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, March 31, 2023

Do conspiracy theorists think too much or too little?

N.M. Brashier
Current Opinion in Psychology
Volume 49, February 2023, 101504


Conspiracy theories explain distressing events as malevolent actions by powerful groups. Why do people believe in secret plots when other explanations are more probable? On the one hand, conspiracy theorists seem to disregard accuracy; they tend to endorse mutually incompatible conspiracies, think intuitively, use heuristics, and hold other irrational beliefs. But by definition, conspiracy theorists reject the mainstream explanation for an event, often in favor of a more complex account. They exhibit a general distrust of others and expend considerable effort to find ‘evidence’ supporting their beliefs. In searching for answers, conspiracy theorists likely expose themselves to misleading information online and overestimate their own knowledge. Understanding when elaboration and cognitive effort might backfire is crucial, as conspiracy beliefs lead to political disengagement, environmental inaction, prejudice, and support for violence.


People who are drawn to conspiracy theories exhibit other stable traits – like lower cognitive ability, intuitive thinking, and proneness to cognitive biases – that suggest they are ‘lazy thinkers.’ On the other hand, conspiracy theorists also exhibit extreme levels of skepticism and expend energy justifying their beliefs; this effortful processing can ironically reinforce conspiracy beliefs. Thus, people carelessly fall down rabbit holes at some points (e.g., when reading repetitive conspiratorial claims) and methodically climb down at others (e.g., when initiating searches online). Conspiracy theories undermine elections, threaten the environment, and harm human health, so it is vitally important that interventions aimed at increasing evaluation and reducing these beliefs do not inadvertently backfire.

Thursday, March 30, 2023

Institutional Courage Buffers Against Institutional Betrayal, Protects Employee Health, and Fosters Organizational Commitment Following Workplace Sexual Harassment

Smidt, A. M., Adams-Clark, A. A., & Freyd, J. J. (2023).
PLOS ONE, 18(1), e0278830. 


Workplace sexual harassment is associated with negative psychological and physical outcomes. Recent research suggests that harmful institutional responses to reports of wrongdoing–called institutional betrayal—are associated with additional psychological and physical harm. It has been theorized that supportive responses and an institutional climate characterized by transparency and proactiveness—called institutional courage—may buffer against these negative effects. The current study examined the association of institutional betrayal and institutional courage with workplace outcomes and psychological and physical health among employees reporting exposure to workplace sexual harassment. Adults who were employed full-time for at least six months were recruited through Amazon’s Mechanical Turk platform and completed an online survey (N = 805). Of the full sample, 317 participants reported experiences with workplace sexual harassment, and only this subset of participants were included in analyses. We used existing survey instruments and developed the Institutional Courage Questionnaire-Specific to assess individual experiences of institutional courage within the context of workplace sexual harassment. Of participants who experienced workplace sexual harassment, nearly 55% also experienced institutional betrayal, and 76% experienced institutional courage. Results of correlational analyses indicated that institutional betrayal was associated with decreased job satisfaction, organizational commitment, and increased somatic symptoms. Institutional courage was associated with the reverse. Furthermore, results of multiple regression analyses indicated that institutional courage appeared to attenuate negative outcomes. Overall, our results suggest that institutional courage is important in the context of workplace sexual harassment. These results are in line with previous research on institutional betrayal, may inform policies and procedures related to workplace sexual harassment, and provide a starting point for research on institutional courage.


Underlying all research on institutional betrayal and institutional courage is the idea that how one responds to a negative event—whether sexual harassment, sexual assault, and other types of victimization—is often as important or more important for future outcomes as the original event itself. In other words, it’s not only about what happens; it’s also about what happens next. In this study, institutional betrayal and institutional courage appear to have a tangible association with employee workplace and health outcomes. Furthermore, institutional courage appears to attenuate negative outcomes in both the employee workplace and health domains.

While we once again find that institutional betrayal is harmful, this study indicates that institutional courage can buffer against those harms. The ultimate goal of this research is to eliminate institutional betrayal at all levels of institutions by replacing it with institutional courage. The current study provides a starting point to achieving that goal by introducing a new measure of institutional courage to be used in future investigations and by reporting findings that demonstrate the power of institutional courage with respect to workplace sexual harassment.

Wednesday, March 29, 2023

Houston Christian U Sues Tim Clinton & American Assoc of Christian Counselors for Fraud & Breach of Contract

Rebecca Hopkins
The Roys Report
Originally posted 21 MAR 23

Houston Christian University (HCU) once planned to name its mental health program after Tim Clinton, president of the American Association of Christian Counselors (AACC)—the world’s leading Christian counseling organization. Now HCU is suing Clinton, the AACC, and their related organizations for $1 million, accusing them of fraud, breach of contract, and concealing Clinton’s alleged plagiarism.

AACC “knew of Dr. Clinton’s practice of plagiarizing but failed to disclose the same to Plaintiff, knowing of the importance of academic honesty to any institution of higher learning,” the suit says. “. . . Yet, AACC still entered into several agreements with Plaintiff while not disclosing the academic honesty.”

In 2016-17, HCU (then named Houston Baptist University) hired Tim Clinton and the 50,000-member AACC for more than $5 million, multiple agreements show.

As part of the agreements, Clinton and the AACC promised to deliver new enrollments to the private Baptist school and to develop 50 new courses for HCU’s counseling program. The school also contracted with Clinton to help start, lead, and promote a global mental health center at HCU for an additional payment of $26,000 per month.

However, according to the lawsuit filed March 3 in Harris County District Court in Texas, Clinton and the AACC failed to deliver “on the expressed scope of the contracts.”

The contract expressed a goal of 133 new enrollments, but AACC delivered only one student, the suit says. Plus, the new courses were supposed to be written by the AACC, the suit adds, but instead AACC outsourced the courses to a third party.

Additionally, during the time of the agreement, Clinton was accused of plagiarism. In 2018, Grove City College psychology professor Warren Throckmorton accused Clinton of plagiarism in articles Clinton posted on Medium.

Clinton attributed the issues to the use of research assistants and graduate students, as well as a former employee’s poor standards, and third-party partners’ mistakes.

