Focusing on the limitations of conventional psychiatric paradigms,this paper uses the emerging practice of open dialogue as a lens through which to explore how traditional systems might be complemented by social network-oriented,non-pathologizing interventions.Drawing on the power-threat-meaning framework,it reframes psychiatric symptoms as adaptive survival responses,revealing the transformative potential of de-authorizing mechanisms and polyphonic dialogue,within the intervention process.Situated within the Chinese sociocultural context,the study further examines the frictions and reconstructive tensions that arise when this approach encounters a"care-and-control"governance model oriented toward social stability.The paper concludes that the practical value of open dialogue lies not only in offering an alternative strategy but in exposing the boundaries of existing institutions,thereby opening a necessary discursive space for imagining more humanized pathways in mental health care.
This study examines the"jiegou"healing ritual practiced in Southern Dong communities.Findings reveal that"jiegou"is deeply rooted in the Southern Dong's animistic worldview and concept of the body as a unity of physical and spiritual dimensions.Through multimodal practices-including symbols,gestures,and language-the ritual progressively constructs a cultural interpretation of illness and a healing system."Jiegou"not only reconstructs the meaning of suffering and alleviates patients' physical and mental anxiety through symbolic operations,but also possesses a certain function of repairing social relationships through the collective participation of kinship and community networks.This forms a multi-level symbolic healing mechanism encompassing disease,the experience of illness,and social integration.Research indicates that the persistence of local healing rituals depends on their cultural explanatory power and contextual adaptability,and that medical anthropological research on healing rituals should return to a multimodal interpretive paradigm grounded in the lifeworld.
Based on data from the China Medical Student Survey(CMSS),this study employs the I-E-P-O-T closed-loop theory and integrates typology to construct a growth evaluation system comprising"one set of general indicators+N sets of specialty-specific indicators".The Delphi method is used to develop a medical student growth and development index,then applies quadrant analysis to categorize freshmen,current students,and graduates into four profile types for value-added assessment.The profiling system accurately identifies at-risk groups with vague academic planning and lagging professional competencies,with its early warning and intervention value validated across 134,000 individualized reports.It transforms"learning outcomes"into a quantifiable,preemptive,value-added evidence chain,providing a shared data language for individual self-regulation,institutional precision teaching,and national collaborative decision-making in medical education,thereby driving the shift from experiential management to intelligent governance.
This paper examines the potential risks associated with the comprehensive liberalization of social egg-freezing services in China.These include harm to women's physical health,the"distortion"of assisted reproductive services,the exacerbation of inequalities in the distribution of medical resources,and potential conflicts with current fertility policies.From the perspective of respecting and safeguarding women's reproductive rights,this article argues that while the practice of egg freezing by unmarried women on the grounds of delaying marriage should be approached with caution,it is possible to balance the two core values of family-centeredness and women's health by appropriately relaxing the criteria for the use of egg-freezing technology,with priority given to making social egg-freezing services available to married women.The government needs to expedite the development of supporting facilities such as oocyte banks,standardize the licensing and regulatory oversight of medical institutions and practitioners,strictly enforce risk disclosure and informed consent procedures,and strengthen relevant laws and regulations to protect the rights and health of those seeking these services from multiple dimensions.
As a new type of psychotherapy focusing on emotional and behavioral problems,mode deactivation therapy(MDT)has been widely applied in the treatment of adolescent groups,showing favorable clinical effects.The current paper presents a comprehensive overview of the essence,theoretical basis,measurement instruments,assessment methods,and clinical practices of MDT.The paper discusses its research in both physical and psychological treatment of adolescents and family therapy and compares its absolute and relative clinical effectiveness.Research in the future might be aimed at increasing the area of application of MDT,the study of comparisons and combinations with other therapies,and popularization of MDT in China.
