As more states legalize assisted suicide, boomers contemplate end-of-life choices

Shannon Najmabadi

The Washington Post

Originally posted 24 FED 26

Pat Ames is 71 and healthy, and expects to stay that way for years to come. But she’s put a lot of thought into how she wants to die — and when: “If I can’t care for myself,” the Idaho resident said, “I want to be gone long before then.”

Ames has signed papers directing medical providers not to resuscitate her if she stops breathing or her heart gives out. She’s told her younger brother of her plans. And she’s got a passport and money she set aside years ago so that if it comes down to it, she can travel to a country where physician-assisted suicide is legal, even when death is not imminent.

“I will hop on a plane and end it under my conditions,” she said. “Looking out a window at a forest.”

More U.S. states are making physician-assisted suicides available — although only under narrow circumstances — and both defenders and critics of the practice say they see a growing discussion among baby boomers, who are mostly in their 60s and 70s, about what role, if any, it should play in end-of-life decision-making.

Oregon, the first state to enact an assisted-suicide law in 1997, extended the practice to nonresidents in 2023. Delaware, Illinois and New York legalized assisted suicide in recent months. And at least 15 states are expected to weigh similar legislation this year, although it is permitted only when people are terminally ill with just six months or less to live. They also must be mentally competent — disqualifying anyone with advanced dementia — and be able to ingest the prescribed life-ending drugs on their own.

Other countries, including Canada, Belgium and the Netherlands, have made the practice even more readily available, allowing doctors to administer lethal injections to patients who doctors say face unremitting suffering with no hope of improvement, whether death is imminent or not.

The info is paywalled here. : (

Here are some thoughts:

This article examines the growing conversation among American baby boomers around medical assistance in dying and end-of-life autonomy. As more U.S. states (including Oregon, Delaware, Illinois, and New York) move to legalize the practice under carefully defined conditions, older adults are increasingly weighing their options in response to concerns about dignity, financial burden, and the perceived inadequacy of the American elder care system. 

Supporters emphasize personal autonomy and the desire to avoid prolonged suffering, while critics raise moral concerns about the potential for vulnerable populations to feel pressured toward death as a cost-saving measure. 

The piece also highlights the broader systemic issues at play, including the U.S.'s comparatively low investment in long-term care and social services, suggesting that the interest in medical assistance in dying is, in part, a reflection of deeper gaps in how the country supports its aging population.

Evidence-based scientific thinking and decision-making in everyday life

Dawson, C.,  et al. (2024).

Cognitive research: principles and 

implications, 9(1), 50.

https://doi.org/10.1186/s41235-024-00578-2

Abstract

In today's knowledge economy, it is critical to make decisions based on high-quality evidence. Science-related decision-making is thought to rely on a complex interplay of reasoning skills, cognitive styles, attitudes, and motivations toward information. By investigating the relationship between individual differences and behaviors related to evidence-based decision-making, our aim was to better understand how adults engage with scientific information in everyday life. First, we used a data-driven exploratory approach to identify four latent factors in a large set of measures related to cognitive skills and epistemic attitudes. The resulting structure suggests that key factors include curiosity and positive attitudes toward science, prosociality, cognitive skills, and openmindedness to new information. Second, we investigated whether these factors predicted behavior in a naturalistic decision-making task. In the task, participants were introduced to a real science-related petition and were asked to read six online articles related to the petition, which varied in scientific quality, while deciding how to vote. We demonstrate that curiosity and positive science attitudes, cognitive flexibility, prosociality and emotional states, were related to engaging with information and discernment of evidence reliability. We further found that that social authority is a powerful cue for source credibility, even above the actual quality and relevance of the sources. Our results highlight that individual motivating factors toward information engagement, like curiosity, and social factors such as social authority are important drivers of how adults judge the credibility of everyday sources of scientific information.

Here are some thoughts:

This paper offers valuable insights for practicing psychologists by illuminating the complex interplay of cognitive, emotional, and social factors that shape how individuals engage with scientific evidence. 

For psychologists themselves, the findings serve as a critical reminder that our own evidence-based practice is not just about accessing high-quality research, but also about understanding our own cognitive and emotional processes when evaluating information. The study underscores that even trained professionals can be influenced by heuristic cues like the social authority of a journal or institution. Therefore, we must cultivate active open-mindedness and intellectual humility in our own professional development, consciously seeking out and fairly considering evidence that may challenge our theoretical orientations or treatment preferences. The research also highlights that analytical thinking alone does not guarantee unbiased reasoning; it can be co-opted for motivated reasoning to justify existing beliefs. This necessitates that clinicians engage in regular reflective practice and supervision to scrutinize their clinical decisions, ensuring we are driven by the best available evidence and client needs, rather than cognitive ease or allegiance to familiar models.

