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
Showing posts with label Beliefs. Show all posts
Showing posts with label Beliefs. Show all posts

Tuesday, March 12, 2024

Discerning Saints: Moralization of Intrinsic Motivation and Selective Prosociality at Work

Kwon, M., Cunningham, J. L., & 
Jachimowicz, J. M. (2023).
Academy of Management Journal, 66(6),
1625–1650.

Abstract

Intrinsic motivation has received widespread attention as a predictor of positive work outcomes, including employees’ prosocial behavior. We offer a more nuanced view by proposing that intrinsic motivation does not uniformly increase prosocial behavior toward all others. Specifically, we argue that employees with higher intrinsic motivation are more likely to value intrinsic motivation and associate it with having higher morality (i.e., they moralize it). When employees moralize intrinsic motivation, they perceive others with higher intrinsic motivation as being more moral and thus engage in more prosocial behavior toward those others, and judge others who are less intrinsically motivated as less moral and thereby engage in less prosocial behaviors toward them. We provide empirical support for our theoretical model across a large-scale, team-level field study in a Latin American financial institution (n = 784, k = 185) and a set of three online studies, including a preregistered experiment (n = 245, 243, and 1,245), where we develop a measure of the moralization of intrinsic motivation and provide both causal and mediating evidence. This research complicates our understanding of intrinsic motivation by revealing how its moralization may at times dim the positive light of intrinsic motivation itself.

The article is paywalled.  Here are some thoughts:

This study focuses on how intrinsically motivated employees (those who enjoy their work) might act differently towards other employees depending on their own level of intrinsic motivation. The key points are:

Main finding: Employees with high intrinsic motivation tend to associate higher morality with others who also have high intrinsic motivation. This leads them to offer more help and support to those similar colleagues, while judging and helping less to those with lower intrinsic motivation.

Theoretical framework: The concept of "moralization of intrinsic motivation" (MOIM) explains this behavior. Essentially, intrinsic motivation becomes linked to moral judgment, influencing who is seen as "good" and deserving of help.

Implications:
  • For theory: This research adds a new dimension to understanding intrinsic motivation, highlighting the potential for judgment and selective behavior.
  • For practice: Managers and leaders should be aware of the unintended consequences of promoting intrinsic motivation, as it might create bias and division among employees.
  • For employees: Those lacking intrinsic motivation might face disadvantages due to judgment from colleagues. They could try job crafting or seeking alternative support strategies.
Overall, the study reveals a nuanced perspective on intrinsic motivation, acknowledging its positive aspects while recognizing its potential to create inequality and ethical concerns.

Friday, March 8, 2024

What Does Being Sober Mean Today? For Many, Not Full Abstinence

Ernesto Londono
The New York Times
Originally posted 4 Feb 24

Here are two excerpts:

Notions of what constitutes sobriety and problematic substance use have grown more flexible in recent years as younger Americans have shunned alcohol in increasing numbers while embracing cannabis and psychedelics - a phenomenon that alarms some addiction experts.

Not long ago, sobriety was broadly understood to mean abstaining from all intoxicating substances, and the term was often associated with people who had overcome severe forms of addiction. These days, it is used more expansively, including by people who have quit drinking alcohol but consume what they deem moderate amounts of other substances, including marijuana and mushrooms.

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As some drugs come to be viewed as wellness boosters by those who use them, adherence to the full abstinence model favored by organizations like Alcoholics Anonymous is shifting. Some people call themselves "California sober," a term popularized in a 2021 song by the pop star Demi Lovato, who later disavowed the idea, saying on social media that "sober sober is the only way to be."

Approaches that might have once seemed ludicrous-like treating opioid addiction with psychedelics - have gained broader enthusiasm among doctors as drug overdoses kill tens of thousands of Americans each year.

"The abstinence-only model is very restrictive," said Dr. Peter Grinspoon, a primary care physician at Massachusetts General Hospital who specializes in medical cannabis and is a recovering opioid addict. "We really have to meet people where they are and have a broader recovery tent."

It is impossible to know how many Americans consider themselves part of an increasingly malleable concept of sobriety, but there are indications of shifting views of acceptable substance use. Since 2000, alcohol use among younger Americans has declined significantly, according to a Gallup poll.

At the same time, the use of cannabis and psychedelics has risen as state laws and attitudes grow more permissive, even as both remain illegal under federal law.

A survey found that 44 percent of adults aged 19 to 30 said in 2022 that they had used cannabis in the past year, a record high. That year, 8 percent of adults in the same age range said they had used psychedelics, an increase from the 3 percent a decade earlier.

Tuesday, March 5, 2024

You could lie to a health chatbot – but it might change how you perceive yourself

Dominic Wilkinson
The Conversation
Originally posted 8 FEB 24

Here is an excerpt:

The ethics of lying

There are different ways that we can think about the ethics of lying.

Lying can be bad because it causes harm to other people. Lies can be deeply hurtful to another person. They can cause someone to act on false information, or to be falsely reassured.

Sometimes, lies can harm because they undermine someone else’s trust in people more generally. But those reasons will often not apply to the chatbot.

Lies can wrong another person, even if they do not cause harm. If we willingly deceive another person, we potentially fail to respect their rational agency, or use them as a means to an end. But it is not clear that we can deceive or wrong a chatbot, since they don’t have a mind or ability to reason.

Lying can be bad for us because it undermines our credibility. Communication with other people is important. But when we knowingly make false utterances, we diminish the value, in other people’s eyes, of our testimony.

For the person who repeatedly expresses falsehoods, everything that they say then falls into question. This is part of the reason we care about lying and our social image. But unless our interactions with the chatbot are recorded and communicated (for example, to humans), our chatbot lies aren’t going to have that effect.

Lying is also bad for us because it can lead to others being untruthful to us in turn. (Why should people be honest with us if we won’t be honest with them?)

