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 Compassion. Show all posts
Showing posts with label Compassion. Show all posts

Wednesday, February 21, 2018

Don’t look to the president for moral leadership

Julia Azari
vox.com
Originally posted February 19, 2018

President Trump’s reaction to last week’s school shooting in Parkland, Florida, has drawn heavy criticism.

His initial round of tweets, reminding the country that the Florida shooter had been known to display “bad and erratic behavior,” and that such behavior should be “reported to the authorities” were not well-received. Critics called the response “victim-blaming.” Survivors of the shooting were neither comforted nor inspired.

Of course, we live in a time of partisan polarization, and it’s easy to suggest that there are many Americans who are unlikely to respond positively to any message from President Trump. That’s probably true. But none other than liberal snowflake Ari Fleischer — press secretary to George W. Bush — offered a broader indictment: “Some of the biggest errors Pres. Trump has made are what he did NOT say. He did not immediately condemn the KKK after Charlottesville. He did not immediately condemn domestic violence or offer sympathy for Rob Porter’s ex-wives. He should speak today about the school shooting.” Trump did address the incident in a speech on Thursday.

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Anti-Trump Republican Rick Wilson tweeted on Sunday that Trump isn’t a president but a “moral stress test.” His speech on Thursday and his visit to Florida over the weekend appeared to impress very few people. At the time of this writing, the president’s response appears to have culminated in a series of tweets chastising the FBI for not pursuing reports about the Florida shooter and linking the FBI’s failure to its Russia investigation.

The article is here.

Wednesday, February 7, 2018

America is spiritually bankrupt.

Cornel West
The Guardian
Originally published January 14, 2018

Here are two excerpts:

The distinctive features of our spiritual blackout are threefold.

First, we normalize mendacity and naturalize criminality. We make our lies look like the normal order of things. And we make our crimes look like the natural order of things. We too often say Wall Street is a good servant – rather than a bad master – of the common good. Then we look away from the criminal behavior of big banks because they are too indispensable to prosecute.

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Second, we encourage callousness and reward indifference. We make mean-spiritedness look manly and mature. And we make cold-heartedness look triumphant and victorious. In our world of the survival of the slickest and the smartest, we pave the way for raw greed and self-promotion. We make cowardice and avarice fashionable and compassion an option for losers. We prefer market-driven celebrities who thrive on glitzy spectacles and seductive brands over moral-driven exemplars who strive on with their gritty convictions and stouthearted causes.

Third, we trump the moral and spiritual dimensions of our lives and world by applauding our short-term gains and superficial successes. This immoral and brutal disposition reinforces – and, in part, is a result of – the all-encompassing commodification of a predatory capitalism, running out of control in our psyches and societies.

The opinion is here.

Wednesday, January 31, 2018

The Fear Factor

Matthieu Ricard
Medium.com
Originally published January 5, 2018

Here is an excerpt:

Research by Abigail Marsh and other neuroscientists reveals that psychopaths’ brains are marked by a dysfunction in the structure called the amygdala that is responsible for essential social and emotional function. In psychopaths, the amygdala is not only under-responsive to images of people experiencing fear, but is also up to 20% smaller than average.

Marsh also wondered about people who are at the other end of the spectrum, extreme altruists: people filled with compassion, people who volunteer, for example, to donate one of their kidneys to a stranger. The answer is remarkable: extreme altruists surpass everyone in detecting expressions of fear in others and, while they do experience fear themselves, that does not stop them from acting in ways that are considered very courageous.

Since her initial discovery, several studies have confirmed that the ability to label other peoples’ fear predicts altruism better than gender, mood or how compassionate people claim to be. In addition, Abigail Marsh found that, among extreme altruists, the amygdala is physically larger than the average by about 8%. The significance of this fact held up even after finding something rather unexpected: the altruists’s brains are in general larger than those of the average person.

The information is here.

Monday, January 29, 2018

Go Fund Yourself

Stephen Marche
Mother Jones
Originally published January/February 2018

Here is an excerpt:

Health care in America is the wedge of inequality: It’s the luxury everyone has to have and millions can’t afford. Sites like YouCaring have stepped in to fill the gap. The total amount in donations generated by crowdfunding sites has increased eleven­fold since the appearance of Obamacare. In 2011, sites like GoFundMe and YouCaring were generating a total of $837 million. Three years later, that number had climbed to $9.5 billion. Under the Trump administration, YouCaring expects donations to jump even higher, and the company has already seen an estimated 25 percent spike since the election, which company representatives believe is partly a response to the administration’s threats to Obamacare.

