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, January 5, 2015

Ethics is for human subjects too: Participant perspectives on responsibility in health research

By Susan Cox and Michael McDonald
Social Science & Medicine
Volume 98, December 2013, Pages 224–231

Abstract

Despite the significant literature as well as energy devoted to ethical review of research involving human subjects, little attention has been given to understanding the experiences of those who volunteer as human subjects. Why and how do they decide to participate in research? Is research participation viewed as a form of social responsibility or as a way of obtaining individual benefits? What if anything do research subjects feel they are owed for participation? And what do they feel that they owe the researcher? Drawing on in-depth individual interviews conducted in 2006 and 2007 with 41 subjects who participated in a variety of types of health research in Canada, this paper focuses on subject perspectives on responsibility in research. Highlighting the range of ways that subjects describe their involvement in research and commitments to being a ‘good’ subject, we present a typology of narratives that sheds new light on the diverse meanings of research participation. These narratives are not mutually exclusive or prescriptive but are presented as ideal types typifying a set of circumstances and values. As such, they collectively illuminate a range of motivations expressed by human subjects as well as potential sources of vulnerability. The typology adds a new dimension to the literature in this area and has significant implications for researchers seeking more human-subject centred approaches to research recruitment and retention, as well as research ethics boards trying to better anticipate the perspectives of prospective participants.

Highlights

• Participant responsibility is a neglected aspect of research ethics.
• Responsibility can be conceptualized according to degree of agency and altruism.
• Participants' narrative accounts yield four main orientations to responsibility.
• These reveal differing motivations and sources of vulnerability.

The entire article is here.

How do people change their minds about issues?

By Brian Turner
ethicalsystems.org
Originally published

Here is an excerpt:

2) Pay attention to social intuitionism and speak to the “elephant” first.  One of the three main points of moral psychology is that intuitions come first and strategic reasoning comes second.  Unless we have a system for doing otherwise, we pretty much just go with our gut feeling and then confabulate. This means we subconsciously come up with reasons to justify our position that our mind conveniently serves us as “reasoned” evidence rather than the knee-jerk response that it actually is.

In other words, the person has to like you, or at least not dislike you, before they’ll be open to your message.  If the person doesn’t like you and you try to present your idea, it doesn’t matter how persuasive, articulate or evidence-based your comments are, they’re not going to change their mind.

This is one of the reasons why you can defeat every counterpoint that someone makes about your argument and they still won’t listen to you – you can’t intellectually bludgeon someone into changing their mind.

The entire blog post is here.

Editor's note: This blog post relates psychotherapy as well as other forms of persuasive communication.

Sunday, January 4, 2015

The Ethics of Nudging

By Cass Sunstein
Harvard Law School

Abstract:
 
This essay defends the following propositions. (1) It is pointless to object to choice architecture or nudging as such. Choice architecture cannot be avoided. Nature itself nudges; so does the weather; so do spontaneous orders and invisible hands. The private sector inevitably nudges, as does the government. It is reasonable to object to particular nudges, but not to nudging in general. (2) In this context, ethical abstractions (for example, about autonomy, dignity, and manipulation) can create serious confusion. To make progress, those abstractions must be brought into contact with concrete practices. Nudging and choice architecture take diverse forms, and the force of an ethical objection depends on the specific form. (3) If welfare is our guide, much nudging is actually required on ethical grounds. (4) If autonomy is our guide, much nudging is also required on ethical grounds. (5) Choice architecture should not, and need not, compromise either dignity or self-government, though imaginable forms could do both. (6) Some nudges are objectionable because the choice architect has illicit ends. When the ends are legitimate, and when nudges are fully transparent and subject to public scrutiny, a convincing ethical objection is less likely to be available. (7) There is, however, room for ethical objections in the case of well-motivated but manipulative interventions, certainly if people have not consented to them; such nudges can undermine autonomy and dignity. It follows that both the concept and the practice of manipulation deserve careful attention. The concept of manipulation has a core and a periphery; some interventions fit within the core, others within the periphery, and others outside of both.

The entire article is here.

Saturday, January 3, 2015

Is the Justice System Overly Punitive?

By Oriel Feldman Hall and Peter Sokol-Hessner
Scientific American
Originally posted December 9, 2014

Here is an excerpt:

This finding sheds a new light on how people choose to rebalance the scales of justice. When we ourselves have been slighted, we appear to tend to our own needs rather than pursue punishment, but this changes when we make decisions on behalf of someone else: for bystanders or jurors, an eye-for-an-eye may be preferable. Our notion of justice seems to depend on where we stand. This leaves us with a challenge: there may be a gap between what we as victims want, and what third parties decide for us, calling into question our blind reliance on the putative impartiality of juries and judges.

The entire article is here.

Editorial note: When I read this part of the article, my thoughts went to the difference between the patient experiencing an injustice versus the therapist hearing about an injustice.  The "gap" between what the patient wants and what the psychologist believes is correct may be a bias that leads to problematic behaviors, such as intrusive advocacy.

