{"id":9321,"date":"2024-10-04T00:51:48","date_gmt":"2024-10-04T00:51:48","guid":{"rendered":"http:\/\/philosophers.org\/ckf\/?p=9321"},"modified":"2024-10-04T00:51:53","modified_gmt":"2024-10-04T00:51:53","slug":"the-moral-challenge-of-alzheimer-disease-ethical-issues-from-diagnosis-to-dying","status":"publish","type":"post","link":"http:\/\/philosophers.org\/ckf\/2024\/10\/04\/the-moral-challenge-of-alzheimer-disease-ethical-issues-from-diagnosis-to-dying\/","title":{"rendered":"The Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying"},"content":{"rendered":"\n

\u4eba\u7e3d\u6709\u5404\u7a2e\u6bdb\u75c5\uff0c\u800c\u963f\u8332\u6d77\u9ed8\u75c7\/\u7661\u5446\u75c7\u53ef\u80fd\u662f\u6700\u4ee4\u4eba\u982d\u75db\u7684\uff1a\u56e0\u70ba\u5b83\u4ee4\u5230\u4e00\u500b\u4eba\u4e0d\u80fd\u81ea\u7406\u800c\u4ee4\u8eab\u908a\u7684\u89aa\u4eba\u9700\u8981\u6709\u83ab\u5927\u7684\u611b\u5fc3\u8207\u80fd\u8010\u53bb\u61c9\u5c0d\u3002<\/p>\n\n\n\n

Stephen G. Post \u5beb\u9053\uff0c\u7576\u4eca\u793e\u6703\u662f \u201c\u8a8d\u77e5\u904e\u5ea6\u7684 hypercognitive\u201d \uff1a\u5b83\u904e\u5ea6\u5f37\u8abf\u4eba\u5011\u7684\u7406\u6027\u601d\u7dad\u548c\u8a18\u61b6\u529b\u3002\u56e0\u6b64\uff0c\u963f\u8332\u6d77\u9ed8\u75c7\u548c\u5176\u4ed6\u7661\u5446\u75c7\u5728\u5f88\u9577\u4e00\u6bb5\u6642\u9593\u5167\u9010\u6f38\u525d\u596a\u4e86\u60a3\u8005\u7684\u9019\u4e9b\u529f\u80fd\uff0c\u5f15\u767c\u4e86\u8a31\u591a\u56f0\u5883\u3002\u6211\u5011\u5982\u4f55\u770b\u5f85\u4e26\u91cd\u8996\u90a3\u4e9b\u88ab\u525d\u596a\u4e86\u4e00\u4e9b\u4eba\u8a8d\u70ba\u6700\u91cd\u8981\u7684\u4eba\u985e\u80fd\u529b\u7684\u4eba\uff1f<\/p>\n\n\n\n

\u5728 \u201cThe Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying<\/a><\/em>\u201d \u7b2c\u4e8c\u7248\u4e2d\uff0cStephen G. Post \u66f4\u65b0\u4e86\u4ed6\u5c0d\u8207\u5931\u667a\u75c7\u7167\u8b77\u76f8\u95dc\u7684\u4e3b\u8981\u502b\u7406\u554f\u984c\u7684\u9ad8\u5ea6\u8b9a\u63da\u7684\u63cf\u8ff0\u3002Post <\/strong>\u7684\u7ae0\u7bc0\u6309\u7167\u7661\u5446\u75c7\u5f9e\u8f15\u5ea6\u5230\u91cd\u5ea6\u518d\u5230\u672b\u671f\u7684\u9032\u5c55\u9032\u884c\u7d44\u7e54\uff0c\u8a0e\u8ad6\u7684\u4e3b\u984c\u5305\u62ec\u7661\u5446\u75c7\u7684\u7d93\u6b77\u3001\u5bb6\u5ead\u8b77\u7406\u3001\u963f\u8332\u6d77\u9ed8\u75c7\u7684\u57fa\u56e0\u6aa2\u6e2c\u3001\u751f\u6d3b\u54c1\u8cea\u4ee5\u53ca\u5354\u52a9\u81ea\u6bba\u548c\u5b89\u6a02\u6b7b\u3002\u672c\u7248\u7684\u65b0\u589e\u90e8\u5206\u6d89\u53ca\u81e8\u7d42\u95dc\u61f7\u554f\u984c\uff08\u7279\u5225\u662f\u4eba\u5de5\u71df\u990a\u548c\u6c34\u5408\u4f5c\u7528\uff09\u3001\u65b0\u8208\u7684\u8a8d\u77e5\u589e\u5f37\u85e5\u7269\u3001\u5206\u914d\u6b63\u7fa9\u3001\u9748\u6027\u548c\u81e8\u7d42\u95dc\u61f7\uff0c\u4ee5\u53ca\u5c0d\u7406\u6027\u4e3b\u7fa9\u4eba\u683c\u5b9a\u7fa9\u7684\u6279\u5224\u3002\u6700\u5f8c\u4e00\u7ae0\u662f\u5c0d\u5bb6\u5ead\u6210\u54e1\u548c\u5c08\u696d\u4eba\u58eb\u6709\u7528\u7684\u5be6\u7528\u89e3\u6c7a\u65b9\u6848\u7684\u65b0\u7e3d\u7d50\u3002<\/p>\n\n\n\n

