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 Public Policy. Show all posts
Showing posts with label Public Policy. Show all posts

Friday, November 6, 2015

People Don't Actually Want Equality

By Paul Bloom
The Atlantic
Originally published on October 22, 2015

Here is an excerpt:

Can Frankfurt really be right that people don’t value economic equality for its own sake? Many scholars believe otherwise. The primatologist Frans de Waal sums up a popular view when he writes: “Robin Hood had it right. Humanity’s deepest wish is to spread the wealth.”

In support of de Waal, researchers have found that if you ask children to distribute items to strangers, they are strongly biased towards equal divisions, even in extreme situations. The psychologists Alex Shaw and Kristina Olson told children between the ages of six and eight about two boys, Dan and Mark, who had cleaned up their room and were to be rewarded with erasers—but there were five of them, so an even split was impossible. Children overwhelmingly reported that the experimenter should throw away the fifth eraser rather than establish an unequal division. They did so even if they could have given the eraser to Dan or Mark without the other one knowing, so they couldn’t have been worrying about eliciting anger or envy.

It might seem as though these responses reflect a burning desire for equality, but more likely they reflect a wish for fairness. It is only because Dan and Mark did the same work that they should get the same reward. And so when Shaw and Olson told the children “Dan did more work than Mark,” they were quite comfortable giving three to Dan and two to Mark. In other words, they were fine with inequality, so long as it was fair.

The entire article is here.

Thursday, September 3, 2015

Blaming Mental Illness for Gun Violence

BY Alex Yablon
The Trace
Originally posted September 1, 2015

Here is an excerpt:

Add it all up, and the “mental health” post-shooting playbook looks as calculated to ensure political inaction as it is the appearance of sensitivity. The general public would hardly disagree with statements by Trump, Bush, and others that the severely mentally ill pose a danger; in fact, surveys show that more Americans blame failures of the mental health system for mass shootings than any other factor. Meanwhile the Republican base — not to mention mental health professionals — would hardly countenance any action to expand the reach of background checks to block gun purchases by people with personality disorders or other mental health issues that are not quite so debilitating as conditions that require hospitalization, like schizophrenia or psychosis. So politicians can make statements like “The common thread we see in many of these cases is a failure in the system to help someone who is suffering from mental illness” (Scott Walker, the day after the WDBJ shooting), knowing full well they will not result in any action that could anger their pro-gun supporters.

In fact, framing incidents of gun violence as the product of unsettled perpetrators, versus firearms risks, may influence support for given solutions among the general public. An NPR article published on August 31 describes a psychiatric study in which two groups of subjects were given hypothetical news articles about a mass shooting, slightly altered to emphasize different underlying causes. Readers of the version emphasizing the need to “keep dangerous guns off our streets” were more likely to support limits on gun magazine capacity.

The irony of the psychiatric turn in debate on new gun law is that, for the most part, a body of research shows the severely mentally ill are among the least of our worries when it comes to violent crime, especially when compared to other risk factors. Alcohol, for example, is a factor in 40 percent of all violent acts committed in the United States today, according to the National Council on Alcoholism and Drug Dependence.

The entire article is here.

The full title is: The Political Strategy Behind the GOP’s Post-Shooting ‘Mental Health’ Playbook

Monday, August 24, 2015

Detox or lose your benefits

New welfare proposals are based on bad evidence and worse ethics

Ian Hamilton
The Conversation
Originally posted August 3, 2015

When is a choice not really a choice? It could be argued that the latest proposal from the government aimed at people who have problems with drugs and alcohol is not a choice but an ultimatum – accept help for your problem or lose your right to welfare benefits.

This proposal raises some very serious issues. Treating any condition is based on consent – the person should be willing to have the treatment. In this case, people have little choice and therefore they would probably be consenting to treatment to avoid losing money. This also passes on an ethical dilemma to treatment staff, who would need to decide if they are willing to participate in state-sponsored coercion.

Tuesday, August 4, 2015

Psychologists are known for being liberal, but why?

By Elliot Berkman
The Conversation
Originally published July 14, 2015

Is the field of social psychology biased against political conservatives? There has been intense debate about this question since an informal poll of over 1,000 attendees at a social psychology meeting in 2011 revealed the group to be overwhelmingly liberal.

