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 Grief. Show all posts
Showing posts with label Grief. Show all posts

Sunday, September 6, 2020

Our morally unserious president on display in Kenosha

Michael Sean Winters
National Catholic Reporter
Originally posted 4 September 20

President Donald Trump went to Kenosha, Wisconsin, this week to "survey the property damage" according to a White House transcript. He spoke a lot about law and order and very little about justice, as if the concepts are not necessarily related. To him, they probably are not.

A morally serious person would begin any examination of the damage in Kenosha with a look at an MRI of Jacob Blake's shattered torso. Blake was shot seven times in the back — reports said he was shot at "point blank range," but that phrase covers a range of distances — the gun only a few feet from his body. The video made the shooting look like a public execution.

Donald Trump is not a morally serious person.

A morally serious person would continue his survey of the damage in Kenosha by visiting with the family of Jacob Blake, especially his three young sons who witnessed the shooting. They are ages 3, 5 and 8, and the trauma to which they were exposed is horrific to contemplate. A morally serious person would express sympathy with the family and the community, mindful of how much more shocking the shocking video of Blake's shooting was if you knew the victim.

Donald Trump is not a morally serious person.

A morally serious person would understand that, while it is entirely fitting for the nation's chief magistrate to mourn the death of Aaron "Jay" Danielson, the 39-year old Trump supporter gunned down on the streets of Portland, Oregon, it is wrong to mourn his death publicly without mentioning the shooting of Blake, on the very day you are going to Kenosha. Such uneven treatment epitomizes the very reason it is still necessary to remind the nation that Black lives matter.

Donald Trump is not a morally serious person.

A morally serious person would inquire into the legacy of racism, structural racism, in Kenosha and elsewhere, the racism that made the shooting of Blake horrifying but not surprising. A morally serious person would not take refuge in chatter about "a few bad apples" but confront the police culture that permits such bad apples to poison the bushel. A morally serious person would work, and work hard, at finding ways to ameliorate the effects of racism and call fellow citizens to that deep examination of conscience every episode of police brutality against Black men demands.

Donald Trump is not a morally serious person.

The info is here.

Tuesday, September 11, 2018

Against mourning

Brian Earp
aeon.com
Originally posted August 21, 2018

Here is an excerpt:

That is what is so different about their intuitions and ours. To put it simply, if you are not a Stoic philosopher – if you have not been training yourself, year in and year out, to calmly face life’s vagaries and inescapables – and you feel no hint of sadness when your child, or spouse, or family member dies, then there probably is something wrong with you. You probably have failed to love or cherish that person appropriately or sufficiently while they were alive, and that would be a mark against you.

You might have been cruel and uncaring, for instance, or emotionally distant, or otherwise aloof. For had you not been those things, you would certainly grieve. This, in turn, can explain why the Stoics were (and are) often thought to be so callous – as though they must have advocated such detachment from one’s kith and kin in order to pre-empt any associated suffering.

However, nothing could be further from the truth. As Epictetus instructs, one should not ‘be unfeeling like a statue’ but rather maintain one’s relations, ‘both natural and acquired, as a pious man, a son, a brother, a father, a citizen’. He also repeatedly emphasises that we are social animals, for whom parental and other forms of love come naturally. ‘Even Epicurus,’ he says, derisively, about a philosopher from a competing school, ‘knows that if once a child is born, it will no longer be in our power not to love it or care for it.’

But is it not part of loving one’s child to feel at least some grief when it suffers or dies (you might ask)? Surely feeling no grief would itself be contrary to Nature! For just as virtue cannot exist without wrongdoing, as some Stoics held, so too might the prospect of grief be in some way bound up in love, so that you cannot have one without the other.

The info is here.

Tuesday, June 12, 2018

Is it Too Soon? The Ethics of Recovery from Grief

John Danaher
Philosophical Disquisitions
Originally published May 11, 2106

Here is an excerpt:

This raises an obvious and important question in the ethics of grief recovery. Is there a certain mourning period that should be observed following the death of a loved one? If you get back on your feet too quickly, does that say something negative about the relationship you had with the person who died (or about you)? To be more pointed: if I can re-immerse myself in my work a mere three weeks after my sister’s death, does that mean there is something wrong with me or something deficient in the relationship I had with her?

There is a philosophical literature offering answers to these questions, but from what I have read the majority of it does not deal with the ethics of recovering from a sibling’s death. Indeed, I haven’t found anything that deals directly with this issue. Instead, the majority of the literature deals with the ethics of recovery from the death of a spouse or intimate partner. What’s more, when they discuss that topic, they seem to have one scenario in mind: how soon is too soon when it comes to starting an intimate relationship with another person?

