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

Monday, October 14, 2013

Students Criticize 'Collusion' Between Banks and Colleges

By Kelly Field
The Chronicle of Higher Education
Originally published October 1, 2013

Congress and federal regulators should crack down on financial arrangements between colleges and banks, students and consumer advocates said on Monday at a forum arranged by the Consumer Financial Protection Bureau.

In both live and videotaped testimony, students described how their colleges had steered them toward banks and other companies that offered the colleges revenue sharing, staff support, or other perks. Some said they had felt "pressured" or "obligated" to sign up for high-fee debit cards or checking accounts; others said they had simply trusted their institutions to recommend the best products available.

The entire article is here.

Sunday, October 13, 2013

Psychotherapy’s Image Problem

By BRANDON A. GAUDIANO
The New York Times- Op Ed
Published: September 29, 2013

PSYCHOTHERAPY is in decline. In the United States, from 1998 to 2007, the number of patients in outpatient mental health facilities receiving psychotherapy alone fell by 34 percent, while the number receiving medication alone increased by 23 percent.

This is not necessarily for a lack of interest. A recent analysis of 33 studies found that patients expressed a three-times-greater preference for psychotherapy over medications.

The entire story is here

Some Popular Misconceptions of Philosophy

By Paul So
Facebook Post
September 29, 2013 at 2:47am

From my personal experience,  I have encountered many, many, and many misconceptions that people have about philosophy. I deliberately use the word "many" three times to emphasize that it can never be emphasized any less. I have encountered so many misconceptions that I practically lost count. I want to identify some of the most popular and common misconceptions people have about not only philosophy but what philosophers do in general. The origins of these misconceptions are not entirely known, but I suspect (as usual) that it is probably related to the mass media of popular culture.

While this may seem unfair to some readers, I want to focus specifically on what philosophers from the analytic traditions do. I admit that I do have a bias for analytic philosophy and I am personally not very fond of continental philosophy (partially because postmodernism is somewhat popular in that tradition), but I also want to say that I do not know very much about continental philosophy so I cannot judge what continental philosophers really do. Another reason is that important figures from continental philosophy such as Nietzsche, Sartre, and Heidegger are often the public faces of philosophy that crowd out other equally important philosophers from the analytic tradition; analytic philosophers are largely underrepresented in the public (besides Peter Singer, Bertrand Russell, Patricia Churchland, and Noam Chomsky, who to some extent does worth within analytic tradition) compare to some historical figures associated with continental philosophy. So, I want to identify some popular misconceptions of philosophy and then explain why they are misconceptions from the point of view of analytic philosophy.

Here is a list of several popular misconceptions I come across.

(1) Philosophy is about finding the meaning of life, it is a quintessential spiritual enterprise to improve our way of life. 

The other misconceptions and entire Facebook post is here.

Saturday, October 12, 2013

Testosterone Inhibits Trust but Promotes Reciprocity

By Maarten A. S. Boksem and others
Psychological Science 0956797613495063, first published on September 26, 2013

Abstract

The steroid hormone testosterone has been associated with behavior intended to obtain or maintain high social status. Although such behavior is typically characterized as aggressive and competitive, it is clear that high social status is achieved and maintained not only through antisocial behavior but also through prosocial behavior. In the present experiment, we investigated the impact of testosterone administration on trust and reciprocity using a double-blind randomized control design. We found that a single dose of 0.5 mg of testosterone decreased trust but increased generosity when repaying trust. These findings suggest that testosterone may mediate different types of status-seeking behavior. It may increase competitive, potentially aggressive, and antisocial behavior when social challenges and threats (i.e., abuse of trust and betrayal) need to be considered; however, it may promote prosocial behavior in the absence of these threats, when high status and good reputation may be best served by prosocial behavior.

The entire article is here, hiding behind a paywall.

How serotonin shapes moral judgment and behavior

By Jenifer Z. Siegel and Molly J. Crockett
Annals of the New York Academy of Sciences
Originally published September 24, 2013

DOI: 10.1111/nyas.12229

Abstract

Neuroscientists are now discovering how hormones and brain chemicals shape social behavior, opening potential avenues for pharmacological manipulation of ethical values. Here, we review recent studies showing how altering brain chemistry can alter moral judgment and behavior, focusing in particular on the neuromodulator serotonin and its role in shaping values related to harm and fairness. We synthesize previous findings and consider the potential mechanisms through which serotonin could increase the aversion to harming others. We present a process model whereby serotonin influences social behavior by shifting social preferences in the positive direction, enhancing the value people place on others’ outcomes. This model may explain previous findings relating serotonin function to prosocial behavior, and makes new predictions regarding how serotonin may influence the neural computation of value in social contexts.

The entire paper is here.

Friday, October 11, 2013

When There’s No Family

By PAULA SPAN
The New York Times
Originally published September 23, 2013

I rarely write about advance directives and end-of-life discussions without a few readers asking, sometimes plaintively: What if you don’t have a family?

“The presumption is that everyone has someone available, someone most likely younger or in better health, and better able to carry out one’s wishes or make decisions with your guidance,” Cheryl from Westchester commented the last time the subject arose.

But not everyone does.

The entire story is here.

Lacking Rules, Insurers Balk at Paying for Intensive Psychiatric Care

By REED ABELSON
The New York Times
Published: September 27, 2013

Here is an excerpt:

Melissa’s treatment did not come cheap: it ultimately cost hundreds of thousands of dollars, Ms. Morelli said. Patients often find themselves at odds with health insurers, but the battles are perhaps nowhere so heated as with the treatment of serious mental illness.

It was not supposed to be this way. A federal law, the Mental Health Parity and Addiction Equity Act of 2008, was aimed at avoiding fights like this over coverage by making sure insurers would cover mental illnesses just as they cover treatment for diseases like cancer or multiple sclerosis.

The entire story is here.

Thursday, October 10, 2013

Blind ethics: Closing one’s eyes polarizes moral judgments and discourages dishonest behavior

AUTHORS: E. M. Caruso and F. Gino
PUBLICATION: Cognition (forthcoming)

ABSTRACT

Four experiments demonstrate that closing one's eyes affects ethical judgment and behavior because it induces people to mentally simulate events more extensively. People who considered situations with their eyes closed rather than open judged immoral behaviors as more unethical and moral behaviors as more ethical. In addition, considering potential decisions with closed eyes decreased stated intentions to behave ethically and actual self-interested behavior. This relationship was mediated by the more extensive mental simulation that occurred with eyes closed rather than open, which, in turn, intensified emotional reactions to the ethical situation. We discuss the implications of these findings for moral psychology and ethical decision making.

The entire article is here.

Easing Doctor Burnout With Mindfulness

By Pauline Chen
The New York Times
Originally published September 26, 2013

Here is an excerpt:

Research over the last few years has revealed that unrelenting job pressures cause two-thirds of fully trained doctors to experience the emotional, mental and physical exhaustion characteristic of burnout. Health care workers who are burned out are at higher risk for substance abuse, lying, cheating and even suicide. They tend to make more errors and lose their sense of empathy for others. And they are more prone to leave clinical practice.

Unfortunately, relatively little is known about treating burnout. But promising research points to mindfulness, the ability to be fully present and attentive in the moment, as a possible remedy. A few small studies indicate that mindfulness training courses can help doctors become more focused, more empathetic and less emotionally exhausted.

The entire story is here.