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 Storytelling. Show all posts
Showing posts with label Storytelling. Show all posts

Saturday, March 18, 2023

Black Bioethics in the Age of Black Lives Matter

Ray, K., Fletcher, F.E., Martschenko, D.O. et al. 
J Med Humanit (2023).
https://doi.org/10.1007/s10912-023-09783-4

Here are two excerpts:

Lessons Black Bioethics can take from BLM

BLM showed that telling Black people’s stories or giving them a space to tell their own stories is viewed as an inherently political act simply because Black people’s existence is viewed as political. At the same time, it taught us that we absolutely must take on this task because, if we do not tell our stories, other people will tell them for us and use our stories to deny us our rightful moral status and all the rights it entitles us.

BLM let Black people’s stories fuel its social justice initiatives. It used stories to put Black people at the forefront of protests and social inclusion efforts to show the extent to which Black people had been excluded from our collective social consciousness. Stories allowed us to see the total impact of anti-Black racism and the ways it infiltrates all parts of Black life. And for those who were far removed from the experience of being Black, BLM used stories to make us care about racial injustice and be so moved that we were unable to turn our backs on Black people’s suffering. In this way, stories are an act of rebellion, a way to force people to reckon with BLM’s demands that Black people ought to be treated like the full and complex human beings we are.

Black Bioethics is also a rebellion. It is a rebellion against the status quo in bioethics—a rebellion against Black people’s lives being an afterthought, particularly in issues of justice. Stories aid in this rebellion. Just as stories helped BLM show the full range of Black people’s humanity and the ways that individuals and institutions deny Black people that humanity, stories help Black Bioethics demonstrate just how our institutions contribute to Black people’s poor health and prevent them from living full lives. In Black Bioethics, stories can create the same emotional stirring that they did for BLM supporters since they share many of the same challenges and goals. And just as it would be imprudent to underestimate the role of stories in social justice, it would be imprudent of us to underestimate what stories can do for our sense of health justice for Black people.

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Toward an intersectional bioethics

Bioethics is well-positioned to foster antiracism in scholarship, training, and advocacy (Danis et al. 2016). Although the field focuses on ethical issues in biomedical research and clinical care specifically, Danis et al. (2016) point out that many ethical dilemmas that impact health and well-being lie outside of healthcare settings. For instance, there are significant ethical dilemmas posed by the social determinants of health and complex disease. Social factors such as poverty, unequal access to healthcare, lack of education, stigma, and racism are underlying and contributing factors to health inequalities. These inequalities, in turn, generate the ethical dilemmas that bioethics grapples with (Danis et al. 2016). If the field genuinely values the just conduct of biomedical research and the just provision of clinical care, then it will need to draw upon intersectionality to understand and effectively analyze the many interlocking complexities in our world and in human experiences. Social activist movements like BLM and their use of intersectionality offer several lessons to those in the field working to secure justice in biomedicine, clinical care, and society.

First, as an analytic tool, intersectionality recognizes and understands that different social forces conjoin to produce and maintain privilege and marginalization. Therefore, intersectionality clarifies instances in which real lives and experiences are being erased. Bioethics cannot afford to “neglect entire ways of being in the world,” though it has and continues to do so (Wallace 2022, S79). Social activist movements like BLM are drawing attention to ways of being that are unjust yet largely ignored by mainstream hegemonic interests. For instance, BLM directly acknowledges within its movement “those who have been marginalized within [other] Black liberation movements” (Black Lives Matter n.d.). Using intersectionality, BLM heightens awareness of the ways in which Black queer and trans individuals, undocumented individuals, and people with disabilities have different experiences with White supremacy and advance colonialism. In doing so, it centers rather than erases real lives and experiences. Learning from this movement, bioethical scholarship grounded in the principle of justice will need to find ways to center the experiences of Black-identifying individuals without treating the Black community as a homogenous entity.

Thursday, January 18, 2018

Cooperation and the evolution of hunter-gatherer storytelling

Daniel Smith and others
Nature Communications, 8: 1853
doi: 10.1038/s41467-017-02036-8

Storytelling is a human universal. From gathering around the camp-fire telling tales of ancestors to watching the latest television box-set, humans are inveterate producers and consumers of stories. Despite its ubiquity, little attention has been given to understanding the function and evolution of storytelling. Here we explore the impact of storytelling on hunter gatherer cooperative behaviour and the individual-level fitness benefits to being a skilled storyteller. Stories told by the Agta, a Filipino hunter-gatherer population, convey messages relevant to coordinating behaviour in a foraging ecology, such as cooperation, sex equality and egalitarianism. These themes are present in narratives from other foraging societies. We also show that the presence of good storytellers is associated with increased cooperation. In return, skilled storytellers are preferred social partners and have greater reproductive success, providing a pathway by which group-beneficial behaviours, such as storytelling, can evolve via individual-level selection. We conclude that one of the adaptive functions of storytelling among hunter gatherers may be to organise cooperation.

The article is here.

Implications for psychotherapy and couples counseling.

Wednesday, December 27, 2017

The Desirability of Storytellers

Ed Young
The Atlantic
Originally posted December 5, 2017

Here are several excerpts:

Storytelling is a universal human trait. It emerges spontaneously in childhood, and exists in all cultures thus far studied. It’s also ancient: Some specific stories have roots that stretch back for around 6,000 years. As I’ve written before, these tales aren’t quite as old as time, but perhaps as old as wheels and writing. Because of its antiquity and ubiquity, some scholars have portrayed storytelling as an important human adaptation—and that’s certainly how Migliano sees it. Among the Agta, her team found evidence that stories—and the very act of storytelling—arose partly as a way of cementing social bonds, and instilling an ethic of cooperation.

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In fact, the Agta seemed to value storytelling above all else. Good storytellers were twice as likely to be named as ideal living companions as more pedestrian tale spinners, and storytelling acumen mattered far more all the other skills. “It was highly valued, twice as much as being a good hunter,” says Migliano. “We were puzzled.”

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Skilled Agta storytellers are more likely to receive gifts, and they’re not only more desirable as living companions—but also as mates. On average, they have 0.5 more children than their peers. That’s a crucial result. Stories might help to knit communities together, but evolution doesn’t operate for the good of the group. If storytelling is truly an adaptation, as Migliano suggests, it has to benefit individuals who are good at it—and it clearly does.

“It’s often said that telling stories, and other cultural practices such as singing and dancing, help group cooperation, but real-world tests of this idea are not common,” says Michael Chwe, a political scientist at the University of California, Los Angeles, who studies human cooperation. “The team’s attempt to do this is admirable.”

The article is here.

Friday, August 14, 2015

What explains the rise of humans?

Yuval Noah Harari
Ted Talk
Posted on June 20, 2015


Seventy thousand years ago, our human ancestors were insignificant animals, just minding their own business in a corner of Africa with all the other animals. But now, few would disagree that humans dominate planet Earth; we've spread to every continent, and our actions determine the fate of other animals (and possibly Earth itself). How did we get from there to here? Historian Yuval Noah Harari suggests a surprising reason for the rise of humanity.