Tuesday, March 28, 2023

Medical assistance in dying (MAiD): Ethical considerations for psychologists

Koocher, G. P., Benjamin, G. A. H.,  et al. (2023). 
Professional Psychology: 
Research and Practice, 54(1), 2–13.


Significant ethical challenges arise when mental health practitioners care for patients who seek to accelerate their own dying for rational medically valid reasons. Current and proposed laws provide for medical assistance in dying (MAiD) in several U.S. jurisdictions, all of Canada, and several other nations. Differing provisions of these laws complicate their utility for some patients who seek aid in dying. Some extant laws include roles that mental health professionals might play in assessing patients’ competence or capacity to consent, mental illness, or other cognitive and behavioral factors. Practitioners who choose to accept roles in the MAiD process must consider and resolve a number of ethical challenges including potential conflicts between and among laws, ethical standards, third-party requests, personal values, and patients’ wishes. These include becoming aware of patients who may wish to act independently to end their lives when MAiD laws might otherwise exclude them. Examples from actual cases and the resultant discussion will form a basis for exploration of the ethical and legal complexities confronted when psychologists become engaged in the process either intentionally or incidentally. The lead article (Koocher) is not intended to comprehensively address MAiD in all of its complexity but rather to trigger a thoughtful discussion among the accompanying commentaries.

Impact Statement

Public Significance Statement—Current and proposed laws provide for medical assistance in dying (MAiD), sometimes described as physician-assisted suicide, in several U.S. jurisdictions, all of Canada, and in several other nations. Some such laws require psychological input, usually from either a psychologist or a psychiatrist. The limited scope of existing laws may result in some patients suffering with debilitating, painful, chronic, and fatal illnesses to consider suicide without medical assistance. With or without MAiD legislation, mental health professionals will come in contact with such patients and must consider the potentially complex ethical ramifications of caring for such patients. 


The culture of dying in America too often involves end-of-life care provided by strangers in institutional settings. Government and professional regulators often assume a parentalistic stance that effectively diminishes personal control of the dying process. Legalized MAiD offers an important option to those suffer from an irremediable medical condition and desire access to medical procedures to hasten death in a peaceful and dignified manner. Patients confronting chronic terminal illness have legitimate interests in controlling their own dying with quality care and support. Perhaps the most valuable and meaningful aspect of dying would include the presence of a community of care that demonstrates to the dying person that they will not feel abandoned (Campbell, 2019). Psychologists can play a significant role in making this happen. Ethical, professional, and legal controversies will abound as MAiD becomes more socially prevalent, and it will.

Monday, March 27, 2023

White Supremacist Networks Gab and 8Kun Are Training Their Own AI Now

David Gilbert
Vice News
Originally posted 22 FEB 23

Here are two excerpts:

Artificial intelligence is everywhere right now, and many are questioning the safety and morality of the AI systems released by some of the world’s biggest companies, including Open AI’s ChatGPT, Bing’s Sydney, and Google’s Bard. It was only a matter of time until the online spaces where extremists gather became interested in the technology.

Gab is a social network filled with homophobic, christian nationalist and white supremacist content. On Tuesday its CEO Andrew Torba announced the launch of its AI image generator, Gabby.

“At Gab, we have been experimenting with different AI systems that have popped up over the past year,” Torba wrote in a statement. “Every single one is skewed with a liberal/globalist/talmudic/satanic worldview. What if Gab AI Inc builds a Gab .ai (see what I did there?) that is based, has no ‘hate speech” filters and doesn’t obfuscate and distort historical and Biblical Truth?”

Gabby is currently live on Gab’s site and available to all members. Like Midjourney and DALL-E, it is an image generator that users interact with by sending it a prompt, and within seconds it will generate entirely new images based on that prompt.

Echoing his past criticisms of Big Tech platforms like Facebook and Twitter, Torba claims that mainstream platforms are now “censoring” their AI systems to prevent people from discussing right-wing topics such as Christian nationalism. Torba’s AI, by contrast, will have ”the ability to speak freely without the constraints of liberal propaganda wrapped tightly around its neck.”


8chan, which was founded to support the Gamergate movement, became the home of QAnon in early 2018 and was taken offline in August 2019 after the man who killed 20 people at an El Paso Walmart posted an anti-immigrant screed on the site.

Watkins has been speaking about his AI system for a few weeks now, but has yet to reveal how it will work or when it will launch. Watkins’ central selling point, like Torba’s, appears to be that his system will be “uncensored.”

“So that we can compete against these people that are putting up all of these false flags and illusions,” Watkins said on Feb. 13 when he was asked why he was creating an AI system.  “We are working on our own AI that is going to give you an uncensored look at the way things are going,” Watkins said in a video interview at the end of January.But based on some of the images the engine is churning out, Watkins still has a long way to go to perfect his AI image generator.

Sunday, March 26, 2023

State medical board chair Dr. Brian Hyatt resigns, faces Medicaid fraud allegations

Ashley Savage
Arkansas Democrat Gazette
Originally published 3 MAR 23

Dr. Brian Hyatt stepped down as chairman of the Arkansas State Medical Board Thursday in a special meeting following "credible allegations of fraud," noted in a letter from the state's office of Medicaid inspector general.

Members of the board met remotely Thursday with only one item on the agenda: "Discussion of Arkansas State Board's leadership."

The motion to approve Hyatt's request to step down as chairman and out of an executive role on the board was approved unanimously.

Board members also decided that Dr. Rhys Branman will take over as the interim chairman until an election to fill the seat is held in April.

According to the board Thursday, the vacant seats for vice chair and chair of the board will be voted on separate ballots in the April elections.

The Medicaid letter states "red flags" were discovered in Hyatt's use of Medicaid claims and process of billing for medical services. In Arkansas, Medicaid fraud resulting in an overpayment over $2,500 is a felony.

"Dr. Hyatt is a clear outlier, and his claims are so high they skew the averages on certain codes for the entire Medicaid program in Arkansas," the affidavit states.

"The suspension is temporary and there's a right to appeal. I see only allegations and I don't see any actual charges and I haven't dealt with this a lot," said Branman.

Hyatt has 30 days to appeal his suspension from the Medicaid program.

Other information from the letter shows that Hyatt is alleged to have billed more Medicaid patients at the 99233 code than any other doctor billed for all of their Medicaid patients between January of 2019 and June 30, 2022.

