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, March 23, 2015

Why Our Children Don’t Think There Are Moral Facts

By Justin P. McBrayer
The New York Times - Opinionator
Originally posted March 2, 2105

Here is an excerpt:


In summary, our public schools teach students that all claims are either facts or opinions and that all value and moral claims fall into the latter camp. The punchline: there are no moral facts. And if there are no moral facts, then there are no moral truths. 

The inconsistency in this curriculum is obvious. For example, at the outset of the school year, my son brought home a list of student rights and responsibilities. Had he already read the lesson on fact vs. opinion, he might have noted that the supposed rights of other students were based on no more than opinions. According to the school’s curriculum, it certainly wasn’t true that his classmates deserved to be treated a particular way — that would make it a fact. Similarly, it wasn’t really true that he had any responsibilities — that would be to make a value claim a truth. It should not be a surprise that there is rampant cheating on college campuses: If we’ve taught our students for 12 years that there is no fact of the matter as to whether cheating is wrong, we can’t very well blame them for doing so later on. 

The entire article is here.

The Best-Selling, Billion-Dollar Pills Tested on Homeless People

How the destitute and the mentally ill are being used as human lab rats

by Carl Elliott
Matter
Originally posted on July 27, 2014

Here are two excerpts:

If you’re looking for poor people who have been paid to test experimental drugs, Philadelphia is a good place to start. The city is home to five medical schools, and pharmaceutical and drug-testing companies line a corridor that stretches northeast into New Jersey. It also has one of the most visible homeless populations in the country. In Philly, homeless people seem to be everywhere: sleeping in Love Park, slumped on benches in Suburban Station, or gathered along the Benjamin Franklin Parkway, waiting for the free meals that a local church gives out on Saturdays.

(cut)

Not long ago, such offers would have been considered unethical. Paying any volunteer was seen as problematic, even more so if the subjects were poor, uninsured, and compromised by illness. Payment, it was argued, might tempt vulnerable subjects to risk their health. As trials have moved into the private sector, this ethical calculus has changed. First came a hike in the sums that volunteers could be paid: Many clinical trial sites now offer over $6,000 for an inpatient drug study. Eligibility requirements have changed, too. For years, trial sites paid only healthy volunteers, mainly to test new drugs for safety. These days people with asthma, diabetes, kidney disease, liver disease, and other conditions can be paid take part in trials.

The entire article is here.

Sunday, March 22, 2015

Proposed symbol for hidden disabilities taps into debate over disclosure

By Staff
Torstar News Service
Originally published March 1, 2015

Here is an excerpt:

Last week, a Torstar News Service story about Toronto mother Farida Peters, who carries a sign alerting strangers that her 5-year-old son has autism, generated discussion about the issue of disclosing invisible disabilities and public reaction.

Despite mixed feelings about labelling her son, Peters found the sign has made their daily commute on the TTC easier. Instead of the annoyance and tart comments she used to encounter, passengers have reacted with support and encouragement. If he becomes disruptive or upset on a crowded subway car, they are more understanding.

Brydges says while people can be intolerant when faced with behaviour they don’t understand, providing an explanation like Peters’ sign can shift the dynamic. That’s where her symbol comes in.
“Ultimately, I developed this for people who need help when they are least able to ask for it,” she says.

The entire article is here.

Saturday, March 21, 2015

How foreign language shapes moral judgment

By J. Geipel, C. Hadjichristidis, and L. Surian
Journal of Experimental Social Psychology
Volume 59, July 2015, Pages 8–17

Abstract

We investigated whether and how processing information in a foreign language as opposed to the native language affects moral judgments. Participants judged the moral wrongness of several private actions, such as consensual incest, that were depicted as harmless and presented in either the native or a foreign language. The use of a foreign language promoted less severe moral judgments and less confidence in them. Harmful and harmless social norm violations, such as saying a white lie to get a reduced fare, were also judged more leniently. The results do not support explanations based on facilitated deliberation, misunderstanding, or the adoption of a universalistic stance. We propose that the influence of foreign language is best explained by a reduced activation of social and moral norms when making moral judgments.

Highlights

  • We investigated whether and how foreign language influences moral judgment.
  • Foreign language prompted more lenient judgments for moral transgressions.
  • Foreign language reduced confidence in people's moral evaluations.
  • Violations of everyday norms were judged less harshly in a foreign language.
  • Foreign language might act through a reduced activation of social and moral norms.

