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

Sunday, January 31, 2016

U.K. researcher details proposal for CRISPR editing of human embryos

By Erik Stokstad
Science
Originally published January 13, 2016

Here is an excerpt:

In a statement about the application, Hugh Whittall, director of the Nuffield Council on Bioethics in London noted: “The changes to DNA made for the purposes of this research could not themselves be used as part of a treatment procedure. There are, however, possible future scenarios in which a modification made in a research context—for example to correct a disease-causing genetic mutation—could, if this were to become permissible, be used in a treatment that would result in the birth of a child.  Such research, which could also be licensed under current legislation, would raise a number of significant questions that should be addressed before any such work is undertaken, including about whether, and under what circumstances, a move into treatment (which would require new legislation to be permissible in the U.K.) could be desirable.”

The article is here.

Saturday, January 30, 2016

Epigenetics in the neoliberal 'regime of truth'

by Charles Dupras and Vardit Ravitsky
Hastings Center Report - 2015

Here is an excerpt:

In this paper, we argue that the impetus to create new biomedical interventions to manipulate and reverse epigenetic variants is likely to garner more attention than effective social and public health interventions and therefore also to garner a greater share of limited public resources. This is likely to happen, we argue, because of the current biopolitical context in  which scientific findings are translated. This contemporary neoliberal “regime of truth,” to use a term from the historian and philosopher Michel Foucault, greatly influences the ways in which knowledge is being interpreted and implemented. Building on sociologist Thomas Lemke’s Foucauldian “analytics of biopolitics” and on literature from the field of science and technology studies,  we present two sociological trends that may impede the policy transla-tion of epigenetics: molecularization and biomedicalization. These trends,  we argue, are likely to favor the clini-cal translation of epigenetics—in other words, the development of new clinical tools fostering what has been called “personalized” or “precision” medicine.

In addition, we argue that an over-emphasized clinical translation of epigenetics may further reinforce this biopolitical landscape through four processes that are closely related to neoliberal pathways of thinking: the internalization and isolation (liberal individualism) of socioenvironmental determinants of health and increased opportunities for commodification and technologicalization  (economic liberalism) of health care interventions. Hence, epigenetics may end up promoting further the mobilization of resources toward technological innovation at the expense of public health and social strategies. Our analysis therefore first presents how the current biopolitical landscape may bias scientific knowledge translation and then circles around to explain how, in return, the outcome of a biased translation of epigenetics may strengthen our contemporary neoliberal “regime of truth.”

The paper is here.

Friday, January 29, 2016

Reputation, a universal currency for human social interactions

Manfred Milinski
Philosophical Transactions B
Published 4 January 2016.
DOI: 10.1098/rstb.2015.0100

Abstract

Decision rules of reciprocity include ‘I help those who helped me’ (direct reciprocity) and ‘I help those who have helped others’ (indirect reciprocity), i.e. I help those who have a reputation to care for others. A person's reputation is a score that members of a social group update whenever they see the person interacting or hear at best multiple gossip about the person's social interactions. Reputation is the current standing the person has gained from previous investments or refusal of investments in helping others. Is he a good guy, can I trust him or should I better avoid him as a social partner? A good reputation pays off by attracting help from others, even from strangers or members from another group, if the recipient's reputation is known. Any costly investment in others, i.e. direct help, donations to charity, investment in averting climate change, etc. increases a person's reputation. I shall argue and illustrate with examples that a person's known reputation functions like money that can be used whenever the person needs help. Whenever possible I will present tests of predictions of evolutionary theory, i.e. fitness maximizing strategies, mostly by economic experiments with humans.

The article is here.

Research suggests morality can survive without religion

By Brooks Hays
UPI
Originally posted January 13, 2016

Results from a longitudinal survey suggest morality hasn't declined with the decline of organized religion. The findings were published in the journal Politics and Religion.

"Religion has been in sharp decline in many European countries," study author Ingrid Storm, a researcher at Manchester University, said in a press release. "Each new generation is less religious than the one before, so I was interested to find out if there is any reason to expect moral decline."

Between 1981 to 2008, respondents from 48 European nations shared their attitudes toward a variety of moral and cultural transgressions.

In analyzing the responses, Storm differentiated between two types of moral offenses. The first category encompasses behavior that offends tradition or cultural norms, such as abortion or homosexuality. The second category includes crimes against the state and those harmful to others -- lying, cheating, stealing.

