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

Thursday, July 20, 2017

A Proposal for a Scientifically-Informed and Instrumentalist Account of Free Will and Voluntary Action

Eric Racine
Frontiers in Psychology, 17 May 2017

Here is an excerpt:

From the perspective of applied ethics and social behavior, voluntariness is a key dimension in the understanding of autonomous decisions and actions as well as our responsibility toward and ownership of these decisions and actions (Dworkin, 1988; Wegner, 2002). Autonomous decisions and actions imply that the agent is initiating them according to his or her own wishes and that the person is free to do so (i.e., not under direct or indirect forms of coercion that would imperil the existence of such an ability). Accordingly, in applied ethics, voluntariness commonly refers to “the degree that [the moral agent] wills the action without being under the control of another's influence” (Beauchamp and Childress, 2001). Indeed, if moral agents have a jeopardized ability, or even lack the ability to initiate actions freely, then neither can they be faulted for their own actions (responsibility) nor encouraged to undertake actions on the premise of their expression of their own preferences (autonomy; Felsen and Reiner, 2011; Castelo et al., 2012). The concept of FW commonly captures a basic form of agency and a responsibility associated with this ability to self-control and initiate voluntary action (Roskies, 2006; Brass et al., 2013). Accordingly, in this paper, FW designates primarily a basic ability to envision options and choose between them such that the will or volition of the person is considered to be free.

The article is here.

Editor's note: The concept of free will is a main concern in psychotherapy.  How autonomous is your patient's behavior?

Wednesday, July 19, 2017

Phenomenological Approaches to Ethics and Information Technology

Lucas Introna
Stanford Encyclopedia of Philosophy

Here is an excerpt:

3.1 The Impact of Information Technology and the Application of Ethical Theory

Much of the ethical debate about computers and information technology more generally has been informed by the tool and impact view of information technology (discussed in section 1.1 above). Within this tradition a number of issues have emerged as important. For example, whether computers (or information and communication technology more generally) generate new types of ethical problems that require new or different ethical theories or whether it is just more of the same (Gorniak 1996). These debates are often expressed in the language of the impact of information technology on particular values and rights (Johnson 1985, 1994). Thus, within this approach we have discussions about the impact of CCTV or web cookies on the right to privacy, the impact of the digital divide on the right to access information, the impact of the piracy of software on property rights, and so forth. In these debates Jim Moor (1985) has argued that computers show up policy vacuums that require new thinking and the establishment of new policies. Others have argued that the resources provided by classical ethical theory such as utilitarianism, consequentialism and deontological ethics is more than enough to deal with all the ethical issues emerging from our design and use of information technology (Gert 1999).

The entry is here.

Editor's Note: Yes, I use the cut and paste function frequently, and in this entry as well.

Tuesday, July 18, 2017

Responding to whistleblower’s claims, Duke admits research data falsification

Ray Gronberg
The Herald-Sun
Originally published July 2, 2017

In-house investigators at Duke University believe a former lab tech falsified or fabricated data that went into 29 medical research reports, lawyers for the university say in their answer to a federal whistleblower lawsuit against it.

Duke’s admissions concern the work of Erin Potts-Kant, and a probe it began in 2013 when she was implicated in an otherwise-unrelated embezzlement. The lawsuit, from former lab analyst Joseph Thomas, contends Duke and some of its professors used the phony data to fraudulently obtain federal research grants. He also alleges they ignored warning signs about Potts-Kants’ work, and tried to cover up the fraud.

The university’s lawyers have tried to get the case dismissed, but in April, a federal judge said it can go ahead. The latest filings thus represent Duke’s first answer to the substance of Thomas’ allegations.

Up front, it said Potts-Kant told a Duke investigating committee that she’d faked data that wound up being “included in various publications and grant applications.”

The article is here.