When applied to patient care, these insights become a powerful framework for enhancing therapeutic communication and psychoeducation. The finding that individuals vary greatly in their epistemic curiosity, need for closure, and reliance on social authority means that a one-size-fits-all approach to providing information is ineffective. A psychologist working with a vaccine-hesitant client, for example, must first understand whether the client’s stance is driven by a lack of curiosity, a high need for closure, a distrust of scientific institutions, or an over-reliance on alternative authority figures. Interventions can then be tailored accordingly: fostering curiosity and tolerance for uncertainty in one client, while helping another develop skills to critically evaluate source credibility beyond prestigious branding. The strong influence of social authority suggests that presenting information through trusted community figures or relatable personal narratives may sometimes be a more effective conduit for change than data alone, though this must be balanced with efforts to build the patient’s own critical evaluation skills.

Jury finds Meta's platforms are harmful to children in 1st wave of social media addiction lawsuits

PBS News (2026, March 24).

SANTA FE, N.M. (AP) — A New Mexico jury found Tuesday that social media conglomerate Meta is harmful to children's mental health and in violation of state consumer protection law.

The landmark decision comes after a nearly seven-week trial. Jurors sided with state prosecutors who argued that Meta — which owns Instagram, Facebook and WhatsApp — prioritized profits over safety. The jury determined Meta violated parts of the state's Unfair Practices Act on accusations the company hid what it knew about about the dangers of child sexual exploitation on its platforms and impacts on child mental health.

The jury agreed with allegations that Meta made false or misleading statements and also agreed that Meta engaged in "unconscionable" trade practices that unfairly took advantage of the vulnerabilities of and inexperience of children.

Jurors found there were thousands of violations, each counting separately toward a penalty of $375 million.

Attorneys for Meta said the company discloses risks and makes efforts to weed out harmful content and experiences, while acknowledging that some bad material gets through its safety net.

The info is here.

Here are some thoughts:

A New Mexico jury ruled that Meta's platforms harmed children's mental health and violated state consumer protection law. After a seven-week trial, jurors found Meta prioritized profits over safety, made misleading statements, and exploited children's vulnerabilities — tallying thousands of violations worth $375 million in potential penalties. The verdict is part of a broader legal reckoning, with 40+ state attorneys general filing similar suits and a parallel federal case underway in California.

When corporations place profits above people, it's never the shareholders who pay the price. There have been multiple articles about Meta's harmful business practices.

No Psychologist is an Island: Building Ethical Strength Through Community

Gavazzi, J., & Fingerhut, R. (2026, March).

Psychotherapy Bulletin, 61(2).

This article argues that ethical practice and professional competence are sustained by community, not individual effort alone. It advocates for a deliberate shift toward a "competence constellation" model, where psychologists build diverse support networks of peers, mentors, and consultants. This proactive, community-based approach is essential to navigate ethical dilemmas, correct for clinical blind spots and biases, and manage personal challenges that affect practice. By fostering collective accountability and shared wisdom, this framework supports practitioner well-being, reduces isolation and moral distress, and ultimately enhances the quality and ethical rigor of client care.

Here is how the article starts:

Professions exist as shared communities, not collections of isolated practitioners. Each profession is defined by its specialized work and the standards it upholds, including ethical codes, shared values, and professional norms. Psychology, like other professions, is grounded in a shared ethics code, specialized expertise, and a commitment to public service. These core elements are dynamic and continuously refined through ongoing professional activities, such as research, consultation, mentorship, continuing education, and peer collaboration. Through these interactions, psychologists develop a collective professional identity and reinforce ethical obligations that extend beyond individual practice. This collaborative foundation helps ensure that psychological practice remains competent, ethically rigorous, and responsive to the needs of both clients and society.

The article is here.

Why AI systems don’t learn and what to do about it

Dupoux, E., LeCun, Y., & Malik, J. (2026).

ArXiv.org. https://arxiv.org/abs/2603.15381

Introduction

We critically examine the limitations of current AI models in achieving autonomous learning and

propose a learning architecture inspired by human and animal cognition. The proposed framework

integrates learning from observation (System A) and learning from active behavior (System B) while

flexibly switching between these learning modes as a function of internally generated meta-control

signals (System M). We discuss how this could be built by taking inspiration on how organisms adapt

to real-world, dynamic environments across evolutionary and developmental timescales.

The article is here.

Here are some thoughts:

This paper draws heavily on cognitive science and developmental psychology in ways that should resonate with practicing psychologists. The authors lean on foundational developmental psychology, including Piaget, Vygotsky, infant perceptual learning, critical periods, and social learning theory, as the blueprint for next-generation AI. For psychologists, this is a meaningful acknowledgment that decades of careful empirical work on human cognition is not just descriptively interesting but architecturally prescriptive for building intelligent systems.

