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 Parenting. Show all posts
Showing posts with label Parenting. Show all posts

Thursday, February 3, 2022

Neural computations in children’s third-party interventions are modulated by their parents’ moral values

Kim, M., Decety, J., Wu, L. et al.
npj Sci. Learn. 6, 38 (2021). 
https://doi.org/10.1038/s41539-021-00116-5

Abstract

One means by which humans maintain social cooperation is through intervention in third-party transgressions, a behaviour observable from the early years of development. While it has been argued that pre-school age children’s intervention behaviour is driven by normative understandings, there is scepticism regarding this claim. There is also little consensus regarding the underlying mechanisms and motives that initially drive intervention behaviours in pre-school children. To elucidate the neural computations of moral norm violation associated with young children’s intervention into third-party transgression, forty-seven preschoolers (average age 53.92 months) participated in a study comprising of electroencephalographic (EEG) measurements, a live interaction experiment, and a parent survey about moral values. This study provides data indicating that early implicit evaluations, rather than late deliberative processes, are implicated in a child’s spontaneous intervention into third-party harm. Moreover, our findings suggest that parents’ values about justice influence their children’s early neural responses to third-party harm and their overt costly intervention behaviour.

From the Discussion

Our study further provides evidence that children, as young as 3 years of age, can enact costly third-party intervention by protesting and reporting. Previous research has shown that young children from age 3 enact third-party punishment to transgressors shown in video or puppets9,10. In the present study, in the context of real-life transgression experiment, even the youngest participant (41 months old) engaged in costly intervention, by hinting disapproval to the adult transgressor (why are you doing that?) and subsequently reporting the damage when being prompted. During the experiment, confounding factors such as a sense of ‘responsibility’, were avoided by keeping the person playing the ‘research assistant’ role out of the room when the transgression occurred. Furthermore, when leaving the room, the ‘research assistant’ did not assign the children any special role to police or monitor the actions of the ‘visitor’ (who would transgress). Moreover, the transgressor was not an acquaintance of the child, and the book was said to belong to a university (not a child’s school nor researchers), hence giving little sense of in-group/out-group membership11,60. Also, the participating children would likely attribute ‘power’ and ‘authority’ to the visitor/transgressor, as an adult26. Nevertheless, in the real-life experimental context, 34.8% of children explicitly protested to the adult wrong-doer.

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It should be emphasized that parent’s cognitive empathy was not implicated in the child’s neural computations of moral norms or their spontaneous intervention behaviour. However, parents’ cognitive empathy had a positive correlation with a child’s effortful control and their subsequent report behaviour. This distinct contribution made by two different dispositions (cognitive empathy and justice sensitivity) suggests that parenting strategies necessary to enhance a child’s moral development require both aspects: perspective-taking and understanding of moral values. 

Tuesday, October 16, 2018

Nudge or Grudge? Choice Architecture and Parental Decision‐Making

Jennifer Blumenthal‐Barby and Douglas J. Opel
The Hastings Center Report
Originally published March 28, 2018

Abstract

Richard Thaler and Cass Sunstein define a nudge as “any aspect of the choice architecture that alters people's behavior in a predictable way without forbidding any options or significantly changing their economic incentives.” Much has been written about the ethics of nudging competent adult patients. Less has been written about the ethics of nudging surrogates’ decision‐making and how the ethical considerations and arguments in that context might differ. Even less has been written about nudging surrogate decision‐making in the context of pediatrics, despite fundamental differences that exist between the pediatric and adult contexts. Yet, as the field of behavioral economics matures and its insights become more established and well‐known, nudges will become more crafted, sophisticated, intentional, and targeted. Thus, the time is now for reflection and ethical analysis regarding the appropriateness of nudges in pediatrics.

We argue that there is an even stronger ethical justification for nudging in parental decision‐making than with competent adult patients deciding for themselves. We give three main reasons in support of this: (1) child patients do not have autonomy that can be violated (a concern with some nudges), and nudging need not violate parental decision‐making authority; (2) nudging can help fulfill pediatric clinicians’ obligations to ensure parental decisions are in the child's interests, particularly in contexts where there is high certainty that a recommended intervention is low risk and of high benefit; and (3) nudging can relieve parents’ decisional burden regarding what is best for their child, particularly with decisions that have implications for public health.