Human decisions in moral dilemmas are largely described by Utilitarianism

Anja Faulhaber, Anke Dittmer, Felix Blind, and others

Abstract

Ethical thought experiments such as the trolley dilemma have been investigated extensively in the past, showing that humans act in a utilitarian way, trying to cause as little overall damage as possible. These trolley dilemmas have gained renewed attention over the past years; especially due to the necessity of implementing moral decisions in autonomous driving vehicles (ADVs). We conducted a set of experiments in which participants experienced modified trolley dilemmas as the driver in a virtual reality environment. Participants had to make decisions between two discrete options: driving on one of two lanes where different obstacles came into view. Obstacles included a variety of human-like avatars of different ages and group sizes. Furthermore, we tested the influence of a sidewalk as a potential safe harbor and a condition implicating a self-sacrifice. Results showed that subjects, in general, decided in a utilitarian manner, sparing the highest number of avatars possible with a limited influence of the other variables. Our findings support that people’s behavior is in line with the utilitarian approach to moral decision making. This may serve as a guideline for the
implementation of moral decisions in ADVs.

The article is here.

Monday, July 17, 2017

Childhood Firearm Injuries in the United States

Katherine A. Fowler, Linda L. Dahlberg, Tadesse Haileyesus, Carmen Gutierrez, Sarah Bacon
Pediatrics
July 2017, VOLUME 140 / ISSUE 1

RESULTS: Nearly 1300 children die and 5790 are treated for gunshot wounds each year. Boys, older children, and minorities are disproportionately affected. Although unintentional firearm deaths among children declined from 2002 to 2014 and firearm homicides declined from 2007 to 2014, firearm suicides decreased between 2002 and 2007 and then showed a significant upward trend from 2007 to 2014. Rates of firearm homicide among children are higher in many Southern states and parts of the Midwest relative to other parts of the country. Firearm suicides are more dispersed across the United States with some of the highest rates occurring in Western states. Firearm homicides of younger children often occurred in multivictim events and involved intimate partner or family conflict; older children more often died in the context of crime and violence. Firearm suicides were often precipitated by situational and relationship problems. The shooter playing with a gun was the most common circumstance surrounding unintentional firearm deaths of both younger and older children.


CONCLUSIONS: Firearm injuries are an important public health problem, contributing substantially to premature death and disability of children. Understanding their nature and impact is a first step toward prevention.

The article is here.

The ethics of brain implants and ‘brainjacking’

Chelsey Ballarte
Geek Wire
Originally published June 29, 2017

Here is an excerpt:

Fetz and the report’s other authors say we should regard advancements in machine learning and artificial intelligence with the same measure of caution we use when we consider accountability for self-driving cars and privacy for smartphones.

Fetz recalled the time security researchers proved they could hack into a Jeep Cherokee over the internet and disable it as it drove on the freeway. He said that in the world of prosthetics, a hacker could conceivably take over someone’s arm.

“The hack could override the signals,” he said. It could even override a veto, and that’s the danger. The strategy to head off that scenario would have to be to make sure the system can’t be influenced from the outside.

Study co-author John Donoghue, a director of the Wyss Center for Bio and Neuroengineering in Geneva, said these are just a few things we would have to think about if these mechanisms became the norm.

“We must carefully consider the consequences of living alongside semi-intelligent, brain-controlled machines, and we should be ready with mechanisms to ensure their safe and ethical use,” he said in a news release.

Donoghue said that as technology advances, we need to be ready to think about how our current laws would apply. “Our aim is to ensure that appropriate legislation keeps pace with this rapidly progressing field,” he said.

The article is here.

Sunday, July 16, 2017

Masked Marketing: Pharmaceutical Company Funding of ADHD Patient Advocacy Groups

Marnie Klein
Hastings Center
Originally posted June 29, 2017

In 1971, the United Nations passed a resolution prohibiting its member nations from advertising psychotropic drugs to the general public. More than 40 years later, this resolution has done little to halt pharmaceutical companies from marketing stimulants as treatments for attention deficit-hyperactivity disorder. The means by which, and the ethical dilemmas involved when, pharmaceutical companies market their products was discussed earlier this month at the annual PharmedOut conference, which investigated how industry influences medical discourse.

Alan Schwarz, the author of ADHD Nation, exposed how drug companies have, often covertly, sponsored educational resources and patient advocacy groups. These groups face a difficult conflict of interest: by accepting drug company funding, they can increase their reach to those looking for resources; however, their neutrality is compromised, particularly when they fail to disclose the funding source. The New England Journal of Medicine reports that pharmaceutical industry-sponsored advocacy groups may be likely to support drugs, as well as policy proposals, that cater to their sponsors’ financial interests.

