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 Moral Courage. Show all posts
Showing posts with label Moral Courage. Show all posts

Sunday, July 20, 2025

Milgram shock-study imaginal replication: how far do you think you would go?

Mazzocco, P. J., Reitler, K., et al. (2025).
Current Psychology.

Abstract

Online adult participants (N = 414) read a gripping first-person account of the classic 1963 Milgram shock study and were asked to predict the responses of both themselves and “the average person”. Prior to making predictions, half were told that 65% of participants exhibited complete obedience throughout the duration of the original study, whereas another half were given no information about the results. In general, participants predicted much less obedience than was shown in the actual Milgram study. In addition, consistent with the better-than-average effect, participants predicted significantly more personal disobedience in response to the scenario compared to their average person predictions. Prior knowledge of the Milgram study did not significantly impact participants’ predictions about their own behavior in an identical scenario. These results suggest that adults are unable or unwilling to incorporate social scientific research, specifically the Milgram obedience findings, into perceptions of their own likely behavior.

Here are some thoughts:

This research is an extension of Milgram’s classic obedience experiments, focusing on how individuals predict their own and others’ behavior in morally challenging situations involving authority. It is relevant to the practice of psychology because it explores core concepts such as obedience, moral decision-making, and social influence, which are central to understanding human behavior in social contexts.

The study investigates how people perceive their susceptibility to situational pressures and highlights cognitive biases such as the better-than-average effect, where individuals believe they are more likely to resist harmful obedience than the average person. This has implications for ethics training and interventions aimed at promoting moral courage and resistance to undue authority. Furthermore, the research contributes to understanding individual differences—such as personality traits and authoritarian tendencies—that may moderate responses to authority figures.

Sunday, June 29, 2025

Whistle-blowers – morally courageous actors in health care?

Wiisak, J., Suhonen, R., & Leino-Kilpi, H. (2022).
Nursing Ethics, 29(6), 1415–1429.

Abstract
Background

Moral courage means courage to act according to individual’s own ethical values and principles despite the risk of negative consequences for them. Research about the moral courage of whistle-blowers in health care is scarce, although whistleblowing involves a significant risk for the whistle-blower.

Objective
To analyse the moral courage of potential whistle-blowers and its association with their background variables in health care.

Research design
Was a descriptive-correlational study using a questionnaire, containing Nurses Moral Courage Scale©, a video vignette of the wrongdoing situation with an open question about the vignette, and several background variables. Data were analysed statistically and inductive content analysis was used for the narratives.

Participants and research context
Nurses as healthcare professionals (including registered nurses, public health nurses, midwives, and nurse paramedics) were recruited from the membership register of the Nurses’ Association via email in 2019. A total of 454 nurses responded. The research context was simulated using a vignette.

Ethical considerations
Good scientific inquiry guidelines were followed. Permission to use the Nurses’ Moral Courage Scale© was obtained from the copyright holder. The ethical approval and permission to conduct the study were obtained from the participating university and the Nurses’ Association.

Findings
The mean value of potential whistle-blowers’ moral courage on a Visual Analogue Scale (0–10) was 8.55 and the mean score was 4.34 on a 5-point Likert scale. Potential whistle-blowers’ moral courage was associated with their socio-demographics, education, work, personality and social responsibility related background variables.

Discussion and conclusion
In health care, potential whistle-blowers seem to be quite morally courageous actors. The results offer opportunities for developing interventions, practices and education to support and encourage healthcare professionals in their whistleblowing. Research is needed for developing a theoretical construction to eventually increase whistleblowing and decrease and prevent wrongdoing.

