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 Experience. Show all posts
Showing posts with label Experience. Show all posts

Thursday, December 3, 2020

The psychologist rethinking human emotion

David Shariatmadari
The Guardian
Originally posted 25 Sept 20

Here is an excerpt:

Barrett’s point is that if you understand that “fear” is a cultural concept, a way of overlaying meaning on to high arousal and high unpleasantness, then it’s possible to experience it differently. “You know, when you have high arousal before a test, and your brain makes sense of it as test anxiety, that’s a really different feeling than when your brain makes sense of it as energised determination,” she says. “So my daughter, for example, was testing for her black belt in karate. Her sensei was a 10th degree black belt, so this guy is like a big, powerful, scary guy. She’s having really high arousal, but he doesn’t say to her, ‘Calm down’; he says, ‘Get your butterflies flying in formation.’” That changed her experience. Her brain could have made anxiety, but it didn’t, it made determination.”

In the lectures Barrett gives to explain this model, she talks of the brain as a prisoner in a dark, silent box: the skull. The only information it gets about the outside world comes via changes in light (sight), air pressure (sound) exposure to chemicals (taste and smell), and so on. It doesn’t know the causes of these changes, and so it has to guess at them in order to decide what to do next.

How does it do that? It compares those changes to similar changes in the past, and makes predictions about the current causes based on experience. Imagine you are walking through a forest. A dappled pattern of light forms a wavy black shape in front of you. You’ve seen many thousands of images of snakes in the past, you know that snakes live in the forest. Your brain has already set in train an array of predictions.

The point is that this prediction-making is consciousness, which you can think of as a constant rolling process of guesses about the world being either confirmed or proved wrong by fresh sensory inputs. In the case of the dappled light, as you step forward you get information that confirms a competing prediction that it’s just a stick: the prediction of a snake was ultimately disproved, but not before it grew so strong that neurons in your visual cortex fired as though one was actually there, meaning that for a split second you “saw” it. So we are all creating our world from moment to moment. If you didn’t, your brain wouldn’t be able make the changes necessary for your survival quickly enough. If the prediction “snake” wasn’t already in train, then the shot of adrenaline you might need in order to jump out of its way would come too late.

Wednesday, March 11, 2020

Expertise in Child Abuse?

Dr. Woods, from a YouTube video
Mike Hixenbaugh & Taylor Mirfendereski
NBCnews.com
Originally posted 14 Feb 20

Here is an excerpt:

Contrary to Woods’ testimony, there are more than 375 child abuse pediatricians certified by the American Board of Pediatrics in the U.S., all of whom have either completed an extensive fellowship program — first offered, not three, but nearly 15 years ago, while Woods was still in medical school — or spent years examining cases of suspected abuse prior to the creation of the medical subspecialty in 2009. The doctors are trained to differentiate accidental from inflicted injuries, which child abuse pediatricians say makes them better qualified than other doctors to determine whether a child has been abused. At least three physicians have met those qualifications and are practicing as board-certified child abuse pediatricians in the state of Washington.

Woods is not one of them.

Despite her lack of fellowship training, state child welfare and law enforcement officials in Washington have granted Woods remarkable influence over their decisions about whether to remove children from parents or pursue criminal charges, NBC News and KING 5 found. In four cases reviewed by reporters, child welfare workers took children from parents based on Woods’ reports — including some in which Woods misstated key facts, according to a review of records — despite contradictory opinions from other medical experts who said they saw no evidence of abuse.

In one instance, a pediatrician, Dr. Niran Al-Agba, insisted that a 2-year-old child’s bruise matched her parents’ description of an accidental fall onto a heating grate in their home. But Child Protective Services workers, who’d gotten a call from the child’s day care after someone noticed the bruise, asked Woods to look at photos of the injury.

Woods reported that the mark was most likely the result of abuse, even though she’d never seen the child in person or talked to the parents. The agency sided with her. To justify that decision, the Child Protective Services worker described Woods as “a physician with extensive training and experience in regard to child abuse and neglect,” according to a written report reviewed by reporters.

The info is here.

Wednesday, February 13, 2019

The Art of Decision-Making

Joshua Rothman
The New Yorker
Originally published January 21, 2019

Here is an excerpt:

For centuries, philosophers have tried to understand how we make decisions and, by extension, what makes any given decision sound or unsound, rational or irrational. “Decision theory,” the destination on which they’ve converged, has tended to hold that sound decisions flow from values. Faced with a choice—should we major in economics or in art history?—we first ask ourselves what we value, then seek to maximize that value.