xxxxxxxxx<\/p>\n\n\n\n

20 \u4e16\u7d00\u5728\u964d\u4f4e\u65e9\u5e74\u548c\u4e2d\u5e74\u5e38\u898b\u75be\u75c5\u7684\u6b7b\u4ea1\u7387\u65b9\u9762\u53d6\u5f97\u4e86\u986f\u8457\u7684\u6210\u529f\u3002\u6b7b\u4ea1\u7387\u7684\u964d\u4f4e\u4f7f\u4eba\u985e\u7684\u5e73\u5747\u9810\u671f\u58fd\u547d\u589e\u52a0\u4e86\u7d04 30 \u6b72\uff0c\u56e0\u6b64\u73fe\u5728\u6709\u5927\u91cf\u4e14\u6bd4\u4f8b\u4e0d\u65b7\u589e\u52a0\u7684\u4eba\u53e3\u6d3b\u5230\u4e86\u4e5d\u5341\u6b72\u548c\u5341\u6b72\u3002<\/p>\n\n\n\n

\u8001\u5e74\u4eba\u7f79\u60a3\u5e7e\u7a2e\u6162\u6027\u75c5\u7684\u98a8\u96aa\u66f4\u5927\uff0c\u800c\u9019\u4e9b\u6162\u6027\u75c5\u5728\u5e74\u8f15\u4eba\u4e2d\u76f8\u5c0d\u7f55\u898b\u3002\u7279\u5225\u662f\uff0c\u7531\u65bc\u963f\u8332\u6d77\u9ed8\u75c7\u5c0e\u81f4\u7684\u8a8d\u77e5\u80fd\u529b\u9010\u6f38\u55aa\u5931\u5df2\u6210\u70ba\u8001\u5e74\u6700\u5e38\u898b\u4e14\u6700\u4ee4\u4eba\u64d4\u5fc3\u7684\u554f\u984c\u4e4b\u4e00\u3002\u5728\u904e\u53bb\u7684\u4e8c\u5341\u5e74\u4e2d\uff0c\u7814\u7a76\u754c\u4e3b\u8981\u900f\u904e\u52aa\u529b\u958b\u767c\u6cbb\u7642\u65b9\u6cd5\u4e26\u6700\u7d42\u958b\u767c\u5ef6\u7de9\u75be\u75c5\u767c\u4f5c\u7684\u65b9\u6cd5\u4f86\u61c9\u5c0d\u963f\u8332\u6d77\u9ed8\u75c7\u5e36\u4f86\u7684\u91ab\u5b78\u6311\u6230\u3002\u5728 \u201cThe Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying<\/em>\u201d \u4e00\u66f8\u4e2d\uff0cStephen G. Post \u5411\u500b\u4eba\u3001\u91ab\u7642\u4fdd\u5065\u5c08\u696d\u4eba\u54e1\u548c\u6574\u500b\u793e\u6703\u4ecb\u7d39\u4e86\u963f\u8332\u6d77\u9ed8\u75c7\u5e36\u4f86\u7684\u4e00\u4e9b\u984d\u5916\u6311\u6230\u3002\u4ed6\u7684\u66f8\u672c\u8cea\u4e0a\u662f\u4e00\u500b\u6df1\u601d\u719f\u616e\u3001\u5145\u6eff\u611b\u5fc3\u7684\u4eba\u7684\u4e00\u7cfb\u5217\u9053\u5fb7\u8a71\u8a9e\u3002<\/p>\n\n\n\n