The info is here.

Monday, October 16, 2017

No Child Left Alone: Moral Judgments about Parents Affect Estimates of Risk to Children

Thomas, A. J., Stanford, P. K., & Sarnecka, B. W. (2016).
Collabra, 2(1), 10.

Abstract

In recent decades, Americans have adopted a parenting norm in which every child is expected to be under constant direct adult supervision. Parents who violate this norm by allowing their children to be alone, even for short periods of time, often face harsh criticism and even legal action. This is true despite the fact that children are much more likely to be hurt, for example, in car accidents. Why then do bystanders call 911 when they see children playing in parks, but not when they see children riding in cars? Here, we present results from six studies indicating that moral judgments play a role: The less morally acceptable a parent’s reason for leaving a child alone, the more danger people think the child is in. This suggests that people’s estimates of danger to unsupervised children are affected by an intuition that parents who leave their children alone have done something morally wrong.

Here is part of the discussion:

The most important conclusion we draw from this set of experiments is the following: People don’t only think that leaving children alone is dangerous and therefore immoral. They also think it is immoral and therefore dangerous. That is, people overestimate the actual danger to children who are left alone by their parents, in order to better support or justify their moral condemnation of parents who do so.

This brings us back to our opening question: How can we explain the recent hysteria about unsupervised children, often wildly out of proportion to the actual risks posed by the situation? Our findings suggest that once a moralized norm of ‘No child left alone’ was generated, people began to feel morally outraged by parents who violated that norm. The need (or opportunity) to better support or justify this outrage then elevated people’s estimates of the actual dangers faced by children. These elevated risk estimates, in turn, may have led to even stronger moral condemnation of parents and so on, in a self-reinforcing feedback loop.

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, September 17, 2015

Parenthood, the Great Moral Gamble

By Claire Creffield
Nautilus
Originally published August 20, 2015

Here is an excerpt:

This moral vulnerability to luck is pervasive, because nothing at all that we do as parents is fully under our control. Some people, for instance, have to do their parenting in very challenging circumstances. The parent of a child of difficult temperament, in a country whose gun laws make it easy for the mentally ill to obtain lethal weapons, is more likely than another parent to find him or herself morally implicated in murder. The essay “I Am Adam Lanza’s Mother” drew an enormous readership online and gave voice to the anxiety felt by parents who fear their emotionally troubled kids could become violent.

We are also vulnerable to chance in our own personalities—the good and bad traits we happen to possess, which of course affects our parenting. We have only a limited control over our characters; for some people, being a dedicated, attentive, engaged parent is just easier. That doesn’t make it wrong to praise them. It means that they are lucky enough to earn praise for good actions that come naturally to them. Others are unlucky enough to be blamed for deficits they did not choose. Of course, we can do battle with our shortcomings, and we can admire people who are good despite themselves, by a constant effort of will. But even this effort of will is something that some people are lucky enough to find easier than others. When it comes to our guilt or innocence as parents, we are at the mercy of chance.

The entire article is here.

Tuesday, February 3, 2015

How to get kids to tell the truth? It's not all about carrot or stick

By Dan Jones
Research Digest Blog
Originally published January 15, 2015

All parents have to come to terms with the fact that their little angels will, from time to time, act like little devils. They’ll throw tantrums over trivial issues, or they’ll push, hit, bite or scratch other kids. And at some point they’ll start lying about what they’ve done.

Lying is perfectly normal among children, not a sign of a sociopath in the making. Many kids start telling the odd fib around their second birthday, and by the time they’re 4 or 5 they’re even better at the art of manipulating the truth, and keeping it from us. So how can parents help their kids internalise the lesson that honesty is the best — or at least the socially preferred — policy?

The entire blog post is here.

Friday, December 19, 2014

The effects of punishment and appeals for honesty on children’s truth-telling behavior

By Victoria Talwar,  Cindy Arruda, Sarah Yachison
Journal of Experimental Child Psychology
Volume 130, February 2015, Pages 209–217

Abstract

This study examined the effectiveness of two types of verbal appeals (external and internal motivators) and expected punishment in 372 children’s (4- to 8-year-olds) truth-telling behavior about a transgression. External appeals to tell the truth emphasized social approval by stating that the experimenter would be happy if the children told the truth. Internal appeals to tell the truth emphasized internal standards of behavior by stating that the children would be happy with themselves if they told the truth. Results indicate that with age children are more likely to lie and maintain their lie during follow-up questioning. Overall, children in the External Appeal conditions told the truth significantly more compared with children in the No Appeal conditions. Children who heard internal appeals with no expected punishment were significantly less likely to lie compared with children who heard internal appeals when there was expected punishment. The results have important implications regarding the impact of socialization on children’s honesty and promoting children’s veracity in applied situations where children’s honesty is critical.

