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

Friday, November 7, 2014

‘Science is our best answer, but it takes a philosophical argument to prove that’

By Andrew Anthony
The Guardian
Originally published October 18, 2014

For some time now the discipline of philosophy has been under something of an assault from the world of science. Four years ago Stephen Hawking announced that philosophy was “dead”. He was referring specifically to the philosophy of science, which he said was still bogged down in epistemological questions from which science had moved on.

But philosophy in general has increasingly been viewed as irrelevant by many scientists. It’s a perspective that may be best summed up by the cosmologist Lawrence M Krauss, who has said: “science progresses and philosophy doesn’t”.

What’s more, science has begun to progress into areas previously occupied by philosophy and the humanities at large. These incursions have not gone unchallenged.

The entire article is here.

Why isn't everyone an evolutionary psychologist?

By Darren Burke
Front. Psychol., 27 August 2014
doi: 10.3389/fpsyg.2014.00910

Despite a widespread acceptance that the brain that underpins human psychology is the result of biological evolution, very few psychologists in any way incorporate an evolutionary perspective in their research or practice. There have been many attempts to convince mainstream psychology of the importance of such a perspective, mostly from those who identify with “Evolutionary Psychology,” and there has certainly been progress in that direction, but the core of psychology remains essentially unevolutionary. Here I explore a number of potential reasons for mainstream psychology continuing to ignore or resist an evolutionary approach, and suggest some ways in which those of us interested in seeing an increase in the proportion of psychologists adopting an evolutionary perspective might need to modify our tactics to increase our chances of success.

If we assume that very few highly educated people don't believe in biological evolution (which is a fairly safe assumption), then it follows that the vast majority of scientifically oriented psychologists, and psychology researchers believe that the neural mechanisms that underpin our psychological abilities and propensities are the product of evolution—of natural, kin, and sexual selection. It is puzzling, therefore, that there is not a more widespread acceptance of the importance of an evolutionarily informed approach in our science.

The entire article is here.

Thursday, November 6, 2014

Does Everything Happen for a Reason?

By Konika Banerjee and Paul Bloom
The New York Times Sunday Review
Originally posted on October 17, 2014

Here is an excerpt:

This tendency to see meaning in life events seems to reflect a more general aspect of human nature: our powerful drive to reason in psychological terms, to make sense of events and situations by appealing to goals, desires and intentions. This drive serves us well when we think about the actions of other people, who actually possess these psychological states, because it helps us figure out why people behave as they do and to respond appropriately. But it can lead us into error when we overextend it, causing us to infer psychological states even when none exist. This fosters the illusion that the world itself is full of purpose and design.

The entire article is here.

Impressions of Misconduct: Graduate Students’ Perception of Faculty Ethical Violations in Scientist-Practitioner Clinical Psychology Programs.

January, Alicia M.; Meyerson, David A.; Reddy, L. Felice; Docherty, Anna R.; Klonoff, Elizabeth A.
Training and Education in Professional Psychology, Aug 25 , 2014

Abstract

Ethical conduct is a foundational element of professional competence, yet very little is known about how graduate student trainees perceive ethical violations committed by clinical faculty. Thus, the current study attempted to explore how perceived faculty ethical violations might affect graduate students and the training environment. Of the 374 graduate students in scientist-practitioner clinical psychology programs surveyed, nearly a third (n = 121, 32.4%) reported knowledge of unethical faculty behavior. Students perceived a wide range of faculty behaviors as unethical. Perception of unethical faculty behavior was associated with decreased confidence in department faculty and lower perceived program climate. Implications of these findings are discussed and recommendations offered.

The entire article is here, behind a paywall.

Wednesday, November 5, 2014

Podcast Episode 17: Existential Angst, Ethics and Your Professional Will

Are you a psychologist working independently?  If so, do you have a professional will?  If not, you need to listen to this podcast.  John welcomes Drs. Mary O’Leary Wiley and Cathy Spayd to outline the important points in constructing a professional will.  A professional will is part of your ethical obligation to your patients should you die suddenly or become incapacitated.  The podcast will address the pragmatics of constructing a professional will and why it is important for all psychologists to have a professional will.

At the end of the workshop the participants will be able to:

1. Explain the importance of a professional will.
2. Locate documents on the Internet to help create a professional will.
3. Create your professional will.

Click here to earn one APA-approved CE credit

Find this podcast on iTunes

Or listen directly below




**Some Corrective Feeback

- Some states require a public notification for practice closure, whatever the reason.
- Some psychologist's estates have been sued for failing to manage records properly after the death of a psychologist.

Resources

Mary O'Leary Wiley, PhD ABPP web site

Catherine Spayd, PhD

Closing a Professional Practice: Clinical, Ethical and Practical Considerations for Psychologists Throughout the Lifespan PowerPoint presentation by Drs. Wiley and Spayd

APA Sample of a Professional Will

Ragusea, S. (2002). A professional living will for psychologists and other mental health professionals.  In L. VandeCreek & T. Jackson (Eds.), Innovations in clinical practice:  A source book (Vol. 20, pp. 301 – 305). Sarasota, FL: Professional Resource Press.

