Challenges to capture the big five personality traits in non-WEIRD populations

Rachid Laajaj, Karen Macours, and others
Science Advances  10 Jul 2019:
Vol. 5, no. 7
DOI: 10.1126/sciadv.aaw5226

Abstract

Can personality traits be measured and interpreted reliably across the world? While the use of Big Five personality measures is increasingly common across social sciences, their validity outside of western, educated, industrialized, rich, and democratic (WEIRD) populations is unclear. Adopting a comprehensive psychometric approach to analyze 29 face-to-face surveys from 94,751 respondents in 23 low- and middle-income countries, we show that commonly used personality questions generally fail to measure the intended personality traits and show low validity. These findings contrast with the much higher validity of these measures attained in internet surveys of 198,356 self-selected respondents from the same countries. We discuss how systematic response patterns, enumerator interactions, and low education levels can collectively distort personality measures when assessed in large-scale surveys. Our results highlight the risk of misinterpreting Big Five survey data and provide a warning against naïve interpretations of personality traits without evidence of their validity.

The research is here.

Ethical considerations in assessment and behavioral treatment of obesity: Issues and practice implications for clinical health psychologists

Williamson, T. M., Rash, J. A., Campbell, T. S., & Mothersill, K. (2019).
Professional Psychology: Research and Practice. Advance online publication.
http://dx.doi.org/10.1037/pro0000249

Abstract

The obesity epidemic in the United States and Canada has been accompanied by an increased demand on behavioral health specialists to provide comprehensive behavior therapy for weight loss (BTWL) to individuals with obesity. Clinical health psychologists are optimally positioned to deliver BTWL because of their advanced competencies in multimodal assessment, training in evidence-based methods of behavior change, and proficiencies in interdisciplinary collaboration. Although published guidelines provide recommendations for optimal design and delivery of BTWL (e.g., behavior modification, cognitive restructuring, and mindfulness practice; group-based vs. individual therapy), guidelines on ethical issues that may arise during assessment and treatment remain conspicuously absent. This article reviews clinical practice guidelines, ethical codes (i.e., the Canadian Code of Ethics for Psychologists and the American Psychological Association Ethical Principles of Psychologists), and the extant literature to highlight obesity-specific ethical considerations for psychologists who provide assessment and BTWL in health care settings. Five key themes emerge from the literature: (a) informed consent (instilling realistic treatment expectations; reasonable alternatives to BTWL; privacy and confidentiality); (b) assessment (using a biopsychosocial approach; selecting psychological tests); (c) competence and scope of practice (self-assessment; collaborative care); (d) recognition of personal bias and discrimination (self-examination, diversity); and (e) maximizing treatment benefit while minimizing harm. Practical recommendations grounded in the American Psychological Association’s competency training model for clinical health psychologists are discussed to assist practitioners in addressing and mitigating ethical issues in practice.

Beyond the Boundaries: Ethical Issues in the Practice of Indirect Personality Assessment in Non-Health-Service Psychology

Marvin W. Acklin
Journal of Personality Assessment
https://doi.org/10.1080/00223891.2018.1522639

Abstract

This article focuses on ethical quandaries in the practice of indirect personality assessment in non-health-service psychology. Indirect personality assessment methods do not involve face-to-face interaction. Personality assessment at a distance is a methodological development of personality and social psychology, psychobiography, and psychohistory. Indirect personality methods are used in clinical, forensic, law enforcement, public safety, and national security settings. Psychology practice in non-health-service settings creates tensions between principles of beneficence and duty to society. This article defines methods of indirect personality assessment and some ethical ramifications. Their application in non-health-service settings occurs in the context of intense controversy over the ethics of psychologists’ participation in work settings where there are third-party loyalties, absence of voluntary informed consent, presence of nonstipulated harms, and absence of legal and ethical accountability. A hypothetical case example illustrates typical quandaries encountered in a national security assessment. This article provides a framework for critically examining ethical quandaries, a contemporary conceptual and process model for integrative moral cognition, and parameters for ethical reasoning by the individual practitioner under the exigencies of real-world practice.