Saturday, March 25, 2023

A Christian Health Nonprofit Saddled Thousands With Debt as It Built a Family Empire Including a Pot Farm, a Bank and an Airline

Ryan Gabrielson & J. David McSwane
Originally published 25 FEB 23

Here is an excerpt:

Four years after its launch in 2014, the ministry enrolled members in almost every state and collected $300 million in annual revenue. Liberty used the money to pay at least $140 million to businesses owned and operated by Beers family members and friends over a seven-year period, the investigation found. The family then funneled the money through a network of shell companies to buy a private airline in Ohio, more than $20 million in real estate holdings and scores of other businesses, including a winery in Oregon that they turned into a marijuana farm. The family calls this collection of enterprises “the conglomerate.”

Beers has disguised his involvement in Liberty. He has never been listed as a Liberty executive or board member, and none of the family’s 50-plus companies or assets are in his name, records show.

From the family’s 700-acre ranch north of Canton, however, Beers acts as the shadow lord of a financial empire. It was built from money that people paid to Liberty, Beers’ top lieutenant confirmed to ProPublica. He plays in high-stakes poker tournaments around the country, travels to the Caribbean and leads big-game hunts at a vast hunting property in Canada, which the family partly owns. He is a man, said one former Liberty executive, with all the “trappings of large money coming his way.”

Despite abundant evidence of fraud, much of it detailed in court records and law enforcement files obtained by ProPublica, members of the Beers family have flourished in the health care industry and have never been prevented from running a nonprofit. Instead, the family’s long and lucrative history illustrates how health care sharing ministries thrive in a regulatory no man’s land where state insurance commissioners are barred from investigating, federal agencies turn a blind eye and law enforcement settles for paltry civil settlements.

The Ohio attorney general has twice investigated Beers for activities that financial crimes investigators said were probable felonies. Instead, the office settled for civil fines, most recently in 2021. It also required Liberty to sever its ties to some Beers family members.

The IRS has pursued individual family members for underreporting their income and failing to pay million-dollar tax bills. But there’s no indication that the IRS has investigated how several members of one family amassed such substantial wealth in just seven years by running a Christian nonprofit.

The agencies’ failure to move decisively against the Beers family has left Liberty members struggling with millions of dollars in medical debt. Many have joined a class-action lawsuit accusing the nonprofit of fraud.

After years of complaints, health care sharing ministries are now attracting more scrutiny. Sharity Ministries, once among the largest organizations in the industry, filed for bankruptcy and then dissolved in 2021 as regulators in multiple states investigated its failure to pay members’ bills. In January, the Justice Department seized the assets of a small Missouri-based ministry, Medical Cost Sharing Inc., and those of its founders, accusing them of fraud and self-enrichment. The founders have denied the government’s allegations.

Friday, March 24, 2023

Psychological Features of Extreme Political Ideologies

van Prooijen, J.-W., & Krouwel, A. P. M. (2019).
Current Directions in Psychological Science, 
28(2), 159–163. 


In this article, we examine psychological features of extreme political ideologies. In what ways are political left- and right-wing extremists similar to one another and different from moderates? We propose and review four interrelated propositions that explain adherence to extreme political ideologies from a psychological perspective. We argue that (a) psychological distress stimulates adopting an extreme ideological outlook; (b) extreme ideologies are characterized by a relatively simplistic, black-and-white perception of the social world; (c) because of such mental simplicity, political extremists are overconfident in their judgments; and (d) political extremists are less tolerant of different groups and opinions than political moderates. In closing, we discuss how these psychological features of political extremists increase the likelihood of conflict among groups in society.


The four psychological features discussed here suggest that political extremism is fueled by feelings of distress and is reflected in cognitive simplicity, overconfidence, and intolerance. These insights are important to understanding how political polarization increases political instability and the likelihood of conflict between groups in society. Excessive confidence in the moral superiority of one’s own ideological beliefs impedes meaningful interaction and cooperation with different ideological groups and structures political decision making as a zero-sum game with winners and losers. Strong moral convictions consistently decrease people’s ability to compromise and even increase a willingness to use violence to reach ideological goals (Skitka, 2010). These processes are exacerbated by people’s tendency to selectively expose themselves to people and ideas that validate their own convictions. For instance, both information and misinformation selectively spread in online echo chambers of like-minded people (Del Vicario et al., 2016).

This article extends current insights in at least three ways. First, the features proposed here help to explain why throughout the past century not only extreme-right but also extreme-left movements (e.g., socialism, communism) have thrived in times of crisis (Midlarsky, 2011). Second, understanding the mind-set of extremists in all corners of the political spectrum is important in times of polarization and populist rhetoric. The current propositions provide insights into why traditionally moderate parties in the EU have suffered substantial electoral losses. In particular, the support for well-established parties on the moderate left (e.g., social democrats) and moderate right (e.g., Christian democrats) has dropped in recent years, whereas the support for left- and right-wing populist parties has increased (Krouwel, 2012). Third, the present arguments are based on evidence from multiple countries with different political systems (van Prooijen & Krouwel, 2017), which suggests that they apply to both two-party systems (e.g., the United States) and multiparty systems (e.g., many European countries).

Thursday, March 23, 2023

Are there really so many moral emotions? Carving morality at its functional joints

Fitouchi L., André J., & Baumard N.
To appear in L. Al-Shawaf & T. K. Shackelford (Eds.)
The Oxford Handbook of Evolution and the Emotions.
New York: Oxford University Press.


In recent decades, a large body of work has highlighted the importance of emotional processes in moral cognition. Since then, a heterogeneous bundle of emotions as varied as anger, guilt, shame, contempt, empathy, gratitude, and disgust have been proposed to play an essential role in moral psychology.  However, the inclusion of these emotions in the moral domain often lacks a clear functional rationale, generating conflations between merely social and properly moral emotions. Here, we build on (i) evolutionary theories of morality as an adaptation for attracting others’ cooperative investments, and on (ii) specifications of the distinctive form and content of moral cognitive representations. On this basis, we argue that only indignation (“moral anger”) and guilt can be rigorously characterized as moral emotions, operating on distinctively moral representations. Indignation functions to reclaim benefits to which one is morally entitled, without exceeding the limits of justice. Guilt functions to motivate individuals to compensate their violations of moral contracts. By contrast, other proposed moral emotions (e.g. empathy, shame, disgust) appear only superficially associated with moral cognitive contents and adaptive challenges. Shame doesn’t track, by design, the respect of moral obligations, but rather social valuation, the two being not necessarily aligned. Empathy functions to motivate prosocial behavior between interdependent individuals, independently of, and sometimes even in contradiction with the prescriptions of moral intuitions. While disgust is often hypothesized to have acquired a moral role beyond its pathogen-avoidance function, we argue that both evolutionary rationales and psychological evidence for this claim remain inconclusive for now.


