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

Tuesday, October 22, 2013

Who's Afraid of Peer Review?

By John Bohannon
Science 4 October 2013:
Vol. 342 no. 6154 pp. 60-65
DOI: 10.1126/science.342.6154.60

On 4 July, good news arrived in the inbox of Ocorrafoo Cobange, a biologist at the Wassee Institute of Medicine in Asmara. It was the official letter of acceptance for a paper he had submitted 2 months earlier to the Journal of Natural Pharmaceuticals, describing the anticancer properties of a chemical that Cobange had extracted from a lichen.

In fact, it should have been promptly rejected. Any reviewer with more than a high-school knowledge of chemistry and the ability to understand a basic data plot should have spotted the paper's short-comings immediately. Its experiments are so hopelessly flawed that the results are meaningless.

I know because I wrote the paper.

The entire story is here.

A Few Predictions on the Sunshine Act

By Genevieve Pham-Kanter
The Lab @ Edmond J. Safra Center for Ethics - Harvard


The Sunshine Act–for those of you who did not meticulously read all 11,000 sections of Bill HR 3590–is that part of last year's health care reform law that requires pharmaceutical and medical device manufacturers to report payments that they make to doctors for consulting services, speaking, meals, research grants, and other gifts of monetary value.

These payments have long been cause for concern because of their potential to influence the prescribing and research practices of payment recipients (for background, see this Institute of Medicine report). Surely requiring the disclosure of these potentially distorting payments would be a good thing; what more needs to be said?

The entire story is here.

Monday, October 21, 2013

The New Asylums: Jails Swell With Mentally Ill

By Gary Fields and Ericka Phillips
The Wall Street Journal
Originally published September 25, 2013

Here is an excerpt:

America's lockups are its new asylums. After scores of state mental institutions were closed beginning in the 1970s, few alternatives materialized. Many of the afflicted wound up on the streets, where, untreated, they became more vulnerable to joblessness, drug abuse and crime.

The country's three biggest jail systems -- Cook County, in Illinois; Los Angeles County; and New York City -- are on the front lines. With more than 11,000 prisoners under treatment on any given day, they represent by far the largest mental-health treatment facilities in the country. By comparison, the three largest state-run mental hospitals have a combined 4,000 beds.

Put another way, the number of mentally ill prisoners the three facilities handle daily is equal to 28% of all beds in the nation's 213 state psychiatric hospitals, according to the National Association of State Mental Health Program Directors Research Institute Inc.

The entire story is here, hiding behind a paywall.

Sense and Superstition

By JANE L. RISEN and A. DAVID NUSSBAUM
The New York Times
Published: October 4, 2013

Here is an excerpt:

Research finds that people, superstitious or not, tend to believe that negative outcomes are more likely after they “jinx” themselves. Boast that you’ve been driving for 20 years without an accident, and your concern about your drive home that evening rises. The superstitious may tell you that your concern is well founded because the universe is bound to punish your hubris. Psychological research has a less magical explanation: boasting about being accident-free makes the thought of getting into an accident jump to mind and, once there, that thought makes you worry.

That makes sense intuitively. What’s less intuitive is how a simple physical act, like knocking on wood, can alleviate that concern.

The entire story is here.

Sunday, October 20, 2013

Ethics: Taboo genetics

By Ericka Check Hayden
Nature.com
Originally published October 2, 2013

Here is an excerpt:

At the root of this caution is the widespread but antiquated idea that genetics is destiny — that someone's genes can accurately predict complex behaviours and traits regardless of their environment. The public and many scientists have continued to misinterpret modern findings on the basis of this — fearing that the work will lead to a new age of eugenics, preemptive imprisonment and discrimination against already marginalized groups.

“People can take science and assume it is far more determinative than it is — and, by making that assumption, make choices that we will come to regret as a society,” says Nita Farahany, a philosopher and lawyer at Duke University School of Law in Durham, North Carolina.

