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, April 15, 2014

Moral Responsibility

Stanford Encyclopedia of Philosophy
First published Sat Jan 6, 2001; substantive revision Wed Mar 26, 2014

When a person performs or fails to perform a morally significant action, we sometimes think that a particular kind of response is warranted. Praise and blame are perhaps the most obvious forms this reaction might take. For example, one who encounters a car accident may be regarded as worthy of praise for having saved a child from inside the burning car, or alternatively, one may be regarded as worthy of blame for not having used one's mobile phone to call for help. To regard such agents as worthy of one of these reactions is to regard them as responsible for what they have done or left undone. (These are examples of other-directed ascriptions of responsibility. The reaction might also be self-directed, e.g., one can recognize oneself to be blameworthy). Thus, to be morally responsible for something, say an action, is to be worthy of a particular kind of reaction—praise, blame, or something akin to these—for having performed it.

The entire article is here.

Monday, April 14, 2014

Episode 6: Ethical Analysis of Vignettes (Number 1)

Dr. Richard F. Small joins John to discuss ethical decision-making, ethics education, and vignette analysis.  Rick and John will use information from Episodes 4 and 5 to demonstrate the differences among ethical issues, clinical concerns, legal matters, and risk management.  They will utilize the SHAPE decision-making model in conjunction with the acculturation model to demonstrate ways to consider ethical and clinical decision-making.  There will be some discussion on risk management and legal issues.  They will also discuss possible emotional issues that complicate decision-making skills.

At the end of this podcast, the listener will be able to:

1. Outline the relevant factors if the SHAPE decision-making model,
2. Identify the competing ethical principles in the vignettes, and,
3. Practice integrating personal values with professional ethics.

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Resources

Episode 4: Ethical Decision-making (Part 1)

Episode 5: Ethical Decision-making (Part 2)

American Psychological Association's Ethical Principles of Psychologists and Code of Conduct

Handelsman, M. M., Gottlieb, M. C., & Knapp, S. (2005). Training ethical psychologists: An acculturation model. Professional Psychology: Research and Practice, 36, 59-65.

Motivated Moral Reasoning in Psychotherapy
John Gavazzi and Sam Knapp

Nonrational Processes in Ethical Decision-making
Mark Rogerson, Michael C. Gottlieb Mitchell M. Handelsman Samuel Knapp  & Jeffrey Younggren

Link to Dr. Small's Practice

Sunday, April 13, 2014

Arrested development: early prefrontal lesions impair the maturation of moral judgement

By Bradley Taber-Thomas, Erik Asp, Michael Koenings, Matthew Sutterer, Steven Anderson, and Daniel Tranel
Brain (2014) 137 (4): 1254-1261 first published online February 11, 2014
doi: 10.1093/brain/awt377

Summary

Learning to make moral judgements based on considerations beyond self-interest is a fundamental aspect of moral development. A deficit in such learning is associated with poor socialization and criminal behaviour. The neural systems required for the acquisition and maturation of moral competency are not well understood. Here we show in a unique sample of neurological patients that focal lesions involving ventromedial prefrontal cortex, acquired during development, result in an abnormally egocentric pattern of moral judgement. In response to simple hypothetical moral scenarios, the patients were more likely than comparison participants to endorse self-interested actions that involved breaking moral rules or physically harming others in order to benefit themselves. This pattern (which we also found in subjects with psychopathy) differs from that of patients with adult-onset ventromedial prefrontal cortex lesions—the latter group showed normal rejection of egocentric rule violations. This novel contrast of patients with ventromedial prefrontal cortex lesions acquired during development versus during adulthood yields new evidence suggesting that the ventromedial prefrontal cortex is a critical neural substrate for the acquisition and maturation of moral competency that goes beyond self-interest to consider the welfare of others. Disruption to this affective neural system early in life interrupts moral development.

The article can be found here, behind a paywall.