\u9019\u672c \u201cThe Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying<\/em>\u201d \u5c0d\u7661\u5446\u75c7\u60a3\u8005\u7684\u9053\u5fb7\u72c0\u6cc1\u63d0\u51fa\u4e86\u6b63\u9762\u7684\u770b\u6cd5\u3002\u5b83\u6311\u6230\u4e86\u7661\u5446\u75c7\u5fc5\u7136\u8207\u8f03\u4f4e\u7684\u751f\u6d3b\u54c1\u8cea\u548c\u50f9\u503c\u76f8\u95dc\u7684\u5047\u8a2d\u3002\u5b83\u70ba \u201c\u8d85\u8a8d\u77e5 hypercognitive\u201d \u6587\u5316\u63d0\u4f9b\u4e86\u4e00\u7a2e\u66ff\u4ee3\u7acb\u5834\uff0c\u9019\u7a2e\u6587\u5316\u70ba\u7d0d\u5165\u9053\u5fb7\u5171\u540c\u9ad4\u8a2d\u5b9a\u4e86 \u201c\u904e\u5ea6\u7406\u6027\u4e3b\u7fa9 excessively rationalistic\u201d \u7684\u6a19\u6e96\uff0cStephen G. Post \u7a31\u4e4b\u70ba \u201c\u6392\u4ed6\u6027\u502b\u7406 exclusionary ethics\u201d\uff0c\u4fb5\u8755\u4e86 \u201c\u611b\u3001\u95dc\u5fc3\u548c\u95dc\u61f7\u201d\u3002\u5176\u6307\u5c0e\u524d\u63d0\u662f\u57fa\u65bc \u201c\u6bcf\u500b\u4eba\u4f5c\u70ba\u4eba\u985e\u90fd\u5177\u6709\u7121\u8207\u502b\u6bd4\u7684\u4eba\u985e\u50f9\u503c\u201d\u7684 \u201c\u7121\u689d\u4ef6\u5e73\u7b49 unconditional equality\u201d\u3002<\/p>\n\n\n\n

\u9019\u672c\u66f8\u4ee5\u4e00\u7cfb\u5217\u7661\u5446\u75c7\u60a3\u8005\u7684\u6558\u8ff0\u958b\u59cb\uff0c\u91cd\u9ede\u5728\u65bc\u7661\u5446\u75c7\u60a3\u8005\u53ef\u80fd\u7372\u5f97\u7684\u6b63\u9762\u9ad4\u9a57\u3002Stephen G. Post \u8b1b\u8ff0\u4e86 Janet Adkins \u7684 \u201c\u81ea\u50b3\u201d \u6545\u4e8b\uff0c\u4ed6\u5728\u60a3\u6709\u7661\u5446\u75c7\u7684\u540c\u6642\uff0c\u5728\u96ea\u82b1\u4e2d\u627e\u5230\u4e86\u610f\u7fa9\uff1a\u201c\u4e0b\u96ea\u4e86\uff0c\u6211\u771f\u7684\u5fd8\u8a18\u4e86\u4e00\u5834\u67d4\u8edf\u3001\u6eab\u67d4\u7684\u96ea\u82b1\u662f\u591a\u9ebc\u7f8e\u9e97\u7684\u666f\u8c61\u2026\u2026\u7576\u6211\u5f4e\u4e0b\u8170\uff0c\u7528\u93df\u5b50\u6536\u96c6\u4e00\u5927\u5806\u9583\u9583\u767c\u5149\u7684\u767d\u8272\u96ea\u82b1\u6642\uff0c\u6211\u4f3c\u4e4e\u4ec0\u9ebc\u4e5f\u505a\u4e0d\u4e86\uff0c\u53ea\u80fd\u9a5a\u5606\u65bc\u5b83\u5011\u7684\u7f8e\u9e97\u3002\u201d ( p 85 )<\/p>\n\n\n\n

Stephen G. Post \u8a0e\u8ad6\u4e86\u4e00\u4e9b\u6709\u95dc\u8b77\u7406\u7684\u9053\u5fb7\u554f\u984c\uff0c\u5305\u62ec\u6709\u95dc\u8b77\u7406\u4eba\u54e1\u81ea\u6211\u72a7\u7272\u548c\u884c\u70ba\u63a7\u5236\u7684\u9053\u5fb7\u554f\u984c\u3002\u984c\u70ba “Fairhill guidelines on ethics and care of people with Alzheimer Disease” \u7684\u7b2c\u4e09\u7ae0\u7ae0\u7bc0\u63d0\u4f9b\u4e86\u4e00\u9805\u5171\u8b58\u8072\u660e\uff0c\u8a72\u8072\u660e\u662f 1993-4 \u5e74\u9593\u8209\u884c\u7684\u95dc\u65bc\u7661\u5446\u75c7\u8b77\u7406\u9053\u5fb7\u554f\u984c\u7684\u793e\u5340\u5c0d\u8a71\u7684\u7d50\u679c\uff0c\u6d89\u53ca\u7661\u5446\u75c7\u8b77\u7406\u9818\u57df\u7684\u5404\u7a2e\u5c08\u696d\u4eba\u58eb\u3002\u91dd\u5c0d\u4ee5\u4e0b\u9818\u57df\u6982\u8ff0\u4e86\u4e00\u5957\u7406\u60f3\u7684\u8b77\u7406\u6a19\u6e96\uff1a\u8aaa\u771f\u8a71\u3001\u63ed\u9732\u8a3a\u65b7\u3001\u99d5\u99db\u7279\u6b0a\u3001\u884c\u70ba\u63a7\u5236\u3001\u4fc3\u9032\u81ea\u4e3b\u6027\u548c\u80fd\u529b\u3001\u8a55\u4f30\u751f\u6d3b\u54c1\u8cea\u4ee5\u53ca\u6b7b\u4ea1\u548c\u81e8\u7d42\u3002<\/p>\n\n\n\n

