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

Sunday, March 3, 2013

Essential Knowledge about Suicide Prevention




The New York Psychological Association
Published on Jan 31, 2013

"Essential Knowledge about Suicide Prevention-Evidence-Based Practices for Mental Health Professionals," sponsored by the NYS Psychological Association and the NYS OMH Suicide Prevention Initiative provides concepts and resources for clinicians as a starting point to build competency and preparedness for a suicide event, before it becomes a reality. Featuring Dr. Richard Juman, Dr. John Draper and Dr. Shane Owens, the video addresses issues including clinician anxiety about suicide, suicide and professional liability, and core competencies for suicide prevention in clinical practices, providing perspectives from both experts and clinicians.

NAASP: Clinical Care & Intervention Task Force Report

As Families Change, Korea’s Elderly Are Turning to Suicide

By Choe Sang-Hun
The New York Times
Originally published February 16, 2013

Here is an excerpt:

The woman’s death is part of one of South Korea’s grimmest statistics: the number of people 65 and older committing suicide, which has nearly quadrupled in recent years, making the country’s rate of such deaths among the highest in the developed world. The epidemic is the counterpoint to the nation’s runaway economic success, which has worn away at the Confucian social contract that formed the bedrock of Korean culture for centuries.

That contract was built on the premise that parents would do almost anything to care for their children — in recent times, depleting their life savings to pay for a good education — and then would end their lives in their children’s care. No Social Security system was needed. Nursing homes were rare.

But as South Korea’s hard-charging younger generations joined an exodus from farms to cities in recent decades, or simply found themselves working harder in the hypercompetitive environment that helped drive the nation’s economic miracle, their parents were often left behind. Many elderly people now live out their final years poor, in rural areas with the melancholy feel of ghost towns.

The entire story is here.

Saturday, March 2, 2013

Michael Shermer on morality

by Massimo Pigliucci
edge.org
Originally published on January 21, 2013

Oh my, I thought I was done for a while chastising skeptics like Sam Harris on the relationship between philosophy, science and morality, and I just found out that my friend Michael Shermer has incurred a similar (though not quite as egregious as Harris’) bit of questionable thinking. As I explained in my review of Harris’ book for Skeptic, one learns precisely nothing about morality by reading The Moral Landscape. Indeed, one’s time on that topic is much better spent by leafing through Michael Sandel’s On Justice, for example. Anyway, apologies for the repetition, but here we go again. (For a fuller explanation of how I think moral philosophy works, see here; on science and philosophy here and here. For how the whole philosophy-science-morality shebang hangs in, take a look at chapters 2, 3, 4 and 5 of Answers for Aristotle.)

Michael begins his piece by complaining that scientists have “conceded the high ground of determining human values, morals, and ethics to philosophers,” and arguing that this was a mistake. Indeed, Shermer says that such concession (when did it happen, by the way? Did the National Academy of Science pass a resolution under pressure from the American Philosophical Association?) comes at the worst time because new scientific tools and discoveries are gonna finally tell us from where we ought to get our values.

What are these tools? They include evolutionary ethics and neuroethics, among other fields. Now imagine that Michael had been talking about math instead of ethics. The idea would run something like this: “Scientists have conceded the high ground of resolving mathematical problems to mathematicians, just when the new disciplines of evolutionary mathematics and neuro-mathematics are coming on line.” My point is, I hasten to say, not that ethics is like math, but rather that evolutionary math and neuro-math would be giving us answers to different questions. An evolutionary approach to understanding our ability to reason mathematically could give us clues as to why we are capable of abstract thinking to begin with, which is interesting. “Neuro-mathematics” could then provide answers to the question of how the brain works when it engages in mathematical (and other types of abstract) thinking. But if you want to know how to prove Pythagoras' theorem, neither evolutionary biologists nor neurobiologists are the right kind of experts. You need a mathematician.

The entire blog post is here.

The Is-Ought Fallacy Of Science And Morality

By Michael Shermer
Publisher, Skeptic magazine; monthly columnist, Scientific American
edge.org
Originally published February 18, 2013

Ever since the philosophers David Hume and G. E. Moore identified the "Is-Ought problem" between descriptive statements (the way something "is") and prescriptive statements (the way something "ought to be"), most scientists have conceded the high ground of determining human values, morals, and ethics to philosophers, agreeing that science can only describe the way things are but never tell us how they ought to be. This is a mistake.

We should be worried that scientists have given up the search for determining right and wrong and which values lead to human flourishing just as the research tools for doing so are coming online through such fields as evolutionary ethics, experimental ethics, neuroethics, and related fields. The Is-Ought problem (sometimes rendered as the "naturalistic fallacy") is itself a fallacy. Morals and values must be based on the way things are in order to establish the best conditions for human flourishing. Before we abandon the ship just as it leaves port, let's give science a chance to steer a course toward a destination where scientists at least have a voice in the conversation on how best we should live.

The entire story is here.

Friday, March 1, 2013

Federal Government To Run Insurance Marketplaces In Half The States

By Phil Galewitz and Alvin Tran
Kaiser Health News
Originally published February 15, 2013

It's official. The Obama administration will be running new health insurance marketplaces in 26 states— including the major population centers of Texas, Florida and Pennsylvania.

The federal government had hoped more states this week would agree to form a partnership exchange—the deadline to apply was Friday—but the offer was largely rebuffed. New Jersey, Ohio and Florida, several of the biggest states that had not declared their intentions, officially said no late in the week.

