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 Family. Show all posts
Showing posts with label Family. Show all posts

Thursday, May 6, 2021

A chip off the (im)moral block? Lay beliefs about genetic heritability predicts whether family members’ actions affect self-judgments

Peetz, J., Wohl, M. J. A., Wilson, A. E., 
& Dawson, A. 
(2021, March 18).
https://doi.org/10.31234/osf.io/nfk9e

Abstract

The idea of heritability may have consequences for individuals’ sense of self by connecting identity to the actions of others who happen to share genetic ties. Across seven experimental studies (total N=2,628), recalling morally bad or good actions by family members influenced individuals’ moral self among those who endorse a lay belief that moral character is genetically heritable, but not among those who did not endorse this belief (Study 1-5). In contrast, recalling actions by unrelated individuals had no effect, regardless of lay beliefs (Study 2, 5), the endorsement of other relevant lay beliefs did not moderate the effect of parent’s actions on self-judgments (Study 3). Individuals who endorsed heritability beliefs also chose less helpful responses to hypothetical helping scenarios if they had recalled unhelpful (vs. helpful) acts by a genetically-related family member (Study 5). Taken together, these studies suggest that lay beliefs in the role of genetics are important for self-perceptions.

General Discussion 

In the present research, we examined whether a person’s convictions about their own moral character might be shaped, in part, by the actions of others. Across seven studies, we found evidence that past actions by genetically related family members, and specifically parents, can influence an individual’s sense of moral self –but only if that individual believes that the critical aspect of the self (in our studies, moral character) is genetically inherited (Study 1-5). Past actions by genetically unrelated individuals such as friends or strangers (Study 2), and unrelated family members (Study 5) did not affect participants’ moral self-judgment in the same way, and other lay beliefs(i.e., socialization and the malleability of morality) did not moderate the influence of parents’ actions in the same way (Study 3).

Theoretical Contributions

Self and Identity

This research helps disentangle some of the questions about whether and when other people’s action may influence individuals’ self-concept.  Although the existing literature has demonstrated that the actions of others can indeed have an impact on the self (e.g., people may feel threatened, embarrassed, proud or guilty when reminded of the actions of others and may sometimes believe they will be judged on the basis of others’ actions), past work has not focused on how actions of others might affect self-concept. Further, prior research in this vein has not typically systematically considered whether the effects of others’ actions on the self is the result of that relation being chosen (i.e., friendship), being due to group membership, or being due to genetics(i.e., family). We extend past knowledge in this field by examining whether people’s beliefs about genetic heritability can determine the degree to which family members’ actions predict one’s own self-judgments.   

Monday, May 11, 2020

Why some nurses have quit during the coronavirus pandemic

Safia Samee Ali
nbcnews.com
Originally posted 10 May 20

Here is an excerpt:

“It was an extremely difficult decision, but as a mother and wife, the health of my family will always come first. In the end, I could not accept that I could be responsible for causing one of my family members to become severely ill or possibly die.”

As COVID-19 has infected more than one million Americans, nurses working on the front lines of the pandemic with little protective support have made the gut-wrenching decision to step away from their jobs, saying they were ill-equipped and unable to fight the disease and feared not only for their own safety but also for that of their families.

Many of these nurses, who have faced backlash for quitting, say new CDC protocols have made them feel expendable and have not kept their safety in mind, leaving them no choice but to walk away from a job they loved.

'We're not cannon fodder, we’re human beings'

As the nation took stock of its dwindling medical supplies in the early days of the pandemic, CDC guidance regarding personal protective equipment quickly took a back seat.

N95 masks, which had previously been the acceptable standard of protective care for both patients and medical personnel, were depleting so commercial grade masks, surgical masks, and in the most extreme cases homemade masks such as scarves and bandanas were all sanctioned by the CDC -- which did not return a request for comment -- to counter the lacking resources.

The info is here.

Tuesday, September 11, 2018

Against mourning

Brian Earp
aeon.com
Originally posted August 21, 2018

Here is an excerpt:

That is what is so different about their intuitions and ours. To put it simply, if you are not a Stoic philosopher – if you have not been training yourself, year in and year out, to calmly face life’s vagaries and inescapables – and you feel no hint of sadness when your child, or spouse, or family member dies, then there probably is something wrong with you. You probably have failed to love or cherish that person appropriately or sufficiently while they were alive, and that would be a mark against you.

You might have been cruel and uncaring, for instance, or emotionally distant, or otherwise aloof. For had you not been those things, you would certainly grieve. This, in turn, can explain why the Stoics were (and are) often thought to be so callous – as though they must have advocated such detachment from one’s kith and kin in order to pre-empt any associated suffering.