Friday, January 2, 2015

Women in Academic Science: A Changing Landscape

By Stephen J. Ceci, Donna K. Ginther, Shulamit Kahn, and Wendy M. Williams
Psychological Science in the Public Interest, 2014, Vol. 15(3) 75–141

Summary

Much has been written in the past two decades about women in academic science careers, but this literature is contradictory. Many analyses have revealed a level playing field, with men and women faring equally, whereas other analyses have suggested numerous areas in which the playing field is not level. The only widely-agreed-upon conclusion is that women are underrepresented in college majors, graduate school programs, and the professoriate in those fields that are the most mathematically intensive, such as geoscience, engineering, economics, mathematics/computer science, and the physical sciences. In other scientific fields (psychology, life science, social science), women are found in much higher percentages.

In this monograph, we undertake extensive life-course analyses comparing the trajectories of women and men in math-intensive fields with those of their counterparts in non-math-intensive fields in which women are close to parity with or even exceed the number of men. We begin by examining early-childhood differences in spatial processing and follow this through quantitative performance in middle childhood and adolescence, including high school coursework.  We then focus on the transition of the sexes from high school to college major, then to graduate school, and, finally,
to careers in academic science.

The entire article is here.

Thursday, January 1, 2015

10 Ways That Brain Myths Are Harming Us

By Christian Jarrett
Wired
Originally posted December 12, 2014

Here are two excerpts:

1). Many school teachers around the world believe neuromyths, such as the idea that children are left-brained or right-brained, or that we use just 10 per cent of our brains. This is worrying. For example, if a teacher decides a child is “left-brained” and therefore not inclined to creativity, they will likely divert that child away from beneficial creative activities.

(cut)

6). Brain training companies frequently make unfounded claims about the benefits of their products. One myth here is that playing their games can revolutionize your brain health, more than say socializing or reading. In October, dozens of neuroscientists wrote an open letter warning that the “exaggerated and misleading claims [of the brain training industry] exploit the anxiety of older adults about impending cognitive decline.”

The entire article is here.

Who Should Decide What's in a Child's Best Interest?

By Robert MacDougall
Impact Ethics
Originally posted December 8, 2014

Here is an excerpt:

One might argue that state intervention would not constitute an imposition of Western values on First Nations families and children. Instead, one might claim that state intervention merely prevents First Nations Canadians from imposing their values on their children, who are not yet old enough to decide for themselves whether to follow the Western medical paradigm or the traditional aboriginal one. But this assumes that the default position of the state should be to treat children in accordance with the Western paradigm until the child is old enough to decide for him or herself. Rather than assume the Western paradigm when making treatment decisions for First Nations children, it makes more sense to treat them according to the values of their own parents.

The entire article is here.

Wednesday, December 31, 2014

The Tarasoff Rule: The Implications of Interstate Variation and Gaps in Professional Training

By Rebecca Johnson, Govind Persad, and Dominic Sisti
J Am Acad Psychiatry Law 42:4:469-477 (December 2014)

Abstract

Recent events have revived questions about the circumstances that ought to trigger therapists' duty to warn or protect. There is extensive interstate variation in duty to warn or protect statutes enacted and rulings made in the wake of the California Tarasoff ruling. These duties may be codified in legislative statutes, established in common law through court rulings, or remain unspecified. Furthermore, the duty to warn or protect is not only variable between states but also has been dynamic across time. In this article, we review the implications of this variability and dynamism, focusing on three sets of questions: first, what legal and ethics-related challenges do therapists in each of the three broad categories of states (states that mandate therapists to warn or protect, states that permit therapists to breach confidentiality for warnings but have no mandate, and states that give no guidance) face in handling threats of violence? Second, what training do therapists and other professionals involved in handling violent threats receive, and is this training adequate for the task that these professionals are charged with? Third, how have recent court cases changed the scope of the duty? We conclude by pointing to gaps in the empirical and conceptual scholarship surrounding the duty to warn or protect.

The entire article can be found here.

Making sense of a court's two cents

By David DeMatteo, JD, PhD, Jaymes Fairfax-Columbo, BA, and Daniel A. Krauss, JD, PhD
The Monitor on Psychology
December 2014, Vol 45, No. 11
Print version: page 24

The Pennsylvania Supreme Court recently decided two cases that address whether parties can use expert witnesses to help juries assess lay witness testimony. In one case, Commonwealth v. Walker (2014), the court lifted a ban on the admissibility of expert testimony regarding eyewitness identification. In the other case, Commonwealth v. Alicia (2014), the court held that expert testimony regarding false confessions was inadmissible.

Although the two outcomes diverged, robust research suggests that eyewitness identification and false confessions pose significant problems for the legal system (Wells et al., 1998; Kassin et al., 2010). So, how did the court justify its differing opinions? And what lessons can be learned from these discrepant decisions concerning how social science can influence legal decisions?

The entire article is here.