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 Evaluation. Show all posts
Showing posts with label Evaluation. Show all posts

Sunday, December 24, 2023

Dual character concepts and the normative dimension of conceptual representation

Knobe, J., Prasada, S., & Newman, G. E. (2013).
Cognition, 127(2), 242–257. 

Abstract

Five experiments provide evidence for a class of ‘dual character concepts.’ Dual character concepts characterize their members in terms of both (a) a set of concrete features and (b) the abstract values that these features serve to realize. As such, these concepts provide two bases for evaluating category members and two different criteria for category membership. Experiment 1 provides support for the notion that dual character concepts have two bases for evaluation. Experiments 2–4 explore the claim that dual character concepts have two different criteria for category membership. The results show that when an object possesses the appropriate concrete features, but does not fulfill the appropriate abstract value, it is judged to be a category member in one sense but not in another. Finally, Experiment 5 uses the theory developed here to construct artificial dual character concepts and examines whether participants react to these artificial concepts in the same way as naturally occurring dual character concepts. The present studies serve to define the nature of dual character concepts and distinguish them from other types of concepts (e.g., natural kind concepts), which share some, but not all of the properties of dual character concepts. More broadly, these phenomena suggest a normative dimension in everyday conceptual representation.

Here is my summary of the research, which has its current critics:

This research challenged traditional understandings of categorization and evaluation. Dual character concepts, exemplified by terms like "artist," "scientist," and "teacher," possess two distinct dimensions:

Concrete Features: These are the observable, physical attributes or characteristics that members of the category share.

Abstract Values: These are the underlying goals, ideals, or purposes that the concrete features serve to realize.

Unlike other types of concepts, dual character concepts allow for two distinct bases for evaluation:

Good/Bad Evaluation: This assessment is based on how well the concrete features of an entity align with the expected characteristics of a category member.

True/False Evaluation: This judgment is based on whether the abstract values embedded in the concept are fulfilled by the concrete features of an entity.

This dual-pronged evaluation process leads to intriguing consequences for categorization and judgment. An object may be deemed a "good" category member based on its concrete features, yet not a "true" member if it fails to uphold the abstract values associated with the concept.

The researchers provide compelling evidence for the existence of dual character concepts through a series of experiments. These studies demonstrate that people have two distinct ways of characterizing category members and that dual character concepts influence judgments of category membership.

The concept of dual character concepts highlights the normative dimension of conceptual representation, suggesting that our concepts not only reflect the world but also embody our values and beliefs. This normative dimension shapes how we categorize objects, evaluate entities, and make decisions in our daily lives.

Tuesday, March 28, 2023

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

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

Abstract

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

Impact Statement

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

Conclusion

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

Wednesday, January 1, 2020

Companies Are Judged More Harshly For Their Ethical Failures If The CEO Is A Woman

Emily Reynolds
British Psychological Society
Originally published 19 Nov 19

Gender inequality in the business world has been much discussed over the last few years, with a host of mentoring schemes, grants, business books and political activity all aimed at getting women into leadership positions.

But what happens when this goal is achieved? According to new research, unequal gender dynamics still prevail even at the very top. Nicole Votolato Montgomery and Amanda P. Cowen from the University of Virginia found that women CEOs are judged far more harshly than their male counterparts when a business fails ethically. However, when a failure is down to incompetence, they find, women receive less negative backlash.

(cut)

The team suggests that highlighting such traits in female leaders can “reduce the penalties for female-led organisations”. But others argue that women leaders shouldn’t give in to the pressure of adopting typically “male” traits, and that being helpful and community-focused are actually positive things to bring to the board room. Leaning into stereotypes may not be the best way, long-term, to break them — but either way, it’s clear there’s still a way to go for women in business.

The info is here.

Friday, September 13, 2019

Intention matters to make you (im)moral: Positive-negative asymmetry in moral character evaluations

Paula Yumi Hirozawa, M. Karasawa & A. Matsuo
(2019) The Journal of Social Psychology
DOI: 10.1080/00224545.2019.1653254

Abstract

Is intention, even if unfulfilled, enough to make a person appear to be good or bad? In this study, we investigated the influence of unfulfilled intentions of an agent on subsequent moral character evaluations. We found a positive-negative asymmetry in the effect of intentions. Factual information concerning failure to fulfill a positive intention mitigated the morality judgment of the actor, yet this mitigation was not as evident for the negative vignettes. Participants rated an actor who failed to fulfill their negative intention as highly immoral, as long as there was an external explanation to its unfulfillment. Furthermore, both emotional and cognitive (i.e., informativeness) processes mediated the effect of negative intention on moral character. For the positive intention, there was a significant mediation by emotions, yet not by informativeness. Results evidence the relevance of mental states in moral character evaluations and offer affective and cognitive explanations to the asymmetry.

Conclusion

In this study, we investigated whether intentions by themselves are enough to make an agent appear to be good or bad. The answer is yes, but with a detail. We found negative intentions are more indicative of an immoral character than positive intentions are diagnostic of moral character. Simply intending to offer cookies should not, after all, make a neighbor particularly virtuous, unless the intention is acted out. The positive-negative asymmetry demonstrated in the present study may capture a fundamental aspect of people’s moral judgments, particularly for disposition-based evaluations.

