Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Age. Show all posts
Showing posts with label Age. Show all posts

Saturday, December 16, 2023

Older people are perceived as more moral than younger people: data from seven culturally diverse countries

Piotr Sorokowski, et al. (2023)
Ethics & Behavior,
DOI: 10.1080/10508422.2023.2248327

Abstract

Given the adage “older and wiser,” it seems justified to assume that older people may be stereotyped as more moral than younger people. We aimed to study whether assessments of a person’s morality differ depending on their age. We asked 661 individuals from seven societies (Australians, Britons, Burusho of Pakistan, Canadians, Dani of Papua, New Zealanders, and Poles) whether younger (~20-year-old), middle-aged (~40-year-old), or older (~60-year-old) people were more likely to behave morally and have a sense of right and wrong. We observed that older people were perceived as more moral than younger people. The effect was particularly salient when comparing 20-year-olds to either 40- or 60-year-olds and was culturally universal, as we found it in both WEIRD (i.e. Western, Educated, Industrialized, Rich, Democratic) and non-WEIRD societies.


Here is my summary:

The researchers found that older people were rated as more moral than younger people, and this effect was particularly strong when comparing 20-year-olds to either 40- or 60-year-olds. The effect was also consistent across cultures, suggesting that it is a universal phenomenon.

The researchers suggest that there are a few possible explanations for this finding. One possibility is that older people are simply seen as having more life experience and wisdom, which are both associated with morality. Another possibility is that older people are more likely to conform to social norms, which are often seen as being moral. Finally, it is also possible that people simply have a positive bias towards older people, which leads them to perceive them as being more moral.

Whatever the explanation, the finding that older people are perceived as more moral than younger people has a number of implications. For example, it suggests that older people may be more likely to be trusted and respected, and they may also be more likely to be seen as leaders. Additionally, the finding suggests that ageism may be a form of prejudice, as it involves making negative assumptions about people based on their age.

Thursday, November 3, 2022

What Makes a Great Life?

Jon Clifton
Gallup.com
Originally posted 22 SEPT 22

While many things contribute to a great life, Gallup finds five aspects that all people have in common: their work, finances, physical health, communities, and relationships with family and friends. If you are excelling in each of these elements of wellbeing, you are highly likely to be thriving in life.

(cut)

Gallup's research as well as research by the global community of wellbeing practitioners has produced hundreds, if not thousands, of discoveries.

One of the most famous discoveries is the U-curve of happiness, which shows how age is associated with wellbeing. Young people rate their lives high, and so do older people. But middle-aged people rate their lives the lowest. This trend holds every year in almost every country in the world. It is nicknamed the "U-curve" of happiness because when you look at the graph, it looks like a "U." Some jokingly say that the chart is smiling.

Some discoveries are astonishing; others feel like they reveal a "blandly sophomoric secret," as George Gallup referred to some of his longevity findings. For example, you could argue that the U-curve of happiness simply quantifies conventional wisdom -- that people have midlife crises.

Here are a few of the discoveries that are truly compelling:
  • People who love their jobs do not hate Mondays.
  • Education-related debt can cause an emotional scar that remains even after you pay off the debt.
  • Volunteering is not just good for the people you are helping; it is also good for you.
  • Exercising is better at eliminating fatigue than prescription drugs.
  • Loneliness can double your risk of dying from heart disease.
We could list every insight ever produced from this research and encourage leaders to work on all of them. Instead, we took another approach. Using all these insights from across the industry combined with our surveys and analysis, we created the five elements of wellbeing. And our ongoing global research confirms that the five elements of wellbeing are significant drivers of a great life everywhere.

Tuesday, July 11, 2017

Moral Judgments and Social Stereotypes: Do the Age and Gender of the Perpetrator and the Victim Matter?

