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, October 27, 2013

Tracking Suicide Risk Factors Through Twitter in the US

By Jared Jashinsky, Scott H. Burton, Carl L. Hanson, and others
Crisis  DOI10.1027/0227-5910/a000234

Background:
Suicide is a leading cause of death in the United States. Social media such as Twitter is an emerging surveillance tool that may assist researchers in tracking suicide risk factors in real time.

Aims:
To identify suicide-related risk factors through Twitter conversations by matching on geographic suicide rates from vital statistics data. Method: At-risk tweets were filtered from the Twitter stream using keywords and phrases created from suicide risk factors. Tweets were grouped by state and departures from expectation were calculated. The values for suicide tweeters were compared against national data of actual suicide rates from the Centers for Disease Control and Prevention.

Results:
A total of 1,659,274 tweets were analyzed over a 3-month period with 37,717 identified as at-risk for suicide. Midwestern and western states had a higher proportion of suicide-related tweeters than expected, while the reverse was true for southern and eastern states. A strong correlation was observed between state Twitter-derived data and actual state age-adjusted suicide data.

Conclusion:
Twitter may be a viable tool for real-time monitoring of suicide risk factors on a large scale. This study demonstrates that individuals who are at risk for suicide may be detected through social media.

The entire article is here.

Saturday, October 26, 2013

Ethical questions science can’t answer

By Massimo Pigliucci
Rationally Speaking Blog
Originally posted October 11, 2013

Yes, yes, we’ve covered this territory before. But you might have heard that Sam Harris has reopened the discussion by challenging his critics, luring them out of their hiding places with the offer of cold hard cash. You see, even though Sam has received plenty of devastating criticism in print and other venues for the thesis he presents in The Moral Landscape (roughly: there is no distinction between facts and values, hence science is the way to answer moral questions), he is — not surprisingly — unconvinced. Hence the somewhat gimmicky challenge. We’ll see how that ones goes, I already have my entry ready (but the submission period doesn’t open until February 2nd).

Be that as it may, I’d like to engage my own thoughtful readers with a different type of challenge (sorry, no cash!), one from which I hope we can all learn something as the discussion unfolds. It seems to me pretty obvious (but I could be wrong) that there are plenty of ethical issues that simply cannot be settled by science, so I’m going to give a few examples below and ask all of you to: a) provide more and/or b) argue that I am mistaken, and that these questions really can be answered scientifically.

The entire article is here.

Behind Flurry of Killing, Potency of Hate

By KATRIN BENNHOLD
The New York Times
Published: October 12, 2013

Here are some excerpts:

“What you’re seeing in that moment,” he said in an interview last week, “is not a human being.”

It is dangerous to assume that it takes a monster to commit a monstrosity, said Herbert Kelman, professor emeritus of social ethics at Harvard.

“We are all capable of such things,” said Mr. Kelman, 86, whose family fled Vienna under the Nazis in 1939. “It doesn’t excuse anything, it doesn’t justify anything and it is by no means a full explanation. But it’s something that is worth remembering: We are dealing in a sense with human behavior responding to certain circumstances.”

Overcoming a deep-seated proscription against killing is not easy. In his book “Ordinary Men,” Christopher R. Browning described how a German police battalion staffed with fathers, businessmen and plumbers struggled as they executed thousands of Jews in Poland.

The entire story is here.

Friday, October 25, 2013

I'm OK, You're Not OK: Right Supramarginal Gyrus Plays an Important Role in Empathy

Science Daily
Originally published October 9, 2013

Egoism and narcissism appear to be on the rise in our society, while empathy is on the decline. And yet, the ability to put ourselves in other people's shoes is extremely important for our coexistence. A research team headed by Tania Singer from the Max Planck Institute for Human Cognitive and Brain Sciences has discovered that our own feelings can distort our capacity for empathy. This emotionally driven egocentricity is recognised and corrected by the brain. When, however, the right supramarginal gyrus doesn't function properly or when we have to make particularly quick decisions, our empathy is severely limited.