Thursday, November 15, 2018

Expectations Bias Moral Evaluations

Derek Powell & Zachary Horne
PsyArXiv
Originally posted September 13, 2018

Abstract

People’s expectations play an important role in their reactions to events. There is often disappointment when events fail to meet expectations and a special thrill to having one’s expectations exceeded. We propose that expectations influence evaluations through information-theoretic principles: less expected events do more to inform us about the state of the world than do more expected events. An implication of this proposal is that people may have inappropriately muted responses to morally significant but expected events. In two preregistered experiments, we found that people’s judgments of morally-significant events were affected by the likelihood of that event. People were more upset about events that were unexpected (e.g., a robbery at a clothing store) than events that were more expected (e.g., a robbery at a convenience store). We argue that this bias has pernicious moral consequences, including leading to reduced concern for victims in most need of help.

The research/preprint is here.

Saturday, July 21, 2018

Bias detectives: the researchers striving to make algorithms fair

Rachel Courtland
Nature.com
Originally posted

Here is an excerpt:

“What concerns me most is the idea that we’re coming up with systems that are supposed to ameliorate problems [but] that might end up exacerbating them,” says Kate Crawford, co-founder of the AI Now Institute, a research centre at New York University that studies the social implications of artificial intelligence.

With Crawford and others waving red flags, governments are trying to make software more accountable. Last December, the New York City Council passed a bill to set up a task force that will recommend how to publicly share information about algorithms and investigate them for bias. This year, France’s president, Emmanuel Macron, has said that the country will make all algorithms used by its government open. And in guidance issued this month, the UK government called for those working with data in the public sector to be transparent and accountable. Europe’s General Data Protection Regulation (GDPR), which came into force at the end of May, is also expected to promote algorithmic accountability.

In the midst of such activity, scientists are confronting complex questions about what it means to make an algorithm fair. Researchers such as Vaithianathan, who work with public agencies to try to build responsible and effective software, must grapple with how automated tools might introduce bias or entrench existing inequity — especially if they are being inserted into an already discriminatory social system.

The information is here.

Tuesday, November 14, 2017

Facial recognition may reveal things we’d rather not tell the world. Are we ready?

Amitha Kalaichandran
The Boston Globe
Originally published October 27, 2017

Here is an excerpt:

Could someone use a smartphone snapshot, for example, to diagnose another person’s child at the playground? The Face2Gene app is currently limited to clinicians; while anyone can download it from the App Store on an iPhone, it can only be used after the user’s healthcare credentials are verified. “If the technology is widespread,” says Lin, “do I see people taking photos of others for diagnosis? That would be unusual, but people take photos of others all the time, so maybe it’s possible. I would obviously worry about the invasion of privacy and misuse if that happened.”

Humans are pre-wired to discriminate against others based on physical characteristics, and programmers could easily manipulate AI programming to mimic human bias. That’s what concerns Anjan Chatterjee, a neuroscientist who specializes in neuroesthetics, the study of what our brains find pleasing. He has found that, relying on baked-in prejudices, we often quickly infer character just from seeing a person’s face. In a paper slated for publication in Psychology of Aesthetics, Creativity, and the Arts, Chatterjee reports that a person’s appearance — and our interpretation of that appearance — can have broad ramifications in professional and personal settings. This conclusion has serious implications for artificial intelligence.

“We need to distinguish between classification and evaluation,” he says. “Classification would be, for instance, using it for identification purposes like fingerprint recognition. . . which was once a privacy concern but seems to have largely faded away. Using the technology for evaluation would include discerning someone’s sexual orientation or for medical diagnostics.” The latter raises serious ethical questions, he says. One day, for example, health insurance companies could use this information to adjust premiums based on a predisposition to a condition.

The article is here.

Sunday, May 21, 2017

What do we evaluate when we evaluate moral character?

Erik G. Helzer & Clayton R. Critcher

Abstract:

Despite growing interest in the topic of moral character, there is very little precision
and a lack of agreement among researchers as to what is evaluated when people evaluate
character. In this chapter we define moral character in novel social cognitive terms and offer
empirical support for the idea that the central qualities of moral character are those deemed
essential for social relationships.

Here is an excerpt:

We approach this chapter from the theoretical standpoint that the centrality of character
evaluation is due to its function in social life. Evaluation of character is, we think, inherently a
judgment about a person’s qualifications for being a solid long-term social investment. That is,
people attempt to suss out moral character because they want to know whether a particular agent
is the type of person who likely possesses the necessary (even if not sufficient) qualities they
expect in a social relationship. In developing these ideas theoretically and empirically, we
consider what form moral character takes, discuss what this proposal suggests about how people
may and do assess others’ moral character, and identify an assortment of qualities that our
perspective predicts will be central to moral character.

The book chapter is here.