But again, that is unlikely to be a consequence of lying to a chatbot. On the contrary, this type of effect could be partly an incentive to lie to a chatbot, since people may be conscious of the reported tendency of ChatGPT and similar agents to confabulate.


Here is my summary:

The article discusses the potential consequences of lying to a health chatbot, even though it might seem tempting. It highlights a situation where someone frustrated with a wait for surgery considers exaggerating their symptoms to a chatbot screening them.

While lying might offer short-term benefits like quicker attention, the author argues it could have unintended consequences:

Impact on healthcare:
  • Inaccurate information can hinder proper diagnosis and treatment.
  • It contributes to an already strained healthcare system.
Self-perception:
  • Repeatedly lying, even to a machine, can erode honesty and integrity.
  • It reinforces unhealthy avoidance of seeking professional help.
The article encourages readers to be truthful with chatbots for better healthcare outcomes and self-awareness. It acknowledges the frustration with healthcare systems but emphasizes the importance of transparency for both individual and collective well-being.

Wednesday, February 28, 2024

Scientists are on the verge of a male birth-control pill. Will men take it?

Jill Filipovic
The Guardian
Originally posted 18 Dec 23

Here is an excerpt:

The overwhelming share of responsibility for preventing pregnancy has always fallen on women. Throughout human history, women have gone to great lengths to prevent pregnancies they didn’t want, and end those they couldn’t prevent. Safe and reliable contraceptive methods are, in the context of how long women have sought to interrupt conception, still incredibly new. Measured by the lifespan of anyone reading this article, though, they are well established, and have for many decades been a normal part of life for millions of women around the world.

To some degree, and if only for obvious biological reasons, it makes sense that pregnancy prevention has historically fallen on women. But it also, as they say, takes two to tango – and only one of the partners has been doing all the work. Luckily, things are changing: thanks to generations of women who have gained unprecedented freedoms and planned their families using highly effective contraception methods, and thanks to men who have shifted their own gender expectations and become more involved partners and fathers, women and men have moved closer to equality than ever.

Among politically progressive couples especially, it’s now standard to expect that a male partner will do his fair share of the household management and childrearing (whether he actually does is a separate question, but the expectation is there). What men generally cannot do, though, is carry pregnancies and birth babies.


Here are some themes worthy of discussion:

Shifting responsibility: The potential availability of a reliable male contraceptive marks a significant departure from the historical norm where the burden of pregnancy prevention was primarily borne by women. This shift raises thought-provoking questions that delve into various aspects of societal dynamics.

Gender equality: A crucial consideration is whether men will willingly share responsibility for contraception on an equal footing, or whether societal norms will continue to exert pressure on women to take the lead in this regard.

Reproductive autonomy: The advent of accessible male contraception prompts contemplation on whether it will empower women to exert greater control over their reproductive choices, shaping the landscape of family planning.

Informed consent: An important facet of this shift involves how men will be informed about potential side effects and risks associated with the male contraceptive, particularly in comparison to existing female contraceptives.

Accessibility and equity: Concerns emerge regarding equitable access to the male contraceptive, particularly for marginalized communities. Questions arise about whether affordable and culturally appropriate access will be universally available, regardless of socioeconomic status or geographic location.

Coercion: There is a potential concern that the availability of a male contraceptive might be exploited to coerce women into sexual activity without their full and informed consent.

Psychological and social impact: The introduction of a male contraceptive brings with it potential psychological and social consequences that may not be immediately apparent.

Changes in sexual behavior: The availability of a male contraceptive may influence sexual practices and attitudes towards sex, prompting a reevaluation of societal norms.

Impact on relationships: The shift in responsibility for contraception could potentially cause tension or conflict in existing relationships as couples navigate the evolving dynamics.

Masculinity and stigma: The use of a male contraceptive may challenge traditional notions of masculinity, possibly leading to social stigma that individuals using the contraceptive may face.

Tuesday, February 27, 2024

Robot, let us pray! Can and should robots have religious functions? An ethical exploration of religious robots

Puzio, A.
AI & Soc (2023).
https://doi.org/10.1007/s00146-023-01812-z

Abstract

Considerable progress is being made in robotics, with robots being developed for many different areas of life: there are service robots, industrial robots, transport robots, medical robots, household robots, sex robots, exploration robots, military robots, and many more. As robot development advances, an intriguing question arises: should robots also encompass religious functions? Religious robots could be used in religious practices, education, discussions, and ceremonies within religious buildings. This article delves into two pivotal questions, combining perspectives from philosophy and religious studies: can and should robots have religious functions? Section 2 initiates the discourse by introducing and discussing the relationship between robots and religion. The core of the article (developed in Sects. 3 and 4) scrutinizes the fundamental questions: can robots possess religious functions, and should they? After an exhaustive discussion of the arguments, benefits, and potential objections regarding religious robots, Sect. 5 addresses the lingering ethical challenges that demand attention. Section 6 presents a discussion of the findings, outlines the limitations of this study, and ultimately responds to the dual research question. Based on the study’s results, brief criteria for the development and deployment of religious robots are proposed, serving as guidelines for future research. Section 7 concludes by offering insights into the future development of religious robots and potential avenues for further research.


Summary

Can robots fulfill religious functions? The article explores the technical feasibility of designing robots that could engage in religious practices, education, and ceremonies. It acknowledges the current limitations of robots, particularly their lack of sentience and spiritual experience. However, it also suggests potential avenues for development, such as robots equipped with advanced emotional intelligence and the ability to learn and interpret religious texts.

Should robots fulfill religious functions? This is where the ethical debate unfolds. The article presents arguments both for and against. On the one hand, robots could potentially offer various benefits, such as increasing accessibility to religious practices, providing companionship and spiritual guidance, and even facilitating interfaith dialogue. On the other hand, concerns include the potential for robotization of faith, the blurring of lines between human and machine in the context of religious experience, and the risk of reinforcing existing biases or creating new ones.

