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, October 6, 2014

How neuroscience is being used to spread quackery in business and education

By Matt Wall
The Conversation
Originally published August 26, 2014

Here is an excerpt:

Recent years have seen a huge growth in the public awareness of neuroscience. People have become more interested in new findings about the brain, and also find brain-based explanations quite compelling. This public interest has led enterprising individuals to try to apply neuroscientific ideas to more everyday situations.

This trend first began back in the late 1990s with “neuromarketing”. More recent developments involve the use neuroscience in the business world and in education. But, like homeopathy and phrenology many of these applications can be regarded as “cargo-cult neuroscience”.

The entire article is here.

Sunday, October 5, 2014

Whistleblowing and the Bioethicist’s Public Obligations

By D. Robert MacDougall
Cambridge Quarterly of Healthcare Ethics / Volume 23 / Issue 04 / October 2014, pp 431-442

Abstract:

Bioethicists are sometimes thought to have heightened obligations by virtue of the fact that their professional role addresses ethics or morals. For this reason it has been argued that bioethicists ought to “whistleblow”—that is, publicly expose the wrongful or potentially harmful activities of their employer—more often than do other kinds of employees. This article argues that bioethicists do indeed have a heightened obligation to whistleblow, but not because bioethicists have heightened moral obligations in general. Rather, the special duties of bioethicists to act as whistleblowers are best understood by examining the nature of the ethical dilemma typically encountered by private employees and showing why bioethicists do not encounter this dilemma in the same way. Whistleblowing is usually understood as a moral dilemma involving conflicting duties to two parties: the public and a private employer. However, this article argues that this way of understanding whistleblowing has the implication that professions whose members identify their employer as the public—such as government employees or public servants—cannot consider whistleblowing a moral dilemma, because obligations are ultimately owed to only one party: the public. The article contends that bioethicists—even when privately employed—are similar to government employees in the sense that they do not have obligations to defer to the judgments of those with private interests. Consequently, bioethicists may be considered to have a special duty to whistleblow, although for different reasons than those usually cited.

The entire article is here, behind a paywall.

Saturday, October 4, 2014

A Simplified Account of Kant's Ethics

By Onora O'Neill

From Matters of Life and Death, ed. Tom Regan
Copyright 1986, McGraw-Hill Publishing Company.
Excerpted in Contemporary Moral Problems, ed. James E. White
Copyright 1994, West Publishing Company

Kant's moral theory has acquired the reputation of being forbiddingly difficult to understand and, once understood, excessively demanding in its requirements. I don't believe that this reputation has been wholly earned, and I am going to try to undermine it.... I shall try to reduce some of the difficulties.... Finally, I shall compare Kantian and utilitarian approaches and assess their strengths and weaknesses.

The main method by which I propose to avoid some of the difficulties of Kant's moral theory is by explaining only one part of the theory. This does not seem to me to be an irresponsible approach in this case. One of the things that makes Kant's moral theory hard to understand is that he gives a number of different versions of the principle that he calls the Supreme Principle of Morality, and these different versions don't look at all like one another. They also don't look at all like the utilitarians' Greatest Happiness Principle. But the Kantian principle is supposed to play a similar role in arguments about what to do.

To learn the short version of Kant, read on here.

Friday, October 3, 2014

Nana Cams: Personal Surveillance Video and Privacy in the Age of Self Embellishment

by Craig Klugman, Ph.D.
Bioethics.net
Originally posted September 10, 2014

In David Eggers’ novel, The Circle, a fictional internet company creates and encourages users to video stream their lives. Wearing a small camera, people can share every experience of every day with whomever wants to follow them…except to the bathroom. The first streamers become instant celebrities and instant villains. The result is the end of privacy as anyone has known it. The upshot, according to the fictional company, is that if people know they are being watched (or might be being watched), people will behave more civilly. The echoes of Jeremy Bentham’s panopticon notwithstanding, at the end of the book the protagonist suddenly wonders if the recording of all lives comes at too high a cost.

The entire blog post is here.

Authenticity

By Charles Guigon and Somogy Varga
The Stanford Encyclopedia of Philosophy
Originally posted on September 11, 2014

The term ‘authentic’ is used either in the strong sense of being “of undisputed origin or authorship”, or in a weaker sense of being “faithful to an original” or a “reliable, accurate representation”. To say that something is authentic is to say that it is what it professes to be, or what it is reputed to be, in origin or authorship. But the distinction between authentic and derivative is more complicated when discussing authenticity as a characteristic attributed to human beings. For in this case, the question arises: What is it to be oneself, at one with oneself, or truly representing one's self? The multiplicity of puzzles that arise in conjunction with the conception of authenticity connects with metaphysical, epistemological, and moral issues. On the one hand, being oneself is inescapable, since whenever one makes a choice or acts, it is oneself who is doing these things. But on the other hand, we are sometimes inclined to say that some of the thoughts, decisions and actions that we undertake are not really one's own and are therefore not genuinely expressive of who one is. Here, the issue is no longer of metaphysical nature, but rather about moral-psychology, identity and responsibility.

