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

Friday, October 17, 2014

Doctrine of Double Effect

By Alison McIntyre
The Stanford Encyclopedia of Philosophy
Winter 2014

The doctrine (or principle) of double effect is often invoked to explain the permissibility of an action that causes a serious harm, such as the death of a human being, as a side effect of promoting some good end. According to the principle of double effect, sometimes it is permissible to cause a harm as a side effect (or “double effect”) of bringing about a good result even though it would not be permissible to cause such a harm as a means to bringing about the same good end.

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For example, a physician's justification for administering drugs to relieve a patient's pain while foreseeing the hastening of death as a side effect does not depend only on the fact that the physician does not intend to hasten death. After all, physicians are not permitted to relieve the pain of kidney stones or childbirth with potentially lethal doses of opiates simply because they foresee but do not intend the causing of death as a side effect! A variety of substantive medical and ethical judgments provide the justificatory context: the patient is terminally ill, there is an urgent need to relieve pain and suffering, death is imminent, and the patient or the patient's proxy consents. Note that this last constraint, the consent of the patient or the patient's proxy, is not naturally classified as a concern with proportionality, understood as the weighing of harms and benefits.

The entry entry is here.

Thursday, October 16, 2014

It’s All for Your Own Good

By Jeremy Waldron
The New York Book Review
Originally published on October 9, 2014

Here is an excerpt:

Nudging is an attractive strategy. People are faced with choices all the time, from products to pensions, from vacations to voting, from requests for charity to ordering meals in a restaurant, and many of these choices have to be made quickly or life would be overwhelming. For most cases the sensible thing is not to agonize but to use a rule of thumb—a heuristic is the technical term—to make the decision quickly. “If it ain’t broke don’t fix it,” “Choose a round number,” “Always order the special,” and “Vote the party line” are all heuristics. But the ones people use are good for some decisions and not others, and they have evolved over a series of past situations that may or may not resemble the important choices people currently face.

The entire article is here.

Should nutritional supplements and sports drinks companies sponsor sport? A short review of the ethical concerns

By Simon M. Outram and Bob Stewart
J Med Ethics doi:10.1136/medethics-2014-102147

Abstract

This paper proposes that the sponsorship of sport by nutritional supplements and sport drinks companies should be re-examined in the light of ethical concerns about the closeness of this relationship. A short overview is provided of the sponsorship of sport, arguing that ethical concerns about its appropriateness remain despite the imposition of severe restrictions on tobacco sponsorship. Further, the paper examines the main concerns about supplement use and sports drinks with respect to efficacy, health and the risks of doping. Particular consideration is given to the health implications of these concerns. It is suggested that they, of themselves, do not warrant the restriction of sponsorship by companies producing supplements and sports drinks. Nevertheless, it is argued that sports sponsorship does warrant further ethical examination—above and beyond that afforded to other sponsors of sport—as sport sponsorship is integral to the perceived need for such products. In conclusion, it is argued that sport may have found itself lending unwarranted credibility to products which would otherwise not necessarily be seen as beneficial for participation in sports and exercise or as inherently healthy products.

The entire article is here.

Wednesday, October 15, 2014

Friends or foes: Is empathy necessary for moral behavior?

Jean Decety and Jason M. Cowell
Perspectives on Psychological Science
2014, Vol. 9(5) 525 –537

Abstract

In the past decade, a flurry of empirical and theoretical research on morality and empathy has taken place, and interest and usage in the media and the public arena have increased. At times, in both popular culture and academia, morality and empathy are used interchangeably, and quite often the latter is considered to play a foundational role for the former. In this article, we argue that although there is a relationship between morality and empathy, it is not as straightforward as apparent at first glance. Moreover, it is critical to distinguish among the different facets of empathy (emotional sharing, empathic concern, and perspective taking), as each uniquely influences moral cognition and predicts differential outcomes in moral behavior. Empirical evidence and theories from evolutionary biology as well as developmental, behavioral, and affective and social neuroscience are comprehensively integrated in support of this argument. The wealth of findings illustrates a complex and equivocal relationship between morality and empathy. The key to understanding such relations is to be more precise on the concepts being used and, perhaps, abandoning the muddy concept of empathy.

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Is Empathy a Necessary Concept?

To wrap up on a provocative note, it may be advanta-geous in the future for scholars interested in the science of morality to refrain from using the catch-all term of empathy, which applies to a myriad of processes and phenomena and, as a result, yields confusion in both understanding and predictive ability. In both academic and applied domains—such medicine, ethics, law, and policy—empathy has become an enticing, but muddy, notion, potentially leading to misinterpretation. If ancient Greek philosophy has taught us anything, it is that when a concept is attributed with so many meanings, it is at risk for losing function.

The entire article is here.

Finding Risks, Not Answers, in Gene Tests

By Denise Grady and Andrew Pollack
The New York Times
Originally published September 22, 2014

Jennifer was 39 and perfectly healthy, but her grandmother had died young from breast cancer, so she decided to be tested for mutations in two genes known to increase risk for the disease.