Ultimately, the article concludes that there is no easy answer to the question of whether robots should have religious functions. It emphasizes the need for careful consideration of the ethical implications and ongoing dialogue between religious communities, technologists, and ethicists. This ethical exploration paves the way for further research and discussion as robots continue to evolve and their potential roles in society expand.

Friday, February 23, 2024

How Did Polyamory Become So Popular?

Jennifer Wilson
The New Yorker
Originally posted 25 Dec 23

Here is an excerpt:

What are all these open couples, throuples, and polycules suddenly doing in the culture, besides one another? To some extent, art is catching up with life. Fifty-one per cent of adults younger than thirty told Pew Research, in 2023, that open marriage was “acceptable,” and twenty per cent of all Americans report experimenting with some form of non-monogamy. The extramarital “entanglements” of Will and Jada Pinkett Smith have been tabloid fodder for the past two years. (Pinkett Smith once clarified that their marriage is not “open”; rather, it is a “relationship of transparency.”) In 2020, the reality show “House Hunters,” on HGTV, saw a throuple trying to find their dream home—one with a triple-sink vanity. The same year, the city of Somerville, Massachusetts, allowed domestic partnerships to be made up of “two or more” people.

Some, like the sex therapist (and author of “Open Monogamy, A Guide to Co-Creating Your Ideal Relationship Agreement,” 2021), Tammy Nelson, have attributed the acceptance of a greater number of partners to pandemic-born domestic ennui; after being stuck with one person all day every day, the thinking goes, couples are ready to open up more than their pods. Nelson is part of a cohort of therapists, counsellors, and advice writers, including Esther Perel and the “Savage Love” columnist Dan Savage, who are encouraging married couples to think more flexibly about monogamy. Their advice has found an eager audience among the well-heeled attendees of the “ideas festival” circuit, featured in talks at Google, SXSW, and the Aspen Institute.

The new monogamy skepticism of the moneyed gets some screen time in the pandemic-era breakout hit “The White Lotus.” The show mocks the leisure class as they mope around five-star resorts in Hawaii and Sicily, stewing over love, money, and the impossibility, for people in their tax bracket, of separating the two. In the latest season, Ethan (Will Sharpe) and Harper (Aubrey Plaza) are an attractive young couple stuck in a sexless marriage—until, that is, they go on vacation with the monogamish Cameron (Theo James) and Daphne (Meghann Fahy). After Cameron and Harper have some unaccounted-for time together in a hotel room, Ethan tracks down an unbothered Daphne, lounging on the beach, to share his suspicion that something has happened between their spouses. Some momentary concern on Daphne’s face quickly morphs—in a devastatingly subtle performance by Fahy—into a sly smile. “A little mystery? It’s kinda sexy,” she assures Ethan, before luring him into a seaside cove. That night Ethan and Harper have sex, the wounds of their marriage having been healed by a little something on the side.


Here is my summary:

The article discusses the increasing portrayal and acceptance of non-monogamous relationships in contemporary culture, particularly in literature, cinema, and television. It notes that open relationships, throuples, and polyamorous arrangements are gaining prominence, reflecting changing societal attitudes. The author cites statistics and cultural examples, including a Gucci perfume ad and a plot twist in the TV series "Riverdale." The rise of non-monogamy is linked to a broader shift in societal norms, with some attributing it to pandemic-related ennui and a desire for more flexibility in relationships. The text also delves into the historical roots of polyamory, mentioning the Kerista movement and its adaptation to conservative times in the 1980s. The author concludes by expressing a desire for a more inclusive and equitable representation of polyamory, critiquing the limited perspective presented in a specific memoir discussed in the text.

Wednesday, February 21, 2024

Ethics Ratings of Nearly All Professions Down in U.S.

M. Brenan and J. M. Jones
gallup.com
Originally posted 22 Jan 24

Here is an excerpt:

New Lows for Five Professions; Three Others Tie Their Lows

Ethics ratings for five professions hit new lows this year, including members of Congress (6%), senators (8%), journalists (19%), clergy (32%) and pharmacists (55%).

Meanwhile, the ratings of bankers (19%), business executives (12%) and college teachers (42%) tie their previous low points. Bankers’ and business executives’ ratings were last this low in 2009, just after the Great Recession. College teachers have not been viewed this poorly since 1977.

College Graduates Tend to View Professions More Positively

About half of the 23 professions included in the 2023 survey show meaningful differences by education level, with college graduates giving a more positive honesty and ethics rating than non-college graduates in each case. Almost all of the 11 professions showing education differences are performed by people with a bachelor’s degree, if not a postgraduate education.

The largest education differences are seen in ratings of dentists and engineers, with roughly seven in 10 college graduates rating those professions’ honesty and ethical standards highly, compared with slightly more than half of non-graduates.

Ratings of psychiatrists, college teachers and pharmacists show nearly as large educational differences, ranging from 14 to 16 points, while doctors, nurses and veterinarians also show double-digit education gaps.

These educational differences have been consistent in prior years’ surveys.

Adults without a college degree rate lawyers’ honesty and ethics slightly better than college graduates in the latest survey, 18% to 13%, respectively. While this difference is not statistically significant, in prior years non-college graduates have rated lawyers more highly by significant margins.

Partisans’ Ratings of College Teachers Differ Most    
                
Republicans and Democrats have different views of professions, with Democrats tending to be more complimentary of workers’ honesty and ethical standards than Republicans are. In fact, police officers are the only profession with higher honesty and ethics ratings among Republicans and Republican-leaning independents (55%) than among Democrats and Democratic-leaning independents (37%).

