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, March 10, 2014

Mental lives and fodor’s lot

Susan Schneider interviewed by Richard Marshall
3:AM Magazine
Originally posted February 14, 2014

Here is an excerpt:

3:AM: You make strong claims about thought experiments and find them valuable. Some philosophers like Paul Horwich disagree and find them misleading and useless. How can something imaginary lead to knowledge and enlightenment?

SS: Philosophers face a dilemma. On the one hand, philosophers often theorize about the nature of things, so it is useful to think of what might be the case, as opposed to what happens to be the case. For instance, metaphysicians who consider the nature of the self or person commonly consider cases like teleportation and brain transplants, to see if one’s theory of the self yields a viable result concerning whether one would survive such things. On the other hand, thought experiments can be misused. For instance, it strikes some as extreme to discard an otherwise plausible theory because it runs contrary to our intuitions about a thought experiment, especially if the example is far-fetched and not even compatible with our laws of nature. And there has been a movement in philosophy called “experimental philosophy” which claims that people of different ethnicities, genders, and socioeconomic backgrounds can come to different conclusions about certain thought experiments because of their different backgrounds.

I still employ thought experiments in my work, but I try to bear in mind three things: first, the presence of a thought experiment that pumps intuitions contrary to a theory should not automatically render the theory false. But a thought experiment can speak against a theory in an all-things-considered judgment; this is an approach I’ve employed in debates over laws of nature.

The entire story is here.

The Lies That Doctors and Patients Tell

By Sandeep Jauhar
The New York Times
Originally published February 20, 2014

Here is an excerpt:


Physicians sometimes deceive, too. We don’t always reveal when we make mistakes. Too often we order unnecessary tests, to bolster revenue or to protect against lawsuits. We sometimes mislead patients that our therapies have more value, more evidence behind them, than they actually do — whether it was placebo injections from my grandfather’s era, for example, or much of the spinal surgery or angioplasty that’s done today. 

Perhaps the most powerful deceptions in medicine are the ones we direct at ourselves — at our patients’ expense. Many physicians still espouse the patriotic (but deeply misconceived) notion that the American medical system is the best in the world. We deny the sickness in our system, and the role we as a profession have played in creating that sickness. We obsessively push ourselves to do more and more tests, scans and treatments for reasons that we sometimes hide from ourselves. 

The entire article is here.

Sunday, March 9, 2014

Lawrence Lessig’s March to End Corruption

Moyer's and Company
Originally posted February 14, 2014

This week, we bring you a special report on a two-week, 185-mile trek through the winter cold in New Hampshire, led in January by constitutional scholar and activist Lawrence Lessig to raise awareness of the crippling problem of corruption in American politics.

“If you think about every single important issue America has to address — if you’re on the right and you care about tax reform or addressing the issues of the deficit, or on the left and you care about climate change or real health care reform — whatever the issue is, if you look at the way our system functions right now you have to see that there will be no sensible reform given the way we fund campaigns,” Lessig says.

The entire story is here.


How A Big Drug Company Inadvertently Got Americans Hooked On Heroin

By Jillian Berman
The Huffington Post
Originally posted February 24, 2014

Here is an excerpt:

In recent years, more prescription drug abusers have started turning to heroin for a cheaper high as the price of pills skyrockets on the black market, Bunt said. Two factors have contributed to the cost increase: opioid addiction boosting demand and doctors becoming more cautious about prescribing opioids, decreasing supply, Bunt said.

Another reason for the price increase: The Drug War, according to a January 2012 report from Radley Balko. Government crackdowns have made it difficult for even reputable doctors to prescribe pain pills. To fill the void, doctors and others looking to make a buck off the prescription pills created so-called "pill mills" -- offices that prescribe pain medication in high volume and often serve people addicted to the drugs.

The entire article is here.

Saturday, March 8, 2014

Experimental Philosophy and the Notion of the Self

Joshua Knobe
HeadCon '13
Edge Video
Originally published February 16, 2014

What is the field of experimental philosophy? Experimental philosophy is a relatively new field—one that just cropped up around the past ten years or so, and it's an interdisciplinary field, uniting ideas from philosophy and psychology. In particular, what experimental philosophers tend to do is to go after questions that are traditionally associated with philosophy but to go after them using the methods that have been traditionally associated with psychology.




