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

Saturday, April 5, 2014

Are We Obligated to Make Ourselves More Moral and Intelligent? (Part One)

By J. Hughes
Ethical Technology
Originally posted March 13, 2014

Most of the ethical discussion of the use of stimulant drugs without a prescription in education has been negative, associating their use with performance enhancement in sports and with drug abuse. But the use of stimulants as study drugs actually has few side effects, and is almost entirely applied to the student’s primary obligation, academic performance. In this I consider some objections to off-label stimulant use, and to stimulant therapy for ADD, and argue that there are ethical arguments for the use of stimulants, and for future cognitively and morally enhancing therapies, in education, the work place, and daily life.

In recent years, as the diagnosis of ADD has become more common, and increasing numbers of adults have begun taking stimulant medications as a treatment for ADD, or without a prescription as a study aid, there have been calls for stricter regulation of the diagnosis and the drugs. People have suggested that the treatment of ADD with stimulants is a conspiracy of pharmaceutical capitalists in league with dubious pediatricians, when the real cause of inattentiveness is allegedly a dysfunctional industrial era educational system obsessed with standardized testing. The alleged risks of the use by adults without prescriptions have been hyped, and the "users vilified as "cheaters" contributing to a pharmaceutical arms race.

The entire article is here.

Friday, April 4, 2014

Borderline Disorder: Medical Personnel and Law Enforcement

By Dien Ho, Kenneth A. Richman, and Mark Bigney
The Hastings Center - Bioethics and the Law
Originally published April 3, 2014

Here is an excerpt:

The American Civil Liberties Union recently filed a federal lawsuit on behalf of a 54-year old New Mexico resident, “Jane Doe.” The defendants are the board of managers of El Paso County Hospital District, the University Medical Center of El Paso, two physicians, and agents of the U.S. Customs and Border Protection (CBP). The lawsuit alleges that on December 8, 2012 Ms. Doe was returning from a visit in Mexico when an agent of CBP informed her that she had been chosen for increased inspection and secondary screening.

After frisking failed to produce any contraband, agents sent her back in line to finish customs procedures. According to the complaint, a drug-sniffing dog, possibly prompted by a CBP agent, lurched at Ms. Doe. Agents then led her to a private room where she was subjected to further searches, including visual examination of her anus and vagina with a flashlight and the insertion of an agent’s finger into her vagina. Throughout the search, Ms. Doe never expressed consent, nor did the agents present a warrant.

The entire story is here.

Disgust and biological descriptions bias logical reasoning during legal decision-making

By Beatrice Capestany and Lasana T. Harris
Social Neuroscience
Originally posted February 27, 2014
DOI:10.1080/17470919.2014.892531

Legal decisions often require logical reasoning about the mental states of people who perform gruesome behaviors. We use functional magnetic resonance imaging (fMRI) to examine how brain regions implicated in logical reasoning are modulated by emotion and social cognition during legal decision-making. Participants read vignettes describing crimes that elicit strong or weak disgust matched on punishment severity using the US Federal Sentencing Guidelines. An extraneous sentence at the end of each vignette described the perpetrator’s personality using traits or biological language, mimicking the increased use of scientific evidence presented in courts. Behavioral results indicate that crimes weak in disgust receive significantly less punishment than the guidelines recommend. Neuroimaging results indicate that brain regions active during logical reasoning respond less to crimes weak in disgust and biological descriptions of personality, demonstrating the impact of emotion and social cognition on logical reasoning mechanisms necessary for legal decision-making.

The entire article is here.

Thursday, April 3, 2014

Extraneous factors in judicial decisions

By Shai Danziger, Jonathan Levav, and Liora Avnaim-Pesso
PNAS - Originally posted in 2011, and still relevant today
doi: 10.1073/pnas.1018033108

Abstract

Are judicial rulings based solely on laws and facts? Legal formalism holds that judges apply legal reasons to the facts of a case in a rational, mechanical, and deliberative manner. In contrast, legal realists argue that the rational application of legal reasons does not sufficiently explain the decisions of judges and that psychological, political, and social factors influence judicial rulings. We test the common caricature of realism that justice is “what the judge ate for breakfast” in sequential parole decisions made by experienced judges. We record the judges’ two daily food breaks, which result in segmenting the deliberations of the day into three distinct “decision sessions.” We find that the percentage of favorable rulings drops gradually from ≈65% to nearly zero within each decision session and returns abruptly to ≈65% after a break. Our findings suggest that judicial rulings can be swayed by extraneous variables that should have no bearing on legal decisions.