However, nothing could be further from the truth. As Epictetus instructs, one should not ‘be unfeeling like a statue’ but rather maintain one’s relations, ‘both natural and acquired, as a pious man, a son, a brother, a father, a citizen’. He also repeatedly emphasises that we are social animals, for whom parental and other forms of love come naturally. ‘Even Epicurus,’ he says, derisively, about a philosopher from a competing school, ‘knows that if once a child is born, it will no longer be in our power not to love it or care for it.’

But is it not part of loving one’s child to feel at least some grief when it suffers or dies (you might ask)? Surely feeling no grief would itself be contrary to Nature! For just as virtue cannot exist without wrongdoing, as some Stoics held, so too might the prospect of grief be in some way bound up in love, so that you cannot have one without the other.

The info is here.

Thursday, November 9, 2017

You Don’t Find Your Purpose — You Build It

John Coleman
Harvard Business Review
Originally published October 20, 2017

Here are two excerpts:

In achieving professional purpose, most of us have to focus as much on making our work meaningful as in taking meaning from it. Put differently, purpose is a thing you build, not a thing you find. Almost any work can possess remarkable purpose. School bus drivers bear enormous responsibility — caring for and keeping safe dozens of children — and are an essential part of assuring our children receive the education they need and deserve. Nurses play an essential role not simply in treating people’s medical conditions but also in guiding them through some of life’s most difficult times. Cashiers can be a friendly, uplifting interaction in someone’s day — often desperately needed — or a forgettable or regrettable one. But in each of these instances, purpose is often primarily derived from focusing on what’s so meaningful and purposeful about the job and on doing it in such a way that that meaning is enhanced and takes center stage. Sure, some jobs more naturally lend themselves to senses of meaning, but many require at least some deliberate effort to invest them with the purpose we seek.

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Most of us will have multiple sources of purpose in our lives. For me, I find purpose in my children, my marriage, my faith, my writing, my work, and my community. For almost everyone, there’s no one thing we can find. It’s not purpose but purposes we are looking for — the multiple sources of meaning that help us find value in our work and lives. Professional commitments are only one component of this meaning, and often our work isn’t central to our purpose but a means to helping others, including our families and communities. Acknowledging these multiple sources of purpose takes the pressure off of finding a single thing to give our lives meaning.

The article is here.

Tuesday, September 19, 2017

Massive genetic study shows how humans are evolving

Bruno Martin
Nature
Originally published 06 September 2017

Here is an excerpt:

Why these late-acting mutations might lower a person’s genetic fitness — their ability to reproduce and spread their genes — remains an open question.

The authors suggest that for men, it could be that those who live longer can have more children, but this is unlikely to be the whole story. So scientists are considering two other explanations for why longevity is important. First, parents surviving into old age in good health can care for their children and grandchildren, increasing the later generations’ chances of surviving and reproducing. This is sometimes known as the ‘grandmother hypothesis’, and may explain why humans tend to live long after menopause.

Second, it’s possible that genetic variants that are explicitly bad in old age are also harmful — but more subtly — earlier in life. “You would need extremely large samples to see these small effects,” says Iain Mathieson, a population geneticist at the University of Pennsylvania in Philadelphia, so that’s why it’s not yet possible to tell whether this is the case.

The researchers also found that certain groups of genetic mutations, which individually would not have a measurable effect but together accounted for health threats, appeared less often in people who were expected to have long lifespans than in those who weren't. These included predispositions to asthma, high body mass index and high cholesterol. Most surprising, however, was the finding that sets of mutations that delay puberty and childbearing are more prevalent in long-lived people.

The article is here.

Note: This article is posted, in part, because evolution is not emphasized in the field of psychology. There are psychologists who believe that humans did not evolve in the way other plants and animals evolved.  I have argued in lectures and workshops that we humans are not in our final form.

Monday, May 2, 2016

Mental illness: Families cut out of care

Liz Szabo
USA TODAY
Originally posted April 14, 2016

Here is an excerpt:

The federal law, called the Health Insurance Portability and Accountability Act, or HIPAA, forbids health providers from disclosing a patient’s medical information without consent.

Unlike patients with physical conditions, people with serious mental illness often need help making decisions and taking care of themselves, because their illness impairs their judgement, says Jeffrey Lieberman,chairman of psychiatry at the Columbia University College of Physicians and Surgeons and director of the New York State Psychiatric Institute. In some cases, patients may not even realize they’re sick.

Excluding families can have a devastating impact on patients like these, Lieberman says.

Many health providers don’t understand what HIPAA actually allows them to say. As a result, they often shut families out, even in circumstances in which they’re legally allowed to share information, says Ron Manderscheid, executive director of the National Association of County Behavioral Health and Developmental Disability Directors.

The article is here.