Formal surveys have produced similar results, showing the ratio of liberals to conservatives in the broader field of psychology is 14-to-1.

Since then, social psychologists have tried to figure out why this imbalance exists.

The primary explanation offered is that the field has an anticonservative bias. I have no doubt that this bias exists, but it’s not strong enough to push people who lean conservative out of the field at the rate they appear to be leaving.

I believe that a less prominent explanation is more compelling: learning about social psychology can make you more liberal. I know about this possibility because it is exactly what happened to me.

The entire article is here.

Saturday, July 4, 2015

What happened when Portugal decriminalised drugs

The Economist
Originally published June 11, 2015

Economist Films: For 20 years The Economist has led calls for a rethink on drug prohibition. This film looks at new approaches to drugs policy, from Portugal to Colorado. “Drugs: War or Store?” kicks off our new “Global Compass” series, examining novel approaches to policy problems.

Economist Films is a new venture that expresses The Economist’s globally curious outlook in the form of short, mind-stretching documentaries.


Thursday, April 23, 2015

Moral foundations and political attitudes: The moderating role of political sophistication

By Patrizia Milesi
The International Journal of Psychology
Originally published February 26, 2015

Abstract

Political attitudes can be associated with moral concerns. This research investigated whether people's level of political sophistication moderates this association. Based on the Moral Foundations Theory, this article examined whether political sophistication moderates the extent to which reliance on moral foundations, as categories of moral concerns, predicts judgements about policy positions. With this aim, two studies examined four policy positions shown by previous research to be best predicted by the endorsement of Sanctity, that is, the category of moral concerns focused on the preservation of physical and spiritual purity. The results showed that reliance on Sanctity predicted political sophisticates' judgements, as opposed to those of unsophisticates, on policy positions dealing with equal rights for same-sex and unmarried couples and with euthanasia. Political sophistication also interacted with Fairness endorsement, which includes moral concerns for equal treatment of everybody and reciprocity, in predicting judgements about equal rights for unmarried couples, and interacted with reliance on Authority, which includes moral concerns for obedience and respect for traditional authorities, in predicting opposition to stem cell research. Those findings suggest that, at least for these particular issues, endorsement of moral foundations can be associated with political attitudes more strongly among sophisticates than unsophisticates.

The entire article is here.

Tuesday, March 10, 2015

Identifying mentally ill 'frequent fliers' first step to reducing police contact

Press Release
Oregon State University
Originally published February 11, 2015

Identifying the population of people with mental illness who have frequent contact with police could help law enforcement officials and community agencies allocate limited resources to those with the highest needs, new research from Oregon State University indicates.

These individuals, often referred to as “frequent fliers” because of their repeated interaction with law enforcement, can consume a large amount of police time and resources, according to researchers in the School of Public Policy in OSU’s College of Liberal Arts.

Identifying and understanding the population can aid policymakers as they work to reduce the frequent and time-consuming interactions, sociologists Scott Akins and Brett Burkhardt said.

“This contact is rarely criminal in nature at the outset,” said Burkhardt, an assistant professor of sociology. “It’s usually a peace officer custody arrest, which is a type of arrest that occurs because a person is believed to be a danger to themselves or others due to a suspected mental illness. But there’s a limited amount of resources, so if we identify people with the highest needs, we can focus resources on those folks.”

Once a local region has identified its population of frequent fliers, community agencies and policy-makers can use the information to change or implement policies to assist those with the highest needs, the researchers said.

“It’s a strategic way to create a more cost-effective and humane way to assist the mentally ill,” said Akins, an associate professor of sociology.

The entire press release is here.

Thursday, March 5, 2015

Belief in a Just World and Attitudes Toward Affirmative Action

By Vicky M. Wilkins and Jeffrey B. Wenger
Policy Studies Journal
Volume 42, Issue 3, pages 325–343, August 2014

The effect of identity, as socially constructed by race and gender, on social policies has been widely examined in policy analysis. Policy analysis would be improved by a wider discussion that includes the influence of social-psychological constructs on social provision. We fill this gap by drawing on the theory of the “belief in a just world” and link this theory to attitudes toward the support of controversial government programs. We argue that this theory is a critical antecedent to the previous research on social construction. We hypothesize that citizens who perceive that the world is just and that opportunities are equal between groups are much less likely to favor government interventions altering market outcomes. We find that after controlling for race, sex, and political ideology, respondents who believe that luck is the primary determinant of success (low belief in a just world) are more supportive of preferential hiring programs for African Americans and women.