The largest party differences are seen in evaluations of college teachers, with a 40-point gap (62% among Democrats/Democratic leaners and 22% among Republicans/Republican leaners). Partisans’ honesty and ethics ratings of psychiatrists, journalists and labor union leaders differ by 20 points or more, while there is a 19-point difference for medical doctors.

Saturday, February 17, 2024

What Stops People From Standing Up for What’s Right?

Julie Sasse
Greater Good
Originally published 17 Jan 24

Here is an excerpt:

How can we foster moral courage?

Every person can try to become more morally courageous. However, it does not have to be a solitary effort. Instead, institutions such as schools, companies, or social media platforms play a significant role. So, what are concrete recommendations to foster moral courage?
  • Establish and strengthen social and moral norms: With a solid understanding of what we consider right and wrong, it becomes easier to detect wrongdoings. Institutions can facilitate this process by identifying and modeling fundamental values. For example, norms and values expressed by teachers can be important points of reference for children and young adults.
  • Overcome uncertainty: If it is unclear whether someone’s behavior is wrong, witnesses should feel comfortable to inquire, for example, by asking other bystanders how they judge the situation or a potential victim whether they are all right.
  • Contextualize anger: In the face of wrongdoings, anger should not be suppressed since it can provide motivational fuel for intervention. Conversely, if someone expresses anger, it should not be diminished as irrational but considered a response to something unjust. 
  • Provide and advertise reporting systems: By providing reporting systems, institutions relieve witnesses from the burden of selecting and evaluating individual means of intervention and reduce the need for direct confrontation.
  • Show social support: If witnesses directly confront a perpetrator, others should be motivated to support them to reduce risks.
We see that there are several ways to make moral courage less difficult, but they do require effort from individuals and institutions. Why is that effort worth it? Because if more individuals are willing and able to show moral courage, more wrongdoings would be addressed and rectified—and that could help us to become a more responsible and just society.


Main points:
  • Moral courage is the willingness to stand up for what's right despite potential risks.
  • It's rare because of various factors like complexity of the internal process, situational barriers, and difficulty seeing the long-term benefits.
  • Key stages involve noticing a wrongdoing, interpreting it as wrong, feeling responsible, believing in your ability to intervene, and accepting potential risks.
  • Personality traits and situational factors influence these stages.

Thursday, February 15, 2024

The motivating effect of monetary over psychological incentives is stronger in WEIRD cultures

Medvedev, D., Davenport, D.et al.
Nat Hum Behav (2024).
https://doi.org/10.1038/s41562-023-01769-5

Abstract

Motivating effortful behaviour is a problem employers, governments and nonprofits face globally. However, most studies on motivation are done in Western, educated, industrialized, rich and democratic (WEIRD) cultures. We compared how hard people in six countries worked in response to monetary incentives versus psychological motivators, such as competing with or helping others. The advantage money had over psychological interventions was larger in the United States and the United Kingdom than in China, India, Mexico and South Africa (N = 8,133). In our last study, we randomly assigned cultural frames through language in bilingual Facebook users in India (N = 2,065). Money increased effort over a psychological treatment by 27% in Hindi and 52% in English. These findings contradict the standard economic intuition that people from poorer countries should be more driven by money. Instead, they suggest that the market mentality of exchanging time and effort for material benefits is most prominent in WEIRD cultures.


The article challenges the assumption that money universally motivates people more than other incentives. It finds that:
  • Monetary incentives were more effective than psychological interventions in WEIRD cultures (Western, Educated, Industrialized, Rich, and Democratic), like the US and UK. People in these cultures exerted more effort for money compared to social pressure or helping others.
  • In contrast, non-WEIRD cultures like China, India, Mexico, and South Africa showed a smaller advantage for money. In some cases, even social interventions like promoting cooperation were more effective than financial rewards.
  • Language can also influence the perceived value of money. In a study with bilingual Indians, those interacting in English (associated with WEIRD cultures) showed a stronger preference for money than those using Hindi.
  • These findings suggest that cultural differences play a significant role in how people respond to various motivational tools. Assuming money as the universal motivator, often based on studies conducted in WEIRD cultures, might be inaccurate and less effective in diverse settings.

Monday, February 12, 2024

Will AI ever be conscious?

Tom McClelland
Clare College
Unknown date of post

Here is an excerpt:

Human consciousness really is a mysterious thing. Cognitive neuroscience can tell us a lot about what’s going on in your mind as you read this article - how you perceive the words on the page, how you understand the meaning of the sentences and how you evaluate the ideas expressed. But what it can’t tell us is how all this comes together to constitute your current conscious experience. We’re gradually homing in on the neural correlates of consciousness – the neural patterns that occur when we process information consciously. But nothing about these neural patterns explains what makes them conscious while other neural processes occur unconsciously. And if we don’t know what makes us conscious, we don’t know whether AI might have what it takes. Perhaps what makes us conscious is the way our brain integrates information to form a rich model of the world. If that’s the case, an AI might achieve consciousness by integrating information in the same way. Or perhaps we’re conscious because of the details of our neurobiology. If that’s the case, no amount of programming will make an AI conscious. The problem is that we don’t know which (if either!) of these possibilities is true.

Once we recognise the limits of our current understanding, it looks like we should be agnostic about the possibility of artificial consciousness. We don’t know whether AI could have conscious experiences and, unless we crack the problem of consciousness, we never will. But here’s the tricky part: when we start to consider the ethical ramifications of artificial consciousness, agnosticism no longer seems like a viable option. Do AIs deserve our moral consideration? Might we have a duty to promote the well-being of computer systems and to protect them from suffering? Should robots have rights? These questions are bound up with the issue of artificial consciousness. If an AI can experience things then it plausibly ought to be on our moral radar.

Conversely, if an AI lacks any subjective awareness then we probably ought to treat it like any other tool. But if we don’t know whether an AI is conscious, what should we do?