Here are some thoughts:

This study investigates the moral courage of healthcare professionals in whistleblowing scenarios. Utilizing a descriptive-correlational design, the researchers surveyed 454 nurses—including registered nurses, public health nurses, midwives, and nurse paramedics—using the Nurses' Moral Courage Scale, a video vignette depicting a wrongdoing situation, and open-ended questions. Findings revealed a high level of moral courage among participants, with an average score of 8.55 on a 0–10 Visual Analogue Scale and 4.34 on a 5-point Likert scale. The study identified associations between moral courage and various background factors such as socio-demographics, education, work experience, personality traits, and social responsibility. The authors suggest that these insights can inform the development of interventions and educational programs to support and encourage whistleblowing in healthcare settings, ultimately aiming to reduce and prevent unethical practices

Friday, June 19, 2020

Better Minds, Better Morals A Procedural Guide to Better Judgment

Schaefer GO, Savulescu J.
J Posthum Stud. 2017;1(1):26‐43.
doi:10.5325/jpoststud.1.1.0026

Abstract

Making more moral decisions - an uncontroversial goal, if ever there was one. But how to go about it? In this article, we offer a practical guide on ways to promote good judgment in our personal and professional lives. We will do this not by outlining what the good life consists in or which values we should accept.Rather, we offer a theory of procedural reliability: a set of dimensions of thought that are generally conducive to good moral reasoning. At the end of the day, we all have to decide for ourselves what is good and bad, right and wrong. The best way to ensure we make the right choices is to ensure the procedures we're employing are sound and reliable. We identify four broad categories of judgment to be targeted - cognitive, self-management, motivational and interpersonal. Specific factors within each category are further delineated, with a total of 14 factors to be discussed. For each, we will go through the reasons it generally leads to more morally reliable decision-making, how various thinkers have historically addressed the topic, and the insights of recent research that can offer new ways to promote good reasoning. The result is a wide-ranging survey that contains practical advice on how to make better choices. Finally, we relate this to the project of transhumanism and prudential decision-making. We argue that transhumans will employ better moral procedures like these. We also argue that the same virtues will enable us to take better control of our own lives, enhancing our responsibility and enabling us to lead better lives from the prudential perspective.

A pdf is here.

Saturday, March 21, 2020

Moral Courage in the Coronavirus: A Guide for Medical Providers and Institutions

Holly Tabor & Alyssa Burgard
Just Security
Originally published 18 March 20

Times of crisis generate extreme moral dilemmas: situations we can’t begin to imagine, unthinkable choices emerging between options that all seem bad, each with harms and negative outcomes. During the COVID-19 pandemic, these moral dilemmas are experienced across the healthcare landscape — from bedside encounters to executive suites of hospitals and health systems. Who gets put on a ventilator? Who transitions to comfort care? What does end of life care look like when high flow oxygen can’t be used because of viral spread? Who gets a hospital bed? How do we choose which sick person, with or without COVID-19, gets treated? Which patients should be enrolled in research? How do we support patients when their families cannot visit them? We will turn away people who, in any other circumstance in a U.S. medical facility, we would have been obliged to treat. We will second guess these decisions, and perhaps be haunted by them forever. We only know one thing for sure: people will suffer and die regardless of which decisions we make.

How should we confront these intense challenges? Many institutions are doing what they can to provide guidance. But “guidelines” by design are intended to provide broad parameters to aid in decision making, and therefore rarely address the exact situations clinicians face. Certainly no guidelines can reduce the pain of having to actually carry out recommendations that affect an individual patient.  For other decisions, front line providers will have no guidance at all, or will have ill-informed, or even potentially harmful guidance. In perhaps the worst case scenario, they may even be encouraged to keep quiet about their concerns or observations rather than raise them to others’ attention.

As bioethicists, we know that moral dilemmas require personal moral courage, that is, the ability to take action for moral reasons, despite the risk of adverse consequences. We have already seen several stark examples of moral courage from doctors, nurses, and researchers in this outbreak. In late December in Wuhan, China, a 34 year-old ophthalmologist, Dr. Li Wenliang, raised the alarm in a chat group of doctors about a new virus he was seeing. He was subsequently punished by the Chinese government. He continued to share his story via social media, even from his hospital bed, and was repeatedly censored. Dr. Wenliang died of the virus on February 7.

