|
課程名稱 |
心智科學、倫理與政策
Mind Science, Ethics and Policy |
|
開課學期 |
105-1 |
|
授課對象 |
醫學院 醫學教育暨生醫倫理研究所 |
|
授課教師 |
吳建昌 |
|
課號 |
MEBE7019 |
|
課程識別碼 |
457 M0210 |
|
班次 |
|
|
學分 |
1 |
|
全/半年 |
半年 |
|
必/選修 |
選修 |
|
上課時間 |
星期三5(12:20~13:10) |
|
上課地點 |
|
|
備註 |
授課教室:醫學人文館第211討論室
總人數上限：15人 |
|
Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1051MEBE7019_ |
|
課程簡介影片 |
|
|
核心能力關聯 |
核心能力與課程規劃關聯圖 |
|
課程大綱
|
|
為確保您我的權利,請尊重智慧財產權及不得非法影印
|
|
課程概述 |
廣義的心智科學，包括精神醫學、心理學、神經科學及人類學等等，這些科學探討人類行為的「正常性」或「常態性」，在其發展之始就與人類行為的規範性（normativity）產生了關連，其論述與操作，對於人的行為具有規訓（discipline）的效果，因此這些論述與操作之正當性成為倫理學檢視的對象；然而，倫理與政策之論述與操作亦涉及對於人心的認識與假設，因此，心智科學亦可檢視倫理與政策所描畫之人的圖像。因此，心智科學與倫理政策彼此之間，具有緊密地互相嵌鑲交融之關係。
世界衛生組織於2009年提出: ”There is no health without mental health”，精神醫學對於精神疾病之治療與精神健康之促進非常重要，探討精神醫學倫理與政策，權衡尊重自主與社會安全，有其必要性。而在二十世紀末，神經科學之研究方興未艾，從decade of the brain到decade of the mind，以神經科學之觀點重新檢視心智現象，也產生了不少對於心智的新論述與操作之可能性，神經科學倫理，亦成為許多神經科學跨科際的重要學門之一。因此，本門課將以介紹精神醫學倫理及神經科學倫理為主軸，除了必要時邀請專家介紹精神科學、神經科學與技術之發展外，在探討倫理議題時，兼論政策導向性之思維，觸及描述性、規範性以及後設倫理學之範疇，兼具理論與實用之效果。
|
|
課程目標 |
修課學生研習本課程後，應具備對於心智科學與倫理政策具有基本之知識，能夠對於底下相關主題進行提問及分析：
1. Historical, philosophical and social contexts in psychiatric ethics
2. Core issues in psychiatric ethics
3. Ethical aspects in clinical psychiatry
4. Neuroscience, morality and responsibility
5. Ethical implications of neuroscience/technology
|
|
課程要求 |
1.演講授課
2.課堂討論
3.學生報告
|
|
預期每週課後學習時數 |
|
|
Office Hours |
另約時間 備註： 平時評量與期末報告 |
|
指定閱讀 |
單元2
1.Tom L Beauchamp, The philosophical basis of psychiatric ethics, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 25-48.
2. Richard Martinez, Narrative ethics, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 49-60.
單元3-4
1. K W M (Bill) Fulford, Values, science and psychiatry, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 61-84.
2. Charles Rosenberg, Contested boundaries: Psychiatry, disease and diagnosis, in Dominic A Sisti, Arthur L Caplan, and Hila Rimon-Greenspan, Applied ethics in mental health care: An interdisciplinary reader, Cambridge, MA: The MIT Press, 2013, pp. 5-24.
單元5-6
1. Roger Peele and Paul Chodoff, Involuntary hospitalization and deinstitutionalization, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 211-228.
2, George Szmukler, Ethics in community psychiatry, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 453-471.
3. Kevin Chien-Chang Wu and Wei-Tsuen Soong, Ethical issues in mandatory community treatment, Taiwanese Journal of Psychiatry, 2008, 22(2): 84-95.
單元7-8
1. Sidney Bloch and David Heyd, Suicide, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 229-249.
2. Ronald Dworkin, Thomas Nagel, Robert Nozick, John Rawls, Judith Jarvis Thomson and Thomas M. Scanlon, Assisted suicide: The philosophers’ brief, available at http://www.nybooks.com/articles/1997/03/27/assisted-suicide-the-philosophers-brief/
3. 吳建昌、陳映燁、李明濱，自殺與自殺防治之倫理分析，醫學教育，2007, 11（2）, 95-103。
單元9-10
1. Linda Kader and Christos Pantelis, Ethical aspects of drug treatment, in Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009, pp. 339-365.
單元11-12
1. Steven E Hyman, The neurobiology of addiction: Implications for voluntary control of behavior, in Judy Illes and Babara J Sahakian eds., Oxford Handbook of Neuroethics, Oxford: Oxford University Press, 2011, pp. 203-218.
2. Martina Reske and Martin P Paulus, A neuroscientific approach to addiction: Ethical concerns, in Judy Illes and Babara J Sahakian eds., Oxford Handbook of Neuroethics, Oxford: Oxford University Press, 2011, pp. 177-202.
