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, June 16, 2014

A test that fails

By Casey Miller & Keivan Stassun
Nature 303-304(2014) doi:10.1038/nj7504-303a
Published online 11 June 2014

Universities in the United States rely too heavily on the graduate record examinations (GRE) — a standardized test introduced in 1949 that is an admissions requirement for most US graduate schools. This practice is poor at selecting the most capable students and severely restricts the flow of women and minorities into the sciences.

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So what should universities do? Instead of filtering by GRE scores, graduate programmes can select applicants on the basis of skills and character attributes that are more predictive of doing well in scientific research and of ultimate employability in the STEM workforce. Appraisers should look not only at indicators of previous achievements, but also at evidence of ability to overcome the tribulations of becoming a PhD-level scientist.

Good for god? Religious motivation reduces perceived responsibility for and morality of good deeds

By Will M. Gervais
Journal of Experimental Psychology: General, Apr 28 , 2014
doi: 10.1037/a0036678

Abstract

Many people view religion as a crucial source of morality. However, 6 experiments (total N = 1,078) revealed that good deeds are perceived as less moral if they are performed for religious reasons. Religiously motivated acts were seen as less moral than the exact same acts performed for other reasons (Experiments 1–2 and 6). Religious motivations also reduced attributions of intention and responsibility (Experiments 3–6), an effect that fully mediated the effect of religious motivations on perceived morality (Experiment 6). The effects were not explained by different perceptions of motivation orientation (i.e., intrinsic vs. extrinsic) across conditions (Experiment 4) and also were evident when religious upbringing led to an intuitive moral response (Experiment 5). Effects generalized across religious and nonreligious participants. When viewing a religiously motivated good deed, people infer that actually helping others is, in part, a side effect of other motivations rather than an end in itself. Thus, religiously motivated actors are seen as less responsible than secular actors for their good deeds, and their helping behavior is viewed as less moral than identical good deeds performed for either unclear or secular motivations.

The research article is here, behind a paywall.

Sunday, June 15, 2014

Beware toxic fatalism, in its atheist and theist forms

By Jules
Philosophy for Life Blog
Originally published November 15, 2014

Here is an excerpt:

Nonetheless, his story does illustrate the power of culture – by which I mean the amniotic fluid of ideas that we find ourselves absorbing and feeding off. We may have some choice what we believe, but our range of choice is limited by the ideas we find in our culture at any one moment. And that is what worries me about the popularity of hardcore materialism in our culture – I think the theory that we have no free will is a toxic idea, which has serious real world implications for those unfortunate enough to swallow it, because it attacks and dissolves their sense of meaning, purpose and autonomy.

I don’t think the main battle line in our culture is between theists and atheists. The main dividing line, for me, is between those who believe in free will, and those who don’t. It’s between those who think we can use our conscious reason – however weak it is – to choose new beliefs and new directions in our life; and those who think we are entirely automatic machines, without the capacity to choose.

The entire blog post is here.

Saturday, June 14, 2014

Psychological Science's Replicability Crisis and What It Means for Science in the Courtroom

By Jason Michael Chin
Journal of Psychology, Public Policy, and Law (Forthcoming)

Abstract:  
 
In response to what has been termed the “replicability crisis,” great changes are currently under way in how science is conducted and disseminated. Indeed, major journals are changing the way in which they evaluate science. Therefore, a question arises over how such change impacts law’s treatment of scientific evidence. The present standard for the admissibility of scientific evidence in federal courts asks judges to play the role of gatekeeper, determining if the proffered evidence conforms with several indicia of scientific validity. The alternative legal framework, and one still used by several state courts, requires judges to simply evaluate whether a scientific finding or practice is generally accepted within science.

This Essay suggests that as much as the replicability crisis has highlighted serious issues in the scientific process, it has should have similar implications and actionable consequences for legal practitioners and academics. In particular, generally accepted scientific practices have frequently lagged behind prescriptions for best practices, which in turn affected the way science has been reported and performed. The consequence of this phenomenon is that judicial analysis of scientific evidence will still be impacted by deficient generally accepted practices. The Essay ends with some suggestions to help ensure that legal decisions are influenced by science’s best practices.