The article is here.

Friday, February 20, 2015

Cognitive enhancement kept within contexts: neuroethics and informed public policy

By John R. Shook, Lucia Galvagni, and James Giordano
Front Syst Neurosci. 2014; 8: 228.
Published online Dec 5, 2014. doi:  10.3389/fnsys.2014.00228

Abstract

Neurothics has far greater responsibilities than merely noting potential human enhancements arriving from novel brain-centered biotechnologies and tracking their implications for ethics and civic life. Neuroethics must utilize the best cognitive and neuroscientific knowledge to shape incisive discussions about what could possibly count as enhancement in the first place, and what should count as genuinely “cognitive” enhancement. Where cognitive processing and the mental life is concerned, the lived context of psychological performance is paramount. Starting with an enhancement to the mental abilities of an individual, only performances on real-world exercises can determine what has actually been cognitively improved. And what can concretely counts as some specific sort of cognitive improvement is largely determined by the classificatory frameworks of cultures, not brain scans or laboratory experiments. Additionally, where the public must ultimately evaluate and judge the worthiness of individual performance enhancements, we mustn’t presume that public approval towards enhancers will somehow automatically arrive without due regard to civic ideals such as the common good or social justice. In the absence of any nuanced appreciation for the control which performance contexts and public contexts exert over what “cognitive” enhancements could actually be, enthusiastic promoters of cognitive enhancement can all too easily depict safe and effective brain modifications as surely good for us and for society. These enthusiasts are not unaware of oft-heard observations about serious hurdles for reliable enhancement from neurophysiological modifications. Yet those observations are far more common than penetrating investigations into the implications to those hurdles for a sound public understanding of cognitive enhancement, and a wise policy review over cognitive enhancement. We offer some crucial recommendations for undertaking such investigations, so that cognitive enhancers that truly deserve public approval can be better identified.

The entire article is here.

Thursday, January 22, 2015

Private acts and public interests

By Pedro Molina
Philly.com
Originally published December 28, 2014

Theorists of public morality - from the ancient Greek philosophers and Roman jurists on - have noticed that apparently private acts of vice, when they multiply and become widespread, can imperil important public interests. This fact embarrasses philosophical efforts to draw a sharp line between "private" morality, which is not subject to law, and public actions that may rightly be subjected to legal regulation.

Considered as isolated acts, someone's recreational use of narcotics, for example, may affect the public weal negligibly, if at all. But an epidemic of drug abuse, though constituted by private acts of drug-taking, damages the common good in myriad ways. This does not by itself settle the question whether drug prohibition is a prudent or effective policy. It does, however, undermine the belief that the recreational use of drugs is a matter of purely private choice.

The entire article is here.

Tuesday, December 30, 2014

The Dark Side of Free Will

Published on Dec 9, 2014

This talk was given at a local TEDx event, produced independently of the TED Conferences. What would happen if we all believed free will didn't exist? As a free will skeptic, Dr. Gregg Caruso contends our society would be better off believing there is no such thing as free will.

Saturday, December 27, 2014

Coaxing better behavior

Behavioral science is playing a pivotal role in research and policymaking that seeks to gently steer us toward better decisions.

By Tori DeAngelis
The Monitor on Psychology
December 2014, Vol 45, No. 11
Print version: page 62

Here is an excerpt:

But social psychology has probably never held as much potential to change global outcomes as it does now. Governments and other organizations are applying "nudge principles" — psychologists' findings about the human propensities that influence our decisions and actions — to collect unpaid taxes, reduce child mortality, and help people choose healthier foods and make better environmental choices. In one line of study, for example, researchers found that people recycled much more when their trash bin lids featured cut-out shapes of the objects to be recycled, be they circles for cans and bottles or slits for paper.