The New Standardized Morality Test. Really.

Peter Greene
Forbes - Education
Originally published September 13, 2018

Here is an excerpt:

Morality is sticky and complicated, and I'm not going to pin it down here. It's one thing to manage your own moral growth and another thing to foster the moral development of family and friends and still quite another thing to have a company hired by a government draft up morality curriculum that will be delivered by yet another wing of the government. And it is yet another other thing to create a standardized test by which to give students morality scores.

But the folks at ACT say they will "leverage the expertise of U.S.-based research and test development teams to create the assessment, which will utilize the latest theory and principles of social and emotional learning (SEL) through the development process." That is quite a pile of jargon to dress up "We're going to cobble together a test to measure how moral a student is. The test will be based on stuff."

ACT Chief Commercial Officer Suzana Delanghe is quoted saying "We are thrilled to be supporting a holistic approach to student success" and promises that they will create a "world class assessment that measures UAE student readiness" because even an ACT manager knows better than to say that they're going to write a standardized test for morality.

The info is here.

Alone Together: Who's Lonely and How Do We Measure It?

Tom Harrison
The RSA.org
Originally published January 18, 2018

Here is an excerpt:

What affect does loneliness have on our health?

Neuroscientist John Cacioppo’s seminal work published in ‘Loneliness: Human Nature and Need for Social Connection’ was one of the first to study the health impacts of loneliness. He found that lonely people have a 20 per cent higher premature mortality rate and called for a culture shift that would see loneliness as important a public health issue as obesity. The Campaign to End Loneliness acknowledges this; reporting that 3 out of 4 GPs say they see between 1 and 5 people a day who have come in mainly because they are lonely.

Indeed, research tells us that this phenomenon goes far beyond the familiar stereotype of an isolated grandmother. A recent British Red Cross report found that 32 per cent of those aged 16-24 reported that in the past 2 weeks they had often or always felt lonely. Are 1/3 of young people just snowflakes? It seems unlikely.

This has contributed to pressure for government to respond. But how do we measure the problem and what are responses required to tackle it?

The article is here.

Note to Reader: Psychotherapy can help with loneliness.

How Should Physicians Make Decisions about Mandatory Reporting When a Patient Might Become Violent?

Amy Barnhorst, Garen Wintemute, and Marian Betz
AMA Journal of Ethics. January 2018, Volume 20, Number 1: 29-35.

Abstract

Mandatory reporting of persons believed to be at imminent risk for committing violence or attempting suicide can pose an ethical dilemma for physicians, who might find themselves struggling to balance various conflicting interests. Legal statutes dictate general scenarios that require mandatory reporting to supersede confidentiality requirements, but physicians must use clinical judgment to determine whether and when a particular case meets the requirement. In situations in which it is not clear whether reporting is legally required, the situation should be analyzed for its benefit to the patient and to public safety. Access to firearms can complicate these situations, as firearms are a well-established risk factor for violence and suicide yet also a sensitive topic about which physicians and patients might have strong personal beliefs.

The commentary is here.

How to Distinguish Between Antifa, White Supremacists, and Black Lives Matter

Conor Friedersdorf
The Atlantic
Originally published August 31, 2017

Here are two excerpts:

One can condemn the means of extralegal violence, and observe that the alt-right, Antifa, and the far-left have all engaged in it on different occasions, without asserting that all extralegal violence is equivalent––murdering someone with a car or shooting a representative is more objectionable than punching with the intent to mildly injure. What’s more, different groups can choose equally objectionable means without becoming equivalent, because assessing any group requires analyzing their ends, not just their means.

For neo-Nazis and Klansmen in Charlottesville, one means, a torch-lit parade meant to intimidate by evoking bygone days of racial terrorism, was deeply objectionable; more importantly, their end, spreading white-supremacist ideology in service of a future where racists can lord power over Jews and people of color, is abhorrent.

Antifa is more complicated.