Crowdfunding companies say they’re using technology to help people helping people, the miracle of interconnectedness leading to globalized compassion. But an emerging consensus is starting to suggest a darker, more fraught reality—sites like YouCaring and GoFundMe may in fact be fueling the inequities of the American health care system, not fighting them. And they are potentially exacerbating racial, economic, and educational divides. “Crowdfunding websites have helped a lot of people,” medical researcher Jeremy Snyder wrote in a 2016 article for the Hastings Center Report, a journal focused on medical ethics. But, echoing other scholars, he warned that they’re “ultimately not a solution to injustices in the health system. Indeed, they may themselves be a cause of injustices.” Crowdfunding is yet another example of tech’s best intentions generating unseen and unfortunate outcomes.

Saturday, January 6, 2018

The Myth of Responsibility

Raoul Martinez
RSA.org
Originally posted December 7, 2017

Are we wholly responsible for our actions? We don’t choose our brains, our genetic inheritance, our circumstances, our milieu – so how much control do we really have over our lives? Philosopher Raoul Martinez argues that no one is truly blameworthy.  Our most visionary scientists, psychologists and philosophers have agreed that we have far less free will than we think, and yet most of society’s systems are structured around the opposite principle – that we are all on a level playing field, and we all get what we deserve.

4 minutes video is worth watching.....

Sunday, December 10, 2017

These are the Therapist Behaviors that are Helpful or Harmful

Christian Jarrett
Research Digest
Originally published November 23, 2017

Here is an excerpt:

The most helpful therapy moments involved specific treatment techniques, such as times the therapist gave the client a concrete strategy they could use in everyday life; instances when the therapist made connections for the client (such as identifying events that affected their depression symptoms); or helped them process their emotions. Other helpful moments involved fundamental therapist skills, such as listening and expressing empathy, offering support or praise, or when the therapist discussed the process of therapy, including what the client wants from it.

The clients said they found these moments helpful because they learned a new skill, felt heard or understood, gained insight and/or were better able to process their emotions.

In terms of hindering therapist behaviours, these often seemed the same, superficially at least, as the helpful behaviours, including instances when the therapist listened, attempted to express empathy, or attempted to structure the session. The difference seemed to be in the execution or timing of these behaviours. The clients said they found these moments unhelpful when they were off-topic (for instance, their therapist listened to them “rambling” on about irrelevant details without intervening); when they felt like they were being judged; or they felt it was too soon for them to confront a particular issue.

The article is here.

Tuesday, November 21, 2017

What The Good Place Can Teach You About Morality

Patrick Allan
Lifehacker.com
Originally posted November 6, 2017

Here is an excerpt:

Doing “Good” Things Doesn’t Necessarily Make You a Good Person

In The Good Place, the version of the afterlife you get sent to is based on a complicated point system. Doing “good” deeds earns you a certain number of positive points, and doing “bad” things will subtract them. Your point total when you die is what decides where you’ll go. Seems fair, right?

Despite the fact The Good Place makes life feel like a point-based videogame, we quickly learn morality isn’t as black and white as positive points and negative points. At one point, Eleanor tries to rack up points by holding doors for people; an action worth 3 points a pop. To put that in perspective, her score is -4,008 and she needs to meet the average of 1,222,821. It would take her a long time to get there but it’s one way to do it. At least, it would be if it worked. She quickly learns after awhile that she didn’t earn any points because she’s not actually trying to be nice to people. Her only goal is to rack up points so she can stay in The Good Place, which is an inherently selfish reason. The situation brings up a valid question: are “good” things done for selfish reasons still “good” things?

I don’t want to spoil too much, but as the series goes on, we see this question asked time and time again with each of its characters. Chidi may have spent his life studying moral ethics, but does knowing everything about pursuing “good” mean you are? Tahani spent her entire life as a charitable philanthropist, but she did it all for the questionable pursuit of finally outshining her near-perfect sister. She did a lot of good, but is she “good?” It’s something to consider yourself as you go about your day. Try to do “good” things, but ask yourself every once in awhile who those “good” things are really for.

The article is here.

Note: I really enjoy watching The Good Place.  Very clever. 

My spoiler: I think Michael is supposed to be in The Good Place too, not really the architect.

Saturday, August 19, 2017

The role of empathy in experiencing vicarious anxiety

Shu, J., Hassell, S., Weber, J., Ochsner, K. N., & Mobbs, D. (2017).
Journal of Experimental Psychology: General, 146(8), 1164-1188.