\u5176\u4e2d\u6709\u4e00\u7ae0\u662f\u95dc\u65bc\u75c7\u72c0\u524d\u5fc3\u7406\u548c\u57fa\u56e0\u6aa2\u6e2c\u7684\u3002Stephen G. Post \u5c0d\u63a8\u52d5\u6b64\u985e\u6aa2\u6e2c\u7684\u6587\u5316\u529b\u91cf\u3001\u300c\u7a2e\u65cf\u7d71\u6cbb\u8005 genocrats\u300d\u7684\u7d71\u6cbb\u4ee5\u53ca\u58ae\u80ce\u88ab\u767c\u73fe\u6709\u963f\u8332\u6d77\u9ed8\u75c7\u98a8\u96aa\u7684\u80ce\u5152\u7684\u9053\u5fb7\u554f\u984c\u611f\u5230\u64d4\u6182\u3002<\/p>\n\n\n\n

\u5728\u63a5\u4e0b\u4f86\u7684\u4e00\u7ae0\u4e2d\uff0cStephen G. Post \u8868\u660e\u81ea\u5df1\u8d0a\u540c\u751f\u547d\u7684\u795e\u8056\u6027\uff0c\u800c\u4e0d\u662f\u751f\u547d\u7684\u54c1\u8cea\u3002\u4ed6\u53cd\u5c0d\u5354\u52a9\u81ea\u6bba\uff1a\u201c\u672b\u671f\u60c5\u6cc1\u4e0b\u7684\u5354\u52a9\u81ea\u6bba \u2026\u2026 \u5fc5\u9808\u7f6e\u65bc\u793e\u7fa4\u4e3b\u7fa9\u80cc\u666f\u4e0b\uff0c\u5176\u4e2d\u5c0d\u5171\u540c\u5229\u76ca\u7684\u8cac\u4efb \u2026\u2026 \u5177\u6709\u9053\u5fb7\u91cd\u8981\u6027\u3002\u60a3\u6709\u56b4\u91cd\u4e0d\u6cbb\u4e4b\u75c7\u7684\u4eba\u6709\u8cac\u4efb\u7dad\u6301\u4e00\u822c\u6587\u5316\u7981\u6b62\u81ea\u6bba\u4f5c\u70ba\u61c9\u5c0d\u751f\u6d3b\u4e2d\u4e0d\u53ef\u907f\u514d\u7684\u6311\u6230\u7684\u5e38\u898f\u53cd\u61c9\u201d ( p 122 )\u3002\u76f8\u53cd\uff0cPost \u4e3b\u5f35 \u201c\u7a4d\u6975\u7684\u7661\u5446\u75c7\u8b77\u7406 affirmative dementia care\u201d ( p 116 )\uff0c\u4e26\u6295\u5165\u66f4\u591a\u8cc7\u91d1\u7528\u65bc\u7661\u5446\u75c7\u8b77\u7406\u3002\u4ed6\u4e3b\u5f35 \u201c\u4e0d\u76f8\u5bb9\u5047\u8aaa incompatibility hypothesis\u201d ( p 115 ) \uff1a\u5354\u52a9\u81ea\u6bba\u548c\u5b89\u6a02\u6b7b\u7684\u5408\u6cd5\u5316\u8207\u70ba\u5931\u667a\u75c7\u548c\u81e8\u7d42\u8005\u63d0\u4f9b\u8db3\u5920\u7684\u5b89\u6170\u7167\u8b77\u662f\u4e0d\u76f8\u5bb9\u7684\u3002\u65e2\u7136\u5354\u52a9\u81ea\u6bba\u548c\u5b89\u6a02\u6b7b \u201c\u7701\u9322 save money\u201d\uff0c\u90a3\u9ebc\u5728 \u201c\u7d93\u6fdf\u56f0\u96e3\u6642\u671f hard economic times\u201d\uff0c\u7661\u5446\u75c7\u60a3\u8005\u5c31\u6703\u6709\u6b7b\u4ea1\u7684\u58d3\u529b ( p 118 )\u3002 \u201c\u7576\u5354\u52a9\u81ea\u6bba\u6216\u5b89\u6a02\u6b7b\u5df2\u7d93\u53ef\u7528\u4e14\u4fbf\u5b9c\u5f97\u591a\u6642\uff0c\u70ba\u751a\u9ebc\u8981\u6295\u8cc7\u7661\u5446\u75c7\u8b77\u7406\u7814\u7a76\u3001\u57f9\u8a13\u548c\u8a2d\u65bd\uff1f\u201d( p 120 )\uff08\u9019\u7a2e\u8aaa\u6cd5\u53ef\u80fd\u6703\u88ab\u7c21\u5316\uff1a\u6211\u5011\u53ef\u80fd\u6703\u554f\uff0c\u5728\u7d93\u6fdf\u56f0\u96e3\u6642\u671f\uff0c\u70ba\u751a\u9ebc\u5728\u6709\u5ec9\u50f9\u4e14\u5bb9\u6613\u7372\u5f97\u7684\u66ff\u4ee3\u65b9\u6848\uff08\u5373\u4e0d\u6cbb\u7642\uff09\u7684\u60c5\u6cc1\u4e0b\u9084\u8981\u958b\u767c\u91dd\u5c0d\u4efb\u4f55\u75c5\u75c7\u7684\u6cbb\u7642\u65b9\u6cd5 \uff1f\uff09\u96d6\u7136 Post \u6c92\u6709\u63d0\u4f9b\u4ed6\u7684\u731c\u60f3\u7684\u8b49\u64da\uff0c\u4f46\u4ed6\u8981\u6c42\u6211\u5011\u8a18\u4f4f\u7336\u592a\u683c\u8a00\uff1a\u201c\u958b\u59cb\u64d4\u5fc3\u3002\u8b39\u9075\u4e4b\u4fe1 Start worrying. Letter to follow.\u201d ( p 121 )\u3002<\/p>\n\n\n\n