Friday, February 12, 2016

Harm is all you need? Best interests and disputes about parental decision-making

by Giles Birchley
J Med Ethics 2016;42:111-115
doi:10.1136/medethics-2015-102893

Abstract

A growing number of bioethics papers endorse the harm threshold when judging whether to override parental decisions. Among other claims, these papers argue that the harm threshold is easily understood by lay and professional audiences and correctly conforms to societal expectations of parents in regard to their children. English law contains a harm threshold which mediates the use of the best interests test in cases where a child may be removed from her parents. Using Diekema's seminal paper as an example, this paper explores the proposed workings of the harm threshold. I use examples from the practical use of the harm threshold in English law to argue that the harm threshold is an inadequate answer to the indeterminacy of the best interests test. I detail two criticisms: First, the harm standard has evaluative overtones and judges are loath to employ it where parental behaviour is misguided but they wish to treat parents sympathetically. Thus, by focusing only on ‘substandard’ parenting, harm is problematic where the parental attempts to benefit their child are misguided or wrong, such as in disputes about withdrawal of medical treatment. Second, when harm is used in genuine dilemmas, court judgments offer different answers to similar cases. This level of indeterminacy suggests that, in practice, the operation of the harm threshold would be indistinguishable from best interests. Since indeterminacy appears to be the greatest problem in elucidating what is best, bioethicists should concentrate on discovering the values that inform best interests.

The article is here.

Thursday, February 11, 2016

‘Is this knowledge mine and nobody else's? I don't feel that.’

Patient views about consent, confidentiality and information-sharing in genetic medicine

Sandi Dheensa, Angela Fenwick, and Anneke Lucassen
J Med Ethics doi:10.1136/medethics-2015-102781

Abstract

In genetic medicine, a patient's diagnosis can mean their family members are also at risk, raising a question about how consent and confidentiality should function in clinical genetics. This question is particularly pressing when it is unclear whether a patient has shared information. Conventionally, healthcare professionals view confidentiality at an individual level and ‘disclosure without consent’ as the exception, not the rule. The relational joint account model, by contrast, conceptualises genetic information as confidential at the familial level and encourages professionals to take disclosure as the default position. In this study, we interviewed 33 patients about consent and confidentiality and analysed data thematically. Our first theme showed that although participants thought of certain aspects of genetic conditions—for example, the way they affect day-to-day health—as somewhat personal, they perceived genetic information—for example, the mutation in isolation—as familial. Most thought these elements were separable and thought family members had a right to know the latter, identifying a broad range of harms that would justify disclosure. Our second theme illustrated that participants nonetheless had some concerns about what, if any, implications there would be of professionals treating such information as familial and they emphasised the importance of being informed about the way their information would be shared. Based on these results, we recommend that professionals take disclosure as the default position, but make clear that they will treat genetic information as familial during initial consultations and address any concerns therein.

The article is here.

Wednesday, February 18, 2015

The neural pathways, development and functions of empathy

By Jean Decety
Current Opinion in Behavioral Sciences
Volume 3, June 2015, Pages 1–6

Highlights

• Empathy has evolved in the context of parental care and kinship relationships.
• Conserved neural circuits connecting brainstem, basal ganglia, insula and orbitofrontal cortex.
• It emerges early in life.
• Empathy is modulated by interpersonal and contextual factors.
• Empathy is flexible and can be promoted.

Abstract

Empathy reflects an innate ability to perceive and be sensitive to the emotional states of others coupled with a motivation to care for their wellbeing. It has evolved in the context of parental care for offspring as well as within kinship. Current work demonstrates that empathy is underpinned by circuits connecting the brainstem, amygdala, basal ganglia, anterior cingulate cortex, insula and orbitofrontal cortex, which are conserved across many species. Empirical studies document that empathetic reactions emerge early in life, and that they are not automatic. Rather they are heavily influenced and modulated by interpersonal and contextual factors, which impact behavior and cognitions. However, the mechanisms supporting empathy are also flexible and amenable to behavioral interventions that can promote caring beyond kin and kith.

The entire article is here.

Wednesday, February 4, 2015

How secular family values stack up

By Phil Zuckerman
The LA Times Op Ed
Originally posted January 15, 2015

More children are “growing up godless” than at any other time in our nation's history. They are the offspring of an expanding secular population that includes a relatively new and burgeoning category of Americans called the “Nones,” so nicknamed because they identified themselves as believing in “nothing in particular” in a 2012 study by the Pew Research Center.

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He was surprised by what he found: High levels of family solidarity and emotional closeness between parents and nonreligious youth, and strong ethical standards and moral values that had been clearly articulated as they were imparted to the next generation.

“Many nonreligious parents were more coherent and passionate about their ethical principles than some of the ‘religious' parents in our study,” Bengston told me. “The vast majority appeared to live goal-filled lives characterized by moral direction and sense of life having a purpose.”

The entire piece is here.