But trying to forestall such poor choices by drawing red lines around certain areas subverts science, says Christopher Chabris of Union College in Schenectady, New York. Funding for research in some areas dries up and researchers are dissuaded from entering promising fields. “Any time there's a taboo or norm against studying something for anything other than good scientific reasons, it distorts researchers' priorities and can harm the understanding of related topics,” he says.

The entire story is here.

Great Betrayals

By ANNA FELS
The New York Times - Opinion
Published: October 5, 2013

Here is an excerpt:

Discoveries of such secrets typically bring on tumultuous crises. Ironically, however, in my clinical experience, it is often the person who lied or cheated who has the easier time. People who transgressed might feel self-loathing, regret or shame. But they have the possibility of change going forward, and their sense of their own narrative, problematic though it may be, is intact. They knew all along what they were doing and made their own decisions. They may have made bad choices, but at least those were their own and under their control. Now they can make new, better choices.

And to an astonishing extent, the social blowback for such miscreants is often transient and relatively minor. They can change! Our culture, in fact, wholeheartedly supports such “new beginnings” — even celebrates them. It has a soft spot for the prodigal sons and daughters who set about repairing their ways, for tales of people starting over: reformed addicts, unfaithful spouses who rededicate themselves to family, convicted felons who find redemption in religion. Talk shows thrive on these tales. Perhaps it’s part of our powerful national belief in self-help and self-creation. It’s never too late to start anew.

The entire story is here.

Saturday, October 19, 2013

The Neural Basis of Free Will: Criterial Causation by Peter Ulric Tse (MIT Press, 2013)

By Stephen L. Macknik | August 12, 2013
Scientific American Book Review

Here are two excerpts:

If our universe is deterministic in this way there can be no free will because you were destined to make that same decision—every single one of your decisions—from the very moment of the big bang. It’s not that you don’t make decisions: you do. But you’ll make them the same exact way in two different universes that have identical big bangs. It means that the universe conspired from its very inception to bring you and your significant other together. It’s quite romantic, actually, so long as you’ve been fortunate enough to have a nice life. But if not, you’re truly screwed, and the universe has been literally plotting your demise for the last 14 billion years.

(cut)

Tse has thought through this enormous problem and realized something important that brings free will back to the realm of the living. Remember that determinism is an unavoidable fact of the universe at the macroscopic but not the quantum level. Well what if the macroscopic universe is not deterministic because the brain is designed to amplify quantum level particle effects to the macroscopic level through the action of specialized neuronal channels that make decisions potentially truly stochastic?

The entire story is here.

Second-Person vs. Third-Person Presentations of Moral Dilemmas

By Eric Schwitzgebel
Experimental Philosophy Blog
Originally published on 10/03/2013

You know the trolley problems, of course. An out-of-control trolley is headed toward five people it will kill if nothing is done. You can flip a switch and send it to a side track where it will kill one different person instead. Should you flip the switch? What if, instead of flipping a switch, the only way to save the five is to push someone into the path of the trolley, killing that one person?

In evaluating this scenario, does it matter if the person standing near the switch with the life-and-death decision to make is "John" as opposed to "you"? Nadelhoffer & Feltz presented the switch version of the trolley problem to undergraduates from Florida State University. Forty-three saw the problem with "you" as the actor; 65% of the them said it was permissible to throw the switch. Forty-two saw the problem with "John" as the actor; 90% of them said it was permissible to throw the switch, a statistically significant difference.

Friday, October 18, 2013

Humans Are Already More "Enhanced" by Technology Than We Realize

By Evan Selinger
Slate.com
Originally published October 4, 2013

Here is an excerpt:

Transhumanists “view human nature as a work in progress” and hope that developments in science and technology will enable us to become people “with vastly greater capacities than present human beings have”.  Some of its adherents truly do believe parents are morally obliged “to have the healthiest children through all natural and artificial means available.” Brashear wants her audience to know about their controversial ideology of “procreative beneficence,” rather than remaining unaware of its existence and influence.

Brashear also wants us to question whether society has an unhealthy obsession with competitiveness. If so, we should pause and ask what will happen in the future when the skills and abilities we respect today—or even just consider typical—become obsolete?

The entire article is here.