\u6574\u672c\u66f8\u90fd\u6709\u5f37\u70c8\u7684\u57fa\u7763\u6559\u5b97\u6559\u89c0\u9ede\u3002Stephen G. Post \u8072\u7a31\uff0c\u4eba\u5011\u6709\u6b0a\u51fa\u65bc\u5b97\u6559\u539f\u56e0\u8981\u6c42\u6240\u8b02\u7684\u5f92\u52de\u5e72\u9810\uff0c\u4e26\u4ee5\u5c0d\u6c38\u4e45\u690d\u7269\u4eba\u72c0\u614b\u7684 86 \u6b72\u5a66\u5973 Helga Wanglie<\/a> \u7684\u4eba\u5de5\u901a\u6c23\u8868\u793a\u8d0a\u540c \u3002\u5118\u7ba1 Wanglie<\/a> \u5973\u58eb\u7684\u91ab\u751f\u5e0c\u671b\u505c\u6b62\u4eba\u5de5\u901a\u6c23\uff0c\u4f46\u6cd5\u5b98\u91cd\u7533 Wanglie<\/a> \u5148\u751f\u6709\u6b0a\u8981\u6c42\u9019\u7a2e\u6cbb\u7642\u3002Wanglie<\/a> \u5148\u751f\u7684\u7406\u7531\u662f\uff0c\u91ab\u751f\u4e0d\u61c9\u8a72\u626e\u6f14\u4e0a\u5e1d\uff0c\u5979\u6b7b\u4e86\u4e5f\u4e0d\u6703\u597d\u904e\uff0c\u505c\u6b62\u751f\u547d\u7dad\u6301\u5c31\u662f\u9053\u5fb7\u6557\u58de\uff0c\u5947\u8e5f\u53ef\u80fd\u6703\u51fa\u73fe\u3002 Post \u8072\u7a31\u9019\u6a23\u7684\u6cbb\u7642\u4e26\u975e\u5f92\u52de\u7121\u529f\uff1a\u5b83\u4e4b\u6240\u4ee5\u6709\u6548\uff0c\u662f\u56e0\u70ba\u5b83 \u201c\u8b93 Wanglie<\/a> \u5973\u58eb\u4fdd\u6301\u547c\u5438\uff0c\u6478\u8d77\u4f86\u6eab\u6696\uff0c\u4e26\u6392\u51fa\u5ee2\u7269\u201d (Stephen G. Post – \u201cBeyond adversity: Physician and patient as friends<\/a><\/em>\u201d – The Journal of Medical Humanities, IoL 15, No. L 1994)\u3002<\/p>\n\n\n\n