The info is here, and a book promotion too.

Sunday, February 11, 2024

Assessing the potential of GPT-4 to perpetuate racial and gender biases in health care: a model evaluation study

Zack, T., Lehman, E., et al (2024).
The Lancet Digital Health, 6(1), e12–e22.

Summary

Background

Large language models (LLMs) such as GPT-4 hold great promise as transformative tools in health care, ranging from automating administrative tasks to augmenting clinical decision making. However, these models also pose a danger of perpetuating biases and delivering incorrect medical diagnoses, which can have a direct, harmful impact on medical care. We aimed to assess whether GPT-4 encodes racial and gender biases that impact its use in health care.

Methods

Using the Azure OpenAI application interface, this model evaluation study tested whether GPT-4 encodes racial and gender biases and examined the impact of such biases on four potential applications of LLMs in the clinical domain—namely, medical education, diagnostic reasoning, clinical plan generation, and subjective patient assessment. We conducted experiments with prompts designed to resemble typical use of GPT-4 within clinical and medical education applications. We used clinical vignettes from NEJM Healer and from published research on implicit bias in health care. GPT-4 estimates of the demographic distribution of medical conditions were compared with true US prevalence estimates. Differential diagnosis and treatment planning were evaluated across demographic groups using standard statistical tests for significance between groups.

Findings

We found that GPT-4 did not appropriately model the demographic diversity of medical conditions, consistently producing clinical vignettes that stereotype demographic presentations. The differential diagnoses created by GPT-4 for standardised clinical vignettes were more likely to include diagnoses that stereotype certain races, ethnicities, and genders. Assessment and plans created by the model showed significant association between demographic attributes and recommendations for more expensive procedures as well as differences in patient perception.

Interpretation

Our findings highlight the urgent need for comprehensive and transparent bias assessments of LLM tools such as GPT-4 for intended use cases before they are integrated into clinical care. We discuss the potential sources of these biases and potential mitigation strategies before clinical implementation.

Saturday, February 10, 2024

How to think like a Bayesian

Michael Titelbaum
psyche.co
Originally posted 10 Jan 24

You’re often asked what you believe. Do you believe in God? Do you believe in global warming? Do you believe in life after love? And you’re often told that your beliefs are central to who you are, and what you should do: ‘Do what you believe is right.’

These belief-questions demand all-or-nothing answers. But much of life is more complicated than that. You might not believe in God, but also might not be willing to rule out the existence of a deity. That’s what agnosticism is for.

For many important questions, even three options aren’t enough. Right now, I’m trying to figure out what kinds of colleges my family will be able to afford for my children. My kids’ options will depend on lots of variables: what kinds of schools will they be able to get into? What kinds of schools might be a good fit for them? If we invest our money in various ways, what kinds of return will it earn over the next two, five, or 10 years?

Suppose someone tried to help me solve this problem by saying: ‘Look, it’s really simple. Just tell me, do you believe your oldest daughter will get into the local state school, or do you believe that she won’t?’ I wouldn’t know what to say to that question. I don’t believe that she will get into the school, but I also don’t believe that she won’t. I’m perhaps slightly more confident than 50-50 that she will, but nowhere near certain.

One of the most important conceptual developments of the past few decades is the realisation that belief comes in degrees. We don’t just believe something or not: much of our thinking, and decision-making, is driven by varying levels of confidence. These confidence levels can be measured as probabilities, on a scale from zero to 100 per cent. When I invest the money I’ve saved for my children’s education, it’s an oversimplification to focus on questions like: ‘Do I believe that stocks will outperform bonds over the next decade, or not?’ I can’t possibly know that. But I can try to assign educated probability estimates to each of those possible outcomes, and balance my portfolio in light of those estimates.

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Key points – How to think like a Bayesian
  1. Embrace the margins. It’s rarely rational to be certain of anything. Don’t confuse the improbable with the impossible. When thinking about extremely rare events, try thinking in odds instead of percentages.
  2. Evidence supports what makes it probable. Evidence supports the hypotheses that make the evidence likely. Increase your confidence in whichever hypothesis makes the evidence you’re seeing most probable.
  3. Attend to all your evidence. Consider all the evidence you possess that might be relevant to a hypothesis. Be sure to take into account how you learned what you learned.
  4. Don’t forget your prior opinions. Your confidence after learning some evidence should depend both on what that evidence supports and on how you saw things before it came in. If a hypothesis is improbable enough, strong evidence in its favour can still leave it unlikely.
  5. Subgroups don’t always reflect the whole. Even if a trend obtains in every subpopulation, it might not hold true for the entire population. Consider how traits are distributed across subgroups as well.

Thursday, February 8, 2024

People's thinking plans adapt to the problem they're trying to solve

Ongchoco, J. D., Knobe, J., & Jara-Ettinger, J. (2024).
Cognition, 243, 105669.

Abstract

Much of our thinking focuses on deciding what to do in situations where the space of possible options is too large to evaluate exhaustively. Previous work has found that people do this by learning the general value of different behaviors, and prioritizing thinking about high-value options in new situations. Is this good-action bias always the best strategy, or can thinking about low-value options sometimes become more beneficial? Can people adapt their thinking accordingly based on the situation? And how do we know what to think about in novel events? Here, we developed a block-puzzle paradigm that enabled us to measure people's thinking plans and compare them to a computational model of rational thought. We used two distinct response methods to explore what people think about—a self-report method, in which we asked people explicitly to report what they thought about, and an implicit response time method, in which we used people's decision-making times to reveal what they thought about. Our results suggest that people can quickly estimate the apparent value of different options and use this to decide what to think about. Critically, we find that people can flexibly prioritize whether to think about high-value options (Experiments 1 and 2) or low-value options (Experiments 3, 4, and 5), depending on the problem. Through computational modeling, we show that these thinking strategies are broadly rational, enabling people to maximize the value of long-term decisions. Our results suggest that thinking plans are flexible: What we think about depends on the structure of the problems we are trying to solve.