Qiao Chu, Daniel Grühn
Social Psychological and Personality Science
First Published June 19, 2017

Abstract
We investigated how moral judgments were influenced by (a) the age and gender of the moral perpetrator and victim, (b) the moral judge’s benevolent ageism and benevolent sexism, and (c) the moral judge’s gender. By systematically manipulating the age and gender of the perpetrators and victims in moral scenarios, participants in two studies made judgments about the moral transgressions. We found that (a) people made more negative judgments when the victims were old or female rather than young or male, (b) benevolent ageism influenced people’s judgments about young versus old perpetrators, and (c) people had differential moral expectations of perpetrators who belonged to their same-gender group versus opposite-gender group. The findings suggest that age and gender stereotypes are so salient to bias people’s moral judgments even when the transgression is undoubtedly intentional and hostile.

The article is here.

Monday, July 10, 2017

When Are Doctors Too Old to Practice?

By Lucette Lagnado
The Wall Street Journal
Originally posted June 24, 2017

Here is an excerpt:

Testing older physicians for mental and physical ability is growing more common. Nearly a fourth of physicians in America are 65 or older, and 40% of these are actively involved in patient care, according to the American Medical Association. Experts at the AMA have suggested that they be screened lest they pose a risk to patients. An AMA working group is considering guidelines.

Concern over older physicians' mental states--and whether it is safe for them to care for patients--has prompted a number of institutions, from Stanford Health Care in Palo Alto, Calif., to Driscoll Children's Hospital in Corpus Christi, Texas, to the University of Virginia Health System, to adopt age-related physician policies in recent years. The goal is to spot problems, in particular signs of cognitive decline or dementia.

Now, as more institutions like Cooper embrace the measures, they are roiling some older doctors and raising questions of fairness, scientific validity--and ageism.

"It is not for the faint of heart, this policy," said Ann Weinacker, 66, the former chief of staff at the hospital and professor of medicine at Stanford University who has overseen the controversial efforts to implement age-related screening at Stanford hospital.

A group of doctors has been battling Stanford's age-based physician policies for the past five years, contending they are demeaning and discriminatory. The older doctors got the medical staff to scrap a mental-competency exam aimed at testing for cognitive impairment. Most, like Frank Stockdale, an 81-year-old breast-cancer specialist, refused to take it.

The article is here.

Sunday, May 8, 2016

Neuroscience is changing the debate over what role age should play in the courts

By Tim Requarth
Newsweeek
Originally posted April 18, 2016

Here is an excerpt:

The Supreme Court has increasingly called upon new findings in neuroscience and psychology in a series of rulings over the past decade (Roper v. Simmons, Graham v. Florida, Miller v. Alabama and Montgomery v. Louisiana) that prohibited harsh punishments—such as the death penalty and mandatory life without parole—for offenders under 18. Due to their immaturity, the argument goes, they are less culpable and so deserve less punishment than those 18 or older. In addition, because their wrongdoing is often the product of immaturity, younger criminals may have a greater potential for reform. Now people are questioning whether the age of 18 has any scientific meaning.

“People are not magically different on their 18th birthday,” says Elizabeth Scott, a professor of law at Columbia University whose work was cited in the seminal Roper case. “Their brains are still maturing, and the criminal justice system should find a way to take that into account.”

The article is here.

Friday, November 20, 2015

Should Doctors Be Tested for Competence at Age 65?

By Leigh Page
MedScape
Originally published October 28, 2015

Should older physicians be forced to stop practicing once they begin to slow down? Some experts in competency testing are calling for doctors to be evaluated as early as age 65, arguing that that's when physical and mental disabilities start to become apparent.

A few hospitals have already started evaluating physicians in their 70s for competency. When results show significant impairment, these physicians are required to get remediation, submit to limitations of their privileges, or retire completely, depending on the severity of the impairment.

Some experts argue that the cutoff age for these exams should be 65 years, which would have a huge impact on America's doctors. Owing to the baby boom, 240,000 doctors are now in that age group—a fourfold increase since 1975, according to the American Medical Association (AMA).

In June 2015, delegates to the AMA decided to bring together stakeholders to create guidelines for such testing. But other physician groups are still on the fence, and the issue divides the medical community.

The entire article is here.


Sunday, May 31, 2015

Is Age a Determinant Variable in Forgoing Treatment Decisions at the End of Life?