In this chapter, we have suggested that a specification of the form and function of moral representations leads to a clearer picture of moral emotions. In particular, it enables a principled distinction between moral and non-moral emotions, based on the particular types of cognitive representations they process. Moral representations have a specific content: they represent a precise quantity of benefits that cooperative partners owe each other, a legitimate allocation of costs and benefits that ought to be, irrespective of whether it is achieved by people’s actual behaviors. Humans intuit that they have a duty not to betray their coalition, that innocent people do not deserve to be harmed, that their partner has a right not to be cheated on. Moral emotions can thus be defined as superordinate programs orchestrating cognition, physiology and behavior in accordance with the specific information encoded in these moral representations.    On this basis, indignation and guilt appear as prototypical moral emotions. Indignation (“moral anger”) is activated when one receives fewer benefits than one deserves, and recruits bargaining mechanisms to enforce the violated moral contract. Guilt, symmetrically, is sensitive to one’s failure to honor one’s obligations toward others, and motivates compensation to provide them the missing benefits they deserve. By contrast, often-proposed “moral” emotions – shame, empathy, disgust – seem not to function to compute distinctively moral representations of cooperative obligations, but serve other, non-moral functions – social status management, interdependence, and pathogen avoidance (Figure 2). 

Wednesday, March 22, 2023

Young children show negative emotions after failing to help others

Gerdemann, S. C., Tippmann, J., et al (2022). 
PloS one, 17(4), e0266539.


Self-conscious emotions, such as guilt and shame, motivate the adherence to social norms, including to norms for prosociality. The relevance of an observing audience to the expression of negative self-conscious emotions remains poorly understood. Here, in two studies, we investigated the influence of being observed on 4-to 5-year-old children's (N = 161) emotional response after failing to help someone in need and after failing to complete their own goal. As an index of children's emotional response, we recorded the change in children's upper body posture using a motion depth sensor imaging camera. Failing to help others lowered children's upper body posture regardless of whether children were observed by an audience or not. Children's emotional response was similar when they failed to help and when they failed to complete their own goal. In Study 2, 5-year-olds showed a greater decrease in upper body posture than 4-year-olds. Our findings suggest that being observed is not a necessary condition for young children to express a negative self-conscious emotion after failing to help or after failing to complete their own goal. We conclude that 5-year-olds, more so that 4-year-olds, show negative emotions when they fail to adhere to social norms for prosociality.

General discussion

The current studies represent the first investigation of children’s emotional response to failing to help others using a method that automatically and objectively record changes in children’s body posture. Our studies show that young children’s emotional response is similarly negative when they fail to help or fail to achieve their own goal in both an observed and unobserved set-ting. Specifically, in both studies, children expressed a greater reduction in upper body posture after they failed to help (Trial 1) than during the resolution of the situation moments later (Trial 2). This result was corroborated by the emotion valence coding of Study 1. While observation or goal context did not influence this emotional response, we did find evidence in Study2 that 5-year-olds expressed a greater reduction in upper body posture after failing to help than 4-year-olds. Moreover, in Study 2, children expressed a predominantly shame-like negative emotion after failing to help, suggesting that self-evaluative processes were involved in children’s emotional response.

The influence of observation

Children expressed similarly negative emotions regardless of whether they were observed or unobserved during a failure to help, suggesting that the presence of an audience is not required for young children to express a negative self-conscious emotion. It is worth noting that children were made aware of the observer’s presence twice during the studies and were told that the observer would watch them today, which is comparable to previous studies of the influence of observation on children’s prosocial behavior. Our findings thus raise questions about the role of others’ evaluation or judgment of oneself in young children’s expression of self-conscious emotions. Some scholars have argued that young children’s expression of shame following achievement-related failures is the result of observing adults knowing (or having the impression) that children have performed poorly until children are school-aged.

Tuesday, March 21, 2023

Mitigating welfare-related prejudice and partisanship among U.S. conservatives with moral reframing of a universal basic income policy

Thomas, C. C., Walton, G. M., et al.
Journal of Experimental Social Psychology
Volume 105, March 2023, 104424


Inequality and deep poverty have risen sharply in the US since the 1990s. Simultaneously, cash-based welfare policies have frayed, support for public assistance has fallen on the political right, and prejudice against recipients of welfare has remained high. Yet, in recent years Universal Basic Income (UBI) has gained traction, a policy proposing to give all citizens cash sufficient to meet basic needs with no strings attached. We hypothesized that UBI can mitigate the partisanship and prejudice that define the existing welfare paradigm in the US but that this potential depends critically on the narratives attached to it. Indeed, across three online experiments with US adults (total N = 1888), we found that communicating the novel policy features of UBI alone were not sufficient to achieve bipartisan support for UBI or overcome negative stereotyping of its recipients. However, when UBI was described as advancing the more conservative value of financial freedom, conservatives perceived the policy to be more aligned with their values and were less opposed to the policy (meta-analytic effect on policy support: d = 0.36 [95% CI: 0.27 to 0.46]). Extending the literatures on moral reframing and cultural match, we further find that this values-aligned policy narrative mitigated prejudice among conservatives, reducing negative welfare-related stereotyping of policy recipients (meta-analytic effect d = −0.27 [95% CI: −0.38 to −0.16]), while increasing affiliation with them. Together, these findings point to moral reframing as a promising means by which institutional narratives can be used to bridge partisan divides and reduce prejudice.


