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

Tuesday, September 30, 2014

How Unethical Behavior Becomes Habit

by Francesca Gino, Lisa D. Ordóñez and David Welsh
Harvard Business Review Blog
Originally posted September 4, 2014

When a former client’s secretary was arrested for embezzlement years before his own crimes were uncovered, Bernie Madoff commented to his own secretary, “Well, you know what happens is, it starts out with you taking a little bit, maybe a few hundred, a few thousand. You get comfortable with that, and before you know it, it snowballs into something big.”

We now know that Madoff’s Ponzi scheme started when he engaged in misreporting to cover relatively small financial losses. Over a 15-year period, the scam grew steadily, eventually ballooning to $65 billion, even as regulators and investors failed to notice the warning signs.

The entire article is here.

E-Health Interventions for Suicide Prevention

Helen Christensen, Philip J. Batterham, and Bridianne O'Dea
Int. J. Environ. Res. Public Health 2014, 11(8), 8193-8212
doi:10.3390/ijerph110808193

Abstract: 

Many people at risk of suicide do not seek help before an attempt, and do not remain connected to health services following an attempt. E-health interventions are now being considered as a means to identify at-risk individuals, offer self-help through web interventions or to deliver proactive interventions in response to individuals’ posts on social media. In this article, we examine research studies which focus on these three aspects of suicide and the internet: the use of online screening for suicide, the effectiveness of e-health interventions aimed to manage suicidal thoughts, and newer studies which aim to proactively intervene when individuals at risk of suicide are identified by their social media postings. We conclude that online screening may have a role, although there is a need for additional robust controlled research to establish whether suicide screening can effectively reduce suicide-related outcomes, and in what settings online screening might be most effective. The effectiveness of Internet interventions may be increased if these interventions are designed to specifically target suicidal thoughts, rather than associated conditions such as depression. The evidence for the use of intervention practices using social media is possible, although validity, feasibility and implementation remains highly uncertain.

The entire research article is here.

Monday, September 29, 2014

Episode 16: Ethics and Telepsychology (Part 2)

John welcomes Dr. Marlene Maheu back for Part 2 of Ethics and Telepsychology.  The podcast starts out with a vignette on practicing psychology over state lines using telepsychology.  John and Marlene review important aspects of informed consent, privacy and security laws, documentation, and interstate practice.  Marlene gives a variety of tips, including the need to utilize a risk management tool for telepsychology practice, additional components of informed consent, and the need to document more information.

At the end of the podcast, the listener will be able to:

1. Explain two important interjurisdictional issues with telepsychology.
2. Described three important components of informed consent with telepsychology.
3. List one relevant security law and one relevant security law related to the practice of telepsychology.

Click here to earn one APA-approved CE credit


Or listen directly below



Resources for Episode 16



HIPAA Security Standards: Technical Safeguards

HIPAA Risk Assessment Tool: HHS & HealthIT.gov

Gros, D. F., Yoder, M., Tuerk, P. W., Lozano, B. E., & Acierno, R. (2011). Exposure therapy for PTSD delivered to veterans via telehealth: Predictors of treatment completion and outcome and comparison to treatment delivered in person. Behavior Therapy, 42, 276-283.
doi: 10.1016/j.beth.2010.07.005

Harris, E., & Younggren, J. N. (2011). Risk management in the digital world.
Professional Psychology: Research and Practice, 42, 412-418.
doi: 10.1037/a0025139

Sunday, September 28, 2014

Why Do Doctors Commit Suicide?

By Pranay Sinha
The New York Times
Originally posted September 4, 2014

The statistics on physician suicide are frightening: Physicians are more than twice as likely to kill themselves as nonphysicians (and female physicians three times more likely than their male counterparts). Some 400 doctors commit suicide every year. Young physicians at the beginning of their training are particularly vulnerable: In a recent study, 9.4 percent of fourth-year medical students and interns — as first-year residents are called — reported having suicidal thoughts in the previous two weeks.

The entire article is here.

Saturday, September 27, 2014

New Record Highs in Moral Acceptability

Premarital sex, embryonic stem cell research, euthanasia growing in acceptance

by Rebecca Riffkin
Gallup Politics
Originally posted on May 30, 2014

The American public has become more tolerant on a number of moral issues, including premarital sex, embryonic stem cell research, and euthanasia. On a list of 19 major moral issues of the day, Americans express levels of moral acceptance that are as high or higher than in the past on 12 of them, a group that also encompasses social mores such as polygamy, having a child out of wedlock, and divorce.





Friday, September 26, 2014

Did We Interpret the Milgram Study Incorrectly?

Famous Milgram 'electric shocks' experiment drew wrong conclusions about evil, say psychologists

By Adam Sherwin
The Independent
Originally published September 5, 2014

Here are two excerpts:

Now psychologists have found that the study, which showed how ordinary people will inflict extraordinary harm upon others, if someone in authority gives the orders, may have been completely misunderstood.

Instead of a latent capacity for evil, we just want to feel good about ourselves. And it is Professor Stanley Milgram’s skill as a “dramatist” which led us to believe otherwise.

(cut)

Far from being distressed by the experience, the researchers found that most volunteers said they were very happy to have participated.

Professor Haslam said: “It appears from this feedback that the main reason participants weren’t distressed is that they did not think they had done anything wrong.  This was largely due to Milgram’s ability to convince them that they had made an important contribution to science.”

The entire article is here.

Females ignored in basic medical research

By Erin White
Science Daily
Published August 28, 2014

A new study from Northwestern Medicine® has found that surgical researchers rarely use female animals or female cells in their published studies -- despite a huge body of evidence showing that sex differences can play a crucial role in medical research.

Editors of the five major surgical journals reviewed in this study have responded to this finding and will now require authors to state the sex of animals and cells used in their studies. If they use only one sex in their studies, they will be asked to justify why.

The entire article is here.

Thursday, September 25, 2014

Should Pro-Anorexia Sites Be Criminalized?

Italy’s Parliament recently proposed a bill that would criminalize pro-anorexia site authors with a $67,000 fine and up to a year in jail. But health experts say this is a bad idea.

By Carrie Arnold
The Daily Beast
Originally published August 30, 2014

Here is an excerpt:

While Pinterest, Tumblr, and Instagram banned “thinspiration” photos on the basis that they were linked to self-harm, they continue to allow healthy living advice that isn’t necessarily so healthy, extreme diet and exercise hints, and so-called “fitspiration,” which some in the eating disorder community say is thinspiration disguised in workout clothes. Many of the slogans most closely associated with pro-anorexia rhetoric (“Nothing Tastes As Good As Skinny Feels”) are actually from commercial weight loss sites, as are many of the tips the sites share. Although some use pro-anorexia sites to “learn” how to be better at their eating disorder, many of these tips also exist in stories and television shows designed to teach people about the dangers of eating disorders.

The entire article is here.

You Should Have a Say in Your Robot Car’s Code of Ethics

By Jason Millar
Wired
Originally posted September 2, 2014

Here are some excerpts:

Informed consent wasn’t always the standard of practice in healthcare. It used to be common for physicians to make important treatment decisions on behalf of patients, often actively deceiving them as part of a treatment plan.

(cut)

For starters, we could choose to consider a manufacturer’s failure to obtain informed consent from a user, in situations involving deep moral commitments, a kind of product defect. Just as a doctor would be liable for failing to seek a patient’s informed consent before proceeding with a medical treatment, so too could we consider manufacturers liable for failing to reasonably respect user’s explicit moral preferences in the design of autonomous cars and other technologies. This approach would add considerably to the complexity of design. Then again, nobody said engineering robots was supposed to be simple.

The entire article is here.