Some of its members employ the objectionable means of initiating extralegal street violence; but its stated end of resisting fascism is laudable, while its actual end is contested. Is it really just about resisting fascists or does it have a greater, less defensible agenda? Many debates about Antifa that play out on social media would prove less divisive if the parties understood themselves to be agreeing that opposing fascism is laudable while disagreeing about Antifa’s means, or whether its end is really that limited.

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A dearth of distinctions has a lot of complicated consequences, but in aggregate, it helps to empower the worst elements in a society, because those elements are unable to attract broad support except by muddying distinctions between themselves and others whose means or ends are defensible to a broader swath of the public. So come to whatever conclusions accord with your reason and conscience. But when expressing them, consider drawing as many distinctions as possible.

The article is here.

What do we evaluate when we evaluate moral character?

Erik G. Helzer & Clayton R. Critcher

Abstract:

Despite growing interest in the topic of moral character, there is very little precision
and a lack of agreement among researchers as to what is evaluated when people evaluate
character. In this chapter we define moral character in novel social cognitive terms and offer
empirical support for the idea that the central qualities of moral character are those deemed
essential for social relationships.

Here is an excerpt:

We approach this chapter from the theoretical standpoint that the centrality of character
evaluation is due to its function in social life. Evaluation of character is, we think, inherently a
judgment about a person’s qualifications for being a solid long-term social investment. That is,
people attempt to suss out moral character because they want to know whether a particular agent
is the type of person who likely possesses the necessary (even if not sufficient) qualities they
expect in a social relationship. In developing these ideas theoretically and empirically, we
consider what form moral character takes, discuss what this proposal suggests about how people
may and do assess others’ moral character, and identify an assortment of qualities that our
perspective predicts will be central to moral character.

The book chapter is here.

Psychiatrist diagnosed local optician without meeting him

By Kelly Bennett
CBC News
Originally posted: Aug 25, 2016

A Burlington optician is outraged after discovering a psychiatrist he'd never met wrote a critical two-page psychiatric evaluation about him without ever seeing or talking to him.

The optician, Jay Hakim, filed a complaint with the provincial medical regulator, which concluded the psychiatrist's conduct was appropriate.

Hakim appealed the regulator's decision; that appeal was held in a hearing downtown Hamilton on Wednesday.

The case raises "some very serious consequences for society" if it's allowed to stand, Hakim argued.

It also parallels issues raised in the United States over whether psychiatrists can ethically provide opinions on the mental health of presidential candidates they've never met.

The article is here.

Computer-based personality judgments are more accurate than those made by humans

By Wu Youyou, Michal Kosinski, and David Stillwell
PNAS January 27, 2015 vol. 112 no. 4 1036-1040

Abstract

Judging others’ personalities is an essential skill in successful social living, as personality is a key driver behind people’s interactions, behaviors, and emotions. Although accurate personality judgments stem from social-cognitive skills, developments in machine learning show that computer models can also make valid judgments. This study compares the accuracy of human and computer-based personality judgments, using a sample of 86,220 volunteers who completed a 100-item personality questionnaire. We show that (i) computer predictions based on a generic digital footprint (Facebook Likes) are more accurate (r = 0.56) than those made by the participants’ Facebook friends using a personality questionnaire (r = 0.49); (ii) computer models show higher interjudge agreement; and (iii) computer personality judgments have higher external validity when predicting life outcomes such as substance use, political attitudes, and physical health; for some outcomes, they even outperform the self-rated personality scores. Computers outpacing humans in personality judgment presents significant opportunities and challenges in the areas of psychological assessment, marketing, and privacy.

The article is here.

Survey: 8 in 10 US doctors feel unprepared to treat mentally ill

By Sarah Ferris
The Hill
Originally published December 7, 2015

More than eight in 10 family doctors in the U.S. say they are not adequately prepared to care for severely mentally ill patients, according to a survey released Monday by the Commonwealth Fund.

Just 16 percent of U.S. doctors said their offices had the capacity to care for those with serious mental illnesses, the lowest of any other developed country besides Sweden, according to the annual international study.