From this perspective, a decision is essentially a value-maximizing equation. If you’re going out and can’t decide whether to take an umbrella, you could come to a decision by following a formula that assigns weights to the probability of rain, the pleasure you’ll feel in strolling unencumbered, and the displeasure you’ll feel if you get wet. Most decisions are more complex than this, but the promise of decision theory is that there’s a formula for everything, from launching a raid in Abbottabad to digging an oil well in the North Sea. Plug in your values, and the right choice pops out.

In recent decades, some philosophers have grown dissatisfied with decision theory. They point out that it becomes less useful when we’re unsure what we care about, or when we anticipate that what we care about might shift.

The info is here.

Tuesday, January 8, 2019

The 3 faces of clinical reasoning: Epistemological explorations of disparate error reduction strategies.

Sandra Monteiro, Geoff Norman, & Jonathan Sherbino
J Eval Clin Pract. 2018 Jun;24(3):666-673.

Abstract

There is general consensus that clinical reasoning involves 2 stages: a rapid stage where 1 or more diagnostic hypotheses are advanced and a slower stage where these hypotheses are tested or confirmed. The rapid hypothesis generation stage is considered inaccessible for analysis or observation. Consequently, recent research on clinical reasoning has focused specifically on improving the accuracy of the slower, hypothesis confirmation stage. Three perspectives have developed in this line of research, and each proposes different error reduction strategies for clinical reasoning. This paper considers these 3 perspectives and examines the underlying assumptions. Additionally, this paper reviews the evidence, or lack of, behind each class of error reduction strategies. The first perspective takes an epidemiological stance, appealing to the benefits of incorporating population data and evidence-based medicine in every day clinical reasoning. The second builds on the heuristic and bias research programme, appealing to a special class of dual process reasoning models that theorizes a rapid error prone cognitive process for problem solving with a slower more logical cognitive process capable of correcting those errors. Finally, the third perspective borrows from an exemplar model of categorization that explicitly relates clinical knowledge and experience to diagnostic accuracy.

A pdf can be downloaded here.

Sunday, September 23, 2018

The radical moral implications of luck in human life

David Roberts
vox.com
Originally posted August 21, 2018

Here is an excerpt:

So, then, here you are. You turn 18. You are no longer a child; you are an adult, a moral agent, responsible for who you are and what you do.

By that time, your inheritance is enormous. You’ve not only been granted a genetic makeup, an ethnicity and appearance, by accidents of nature and parentage. You’ve also had your latent genetic traits “activated” in a very specific way through a specific upbringing, in a specific environment, with a specific set of experiences.

Your basic mental and emotional wiring is in place; you have certain instincts, predilections, fears, and cravings. You have a certain amount of money, certain social connections and opportunities, a certain family lineage. You’ve had a certain amount and quality of education. You’re a certain kind of person.

You are not responsible for any of that stuff; you weren’t yet capable of being responsible. You were just a kid (or worse, a teen). You didn’t choose your genes or your experiences. Both nature and the vast bulk of the nurture that matters happened to you.

And yet when you turn 18, it’s all yours — the whole inheritance, warts and all. By the time you are an autonomous, responsible moral agent, you have effectively been fired out of a cannon, on a particular trajectory. You wake up, morally speaking, midflight.

The info is here.

Monday, April 9, 2018

Do Evaluations Rise With Experience?

Kieran O’Connor and Amar Cheema
Psychological Science 
First Published March 1, 2018

Abstract

Sequential evaluation is the hallmark of fair review: The same raters assess the merits of applicants, athletes, art, and more using standard criteria. We investigated one important potential contaminant in such ubiquitous decisions: Evaluations become more positive when conducted later in a sequence. In four studies, (a) judges’ ratings of professional dance competitors rose across 20 seasons of a popular television series, (b) university professors gave higher grades when the same course was offered multiple times, and (c) in an experimental test of our hypotheses, evaluations of randomly ordered short stories became more positive over a 2-week sequence. As judges completed repeated evaluations, they experienced more fluent decision making, producing more positive judgments (Study 4 mediation). This seemingly simple bias has widespread and impactful consequences for evaluations of all kinds. We also report four supplementary studies to bolster our findings and address alternative explanations.

The article is here.