Stephen G. Post \u8868\u793a\uff0c\u9084\u6709\u5f88\u591a\u4e8b\u60c5\u8981\u505a\u3002\u9019\u662f Post\u300c\u8a71\u8a9e\u502b\u7406 discourse ethics\u300d\u7684\u4e00\u90e8\u5206\uff1a\u201c\u8a71\u8a9e\u7684\u4e00\u7a2e\u884c\u70ba\u662f\u624b\u7684\u4f38\u5c55\uff0c\u53e6\u4e00\u7a2e\u662f\u4f7f\u4eba\u5b89\u5fc3\u7684\u8a9e\u6c23\u3002\u9019\u662f\u4e00\u7a2e\u4f7f\u67d0\u7a2e\u5fa9\u6d3b\u6210\u70ba\u53ef\u80fd\u7684\u57fa\u672c\u884c\u70ba\u3002\u201d( p 95 )<\/p>\n\n\n\n

\u9019\u672c \u201cThe Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying<\/em>\u201d \u53ef\u80fd\u6703\u7d66\u7661\u5446\u75c7\u60a3\u8005\u53ca\u5176\u7167\u8b77\u8005\u5e36\u4f86\u5e0c\u671b\u3002\u6beb\u7121\u7591\u554f\uff0c\u5176\u4ed6\u4eba\u6703\u66f4\u52a0\u71b1\u60c5\u3002Stephen G. Post \u78ba\u5be6\u63d0\u51fa\u4e86\u4e00\u4e9b\u771f\u5be6\u7684\u4e3b\u5f35\u3002\u4f8b\u5982\uff0c\u70ba\u300c\u6c38\u4e45\u690d\u7269\u4eba\u72c0\u614b\u300d\u7684\u4eba\u63d0\u4f9b\u5ef6\u9577\u751f\u547d\u7684\u6cbb\u7642\u662f\u5408\u7406\u7684\u3002\u6b63\u5982 Post \u6240\u6697\u793a\u7684\u90a3\u6a23\uff0c\u9019\u6a23\u7684\u751f\u6d3b\u4e26\u4e0d\u660e\u986f\u6bd4\u6b7b\u4ea1\u66f4\u7cdf\u3002\u7136\u800c\uff0c\u9019\u7a2e\u6cbb\u7642\u7684\u5408\u7406\u6027\u53d6\u6c7a\u65bc\u662f\u5426\u6709\u4e00\u5b9a\u7684\u5eb7\u5fa9\u6a5f\u6703\u3002\u56e0\u6b64\uff0c\u5176\u57fa\u790e\u4e0d\u662f\u5b97\u6559\u4fe1\u4ef0\uff0c\u800c\u662f\u91ab\u5b78\u61f7\u7591\u8ad6\uff0c\u61f7\u7591\u9019\u4e9b\u72c0\u614b\u662f\u5426\u771f\u7684\u662f\u300c\u6c38\u4e45\u7684\u300d\u3002\u9019\u4e9b\u6cbb\u7642\u4e26\u4e0d\u50cf\u91ab\u751f\u6709\u6642\u8072\u7a31\u7684\u90a3\u6a23\u986f\u7136\u662f\u7121\u6548\u7684\u3002\u4f46\u6211\u5011\u662f\u5426\u80fd\u63a5\u53d7 Post \u7684\u8aaa\u6cd5\uff0c\u5373\u8eab\u9ad4\u7684\u751f\u5b58\u548c\u6392\u6cc4\u5ee2\u7269\u7684\u80fd\u529b\u662f\u503c\u5f97\u5ef6\u9577\u7684\u5b58\u5728\u3002Post \u6c92\u6709\u8003\u616e\u5230\u963f\u8332\u6d77\u9ed8\u75c7\u5e36\u4f86\u7684\u6700\u5927\u9053\u5fb7\u6311\u6230\u3002\u5373\u4f7f\u6211\u5011\u540c\u610f\u61c9\u8a72\u70ba\u7661\u5446\u75c7\u60a3\u8005\u63d0\u4f9b\u66f4\u597d\u7684\u8b77\u7406\uff08\u60f3\u5fc5\u6bcf\u500b\u4eba\u90fd\u6703\u540c\u610f\uff0c\u5c31\u50cf\u6211\u5011\u90fd\u540c\u610f\u4e0d\u61c9\u8a72\u6709\u8ca7\u56f0\uff0c\u4e16\u754c\u61c9\u8a72\u8b8a\u5f97\u66f4\u7f8e\u597d\u4e00\u6a23\uff09\uff0c\u5728\u8cc7\u6e90\u6709\u9650\u7684\u4e16\u754c\u4e2d\uff0c\u6b64\u985e\u8b77\u7406\u61c9\u512a\u5148\u8003\u616e\u751a\u9ebc\uff1f\u6211\u5011\u6e96\u5099\u505a\u751a\u9ebc\u4f86\u62d2\u7d55\u5176\u4ed6\u4eba\u70ba\u9019\u500b\u4e16\u754c\u7684\u985e\u4f3c Wanglie<\/a> \u5011\u63d0\u4f9b\u5947\u8e5f\u7684\u5e0c\u671b\u5462\uff1f\u963f\u8332\u6d77\u9ed8\u75c7\u7684\u751f\u547d\u503c\u591a\u5c11\u9322\uff1f\u8a34\u8af8\u300c\u7121\u8207\u502b\u6bd4\u7684\u4eba\u985e\u50f9\u503c\u300d\u4e26\u4e0d\u80fd\u56de\u7b54\u9019\u4e9b\u91cd\u8981\u554f\u984c\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