The entire article is here.

Saturday, November 29, 2014

Is parenthood morally respectable?

By Thomas Rodham Wells
The Philosopher's Beard
Originally published November 5, 2014

Parents' private choices to procreate impose public costs without public accountability. Society is presented with expensive obligations to ensure every child a decent quality of life and their development into successful adults and citizens, and that means massive tax-subsidies for their health, education, parental income, and so forth. In addition, children have a demographic impact on public goods like the environment which creates additional costs for society and perhaps humanity as a whole.

So, is parenthood an irresponsible and selfish lifestyle choice?

The entire article is here.

Monday, November 24, 2014

More action sought to stop suicide in Canada

Suicide’s death toll exceeds homicide, and car accidents combined: the equivalent of ‘20 jumbo jets just disappearing.’

By Olivia Carville
The Star
Originally published on November 3, 2014

Every year, more Canadians kill themselves than die by car accidents, HIV, homicide, drowning, influenza and war combined.

In Ontario alone, the suicide rate doubles the road toll most years, figures obtained from the Office of the Chief Coroner show.

Despite this, preventive awareness campaigns and funding for suicide pales in comparison to all other public safety issues, experts told the Star.

The entire story is here.

Sunday, October 12, 2014

The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

Patrick W. Corrigan, Benjamin G. Druss, and Deborah A. Perlick
Psychological Science in the Public Interest 2014, Vol. 15(2) 37–70.

Summary 

Treatments have been developed and tested to successfully reduce the symptoms and disabilities of many mental illnesses. Unfortunately, people distressed by these illnesses often do not seek out services or choose to fully engage in them. One factor that impedes care seeking and undermines the service system is mental illness stigma. In this article, we review the complex elements of stigma in order to understand its impact on participating in care. We then summarize public policy considerations in seeking to tackle stigma in order to improve treatment engagement. Stigma is a complex construct that includes public, self, and structural components. It directly affects people with mental illness, as well as their support system, provider network, and community resources. The effects of stigma are moderated by knowledge of mental illness and cultural relevance. Understanding stigma is central to reducing its negative impact on care seeking and treatment engagement. Separate strategies have evolved for counteracting the effects of public, self, and structural stigma. Programs for mental health providers may be especially fruitful for promoting care engagement. Mental health literacy, cultural competence, and family engagement campaigns also mitigate stigma’s adverse impact on care seeking. Policy change is essential to overcome the structural stigma that undermines government agendas meant to promote mental health care. Implications for expanding the research program on the connection between stigma and care seeking are discussed.

The entire article is here.


Wednesday, October 8, 2014

The ‘perfect family’ has created an ethical and moral vacuum

By Zoe Krupka
The Conversation
Originally published September 11, 2014

Here is an excerpt:

Arndt and Hymowitz, like many psychologists, opinionators and policy-makers, have distilled complex family studies research into a series of simplistic, unscientific and punitive ethical shortcuts to the question of how to live well in a family. It’s both a gross misuse of the evidence base and a stunted template for ethical decision-making. Squeezed into a tabloid headline, the message reads: Face Facts: If you’re a parent and you’re not married, your family is dysfunctional and your kids are suffering.

The ideal of the perfect family lurks not so quietly underneath these simple summaries of complex interpersonal and social life. It creates a kind of ethical vacuum where the question of competing factors and conflicting interests becomes invisible. In order to maintain an ideal of perfection, family studies research can be used as a kind of blunt instrument, forcing individuals to bear the brunt of more complex social forces alone.

The entire article is here.

Friday, September 12, 2014

Against Empathy

By Paul Bloom
Boston Review
Originally published August 26, 2014

Here is an excerpt:

Most people see the benefits of empathy as akin to the evils of racism: too obvious to require justification. I think this is a mistake. I have argued elsewhere that certain features of empathy make it a poor guide to social policy. Empathy is biased; we are more prone to feel empathy for attractive people and for those who look like us or share our ethnic or national background. And empathy is narrow; it connects us to particular individuals, real or imagined, but is insensitive to numerical differences and statistical data. As Mother Teresa put it, “If I look at the mass I will never act. If I look at the one, I will.” Laboratory studies find that we really do care more about the one than about the mass, so long as we have personal information about the one.