Highlights

• The effectiveness of verbal appeals and punishment on children’s honesty was examined.
• External appeals emphasized the importance of truth-telling for social approval.
• Internal appeals emphasized internal standards of behavior.
• Overall children in the external appeal conditions were least likely to lie.
• The efficacy of internal appeals was attenuated by expected punishment.

The entire article is here.

Saturday, November 29, 2014

Is parenthood morally respectable?

By Thomas Rodham Wells
The Philosopher's Beard
Originally published November 5, 2014

Parents' private choices to procreate impose public costs without public accountability. Society is presented with expensive obligations to ensure every child a decent quality of life and their development into successful adults and citizens, and that means massive tax-subsidies for their health, education, parental income, and so forth. In addition, children have a demographic impact on public goods like the environment which creates additional costs for society and perhaps humanity as a whole.

So, is parenthood an irresponsible and selfish lifestyle choice?

The entire article is here.

Tuesday, October 28, 2014

Punishment or Child Abuse?

By Michael Eric Dyson
New York Times - Opinion pages
September 17, 2014

THE indictment last week of the N.F.L. player Adrian Peterson by a Texas grand jury for reckless or negligent injury to a child has set into relief the harmful disciplinary practices of some black families. Mr. Peterson used a “switch,” a slim, leafless tree branch, to beat his 4-year-old son, raising welts on the youngster’s legs, buttocks and scrotum. This is child abuse dressed up as acceptable punishment.

While 70 percent of Americans approve of corporal punishment, black Americans have a distinct history with the subject. Beating children has been a depressingly familiar habit in black families since our arrival in the New World. As the black psychiatrists William H. Grier and Price M. Cobbs wrote in “Black Rage,” their 1968 examination of psychological black life: “Beating in child-rearing actually has its psychological roots in slavery and even yet black parents will feel that, just as they have suffered beatings as children, so it is right that their children be so treated.”

The entire article is here.

Wednesday, August 6, 2014

What a Plagiarizing 12-Year-Old Has in Common With a U.S. Senator

Parents beware: Children who don't take ownership for their mistakes may grow up to be adults who create public scandals.

By Jessica Lahey
The Atlantic
Originally posted July 24, 2014

Here is an excerpt:

When Lauren told NPR that she was the first to suggest that scientists look in rivers for evidence of lionfish, she was not being honest. Worst-case scenario, she knowingly told a lie, but even if she simply misspoke, she made a mistake. That’s what children do, and when they do, the adults in their lives are tasked with turning those mistakes into learning experiences. One can only hope that in a private conversation after that NPR interview, Lauren’s father had pointed out that, actually, the original idea for her “finding” had come from another scientist, one he’d known professionally, and that maybe they should mention Jud’s work in her next interview. However, as Lauren went on to perpetuate falsehoods in subsequent interviews, the adults in Lauren’s life seem to have fallen down on their job as teachers and role models.

The entire article is here.

Tuesday, April 29, 2014

Raising a Moral Child

By Adam Grant
The New York Times - Opinion
Originally posted April 11, 2014

Here is an excerpt:

By age 2, children experience some moral emotions — feelings triggered by right and wrong. To reinforce caring as the right behavior, research indicates, praise is more effective than rewards. Rewards run the risk of leading children to be kind only when a carrot is offered, whereas praise communicates that sharing is intrinsically worthwhile for its own sake. But what kind of praise should we give when our children show early signs of generosity?

Many parents believe it’s important to compliment the behavior, not the child — that way, the child learns to repeat the behavior. Indeed, I know one couple who are careful to say, “That was such a helpful thing to do,” instead of, “You’re a helpful person.”

The entire article is here.

Saturday, June 29, 2013

Book raises alarms about alternative medicine

Liz Szabo
USA TODAY
Originally posted June 28, 2013

Doctors diagnosed her with acute pancreatitis, in which pancreatic enzymes begin digesting not just food, but the pancreas itself.