Drawing on the inheritance process of the clinical experience of multiple renowned senior Traditional Chinese Medicine(TCM)physicians,this study proposes"understanding constants and adapting to change"as a core methodological approach for TCM apprenticeship education."Understanding constants"emphasizes the systematic mastery of fundamental TCM theories,therapeutic principles,formulas and medicinals,as well as classical medical literature,which constitutes the prerequisite for comprehending the clinical experience of senior TCM physicians."Adapting to change",on the other hand,refers to,on the basis of a profound understanding of these theoretical constants,grasping the flexible diagnostic and therapeutic principles embodied in syndrome differentiation,therapeutic strategies,formula composition,dosage compatibility,and clinical reasoning through systematic analysis and induction of senior physicians'clinical characteristics,thereby facilitating the transformation of experiential inheritance from merely"learning prescriptions"to truly"comprehending therapeutic principles".Combined with representative clinical cases,this study further proposes specific inheritance approaches,including structured management of medical records,academic refinement of clinical experience,and reinforcement of clinical practice.It is suggested that the methodology of"understanding constants and adapting to change"not only conforms to the cognitive characteristics of syndrome differentiation and treatment in TCM,but also contributes to improving the systematicity and effectiveness of inheriting the experience of senior TCM physicians,thus providing methodological references for TCM apprenticeship education and the academic organization of clinical experience.
The concepts of Being and Non-Being constitute one of the most influential conceptual pairings in Daoist philosophy.As a major intellectual background of the pre-Qin and Han dynasties,the Daoist theory of Being and Non-Being exerts a foundational influence on the theoretical construction and clinical practice of Traditional Chinese Medicine(TCM),making it a valuable perspective for philosophical interpretation.The specific connotations of the Daoist theory of Being and Non-Being include three aspects:the tangible and the intangible,the named and the nameless,as well as action and non-action.It covers ontology,epistemology,and methodology.Interpreting such aspects of TCM as physiology,pharmacology,pathology,health preservation,diagnosis,and treatment from this theoretical perspective helps to reveal the thinking characteristics of TCM view of life and medicine,the construction strategies of its conceptual system,and the strategic principles of TCM health preservation and diagnosis-treatment,so as to provide a theoretical reference from the Daoist perspective for constructing an independent knowledge system of TCM philosophy.
While artificial intelligence serves as a powerful catalyst for medical advancement,it simultaneously fosters a technical alienation of the human subject.Specifically,patients are increasingly reduced to data symbols,clinical autonomy is partially ceded to algorithmic decision-making,and the physician-patient relationship is strained by technological mediation.At its core,the excessive expansion of instrumental rationality obscures the synergistic potential inherent in technology,leading to a displacement of cognitive authority,the weakening of human subjectivity,and ambiguities in the attribution of medical responsibility.To address these challenges,this paper proposes a human-artificial intelligence symbiosis model by establishing a human-centered clinical decision-making paradigm in which humans govern artificial intelligence,strengthening responsibility grounded in humanistic care,and improving institutional safeguards for human-artificial intelligence collaboration.Ultimately,the model seeks to foster a new form of intersubjective relationship rooted in human responsibility and empowered by technological collaboration,thereby restoring the people-centered values of medical practice.
A prevailing scientific paradigm in modern medicine tends to reduce the patient's lived body to an objectified body,constituting a form of ontological reduction.In Margaret Edson's play Wit,medical gaze and the experience of pain jointly shatter this unity of body and subject,alienating her lived body into a collection of measurable data.This process leads to the complete disintegration of the dynamic structure of meaning in her life-world.This reveauls a profound ethical conflict within modern medicine:a tension between a biomedical reductionist model centered on technical intervention and a humanistic spirit that emphasizes embodied subjectivity.True medical care must bridge this internal divide.It ought to move beyond mere technical intervention and be rooted in an ethic of intercorporeality that acknowledges individual difference,responds to the suffering of others,and thereby genuinely respects the patient's subjectivity.
