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

Sunday, February 22, 2015

A fault in our design

We tend to think that technological progress is making us more resilient, but it might be making us more vulnerable

By Colin Dickey
Aeon Magazine
Originally published January 23, 2015

Here is an excerpt:

Freed from the constant worry of danger, we tend to forget that there ever was a danger in the first place. We’ve immunised ourselves from the fear of diseases that once plagued us, to the point where they’re now killing us once more. Fuelled by the viral spread of misinformation and paranoia, vaccine use has plummeted in parts of the Western world, leading to a resurgence in viruses. In the US, mortality rates for pertussis (whooping cough) dropped from 1,100 in 1950 to six in 1995, yet in the past decade outbreaks have once again spiked – more than 48,000 cases were reported in 2013, significantly outnumbering the 5137 cases that were reported back in 1995.

The entire article is here.

Saturday, February 21, 2015

Clinical supervision of psychotherapy: essential ethics issues for supervisors and supervisees

By Jeffrey E. Barnett and Corey H. Molzon
J Clin Psychol 2014 Nov 14;70(11):1051-61. Epub 2014 Sep 14.

Abstract

Clinical supervision is an essential aspect of every mental health professional's training. The importance of ensuring that supervision is provided competently, ethically, and legally is explained. The elements of the ethical practice of supervision are described and explained. Specific issues addressed include informed consent and the supervision contract, supervisor and supervisee competence, attention to issues of diversity and multicultural competence, boundaries and multiple relationships in the supervision relationship, documentation and record keeping by both supervisor and supervisee, evaluation and feedback, self-care and the ongoing promotion of wellness, emergency coverage, and the ending of the supervision relationship. Additionally, the role of clinical supervisor as mentor, professional role model, and gatekeeper for the profession are discussed. Specific recommendations are provided for ethically and effectively conducting the supervision relationship and for addressing commonly arising dilemmas that supervisors and supervisees may confront.

The entire article is here.

Friday, February 20, 2015

Cognitive enhancement kept within contexts: neuroethics and informed public policy

By John R. Shook, Lucia Galvagni, and James Giordano
Front Syst Neurosci. 2014; 8: 228.
Published online Dec 5, 2014. doi:  10.3389/fnsys.2014.00228

Abstract

Neurothics has far greater responsibilities than merely noting potential human enhancements arriving from novel brain-centered biotechnologies and tracking their implications for ethics and civic life. Neuroethics must utilize the best cognitive and neuroscientific knowledge to shape incisive discussions about what could possibly count as enhancement in the first place, and what should count as genuinely “cognitive” enhancement. Where cognitive processing and the mental life is concerned, the lived context of psychological performance is paramount. Starting with an enhancement to the mental abilities of an individual, only performances on real-world exercises can determine what has actually been cognitively improved. And what can concretely counts as some specific sort of cognitive improvement is largely determined by the classificatory frameworks of cultures, not brain scans or laboratory experiments. Additionally, where the public must ultimately evaluate and judge the worthiness of individual performance enhancements, we mustn’t presume that public approval towards enhancers will somehow automatically arrive without due regard to civic ideals such as the common good or social justice. In the absence of any nuanced appreciation for the control which performance contexts and public contexts exert over what “cognitive” enhancements could actually be, enthusiastic promoters of cognitive enhancement can all too easily depict safe and effective brain modifications as surely good for us and for society. These enthusiasts are not unaware of oft-heard observations about serious hurdles for reliable enhancement from neurophysiological modifications. Yet those observations are far more common than penetrating investigations into the implications to those hurdles for a sound public understanding of cognitive enhancement, and a wise policy review over cognitive enhancement. We offer some crucial recommendations for undertaking such investigations, so that cognitive enhancers that truly deserve public approval can be better identified.

The entire article is here.

The Virtue of Scientific Thinking

By Steven Shapin
The Boston Review
Originally published January 20, 2015

Here is an excerpt:

So natural science without the capacity of moral uplift, and grown-up scientists, so to speak, without moral authority, are—in historical terms—recent creations. Both the disenchantment of the world and the supposed invalidity of inferring ought from is derive from the historical development of a conception of nature stripped of the moral powers it once possessed. That development reached its culmination in the science and metaphysics of Darwin and the scientific naturalists of the late nineteenth century. Their modern conception of nature could not make those who studied it more moral than anyone else because no sermons in stones were to be discerned. Nature, said the great nineteenth-century biologist T. H. Huxley, “is no school of virtue.”