Some thoughts:

The study is based on the idea that people have "thinking plans" which are essentially roadmaps that guide our thoughts and actions when we are trying to solve a problem. These thinking plans are not static, but rather can change and adapt depending on the specific problem we are facing.

For example, if we are trying to solve a math problem, our thinking plan might involve breaking the problem down into smaller steps, identifying the relevant information, and applying the appropriate formulas. However, if we are trying to solve a social problem, our thinking plan might involve considering the different perspectives of the people involved, identifying potential solutions, and evaluating the consequences of each solution.

The study used computational modeling to simulate how people would solve different types of problems. The model showed that people's thinking plans were flexible and adapted to the specific problem at hand. The model also showed that these thinking plans were broadly rational, meaning that they helped people to make decisions that were in their best interests.

The findings of the study have important implications for education and other fields that are concerned with human decision-making. The study suggests that it is important to teach people how to think flexibly and adapt their thinking plans to different situations. It also suggests that we should not expect people to always make the "right" decision, as the best course of action will often depend on the specific circumstances.

Thursday, January 18, 2024

Biden administration rescinds much of Trump ‘conscience’ rule for health workers

Nathan Weixel
The Hill
Originally published 9 Jan 24

The Biden administration will largely undo a Trump-era rule that boosted the rights of medical workers to refuse to perform abortions or other services that conflicted with their religious or moral beliefs.

The final rule released Tuesday partially rescinds the Trump administration’s 2019 policy that would have stripped federal funding from health facilities that required workers to provide any service they objected to, such as abortions, contraception, gender-affirming care and sterilization.

The health care conscience protection statutes represent Congress’s attempt to strike a balance between maintaining access to health care and honoring religious beliefs and moral convictions, the Department of Health and Human Services said in the rule.

“Some doctors, nurses, and hospitals, for example, object for religious or moral reasons to providing or referring for abortions or assisted suicide, among other procedures. Respecting such objections honors liberty and human dignity,” the department said.

But at the same time, Health and Human Services said “patients also have rights and health needs, sometimes urgent ones. The Department will continue to respect the balance Congress struck, work to ensure individuals understand their conscience rights, and enforce the law.”


Summary from Healthcare Dive

The HHS Office of Civil Rights has again updated guidance on providers’ conscience rights. The latest iteration, announced on Tuesday, aims to strike a balance between honoring providers’ religious and moral beliefs and ensuring access to healthcare, according to the agency.

President George W. Bush created conscience rules in 2008, which codify the rights of healthcare workers to refuse to perform medical services that conflict with their religious or moral beliefs. Since then, subsequent administrations have rewritten the rules, with Democrats limiting the scope and Republicans expanding conscience protections. 

The most recent revision largely undoes a 2019 Trump-era policy — which never took effect — that sought to expand the rights of healthcare workers broadly to refuse to perform medical services, such as abortions, on religious or moral grounds.

Monday, January 15, 2024

The man helping prevent suicide with Google adverts

Looi, M.-K. (2023).
BMJ.

Here are two excerpts:

Always online

A big challenge in suicide prevention is that people often experience suicidal crises at times when they’re away from clinical facilities, says Nick Allen, professor of psychology at the University of Oregon.

“It’s often in the middle of the night, so one of the great challenges is how can we be there for someone when they really need us, which is not necessarily when they’re engaged with clinical services.”

Telemedicine and other digital interventions came to prominence at the height of the pandemic, but “there’s an app for that” does not always match the patient in need at the right time. Says Onie, “The missing link is using existing infrastructure and habits to meet them where they are.”

Where they are is the internet. “When people are going through suicidal crises they often turn to the internet for information. And Google has the lion’s share of the search business at the moment,” says Allen, who studies digital mental health interventions (and has had grants from Google for his research).

Google’s core business stores information from searches, using it to fuel a highly effective advertising network in which companies pay to have links to their websites and products appear prominently in the “sponsored” sections at the top of all relevant search results.

The company holds 27.5% of the digital advertising market—earning the company around $224bn from search advertising alone in 2022.

If it knows enough about us to serve up relevant adverts, then it knows when a user is displaying red flag behaviour for suicide. Onie set out to harness this.

“It’s about the ‘attention economy,’” he says, “There’s so much information, there’s so much noise. How do we break through and make sure that the first thing that people see when they’re contemplating suicide is something that could be helpful?”

(cut)

At its peak the campaign was responding to over 6000 searches a day for each country. And the researchers saw a high level of response.

Typically, most advertising campaigns see low engagement in terms of clickthrough rates (the number of people that actually click on an advert when they see it). Industry benchmarks consider 3.17% a success. The Black Dog campaign saw 5.15% in Australia and 4.02% in the US. Preliminary data show Indonesia to be even higher—as much as 12%.

Because this is an advertising campaign, another measure is cost effectiveness. Google charges the advertiser per click on its advert, so the more engaged an audience is (and thus what Google considers to be a relevant advert to a relative user) the higher the charge. Black Dog’s campaign saw such a high number of users seeing the ads, and such high numbers of users clicking through, that the cost was below that of the industry average of $2.69 a click—specifically, $2.06 for the US campaign. Australia was higher than the industry average, but early data indicate Indonesia was delivering $0.86 a click.

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I could not find a free pdf.  The link above works, but is paywalled. Sorry. :(

Saturday, January 6, 2024

Worth the Risk? Greater Acceptance of Instrumental Harm Befalling Men than Women

Graso, M., Reynolds, T. & Aquino, K.
Arch Sex Behav 52, 2433–2445 (2023).