Spayd, C.S. and Wiley, M.O. (2009). Closing a Professional Practice:  Clinical and Practical Considerations.  Pennsylvania Psychologist, 69 (11), 15-17.

Dashlane.com - A secure site to store passwords

Tuesday, November 4, 2014

Doctors Tell All—and It’s Bad

By Meghan O'Rourke
The Atlantic
Originally published October 14, 2014

Here is an excerpt:

But this essay isn’t about how I was right and my doctors were wrong. It’s about why it has become so difficult for so many doctors and patients to communicate with each other. Ours is a technologically proficient but emotionally deficient and inconsistent medical system that is best at treating acute, not chronic, problems: for every instance of expert treatment, skilled surgery, or innovative problem-solving, there are countless cases of substandard care, overlooked diagnoses, bureaucratic bungling, and even outright antagonism between doctor and patient. For a system that invokes “patient-centered care” as a mantra, modern medicine is startlingly inattentive—at times actively indifferent—to patients’ needs.

To my surprise, I’ve now learned that patients aren’t alone in feeling that doctors are failing them. Behind the scenes, many doctors feel the same way. And now some of them are telling their side of the story. A recent crop of books offers a fascinating and disturbing ethnography of the opaque land of medicine, told by participant-observers wearing lab coats. What’s going on is more dysfunctional than I imagined in my worst moments. Although we’re all aware of pervasive health-care problems and the coming shortage of general practitioners, few of us have a clear idea of how truly disillusioned many doctors are with a system that has shifted profoundly over the past four decades. These inside accounts should be compulsory reading for doctors, patients, and legislators alike. They reveal a crisis rooted not just in rising costs but in the very meaning and structure of care. Even the most frustrated patient will come away with respect for how difficult doctors’ work is. She may also emerge, as I did, pledging (in vain) that she will never again go to a doctor or a hospital.

The entire article is here.

The Last Right: Why America Is Moving Slowly on Assisted Suicide

By Ross Douthat
The New York Times Sunday Review
Originally posted on October 11, 2014

Here is an excerpt:

The tragedy here is almost deep enough to drown the political debate. But that debate’s continued existence is still a striking fact. Why, in a society where individualism seems to be carrying the day, is the right that Maynard intends to exercise still confined to just a handful of states? Why has assisted suicide’s advance been slow, when on other social issues the landscape has shifted dramatically in a libertarian direction?

Twenty years ago, a much more rapid advance seemed likely. Some sort of right to suicide seemed like a potential extension of “the right to define one’s own concept of existence” that the Supreme Court had invoked while upholding a woman’s constitutional right to abortion. Polls in the 1990s consistently showed more support — majority support, depending on the framing — for physician-assisted suicide than for what then seemed like the eccentric cause of same-sex marriage.

The entire article is here.

Monday, November 3, 2014

The Liar's 'Tell': Is Paul Ekman stretching the truth?

By Christopher Shea
The Chronicle
Originally published October 10, 2014

Here is an excerpt:

But Ekman’s lie-detection work has recently taken some hard blows. He has long had academic critics (unmentioned in Blink) who say he has not proved that his behavior-based lie-detection techniques actually work. In November 2013, the Government Accountability Office took things up a notch by recommending that Congress cut the funding of the TSA program. The watchdog agency argued that neither scholarship in general nor specific analyses of SPOT offered any proof that malign intent could be divined by looking at body language or facial cues.

Plenty of academics share this negative view of SPOT. "I really don’t think the current program at TSA is doing anything to protect us," says Charles R. Honts, a professor of psychology at Boise State University, who has consulted with the Department of Defense on behavioral observation.

The entire article is here.

The Value of Vengeance and the Demand for Deterrence.

Molly J. Crockett, Yagiz Özdemir, and Ernst Fehr
Journal of Experimental Psychology: General, Online First Publication, October 6, 2014

Abstract

Humans will incur costs to punish others who violate social norms. Theories of justice highlight 2 motives for punishment: a forward-looking deterrence of future norm violations and a backward-looking retributive desire to harm. Previous studies of costly punishment have not isolated how much people are willing to pay for retribution alone, because typically punishment both inflicts damage (satisfying the retributive motive) and communicates a norm violation (satisfying the deterrence motive). Here, we isolated retributive motives by examining how much people will invest in punishment when the punished individual will never learn about the punishment. Such “hidden” punishment cannot deter future norm violations but was nevertheless frequently used by both 2nd-party victims and 3rd-party observers of norm violations, indicating that retributive motives drive punishment decisions independently from deterrence goals. While self-reports of deterrence motives correlated with deterrence-related punishment behavior, self-reports of retributive motives did not correlate with retributive punishment behavior. Our findings reveal a preference for pure retribution that can lead to punishment without any social benefits.

The entire article is here, behind a paywall.