Diagnosing and treating mental illnesses has come increasingly into focus this year as the number of mass shootings committed by mentally unstable individuals continues to rise. GOP leaders in Congress have repeatedly pointed to mental health reform as their best response to the nation's epidemic of shootings.

The entire article is here.

Ethical Blind Spots: Explaining Unintentional Unethical Behavior

Sezer, O., F. Gino, and M. H. Bazerman. "Ethical Blind Spots: Explaining Unintentional Unethical Behavior." Current Opinion in Psychology (forthcoming).

Abstract

People view themselves as more ethical, fair, and objective than others, yet often act against their moral compass. This paper reviews recent research on unintentional unethical behavior and provides an overview of the conditions under which ethical blind spots lead good people to cross ethical boundaries. First, we present the psychological processes that cause individuals to behave unethically without their own awareness. Next, we examine the conditions that lead people to fail to accurately assess others' unethical behavior. We argue that future research needs to move beyond a descriptive framework and focus on finding empirically testable strategies to mitigate unethical behavior.

The article can be found here.

Ethical issues in researching daily life

Researchers who conduct ambulatory assessment should be aware of the pitfalls that may come with new technology that captures participant data.

By Timothy J. Trull, PhD
The Monitor on Psychology
April 2015, Vol 46, No. 4
Print version: page 70

Here is an excerpt:

With this increased utility comes a parallel increase in both ethical issues and assessment challenges. They include:

Informed consent. As with all forms of assessment, it is necessary to ensure that ambulatory assessment participants are informed about the procedures or protocol of the study, the exact nature of the data to be collected, and potential risks and burdens related to the study. Several unique features of ambulatory assessment should be considered. First, especially because ambulatory assessment may involve passive data collection, it is vital to make the participant aware of all of the data that are being collected, as well as how these data might be used. It is also important to recognize that ambulatory assessment may unintentionally capture data on nonconsenting people who interact with the participant via audio recordings, videos or photos. Investigators must decide ahead of time how this should be handled. Should people be encouraged to discuss their participation in the ambulatory assessment study with others with whom they have contact? Some U.S. states may forbid the recording of third parties without their permission. Participants should be given the option to stop recording at any point and to review their data if recording has occurred in sensitive situations.

The entire article is here.

Me, My “Self” and You: Neuropsychological Relations between Social Emotion, Self-Awareness, and Morality

By Mary Helen Immordino-Yang
Emotion Review July 2011 vol. 3 no. 3 313-315

Abstract

Social emotions about others’ mind states, for example, compassion for psychological pain or admiration for virtue, are an important foundation for morality because they help us decide how to treat other people. Although these emotions are ostensibly concerned with the mental qualities and situations of others, they can precipitate intimately subjective reflections on the quality of one’s own social life and mind, and via these reflections incite a desire to engage in meaningful moral actions. Our interview and neural data suggest that the shift from social emotion to introspection may be facilitated by conscious mental evaluation of emotion-related visceral sensations.

The entire paper is here.

Brief depression questionnaires could lead to unnecessary antidepressant prescriptions

University of California School of Medicine - Davis
Press Release
Originally released September 2, 3014

Short questionnaires used to identify patients at risk for depression are linked with antidepressant medications being prescribed when they may not be needed, according to new research from UC Davis Health System published in the September-October issue of the Journal of the American Board of Family Medicine.

Known as “brief depression symptom measures,” the self-administered questionnaires are used in primary care settings to determine the frequency and severity of depression symptoms among patients. Several questionnaires have been developed to help reduce untreated depression, a serious mental illness that can jeopardize relationships, employment and quality of life and increase the risks of heart disease, drug abuse and suicide.

The UC Davis team was concerned that the questionnaires might lead to prescriptions for antidepressant medication being given to those who aren’t depressed. Antidepressants are effective in treating moderate-to-severe depression but can have significant side effects, including sexual dysfunction, sedation and anxiety. They also have to be taken over several months to be effective.