\u4eba\u7e3d\u6709\u5404\u7a2e\u6bdb\u75c5\uff0c\u800c\u963f\u8332\u6d77\u9ed8\u75c7\/\u7661\u5446\u75c7\u53ef\u80fd\u662f\u6700\u4ee4\u4eba\u982d\u75db\u7684\uff1a\u56e0\u70ba\u5b83\u4ee4\u5230\u4e00\u500b\u4eba\u4e0d\u80fd\u81ea\u7406\u800c\u4ee4\u8eab\u908a\u7684\u89aa\u4eba\u9700\u8981\u6709\u83ab\u5927\u7684\u611b\u5fc3\u8207\u80fd\u8010\u53bb\u61c9\u5c0d\u3002 Stephen G. Post \u5beb\u9053\uff0c\u7576\u4eca\u793e\u6703\u662f \u201c\u8a8d\u77e5\u904e\u5ea6\u7684 hypercognitive\u201d \uff1a\u5b83\u904e\u5ea6\u5f37\u8abf\u4eba\u5011\u7684\u7406\u6027\u601d\u7dad\u548c\u8a18\u61b6\u529b\u3002\u56e0\u6b64\uff0c\u963f\u8332\u6d77\u9ed8\u75c7\u548c\u5176\u4ed6\u7661\u5446\u75c7\u5728\u5f88\u9577\u4e00\u6bb5\u6642\u9593\u5167\u9010\u6f38\u525d\u596a\u4e86\u60a3\u8005\u7684\u9019\u4e9b\u529f\u80fd\uff0c\u5f15\u767c\u4e86\u8a31\u591a\u56f0\u5883\u3002\u6211\u5011\u5982\u4f55\u770b\u5f85\u4e26\u91cd\u8996\u90a3\u4e9b\u88ab\u525d\u596a\u4e86\u4e00\u4e9b\u4eba\u8a8d\u70ba\u6700\u91cd\u8981\u7684\u4eba\u985e\u80fd\u529b\u7684\u4eba\uff1f \u5728 \u201cThe Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying\u201d \u7b2c\u4e8c\u7248\u4e2d\uff0cStephen G. Post \u66f4\u65b0\u4e86\u4ed6\u5c0d\u8207\u5931\u667a\u75c7\u7167\u8b77\u76f8\u95dc\u7684\u4e3b\u8981\u502b\u7406\u554f\u984c\u7684\u9ad8\u5ea6\u8b9a\u63da\u7684\u63cf\u8ff0\u3002Post \u7684\u7ae0\u7bc0\u6309\u7167\u7661\u5446\u75c7\u5f9e\u8f15\u5ea6\u5230\u91cd\u5ea6\u518d\u5230\u672b\u671f\u7684\u9032\u5c55\u9032\u884c\u7d44\u7e54\uff0c\u8a0e\u8ad6\u7684\u4e3b\u984c\u5305\u62ec\u7661\u5446\u75c7\u7684\u7d93\u6b77\u3001\u5bb6\u5ead\u8b77\u7406\u3001\u963f\u8332\u6d77\u9ed8\u75c7\u7684\u57fa\u56e0\u6aa2\u6e2c\u3001\u751f\u6d3b\u54c1\u8cea\u4ee5\u53ca\u5354\u52a9\u81ea\u6bba\u548c\u5b89\u6a02\u6b7b\u3002\u672c\u7248\u7684\u65b0\u589e\u90e8\u5206\u6d89\u53ca\u81e8\u7d42\u95dc\u61f7\u554f\u984c\uff08\u7279\u5225\u662f\u4eba\u5de5\u71df\u990a\u548c\u6c34\u5408\u4f5c\u7528\uff09\u3001\u65b0\u8208\u7684\u8a8d\u77e5\u589e\u5f37\u85e5\u7269\u3001\u5206\u914d\u6b63\u7fa9\u3001\u9748\u6027\u548c\u81e8\u7d42\u95dc\u61f7\uff0c\u4ee5\u53ca\u5c0d\u7406\u6027\u4e3b\u7fa9\u4eba\u683c\u5b9a\u7fa9\u7684\u6279\u5224\u3002\u6700\u5f8c\u4e00\u7ae0\u662f\u5c0d\u5bb6\u5ead\u6210\u54e1\u548c\u5c08\u696d\u4eba\u58eb\u6709\u7528\u7684\u5be6\u7528\u89e3\u6c7a\u65b9\u6848\u7684\u65b0\u7e3d\u7d50\u3002 