The insistence that science cannot make you good, or make the scientist into a moral authority, flowed from a natural philosophical position: there are no spiritual forces operating in nature and there is no divine meaning to be discerned in nature. That is to say, Weber was making a sociological statement about what belongs to certain social roles, but he was doing so by way of historical changes in science and metaphysics.

The entire article is here.

Thursday, February 19, 2015

Batgirl's Psychologist

By applying characters' fictional psyches to real-life problems, a cosplay enthusiast turned a passion for comic books into a mental-health career.

Erika Hayasaki
The Atlantic
Originally published January 27, 2015

Here is an excerpt:

Despite her excellent credentials and high grades, she carried with her traces of imposter syndrome—the fear that colleagues would discover she wasn’t smart or talented enough to be in her position. It is an anxiety that many career-driven women who excel in their fields experience, as noted in a famous 1978 study in Psychotherapy Theory, Research, and Practice, in which observations of 150 highly successful women found that they often thought of themselves as frauds and did not “experience an internal sense of success.”

The entire article is here.

Science cannot determine human values

Earp, B. D. (in press). Science cannot determine human values.
Think: A  Journal of the Royal Institute of Philosophy, in press.

Sam Harris, in his book The Moral Landscape, famously argues that “science can determine human values.” Against this view, I argue that while secular moral philosophy can certainly help us to determine our values, science—at least as that word is commonly understood—must play a subservient role. To the extent that science can “determine” what we ought to do, it is only by providing us with empirical information, which can then be slotted into a chain of deductive (moral) reasoning. The premises of such reasoning, however, can in no way be derived from the scientific method: they come, instead, from philosophy—and common sense.

The entire article is here.

Wednesday, February 18, 2015

The neural pathways, development and functions of empathy

By Jean Decety
Current Opinion in Behavioral Sciences
Volume 3, June 2015, Pages 1–6

Highlights

• Empathy has evolved in the context of parental care and kinship relationships.
• Conserved neural circuits connecting brainstem, basal ganglia, insula and orbitofrontal cortex.
• It emerges early in life.
• Empathy is modulated by interpersonal and contextual factors.
• Empathy is flexible and can be promoted.

Abstract

Empathy reflects an innate ability to perceive and be sensitive to the emotional states of others coupled with a motivation to care for their wellbeing. It has evolved in the context of parental care for offspring as well as within kinship. Current work demonstrates that empathy is underpinned by circuits connecting the brainstem, amygdala, basal ganglia, anterior cingulate cortex, insula and orbitofrontal cortex, which are conserved across many species. Empirical studies document that empathetic reactions emerge early in life, and that they are not automatic. Rather they are heavily influenced and modulated by interpersonal and contextual factors, which impact behavior and cognitions. However, the mechanisms supporting empathy are also flexible and amenable to behavioral interventions that can promote caring beyond kin and kith.

The entire article is here.

Moral Judgment as a Natural Kind

By Victor Kumar
Forthcoming in Philosophical Studies

Moral judgments seem to be different from other normative judgments, even apart from their characteristic subject matter. Two people might both disapprove of an action, for example, although one judges it a moral violation and the other a breach of etiquette. Philosophers have traditionally attempted to define moral judgment through reflection alone. However, psychological research on the “moral/conventional distinction” offers a promising source of empirical evidence about the distinctive nature of moral judgment.

Several authors treat the ability to draw a distinction between morality and convention as a test for the presence of moral judgments (Blair 1995; Nichols 2004a; Prinz 2007; Levy 2007). None, however, develops the implied theory of moral judgment.

The entire article is here.

Tuesday, February 17, 2015

The ethics of deep brain stimulation

Unterrainer M, Oduncu FS
Medicine, Health Care, and Philosophy [2015]

Abstract

Deep brain stimulation (DBS) is an invasive technique designed to stimulate certain deep brain regions for therapeutic purposes and is currently used mainly in patients with neurodegenerative disorders, such as Parkinson's disease. However, DBS is also used increasingly for other experimental applications, such as the treatment of psychiatric disorders (e.g. severe depression), weight reduction. Apart from its therapeutic potential, DBS can cause severe adverse effects, some that might also have a significant impact on the patient's personality and autonomy by the external stimulation of DBS which effects lie beyond the individual's control and free will. The article's purpose is to outline the procedures of DBS currently used in therapeutic and experimental applications and to discuss the ethical concerns regarding this procedure. It will address the clinical benefit-risk-ratio, the particular ethics of research in this field, and the ethical issues raised by affecting a patient's or an individual's personality and autonomous behaviour. Moreover, a potential ethical guideline, the Ulysses contract is discussed for the field of clinical application as well as the question of responsibility.

The entire article is here.