Guest post by Sandra Martins Pereira, Roeline Pasman and Bregje Onwuteaka-Philipsen
Journal of Medical Ethics Blog
Originally posted May 14, 2015

Decisions to forgo treatment are embedded in clinical, socio-cultural, philosophical, religious, legal and ethical contexts and beliefs, and they cannot be considered as representing good or poor quality care. Particularly for older people, it is sometimes argued that treatment is aggressive, and that there may be a tendency to continue or start treatments in situations where a shift to a focus on quality of life in light of a limited life expectancy might be preferred. Others argue that an attitude of ageism might prevent older people from receiving treatments and care from which they could benefit, thus resulting in some type of harm and compromising the ethical principles of beneficence and non-maleficence.

When the need to make a decision about treatment concerns an older person at the end of life, physicians need to reflect on the following questions: In this situation, for this person, what is the best course of action? Is this person capable of assessing the situation and making a decision about it adequately herself? What are the preferences of the person? Who needs to be involved in the decision-making process? What will be the consequences of starting or withholding this treatment?

The blog post is here.

The paper is here.

Friday, August 15, 2014

Moral judgement in adolescents: Age differences in applying and justifying three principles of harm

Paul C. Stey, Daniel Lapsley & Mary O. McKeever
European Journal of Developmental Psychology
Volume 10, Issue 2, 2013
DOI:10.1080/17405629.2013.765798

Abstract

This study investigated the application and justification of three principles of harm in a cross-sectional sample of adolescents in order to test recent theories concerning the source of intuitive moral judgements. Participants were 46 early (M age = 14.8 years) and 40 late adolescents (M age = 17.8 years). Participants rated the permissibility of various ethical dilemmas, and provided justifications for their judgements. Results indicated participants aligned their judgements with the three principles of harm, but had difficulty explaining their reasoning. Furthermore, although age groups were consistent in the application of the principles of harm, age differences emerged in their justifications. These differences were partly explained by differences in language ability. Additionally, participants who used emotional language in their justifications demonstrated a characteristically deontological pattern of moral judgement on certain dilemmas. We conclude adolescents in this age range apply the principles of harm but that the ability to explain their judgements is still developing.

The entire article is here.

Wednesday, December 19, 2012

Aging Doctors Face Greater Scrutiny


By Sandra G. Boodman
Originally published on December 10, 2012
Kaiser Health News in collaboration with The Washington Post

A distinguished vascular specialist in his 80s performs surgery, then goes on vacation, forgetting he has patients in the hospital; one subsequently dies because no doctor was overseeing his care. An internist who suffered a stroke gets lost going from one exam room to another in his own office. A beloved general surgeon with Alzheimer's disease continues to assist in operations because hospital officials don't have the heart to tell him to retire.

These real-life examples, provided by an expert who evaluates impaired physicians, exemplify an emotionally charged issue that is attracting the attention of patient safety experts and hospital administrators: how to ensure that older doctors are competent to treat patients.

About 42 percent of the nation's 1 million physicians are older than 55 and 21 percent are older than 65, according to the American Medical Association, up from 35 percent and 18 percent, respectively, in 2006. Their ranks are expected to increase as many work past the traditional retirement age of 65, for reasons both personal and financial.

Many older doctors remain sharp, their skills up-to-date and their judgment honed by years of experience. Peter Carmel, the AMA's immediate past president, a 75-year-old pediatric neurosurgeon in New Jersey, recently wrote about "going full tilt."

Unlike commercial airline pilots, who by law must undergo regular health screenings starting at age 40 and must retire at 65 -- or FBI agents, whose mandatory retirement age is 57 -- there are no such rules for doctors. Nor are any formal evaluations required to ensure the continued competence of physicians, many of whom trained decades ago. Most states require continuing education credits to retain a medical license, but, as Ann Weinacker, chief of the medical staff at Stanford Hospital and Clinics in California, observed, "you can sleep through a session, and if you sign your name, you'll get credit."

The entire article is here.