Abstract

With depictions of others facing threats common in the media, the experience of vicarious anxiety may be prevalent in the general population. However, the phenomenon of vicarious anxiety—the experience of anxiety in response to observing others expressing anxiety—and the interpersonal mechanisms underlying it have not been fully investigated in prior research. In 4 studies, we investigate the role of empathy in experiencing vicarious anxiety, using film clips depicting target victims facing threats. In Studies 1 and 2, trait emotional empathy was associated with greater self-reported anxiety when observing target victims, and with perceiving greater anxiety to be experienced by the targets. Study 3 extended these findings by demonstrating that trait empathic concern—the tendency to feel concern and compassion for others—was associated with experiencing vicarious anxiety, whereas trait personal distress—the tendency to experience distress in stressful situations—was not. Study 4 manipulated state empathy to establish a causal relationship between empathy and experience of vicarious anxiety. Participants who took an empathic perspective when observing target victims, as compared to those who took an objective perspective using reappraisal-based strategies, reported experiencing greater anxiety, risk-aversion, and sleep disruption the following night. These results highlight the impact of one’s social environment on experiencing anxiety, particularly for those who are highly empathic. In addition, these findings have implications for extending basic models of anxiety to incorporate interpersonal processes, understanding the role of empathy in social learning, and potential applications for therapeutic contexts.

The article is here.

Friday, August 11, 2017

What an artificial intelligence researcher fears about AI

Arend Hintze
TechXplore.com
Originally published July 14, 2017

Here is an excerpt:

Fear of the nightmare scenario

There is one last fear, embodied by HAL 9000, the Terminator and any number of other fictional superintelligences: If AI keeps improving until it surpasses human intelligence, will a superintelligence system (or more than one of them) find it no longer needs humans? How will we justify our existence in the face of a superintelligence that can do things humans could never do? Can we avoid being wiped off the face of the Earth by machines we helped create?

The key question in this scenario is: Why should a superintelligence keep us around?

I would argue that I am a good person who might have even helped to bring about the superintelligence itself. I would appeal to the compassion and empathy that the superintelligence has to keep me, a compassionate and empathetic person, alive. I would also argue that diversity has a value all in itself, and that the universe is so ridiculously large that humankind's existence in it probably doesn't matter at all.

But I do not speak for all humankind, and I find it hard to make a compelling argument for all of us. When I take a sharp look at us all together, there is a lot wrong: We hate each other. We wage war on each other. We do not distribute food, knowledge or medical aid equally. We pollute the planet. There are many good things in the world, but all the bad weakens our argument for being allowed to exist.

Fortunately, we need not justify our existence quite yet. We have some time – somewhere between 50 and 250 years, depending on how fast AI develops. As a species we can come together and come up with a good answer for why a superintelligence shouldn't just wipe us out. But that will be hard: Saying we embrace diversity and actually doing it are two different things – as are saying we want to save the planet and successfully doing so.

The article is here.

Saturday, August 5, 2017

Empathy makes us immoral

Olivia Goldhill
Quartz
Originally published July 9, 2017

Empathy, in general, has an excellent reputation. But it leads us to make terrible decisions, according to Paul Bloom, psychology professor at Yale and author of Against Empathy: The Case for Rational Compassion. In fact, he argues, we would be far more moral if we had no empathy at all.

Though it sounds counterintuitive, Bloom makes a convincing case. First, he makes a point of defining empathy as putting yourself in the shoes of other people—“feeling their pain, seeing the world through their eyes.” When we rely on empathy to make moral decisions, he says, we end up prioritizing the person whose suffering we can easily relate to over that of any number of others who seem more distant. Indeed, studies have shown that empathy does encourage irrational moral decisions that favor one individual over the masses.

“When we rely on empathy, we think that a little girl stuck down a well is more important than all of climate change, is more important than tens of thousands of people dying in a far away country,” says Bloom. “Empathy zooms us in on the attractive, on the young, on people of the same race. It zooms us in on the one rather than the many. And so it distorts our priorities.”

The article is here.

Friday, July 14, 2017

The Moral Value of Compassion

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

Introduction

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

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

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

The penultimate version is here.

Tuesday, May 30, 2017

There’s a Right Way and a Wrong Way to Do Empathy

By Sarah Watts
The Science of Us
Originally published May 18, 2017

Here is an excerpt:

When we talk about empathy, we tend to talk about it as an unqualified good thing. Research has shown that empathy is associated with kindness and helping behaviors, while its absence, clinically referred to as psychopathy, is associated with manipulation and criminal deviance. Empathy, some scientists have concluded, allows us to function well with others and survive as a species.

