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, January 31, 2017

Why doctors are leery about seeking mental health care for themselves

By Nathaniel P. Morris
The Washington Post
Originally published January 7, 2016

A survey of 2,000 U.S. physicians released in September found that roughly half believed they had met criteria for a mental health disorder in the past but had not sought treatment. The doctors listed a number of reasons they had shunned care, including worries that they’d be stigmatized and an inability to find the time.

But they also voiced a troubling reason for avoiding treatment: medical licensing applications.

After graduating from medical school, doctors must complete residency training and apply for state medical licenses to practice medicine. According to a study that appeared in 2008, about 90 percent of state medical boards have licensing forms that include questions about an applicant’s mental health.

Such questions are intended to protect the public, based on the idea that impaired or distressed physicians could endanger patients. A physician having hallucinations, for example, might not be able to focus or practice safely.

The article is here.

Cognitive science suggests Trump makes us more accepting of the morally outrageous

Joshua Knobe
Vox.com
Updated January 10, 2017

Here is an excerpt:

At the core of this research is a very simple idea: When people are reasoning, they tend to think only about a relatively narrow range of possibilities. You are sitting there in a restaurant, trying to decide what to order. Almost immediately, you determine that you are going to get either the chocolate cake or the cheese plate. You then start to consider the merits and drawbacks of each option. "Should I get the chocolate cake? Nah, too many carbs. Better get the cheese plate." One important question about human cognition is how people end up choosing one option over the other in a case like this.

But there is another question here that is even more fundamental — so fundamental that it’s easy to overlook. How did you pick out those two options in the first place? After all, there’s an enormous range of other options that would, at least in principle, have been possible. You could have stormed into the kitchen and started eating directly out of the chef's saucepan. You could have reached under the table and started trying to eat your own shoe. Yet somehow you manage to reject all of these possibilities before the reasoning process even begins. It’s not as though you think, "Should I try to eat my shoe? No, it’s not very tasty, or even edible." Rather, possibilities like this one never even enter your reasoning at all.

This is where the notion of normality plays its most essential role. Of all the zillions of things that might be possible in principle, your mind is able to zero in on just a few specific possibilities, completely ignoring all the others. One aim of recent research has been to figure out how people do this. Though the research itself has been quite complex, the key conclusion is surprisingly straightforward: People show an impressive systematic tendency to completely ignore the possibilities they see as abnormal.

The article is here.

Monday, January 30, 2017

Finding trust and understanding in autonomous technologies

David Danks
The Conversation
Originally published December 30, 2016

Here is an excerpt:

Autonomous technologies are rapidly spreading beyond the transportation sector, into health care, advanced cyberdefense and even autonomous weapons. In 2017, we’ll have to decide whether we can trust these technologies. That’s going to be much harder than we might expect.

Trust is complex and varied, but also a key part of our lives. We often trust technology based on predictability: I trust something if I know what it will do in a particular situation, even if I don’t know why. For example, I trust my computer because I know how it will function, including when it will break down. I stop trusting if it starts to behave differently or surprisingly.

In contrast, my trust in my wife is based on understanding her beliefs, values and personality. More generally, interpersonal trust does not involve knowing exactly what the other person will do – my wife certainly surprises me sometimes! – but rather why they act as they do. And of course, we can trust someone (or something) in both ways, if we know both what they will do and why.

I have been exploring possible bases for our trust in self-driving cars and other autonomous technology from both ethical and psychological perspectives. These are devices, so predictability might seem like the key. Because of their autonomy, however, we need to consider the importance and value – and the challenge – of learning to trust them in the way we trust other human beings.

The article is here.

Nudges in a Post-Truth World

Neil Levy

Abstract

Nudges – policy proposals informed by work in behavioural economics and psychology that are designed to lead to better decision-making or better behaviour – are controversial. Critics allege that they bypass our deliberative capacities, thereby undermining autonomy and responsible agency. In this paper, I identify a kind of nudge I call a nudge to reason, which make us more responsive to genuine evidence. I argue that at least some nudges to reason do not bypass our deliberative capacities. Instead, use of these nudges should be seen as appeals to mechanisms partially constitutive of these capacities, and therefore as benign (so far as autonomy and responsible agency are concerned. I sketch some concrete proposals for nudges to reason which are especially important given the apparent widespread resistance to evidence seen in recent political events.

The article is here.