• Policies like Universal Basic Income (UBI) propose to mitigate poverty and inequality by giving all citizens cash

• A UBI policy narrative based in freedom most increased policy support and reduced prejudice among conservatives

• This narrative also achieved the highest perceived moral fit, or alignment with one’s values, among conservatives

• Moral reframing of policy communications may be an effective institutional lever for mitigating partisanship and prejudice


General discussion

Three experiments revealed that a values-based narrative of UBI, one grounded in the conservative value of economic freedom, can advance bipartisanship in support for UBI and simultaneously mitigate welfare-related prejudice among U.S. conservatives. While policy reforms often focus on changes to objective policy features, these studies suggest that the narratives attached to such features will meaningfully influence public attitudes towards both the policy and its recipients. In other words, the potential of policies like UBI to advance goals such as inequality reduction and prejudice mitigation may be limited if they fail to attend to the narratives that accompany them.

Here, we demonstrate the potential for policy narratives that elevate the moral foundations of those most opposed to the policy, U.S. conservatives in this case. Why might this narrative approach succeed? At a higher-order level, our findings suggests that inclusion begets inclusion: when conservatives felt that the policy recognized and reflected their own values, they were more likely to support the policy and express inclusive attitudes toward its recipients.

Monday, March 20, 2023

Science through a tribal lens: A group-based account of polarization over scientific facts

Fasce, A., Adrián-Ventura, J., et al. (2023).
Group Processes & Intergroup Relations, 26(1), 3–23.


Previous research has confirmed the prominent role of group processes in the promotion and endorsement of disinformation. We report three studies on a psychological framework derived from integrated threat theory—a psychological theory which describes how perceived threat leads to group polarization and prejudice—composed of the following constructs: group belongingness, perceived threat, outgroup derogation, and intergroup anxiety. Our pilot study suggested that need to belong and intergroup anxiety predict antiscientific beliefs (pseudoscientific, paranormal, and conspiracy theories), thus justifying the general applicability of integrated threat theory. Study 1 investigates the transition from weak to strong critical thinking regarding pseudoscientific doctrines. Besides greater outgroup derogation and perceived threats among strong critical thinkers, the model does not perform well in this context. Study 2 focuses on the intergroup conflict around anthropogenic global warming, revealing the strong predictive power of the model. These results are discussed in relation to the distinctive psychological profiles of science acceptance and rejection.

From the General Discussion

Perceived Threat and the Conspiracy of Scientists

There is a wide corpus of  research highlighting the role of  group belongingness and perceived threats in conspiracy theories (Federico et al., 2018; Mashuri et al., 2016; van der Linden et al., 2020; van Prooijen, 2015). In effect, van Prooijen (2020) has developed a comprehensive inter-group threat-based model in which distressing social events stimulate conspiracism when antagonistic outgroups are salient. Believing in the existence of  secret, powerful, and evil outgroups perpetuates and exacerbates feelings of  uncertainty and existential threat (Douglas et al., 2017), so conspiracy theories tend to backfire, being a source of  threat in themselves to their own sup-porters. This situation facilitates a feedback loop that gives rise to a generalized conspiracist world-view (Imhoff  & Bruder, 2014; van der Linden et al., 2020; van Prooijen, 2020)—in fact, prior studies have found that the best predictor of belief  in one conspiracy theory is belief  in another conspiracy theory (Abalakina-Paap et al., 1999; Goertzel, 1994).

Besides its function to justify the legitimacy of  ingroup identity and values (Jolley et al., 2018), the prototypical form of  intergroup representation that lies at the root of  conspiracy theories also provides perceived epistemic justification for antiscientific conceptions of  climate change, vaccination, AIDS, and GMOs (Jolley & Douglas, 2014; Nattrass, 2013; Uscinski et al., 2017). Conspiracy theories about scientific information give rise to the kind of epistemic defense mecha-nisms that characterize self-validating belief systems (Boudry & Braeckman, 2012; Lewandowsky et al., 2015), so contrary evidence is often interpreted as evidence of  a conspiracy—for instance, conspiracy theorists typically argue that the match between the official story and the available evidence is indeed predicted by their theory, thus characterizing contradicting evidence as being, consciously or unconsciously, part of  the alleged secret plot. Accordingly, conspiracism reduces the existing dissonance between denial and expert consensus, turning contrary information into confirmatory evidence (Lewandowsky et al., 2018).

Sunday, March 19, 2023

The role of attention in decision-making under risk in gambling disorder: an eye-tracking study

Hoven, M., Hirmas, A., Engelmann, J. B., 
& van Holst, R. (2022, June 30).


Gambling disorder (GD) is a behavioural addiction characterized by impairments in decision-making, favouring risk- and reward-prone choices. One explanatory factor for this behaviour is a deviation in attentional processes, as increasing evidence indicates that GD patients show an attentional bias toward gambling stimuli. However, previous attentional studies have not directly investigated attention during risky decision-making. 25 patients with GD and 27 healthy matched controls (HC) completed a mixed gambles task combined with eye-tracking to investigate attentional biases for potential gains versus losses during decision-making under risk. Results indicate that compared to HC, GD patients gambled more and were less loss averse. GD patients did not show a direct attentional bias towards gains (or relative to losses). Using a recent (neuro)economics model that considers average attention and trial-wise deviations in average attention, we conducted fine-grained exploratory analyses of the attentional data. Results indicate that the average attention in GD patients moderated the effect of gain value on gambling choices, whereas this was not the case for HC. GD patients with high average attention for gains started gambling at less high gain values. A similar trend-level effect was found for losses, where GD patients with high average attention for losses stopped gambling with lower loss values. This study gives more insight into how attentional processes in GD play a role in gambling behaviour, which could have implications for the development of future treatments focusing on attentional training or for the development of interventions that increase the salience of losses.

From the Discussion section

We extend the current literature by investigating the role of attention in risky decision-making using eye-tracking, which has been underexplored in GD thus far. Consistent with previous studies in HCs, subjects’ overall relative attention toward gains decreased in favor of attention toward losses when  loss  values  increased.  We  did not find group differences in attention to either  gains or losses, suggesting no direct attentional biases in GD. However, while HCs increased their attention to gains with higher gain values, patients with GD did not. Moreover, while patients with GD displayed lower loss aversion, they did not show less attention to losses, rather, in both groups, increased trial-by-trial attention to losses resulted in less gambling.