The article is here.

Thursday, January 28, 2016

Binocularity in bioethics—and beyond

Earp, B. D., & Hauskeller, M. (in press). Binocularity in bioethics—and
beyond. American Journal of Bioethics, in press.

Abstract

Parens (2015) defends a habit of thinking he calls “binocularity,” which involves switching between analytical lenses (much as one must switch between seeing the duck vs. the rabbit in Wittgenstein’s famous example). Applying this habit of thought to a range of debates in contemporary bioethics, Parens urges us to acknowledge the ways in which our personal intuitions and biases shape our thinking about contentious moral issues. In this review of Parens’s latest book, we reflect on our own position as participants in the so-called “enhancement” debates, where a binocular approach could be especially useful. In particular, we consider the case of “love drugs,” a subject on which we have sometimes reached very different conclusions. We finish with an analogy to William James’s (1907) distinction between “tenderminded” rationalists and “tough-minded” empiricists, and draw some general lessons for improving academic discourse.

The paper is here.

Wednesday, January 27, 2016

A cultural look at moral purity: wiping the face clean

Lee SWS, Tang H, Wan J, Mai X and Liu C
Front. Psychol. (2015) 6:577.
doi: 10.3389/fpsyg.2015.00577

Abstract

Morality is associated with bodily purity in the custom of many societies. Does that imply moral purity is a universal psychological phenomenon? Empirically, it has never been examined, as all prior experimental data came from Western samples. Theoretically, we suggest the answer is not so straightforward—it depends on the kind of universality under consideration. Combining perspectives from cultural psychology and embodiment, we predict a culture-specific form of moral purification. Specifically, given East Asians' emphasis on the face as a representation of public self-image, we hypothesize that facial purification should have particularly potent moral effects in a face culture. Data show that face-cleaning (but not hands-cleaning) reduces guilt and regret most effectively against a salient East Asian cultural background. It frees East Asians from guilt-driven prosocial behavior. In the wake of their immorality, they find a face-cleaning product especially appealing and spontaneously choose to wipe their face clean. These patterns highlight both culturally variable and universal aspects of moral purification. They further suggest an organizing principle that informs the vigorous debate between embodied and amodal perspectives.

The article is here.

The History of the Euthanasia Movement

BY Anna Hiatt
JSTOR
Originally published January 6, 2016

The idea that death should be merciful is not new. When a person is gravely wounded or terminally ill, when death is inevitable, and the suffering is so great that living no longer brings any joy to the person, it is understandable that he or she may wish to die. In “Two Pioneers of Euthanasia Around 1800,” Michael Stolberg cites accounts of people pulling on the legs of those who had been hanged, but had not yet died, to hasten their deaths. He mentions also Apologie, the autobiography of a French surgeon named Ambroise ParĂ© who happened upon three gravely wounded soldiers. An uninjured soldier asked the surgeon if they would live, to which he responded they would not. The uninjured soldier proceeded to slit their throats.

The invention and widespread use of morphine in the 19th century to treat, and then to kill, pain led to the belief that a less painful dying process was possible, Giza Lopes writes in her book Dying With Dignity: A Legal Approach to Assisted Death.

The article is here.

Tuesday, January 26, 2016

A Therapist’s Fib

By Jonathan Schiff
The New York Times
Originally published January

An old New Yorker cartoon features a man suspended upside down from the ceiling, like a stalactite. A psychiatrist explains to the wife that the first objective is to convince the man that he is a stalagmite.

Funny — but it invites a serious question: Is it ever justified for a clinician to help a client to believe in a fiction?

The brief article is here.

Note: Is it ever ethical to lie to a patient?

Will America Pass the Test of Morality in 2016?

By Marian Wright Edelman
The Milwaukee Courier
Originally posted January 9, 2016

Here is an excerpt:

We are better than this. Dietrich Bonhoeffer, the great German Protestant theologian who died opposing Hitler’s holocaust, believed the test of the morality of society is how it treats its children. We flunk Bonhoeffer’s test every hour and every day in America, as we let the violence of guns and the violence of poverty relentlessly sap countless child lives. A child or teenager is killed by a gun every three and a half hours, nearly 7 a day, 48 a week.

More than 15.5 million children are poor and children are the poorest age group in America – the world’s largest economy, and the younger the children are, the poorer they are. Children of color, already the majority of our youngest children, will be the majority of our children in 2020.

The article is here.