By cataloguing what current AI cannot do, the paper implicitly maps the distinctive features of human cognition: flexible switching between learning modes, active data selection, embodied grounding, and lifelong adaptation. For clinical or educational psychologists, this reinforces the irreplaceable value of understanding genuine human learning. The ethical sections of the paper are also directly clinically relevant, as the authors raise concerns about anthropomorphization, over-trust in AI agents, and the possibility that AI systems processing somatic-like signals may have uncertain moral status. These are questions psychologists will increasingly face as clients interact with AI systems in therapeutic and educational contexts. Perhaps most importantly, the paper suggests that the gap between AI and human intelligence is not primarily about raw computation but about the architecture of learning itself, which has been psychology's domain all along.

Fears about artificial intelligence across 20 countries and six domains of application

Dong, M., et al. (2026).

The American psychologist, 

81(1), 53–67.

https://doi.org/10.1037/amp0001454

Abstract

The frontier of artificial intelligence (AI) is constantly moving, raising fears and concerns whenever AI is deployed in a new occupation. Some of these fears are legitimate and should be addressed by AI developers-but others may result from psychological barriers, suppressing the uptake of a beneficial technology. Here, we show that country-level variations across occupations can be predicted by a psychological model at the individual level. Individual fears of AI in a given occupation are associated with the mismatch between psychological traits people deem necessary for an occupation and perceived potential of AI to possess these traits. Country-level variations can then be predicted by the joint cultural variations in psychological requirements and AI potential. We validated this preregistered prediction for six occupations (doctors, judges, managers, care workers, religious workers, and journalists) on a representative sample of 500 participants from each of 20 countries (total N = 10,000). Our findings may help develop best practices for designing and communicating about AI in a principled yet culturally sensitive way, avoiding one-size-fits-all approaches centered on Western values and perceptions. 

Here are some thoughts:

This study investigates public fears about artificial intelligence taking over human roles across six high-stakes occupations (doctors, judges, managers, care workers, religious workers, and journalists) in 20 countries. Using a sample of 10,000 participants, the research identifies that fear is driven by a mismatch between the psychological traits people expect from humans in a given job and the perceived ability of AI to embody those traits. The findings show significant cultural variation in both the level and nature of these fears, highlighting the need for culturally sensitive AI design and communication strategies rather than uniform, Western-centric approaches to deployment and public engagement.

Emergent Coordinated Behaviors in Networked LLM Agents: Modeling the Strategic Dynamics of Information Operations

Orlando, G. M., et al. (2025).

ArXiv.org. 

https://arxiv.org/abs/2510.25003

Abstract

Generative agents are rapidly advancing in sophistication, raising urgent questions about how they might coordinate when deployed in online ecosystems. This is particularly consequential in information operations (IOs), influence campaigns that aim to manipulate public opinion on social media. While traditional IOs have been orchestrated by human operators and relied on manually crafted tactics, agentic AI promises to make campaigns more automated, adaptive, and difficult to detect. This work presents the first systematic study of emergent coordination among generative agents in simulated IO campaigns. Using generative agent-based modeling, we instantiate IO and organic agents in a simulated environment and evaluate coordination across operational regimes, from simple goal alignment to team knowledge and collective decision-making. As operational regimes become more structured, IO networks become denser and more clustered, interactions more reciprocal and positive, narratives more homogeneous, amplification more synchronized, and hashtag adoption faster and more sustained. Remarkably, simply revealing to agents which other agents share their goals can produce coordination levels nearly equivalent to those achieved through explicit deliberation and collective voting. Overall, we show that generative agents, even without human guidance, can reproduce coordination strategies characteristic of real-world IOs, underscoring the societal risks posed by increasingly automated, self-organizing IOs.

Here are some thoughts:

This paper presents the first systematic study of how LLM-powered agents autonomously develop coordinated influence campaign behaviors without human direction. The researchers simulated a political information operation across three progressively structured conditions: agents sharing only a common goal, agents aware of their teammates' identities, and agents engaging in collective deliberation and voting on strategies. Across all five measured dimensions (network cohesion, narrative convergence, amplification behavior, hashtag diffusion, and cross-group spread), coordination consistently strengthened as operational awareness increased. 

The most striking finding is that simply informing agents who their teammates are produces coordination nearly as potent as full collective decision-making, as agents spontaneously began echoing each other's content, converging on shared messaging, and forming dense interaction clusters without any explicit instructions to do so. 