The info is here.

Wednesday, October 4, 2017

Better Minds, Better Morals: A Procedural Guide to Better Judgment

G. Owen Schaefer and Julian Savulescu
Journal of Posthuman Studies
Vol. 1, No. 1, Journal of Posthuman Studies (2017), pp. 26-43

Abstract:

Making more moral decisions – an uncontroversial goal, if ever there was one. But how to go about it? In this article, we offer a practical guide on ways to promote good judgment in our personal and professional lives. We will do this not by outlining what the good life consists in or which values we should accept. Rather, we offer a theory of  procedural reliability : a set of dimensions of thought that are generally conducive to good moral reasoning. At the end of the day, we all have to decide for ourselves what is good and bad, right and wrong. The best way to ensure we make the right choices is to ensure the procedures we’re employing are sound and reliable. We identify four broad categories of judgment to be targeted – cognitive, self-management, motivational and interpersonal. Specific factors within each category are further delineated, with a total of 14 factors to be discussed. For each, we will go through the reasons it generally leads to more morally reliable decision-making, how various thinkers have historically addressed the topic, and the insights of recent research that can offer new ways to promote good reasoning. The result is a wide-ranging survey that contains practical advice on how to make better choices. Finally, we relate this to the project of transhumanism and prudential decision-making. We argue that transhumans will employ better moral procedures like these. We also argue that the same virtues will enable us to take better control of our own lives, enhancing our responsibility and enabling us to lead better lives from the prudential perspective.

A copy of the article is here.

Friday, August 18, 2017

Trump fails morality test on Charlottesville

John Kass
Chicago Tribune
Originally posted on August 16, 2017

After the deadly violence of Charlottesville, Va., the amoral man in the White House failed his morality test. And in doing so, he gave the left a powerful weapon.

(cut)

So President Trump was faced with a question of morality.

All he had to do was be unequivocal in his condemnation of the alt-right mob.

His brand as an alpha in a sea of political beta males promised he wouldn't be equivocal about anything.

But he failed, miserably, his mouth and tongue transformed into a dollop of lukewarm tapioca, talking in equivocal terms, about the violence on "many sides."

He then he offered another statement, ostensibly to clarify and condemn the mob. But that was followed, predictably, by even more comments, as he desperately tried to publicly litigate his earlier failures.

In doing so, he gave the alt-right all they could dream of.

He said some attending the rally were "fine people."

Fine people don't go to white supremacist rallies to spew hate. Fine people don't remotely associate with the KKK. Fine people at a protest see men in white hoods and leave.

Fine people don't get in a car and in a murderous rage, run others down, including Heather Heyer, who in her death has become a saint of the left.

The article is here.

Thursday, August 17, 2017

Donald Trump has a very clear attitude about morality: He doesn't believe in it

John Harwood | @johnjharwood
CNBC
Originally published August 16, 2017

The more President Donald Trump reveals his character, the more he isolates himself from the American mainstream.

In a raucous press conference this afternoon, the president again blamed "both sides" for deadly violence in Charlottesville. He equated "Unite the Right" protesters — a collection including white supremacists, neo-Nazis and ex-KKK leader David Duke — with protesters who showed up to counter them.

Earlier he targeted business leaders — specifically, executives from Merck, Under Armour, Intel, and the Alliance for American Manufacturing — who had quit a White House advisory panel over Trump's message. In a tweet, the president called them "grandstanders."

That brought two related conclusions into focus. The president does not share the instinctive moral revulsion most Americans feel toward white supremacists and neo-Nazis. And he feels contempt for those — like the executives — who are motivated to express that revulsion at his expense.

No belief in others' morality

Trump has displayed this character trait repeatedly. It combines indifference to conventional notions of morality or propriety with disbelief that others would be motivated by them.

He dismissed suggestions that it was inappropriate for his son and campaign manager to have met with Russians offering dirt on Hillary Clinton during the presidential campaign. "Most people would have taken the meeting," he said. "Politics isn't the nicest business."

