BackgroundThe merits and drawbacks of moral relevance models of addiction have predominantly been discussed theoretically, without empirical evidence of these potential effects. This study develops and evaluates a novel survey measure for assessing moral evaluations of patient substance misuse (ME-PSM).MethodsThis measure was tested on 524 health professionals (i.e., physicians, nurses, and other health professionals) in California (n = 173), urban France (n = 102), and urban China (n = 249). Demographic factors associated with ME-PSM were investigated using analyses of variance (...) (ANOVAs) and t-tests, with results suggesting that ME-PSM is higher among younger health professionals, nurses (when compared with physicians and other health professionals), and Chinese health professionals (when compared with French and American health professionals).ResultsResults provide preliminary support for the psychometric quality of the survey measure introduced in this study, including the existence of a single latent structure and partial invariance of collected data across countries.ConclusionThe survey measure for ME-PSM which was developed and tested in the current study appears to hold potential utility for use as a measure of moral views of patient substance misuse. With development, this measure may be used to examine moral evaluations, both as factors of stigma and of other clinical factors associated with the treatment of patients with substance use disorders. (shrink)

This paper reports a case study on a family of American English constructions that will be called the family of approximate comparison constructions. This family has three members, all of which follow the syntactic pattern about as X as Y with X being an adjective, but which allow three related functions: literal comparison, simile and irony. Two cognitive frameworks concern themselves with irony, the cognitive modelling approach and viewpoint approach, and the paper will show that, while the ironic approximate comparison (...) construction calls central assumptions of the cognitive modelling approach to question, the viewpoint account can be refined to handle these cases. In doing so, it furthers our understanding of the cognitive underpinning of irony. The paper provides a corpus-based analysis on the Y slot as well as collostructional analyses on the adjectival X slot in the family of approximate comparison constructions. The results thereof suggest that the ironic approximate comparison construction, in comparison to its literal counterpart, prefers adjectives that convey positively connotated, nuanced attitudes and is formally less variable in the Y slot. The preference for particular adjectives lends further support to the assumption that hearers understand the construction as ironic or literal before speakers complete their utterance. Given that, it is argued that the ironic approximate comparison construction communicates an inherent viewpoint. (shrink)

It is generally claimed that there exist exceptional circumstances when taking human life may be approved and when such actions may be justified on moral grounds. Precise guidelines in the medical field for making such decisions concerning patients who are terminally ill or have irreparable injuries incompatible with a bearable life, are difficult to establish. Recommendations that take the particular logical form of a rule, such as "in dubio pro vita", "when in doubt favour life") have been suggested and in (...) some countries incorporated into legal texts (Germany). We claim here that such a rule is of no value since it is open-ended and always allows for doubt, and a decision to employ measures that would support human life could always be argued to be a valid choice. Preservation of this rule could be encouraged, but giving it the force of law may put physicians at risk, as they may be challenged for choosing to terminate life in otherwise ethically and medically uncontroversial circumstances. (shrink)