But what people often don’t talk about is how even a good thing like empathy can still be emotionally draining. Empathic people who easily take on other people’s feelings can spend their days feeling overwhelmed, hurt, and heavyhearted. Empathy, in other words, can be downright stressful. So would it be fair to say that sometimes it’s unhealthy?

A paper published earlier this month in the Journal of Experimental Psychology set out to answer exactly that. According to the authors, there are “two routes” to empathy. The first is imagining how someone else might feel in a given circumstance, called “imagine-other-perspective-taking,” or IOPT. The second is actually imagining yourself in the other person’s situation, called “imagine-self-perspective-taking,” or ISPT. With IOPT, you acknowledge another person’s feelings; with ISPT, you take on that person’s feelings as your own.

The article is here.

Thursday, May 25, 2017

In a moral dilemma, choose the one you love: Impartial actors are seen as less moral than partial ones

Jamie S. Hughes
British Journal of Social Psychology

Abstract

Although impartiality and concern for the greater good are lauded by utilitarian philosophies, it was predicted that when values conflict, those who acted impartially rather than partially would be viewed as less moral. Across four studies, using life-or-death scenarios and more mundane ones, support for the idea that relationship obligations are important in moral attribution was found. In Studies 1–3, participants rated an impartial actor as less morally good and his or her action as less moral compared to a partial actor. Experimental and correlational evidence showed the effect was driven by inferences about an actor's capacity for empathy and compassion. In Study 4, the relationship obligation hypothesis was refined. The data suggested that violations of relationship obligations are perceived as moral as long as strong alternative justifications sanction them. Discussion centres on the importance of relationships in understanding moral attributions.

The article is here.

Monday, April 17, 2017

The Moral Failure of Crowdfunding Health Care

Jonathan Hiskes
medium.com
Originally posted April 3, 2017

Here is an excerpt:

The most dangerous consequence of the rise of medical crowdfunding, they argue, is the way it trains us to see health care as a personal good to be earned, rather than a universal human right. Other forums, like a public town hall, could provide room for debate on whether we want this state of affairs in our country. The format of GoFundMe steers users toward “hyper-individualized accounts of suffering.”

“Relying on these sites changes how we perceive the problem,” said Kenworthy. “It masks a more open conversation we could be having about the inequities of our health system. There’s no space for a structural critique in your personal appeal.”

In this way, crowdfunding functions as both a symptom and a cause of a health care system designed for austerity.

The article is here.

Thursday, January 26, 2017

A View from the Edge — Creating a Culture of Caring

Rana L.A. Awdish
N Engl J Med 2017; 376:7-9
Originally published January 5, 2017

Here are two excerpts:

How do you build and maintain a culture of shared purpose in the infinitely complex arena of health care? How do you ensure that you engender in employees a dedication and commitment to doing what’s right? Identifying the gaps between the stated mission and values of an institution and its actual delivery of care is critical. As systems, we have to recognize and acknowledge our mistakes, our shortcomings, just as individual physicians do. We need to reflect on times when our care has deviated from what we intended — when we haven’t been who we hoped to be. We have to be transparent and allow the failure to reshape us, to help us reset our intention and mold our future selves.

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In addition, new employees are taught to recognize different forms of suffering: avoidable and unavoidable. Our goal is to find ways to mitigate suffering by responding to the unavoidable kind with empathy and by improving our processes and procedures to avoid inflicting the avoidable kind whenever possible.

The article is here.

Wednesday, January 25, 2017

Forgiveness can improve mental and physical health

By Kirsten Weir
The Monitor on Psychology
January 2017, Vol 48, No. 1
Print version: page 30

Here is an excerpt:

One common but mistaken belief is that forgiveness means letting the person who hurt you off the hook. Yet forgiveness is not the same as justice, nor does it require reconciliation, Worthington explains. A former victim of abuse shouldn't reconcile with an abuser who remains potentially dangerous, for example. But the victim can still come to a place of empathy and understanding. "Whether I forgive or don't forgive isn't going to affect whether justice is done," Worthington says. "Forgiveness happens inside my skin."

Another misconception is that forgiving someone is a sign of weakness. "To that I say, well, the person must not have tried it," says Worthington.