The most likely cause of the girl's condition: toxic side effects from more than 80 dietary supplements, which the girl's mother carried in a shopping bag, says Sarah Erush, clinical pharmacy manager at Children's Hospital of Philadelphia, where the girl was treated last summer.

The girl's mother had been treating her with the supplements and other therapies for four years to treat the girl's "chronic Lyme disease," a condition that, experts say, doesn't actually exist. While some Lyme infections cause pain and other lingering symptoms, the infections don't persist for years. And, according to the Infectious Disease Society of America, the infections don't require years of antibiotics or other risky therapies given by some alternative medicine practitioners.

Doctors were able to control the girl's illness with standard therapies, Erush says, and she was discharged from the hospital after two weeks.

Although the child's story was unforgettable, Erush says, it wasn't unusual. Parents now "routinely" bring children to her hospital with a variety of alternative remedies, hoping that nurses will administer them during a child's stay.

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Arthur Caplan, the director of medical ethics at NYU Langone Medical Center in New York, says alternative healers satisfy patients' needs for more personal attention.

"Medicine does a very poor job of addressing the emotional, spiritual and even psychological side of things," Caplan says. "When you are not good at doing important things, other people rush into that vacuum."

Yet people who put their faith in alternative healers and supplements may be putting themselves at risk, Caplan says.

The alternative therapy industry capitalizes on a number of common sentiments, Offit says, from a naïve belief in the safety of all things natural to distrust of government regulation.

The entire story is here.

Thursday, June 6, 2013

City Seeking to Diversify Foster System

By Mara Gay
The Wall Street Journal
Originally posted on June 2, 2013

New York City is launching a campaign to recruit gay and lesbian foster parents, part of a major push to expand the kinds of families who consider fostering and to find more welcoming homes for children who identify as lesbian, gay, bisexual, transgender or queer.

The public ad campaign, set to roll out this week, features images of an interracial gay couple spending time with a young child. "Be the reason she has hope," one of the ads reads. In another, a black woman is pictured alone with a white teenage boy. "Be the reason it gets better," the message says.

How many of the nearly 13,000 children in New York City's foster-care system identify as LGBTQ is unclear because the city does not keep such data. But, citing anecdotal evidence, researchers, child advocates and city officials insist that the children are disproportionately represented in the foster care system and say the need to find them supportive homes is great.

"When we decided to do this campaign we knew that LGBTQ young people are disproportionately represented in our foster care population, especially among our teens," said Ronald Richter, commissioner of the Administration for Children's Services, the city's child welfare agency.

Mr. Richter, citing a study the city commissioned last year, said the data show that adults who identify as LGBTQ are more likely to want to foster a child who may also identify that way.

The entire story is here.

Sunday, March 31, 2013

Leading pediatricians' group backs same-sex marriage

CBS/AP
Originally posted on March 21, 2013

The nation's most influential pediatrician's group has endorsed same-sex marriage, saying a stable relationship between parents regardless of sexual orientation contributes to a child's health and well-being.

The new policy of the American Academy of Pediatrics, published online Thursday, cites research showing that the parents' sexual orientation has no effect on a child's development. Kids fare just as well in same-sex or straight families when they are nurturing and financially and emotionally stable, the academy says.

Separately, a new national survey shows the nation's views on same-sex marriage are more favorable -- in large part because of a shift in attitudes among those who know someone who is gay or became more accepting as they got older of gays and lesbians.

The Pew Research Center poll also finds that a large group of younger adults who tend to be more open to gay rights is driving the numbers upward.

The entire article is here.

Sunday, June 17, 2012

Same-sex couples raising children on the rise

By Elaine Quijano
CBS Evening News
Originally published June 16, 2012

On this Father's Day Eve, we take notice of a sea change. The Census Bureau estimates that the percentage of same-sex couples raising children has more than doubled in just 10 years, from 8 percent in 2000, to 19 percent in 2010. We visit one of the couples behind the numbers.

As a same-sex couple, Sean McGill and Luigi Caiola say they never contemplated fatherhood.

"We never imagined or never thought that children would be an option for us," said McGill.

But after almost 10 years together, they were drawn to the idea of parenting.




The entire story is here.