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

Thursday, October 9, 2014

Panel Urges Overhauling Health Care at End of Life

By Pam Belluck
The New York Times
Originally posted on September 17, 2014

The country’s system for handling end-of-life care is largely broken and should be overhauled at almost every level, a national panel concluded in a report released on Wednesday.

The 21-member nonpartisan committee, appointed by the Institute of Medicine, the independent research arm of the National Academy of Sciences, called for sweeping change.

“The bottom line is the health care system is poorly designed to meet the needs of patients near the end of life,” said David M. Walker, a Republican and a former United States comptroller general, who was a chairman of the panel. “The current system is geared towards doing more, more, more, and that system by definition is not necessarily consistent with what patients want, and is also more costly.”

The entire article is here.

Wednesday, October 8, 2014

Could Deep-Brain Stimulation Fortify Soldiers’ Minds?

By S. Matthew Liao
Scientific American Blog
Originally posted September 4, 2014

Here is an excerpt:

Brain implants that reduce or eliminate our sense of morality are morally undesirable and are not really enhancements as such. Efforts should therefore be made to ensure that the kind of brain implants we develop do not have these unwanted side effects. In the short term, the brain implants we develop may well be imperfect in just such a way. If so, this would be a good reason to ban such devices in the short term. The interesting theoretical issue is what happens when we have perfected the technology and have brain implants that would enable a soldier to kill at the right time, for the right reasons, and in a proportionate manner? Would we still have ethical problems with soldiers using such a technology

The entire blog post is here.

The ‘perfect family’ has created an ethical and moral vacuum

By Zoe Krupka
The Conversation
Originally published September 11, 2014

Here is an excerpt:

Arndt and Hymowitz, like many psychologists, opinionators and policy-makers, have distilled complex family studies research into a series of simplistic, unscientific and punitive ethical shortcuts to the question of how to live well in a family. It’s both a gross misuse of the evidence base and a stunted template for ethical decision-making. Squeezed into a tabloid headline, the message reads: Face Facts: If you’re a parent and you’re not married, your family is dysfunctional and your kids are suffering.

The ideal of the perfect family lurks not so quietly underneath these simple summaries of complex interpersonal and social life. It creates a kind of ethical vacuum where the question of competing factors and conflicting interests becomes invisible. In order to maintain an ideal of perfection, family studies research can be used as a kind of blunt instrument, forcing individuals to bear the brunt of more complex social forces alone.

The entire article is here.

Tuesday, October 7, 2014

Ethical trap: robot paralysed by choice of who to save

By Aviva Rutkin
The New Scientist
Originally published September 14, 2014

Here is an excerpt:

In an experiment, Winfield and his colleagues programmed a robot to prevent other automatons – acting as proxies for humans – from falling into a hole. This is a simplified version of Isaac Asimov's fictional First Law of Robotics – a robot must not allow a human being to come to harm.

At first, the robot was successful in its task. As a human proxy moved towards the hole, the robot rushed in to push it out of the path of danger. But when the team added a second human proxy rolling toward the hole at the same time, the robot was forced to choose. Sometimes, it managed to save one human while letting the other perish; a few times it even managed to save both. But in 14 out of 33 trials, the robot wasted so much time fretting over its decision that both humans fell into the hole. The work was presented on 2 September at the Towards Autonomous Robotic Systems meeting in Birmingham, UK.

The entire article, with video, is here.

Morality in everyday life

By Wilhelm Hofmann, Daniel C. Wisneski, Mark J. Brandt,  and Linda J. Skitka
Science 12 September 2014: Vol. 345 no. 6202 pp. 1340-1343
DOI: 10.1126/science.1251560

Abstract

The science of morality has drawn heavily on well-controlled but artificial laboratory settings. To study everyday morality, we repeatedly assessed moral or immoral acts and experiences in a large (N = 1252) sample using ecological momentary assessment. Moral experiences were surprisingly frequent and manifold. Liberals and conservatives emphasized somewhat different moral dimensions. Religious and nonreligious participants did not differ in the likelihood or quality of committed moral and immoral acts. Being the target of moral or immoral deeds had the strongest impact on happiness, whereas committing moral or immoral deeds had the strongest impact on sense of purpose. Analyses of daily dynamics revealed evidence for both moral contagion and moral licensing. In sum, morality science may benefit from a closer look at the antecedents, dynamics, and consequences of everyday moral experience.

Editor's Summary

Moral homeostasis in real life vs. the lab

Individuals who witnessed a moral deed are more likely than nonwitnesses to perform a moral deed themselves and are also more likely to allow themselves to act immorally. Hofmann et al. asked smartphone users to report their encounters with morality (see the Perspective by Graham). Most moral judgment experiments are lab-based and don't allow for conclusions based on what people experience in their daily lives. This field experiment revealed that people experience moral events frequently in daily life. A respondent's ideology influenced the kind of event reported and the frequency, which is consistent with moral foundations theory.

The author's email is here to obtain a copy of the article.

Monday, October 6, 2014

On Aiming for Moral Mediocrity

By Eric Schwitzgebel
The Splintered Mind Blog
Originally published October 2, 2014

People seem to calibrate toward moral mediocrity. If we see, or are told, that many people violate a norm, that seems to increase the rate at which we ourselves violate the norm (e.g., Cialdini et al 2006; Keizer et al. 2011 [though see here]). Commit a good deed or think of yourself in a good light, and shortly thereafter you might be more likely to commit a bad deed, or less likely to commit another good deed, than you otherwise would have been ("moral self-licensing"; though see here). Susan Wolf tells us that people do not, and should not, aim to be moral saints. But maybe she understates the case: Not only do people not want to be saints, they don't even want to be particularly good.

The entire blog post is here.

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.