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

Thursday, March 26, 2015

Forced chemotherapy in a teen: Exploring the ethics

By Ruth Macklin
Dr. Kevin MD blog
Originally posted January 16, 2015

Here is an excerpt:

Exploring the ethics

The legal barrier to respecting Cassandra’s autonomy remains, but the ethics of the case are murky. If this were a one-shot treatment — perhaps painful or uncomfortable, but over quickly — it would be easy to conclude that forced medical treatment would do more good than harm. But that is not clearly the case when the patient has to endure for as long as six months the discomforts of chemotherapy.

In December Cassandra first underwent surgery to install in her chest a port through which the drugs would be administered. State officials took custody of Cassandra and confined her in the hospital, Connecticut Children’s Medical Center, where she has received the forced treatments. Her cell phone was taken away (for a teen, this may be worse than the nausea and vomiting), and the phone in her hospital room was also removed. Her mother has been allowed to visit her in her hospital room, but only with a child welfare worker present. Mother and daughter are not allowed to have contact by phone.

The entire article is here.

Should ethics be taught in schools?

By William Isdale
Practical Ethics
Originally published March 4, 2015

Here is an excerpt:

Can we teach ethics?

One problem with teaching ethics in schools is that there are many competing theories about what is right and wrong. For instance, one might think that our intentions matter morally (Kantianism), or that only consequences do (consequentialism). Some regard inequality as intrinsically problematic, whilst others do not. Unlike other subjects taught in schools, ethics seems to be one in which people can’t agree on even seemingly foundational issues.

In his book Essays on Religion and Education, the Oxford philosopher R.M. Hare argued that ethics can be taught in schools, because it involves learning a language with a determinate method, “such that, if you understand what a moral question is, you must know which arguments are legitimate, in the same way in which, in mathematics, if you know what mathematics is, you know that certain arguments in that field are legitimate and certain arguments not.”

The entire blog post is here.

Wednesday, March 25, 2015

Once and Future Sins

By Stefan Klein and Stephen Cave
Aeon Magazine
Originally published March 24, 2015

Here is an excerpt:

But before we start basking in the glow of spreading goodness, we must realise that these changing values have a price. For many of us, such changes would mean sharing or giving up privileges that we have long enjoyed, or admitting that our comfortable lifestyles are based on industries of exploitation, or otherwise recognising that we have in a hundred ways been wrong. This is not a message we rush to hear: there is a reason why prophets of new moralities – think of Socrates or Jesus – often end up dead at the hands of their own people.

We hope that debating the question of what we might be condemned for in 100 years is a way of easing that transition. To help get this debate going, below are four suggestions as to what we think we might be castigated for by our great-grandchildren. They are, we believe, natural extensions of the progress we have witnessed so far. Just as the suffragettes 100 years ago were campaigning for the revolution in women’s rights that we now enjoy, so there are people who are already pushing for these moral revolutions today (which is not to say that we two authors are already living up to them).

The entire article is here.

Sacrifice One For the Good of Many? People Apply Different Moral Norms to Human and Robot Agents

By B.F. Malle, M. Scheutz, T. Arnold, J. Voiklis, and C. Cusimano
HRI '15, March 02 - 05 2015

Abstract

Moral norms play an essential role in regulating human interaction. With the growing sophistication and proliferation of robots, it is important to understand how ordinary people apply moral norms to robot agents and make moral judgments about their behavior. We report the first comparison of people’s moral judgments (of permissibility, wrongness, and blame) about human and robot agents. Two online experiments (total N = 316) found that robots, compared with human agents, were more strongly expected to take an action that sacrifices one person for the good of many (a “utilitarian” choice), and they were blamed more than their human counterparts when they did not make that choice.  Though the utilitarian sacrifice was generally seen as permissible for human agents, they were blamed more for choosing this option than for doing nothing. These results provide a first step toward a new field of Moral HRI, which is well placed to help guide the design of social robots.

The entire article is here.

Tuesday, March 24, 2015

How stress influences our morality

By Lucius Caviola and Nadira Faulmüller
Academia.edu

Abstract

Several studies show that stress can influence moral judgment and behavior. In personal moral dilemmas—scenarios where someone has to be harmed by physical contact in order to save several others—participants under stress tend to make more deontological judgments than non-stressed participants, i.e. they agree less with harming someone for the greater good. Other studies demonstrate that stress can increase pro-social behavior for in-group members but decrease it for out-group members. The dual-process theory of moral judgment in combination with an evolutionary perspective on emotional reactions seems to explain these results: stress might inhibit controlled reasoning and trigger people’s automatic emotional intuitions. In other words, when it comes to morality, stress seems to make us prone to follow our gut reactions instead of our elaborate reasoning.

UMN research review finds inadequate protections

By Josh Verges
twincities.com
Originally posted February 27m 2015

A decade after a psychiatric patient's suicide, the University of Minnesota still fails on several fronts to protect vulnerable human research subjects.

That's the finding of an external review ordered by President Eric Kaler last year and made public Friday. It raises serious questions about the authorization of and oversight for U research, especially in the Department of Psychiatry.

Questions about recruitment, consent and treatment have persisted since a 2008 Pioneer Press series concerning the 2004 death of Dan Markingson, an antipsychotic drug research subject.

The entire article is here.

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.