Thursday, May 22, 2014

Responding to Suicidal Risk

This is chapter 17 of the book Ethics in Psychotherapy and Counseling: A Practical Guide, 4th Edition by Kenneth S. Pope, Ph.D., ABPP & Melba J.T. Vasquez, Ph.D., ABPP, published by John Wiley.

Few responsibilities are so heavy and intimidating as responding to suicidal risk. The need for careful assessment is great. Suicide remains among the top dozen causes of death in the United States, as high as number two for some groups. Homicide rates seize popular attention, but far more people kill themselves than kill others.  Authorities in the field are almost unanimous in their view that the reported figures vastly understate the actual incidence because of problems in reporting procedures.

The book chapter is here, published by Ken Pope on his site.

Thursday, January 31, 2013

Doctor Tells U.S. Judge He Created Fake L.I.R.R. Injury Claims


By THE ASSOCIATED PRESS
Published: January 18, 2013

An orthopedist who was accused of taking cash payments for fake diagnoses and billing health insurance companies for unnecessary medical treatment in widespread disability fraud involving Long Island Rail Road workers pleaded guilty on Friday to conspiracy charges.

The doctor, Peter J. Ajemian, admitted that between the late 1990s and 2008 he invented “narratives” to justify illness and injury claims for hundreds of workers seeking to retire on disability.

The employees “were not in fact disabled and could have continued working in their railroad jobs, as they had no complaint right up to the time of their retirement date,” Dr. Ajemian told a judge in Federal District Court in Manhattan.

Prosecutors said that Dr. Ajemian, 63, received up to $1,200 for each of the fake assessments, as well as millions of dollars in health insurance payments. His patients received more than $90 million in disability benefits.

Dr. Ajemian was among 32 defendants who have been arrested in the past two years.

Three other retirees also pleaded guilty this week, bringing the number of guilty pleas in the case to 21.

Sentencing for Dr. Ajemian was set for May 24.

The story is here.

Monday, December 10, 2012

Report Urges ‘Cultural Shift’ as Hockey Coaches Defy Concussion Specialists


By JEFF Z. KLEIN
The New York Times
Originally Published: November 30, 2012

Despite several years of intensive research, coverage and discussion about the dangers of concussions, the idea of playing through head injuries is so deeply rooted in hockey culture that two university teams kept concussed players on the ice even though they were taking part in a major concussion study.

The study, which was published Friday in a series of articles in the journal Neurosurgical Focus, was conducted during the 2011-12 hockey season by researchers from the University of Western Ontario, the University of Montreal, Harvard and other institutions.

“This culture is entrenched at all levels of hockey, from peewee to university,” said Dr. Paul S. Echlin, a concussion specialist and researcher in Burlington, Ontario, and the lead author of the study. “Concussion is a significant public health issue that requires a generational shift. As with smoking or seat belts, it doesn’t just happen overnight — it takes a massive effort and collective movement.”

The study is believed to be among the most comprehensive analyses of concussions in hockey, which has a rate of head trauma approaching that of football. Researchers followed two Canadian university teams — a men’s team and a women’s team — and scanned every player’s brain before and after the season. Players who sustained head injuries also received scans at three intervals after the injuries, with researchers using advanced magnetic resonance imaging techniques.

The entire article is here.

Friday, January 20, 2012

What Opinions Can Psychologists Give About Persons They Have Never Met?

What Opinions Can Psychologists Give About Persons Whom They Have Never Met?

Wednesday, July 13, 2011

Teen Athletes Should Get Concussion Test Score Before Play

-- Robert Preidt

(HealthDay News) -- Individual concussion baselines need to be created for young athletes at the start of a playing season for them to be accurately diagnosed and treated if they suffer a concussion during the season, researchers report.

The investigators also noted that the sex of the players affects the scores on a standardized concussion assessment tool.

The study included 1,134 high school athletes in the Phoenix area who completed a brief questionnaire regarding their concussion history and were given a score based on the new Sport Concussion Assessment Tool-2 (SCAT2).

There were 872 males and 262 females, average age 15, included in the study. The predominant sports were football for the males and volleyball for the females.

Females scored significantly higher than males on the SCAT2 total score, and athletes with a prior history of concussion scored much lower on the SCAT2 than those with no history of concussion.

The findings were slated for presentation Thursday at the annual meeting of the American Orthopaedic Society for Sports Medicine (AOSSM) in San Diego.

"Our results showed that otherwise healthy adolescent athletes do display some variability in results so establishing each player's own baseline before the season starts and then comparing it to test results following a concussion leads to more accurate diagnosis and treatment," study author Dr. Anikar Chhabra, of the Orthopaedic Clinic Association in Phoenix, said in an AOSSM news release.

"This data provides the first insight into how the SCAT2 scores can be used and interpreted as a sideline concussion tool and as an initial baseline analysis. With concussions accounting for approximately 9% of all high school athletic injuries, accurately utilizing assessments like these to quickly determine an athlete's return-to-play probability is critical to long-term athletic and educational performance," Chhabra said.

Because this study was presented at a medical meeting, the data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.