Download the essay here.

Friday, June 13, 2014

Teaching doctors when to stop treatment

By Diane E. Meier
The Washington Post
Originally published May 19, 2014

Here is an excerpt:

For years I had tried to understand why so many of my colleagues persisted in ordering tests, procedures and treatments that seemed to provide no benefit to patients and even risked harming them. I didn’t buy the popular and cynical explanation: Physicians do this for the money. It fails to acknowledge the care and commitment that these same physicians demonstrate toward their patients. Besides, my patient’s oncologist would make no money from the neurosurgery required for the intrathecal chemotherapy procedure.

It seemed that giving more treatment was the only way the oncologist knew to express his care and commitment. To him, stopping treatment was akin to abandoning his patient. And yet the only sense in which she felt abandoned was in her oncologist’s unwillingness to talk with her about what would happen when treatment stopped working.

The entire story is here.

Doctors Are Talking: EHRs Destroy the Patient Encounter

By Neil Chesanow
MedScape
Originally published May 22, 2014

There's no doubt that electronic health records (EHRs) spark strong emotions in doctors -- and many of those emotions are negative.

The gripes cover three main areas: One, EHRs have made the patient encounter far more annoying and complex than it ever was before.

Two, many physicians feel that EHRs take doctors who were trained to be independent thinkers and constrain their ability to make independent decisions, causing them to feel like data entry clerks, with a computer telling them how to practice medicine.

Last but not least, a large number of physicians feel that EHRs erode the doctor-patient relationship by creating a barrier between the two.

This article, and several others, about EHRS are here.

Thursday, June 12, 2014

The Self-Help Industry Helps Itself to Billions of Dollars

By Lindsay Myers
Brain Blogger
Originally published May 23, 2014

Self-improvement represents a $10 billion per year industry in the U.S. alone. In addition to high revenues, self-help also has a high recidivism rate, with the most likely purchaser of a self-help book being the same person who purchased one already in the last 18 months. This begs the question of how much good these self-help books and seminars are doing for consumers. If they are so effective at solving our problems, why do they usually result in a continuing stream of self-help purchases?

The entire story is here.

Does Morality Matter in Managing Businesses?

By Victor Want
Forbes
Originally published October 23, 2013

Here are two excerpts:

There is another way of looking at morality.  Instead of thinking of companies as entities, which is what the questions above do, let’s think of companies as collections of individuals.  When we do that, we see morality in a different way: because individuals are motivated by moral purpose.

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His central idea is that the primary responsibility of any executive is to define the organization’s purpose and instill loyalty, so that managers work for the organization’s good rather than for their own advancement. You can only achieve this kind of loyalty if you keep your employees satisfied, rather than viewing them simply as economic production inputs. In Barnard’s own words, “The morality that underlies enduring cooperation is multidimensional.”  He discusses how satisfying multiple moral codes, like responsibilities to customers and shareholders, is the key for employees to gain more senior roles. This often means reconciling competing obligations.

The entire article is here.

Wednesday, June 11, 2014

Moral enhancement, freedom, and what we (should) value in moral behaviour

By David DeGrazia
J Med Ethics 2014;40:361-368 doi:10.1136/medethics-2012-101157

Abstract

The enhancement of human traits has received academic attention for decades, but only recently has moral enhancement using biomedical means – moral bioenhancement (MB) – entered the discussion. After explaining why we ought to take the possibility of MB seriously, the paper considers the shape and content of moral improvement, addressing at some length a challenge presented by reasonable moral pluralism. The discussion then proceeds to this question: Assuming MB were safe, effective, and universally available, would it be morally desirable? In particular, would it pose an unacceptable threat to human freedom? After defending a negative answer to the latter question – which requires an investigation into the nature and value of human freedom – and arguing that there is nothing inherently wrong with MB, the paper closes with reflections on what we should value in moral behaviour.

The entire article is here.