儒家思想中的人倫與家庭本位倫理:對醫療決策的啟示
Year: 2025
Type: article
Abstract: LANGUAGE NOTE | Document text in Chinese; abstract also in English. 本文以儒家“五倫”思想為理論基礎,探討其在現代醫療決策中的實踐價值與挑戰。透過對上海晚期癌症患者家庭的實證研究,揭示了儒家家庭本位倫理對醫療決策的影響。孝道、責任與關懷等美德強化了家庭在臨終關懷中的共同參與,體現了情感連結與代際互惠;然而,個人權利意識的崛起與傳統家庭結構的解體,則導致家庭集體決策與病人自主之間持續存在張力。本文旨在透過對儒家家庭倫理的深入探討,為理解和解決當代社會所面臨的倫理挑戰提供有益的參考。 Taking the Confucian “Five Relationships” philosophy as its theoretical foundation, this paper explores the practical value of this philosophy and challenges involving its adaptability to modern medical decision-making. This empirical study involving the families of late-stage cancer patients in Shanghai reveals the impact of Confucian family-oriented ethics on medical decision-making. Virtues such as filial piety, responsibility, and care strengthen families” co-participation in end-of-life care, reflecting emotional bonds and intergenerational reciprocity. However, increasing awareness of individual rights and the disintegration of traditional family structures have led to persistent tension between families’ collective decision-making and patients’ autonomy. This aim of this paper is to provide valuable insights that clarify and address the ethical challenges faced by contemporary society through an in-depth exploration of Confucian family ethics.
Author: Qingsong ZHU
Institution: Tsinghua University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4414842772
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