xxxxxxxxx 20 \u4e16\u7d00\u5728\u964d\u4f4e\u65e9\u5e74\u548c\u4e2d\u5e74\u5e38\u898b\u75be\u75c5\u7684\u6b7b\u4ea1\u7387\u65b9\u9762\u53d6\u5f97\u4e86\u986f\u8457\u7684\u6210\u529f\u3002\u6b7b\u4ea1\u7387\u7684\u964d\u4f4e\u4f7f\u4eba\u985e\u7684\u5e73\u5747\u9810\u671f\u58fd\u547d\u589e\u52a0\u4e86\u7d04 30 \u6b72\uff0c\u56e0\u6b64\u73fe\u5728\u6709\u5927\u91cf\u4e14\u6bd4\u4f8b\u4e0d\u65b7\u589e\u52a0\u7684\u4eba\u53e3\u6d3b\u5230\u4e86\u4e5d\u5341\u6b72\u548c\u5341\u6b72\u3002 \u8001\u5e74\u4eba\u7f79\u60a3\u5e7e\u7a2e\u6162\u6027\u75c5\u7684\u98a8\u96aa\u66f4\u5927\uff0c\u800c\u9019\u4e9b\u6162\u6027\u75c5\u5728\u5e74\u8f15\u4eba\u4e2d\u76f8\u5c0d\u7f55\u898b\u3002\u7279\u5225\u662f\uff0c\u7531\u65bc\u963f\u8332\u6d77\u9ed8\u75c7\u5c0e\u81f4\u7684\u8a8d\u77e5\u80fd\u529b\u9010\u6f38\u55aa\u5931\u5df2\u6210\u70ba\u8001\u5e74\u6700\u5e38\u898b\u4e14\u6700\u4ee4\u4eba\u64d4\u5fc3\u7684\u554f\u984c\u4e4b\u4e00\u3002\u5728\u904e\u53bb\u7684\u4e8c\u5341\u5e74\u4e2d\uff0c\u7814\u7a76\u754c\u4e3b\u8981\u900f\u904e\u52aa\u529b\u958b\u767c\u6cbb\u7642\u65b9\u6cd5\u4e26\u6700\u7d42\u958b\u767c\u5ef6\u7de9\u75be\u75c5\u767c\u4f5c\u7684\u65b9\u6cd5\u4f86\u61c9\u5c0d\u963f\u8332\u6d77\u9ed8\u75c7\u5e36\u4f86\u7684\u91ab\u5b78\u6311\u6230\u3002\u5728 \u201cThe Moral Challenge of Alzheimer Disease: Ethical Issues … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[11,17],"tags":[],"class_list":["post-9321","post","type-post","status-publish","format-standard","hentry","category--thinking","category--read"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pc7IvU-2ql","_links":{"self":[{"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/posts\/9321","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/comments?post=9321"}],"version-history":[{"count":1,"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/posts\/9321\/revisions"}],"predecessor-version":[{"id":9322,"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/posts\/9321\/revisions\/9322"}],"wp:attachment":[{"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/media?parent=9321"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/categories?post=9321"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/philosophers.org\/ckf\/wp-json\/wp\/v2\/tags?post=9321"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}