道德图式:基于道德创伤发生机制的整合  

Moral Schema Based on the Integration of the Mechanism of Moral Injury

作　　者：冯紫雯 郭倩汝 黄强 FENG Ziwen;GUO Qianru;HUANG Qiang(National Institute of Portuguese, City University of Macao, Macao 999078, China;School of Wendian, Anhui University, Hefei 230000, China;Procurement Management Section, Joint Logistics Force No. 924 Hospital, Guilin 541002, China)

机构地区：[1]澳门城市大学葡语国家研究院,中国澳门999078 [2]安徽大学文典学院,安徽合肥230000 [3]联勤保障部队第九二四医院采购管理科,广西桂林541002

出　　处：《中国医学伦理学》2022年第7期736-740,共5页Chinese Medical Ethics

基　　金：中国博士后科学基金面上资助项目“道德创伤:一种新的战争创伤范式”(2016M592210);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：道德创伤是基于外部的不道德事件对个体或群体内心道德价值体系造成的冲击,引发的创伤症状。其产生的根源在于个体内在的道德图式与外在的道德情景相背离。道德图式作为个体在道德环境里规律性的活动中价值取向性的道德意识单元的集合体,由外周和内核共同构成。道德图式通过监督个体的言语和行为,基于道德实践情形对个体进行适度控制、以自我罪恶感作为裁定的工具来审视个体行为来实现道德自我的支配。道德图式对于发生的事件具有选择性,是创伤事件的过滤器。个体基于此,对道德事件进行解释或者被道德事件所颠覆,进而发挥对道德创伤的预防作用。Moral injury is a kind of trauma symptom caused by the impact of external immoral events on the internal moral value system of individuals or groups.Its origin lies in the deviation between individual's internal moral schema and external moral situation.As a collection of moral consciousness units with value orientation in the regular activities of individuals in the moral environment,moral schema is composed of periphery and core.Moral schema realizes the domination of moral ego by supervising individual's speech and behavior,exercising moderate control over individuals based on moral practice,and examining individual behavior with self-guilt as the tool of judgment.Moral schema is selective about what happened and acts as a filter for trauma events.Based on this,individuals can interpret or be subverted by moral events,thus playing a preventive role in moral injury.

关 键 词：道德图式 道德创伤 心理学基础 创伤事件 道德自我 

分 类 号：R-052[医药卫生]