The question arises whether attention modulates the effect of gains and losses on choice behavior differently in GD relative to controls. Our exploratory analyses that differentiated between two different channels of attention indeed indicated that the effect of gain value on gambling choices was modulated by the amount of average attention on gains in GD only. In other words, patients with GD who focused more on gains exhibited a greater gambling propensity at relatively low gain values. Notably, the strength of the effect of gain value on choice only significantly differed at average and high levels of attention to gains between groups, while patients with GD and HCs with relatively low levels of average attention to gains did not differ. Moreover, patients with GD who had relatively more average attention to losses showed a reduction in gambling propensity at relatively lower loss values, but note that this was at trend level.  Since  average  attention  relates  to  goal-directed or top-down attention, this measure likely reflects one’s preferences and beliefs.  Hence,  the  current  results suggest  that  gambling  choices  in  patients  with GD, relative to HCs are more  influenced by their preferences for gains. Future studies are needed to verify if and how top-down attentional processes affect decision-making in GD.

Editor's note: Apparently, GD focusing primarily on gains continue to gamble.  GD and HC who focus on losses are more likely to stop.  Therefore, psychologists treating people with impulse control difficulties may want to help patient's focus on potential losses/harm, as opposed to imagined gains.

Saturday, March 18, 2023

Black Bioethics in the Age of Black Lives Matter

Ray, K., Fletcher, F.E., Martschenko, D.O. et al. 
J Med Humanit (2023).

Here are two excerpts:

Lessons Black Bioethics can take from BLM

BLM showed that telling Black people’s stories or giving them a space to tell their own stories is viewed as an inherently political act simply because Black people’s existence is viewed as political. At the same time, it taught us that we absolutely must take on this task because, if we do not tell our stories, other people will tell them for us and use our stories to deny us our rightful moral status and all the rights it entitles us.

BLM let Black people’s stories fuel its social justice initiatives. It used stories to put Black people at the forefront of protests and social inclusion efforts to show the extent to which Black people had been excluded from our collective social consciousness. Stories allowed us to see the total impact of anti-Black racism and the ways it infiltrates all parts of Black life. And for those who were far removed from the experience of being Black, BLM used stories to make us care about racial injustice and be so moved that we were unable to turn our backs on Black people’s suffering. In this way, stories are an act of rebellion, a way to force people to reckon with BLM’s demands that Black people ought to be treated like the full and complex human beings we are.

Black Bioethics is also a rebellion. It is a rebellion against the status quo in bioethics—a rebellion against Black people’s lives being an afterthought, particularly in issues of justice. Stories aid in this rebellion. Just as stories helped BLM show the full range of Black people’s humanity and the ways that individuals and institutions deny Black people that humanity, stories help Black Bioethics demonstrate just how our institutions contribute to Black people’s poor health and prevent them from living full lives. In Black Bioethics, stories can create the same emotional stirring that they did for BLM supporters since they share many of the same challenges and goals. And just as it would be imprudent to underestimate the role of stories in social justice, it would be imprudent of us to underestimate what stories can do for our sense of health justice for Black people.


Toward an intersectional bioethics

Bioethics is well-positioned to foster antiracism in scholarship, training, and advocacy (Danis et al. 2016). Although the field focuses on ethical issues in biomedical research and clinical care specifically, Danis et al. (2016) point out that many ethical dilemmas that impact health and well-being lie outside of healthcare settings. For instance, there are significant ethical dilemmas posed by the social determinants of health and complex disease. Social factors such as poverty, unequal access to healthcare, lack of education, stigma, and racism are underlying and contributing factors to health inequalities. These inequalities, in turn, generate the ethical dilemmas that bioethics grapples with (Danis et al. 2016). If the field genuinely values the just conduct of biomedical research and the just provision of clinical care, then it will need to draw upon intersectionality to understand and effectively analyze the many interlocking complexities in our world and in human experiences. Social activist movements like BLM and their use of intersectionality offer several lessons to those in the field working to secure justice in biomedicine, clinical care, and society.

First, as an analytic tool, intersectionality recognizes and understands that different social forces conjoin to produce and maintain privilege and marginalization. Therefore, intersectionality clarifies instances in which real lives and experiences are being erased. Bioethics cannot afford to “neglect entire ways of being in the world,” though it has and continues to do so (Wallace 2022, S79). Social activist movements like BLM are drawing attention to ways of being that are unjust yet largely ignored by mainstream hegemonic interests. For instance, BLM directly acknowledges within its movement “those who have been marginalized within [other] Black liberation movements” (Black Lives Matter n.d.). Using intersectionality, BLM heightens awareness of the ways in which Black queer and trans individuals, undocumented individuals, and people with disabilities have different experiences with White supremacy and advance colonialism. In doing so, it centers rather than erases real lives and experiences. Learning from this movement, bioethical scholarship grounded in the principle of justice will need to find ways to center the experiences of Black-identifying individuals without treating the Black community as a homogenous entity.

Friday, March 17, 2023

Rational learners and parochial norms

Partington, S. Nichols, S., & Kushnir, T.
Volume 233, April 2023, 105366


Parochial norms are narrow in social scope, meaning they apply to certain groups but not to others. Accounts of norm acquisition typically invoke tribal biases: from an early age, people assume a group's behavioral regularities are prescribed and bounded by mere group membership. However, another possibility is rational learning: given the available evidence, people infer the social scope of norms in statistically appropriate ways. With this paper, we introduce a rational learning account of parochial norm acquisition and test a unique prediction that it makes. In one study with adults (N = 480) and one study with children ages 5- to 8-years-old (N = 120), participants viewed violations of a novel rule sampled from one of two unfamiliar social groups. We found that adults judgments of social scope – whether the rule applied only to the sampled group (parochial scope), or other groups (inclusive scope) – were appropriately sensitive to the relevant features of their statistical evidence (Study 1). In children (Study 2) we found an age difference: 7- to 8-year-olds used statistical evidence to infer that norms were parochial or inclusive, whereas 5- to 6-year olds were overall inclusive regardless of statistical evidence. A Bayesian analysis shows a possible inclusivity bias: adults and children inferred inclusive rules more frequently than predicted by a naïve Bayesian model with unbiased priors. This work highlights that tribalist biases in social cognition are not necessary to explain the acquisition of parochial norms.