“It is important to treat depression, but equally important to make sure those who get treatment actually need it,” said Anthony Jerant, professor of family and community medicine at UC Davis and lead author of the study.

The entire pressor is here.

The link to the study is in a blue hyperlink above.  The conclusion of the research is as follows:

Conclusions: These exploratory findings suggest administration of brief depression symptom measures, particularly the PHQ-9, may be associated with depression diagnosis and antidepressant recommendation and prescription among patients unlikely to have major depression. If these findings are confirmed, researchers should investigate the balance of benefits and risks (eg, overdiagnosis of depression and overtreatment with antidepressants) associated with use of a brief symptom measure.

New test measures doctors' ability to deliver patient-centered care

University of Missouri-Columbia
News Release
Originally released December 29, 2014

When health care providers take patients' perspectives into consideration, patients are more likely to be actively engaged in their treatment and more satisfied with their care. This is called patient-centered care, and it has been the central focus of the curriculum at the University of Missouri School of Medicine since 2005. Recently, MU researchers have developed a credible tool to assess whether medical students have learned and are applying specific behaviors that characterize patient-centered care.

The researchers first worked with real patients to identify a list of specific behaviors that demonstrated physicians were providing patient-centered care. By defining these detailed, specific patient-centered behaviors, the researchers have been able to tailor the educational experience at the MU School of Medicine to help students gain these skills.

MU medical students now are assessed on their ability to deliver the care in ways the patients expect; students must perform at a satisfactory level on the patient-centered care exam to graduate from the MU School of Medicine.

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From this authentic assessment, researchers learned students were picking up on many key factors in patient-centered care. Most MU medical students had strong, effective communication skills, didn't use medical jargon, actively listened to the patient, showed empathy and were in charge of the situation when they needed to lead a critical conversation.

The entire press release is here.

Responding to Suicidal Risk

This is chapter 17 of the book Ethics in Psychotherapy and Counseling: A Practical Guide, 4th Edition by Kenneth S. Pope, Ph.D., ABPP & Melba J.T. Vasquez, Ph.D., ABPP, published by John Wiley.

Few responsibilities are so heavy and intimidating as responding to suicidal risk. The need for careful assessment is great. Suicide remains among the top dozen causes of death in the United States, as high as number two for some groups. Homicide rates seize popular attention, but far more people kill themselves than kill others.  Authorities in the field are almost unanimous in their view that the reported figures vastly understate the actual incidence because of problems in reporting procedures.

The book chapter is here, published by Ken Pope on his site.

Quality Attestation for Clinical Ethics Consultants: A Two-Step Model from the American Society for Bioethics and Humanities

By Eric Kodish, Joseph J. Fins, and others
The Hastings Center Report
Originally published October 1, 2013

Abstract

Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has initiated a two-step quality attestation process as a means to assess clinical ethics consultants and help identify individuals who are qualified to perform this role. This article describes the process.

The entire story is here.

New Guidelines Raise Safety Bar on Concussions

By Alan Mozes
Medicinenet.com
Originally published March 18, 2013

Any athlete who suffers a suspected concussion should be withdrawn from play and stay on the sidelines until a qualified health care professional determines that all symptoms have subsided and it is safe to return to the field, new guidelines state.

Issued by the American Academy of Neurology, the latest recommendations aim to keep young athletes as safe as possible.

"With the older guidelines, we were trying to rate concussions at the time of the injury and predict recovery times, but now we know, 'When in doubt, sit 'em out,'" said guideline co-author Dr. Christopher Giza, an associate professor of pediatric neurology and neurosurgery with the David Geffen School of Medicine at the University of California, Los Angeles, and Mattel Children's Hospital.

"The point is that no single quick test is really a litmus test for a concussion," he said. "We know now that we need to make sure a player has had a thorough and proper evaluation, involving a symptoms checklist, a standardized assessment and balance and cognitive testing, before being returned to play. This evaluation has to be done on a case-by-case basis, so each person goes through an individualized recovery process."

The entire story is here.

The entire journal article in Neurology is here.

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.