The video and transcript is here.

Who’s to blame for inaccurate media coverage of study of therapy for persons with schizophrenia?

By James C. Coyne
jcoynester blog
Originally published March 7, 2014
I’m in competition with literally hundreds of stories every day, political and economic stories of compelling interest…we have to almost overstate, we have to come as close as we came within the boundaries of truth to dramatic, compelling statement. A weak statement will go no place.”                                 Journalist interviewed for JA Winsten, Science and Media: The Boundaries of Truth
Hyped, misleading media coverage of a study in Lancet of CBT for persons with unmedicated schizophrenia left lots of clinicians, policymakers, and especially persons with schizophrenia and their family members confused.

Did the study actually showed that psychotherapy was as effective as medication for schizophrenia? NO!

Did the study demonstrate that persons with schizophrenia could actually forgo medication with nasty side effects and modest effectiveness and just get on with their life with the help of CBT? NO!

The entire blog post is here.

Friday, March 7, 2014

Online Medical Professionalism: Patient and Public Relationships

Policy Statement From the American College of Physicians and the Federation of State Medical Boards

By Jeanne M. Farnan, Lois Snyder Sulmasy, and others
Ann Intern Med. 2013;158(8):620-627. doi:10.7326/0003-4819-158-8-201304160-00100

Abstract

User-created content and communications on Web-based applications, such as networking sites, media sharing sites, or blog platforms, have dramatically increased in popularity over the past several years, but there has been little policy or guidance on the best practices to inform standards for the professional conduct of physicians in the digital environment. Areas of specific concern include the use of such media for nonclinical purposes, implications for confidentiality, the use of social media in patient education, and how all of this affects the public's trust in physicians as patient–physician interactions extend into the digital environment. Opportunities afforded by online applications represent a new frontier in medicine as physicians and patients become more connected. This position paper from the American College of Physicians and the Federation of State Medical Boards examines and provides recommendations about the influence of social media on the patient–physician relationship, the role of these media in public perception of physician behaviors, and strategies for physician–physician communication that preserve confidentiality while best using these technologies.

The entire policy statement is here.

Debunking the Myth of Kitty Genovese

By Larry Getlen
The New York Post
Originally published February 16, 2014

Here is an excerpt:

But as journalist Kevin Cook details in his new book, “Kitty Genovese: The Murder, the Bystanders, the Crime that Changed America” (W.W. Nor­ton), some of the real thoughtlessness came from a police commissioner who lazily passed a falsehood to a journalist, and a media that fell so deeply in love with a story that it couldn’t be bothered to determine whether it was true.

The account of the murder at the top of this story is accurate, based on Cook’s reporting. Instead of a narrative of apathy, the media could have told instead of the people who tried to help, and of the complex circumstances — many boiling down to a lack not of compassion, but of information — that prevented some ­others from calling for aid.

One could argue that Genovese became a legend not on the day she was killed, but 10 days later, when New York City Police Commissioner Michael “Bull” Murphy had lunch with The New York Times’ new city editor — later to become the paper’s executive ­editor — Abe Rosenthal.
After Rosenthal brought up a case Murphy wished to avoid discussing, the commissioner pivoted to the Genovese case.

“Brother, that Queens story is one for the books. Thirty-eight witnesses,” Murphy said. “I’ve been in this business a long time, but this beats everything.”

The entire story is here.

Thursday, March 6, 2014

The Ethics of Whistle-Blowing

Religion and Ethics NewsWeekly
Originally published February 14, 2014

Is Edward Snowden a hero for revealing government wrongdoing, or a traitor for leaking classified information? “I don’t think anybody acts and says to themselves, ‘What I’m doing is immoral, but I’m going to do it.’ People always rationalize,” according to former CIA spokesman Bill Harlow. Correspondent Lucky Severson reports on the debate over the morality of Snowden’s actions.



The entire story is here.