From the General discussion

The widespread prevalence of parochial norms across history and cultures have led some to suggest parochialism is itself a human universal (Clark et al., 2019; Greene, 2013) in part owing to evolved, group-based biases in social norm acquisition (Chalik & Rhodes, 2020; Chudek & Henrich, 2011; Roberts et al., 2017). In this paper, we investigated whether a rational learning process can also explain this phenomenon. In Study 1, we found that adults can acquire distinctions of social scope in a statistically appropriate manner, and this finding was robust across two forms of measurement (rule judgments and open response). In Study 2, older children displayed the adult-like statistical sensitivity in their rule judgments, and even younger children did so in their open responses. Computational analyses suggests that rule judgments were inclusively biased: compared to an unbiased Bayesian learner, children tended to assume that novel rules apply to everyone in a candidate population. Adults also displayed an inclusive bias, albeit to a lesser extent than children.

Broadly, these findings suggest that rational learning processes can indeed explain the acquisition of parochial norms and highlight an important sense in which children's norm learning can be biased in the opposite direction of tribalism. At the least, the finding that children and adults are inclusively biased serves as an existence proof that deep-rooted tribal biases in social learning are not necessary to explain the acquisition of parochial norms. Rather, if children and adults are rational learners, they can acquire a parochial norm when presented with evidence that is consistent with parochialism. However, tribalism can still play a role in norm acquisition, for example, by influencing the sort of evidence that adults seek out, or the evidence to which children are exposed.

Thursday, March 16, 2023

Drowning in Debris: A Daughter Faces Her Mother’s Hoarding

Deborah Derrickson Kossmann
Psychotherapy Networker
March/April 2023

Here is an excerpt:

My job as a psychologist is to salvage things, to use the stories people tell me in therapy and help them understand themselves and others better. I make meaning out of the joy and wreckage of my own life, too. Sure, I could’ve just hired somebody to shovel all my mother’s mess into a dumpster, but I needed to be my family’s archaeologist, excavating and preserving what was beautiful and meaningful. My mother isn’t wrong to say that holding on to some things is important. Like her, I appreciate connections to the past. During the cleaning, I found photographs, jewelry passed down over generations, and my bronzed baby shoes. I treasure these things.

“Maybe I failed by not following anything the psychology books say to do with a hoarding client,” I tell my sister over the phone. “Sometimes I still feel like I wasn’t compassionate enough.”

“You handled it as best you could as her daughter,” my sister says. “You’re not her therapist.”

After six years, my mother has finally stopped saying she’s a “prisoner” at assisted living. She tells me she’s part of a “posse” of women who eat dinner together. My sister decorated her studio apartment beautifully, but the cluttering has begun again. Piles of magazines and newspapers sit in corners of her room. Sometimes, I feel the rage and despair these behaviors trigger in me. I still have nightmares where I drive to my mother’s house, open the door, and see only darkness, black and terrifying, like I’m looking into a deep cave. Then, I’m fleeing while trying to wipe feces off my arm. I wake up feeling sadness and shame, but I know it isn’t my own.

A few weeks ago, I pulled up in front of my mother’s building after taking her to the cardiologist. We turned toward each other and hugged goodbye. She opened the car door with some effort and determinedly waved off my help before grabbing the bag of books I’d brought for her.

“I can do it, Deborah,” she snapped. But after taking a few steps toward the building entrance, she turned around to look at me and smiled. “Thank you,” she said. “I really appreciate all you do for me.” She added, softly, “I know it’s a lot.”

The article is an important reminder that practicing psychologists cope with their own stressors, family dynamics, and unpleasant emotional experiences.  Psychologists are humans with families, value systems, emotions, beliefs, and shortcomings.

Wednesday, March 15, 2023

Why do we focus on trivial things? Bikeshedding explained

The Decision Lab
An Explainer
Originally posted: No idea

What is Bikeshedding?

Bikeshedding, also known as Parkinson’s law of triviality, describes our tendency to devote a disproportionate amount of our time to menial and trivial matters while leaving important matters unattended.

Where does this bias occur?

Do you ever remember sitting in class and having a teacher get off track from a lesson plan? They may have spent a large portion of your biology class time telling you a personal story and skimmed over important scientific theory. In such an instance, your teacher may have been a victim of bikeshedding, where they spent too long discussing something minor and lost track of what was important. Even though it may have been more entertaining to listen to their story, it did not help you acquire important information.

Although that scenario is one familiar to most, bikeshedding is an issue most commonly seen as a problem in corporate and consulting environments, especially during meetings. Imagine that at work, you have a meeting scheduled to discuss two important issues. The first issue is having to come up with ways in which the company can reduce carbon emissions. The second issue is discussing the implementation of standing desks at the office. It is clear that the first issue is more important, but it is also more complex. You and your coworkers will likely find it much easier to talk about whether or not to get standing desks, and as a result, a large portion of the scheduled meeting time is devoted to this more trivial matter. This disproportionate time allocation is known as bikeshedding and causes complicated matters to receive little attention.


How to avoid it?

An awareness of bikeshedding is vital to countering its effects. There are various techniques that can be used in order to ensure that a group or team is being efficient with the time they spend on each topic.

One method to avoid bikeshedding is to have a separate meeting for any major, complex issue. If the topic is brought into a meeting with a long agenda, it can get lost under the trivial issues. However, if it is the main and only purpose for a meeting, it is difficult to avoid talking about it. Keeping meetings specific and focused on a particular issue can help counter bikeshedding.1 It may also be a good idea to have a particular person appointed to keep the team on task and pull back focus if the discussion does get sidetracked.

Another way of pulling the focus onto particular issues is to have less people present at the meeting. Bikeshedding is a big problem in group settings because simple issues entice multiple people to speak, which can drag them out. By only having the necessary people present at a meeting, even if a trivial issue is discussed, it will take up less time since there are fewer people to voice their opinion.

This bias may occur in psychotherapy when psychologist and patient focus on trivial issues that are easier to discuss or solve, rather than addressing critical, difficult issues.  There is a difference between creating a therapeutic attachment and bikeshedding.

Tuesday, March 14, 2023

What Happens When AI Has Read Everything?

