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, January 16, 2015

My brain made me do it, but does that matter?

By Walter Sinnott-Armstrong
The Conversation
Originally published December 12, 2014

Here is an excerpt:

Despite some rhetoric, almost nobody really believes that the fact that your brain made you do it is by itself enough to excuse you from moral responsibility. On the other side, almost everybody agrees that some brain states, such as seizures, do remove moral responsibility. The real issues lie in the middle.

What about mental illnesses? Addictions? Compulsions? Brainwashing? Hypnosis? Tumors? Coercion? Alien hand syndrome? Multiple personality disorder? These cases are all tricky, so philosophers disagree about which people in these conditions are responsible — and why. Nonetheless, these difficult cases do not show that there is no difference between seizures and normal desires, just as twilight does not show that there is no difference between night and day. It is hard to draw a line, but that does not mean that there is no line.

The entire article is here.

Thursday, January 15, 2015

Decarceration of u.s. Jails and prisons: where will persons with serious mental illness go?

By H.R. Lamb and L.E. Weinberger
J Am Acad Psychiatry Law. 2014;42(4):489-94.

Abstract

Decarceration (decreasing the number of persons incarcerated in U.S. jails and prisons) has begun. It is estimated that more than 350,000 persons with serious mental illness (SMI) are among those incarcerated in the United States and that many thousands of them will probably be among those released. Currently, the prison population in general is being reduced as a consequence of concerns about overcrowding and of policies and programs such as reclassification of drug possession, which would affect many persons with mental illness. Court-ordered diversion and changes in sentencing guidelines are also serving to reduce prison populations. In recent years, the mental health system did not have to manage as large a number of persons with SMI, especially those who were among the most difficult and expensive to treat, because many of them were incarcerated in jails and prisons. Now, with decarceration and the release of many such persons, the mental health system may be expected to assume more responsibility for them and should be prepared and funded to meet their needs. This population of persons with SMI needs structure and treatment that, depending upon their individual needs, may include 24-hour supportive housing, ACT and FACT teams, assisted outpatient treatment, psychiatric medication, and psychiatric hospitalization.

The article is here.

Making capitalism more ethical: Dynamism with decency

By Jonathan Haidt
Ethicalsystems.org
Originally published January 1, l2015

When I tell people I teach business ethics, they often ask: “isn’t that an oxymoron?” Their response is not unwarranted. Much of my course is about the clever ways businesses have found to exploit their workers, sidestep regulations, and foist external costs onto others. Businesspeople are brilliant at finding opportunities and some of those opportunities are exploitative.

Yet the great majority of businesses (in developed nations with low corruption) run quite ethically and survive only because they provide a good or service that makes other people’s lives better. When you take the big picture and see those hockey-stick graphs of rising prosperity in the West since 1800, and in Asia since 1980, I think you’ve got to start with the proposition that business is fundamentally good. Creating value for other people (and keeping some for yourself) is virtuous. When people are free to create value, it unleashes the tidal wave of human dynamism. Poverty plummets. When people are not free, you get torpor, North Korea, and Cuba.

The entire blog post is here.

Wednesday, January 14, 2015

Are we living in the age of the brain?

Understanding the brain won’t be done simply by mapping it down to the last synapse

By Philip Ball
Prospect Magazine
Originally published December 22 2014

Here is an excerpt:

Resolution of conflicting mental signals is certainly not ignored by cognitive scientists or psychologists, but there seems often to be a disjuncture between the neuroscientific model of the brain as a problem-solving network and the actual experience of the brain as a medley, even a bedlam, of imperatives and impulses. Sigmund Freud may have been wrong in seeking to present his psychoanalytic theory as a kind of science, but he was surely right to present the mind in terms of conflict rather than unity. One thing we do know about the brain is that it is not just a very large network of neurons, but is both very diverse (there are many different types of neuron, as well as non-neuronal cells called glia) and highly modular (different parts perform different, specialized roles). Mapping this architecture is an important goal, and there are some deeply impressive techniques for doing that. But the risk is that this is like trying to understand human culture using Google Earth—or rather, cultures, for there is just a single geography but plenty of conflicts, compromises and confusion going on within it.

None of this would be disputed by neuroscientists. But it perhaps highlights the distinctions between an understanding of the brain and an understanding of the mind. The implication seems to be that it is hard to develop one while you’re working on the other.

The entire article is here.

“Me & My Brain”: Exposing Neuroscience's Closet Dualism

By Liad Mudrik and Uri Maoz
Journal of Cognitive Neuroscience
February 2015, Vol. 27, No. 2, Pages 211-221
Posted Online September 22, 2014.