In light of these features, our public decisions will be fairer and more moral once we put empathy aside. Our policies are improved when we appreciate that a hundred deaths are worse than one, even if we know the name of the one, and when we acknowledge that the life of someone in a faraway country is worth as much as the life a neighbor, even if our emotions pull us in a different direction. Without empathy, we are better able to grasp the importance of vaccinating children and responding to climate change. These acts impose costs on real people in the here and now for the sake of abstract future benefits, so tackling them may require overriding empathetic responses that favor the comfort and well being of individuals today. We can rethink humanitarian aid and the criminal justice system, choosing to draw on a reasoned, even counter-empathetic, analysis of moral obligation and likely consequences.

The entire article is here.

Tuesday, September 9, 2014

Suicide tourism: a pilot study on the Swiss phenomenon

By S. Gauthier, J. Mausbach, T. Reisch, and C. Bartsch
J Med Ethics doi:10.1136/medethics-2014-102091

Abstract

While assisted suicide (AS) is strictly restricted in many countries, it is not clearly regulated by law in Switzerland. This imbalance leads to an influx of people—‘suicide tourists’—coming to Switzerland, mainly to the Canton of Zurich, for the sole purpose of committing suicide. Political debate regarding ‘suicide tourism’ is taking place in many countries. Swiss medicolegal experts are confronted with these cases almost daily, which prompted our scientific investigation of the phenomenon. The present study has three aims: (1) to determine selected details about AS in the study group (age, gender and country of residence of the suicide tourists, the organisation involved, the ingested substance leading to death and any diseases that were the main reason for AS); (2) to find out the countries from which suicide tourists come and to review existing laws in the top three in order to test the hypothesis that suicide tourism leads to the amendment of existing regulations in foreign countries; and (3) to compare our results with those of earlier studies in Zurich. We did a retrospective data analysis of the Zurich Institute of Legal Medicine database on AS of non-Swiss residents in the last 5 years (2008–2012), and internet research for current legislation and political debate in the three foreign countries most concerned. We analysed 611 cases from 31 countries all over the world. Non-terminal conditions such as neurological and rheumatic diseases are increasing among suicide tourists. The unique phenomenon of suicide tourism in Switzerland may indeed result in the amendment or supplementary guidelines to existing regulations in foreign countries.

The entire story is here.

Thursday, August 21, 2014

Thousands of Inmates in Illinois sign up for Obamacare for MH Treatment

By Rick Pearson
The Chicago Tribune
Originally posted August 4, 2014

Cook County Sheriff Tom Dart, attempting to cope with what he says is a growing mental health crisis among inmates at the county jail, said up to 9,000 people who have been incarcerated have signed up for health insurance under the Affordable Care Act in an attempt to get the care they need.

“Systemically, over the course of decades, we’ve sort of carved back all the mental health services to the point where there is this question, we’ve carved it back to next to nothing,” Dart said on “The Sunday Spin” on WGN AM-720.

The entire story is here.

Wednesday, July 2, 2014

What Do We Owe to Child Migrants?

By Rachel Fabi and Mohini Banerjee
Bioethics Forum
Originally posted June 26, 2014

From October 1, 2013, through June 15, 2014, more than 52,000 child migrants crossed the U.S.-Mexico border in South Texas, overwhelming the U.S. Customs and Border Patrol and the Department of Homeland Security (DHS). The Obama administration has declared this an “urgent humanitarian situation” and has authorized DHS to establish a Unified Coordinating Group led by the Federal Emergency Management Agency (FEMA) to provide for the children’s humanitarian needs. While the recent upsurge, and the myths circulating among migrants that there is a window of opportunity for children seeking asylum (or for women with young children), have caught the attention of policy-makers and the media, a May 2014 report by the United Nations High Commissioner for Refugees (UNHCR) concludes that this pattern of “mixed” migration, which includes children fleeing violent home countries, in addition to more typical economic migrants, began in 2009.

What do we owe these children?  What is an appropriate ethical and legal framework for exploring and articulating our obligations, both in terms of immediate humanitarian aid and beyond?

The entire article is here.