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 Change. Show all posts
Showing posts with label Change. Show all posts

Wednesday, November 29, 2017

A Lost World

Michael Sacasas
thefrailestthing.com
Originally posted January 29, 2017

Here is the conclusion:

Rather, it is a situation in which moral evaluations themselves have shifted. It is not that some people now lied and called an act of thoughtless aggression a courageous act. It is that what had before been commonly judged to be an act of thoughtless aggression was now judged by some to be a courageous act. In other words, it would appear that in very short order, moral judgments and the moral vocabulary in which they were expressed shifted dramatically.

It brings to mind Hannah Arendt’s frequent observation about how quickly the self-evidence of long-standing moral principles were overturned in Nazi Germany: “… it was as though morality suddenly stood revealed in the original meaning of the word, as a set of mores, customs and manners, which could be exchanged for another set with hardly more trouble than it would take to change the table manners of an individual or a people.”

It is shortsighted, at this juncture, to ask how we can find agreement or even compromise. We do not, now, even know how to disagree well; nothing like an argument in the traditional sense is being had. It is an open question whether anyone can even be said to be speaking intelligibly to anyone who does not already fully agree with their positions and premises. The common world that is both the condition of speech and its gift to us is withering away. A rift has opened up in our political culture that will not be mended until we figure out how to reconstruct the conditions under which speech can once again become meaningful. Until then, I fear, the worst is still before us.

The post is here.

Wednesday, November 8, 2017

Are religious people more moral?

Dimitris Xygalatas
The San Francisco Chronicle
Originally published October 23, 2017

Here is an excerpt:

For one thing, the ethical ideals of one religion might seem immoral to members of another. For instance, in the 19th century, Mormons considered polygamy a moral imperative, while Catholics saw it as a mortal sin.

Moreover, religious ideals of moral behavior are often limited to group members and might even be accompanied by outright hatred against other groups. In 1543, for example, Martin Luther, one of the fathers of Protestantism, published a treatise titled “On the Jews and their Lies,” echoing anti-Semitic sentiments that have been common among various religious groups for centuries.

These examples also reveal that religious morality can and does change with the ebb and flow of the surrounding culture. In recent years, several Anglican churches have revised their moral views to allow contraception, the ordination of women and the blessing of same-sex unions.

In any case, religiosity is only loosely related to theology. That is, the beliefs and behaviors of religious people are not always in accordance with official religious doctrines. Instead, popular religiosity tends to be much more practical and intuitive. This is what religious studies scholars call “theological incorrectness.”

Buddhism, for example, may officially be a religion without gods, but most Buddhists still treat Buddha as a deity. Similarly, the Catholic Church vehemently opposes birth control, but the vast majority of Catholics practice it anyway. In fact, theological incorrectness is the norm rather than the exception among believers.

For this reason, sociologist Mark Chaves called the idea that people behave in accordance with religious beliefs and commandments the “religious congruence fallacy.”

The article is here.

Saturday, October 21, 2017

Thinking about the social cost of technology

Natasha Lomas
Tech Crunch
Originally posted September 30, 2017

Here is an excerpt:

Meanwhile, ‘users’ like my mum are left with another cryptic puzzle of unfamiliar pieces to try to slot back together and — they hope — return the tool to the state of utility it was in before everything changed on them again.

These people will increasingly feel left behind and unplugged from a society where technology is playing an ever greater day-to-day role, and also playing an ever greater, yet largely unseen role in shaping day to day society by controlling so many things we see and do. AI is the silent decision maker that really scales.

The frustration and stress caused by complex technologies that can seem unknowable — not to mention the time and mindshare that gets wasted trying to make systems work as people want them to work — doesn’t tend to get talked about in the slick presentations of tech firms with their laser pointers fixed on the future and their intent locked on winning the game of the next big thing.

All too often the fact that human lives are increasingly enmeshed with and dependent on ever more complex, and ever more inscrutable, technologies is considered a good thing. Negatives don’t generally get dwelled on. And for the most part people are expected to move along, or be moved along by the tech.

That’s the price of progress, goes the short sharp shrug. Users are expected to use the tool — and take responsibility for not being confused by the tool.