Abstract

Our intuitive concept of the relations between brain and mind is increasingly challenged by the scientific world view. Yet, although few neuroscientists openly endorse Cartesian dualism, careful reading reveals dualistic intuitions in prominent neuroscientific texts. Here, we present the “double-subject fallacy”: treating the brain and the entire person as two independent subjects who can simultaneously occupy divergent psychological states and even have complex interactions with each other—as in “my brain knew before I did.” Although at first, such writing may appear like harmless, or even cute, shorthand, a closer look suggests that it can be seriously misleading. Surprisingly, this confused writing appears in various cognitive-neuroscience texts, from prominent peer-reviewed articles to books intended for lay audience. Far from being merely metaphorical or figurative, this type of writing demonstrates that dualistic intuitions are still deeply rooted in contemporary thought, affecting even the most rigorous practitioners of the neuroscientific method. We discuss the origins of such writing and its effects on the scientific arena as well as demonstrate its relevance to the debate on legal and moral responsibility.

The article is here.

Tuesday, January 13, 2015

Is Applied Ethics Applicable Enough? Acting and Hedging under Moral Uncertainty

By Grace Boey
3 Quarks Daily
Originally published December 16, 2014

Here are two excerpts:

Lots has been written about moral decision-making under factual uncertainty. Michael Zimmerman, for example, has written an excellent book on how such ignorance impacts morality. The point of most ethical thought experiments, though, is to eliminate precisely this sort of uncertainty. Ethicists are interested in finding out things like whether, once we know all the facts of the situation, and all other things being equal, it's okay to engage in certain actions. If we're still not sure of the rightness or wrongness of such actions, or of underlying moral theories themselves, then we experience moral uncertainty.

(cut)

So, what's the best thing to do when we're faced with moral uncertainty? Unless one thinks that anything goes once uncertainty enters the picture, then doing nothing by default is not a good strategy. As the trolley case demonstrates, inaction often has major consequences. Failure to act also comes with moral ramifications...

The entire blog post is here.

The retraction war

By Jill Neimark
Aeon Magazine
Originally published December 23, 2014

Here is an excerpt:

Retraction was meant to be a corrective for any mistakes or occasional misconduct in science but it has, at times,  taken on a superhero persona instead. Like Superman, retraction can be too powerful, wiping out whole careers with a single blow. Yet it is also like Clark Kent, so mild it can be ignored while fraudsters continue publishing and receiving grants. The process is so wrought that just 5 per cent of scientific misconduct ever results in retraction, leaving an abundance of error in play to obfuscate the facts.

Scientists are increasingly aware of the amount of bad science out there – the word ‘reproducibility’ has become a kind of rallying cry for those who would reform science today. How can we ensure that studies are sound and can be reproduced by other scientists in separate labs?

The entire article is here.

Monday, January 12, 2015

Why there would have been no torture without the psychologists

By Steven Reisner
Slate
Originally published December 12, 2014

Here is an excerpt:

The psychologists were vital to the torture program for one additional reason: The Justice Department’s Office of Legal Counsel had determined that the presence of psychologists and physicians, monitoring the state and condition of the prisoner being tortured, afforded protection for the CIA leadership and the Bush administration from liability and potential prosecution for the torture. Later, the OLC applied the same rules to the Defense Department’s “enhanced interrogation program,” which, according to an investigation by the Senate Armed Services Committee, was created and overseen by a team led by a clinical psychologist, and eventually overseen exclusively by clinical psychologists.

The entire article is here.

Ethical Leadership: Meta-Analytic Evidence of Criterion-Related and Incremental Validity

By Thomas W. H. Ng and Daniel C. Feldman
J Appl Psychol. 2014 Nov 24

Abstract

This study examines the criterion-related and incremental validity of ethical leadership (EL) with meta-analytic data. Across 101 samples published over the last 15 years (N = 29,620), we observed that EL demonstrated acceptable criterion-related validity with variables that tap followers' job attitudes, job performance, and evaluations of their leaders. Further, followers' trust in the leader mediated the relationships of EL with job attitudes and performance. In terms of incremental validity, we found that EL significantly, albeit weakly in some cases, predicted task performance, citizenship behavior, and counterproductive work behavior-even after controlling for the effects of such variables as transformational leadership, use of contingent rewards, management by exception, interactional fairness, and destructive leadership. The article concludes with a discussion of ways to strengthen the incremental validity of EL.

The entire article is here.