偏好,但在第一人称与第三人称场景中使用各种证据.
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