But what if the user can’t properly use the system because they don’t know how to? Are they at fault? Or is it the designers failing to properly articulate what they’ve built and pushed out at such scale? And failing to layer complexity in a way that does not alienate and exclude?

And what happens when the tool becomes so all consuming of people’s attention and so capable of pushing individual buttons it becomes a mainstream source of public opinion? And does so without showing its workings. Without making it clear it’s actually presenting a filtered, algorithmically controlled view.

There’s no newspaper style masthead or TV news captions to signify the existence of Facebook’s algorithmic editors. But increasingly people are tuning in to social media to consume news.

This signifies a major, major shift.

The article is here.

Saturday, February 11, 2017

A Tale of Two Moralities, Part 1

Will Wilkinson
Niskanen Center
Originally posted January 19, 2017

Here is an excerpt:

Because “the establishment” (including the Republican political establishment) is relatively cosmopolitan and liberal (in the broad sense), an outpouring of populist anti-establishment sentiment is going to assume a nationalistic, illiberal form more or less by default. The good news is that anti-elite anybody-but-Hillary-ism doesn’t really imply serious public appetite for anything like alt-right authoritarianism. The bad news is that the liberal-democratic capitalist welfare state and the so-called “neoliberal” global order is far and away the best humanity has ever done, and we’ve taken it for granted. We could very well trash it in a fit of pique, and wind up a middle-income kleptocracy boiling with civil strife and/or destabilize the global order in a way that ends in utter horror.

It is very important to keep this from happening! And that means it’s important to understand the mechanisms underlying our cultural and moral polarization. That’s what I’m going to begin to do in this (long!) post, in a preliminary, speculative, exploratory spirit. I want to push a little deeper than the prevailing journalistic narratives have gone, and churn up some credible empirical hypotheses that I hope will help us eventually home in on the correct diagnosis. Then we can hazard some recommendations that may help reduce polarization and mitigate its bad effects. I’ll do that in a future post.  

This important blog post is here.

Monday, September 12, 2016

Heads or Tails: The Impact of a Coin Toss on Major Life Decisions and Subsequent Happiness

Steven D. Levitt
NBER Working Paper No. 22487
Issued in August 2016

Abstract

Little is known about whether people make good choices when facing important decisions. This paper reports on a large-scale randomized field experiment in which research subjects having difficulty making a decision flipped a coin to help determine their choice. For important decisions (e.g. quitting a job or ending a relationship), those who make a change (regardless of the outcome of the coin toss) report being substantially happier two months and six months later. This correlation, however, need not reflect a causal impact. To assess causality, I use the outcome of a coin toss. Individuals who are told by the coin toss to make a change are much more likely to make a change and are happier six months later than those who were told by the coin to maintain the status quo. The results of this paper suggest that people may be excessively cautious when facing life-changing choices.

The paper is here.

Tuesday, June 7, 2016

The empty brain

by Robert Epstein
Aeon Magazine
Originally published May 18, 2016

Here are two excerpts:

Forgive me for this introduction to computing, but I need to be clear: computers really do operate on symbolic representations of the world. They really store and retrieve. They really process. They really have physical memories. They really are guided in everything they do, without exception, by algorithms.

Humans, on the other hand, do not – never did, never will. Given this reality, why do so many scientists talk about our mental life as if we were computers?

(cut)

Misleading headlines notwithstanding, no one really has the slightest idea how the brain changes after we have learned to sing a song or recite a poem. But neither the song nor the poem has been ‘stored’ in it. The brain has simply changed in an orderly way that now allows us to sing the song or recite the poem under certain conditions. When called on to perform, neither the song nor the poem is in any sense ‘retrieved’ from anywhere in the brain, any more than my finger movements are ‘retrieved’ when I tap my finger on my desk. We simply sing or recite – no retrieval necessary.

The article is here.

Editor's note: This article may help clinician's reflect on the way we discuss memories and change with our patients.  Our understanding of how the brain works is quite limited.  And, the brain is not like a computer.