One such pharmaceutical company is Shire. One of the British company’s highest-grossing products is Adderall, a stimulant used in treating ADHD that has earned the company billions in sales to date. Shire sponsors ADHD patient-advocacy groups, like Children and Adults with ADHD (CHADD).

The article is here.

Saturday, July 15, 2017

How do self-interest and other-need interact in the brain to determine altruistic behavior?

Jie Hu, Yue Li, Yunlu Yin, Philip R. Blue, Hongbo Yu, Xiaolin Zhou
NeuroImage
Volume 157, 15 August 2017, Pages 598–611

Abstract

Altruistic behavior, i.e., promoting the welfare of others at a cost to oneself, is subserved by the integration of various social, affective, and economic factors represented in extensive brain regions. However, it is unclear how different regions interact to process/integrate information regarding the helper's interest and recipient's need when deciding whether to behave altruistically. Here we combined an interactive game with functional Magnetic Resonance Imaging (fMRI) and transcranial direct current stimulation (tDCS) to characterize the neural network underlying the processing/integration of self-interest and other-need. At the behavioral level, high self-risk decreased helping behavior and high other-need increased helping behavior. At the neural level, activity in medial prefrontal cortex (MPFC) and right dorsolateral prefrontal cortex (rDLPFC) were positively associated with self-risk levels, and activity in right inferior parietal lobe (rIPL) and rDLPFC were negatively associated with other-need levels. Dynamic causal modeling further suggested that both MPFC and rIPL were extrinsically connected to rDLPFC; high self-risk enhanced the effective connectivity from MPFC to rDLPFC, and the modulatory effect of other-need on the connectivity from rIPL to rDLPFC positively correlated with the modulatory effect of other-need on individuals’ helping rate. Two tDCS experiments provided causal evidence that rDLPFC affects both self-interest and other-need concerns, and rIPL selectively affects the other-need concerns. These findings suggest a crucial role of the MPFC-IPL-DLPFC network during altruistic decision-making, with rDLPFC as a central node for integrating and modulating motives regarding self-interest and other-need.

The article is here.

Friday, July 14, 2017

The Moral Value of Compassion

Alfred Archer
Forthcoming in Justin Caouette and Carolyn Price (Eds.) The Moral Psychology of Compassion

Introduction

Many people think that compassion has an important role to play in our moral lives. We might
even think, as Arthur Schopenhauer (2010 [1840]) did, that compassion is the basis of morality.
More modestly, we might think that compassion is one important source of moral motivation and
would play an important role in the life of a virtuous person. Recently, however philosophers such
as Roger Crisp (2008), and Jesse Prinz (2011) and psychologists such as Paul Bloom (2016) have
called into question the value of sharing in another’s suffering. All three argue that this should not
play a significant role in the life of the morally virtuous person. In its place, Crisp endorses rational
benevolence as the central form of moral motivation for virtuous people.

The issue of whether compassion is a superior form of motivation to rational benevolence is
important for at least two reasons. First, it is important for both ethics and political theory. Care
ethicists for example, seek to defend moral and political outlooks based on compassion. Carol
Gilligan, for instance, claims that care ethics is “tied to feelings of empathy and compassion” (1982,
69). Similarly, Elizabeth Porter (2006) argues in favour of basing politics on compassion. These
appeals are only plausible if we accept that compassion is a valuable part of morality. Second, the
issue of whether or not compassion plays a valuable role in morality is also important for moral
education. Whether or not we see compassion as having a valuable role here is likely to be largely
settled by the issue of whether compassion plays a useful role in our moral lives.

I will argue that despite the problems facing compassion, it has a distinctive role to play in moral
life that cannot be fully captured by rational benevolence. My discussion will proceed as follows. In
§1, I examine the nature of compassion and explain how I will be using the term in this paper. I
will then, in §2, explain the traditional account of the value of compassion as a source of moral
motivation. In §3, I will investigate a number of challenges to the value of compassionate moral
motivation. I will then, in §4, explain why, despite facing important problems, compassion has a
distinctive role to play in moral life.

The penultimate version is here.