Analysing the ethical norms that should apply to that scenario is certainly of value, but it is hardly the only scenario worthy of consideration, and it is obviously somewhat distinct from the scenario that I am facing. I suspect that different norms apply to different relationships and this is likely to affect the ethics of recovery across those different relationship types.

The information is here.

Sunday, April 8, 2018

Can Bots Help Us Deal with Grief?

Evan Selinger
Medium.com
Originally posted March 13, 2018

Here are two excerpts:

Muhammad is under no illusion that he’s speaking with the dead. To the contrary, Muhammad is quick to point out the simulation he created works well when generating scripts of predictable answers, but it has difficulty relating to current events, like a presidential election. In Muhammad’s eyes, this is a feature, not a bug.

Muhammad said that “out of good conscience” he didn’t program the simulation to be surprising, because that capability would deviate too far from the goal of “personality emulation.”

This constraint fascinates me. On the one hand, we’re all creatures of habit. Without habits, people would have to deliberate before acting every single time. This isn’t practically feasible, so habits can be beneficial when they function as shortcuts that spare us from paralysis resulting from overanalysis.

(cut)

The empty chair technique that I’m referring to was popularized by Friedrich Perls (more widely known as Fritz Perls), a founder of Gestalt therapy. The basic setup looks like this: Two chairs are placed near each other; a psychotherapy patient sits in one chair and talks to the other, unoccupied chair. When talking to the empty chair, the patient engages in role-playing and acts as if a person is seated right in front of her — someone to whom she has something to say. After making a statement, launching an accusation, or asking a question, the patient then responds to herself by taking on the absent interlocutor’s perspective.

In the case of unresolved parental issues, the dialog could have the scripted format of the patient saying something to her “mother,” and then having her “mother” respond to what she said, going back and forth in a dialog until something that seems meaningful happens. The prop of an actual chair isn’t always necessary, and the context of the conversations can vary. In a bereavement context, for example, a widow might ask the chair-as-deceased-spouse for advice about what to do in a troubling situation.

The article is here.

Thursday, April 5, 2018

Moral Injury and Religiosity in US Veterans With Posttraumatic Stress Disorder Symptoms

Harold Koenig and others
The Journal of Nervous and Mental Disease: February 28, 2018

Abstract

Moral injury (MI) involves feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs related to traumatic experiences. This multisite cross-sectional study examined the association between religious involvement (RI) and MI symptoms, mediators of the relationship, and the modifying effects of posttraumatic stress disorder (PTSD) severity in 373 US veterans with PTSD symptoms who served in a combat theater. Assessed were demographic, military, religious, physical, social, behavioral, and psychological characteristics using standard measures of RI, MI symptoms, PTSD, depression, and anxiety. MI was widespread, with over 90% reporting high levels of at least one MI symptom and the majority reporting at least five symptoms or more. In the overall sample, religiosity was inversely related to MI in bivariate analyses (r = −0.25, p < 0.0001) and multivariate analyses (B = −0.40, p = 0.001); however, this relationship was present only among veterans with severe PTSD (B = −0.65, p = 0.0003). These findings have relevance for the care of veterans with PTSD.

The paper is here.

Thursday, February 7, 2013

Grief Over New Depression Diagnosis

By Paula Span
The New York Time Blog - The New Old Age
Originally published January 24, 2013

When the American Psychiatric Association unveils a proposed new version of its Diagnostic and Statistical Manual of Mental Disorders, the bible of psychiatric diagnoses, it expects controversy. Illnesses get added or deleted, acquire new definitions or lists of symptoms. Everyone from advocacy groups to insurance companies to litigators — all have an interest in what’s defined as mental illness — pays close attention. Invariably, complaints ensue.

“We asked for commentary,” said David Kupfer, the University of Pittsburgh psychiatrist who has spent six years as chairman of the task force that is updating the handbook. He sounded unruffled. “We asked for it and we got it. This was not going to be done in a dark room somewhere.”

But the D.S.M. 5, to be published in May, has generated an unusual amount of heat. Two changes, in particular, could have considerable impact on older people and their families.

First, the new volume revises some of the criteria for major depressive disorder. The D.S.M. IV (among other changes, the new manual swaps Roman numerals for Arabic ones) set out a list of symptoms that over a two-week period would trigger a diagnosis of major depression: either feelings of sadness or emptiness, or a loss of interest or pleasure in most daily activities, plus sleep disturbances, weight loss, fatigue, distraction or other problems, to the extent that they impair someone’s functioning.

The entire blog post is here.