Wednesday, March 2, 2016

Beyond the paleo

Our morality may be a product of natural selection, but that doesn’t mean it’s set in stone

by Russell Powell & Allen Buchanan
Aeon Magazine
Originally published December 12, 2013

For centuries now, conservative thinkers have argued that significant social reform is impossible, because human nature is inherently limited. The argument goes something like this: sure, it would be great to change the world, but it will never work, because people are too flawed, lacking the ability to see beyond their own interests and those of the groups to which they belong. They have permanent cognitive, motivational and emotional deficits that make any deliberate, systematic attempt to improve human society futile at best. Efforts to bring about social or moral progress are naive about the natural limits of the human animal and tend to have unintended consequences. They are likely to make things worse rather than better.

It’s tempting to nod along at this, and think humans are irredeemable, or at best, permanently flawed. But it’s not clear that such a view stands up to empirical scrutiny. For the conservative argument to prevail, it is not enough that humans exhibit tendencies toward selfishness, group-mindedness, partiality toward kin and kith, apathy toward strangers, and the like. It must also be the case that these tendencies are unalterable, either due to the inherent constraints of human psychology or to our inability to figure out how to modify these constraints without causing greater harms. The trouble is, these assumptions about human nature are largely based on anecdote or selective and controversial readings of history. A more thorough look at the historical record suggests they are due for revision.

The article is here.

Saturday, November 28, 2015

Penn study: Pay patients to take their pills

By Tom Avril
Philly.com
Originally posted November 8, 2015

Here are two excerpt:

While the field of medicine has moved increasingly toward paying doctors for performance, there has been little controlled research on whether it works. Studies of patients, meanwhile, have found that incentives can encourage healthy behaviors such as giving up cigarettes.

But in a study of 1,503 patients announced Sunday, the Penn team reported that the most effective approach, at least where statins are concerned, may be to reward both patient and physician.

"In some respects, it takes two to tango," said lead author David A. Asch, a professor at Penn's Perelman School of Medicine.

(cut)

Even if money helps, the notion of paying people to do the right thing may rub some the wrong way.

"We shouldn't have to," said Bobbi Cecco, president of the Hackensack, N.J., chapter of the Mended Hearts patient support group. "But if that's what it comes down to . . ."

Wei, the Michigan physician, said she already is motivated to help her patients stick with their medicine.

"Financial incentives wouldn't change my values or patient care," she said. "I am also an idealist."

The entire article is here.

Tuesday, December 30, 2014

When Talking About Bias Backfires

By Adam Grant and Sheryl Sandberg
The New York Times - Sunday Review
Originally published December 6, 2014

Here is an excerpt:

Rather than merely informing managers that stereotypes persisted, they added that a “vast majority of people try to overcome their stereotypic preconceptions.” With this adjustment, discrimination vanished in their studies. After reading this message, managers were 28 percent more interested in working with the female candidate who negotiated assertively and judged her as 25 percent more likable.

When we communicate that a vast majority of people hold some biases, we need to make sure that we’re not legitimating prejudice. By reinforcing the idea that people want to conquer their biases and that there are benefits to doing so, we send a more effective message: Most people don’t want to discriminate, and you shouldn’t either.

The entire article is here.

Editor's note: Read the entire article and reflect on how this can influence the way in which psychologists communicate with patients.

Thursday, June 12, 2014

The Self-Help Industry Helps Itself to Billions of Dollars

By Lindsay Myers
Brain Blogger
Originally published May 23, 2014

Self-improvement represents a $10 billion per year industry in the U.S. alone. In addition to high revenues, self-help also has a high recidivism rate, with the most likely purchaser of a self-help book being the same person who purchased one already in the last 18 months. This begs the question of how much good these self-help books and seminars are doing for consumers. If they are so effective at solving our problems, why do they usually result in a continuing stream of self-help purchases?

The entire story is here.

Sunday, March 30, 2014

Three Myths of Behavior Change

Published on Mar 20, 2013

Jeni Cross is a sociology professor at Colorado State University. She has spoken about community development and sustainability to audiences across the country, from business leaders and government officials to community activists. As a professor and consultant she has helped dozens of schools and government agencies implement and evaluate successful programs to improve community well-being. In this talk, she discusses her work around changing behaviors.


Monday, December 23, 2013

Should Studying Philosophy Change Us?

