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, May 10, 2015

How Does Reasoning (Fail to) Contribute to Moral Judgment? Dumbfounding and Disengagement

Frank Hindriks
Ethical Theory and Moral Practice
April 2015, Volume 18, Issue 2, pp 237-250

Abstract

Recent experiments in moral psychology have been taken to imply that moral reasoning only serves to reaffirm prior moral intuitions. More specifically, Jonathan Haidt concludes from his moral dumbfounding experiments, in which people condemn other people’s behavior, that moral reasoning is biased and ineffective, as it rarely makes people change their mind. I present complementary evidence pertaining to self-directed reasoning about what to do. More specifically, Albert Bandura’s experiments concerning moral disengagement reveal that moral reasoning often does contribute effectively to the formation of moral judgments. And such reasoning need not be biased. Once this evidence is taken into account, it becomes clear that both cognition and affect can play a destructive as well as a constructive role in the formation of moral judgments.

The entire paper is here.

Saturday, May 9, 2015

The Point of Studying Ethics According to Kant

Lucas Thorpe
The Journal of Value Inquiry (2006) 40:461–474
DOI 10.1007/s10790-006-9002-3

Many readers of Kant’s ethical writings take him to be primarily concerned with offering guidelines for action. At the least, they write about Kant as if this were the purpose of his ethical writings. For example, Christine Korsgaard, in her influential article Kant’s Analysis of Obligation: The Argument of Groundwork I, writes that, ‘‘the argument of Groundwork I is an attempt to give what I call a ‘motivational analysis’ of the concept of a right action, in order to discover what that concept applies to, that is, which actions are right.’’  Similar comments are not hard to find in the secondary literature. This, however, is a fundamentally misguided way of reading Kant, since he repeatedly asserts that we do not need to do moral philosophy in order to discover which actions are right.  We already know how to behave morally and do not need philosophers to tell us this. ‘‘Common human reason,’’ Kant argues, ‘‘knows very well how to distinguish in every case that comes up what is good and what is evil, what is in conformity to duty or contrary to duty.’’  Because people with pre-philosophical understanding know how to act morally, the purpose of moral philosophy cannot be to provide us with a set of rules for correct behavior. If we take Kant’s claims about common human reason seriously, then his aim in the Groundwork of the Metaphysics of Morals cannot be to discover which actions are right.

The article is here.

Friday, May 8, 2015

How Goodness Arises from Evolutionary Competition

By Martin A. Nowak
Big Ideas from Slate.com

Here is an excerpt:

In the human sphere, cooperation means helping each other. In some contexts cooperation can imply “being good.” And suddenly the conundrum disappears. The moral imperative of world religions and philosophical systems seems to make sense.  It simply asks us to be true to our cooperative heritage, to cooperate and not only to compete.

The evolutionary process among humans is not only genetic but also cultural. We have language. We write books, articles, and emails, come up with ideas, replicate knowledge. A group of humans learning from each other instantiate a cultural evolutionary process with mutation and selection. And cooperation.

What makes cooperation a possible strategy among humans? The answer is repetition and reputation. Most of our crucial social interactions occur repeatedly with the same people or in situations where we are known, where actions can be observed by others, and thus affect our reputation.

The entire piece is here.

TMS affects moral judgment, showing the role of DLPFC and TPJ in cognitive and emotional processing

Jeurissen D, Sack AT, Roebroeck A, Russ BE and Pascual-Leone A (2014) TMS affects moral judgment, showing the role of DLPFC and TPJ in cognitive and emotional processing.
Front. Neurosci. 8:18. doi: 10.3389/fnins.2014.00018

Decision-making involves a complex interplay of emotional responses and reasoning processes. In this study, we use TMS to explore the neurobiological substrates of moral decisions in humans. To examining the effects of TMS on the outcome of a moral-decision, we compare the decision outcome of moral-personal and moral-impersonal dilemmas to each other and examine the differential effects of applying TMS over the right DLPFC or right TPJ. In this comparison, we find that the TMS-induced disruption of the DLPFC during the decision process, affects the outcome of the moral-personal judgment, while TMS-induced disruption of TPJ affects only moral-impersonal conditions. In other words, we find a double-dissociation between DLPFC and TPJ in the outcome of a moral decision. Furthermore, we find that TMS-induced disruption of the DLPFC during non-moral, moral-impersonal, and moral-personal decisions lead to lower ratings of regret about the decision. Our results are in line with the dual-process theory and suggest a role for both the emotional response and cognitive reasoning process in moral judgment. Both the emotional and cognitive processes were shown to be involved in the decision outcome.