The entire article is here.

How we were fooled into thinking that sexual predators lurk everywhere

By Dana Boyd
From It’s Complicated: The Social Lives of Networked Teens
Published by Yale University Press

Here are two excerpts:

As moral panics about child safety take hold, politicians feel that they should take action—or at least capitalize on the appearance of doing so. They regularly campaign over safety issues and implement or expand laws targeted at curtailing the freedoms of minors. In the 1980s and 1990s, this included curfew laws, anti-loitering laws, and truancy laws. To expunge teens from public places, cities and towns limited where, when, and for how long teens could gather or hang out in public places. Many believed that curfew laws would combat crime; a 1997 survey of US mayors found that 88 percent believed that youth curfews reduced crime. It did not. As researchers began to examine the effects of these laws, they found that there was no correlation between curfews and youth crime. After analyzing the data, sociologist Michael Males concluded that authority figures use curfews more as a symbol of social control than an actual crime deterrent.

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Through social media, teenagers have created digital streets that help define the networked publics in which they gather. In an effort to address online safety concerns, most adults respond by trying to quarantine youth from adults, limit teens’ engagement online, or track teens’ every move. Rhetoric surrounding online predation is used to drum up fear and justify isolation. But neither restrictions nor either adult or institutional surveillance will help those who are seriously struggling.

The entire chapter is here.

Thanks to Gary Schoener for this information.

Wednesday, April 2, 2014

Moral Injury

By David Wood
Huffington Post
Originally published March 17, 2014

Here is an excerpt:

It is what experts are coming to identify as a moral injury: the pain that results from damage to a person’s moral foundation. In contrast to Post-Traumatic Stress Disorder, which springs from fear, moral injury is a violation of what each of us considers right or wrong. The diagnosis of PTSD has been defined and officially endorsed since 1980 by the mental health community, and those suffering from it have earned broad public sympathy and understanding. Moral injury is not officially recognized by the Defense Department. But it is moral injury, not PTSD, that is increasingly acknowledged as the signature wound of this generation of veterans: a bruise on the soul, akin to grief or sorrow, with lasting impact on the individuals and on their families.

Moral injury raises uncomfortable questions about what happens in war, the dark experiences that many veterans have always been reluctant to talk about. Are the young Americans who volunteer for military service prepared for the ethical ambiguity that lies ahead? Can they be hardened against moral injury? Should they be?

The entire article is here.

There will be an upcoming podcast on morality and the moral self.

US Health Information Breaches Up 137%

By Roger Collier
CMAJ News
Originally posted March 5, 2014

More than seven million health records in the United States were affected by data breaches in 2013, an increase of 137% over the previous year, according to the annual breach report by Redspin, an information security company based in Carpinteria, California.

Since 2009, there has been a rapid rise in the adoption of electronic health records in the US. There have also been 804 breaches of health information affecting nearly 30 million patient health records reported to the Secretary of Health and Human Services, as required by law.

The entire article is here.

Tuesday, April 1, 2014

Billionaires With Big Ideas Are Privatizing American Science

By William J. Broad
The New York Times
Originally published March 15, 2014

Here is an excerpt:

Absent from his narrative, though, was the back story, one that underscores a profound change taking place in the way science is paid for and practiced in America. In fact, the government initiative grew out of richly financed private research: A decade before, Paul G. Allen, a co-founder of Microsoft, had set up a brain science institute in Seattle, to which he donated $500 million, and Fred Kavli, a technology and real estate billionaire, had then established brain institutes at Yale, Columbia and the University of California. Scientists from those philanthropies, in turn, had helped devise the Obama administration’s plan.

American science, long a source of national power and pride, is increasingly becoming a private enterprise.

The entire story is here.

The Power of Conscious Intention Proven At Last?

By Neuroskeptic
The Neuroskeptic Blog
Originally published March 15, 2014

Here is an excerpt:

To simplify, one school of thought holds that (at least some of the time), our intentions or plans control our actions. Many people would say that this is what common sense teaches us as well.

But there’s an alternative view, in which our consciously-experienced intentions are not causes of our actions but are actually products of them, being generated after the action has already begun. This view is certainly counterintuitive, and many find it disturbing as it seems to undermine ‘free will’.

That’s the background. Zschorlich and Köhling say that they’ve demonstrated that conscious intentions do exist, prior to motor actions, and that these intentions are accompanied by particular changes in brain activity. They claim to have done this using transcranial magnetic stimulation (TMS), a way of causing a localized modulation of brain electrical activity.

The entire blog post is here.