In the interaction with human social system,the medical new-quality advanced technology presents dynamic risk characteristics that are difficult to address through traditional static governance models,such as irreversibility,intergenerational continuity and wide-ranging diffusion.These risks evolve into boundary risk,subjectivity risk and systemic disorder risk in the social system.The inherent lag and rigidity of traditional"command-control"regulation face the risk of failure in the face of technical uncertainty,ambiguity of responsibility,ethical conflicts and other challenges.Adaptive governance takes"anticipation-participation-integration"as the core of the dynamic cycle,integrates flexible regulatory tools such as regulatory sandbox and adaptive standards,builds a governance system with learning,adaptability and resilience,achieves a dynamic balance between encouraging responsible innovation and strictly abiding by the bottom line of safety ethics,and guides the steady development of medical new-quality advanced technology.
Edwin Chadwick,the father of British public health,proposed in the nineteenth century that"interdisciplinary innovation,centralised governance of public health,and data-driven prevention-oriented strategies"were essential to address environmental pollution,the absence of national legislation,and deficient disposal of the dead.This paper traces the evolution,content and historical impact of his ideas,and translates them into four contemporary lessons for China:centralizing management of health resources and upholding the core principle of"prevention first";enhancing public health infrastructure and expanding funding for public health programs;leveraging big data to empower public health and facilitating targeted epidemic prevention and control;developing a comprehensive"holistic public health perspective"and fostering the citizen-wide popularization of health consciousness.
Based on the protection of individual freedom and dignity,European and American countries have established a theory of personal control model over health and medical data privacy,which aligns well with the"atomistic"concept of individual autonomy within the traditional ethical framework.However,as health and medical data gradually transitions to an active utilization phase,the personal control model for privacy protection of such data exhibits inherent flaws:"insufficient autonomy,a tendency towards privatization,reduced adaptability,and suboptimal control outcomes".It is necessary to adopt a perspective that balances individual interests with the overall interests of society,and promote the optimization of privacy protection of health and medical data from a"personal control"model to a"socially collaborative control"model through a four-pronged approach:"enhancing the autonomy of the control subject,reaffirming the social nature of the control object,improving the adaptability of control standards,and emphasizing the developmental nature of control outcomes".
The rapid advancement of medical artificial intelligence has brought significant changes to clinical diagnosis and treatment,gradually penetrating all areas of the medical system.Its application in clinical settings not only optimizes doctors'working models,enhances efficiency,and reduces resource pressure but also drives medicine towards greater precision,convenience,and diversity.However,the rapid development of artificial intelligence technology also brings challenges such as limitations and ethical boundaries.This article explores the current status of medical artificial intelligence,examining its existing technical,legal,and social ethical boundaries,analyzing its core advantages and potential risks,emphasizing the development model of human-machine collaboration,clarifying the value orientation of doctors,and providing forward-looking guidance and suggestions for future directions,promoting the vigorous development of artificial intelligence systems in clinical medicine.
The diagnosis of borderline personality disorder in adolescents poses significant ethical challenges in both clinical and research contexts, arising from the blurred boundary between normal developmental fluctuations and pathological manifestations, the uncertain transferability of adult-derived diagnostic frameworks, and ethical dilemmas arising from stigma and delayed intervention associated with diagnostic labeling. A mechanistic analysis centering on neurodevelopmental mismatch, identity dysfunction, and environmental stress indicates that asynchronous brain maturation, compromised self-integration, and environmental adversity jointly erode diagnostic clarity. These findings highlight the need to replace static symptom-based checklists with developmental trajectory assessment, to adopt flexible practices in communicating diagnostic uncertainty, and to embed psychosocial support within the diagnostic process. Precision medicine and artificial intelligence hold considerable potential to refine diagnostic accuracy, yet their deployment must remain firmly anchored in developmental sensitivity and governed by ethical prudence as a non-negotiable baseline.
After a long period of development,health education in Hong Kong has formed a distinctive system for cultivating health view.Through a systematic review of the origin,development process and implementation measures of health education in Hong Kong,the implementation characteristics,purpose and goals,basic concepts and content framework of it have been condensed and summarized.This may provide reference and inspiration for the cultivation of medical students' health view in the Chinese mainland:First,enrich the teaching methods of health education for medical students,achieve interdisciplinary integration,and enhance the effectiveness of education;second,build a campus culture for promoting health among medical students,providing a supportive environment for the cultivation of their health view;third,promote interaction between teachers and students,and diverse collaboration,and leverage the efforts of multiple parties to expand collaborative education practices,promoting the in-depth development of medical students' health education.