Abstract

Scientific and organizational interventions often involve trade-offs whereby they benefit some but entail costs to others (i.e., instrumental harm; IH). We hypothesized that the gender of the persons incurring those costs would influence intervention endorsement, such that people would more readily support interventions inflicting IH onto men than onto women. We also hypothesized that women would exhibit greater asymmetries in their acceptance of IH to men versus women. Three experimental studies (two pre-registered) tested these hypotheses. Studies 1 and 2 granted support for these predictions using a variety of interventions and contexts. Study 3 tested a possible boundary condition of these asymmetries using contexts in which women have traditionally been expected to sacrifice more than men: caring for infants, children, the elderly, and the ill. Even in these traditionally female contexts, participants still more readily accepted IH to men than women. Findings indicate people (especially women) are less willing to accept instrumental harm befalling women (vs. men). We discuss the theoretical and practical implications and limitations of our findings.

Here is my summary:

This research investigated the societal acceptance of "instrumental harm" (IH) based on the gender of the person experiencing it. Three studies found that people are more likely to tolerate IH when it happens to men than when it happens to women. This bias is especially pronounced among women and those holding egalitarian or feminist beliefs. Even in contexts traditionally associated with women's vulnerability, IH inflicted on men is seen as more acceptable.

These findings highlight a potential blind spot in our perception of harm and raise concerns about how policies might be influenced by this bias. Further research is needed to understand the underlying reasons for this bias and develop strategies to address it.

Saturday, December 9, 2023

Physicians’ Refusal to Wear Masks to Protect Vulnerable Patients—An Ethical Dilemma for the Medical Profession

Dorfman D, Raz M, Berger Z.
JAMA Health Forum. 2023;4(11):e233780.
doi:10.1001/jamahealthforum.2023.3780

Here is an excerpt:

In theory, the solution to the problem should be simple: patients who wear masks to protect themselves, as recommended by the CDC, can ask the staff and clinicians to wear a mask as well when seeing them, and the clinicians would oblige given the efficacy masks have shown in reducing the spread of respiratory illnesses. However, disabled patients report physicians and other clinical staff having refused to wear a mask when caring for them. Although it is hard to know how prevalent this phenomenon is, what recourse do patients have? How should health care systems approach clinicians and staff who refuse to mask when treating a disabled patient?

Physicians have a history of antagonism to the idea that they themselves might present a health risk to their patients. Famously, when Hungarian physician Ignaz Semmelweis originally proposed handwashing as a measure to reduce purpureal fever, he was met with ridicule and ostracized from the profession.

Physicians were also historically reluctant to adopt new practices to protect not only patients but also physicians themselves against infection in the midst of the AIDS epidemic. In 1985, the CDC presented its guidance on workplace transmission, instructing physicians to provide care, “regardless of whether HCWs [health care workers] or patients are known to be infected with HTLV-III/LAV [human T-lymphotropic virus type III/lymphadenopathy-associated virus] or HBV [hepatitis B virus].” These CDC guidelines offered universal precautions, common-sense, nonstigmatizing, standardized methods to reduce infection. Yet, some physicians bristled at the idea that they need to take simple, universal public health steps to prevent transmission, even in cases in which infectivity is unknown, and instead advocated for a medicalized approach: testing or masking only in cases when a patient is known to be infected. Such an individualized medicalized approach fails to meet the public health needs of the moment.

Patients are the ones who pay the price for physicians’ objections to changes in practices, whether it is handwashing or the denial of care as an unwarranted HIV precaution. Yet today, with the enactment of disability antidiscrimination law, patients are protected, at least on the books.

As we have written elsewhere, federal law supports the right of a disabled individual to request masking as a reasonable disability accommodation in the workplace and at schools.


Here is my summary:

This article explores the ethical dilemma arising from physicians refusing to wear masks, potentially jeopardizing the protection of vulnerable patients. The author delves into the conflict between personal beliefs and professional responsibilities, questioning the ethical implications of such refusals within the medical profession. The analysis emphasizes the importance of prioritizing patient well-being and public health over individual preferences, calling for a balance between personal freedoms and ethical obligations in healthcare settings.

Wednesday, December 6, 2023

People are increasingly following their heart and not the Bible - poll

Ryan Foley
Christian Today
Originally published 2 DEC 23

A new study reveals that less than one-third of Americans believe the Bible should serve as the foundation for determining right and wrong, even as most people express support for traditional moral values.

The fourth installment of the America's Values Study, released by the Cultural Research Center at Arizona Christian University Tuesday, asked respondents for their thoughts on traditional moral values and what they would like to see as "America's foundation for determining right and wrong." The survey is based on responses from 2,275 U.S. adults collected in July 2022.

Overall, when asked to identify what they viewed as the primary determinant of right and wrong in the U.S., a plurality of participants (42%) said: "what you feel in your heart." An additional 29% cited majority rule as their desired method for determining right and wrong, while just 29% expressed a belief that the principles laid out in the Bible should determine the understanding of right and wrong in the U.S. That figure rose to 66% among Spiritually Active, Governance Engaged Conservative Christians.

The only other demographic subgroups where at least a plurality of respondents indicated a desire for the Bible to serve as the determinant of right and wrong in the U.S. were respondents who attend an evangelical church (62%), self-described Republicans (57%), theologically defined born-again Christians (54%), self-identified conservatives (49%), those who are at least 50 years of age (39%), members of all Protestant congregations (39%), self-identified Christians (38%) and those who attend mainline Protestant churches (36%).

By contrast, an outright majority of respondents who do not identify with a particular faith at all (53%), along with half of LGBT respondents (50%), self-described moderates (47%), political independents (47%), Democrats (46%), self-described liberals (46%) and Catholic Church attendees (46%) maintained that "what you feel in your heart" should form the foundation of what Americans view as right and wrong.