3. Stanton Peele, What addiction is and is not: The impact of mistaken notions of addiction, 2000, 8(6): 599-607.
4. Stephen J Morse, Addiction, genetics, and criminal responsibility, Law and Contemporary Problems, 2006, 69: 165-207.
單元13-14
1. Anjan Chatterjee, Brain enhancement in healthy adults, Anjan Chatterjee and Martha Farah eds., Neuroethics in Practice, Oxford: Oxford University Press. 2012, pp. 3-15.
2. Thomas Metzinger and Elisabeth Hildt, Cognitive enhancement, in Judy Illes and Babara J Sahakian eds., Oxford Handbook of Neuroethics, Oxford: Oxford University Press, 2011, pp. 245-264.
3. John Harris, Chemical cognitive enhancement: is it unfair, unjust, discriminatory, or cheating for healthy adults to use smart drugs?, in Judy Illes and Babara J Sahakian eds., Oxford Handbook of Neuroethics, Oxford: Oxford University Press, 2011, pp. 265-272.
4. Wu KCC, Cognitive enhancement: A Confucian perspective from Taiwan, in Fabrice Jotterand & Dubljevic Veljko eds., Oxford Handbook of Cognitive Enhancement , Oxford University Press, 2016, 111-120.
單元15-16
1. Joseph J Fins and Nicholas D Schiff, Disorders of consciousness following severe brain injury, in Anjan Chatterjee and Martha Farah eds., Neuroethics in Practice, Oxford: Oxford University Press. 2012, pp. 162-174.
2. Martha J Farah, Personhood, consciousness, and severe brain damage, in Anjan Chatterjee and Martha Farah eds., Neuroethics in Practice, Oxford: Oxford University Press. 2012, pp. 175-188.
單元17-18
1. Debra J H Mathews, Peter V Rabins, and Benjamin D Greenberg, Deep brain stimulation as a therapeutic and investigative tool: an ethical appraisal, in Judy Illes and Babara J Sahakian eds., Oxford Handbook of Neuroethics, Oxford: Oxford University Press, 2011, pp. 441-454.
2. Matthis Synofzik, Functional neurosurgery and deep brain stimulation, in Anjan Chatterjee and Martha Farah eds., Neuroethics in Practice, Oxford: Oxford University Press. 2012, pp. 189-208.
3. Leigh Hochberg and Thomas Cochrane, Implanted neural interfaces: Ethics in treatment and research, in Anjan Chatterjee and Martha Farah eds., Neuroethics in Practice, Oxford: Oxford University Press. 2012, pp. 235-250.
|
|
參考書目 |
1. Sidney Bloch and Stephen A Green eds., Psychiatric Ethics, 4th .Ed., Oxford: Oxford University Press, 2009.
2. Dominic A Sisti, Arthur L Caplan, and Hila Rimon-Greenspan, Applied ethics in mental health care: An interdisciplinary reader, Cambridge, MA: The MIT Press, 2013.
3. Judy Illes and Babara J Sahakian eds., Oxford Handbook of Neuroethics, Oxford: Oxford University Press, 2011
4. Anjan Chatterjee and Martha Farah eds., Neuroethics in Practice, Oxford: Oxford University Press. 2012. |
|
評量方式
(僅供參考) |
|
No. |
項目 |
百分比 |
說明 |
|
1. |
課堂出席 |
15% |
|
2. |
主題報告 |
15% |
|
3. |
課堂討論 |
20% |
|
4. |
期末報告 |
50% |
|
|
|
週次 |
日期 |
單元主題 |
|
第1週 |
9/14 |
Introduction to the course and topics in mind science ethics and policy |
|
第2週 |
9/21 |
Philosophical basis of psychiatric ethics |
|
第3週 |
9/28 |
Value, science and psychiatry: diagnosis and practices I |
|
第4週 |
10/05 |
Value, science and psychiatry: diagnosis and practices II |
|
第5週 |
10/12 |
Involuntary hospitalization and community treatment I |
|
第6週 |
10/19 |
Involuntary hospitalization and community treatment II |
|
第7週 |
10/26 |
Suicide and suicide prevention ethics and policy I |
|
第8週 |
11/02 |
Suicide and suicide prevention ethics and policy II |
|
第9週 |
11/09 |
Ethical issues in psychiatric drug treatment I |
|
第10週 |
11/16 |
Ethical issues in psychiatric drug treatment II |
|
第11週 |
11/23 |
Addiction, neuroscience and responsibility I |
|
第12週 |
11/30 |
Addiction, neuroscience and responsibility II |
|
第13週 |
12/07 |
Brain enhancement: Ethics and policy I |
|
第14週 |
12/14 |
Brain enhancement: Ethics and policy II |
|
第15週 |
12/21 |
Severe brain damage, consciousness and ethics I |
|
第16週 |
12/28 |
Severe brain damage, consciousness and ethics II |
|
第17週 |
1/04 |
Ethical issues in deep brain stimulation and other brain computer interfaces I |
|
第18週 |
1/11 |
Ethical issues in deep brain stimulation and other brain computer interfaces II |
|