"I have determined that federal operation of the Exchange is the responsible choice for our state," New Jersey Gov. Chris Christie, a Republican, wrote in letter Friday to Kathleen Sebelius, secretary of the Department of Health and Human Services.

For consumers, it should make little difference whether the new Internet sites are run from state capitals or Washington, D.C. But federal regulators hoped states would shoulder some of the work and stakeholder groups such as hospitals and insurers wanted states to help as well. The exchanges will open for business Oct. 1.

The entire story is here.

Editorial Note: Since Kaiser Health News reported this information, Florida Gov. Rick Scott now accepted the federal government's assistance to set up the health exchange for Florida.

Changes to mentally ill law could mean fewer opt for treatment: B.C. review board

Allan Schoenborn, the B.C. father found not criminally responsible for killing his three children, has been the poster boy for federal reforms

By Dene Moore
The Canadian Press
February 14, 2013

It was a horrific crime, so grotesque that Allan Schoenborn, the B.C. father found not criminally responsible for killing his three children, became the poster boy for reforming the federal law to keep mentally ill offenders in detention for longer periods of time.

But Schoenborn is still entitled to an annual hearing before the B.C. Review Board, a hearing scheduled to take place Friday at the Forensic Psychiatric Hospital he now calls home.

And some wonder if the amendments announced last week won’t actually have the opposite of the desired effect, by discouraging plea bargains that see mentally ill offenders opt for treatment.

“You’re going to have a lot more mentally disordered people who have gone to jail for a period of time, have been untreated, and are back on the street untreated. So in that sense it doesn’t really make people much safer,” said Bernd Walter, chairman of the B.C. Review Board.

Policy decisions are the purview of the federal government but the Not Criminally Responsible Reform Act is “quite unclear in terms of how it will work,” said Walter, who is also the chairman of the B.C. Human Rights Tribunal.

Walter said many of the approximately 260 cases under the jurisdiction of the board were resolved by agreement between the defence and the Crown that the offender is so mentally ill that they did not understand their actions to be criminal.

The entire article is here.

Thursday, February 28, 2013

New VP will scrutinize Harvard’s investments

$30.7b endowment has faced calls to use its clout to do good

By Todd Wallack
The Boston Globe
Originally published February 19, 2013

Harvard University, which often faces pressure from students and alumni to shed controversial investments, has agreed to create a senior position at its investment management arm to consider the environmental, social, and corporate governance aspects of its holdings.

Harvard Management Co. recently began searching for a vice president for “sustainable investing,” a relatively novel position in the world of university endowments.

“We think this is a positive step,” said Harvard College senior Michael Danto, one of the leaders of Responsible Investment at Harvard, which has pushed Harvard to adopt policies to ensure its investments are consistent with the university’s values.

The entire story is here.

Indictment Of Manhattan Doctor Who Sold Oxycodone Prescriptions To Drug Dealers

Attorney General of New York Press Release
Originally released on February 13, 2013

Attorney General Eric T. Schneiderman today announced a 55-count indictment against Dr. David Brizer on charges he sold prescriptions for oxycodone and other powerful pain medications to drug dealers from his Rockland County and Midtown Manhattan offices. The indictment also charges Brizer with illegally possessing controlled substances and underreporting his income by at least $500,000 on his New York State personal tax returns in 2010 and 2011.

Brizer, a psychiatrist, was arraigned in Rockland County Court today on two top counts of Criminal Tax Fraud; 34 counts of Criminal Sale of a Prescription for a Controlled Substance; 15 counts of Criminal Possession of a Controlled Substance; 2 counts of Offering a False Instrument for Filing; along with Scheme to Defraud and Conspiracy charges. All are felony counts. He faces up to seven years behind bars.

“Instead of saving lives, Dr. Brizer used his position to supply drug dealers and feed a prescription drug epidemic that is devastating families across our state. The message is clear – whether you are a doctor or a criminal on the street, my office will prosecute those profiting off the cycle of abuse,” Attorney General Schneiderman said. “This office will use every tool at our disposal to bring criminal charges against those who line their own pockets by fueling dangerous addictions and illegally trafficking in prescription narcotics.”

The entire news release is here.

Wednesday, February 27, 2013

UChicago Professor Helps Uncover Lost Lectures by French Philosopher Foucault

University of Chicago News Release
Originally released on February 7, 2013


More than 30 years ago, French philosopher Michel Foucault gave a landmark series of seven lectures at the Catholic University of Louvain in Belgium In them, Foucault linked his early and late work—exploring the role of confession in the determination of truth and justice from the time of the Greeks forward to the 1970s.

While the lectures had been mythic among Foucault scholars, only a partial, poorly transcribed account had survived. Recently rediscovered, details of the lectures have been published in a new book co-edited by Prof. Bernard E. Harcourt.

“These 1981 lectures form a crucial link between Foucault’s earlier work on surveillance in society, the prison and neoliberal governmentality during the 1970s, and his later work on subjectivity and the care of the self in the 1980s,” said Harcourt, co-editor of Mal faire, dire vrai: La fonction de l’aveu en justice [Wrong-Doing, Truth-Telling: The Function of Avowal in Justice], which Louvain and the University of Chicago Press recently released in French.

“A lot of people still cling to the idea that there was a fundamental transition in his interests, but one can identify all his later themes much earlier on, as illustrated by the continuity revealed in these lectures,” added Harcourt, chair and professor of Political Science and the Julius Kreeger Professor of Law and Criminology.

Foucault particularly delved into how the process of confession affects the way we think about ourselves, and who we are, according to Arnold Davidson, renowned Foucault scholar and the Robert O. Anderson Distinguished Service Professor.

The entire story is here.