Friday, March 20, 2015

Can violence be moral?

Intuitively, we might think that any sort of violent act is immoral.

By David Nussbaum and Séamus A Power
The Guardian
Originally posted February 28, 2015

Here is an excerpt:

Generally speaking, we think of most interpersonal violence, not just terrorist attacks, as immoral. It’s very rare that you’ll see anybody claim that hurting someone else is an inherently moral thing to do. When people are violent, explanations for their behavior tend to invoke some sort of breakdown: a lack of self-control, the dehumanization of an “outgroup,” or perhaps sadistic psychological tendencies.

This is a comforting notion – one that draws a clear boundary between acceptable and unacceptable behavior. But according to the authors of a new book, it simply isn’t an accurate reflection of how people actually behave: morality, as understood and practiced by real-world human beings, doesn’t always prohibit violence. In fact they make the case that most violence is motivated by morality.

The entire article is here.

Are We Becoming Morally Smarter?

By Michael Shermer
Reason.com
Originally posted in March 2015 issue

Here is an excerpt:

Since the Enlightenment, humans have demonstrated dramatic moral progress. Almost everyone in the Western world today enjoys rights to life, liberty, property, marriage, reproduction, voting, speech, worship, assembly, protest, autonomy, and the pursuit of happiness. Liberal democracies are now the dominant form of governance, systematically replacing the autocracies and theocracies of centuries past. Slavery and torture are outlawed everywhere in the world (even if occasionally still practiced). The death penalty is on death row and will likely go extinct sometime in the 2020s. Violence and crime are at historic lows, and we have expanded the moral sphere to include more people as members of the human community deserving of rights and respect. Even some animals are now being considered as sentient beings worthy of moral consideration.

Abstract reasoning and scientific thinking are the crucial cognitive skills at the foundation of all morality. Consider the mental rotation required to implement the Golden Rule: Do unto others as you would have them do unto you.

The article is here.

Thursday, March 19, 2015

On holding ethicists to higher moral standards and the value of moral inconsistency

By Carissa Véliz
Practical Ethics
Originally posted February 27, 2015

Here is an excerpt:

Should ethicists be held to higher moral standards? If they commit a wrong about which they know more than others, then it is seems plausible that they do have more responsibility and should be held to higher moral standards. In many cases, however, moral philosophers appear to be on a par with non-ethicists when it comes to ethical knowledge. Most people who cheat on their spouses, for example, have roughly the same knowledge of the wrong they are committing; this includes moral philosophers, since the ethics of faithfulness is not frequently discussed in academic settings; nor is it something most moral philosophers read or write about.

The entire article is here.

A similar paper, The Self-Reported Moral Behavior of Ethics Professors, by Eric Schwitzgebel and Joshua Rust can be found here.


Enduring and Emerging Challenges of Informed Consent

Christine Grady, Ph.D.
N Engl J Med 2015; 372:855-862
February 26, 2015
DOI: 10.1056/NEJMra1411250

Here is an excerpt:

A substantial body of literature corroborates a considerable gap between the practice of informed consent and its theoretical construct or intended goals and indicates many unresolved conceptual and practical questions.  Empirical evidence shows variation in the type and level of detail of information disclosed, in patient or research-participant understanding of the information, and in how their decisions are influenced.  Physicians receive little training regarding the practice of informed consent, are pressed for time and by competing demands, and often misinterpret the requirements and legal standards. Patients often have meager comprehension of the risks and alternatives of offered surgical or medical treatments, and their decisions are driven more by trust in their doctor or by deference to authority than by the information provided. Informed consent for research is more tightly regulated and detailed, yet research consent forms continue to increase in length, complexity, and incorporation of legal language, making them less likely to be read or understood. Studies also show that research participants have deficits in their understanding of study information, particularly of research methods such as randomization.

The entire article is here.

Wednesday, March 18, 2015

Does religion deserve a place in secular medicine?

By Brian D. Earp
BMJ Blogs
Originally posted February 26, 2015

The latest issue of the Journal of Medical Ethics is out, and in it, Professor Nigel Biggar—an Oxford theologian—argues that “religion” should have a place in secular medicine.

Some people will feel a shiver go down their spines—and not only the non-religious. After all, different religions require different things, and sometimes they come to opposite conclusions. So whose religion, exactly, does Professor Biggar have in mind, and what kind of “place” is he trying to make a case for?

The entire article is here.