The article is here.

Saturday, July 1, 2017

Hypocritical Flip-Flop, or Courageous Evolution? When Leaders Change Their Moral Minds.

Kreps, Tamar A.; Laurin, Kristin; Merritt, Anna C.
Journal of Personality and Social Psychology, Jun 08 , 2017

Abstract

How do audiences react to leaders who change their opinion after taking moral stances? We propose that people believe moral stances are stronger commitments, compared with pragmatic stances; we therefore explore whether and when audiences believe those commitments can be broken. We find that audiences believe moral commitments should not be broken, and thus that they deride as hypocritical leaders who claim a moral commitment and later change their views. Moreover, they view them as less effective and less worthy of support. Although participants found a moral mind changer especially hypocritical when they disagreed with the new view, the effect persisted even among participants who fully endorsed the new view. We draw these conclusions from analyses and meta-analyses of 15 studies (total N = 5,552), using recent statistical advances to verify the robustness of our findings. In several of our studies, we also test for various possible moderators of these effects; overall we find only 1 promising finding: some evidence that 2 specific justifications for moral mind changes—citing a personally transformative experience, or blaming external circumstances rather than acknowledging opinion change—help moral leaders appear more courageous, but no less hypocritical. Together, our findings demonstrate a lay belief that moral views should be stable over time; they also suggest a downside for leaders in using moral framings.

The article is here.

Friday, November 4, 2016

Fostering Collective Growth and Vitality Following Acts of Moral Courage

Sheldene Simola
Journal of Business Ethics

Abstract

The purpose of this article is to explore a critical paradox related to the expression of moral courage in organizations, which is that although morally courageous acts are aimed at fostering collective growth, vitality, and virtue, their initial result is typically one of collective unease, preoccupation, or lapse, reflected in the social ostracism and censure of the courageous member and message. Therefore, this article addresses the questions of why many organizational groups suffer stagnation or decline rather than growth and vitality following acts of moral courage, and what can be done to ameliorate this outcome. A general system, relational psychodynamic perspective through which organizational group members might receive and respond to acts of moral courage is offered, and seven insights emerging from this perspective for fostering collective growth and vitality following acts of moral courage are provided.

The article is here.

Monday, April 13, 2015

Steps to Strengthen Ethics in Organizations: Research Findings, Ethics Placebos, and What Works

By Ken Pope
Journal of Trauma & Dissociation
Volume 16, Issue 2, 2015

Abstract

Research shows that many organizations overlook needs and opportunities to strengthen ethics. Barriers can make it hard to see the need for stronger ethics and even harder to take effective action. These barriers include the organization’s misleading use of language, misuse of an ethics code, culture of silence, strategies of justification, institutional betrayal, and ethical fallacies. Ethics placebos tend to take the place of steps to see, solve, and prevent problems. This article reviews relevant research and specific steps that create change.

The entire article is here.

Tuesday, June 18, 2013

Chief of Army message regarding unacceptable behaviour

Published on Jun 12, 2013

Message from the Chief of Army, Lieutenant General David Morrison, AO, to the Australian Army following the announcement on Thursday, 13 June 2013 of civilian police and Defence investigations into allegations of unacceptable behaviour by Army members.





This video was made in response to news reports to the following:
Australian news outlets reported last week that at least 17 soldiers circulated video of themselves having sex with women. The videos were shared without the women's knowledge. Some of the material was distributed over military computer networks, and those under investigation include a lieutenant colonel and a major, Morrison told reporters on Thursday.
The following quote is from a CNN story found here.

Editorial notes: This video is an interesting and thought-provoking way to share unequivocal moral and ethical standards to the military community under his leadership.  Also interesting is the number of comments and the wide variety of responses to this video.

Additionally, compare and contrast this response to the United States military's response to the increased reports of sexual assault in our military community.  The responses are not the same.