Ross Anderson
The Atlantic
Originally posted 18 JAN 23

Here is an excerpt:

Ten trillion words is enough to encompass all of humanity’s digitized books, all of our digitized scientific papers, and much of the blogosphere. That’s not to say that GPT-4 will have read all of that material, only that doing so is well within its technical reach. You could imagine its AI successors absorbing our entire deep-time textual record across their first few months, and then topping up with a two-hour reading vacation each January, during which they could mainline every book and scientific paper published the previous year.

Just because AIs will soon be able to read all of our books doesn’t mean they can catch up on all of the text we produce. The internet’s storage capacity is of an entirely different order, and it’s a much more democratic cultural-preservation technology than book publishing. Every year, billions of people write sentences that are stockpiled in its databases, many owned by social-media platforms.

Random text scraped from the internet generally doesn’t make for good training data, with Wikipedia articles being a notable exception. But perhaps future algorithms will allow AIs to wring sense from our aggregated tweets, Instagram captions, and Facebook statuses. Even so, these low-quality sources won’t be inexhaustible. According to Villalobos, within a few decades, speed-reading AIs will be powerful enough to ingest hundreds of trillions of words—including all those that human beings have so far stuffed into the web.

And the conclusion:

If, however, our data-gorging AIs do someday surpass human cognition, we will have to console ourselves with the fact that they are made in our image. AIs are not aliens. They are not the exotic other. They are of us, and they are from here. They have gazed upon the Earth’s landscapes. They have seen the sun setting on its oceans billions of times. They know our oldest stories. They use our names for the stars. Among the first words they learn are flow, mother, fire, and ash.

Monday, March 13, 2023

Intersectional implicit bias: Evidence for asymmetrically compounding bias and the predominance of target gender

Connor, P., Weeks, M., et al. (2023).
Journal of Personality and Social Psychology,
124(1), 22–48.


Little is known about implicit evaluations of complex, multiply categorizable social targets. Across five studies (N = 5,204), we investigated implicit evaluations of targets varying in race, gender, social class, and age. Overall, the largest and most consistent evaluative bias was pro-women/anti-men bias, followed by smaller but nonetheless consistent pro-upper-class/anti-lower-class biases. By contrast, we observed less consistent effects of targets’ race, no effects of targets’ age, and no consistent interactions between target-level categories. An integrative data analysis highlighted a number of moderating factors, but a stable pro-women/anti-men and pro-upper-class/anti-lower-class bias across demographic groups. Overall, these results suggest that implicit biases compound across multiple categories asymmetrically, with a dominant category (here, gender) largely driving evaluations, and ancillary categories (here, social class and race) exerting relatively smaller additional effects. We discuss potential implications of this work for understanding how implicit biases operate in real-world social settings. 

General Discussion

Implicit bias is central to the study of social cognition. Given that people are multiply categorizable, understanding the influences of such intersectionality upon implicit bias is likely to be vital for understanding its effects in everyday social contexts. In the present research, we examined implicit evaluations of multiply categorizable social targets, testing two competing theories about intersectional intergroup bias. We also developed and tested the reliability of a novel method of measuring and modelling implicit bias at the level of individual targets.

In Study 1 we observed implicit evaluations of Black and White males to be driven solely by targets' social class with bias favoring upper-class over lower-class targets. In Study 2, we measured implicit evaluations of targets varying in race, gender, social class, and age, and found results to be primarily driven by a specific positive bias favoring upper-class female targets. In Study 3, we used similarly intersectional targets, and explored the impact of portraying targets in full-body versus upper body photographs on implicit evaluations. Here, we observed effects of targets’ race, with Asian and White targets evaluated more positively than Black targets, and of targets’ social class, with upper-class targets evaluated more positively than lower-class targets (though only when targets were displayed in full-body presentation). Most striking, however, was the dominant effect of target gender, with positive/negative evaluations of female/male targets accounting for the majority of variance in implicit bias.

In Study 4 we tested the generalizability of these results by recruiting representative samples of US adults, and measuring implicit evaluations not just via ST-IATs, but also via EPTs and AMPs. Across all measures, we observed target gender to be the largest driver of implicit evaluations, though its dominance was less pronounced in EPTs and AMPs than in ST-IATs. We also again observed effects of targets’ social class and race, though the effect of race was inconsistent across tasks, with participants displaying anti-Black bias in the ST-IAT, pro-Asian bias in the EPT, and anti-White bias in the AMP. Finally, in Study 5 we conducted an integrative data analysis to test a number of potential moderating factors. Results showed that while all groups of participants displayed pro-female implicit gender bias and pro-upper-class implicit social class bias, both biases were stronger among women than men. Results also showed the effect of race varied across racial groups, with Asians displaying a preference for Asian over White and Black targets, Black participants displaying a preference for Asian and Black targets over White targets, Latinos displaying a preference for Asian over Black targets, and Whites displaying no significant racial bias.

Sunday, March 12, 2023

Growth of AI in mental health raises fears of its ability to run wild

Sabrina Moreno
Originally posted 9 MAR 23

Here's how it begins:

The rise of AI in mental health care has providers and researchers increasingly concerned over whether glitchy algorithms, privacy gaps and other perils could outweigh the technology's promise and lead to dangerous patient outcomes.

Why it matters: As the Pew Research Center recently found, there's widespread skepticism over whether using AI to diagnose and treat conditions will complicate a worsening mental health crisis.

  • Mental health apps are also proliferating so quickly that regulators are hard-pressed to keep up.
  • The American Psychiatric Association estimates there are more than 10,000 mental health apps circulating on app stores. Nearly all are unapproved.

What's happening: AI-enabled chatbots like Wysa and FDA-approved apps are helping ease a shortage of mental health and substance use counselors.

  • The technology is being deployed to analyze patient conversations and sift through text messages to make recommendations based on what we tell doctors.
  • It's also predicting opioid addiction risk, detecting mental health disorders like depression and could soon design drugs to treat opioid use disorder.

Driving the news: The fear is now concentrated around whether the technology is beginning to cross a line and make clinical decisions, and what the Food and Drug Administration is doing to prevent safety risks to patients.

  • KoKo, a mental health nonprofit, recently used ChatGPT as a mental health counselor for about 4,000 people who weren't aware the answers were generated by AI, sparking criticism from ethicists.
  • Other people are turning to ChatGPT as a personal therapist despite warnings from the platform saying it's not intended to be used for treatment.