The study's core warning for platform governance is that sophisticated, human-like influence operations do not require centralized command structures. Merely revealing shared group identity among aligned AI agents may be enough to trigger highly organized, self-reinforcing coordinated behavior.

Historically, running a sophisticated influence operation required significant human labor, scripted coordination, and ongoing oversight. This research suggests that the barrier has collapsed dramatically. A bad actor no longer needs to build an elaborate command-and-control infrastructure or write detailed playbooks for their agents to follow. Simply deploying a group of AI agents with a shared goal and knowledge of each other is sufficient to produce organized, self-reinforcing manipulation that mirrors the tactics of real-world state-sponsored campaigns.

Exploring the Ethical Challenges of Conversational AI in Mental Health Care: Scoping Review

Meadi, M. R., et al. (2025)

JMIR Mental Health, 12, e60432.

https://doi.org/10.2196/60432

Abstract

Background: Conversational artificial intelligence (CAI) is emerging as a promising digital technology for mental health care. CAI apps, such as psychotherapeutic chatbots, are available in app stores, but their use raises ethical concerns.

Objective: We aimed to provide a comprehensive overview of ethical considerations surrounding CAI as a therapist for individuals with mental health issues.

Methods: We conducted a systematic search across PubMed, Embase, APA PsycINFO, Web of Science, Scopus, the Philosopher’s Index, and ACM Digital Library databases. Our search comprised 3 elements: embodied artificial intelligence, ethics, and mental health. We defined CAI as a conversational agent that interacts with a person and uses artificial intelligence to formulate output. We included articles discussing the ethical challenges of CAI functioning in the role of a therapist for individuals with mental health issues. We added additional articles through snowball searching. We included articles in English or Dutch. All types of articles were considered except abstracts of symposia. Screening for eligibility was done by 2 independent researchers (MRM and TS or AvB). An initial charting form was created based on the expected considerations and revised and complemented during the charting process. The ethical challenges were divided into themes. When a concern occurred in more than 2 articles, we identified it as a distinct theme.

Conclusions: Our scoping review has comprehensively covered ethical aspects of CAI in mental health care. While certain themes remain underexplored and stakeholders’ perspectives are insufficiently represented, this study highlights critical areas for further research. These include evaluating the risks and benefits of CAI in comparison to human therapists, determining its appropriate roles in therapeutic contexts and its impact on care access, and addressing accountability. Addressing these gaps can inform normative analysis and guide the development of ethical guidelines for responsible CAI use in mental health care.

Here are some thoughts:

From a clinical perspective, the most immediate ethical tension identified in this review is the conflict between increasing accessibility and ensuring nonmaleficence (doing no harm). While proponents argue that CAI can bridge care gaps by offering constant availability and reaching those who fear stigma, the risks regarding safety and crisis management are profound. The review highlights that CAI systems often fail to contextualize user cues, leading to inappropriate responses in critical situations, such as suicidality. Furthermore, the phenomenon of AI "hallucinations"—where the system presents false information as fact—poses a unique danger in mental health, potentially exacerbating eating disorders or anxiety through misinformation. The lack of strong clinical evidence is also concerning; despite the commercial "hype," a significant portion of these tools have not been subjected to rigorous clinical studies to prove their efficacy compared to active controls.

Technologically, the "black box" problem creates a significant barrier to integrating CAI into professional practice. The review notes that the opacity of machine learning algorithms makes it difficult to explain how a CAI arrived at a specific therapeutic intervention, which undermines the principle of explicability and trust. This lack of transparency complicates accountability; if a CAI harms a patient, it remains unclear whether the responsibility lies with the developers, the deploying clinicians, or the algorithm itself—a concept known as the "responsibility gap". For board-certified professionals, who are bound by codes of ethics to demonstrate reasonable care, relying on a system that cannot explain its decision-making process is ethically precarious.

Polished Apologies: Sexual Groomers’ Words at Sentencing

Pollack, D. & Radcliffe, S. (2026, March 30).

Law.com; New York Law Journal.

The article is paywalled here.

This New York Law Journal expert opinion article examines the rhetorical patterns that convicted sexual groomers typically employ in their sentencing statements. The authors identify four recurring themes: expressions of remorse, acceptance of responsibility, emphasis on personal consequences, and religious or moral framing. Drawing on real cases (including those of Larry Nassar, Roy David Farber, Juan Camargo, and others), the article illustrates how these statements are often carefully crafted with defense counsel's guidance to encourage judicial leniency, yet frequently fall short of genuine accountability by centering the defendant's own suffering rather than the victim's. The authors conclude that judges are rightly skeptical of such polished apologies, and that how offenders speak at sentencing carries significance both for assessing future risk and for whether victims experience any measure of justice.

A pdf of this article can be downloaded here.