By Benjamin Barer
Huffington Post Blog
Originally posted on December 9, 2013

The years I spent studying academic (Western) philosophy during my undergraduate education were quite transformative. I was presented, and equipped, with a vocabulary to use in talking about the most difficult and timeless of issues, connecting myself to a strong tradition of other minds who devoted their lives to doing the same. Because of how meaningful I found the study of philosophy, it has remained puzzling to me that, almost without exception, no one else who I have encountered who studied philosophy took away from it what I did.

The entire post is here.

Sunday, November 3, 2013

Epigenetics: How to alter your genes

We’ve long been told our genes are our destiny. But it’s now thought they can be changed by habit, lifestyle, even finances. What does this mean for our children?

By Chris Bell
The Telegraph
Originally published on October 16, 2013

Here is an excerpt:

And yet a quiet scientific revolution is changing that thinking. For it seems you might also be what your mother ate. How much your father drank. And what your grandma smoked. Likewise your own children, too, may be shaped by whether you spend your evenings jogging, worrying about work, or sat on the sofa eating Wotsits. And that nurture, rather than our intractable nature, may determine who we are far more than was ever previously thought.

Epigenetics is a relatively new scientific field; research only began in earnest in the mid Nineties, and has only found traction in the wider scientific community in the last decade or so. And the sources of its data are eclectic, to say the least – stretching from famines in northern Sweden to the 9/11 attacks to the medical notes of Audrey Hepburn.

The entire story is here.

Monday, May 2, 2011

Amending the Ethics Code



APA’s Council of Representatives voted to amend the association’s Code of Ethics to make clear that its standards can never be interpreted to justify or defend violating human rights.

The action, which came during the winter meeting of APA’s governing Council of Representatives, amended the code’s Introduction and Applicability section, as well as Ethical Standards 1.02 and 1.03, to resolve any potential ambiguity in the original language. These changes become effective June 1, 2010.

“APA’s longstanding policy is that psychologists may never violate human rights,” said APA President Carol D. Goodheart, EdD, announcing the changes. “These standards now unquestionably conform to that policy.”

The standards, from APA’s “Ethical Principles of Psychologists and Code of Conduct” (2002), address situations where psychologists’ ethical responsibilities conflict with law, regulations, other governing legal authority or organizational demands. Previously, it appeared that if psychologists could not resolve such conflicts, they could adhere to the law or demands of an organization without further consideration. That language has been deleted and this new sentence added: “Under no circumstances may this standard be used to justify or defend violating human rights.”

These amendments to the Ethics Code provide clear guidance to psychologists regarding their ethical obligations when conflicts arise between psychology ethics and the law or ethics and organizational demands.

An APA Ethics Committee task force last revised Ethical Standard 1.02 on conflicts between ethics and law in September 2001. The standard, which had been previously revised in 1992, had been criticized by psychology practitioners, particularly those in the forensics community. The 1992 standard said that when ethics and law conflict, psychologists should “make known their commitment to the Ethics Code and take steps to resolve the conflict in responsible manner.” Practitioners were concerned because at times judges, who were unfamiliar with psychology ethics, would order that clients’ raw test data and psychotherapy notes be submitted into legal proceedings. Judges had also made custody, visitation or supervision recommendations without first seeking appropriate evaluations. Psychologists said they were being placed in a conflict between ethics and law.

The task force had responded to such concerns by revising Standard 1.02’s language to say that if a conflict arises between ethics and law, psychologists should make known their commitment to the Ethics Code and seek to resolve the conflict. If that process was not successful, a psychologist had the option of following the “law, regulations or other governing legal authority.”

The language created a process for resolving a conflict between ethics and law but did not require a psychologist to violate a court order and thus risk being jailed or fined. The psychologist could, however, engage in civil disobedience, if he or she chose. The ethics task force approved the revision with minor edits and APA’s Council of Representatives adopted it in 2002.

That solution was called into question after Sept. 11, 2001, when the Bush administration used abusive interrogation techniques that it defended under the law. The question arose as to what a psychologist’s ethical obligations would be if they were ordered to engage in torture or cruel, inhuman or degrading treatment or punishment and whether Ethical Standard 1.02 could be used as a defense.

The full story can be read here.