When a genetic counselor offered additional tests for 20 other genes linked to various cancers, Jennifer said yes. The more information, the better, she thought.

The results, she said, were “surreal.” She did not have mutations in the breast cancer genes, but did have one linked to a high risk of stomach cancer. In people with a family history of the disease, that mutation is considered so risky that patients who are not even sick are often advised to have their stomachs removed. But no one knows what the finding might mean in someone like Jennifer, whose family has not had the disease.

The entire article is here.

Tuesday, October 14, 2014

Is It Possible to Create an Anti-Love Drug?

By Maia Szalavitz
New York Magazine - Science of Us
Originally posted May 19, 2014

Here is an excerpt:

A drug that precisely targets only one specific relationship for destruction may be decades away, but drugs that interfere with specific aspects of love like sexual desire are already here. And as scientists begin to tease out the chemical chronology and specific brain systems involved in love, they are already investigating how existing medications taken in carefully timed ways could, for example, prevent the "bonding hormone" oxytocin from initiating or sustaining a relationship.

This could forever change what it means to sever romantic ties. And the ramifications go beyond “Please let me forget”–type situations à la Eternal Sunshine. Anti-love drugs could also provide an intriguing new “treatment” for those trapped in abusive relationships.

The entire article is here.

The Moral Instinct

By Steven Pinker
The New York Times
Originally posted January 13, 2013

Here is an excerpt:

The Moralization Switch

The starting point for appreciating that there is a distinctive part of our psychology for morality is seeing how moral judgments differ from other kinds of opinions we have on how people ought to behave. Moralization is a psychological state that can be turned on and off like a switch, and when it is on, a distinctive mind-set commandeers our thinking. This is the mind-set that makes us deem actions immoral (“killing is wrong”), rather than merely disagreeable (“I hate brussels sprouts”), unfashionable (“bell-bottoms are out”) or imprudent (“don’t scratch mosquito bites”).

The first hallmark of moralization is that the rules it invokes are felt to be universal. Prohibitions of rape and murder, for example, are felt not to be matters of local custom but to be universally and objectively warranted. One can easily say, “I don’t like brussels sprouts, but I don’t care if you eat them,” but no one would say, “I don’t like killing, but I don’t care if you murder someone.”

The entire article is here.

Monday, October 13, 2014

Frans de Waal’s “The Bonobo and the Atheist”

By John Archibald Wheerler
Helian Unbound
Originally posted October 12, 2014

Here is an excerpt:

In theory, de Waal is certainly a subjective moralist.  As he puts it, “the whole point of my book is to argue a bottom up approach” to morality, as opposed to the top down approach:  “The view of morality as a set of immutable principles, or laws, that are ours to discover.”  The “bottom” de Waal refers to are evolved emotional traits.  In his words:
The moral law is not imposed from above or derived from well-reasoned principles; rather, it arises from ingrained values that have been there since the beginning of time.
and
My views are in line with the way we know the human mind works, with visceral reactions arriving before rationalizations, and also with the way evolution produces behavior.  A good place to start is with an acknowledgment of our background as social animals, and how this background predisposes us to treat each other.  This approach deserves attention at a time in which even avowed atheists are unable to wean themselves from a semireligious morality, thinking that the world would be a better place if only a white-coated priesthood could take over from the frocked one. 
So far, so good.  I happen to be a subjective moralist myself, and agree with de Waal on the origins of morality.  However, reading on, we find confirmation of a prediction made long ago by Friedrich Nietzsche.  In Human, All Too Human, he noted the powerful human attachment to religion and the “metaphysics” of the old philosophers.  He likened the expansion of human knowledge to a ladder, or tree, up which humanity was gradually climbing.  As we reached the top rungs, however, we would begin to notice that the old beliefs that had supplied us with such great emotional satisfaction in the past were really illusions.

The entire blog post is here.

The human race evolved to be fair for selfish reasons

By Rachel Kendal
The Conversation
Originally posted September 19, 2014

Here is an excerpt:

Biologists are surprised by this tendency to behave fairly. The theory of evolution by natural selection predicts that individuals should behave in ways to maximise their inclusive fitness. So behaviours are only selected, and hence evolve, if they ensure the survival and reproduction of the actor or kin whom contain copies of the actor’s genes. However, the behaviour displayed by children seems to be at a detriment to themselves, especially when those who benefit from their selfless behaviour are not the children’s kin.

A child’s sense of fairness, egalitarianism, or aversion to inequality can actually be hampered by instruction to “be fair” and rewarding of this behaviour. That is because what is the child’s intrinsic motivation, becomes a need to follow externally imposed rules. And, as we all know, following rules we believe in is far easier than following rules that are imposed upon us, despite attendant punishments for not doing so.

The entire article is here.