When assessing the world around us and our fellow humans, we use ourselves as a yardstick and tend to project our own emotional state onto others. While cognition research has already studied this phenomenon in detail, nothing is known about how it works on an emotional level. It was assumed that our own emotional state can distort our understanding of other people's emotions, in particular if these are completely different to our own.

The entire story is here.


Magnetic Manipulation of the Sense of Morality

By Mo Castandi
Neuroscience
Originally published March 10, 2010

WHEN making moral judgements, we rely on our ability to make inferences about the beliefs and intentions of others. With this so-called “theory of mind”, we can meaningfully interpret their behaviour, and decide whether it is right or wrong. The legal system also places great emphasis on one’s intentions: a “guilty act” only produces criminal liability when it is proven to have been performed in combination with a “guilty mind”, and this, too, depends on the ability to make reasoned moral judgements.

MIT researchers now show that this moral compass can be very easily skewed. In a new study published in the Proceedings of the National Academy of Sciences, they report that magnetic pulses which disrupt activity in a specific region of the brain’s right hemisphere can interfere with the ability to make certain types of moral judgements, so that hypothetical situations involving attempted harm are perceived to be less morally forbidden and more permissible.

The entire article is here.

Thursday, October 24, 2013

Proposed Treatment To Fix Genetic Diseases Raising Ethics Issues

by ROB STEIN
NPR News
Originally published October 09, 2013

Here is an excerpt:

Specifically, the research would create an egg with healthy mitochondrial DNA (mtDNA). Unlike the DNA that most people are familiar with — the 23 pairs of human chromosomes that program most of our body processes — mtDNA is the bit of genetic material inside mitochondria, living structures inside a cell that provide its energy.

Scientists estimate that one in every 200 women carries defects in her mtDNA. Between one in 2,000 and one in 4,000 babies may be born each year with syndromes caused by these genetic glitches; the syndromes range from mild to severe. In many cases, there is no treatment and the affected child dies early in life.

The entire story is here.

Researchers Press for Broad Ban on Hockey Fights

By JEFF Z. KLEIN
The New York Times
Published: October 9, 2013

Researchers at a Mayo Clinic conference on concussions in hockey called Wednesday for a ban on fighting at all levels of the sport, eight days after a Montreal Canadiens enforcer was hospitalized because of a fight on opening night of the N.H.L. season.

“Science has responded to the game on the ice,” said Ken Dryden, a Hall of Fame Canadiens goalie and a member of the Canadian Parliament, who spoke at the conference. “Now it’s time for the game to respond to the science.”

The entire story is here.

Wednesday, October 23, 2013

Quality Attestation for Clinical Ethics Consultants: A Two-Step Model from the American Society for Bioethics and Humanities

By Eric Kodish, Joseph J. Fins, and others
The Hastings Center Report
Originally published October 1, 2013

Abstract

Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has initiated a two-step quality attestation process as a means to assess clinical ethics consultants and help identify individuals who are qualified to perform this role. This article describes the process.

The entire story is here.

Professionalism and Caring for Medicaid Patients — The 5% Commitment?

Lawrence P. Casalino, M.D., Ph.D.
October 9, 2013 DOI: 10.1056/NEJMp1310974

Medicaid is an important federal–state partnership that provides health insurance for more than one fifth of the U.S. population — 73 million low-income people in 2012. The Affordable Care Act will expand Medicaid coverage to millions more. But 30% of office-based physicians do not accept new Medicaid patients, and in some specialties, the rate of nonacceptance is much higher — for example, 40% in orthopedics, 44% in general internal medicine, 45% in dermatology, and 56% in psychiatry. Physicians practicing in higher-income areas are less likely to accept new Medicaid patients. Physicians who do accept new Medicaid patients may use various techniques to severely limit their number — for example, one study of 289 pediatric specialty clinics showed that in the 34% of these clinics that accepted new Medicaid patients, the average waiting time for an appointment was 22 days longer for children on Medicaid than for privately insured children.

The entire story is here.

Thanks to Gary Schoener for this information.