And there may be very good reasons to make the effort. Research has shown that forgiveness is linked to mental health outcomes such as reduced anxiety, depression and major psychiatric disorders, as well as with fewer physical health symptoms and lower mortality rates. In fact, researchers have amassed enough evidence of the benefits of forgiveness to fill a book; Toussaint, Worthington and David R. Williams, PhD, edited a 2015 book, "Forgiveness and Health," that detailed the physical and psychological benefits.

Toussaint and Worthington suggest that stress relief is probably the chief factor connecting forgiveness and well-being. "We know chronic stress is bad for our health," Toussaint says. "Forgiveness allows you to let go of the chronic interpersonal stressors that cause us undue burden."

While stress relief is important, Enright believes there are other important mechanisms by which forgiveness works its magic. One of those, he suggests, is "toxic" anger. "There's nothing wrong with healthy anger, but when anger is very deep and long lasting, it can do a number on us systemically," he says. "When you get rid of anger, your muscles relax, you're less anxious, you have more energy, your immune system can strengthen."

The article is here.

Wednesday, January 11, 2017

The Empathy Trap

By Peter Singer
The Project Syndicate
Originally published December 12, 2016

Here is an excerpt:

“One death is tragedy; a million is a statistic.” If empathy makes us too favorable to individuals, large numbers numb the feelings we ought to have. The Oregon-based nonprofit Decision Research has recently established a website, ArithmeticofCompassion.org, aimed at enhancing our ability to communicate information about large-scale problems without giving rise to “numerical numbness.” In an age in which vivid personal stories go viral and influence public policy, it’s hard to think of anything more important than helping everyone to see the larger picture.

To be against empathy is not to be against compassion. In one of the most interesting sections of Against Empathy, Bloom describes how he learned about differences between empathy and compassion from Matthieu Ricard, the Buddhist monk sometimes described as “the happiest man on earth.” When the neuroscientist Tania Singer (no relation to me) asked Ricard to engage in “compassion meditation” while his brain was being scanned, she was surprised to see no activity in the areas of his brain normally active when people empathize with the pain of others. Ricard could, on request, empathize with others’ pain, but he found it unpleasant and draining; by contrast, he described compassion meditation as “a warm positive state associated with a strong pro-social motivation.”

The article is here.

Monday, January 9, 2017

Empathy is an overrated skill when dispensing medical care

Karin Jongsma
Aeon Magazine
Originally published December 15, 2016

Here is an excerpt:

In fact, this final requirement is most closely related not to empathy but to compassion – defined among emotion researchers as the feeling that arises when you are confronted with another’s suffering, including the desire to help. This non-empathetic compassion – a more distanced love and kindness and concern for others – might act as a bridge between recognising the other’s feelings and providing care without the detriments of empathy. Since compassion does not require identification with the patient, it can help in performing good care as a professional duty, building trust, and treating someone according to his or her needs, while avoiding cognitive biases and empathetic distress.

Empathy still matters in healthcare settings that don’t require action: self-help forums and family-support coordinators can be guided by empathy. And precisely because empathy is biased, physicians should be trained to critically reflect upon their empathy gaps rather than be told to fake it.



Thursday, January 5, 2017

To Make a Team More Effective, Find Their Commonalities

David DeSteno
Harvard Business Review
December 12, 2016

Here is an excerpt:

When it comes to empathy and compassion, the most powerful tool is a sense of similarity – a belief that people’s interests are joined and, thus, that they’re all on the same team and will benefit from supporting each other. Consider an example from the first World War. British and German troops were fighting a long, bloody battle in the trenches outside of Ypres, Belgium. But on Christmas Eve, the British began to see their foes light candles and sing familiar carols. Soon, these men, who had previously been trying to kill each other, came out to greet one another, share stories and celebrate the holiday together. For a brief period, they re-categorized themselves as members of the same group, in this case defined by religion, and felt a new camaraderie.

You can achieve a similar effect by emphasizing or introducing even less significant similarities. For example, Claremont McKenna’s Piercarlo Valdesolo and I conducted an experiment in which we had participants tap their hands in synch — or not in synch — with another person, who was later unfairly stuck with an onerous assignment. Half of the people who had tapped in unison with their partners offered to help with the task, compared with only 18% of those who were out of synch. The in-synch tappers reported not only feeling more similar to the strangers with whom they’d been paired, but also more compassion for them, and those two measures increased in tandem.

The article is here.

Saturday, December 31, 2016

The Wright Show: Against Empathy

Robert Wright interviews Paul Bloom on his book "Against Empathy."
The Wright Show
Originally published December 6, 2016