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

Saturday, August 31, 2013

Where Does Morality Come From?

By John Corvino
Published on Mar 27, 2013

Is it possible to have a foundation for moral beliefs without appealing to Scripture? John Corvino argues that it is, making a plea for humility from all parties in the debate. At the same time, he challenges his fellow liberals to reject the claim that "morality is a private matter."



Telepsychology Guidelines: The American Psychological Association


Friday, August 30, 2013

Meritocracy or Bias?

By Scott Jaschik
Inside Higher Education
Originally posted August 13, 2013

Critics of affirmative action generally argue that the country would be better off with a meritocracy, typically defined as an admissions system where high school grades and standardized test scores are the key factors, applied in the same way to applicants of all races and ethnicities.

But what if they think they favor meritocracy but at some level actually have a flexible definition, depending on which groups would be helped by certain policies? Frank L. Samson, assistant professor of sociology at the University of Miami, thinks his new research findings suggest that the definition of meritocracy used by white people is far more fluid than many would admit, and that this fluidity results in white people favoring certain policies (and groups) over others.

Specifically, he found, in a survey of white California adults, they generally favor admissions policies that place a high priority on high school grade-point averages and standardized test scores. But when these white people are focused on the success of Asian-American students, their views change.

The entire story is here.

Is psychology a “real” science? Does it really matter?

By Ashutosh Jogalekar
Scientific American Blog
August 13, 2013

Fellow Scientific American blogger Melanie Tannenbaum is flustered by allegations that psychology is not a science and I can see where she is coming from. In this case the stimulus was a piece by Alex Berezow, a microbiologist, who in a short and provocative piece in the LA times argued the case that psychology is not a real science. I think he’s right. I also think that he misses the point.

Berezow’s definition of science is not off the mark, but it’s also incomplete and too narrow. Criticism of psychology’s lack of rigor is not new; people have been arguing about wishy-washy speculations in fields like evolutionary psychology and the limitations of fMRI scans for years. The problem is only compounded by any number of gee-whiz popular science books purporting to use evolutionary and other kinds of “psychology” to explain human behavior. Neither is the field’s image bolstered by high-profile controversies and sloppy studies which can’t be replicated. But it’s hardly fair to kill the message for lack of a suitable messenger. The same criticism has also been leveled at other social sciences including economics and sociology and yet the debate in economics does not seem to be as rancorous as that in psychology. At the heart of Berezow’s argument is psychology’s lack of quantifiability and dearth of accurate terminology. He points out research in fields like happiness where definitions are neither rigid nor objective and data is not quantifiable.

The entire blog is here.

Thursday, August 29, 2013

A proposal to classify happiness as a psychiatric disorder

By Richard P Bentall
Journal of medical ethics, 1992, 18, 94-98

Abstract

It is proposed that happiness be classified as a psychiatric disorder and be included in future editions of the major diagnostic manuals under the new name: major affective disorder, pleasant type. In a review of the relevant literature it is shown that happiness is statistically abnormal, consists of a discrete cluster of symptoms, is associated with a range of cognitive abnormalities, and probably reflects the abnormal functioning of the central nervous system. One possible objection to this proposal remains - that happiness is not negatively valued.  However, this objection is dismissed as scientifically irrelevant.

The entire article is here.

More U.S. Children Being Diagnosed With Youthful Tendency Disorder

The Onion
(In light of all the issues related to diagnoses, this is psychology humor)

Nicholas and Beverly Serna's daughter Caitlin was only four years old, but they already knew there was a problem.

Day after day, upon arriving home from preschool, Caitlin would retreat into a bizarre fantasy world. Sometimes, she would pretend to be people and things she was not. Other times, without warning, she would burst into nonsensical song. Some days she would run directionless through the backyard of the Sernas' comfortable Redlands home, laughing and shrieking as she chased imaginary objects.

When months of sessions with a local psychologist failed to yield an answer, Nicholas and Beverly took Caitlin to a prominent Los Angeles pediatric neurologist for more exhaustive testing. Finally, on Sept. 11, the Sernas received the heartbreaking news: Caitlin was among a growing legion of U.S. children suffering from Youthful Tendency Disorder.

"As horrible as the diagnosis was, it was a relief to finally know," said Beverly. "At least we knew we weren't bad parents. We simply had a child who was born with a medical disorder."

Youthful Tendency Disorder (YTD), a poorly understood neurological condition that afflicts an estimated 20 million U.S. children, is characterized by a variety of senseless, unproductive physical and mental exercises, often lasting hours at a time. In the thrall of YTD, sufferers run, jump, climb, twirl, shout, dance, do cartwheels, and enter unreal, unexplainable states of "make-believe."

The rest of the article is here.

Wednesday, August 28, 2013

A Glut of Antidepressants

By RONI CARYN RABIN
The New York Times
Originally published August 12, 2013

Over the past two decades, the use of antidepressants has skyrocketed. One in 10 Americans now takes an antidepressant medication; among women in their 40s and 50s, the figure is one in four.

Experts have offered numerous reasons. Depression is common, and economic struggles have added to our stress and anxiety. Television ads promote antidepressants, and insurance plans usually cover them, even while limiting talk therapy. But a recent study suggests another explanation: that the condition is being overdiagnosed on a remarkable scale.

(cut)

Elderly patients were most likely to be misdiagnosed, the latest study found. Six out of seven patients age 65 and older who had been given a diagnosis of depression did not fit the criteria. More educated patients and those in poor health were less likely to receive an inaccurate diagnosis.

The entire article is here.

When Philosophy Meets Psychiatry

By D. D. Guttenplan
The New York Times
Originally published August 11, 2013

Here is an excerpt:

“We started out as a reading group for trainee psychiatrists,” said Gareth S. Owen, a researcher at the Institute of Psychiatry who co-founded the group in 2002. “Then, gradually, we developed and started inviting philosophers — at first it was quite low key. We would talk about our clinical experiences and then they would relate those experiences to their way of thinking.”

Robert Harland, another co-founder of the group, said he had known Dr. Owen since they “cut up a corpse together at medical school.”

“The analytic philosophers brought a real clarity to our discussions,” Dr. Harland said. “We were looking at various models to help us understand what we were doing as psychiatrists.

“There is lots of applied science now in psychiatry: neuroimaging, genetics, epidemiology. But they don’t have much to say about sitting with a patient and trying to understand that person’s experiences.”

The entire story is here.

Tuesday, August 27, 2013

U.S. Probes Use of Antipsychotic Drugs on Children

By LUCETTE LAGNADO
The Wall Street Journal
Originally published August 12, 2013

Federal health officials have launched a probe into the use of antipsychotic drugs on children in the Medicaid system, amid concern that the medications are being prescribed too often to treat behavioral problems in the very young.

The inspector general's office at Department of Health and Human Services says it recently began a review of antipsychotic-drug use by Medicaid recipients age 17 and under. And various agencies within HHS are requiring officials in all 50 states to tighten oversight of prescriptions for such drugs to Medicaid-eligible young people.

The effort applies to a newer class of antipsychotic drugs known as "atypicals," which include Abilify, the nation's No. 1 prescription drug by sales. The drugs were originally developed to treat psychoses such as schizophrenia, but some now have Food and Drug Administration approval for treatment of children with conditions such as bipolar disorder and irritability associated with autism.

The entire story is here.