Sunday, January 29, 2017

Neuroexistentialism: Third-Wave Existentialism

Owen Flanagan and Gregg D. Caruso
In Neuroexistentialism: Meaning, Morals, and Purpose in the Age of Neuroscience edited by Flanagan and Caruso

Here is an excerpt:

      The scientific image is also disturbing for other reasons. It maintains, for example, that
the mind is the brain (see fn.4), that humans are animals, that how things seem is not how they
are, that introspection is a poor instrument for revealing how the mind works, that there is no
ghost in the machine, no Cartesian theatre where consciousness comes together, that our sense of
self may in part be an illusion, and that the physical universe is the only universe that there is and
it is causally closed. Many fear that if this is true, then it is the end of the world as we know it, or
knew it under the humanistic regime or image. Neuroexistentialism is one way of expressing
whatever anxiety comes from accepting the picture of myself as an animal (the Darwin part) and
that my mind is my brain, my mental states are brain states (the neuro- part). Taken together the
message is that humans are 100% animal. One might think that that message was already
available in Darwin. What does neuroscience add? It adds evidence, we might say, that Darwin’s
idea is true, and that it is, as Daniel Dennett says “a dangerous idea” (1995). Most people in the
West still hold on to the idea that they have a non-physical soul or mind. But as neuroscience
advances it becomes increasing clear that there is no place in the brain for res cogitans to be nor
any work for it to do. The universe is causally closed and the mind is the brain.

The book chapter is here.

Note to readers: This book chapter, while an introduction to the entire volume, is excellent scholarship.  There are a number of chapters that will likely appeal to clinical psychologists.

Saturday, January 28, 2017

Judgments of Moral Responsibility and Wrongness for Intentional and Accidental Harm and Purity Violations

Mary Parkinson and Ruth M.J. Byrne
The Quarterly Journal Of Experimental Psychology 

Abstract

Two experiments examine whether people reason differently about intentional and accidental violations in the moral domains of harm and purity, by examining moral responsibility and wrongness judgments for violations that affect others or the self. The first experiment shows that intentional violations are judged to be worse than accidental ones, regardless of whether they are harm or purity violations, e.g., Sam poisons his colleague versus Sam eats his dog, when participants judge how morally responsible was Sam for what he did, or how morally wrong was what Sam did. The second experiment shows that violations of others are judged to be worse than violations of the self, regardless of whether they are harm or purity violations, when their content and context is matched, e.g., on a tropical holiday Sam orders poisonous starfruit for dinner for his friend, or for himself, versus on a tropical holiday Sam orders dog meat for dinner for his friend, or for himself. Moral reasoning is influenced by whether the violation was intentional or accidental, and whether its target was the self or another person, rather than by the moral domain, such as harm or purity.

The article is here.

Friday, January 27, 2017

Moral Grandstanding

Justin Tosi and Brandon Warmke
Philosophy and Public Affairs
First published June 2016

Kurt Baier wrote that “moral talk is often rather repugnant. Leveling moral accusations, expressing moral indignation, passing moral judgment, allotting the blame, administering moral reproof, justifying oneself, and, above all, moralizing—who can enjoy such talk?” (1965: 3). When public moral discourse is at its best, we think that these features (if they are present at all) are unobjectionable. But we also think that, to some degree, Baier is right: public moral discourse—that is, talk intended to bring some matter of moral significance to the public consciousness—sometimes fails to live up to its ideal. Public moral discourse can go wrong in many ways. One such way is a phenomenon we believe to be pervasive: moral grandstanding (hereafter: “grandstanding”). We begin by developing an account of grandstanding. We then show that our account, with support from some standard theses of social psychology, explains the characteristic ways that grandstanding is manifested in public moral discourse. We conclude by arguing that there are good reasons to think that moral grandstanding is typically morally bad and should be avoided.

The article is here.

The Quiet Poison In American Politics

Zach Carter and Jason Linkins
The Huffington Post
Originally posted December 30, 2016

The 2016 elections gave thoughtful Americans plenty of reasons to despair about the state of our democracy. The looming Donald Trump presidency has forced us to confront ugly truths about racism, misogyny and economic inequality. But according to a new paper published in the prestigious academic journal “Philosophy & Public Affairs,” there is at least one more heretofore undetected poison floating in the cocktail that is our politics. If the philosophers behind the paper are right, this problem is amplifying every other malady afflicting American culture.

They call it “moral grandstanding.”

“Moral grandstanding is the use of moral talk for self-promotion,” says Justin Tosi, a postdoctoral fellow in the University of Michigan’s philosophy department. “It’s people using moral conversation, making moral claims, to present an impressive image of themselves to others.”

The article is here.

Thursday, January 26, 2017

South Dakota Republicans are about to get rid of the state’s first independent ethics commission

By Amber Phillips
The Washington Post
Originally posted January 24, 2017

South Dakota Republicans are on the verge of doing something that backfired spectacularly for congressional Republicans earlier this year: Getting rid of an independent ethics commission.

What is a politically tricky endeavor for any lawmaking body could be even more precarious for the state's lawmakers, given that the commission they want to cut was approved by 51 percent of voters in a ballot initiative this November. The independent commission was part of a larger voter-approved ethics reform package that put limits on campaign finance and lobbying access.

State lawmakers met Monday to debate repeal of the entire law, and Republican leaders say the bill could be on the governor's desk by the end of the week. Gov. Dennis Daugaard (R) has indicated he would sign a repeal. In his December budget address, he lambasted the ethics package, declaring that voters were “hoodwinked by scam artists who grossly misrepresented these proposed measures.”

The article is here.