When used in this latter sense, the characterization describes a person who acts in accordance with desires, motives, ideals or beliefs that are not only hers (as opposed to someone else's), but that also express who she really is. Bernard Williams captures this when he specifies authenticity as “the idea that some things are in some sense really you, or express what you are, and others aren't” (quoted in Guignon 2004: viii).

Besides being a topic in philosophical debates, authenticity is also a pervasive ideal that impacts social and political thinking. In fact, one distinctive feature of recent Western intellectual developments has been a shift to what is called the “age of authenticity” (Taylor 2007; Ferrarra 1998). Therefore, understanding the concept also involves investigating its historical and philosophical sources and on the way it impacts the socio-political outlook of contemporary societies.

The entire entry is here.

Thursday, October 2, 2014

In a Study, Text Messages Add Up to a Balance Sheet of Everyday Morality

By Benedict Carey
The New York Times
Originally posted September 11, 2014

Committing a small act of kindness, like holding the door for a harried stranger, often prompts the recipient to extend a hand to others, but it comes at a cost, psychologists have long argued. People who have done the good deed are primed to commit a rude one later on, as if drawing on moral credit from their previous act.

Now, in a novel survey of everyday moral behavior, researchers have tested whether that theory holds up in real life. It does, though the effects appear small.

The findings come from a survey of everyday morality in which researchers tracked people’s moral judgments and attitudes at regular intervals throughout a typical day, using text messages.

The entire article is here.

Kaiser to pay $4 million fine over access to mental health services

By Cynthia H. Craft
Sacramento Bee
Originally posted September 10, 2014

Health care giant Kaiser Permanente has agreed to pay a $4 million fine to California’s overseer of managed health care following an 18-month battle with state officials over whether Kaiser blocked patients from timely access to mental health services.

(cut)

Moreover, the department found that Kaiser was likely violating state and federal mental health parity laws. The California Mental Health Parity Act requires managed care providers to provide psychiatric services that are equal in quality and access to their primary care services.

The entire article is here.

Wednesday, October 1, 2014

Ethical Principles and the Communication of Forensic Mental Health Assessments

Alfred Allan, Thomas Grisso
Ethics & Behavior 
Vol. 24, Iss. 6, 2014

Abstract
Our premise is that ethics is the essence of good forensic practice and that mental health professionals must adhere to the ethical principles, standards, and guidelines of their professional bodies when they communicate their findings and opinions. We demonstrate that adhering to ethical principles can improve the quality of forensic reports and communications. We demonstrate this by focusing on the most basic principles that underlie professional ethical standards and guidelines, namely, Fidelity and Responsibility, Integrity, Respecting Rights and Dignity of Persons, and Justice and Fairness. For each principle we offer a brief definition and explain its demands. Then we identify ways in which the principle can guide the organization, content, or style of forensic mental health report writing, offering illustrative examples that demonstrate or abuse the principle.

(cut)

Unless they are confronted with a specific ethical problem, many professionals consider the writing of reports an archetypical practical task and might not consider how it is related to the ethical principles of their profession. Yet ethics is the very essence of professional practice. As we seek to demonstrate, almost every facet of report writing is related to an ethical principle. We do not assert that one is practicing unethically if one makes the types of errors in report writing that we have described. Our primary purpose in this article is to demonstrate how forensic report writing can be improved by using professional ethics principles as a guide for report-writing practice.

The entire article is here, behind a paywall.

Possible neurobiological basis for tradeoff between honesty, self-interest

By Ashley Wenners Herron
ScienceDirect
Originally published September 4, 2014

Summary:

What's the price on your integrity? Tell the truth; everyone has a tipping point. We all want to be honest, but at some point, we'll lie if the benefit is great enough. Now, scientists have confirmed the area of the brain in which we make that decision, using advanced imaging techniques to study how the brain makes choices about honesty.

(cut)

The study sheds light on the neuroscientific basis and broader nature of honesty. Moral philosophers and cognitive psychologists have had longstanding, contrasting hypotheses about the mechanisms governing the tradeoff between honesty and self-interest.

The "Grace" hypothesis, suggests that people are innately honest and have to control honest impulses if they want to profit. The "Will" hypothesis holds that self-interest is our automatic response.

The entire article is here.