Email Contact of Daniel Tranel

Beliefs in moral luck: When and why blame hinges on luck

By Heather C. Lench, Darren Domsky, Rachel Smallman and Kathleen E. Darbor
The British Journal of Psychology
DOI: 10.1111/bjop.12072

Abstract

Belief in moral luck is represented in judgements that offenders should be held accountable for intent to cause harm as well as whether or not harm occurred. Scores on a measure of moral luck beliefs predicted judgements of offenders who varied in intent and the outcomes of their actions, although judgements overall were not consistent with abstract beliefs in moral luck. Prompting participants to consider alternative outcomes, particularly worse outcomes, reduced moral luck beliefs. Findings suggest that some people believe that offenders should be punished based on the outcome of their actions. Furthermore, prompting counterfactuals decreased judgements consistent with moral luck beliefs. The results have implications for theories of moral judgement as well as legal decision making.

The entire story is here, behind a paywall.

Saturday, April 12, 2014

In Genes We Trust: How Our Essentialist Biases Distort How We Think About Genes

Posted by Peter B. Reiner
Neuroethics at the Core
Posted March 7, 2014

This video was recorded on October 23-25, 2013 during a Peter Wall Institute for Advanced Studies International Roundtable, "We Are Our Brains", led by Principal Investigator Dr. Peter B. Reiner (Department of Psychiatry, UBC and the National Core for Neuroethics).

To learn more about We Are Our Brains.


Friday, April 11, 2014

Undercover Doctor: Cure Me, I'm Gay

By Christian Jessen
Channel 4
Originally published March 20, 2013

In this one-off documentary Dr Christian Jessen goes undercover to both investigate and undertake controversial gay 'cures' in the UK and the USA.

Christian is shocked to find that not only are there people who believe that homosexuality is a disorder which should be cured, but that there is a growing number of therapists and self-styled healers who believe that they have the 'cure' for the 'illness'.

He sets out to prove or disprove their claims by offering himself up as a suitable case for treatment.


How your brain makes moral judgments

By Elizabeth Landau
CNN
Originally posted March 26, 2014

Here is an excerpt:

A moral network?

Scientists have shown that there is a specific network of brain regions involved in mediating moral judgment. An influential study on this topic was published in 2001 and led by Joshua D. Greene, associate professor at Harvard University, author of "Moral Tribes: Emotion, Reason, and the Gap Between Us and Them."

Adrian Raine and Yaling Yang, in a 2006 review article, described this study as a breakthrough. It focused "on the specific difference between making judgments (i.e. 'appropriate' or 'inappropriate') on 'moral personal' dilemmas (e.g. throwing a person out of a sinking life-boat to save others), and 'moral impersonal' dilemmas (e.g. keeping money found in a lost wallet)," they wrote.

The entire article is here.

Thursday, April 10, 2014

Seeking and Finding Our Clients on the Internet: Boundary Considerations in Cyberspace

Kolmes, K. & Taube. D. O. (2012). Seeking and Finding Our Clients on the Internet: Boundary 
Considerations in Cyberspace. Professional Psychology: Research and Practice 
Advance online publication. doi: 10.1037/a0029958 

Abstract 

As psychologists and clients increasingly use the Internet for personal and professional activities, they run the risk of having more incidental contacts online. This survey examined the experiences of 227 mental health professionals of various disciplines and training levels about both accidental and intentional experiences encountering client information on the Internet. One hundred and nine participants intentionally sought information about current clients in noncrisis situations, and 63 participants accidentally discovered client information on the Internet. This paper explores how clinicians responded to these encounters and clinicians’ beliefs about how they influenced treatment. Recommendations are made for how mental health professionals may begin to address such issues in the clinical relationship. 


Yes, business ethics can be measured

By Leanne Hoagland Smith
The Chicago Sun-Times
Originally posted March 22, 2014

Here is an excerpt:

There is documented research from organizations, such as Ethics Resource Center, Gallup and various universities measuring the impact of business ethics or lack thereof on everything from employee morale to the negative impact on workplace productivity. So the reluctance to avoid business ethics as a key metric or key performance indicator (KPI) is illogical.

This begs the question of, “How does one measure ethical behavior within the workplace without being viewed as judgmental or worse yet getting sued?”

The entire article is here.