Friday, July 28, 2017

I attend, therefore I am

Carolyn Dicey Jennings
Aeon.com
Originally published July 10, 2017

Here is an excerpt:

Following such considerations, the philosopher Daniel Dennett proposed that the self is simply a ‘centre of narrative gravity’ – just as the centre of gravity in a physical object is not a part of that object, but a useful concept we use to understand the relationship between that object and its environment, the centre of narrative gravity in us is not a part of our bodies, a soul inside of us, but a useful concept we use to make sense of the relationship between our bodies, complete with their own goals and intentions, and our environment. So, you, you, are a construct, albeit a useful one. Or so goes Dennett’s thinking on the self.

And it isn’t just Dennett. The idea that there is a substantive self is passé. When cognitive scientists aim to provide an empirical account of the self, it is simply an account of our sense of self – why it is that we think we have a self. What we don’t find is an account of a self with independent powers, responsible for directing attention and resolving conflicts of will.

There are many reasons for this. One is that many scientists think that the evidence counts in favour of our experience in general being epiphenomenal – something that does not influence our brain, but is influenced by it. In this view, when you experience making a tough decision, for instance, that decision was already made by your brain, and your experience is mere shadow of that decision. So for the very situations in which we might think the self is most active – in resolving difficult decisions – everything is in fact already achieved by the brain.

The article is here.

Tuesday, March 8, 2016

How to Become the Smartest Group in the Room

Minds for Business
Association for Psychological Science
Originally published January 28, 2016

Here are two excerpts:

You’re a manager tasked with putting together a team to tackle a new project. What qualities do you look for in creating such a crack team?

Research from psychological scientists Anita Williams Woolley (Carnegie Mellon University), Ishani Aggarwal (Fundação Getulio Vargas), and Thomas Malone (Massachusetts Institute of Technology) finds that the smartest groups don’t necessarily have the highest IQs – rather, what they do tend to have are excellent social skills.

(cut)

Instead, their studies revealed that social skills were much better than IQ at predicting a group’s collective intelligence. Social perceptiveness was measured by people’s ability to judge others’ emotions based on pictures of their eyes. Groups with members who were highly socially attuned — that is, good at reading emotions — were more collectively intelligent than other groups.

The results suggest that social perceptiveness allows group members to communicate more effectively, ultimately allowing the group to capitalize on each member’s skills and experience.

The article is here.

Thursday, February 6, 2014

Science needs philosophy

The fad for using science to explain everything is misguided and dangerous

by Massimo Pigliucci
Rationalist Association
Originally posted July 19, 2012, and still relevant today.

Here is an excerpt:

The culprits are many and influential. Physicists Steven Weinberg, Stephen Hawking and Lawrence Krauss, along with biologist EO Wilson, dismiss philosophy (and much of the humanities) as a leftover from pre-scientific thought, to be replaced by the objective and empirical truth arrived at by modern science, especially fundamental physics. Never mind that, as Daniel Dennett aptly put it a while ago, there is no such thing as philosophy-free science, but only science whose philosophical baggage is taken on board unexamined.

And then there are the likes of Sam Harris, Jonathan Haidt, Alex Rosenberg and Jerry Coyne, who claim that science can provide answers to philosophical questions, and that moreover antiquated concepts like free will, consciousness and morality are just illusions, tricks played on us by our Pleistocene-evolved brains. We are not really in control of what we do and think, it’s all done automatically by an inner zombie whose actions were determined since the Big Bang. This despite the fact that serious neuroscientists like Michael Gazzaniga and Antonio Damasio are actually much more careful about what exactly their discipline brings to our understanding of the human mind.

The entire story is here.

Tuesday, January 21, 2014

The Closing of the Scientific Mind

By David Gelernter
Commentary
Originally published January 1, 2014

Here is an excerpt:

Many scientists are proud of having booted man off his throne at the center of the universe and reduced him to just one more creature—an especially annoying one—in the great intergalactic zoo. That is their right. But when scientists use this locker-room braggadocio to belittle the human viewpoint, to belittle human life and values and virtues and civilization and moral, spiritual, and religious discoveries, which is all we human beings possess or ever will, they have outrun their own empiricism. They are abusing their cultural standing. Science has become an international bully.

Nowhere is its bullying more outrageous than in its assault on the phenomenon known as subjectivity.

Your subjective, conscious experience is just as real as the tree outside your window or the photons striking your retina—even though you alone feel it. Many philosophers and scientists today tend to dismiss the subjective and focus wholly on an objective, third-person reality—a reality that would be just the same if men had no minds. They treat subjective reality as a footnote, or they ignore it, or they announce that, actually, it doesn’t even exist.

The entire article is here.