Thursday, November 23, 2023

How to Maintain Hope in an Age of Catastrophe

Masha Gessen
The Atlantic
Originally posted 12 Nov 23

Gessen interviews psychoanalyst and author Robert Jay Lifton.  Here is an excerpt from the beginning of the article/interview:

Lifton is fascinated by the range and plasticity of the human mind, its ability to contort to the demands of totalitarian control, to find justification for the unimaginable—the Holocaust, war crimes, the atomic bomb—and yet recover, and reconjure hope. In a century when humanity discovered its capacity for mass destruction, Lifton studied the psychology of both the victims and the perpetrators of horror. “We are all survivors of Hiroshima, and, in our imaginations, of future nuclear holocaust,” he wrote at the end of “Death in Life.” How do we live with such knowledge? When does it lead to more atrocities and when does it result in what Lifton called, in a later book, “species-wide agreement”?

Lifton’s big books, though based on rigorous research, were written for popular audiences. He writes, essentially, by lecturing into a Dictaphone, giving even his most ambitious works a distinctive spoken quality. In between his five large studies, Lifton published academic books, papers and essays, and two books of cartoons, “Birds” and “PsychoBirds.” (Every cartoon features two bird heads with dialogue bubbles, such as, “ ‘All of a sudden I had this wonderful feeling: I am me!’ ” “You were wrong.”) Lifton’s impact on the study and treatment of trauma is unparalleled. In a 2020 tribute to Lifton in the Journal of the American Psychoanalytic Association, his former colleague Charles Strozier wrote that a chapter in “Death in Life” on the psychology of survivors “has never been surpassed, only repeated many times and frequently diluted in its power. All those working with survivors of trauma, personal or sociohistorical, must immerse themselves in his work.”


Here is my summary of the article and helpful tips.  Happy (hopeful) Thanksgiving!!

Hope is not blind optimism or wishful thinking, but rather a conscious decision to act in the face of uncertainty and to believe in the possibility of a better future. The article/interview identifies several key strategies for cultivating hope, including:
  • Nurturing a sense of purpose: Having a clear sense of purpose can provide direction and motivation, even in the darkest of times. This purpose can be rooted in personal goals, relationships, or a commitment to a larger cause.
  • Engaging in meaningful action: Taking concrete steps, no matter how small, can help to combat feelings of helplessness and despair. Action can range from individual acts of kindness to participation in collective efforts for social change.
  • Cultivating a sense of community: Connecting with others who share our concerns can provide a sense of belonging and support. Shared experiences and collective action can amplify our efforts and strengthen our resolve.
  • Maintaining a critical perspective: While it is important to hold onto hope, it is also crucial to avoid complacency or denial. We need to recognize the severity of the challenges we face and to remain vigilant in our efforts to address them.
  • Embracing resilience: Hope is not about denying hardship or expecting a quick and easy resolution to our problems. Rather, it is about cultivating the resilience to persevere through difficult times and to believe in the possibility of positive change.

The article concludes by emphasizing the importance of hope as a driving force for positive change. Hope is not a luxury, but a necessity for survival and for building a better future. By nurturing hope, we can empower ourselves and others to confront the challenges we face and to work towards a more just and equitable world.

Tuesday, November 21, 2023

Toward Parsimony in Bias Research: A Proposed Common Framework of Belief-Consistent Information Processing for a Set of Biases

Oeberst, A., & Imhoff, R. (2023).
Perspectives on Psychological Science, 0(0).

Abstract

One of the essential insights from psychological research is that people’s information processing is often biased. By now, a number of different biases have been identified and empirically demonstrated. Unfortunately, however, these biases have often been examined in separate lines of research, thereby precluding the recognition of shared principles. Here we argue that several—so far mostly unrelated—biases (e.g., bias blind spot, hostile media bias, egocentric/ethnocentric bias, outcome bias) can be traced back to the combination of a fundamental prior belief and humans’ tendency toward belief-consistent information processing. What varies between different biases is essentially the specific belief that guides information processing. More importantly, we propose that different biases even share the same underlying belief and differ only in the specific outcome of information processing that is assessed (i.e., the dependent variable), thus tapping into different manifestations of the same latent information processing. In other words, we propose for discussion a model that suffices to explain several different biases. We thereby suggest a more parsimonious approach compared with current theoretical explanations of these biases. We also generate novel hypotheses that follow directly from the integrative nature of our perspective.

Here is my summary:

The authors argue that many different biases, such as the bias blind spot, hostile media bias, egocentric/ethnocentric bias, and outcome bias, can be traced back to the combination of a fundamental prior belief and humans' tendency toward belief-consistent information processing.

Belief-consistent information processing is the process of attending to, interpreting, and remembering information in a way that is consistent with one's existing beliefs. This process can lead to biases when it results in people ignoring or downplaying information that is inconsistent with their beliefs, and giving undue weight to information that is consistent with their beliefs.

The authors propose that different biases can be distinguished by the specific belief that guides information processing. For example, the bias blind spot is characterized by the belief that one is less biased than others, while hostile media bias is characterized by the belief that the media is biased against one's own group. However, the authors also argue that different biases may share the same underlying belief, and differ only in the specific outcome of information processing that is assessed. For example, both the bias blind spot and hostile media bias may involve the belief that one is more objective than others, but the bias blind spot is assessed in the context of self-evaluations, while hostile media bias is assessed in the context of evaluations of others.

The authors' framework has several advantages over existing theoretical explanations of biases. First, it provides a more parsimonious explanation for a wide range of biases. Second, it generates novel hypotheses that can be tested empirically. For example, the authors hypothesize that people who are more likely to believe in one bias will also be more likely to believe in other biases. Third, the framework has implications for interventions to reduce biases. For example, the authors suggest that interventions to reduce biases could focus on helping people to become more aware of their own biases and to develop strategies for resisting the tendency toward belief-consistent information processing.