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作 者:常运立 武润哲 李杨 CHANG Yunli;WU Runzhe;LI Yang(Department of Basic Medicine, Naval Medical University, Shanghai 200433, China;Department of Graduate, Naval Medical University, Shanghai 200433, China;71217 Troops Health Section, Yantai 265200, China)
机构地区:[1]海军军医大学基础医学院,上海200433 [2]海军军医大学研究生院,上海200433 [3]371217部队卫生科,山东烟台265200
出 处:《中国医学伦理学》2022年第7期730-735,共6页Chinese Medical Ethics
基 金:国家社科基金军事学项目“道德创伤:军事创伤的实践转向”(2019-SKJJ-C-022);上海市哲学社会科学规划青年课题“医学生群体道德创伤防治与道德韧性建构研究”(2019EKS005);上海市教育科学一般项目“虚拟现实在医学生道德创伤教育防治中的应用研究”(C20038)。
摘 要:既往道德创伤理论隐含以个体为研究对象的前提,而对群体性道德创伤研究较少。群体道德创伤是指创伤事件违背群体认同的道德信仰所产生的一系列结果,而非群体范围受创个体的简单加和。通过美国“弗洛伊德事件”引入,剖析了群体道德创伤的作用要素和生成机理,即多样化的创伤源既可单独出现又可交织作用,群体道德韧性具有社会整体性和时间累积性特征,群体创伤源与群体韧性之间的相互作用决定群体道德创伤的发生。在当前自媒体时代,道德创伤的群体性特征突显,呈现为互联网平台成为创伤源事件集散地和互联网记忆巩固了群体道德韧性的新特征。应对群体道德创伤,需要回应社会关切问题,管控道德舆论;尊重内生秩序,传承传统文化;合理满足道德需求,引领道德教化。The previous moral injury theory implied the premise of taking individual as the research object,while there were few studies on collective moral injury.Collective moral injury is defined as a series of consequences of violating widely accepted moral beliefs rather than simply adding up symptoms of injured individuals within a group.From the America"Floyd Case",this paper analyzed the functional elements and generating mechanism of collective moral injury,that was,the diversification of trauma sources events could appear alone or interweave,collective moral resilience showed the characteristics of social integrity and time accumulation,the interaction between collective trauma sources and collective moral resilience determined whether collective moral injury occurs.As the We-Media become popular,collective feature of moral injury is more evident,which presents two new features that the Internet platform becomes a hub for trauma events and the information Internet recorded consolidates collective moral resilience.To deal with collective moral injury,it was needed to respond to social concerns and guidance moral public opinion,respect the original endogenous order and inherit the traditional culture,satisfy reasonable moral needs and enlighten moral sense of people as well.
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