To correct the common tendency of misinterpreting the World Health Organization's definition of health as a"static integrity view",this article uses etymological analysis to reveal the dynamic implementation implied by"well-being"and the holistic integrity referred to by"complete".Meanwhile,the philosophy of"life and vitality"in China and its underlying ideas such as"ceaseless generation","attainment of central harmony"and"all things rectify their nature and destiny respectively"were explained.By conducting a comparative analysis with the findings of etymological research,this paper further reinterprets the definition of health:health is essentially the adaptive ability of an individual's life in physical,psychological,and social dimensions,as well as the dynamic and harmonious relationship with the internal and external environments.This understanding integrating Eastern and Western wisdom provides a more inclusive,realistic,and humanistic philosophical framework for contemporary health practices.
From the perspectives of medical ethics and philosophical anthropology,the value shift in life-and-death education is examined by analysing how an autonomy-centered orientation is constituted through ethical principles,legal institutions,and cultural imaginaries,and how it shapes prevailing understandings of death.Life-and-death education is shown to influence preferences for life-prolonging treatment,natural death,palliative care,family involvement,and advance care planning by defining what counts as a dignified death and a responsible end-of-life choice.Drawing on relational being and relational autonomy,the analysis identifies the limits of individualist autonomy,including the obscuring of social embeddedness,insufficient cultural sensitivity,intensified decisional isolation and emotional burden,and inadequate attention to asymmetries within care relationships.A relational value-practice framework is therefore proposed to integrate relational autonomy,family participation,and cultural sensitivity.
This paper tackles the "disembodied" dilemma in hospital humanistic management by proposing an "embodied" hospital management mode, grounded in embodiment theory from body philosophy. At its core, the model treats the "body-subject" as the ontological foundation and "intercorporeality" as the relational center, redirecting attention from abstract efficiency metrics to tangible, embodied care. The study examines how embodied tensions manifest across five managerial dimensions: cognition, service delivery, technology application, staffing, and evaluation. Drawing on this analysis, it lays out a paradigm-shift framework and corresponding practical pathways that span the conceptual, institutional, practical, and mechanistic levels. Together, these offer a fresh theoretical lens along with actionable guidance for embedding humanistic values into hospital management.
Based on relevant literature,this paper summarizes the western knowledge of the brain introduced in the late Ming and early Qing dynasties as well as their impacts.Before this period,Chinese and Western medicine shared certain consensus on brain,yet fundamental differences in research approaches and knowledge systems led to gradual divergences.The introduced Western knowledge mainly covered cerebral anatomy and physiology:the former focused on the brain's location,skull morphology and internal structures,while the latter emphasized the correlations between the brain and functions such as memory,perception,sleep and dreaming.The introduction of western brain knowledge provided new perspectives for Traditional Chinese Medicine,meanwhile posing difficulties and challenges due to the immaturity of the imported knowledge system.
The Ding's Medical Series occupies a highly critical position in the history of Western medical translation and introduction in modern China.Tailored to the Chinese market and mass consumer demand,the series selectively published Japanese medical texts on Western medicine,and substantially reconstructed the original texts through local adaptation in the form of compilation and translation.Notably,the translated volumes concerning tuberculosis downplayed the ideologies of national medicine and public hygiene inherent in post-Meiji Restoration Japanese medical texts.Concurrently,under the banner of"integrating Chinese and Western medicine",the series introduced Japanese pharmaceutical research works on traditional Chinese herbs.In terms of marketing,the series was aggressively promoted through newspaper advertisements,book promotions,correspondence-based distance education,and supplementary services such as the sale of medicines and medical instruments.Together,these practices exemplify the distinctly Chinese mode through which Western medical knowledge was disseminated in the late Qing period.