The entire article is here.

Thursday, May 7, 2015

Moral Responsibility and Free Will: A Meta-Analysis

By Adam Feltz and Florian Cova
Academia.edu

Abstract

Fundamental beliefs about free will and moral responsibility are often thought to shape our ability to have healthy relationships with others and ourselves. Emotional reactions have also  been shown to have an important and pervasive impact on judgments and behaviors. Recent research suggests that emotional reactions play a prominent role in judgments about free will, influencing judgments about determinism’s relation to free will and moral responsibility. However, the extent to which affect influences these judgments is unclear. We conducted a meta-analysis to estimate the impact of affect. Our meta-analysis indicates that beliefs in free will are largely robust to emotional reactions.

The entire meta-analysis is here.

10 years of mindlines: a systematic review and commentary

By Sietse Wieringa and Trisha Greenhalgh
Implementation Science 2015, 10:45
doi:10.1186/s13012-015-0229-x
Published: 9 April 2015

Abstract

Background

In 2004, Gabbay and le May showed that clinicians generally base their decisions on mindlines—internalised and collectively reinforced tacit guidelines—rather than consulting written clinical guidelines. We considered how the concept of mindlines has been taken forward since.

Methods

We searched databases from 2004 to 2014 for the term ‘mindline(s)’ and tracked all sources citing Gabbay and le May’s 2004 article. We read and re-read papers to gain familiarity and developed an interpretive analysis and taxonomy by drawing on the principles of meta-narrative systematic review.

Results

In our synthesis of 340 papers, distinguished between authors who used mindlines purely in name (‘nominal’ view) sometimes dismissing them as a harmful phenomenon, and authors who appeared to have understood the term’s philosophical foundations. The latter took an ‘in-practice’ view (studying how mindlines emerge and spread in real-world settings), a ‘theoretical and philosophical’ view (extending theory) or a ‘solution focused’ view (exploring how to promote and support mindline development). We found that it is not just clinicians who develop mindlines: so do patients, in face-to-face and (potentially) online communities.

Theoretical publications on mindlines have continued to challenge the rationalist assumptions of evidence-based medicine (EBM). Conventional EBM assumes a single, knowable reality and seeks to strip away context to generate universal predictive rules. In contrast, mindlines are predicated on a more fluid, embodied and intersubjective view of knowledge; they accommodate context and acknowledge multiple realities. When considering how knowledge spreads, the concept of mindlines requires us to go beyond the constraining notions of ‘dissemination’ and ‘translation’ to study tacit knowledge and the interactive human processes by which such knowledge is created, enacted and shared. Solution-focused publications described mindline-promoting initiatives such as relationship-building, collaborative learning and thought leadership.

Conclusions

The concept of mindlines challenges the naïve rationalist view of knowledge implicit in some EBM publications, but the term appears to have been misunderstood (and prematurely dismissed) by some authors. By further studying mindlines empirically and theoretically, there is potential to expand EBM’s conceptual toolkit to produce richer forms of ‘evidence-based’ knowledge. We outline a suggested research agenda for achieving this goal.

The entire article is here.

Wednesday, May 6, 2015

What we say and what we do: The relationship between real and hypothetical moral choices

By O. FeldmanHall, D. Mobbs, D. Evans, L. Hiscox, L. Navrady, & T. Dalgleish
Cognition, Volume 123, Issue 3, June 2012, Pages 434–441

Abstract

Moral ideals are strongly ingrained within society and individuals alike, but actual moral choices are profoundly influenced by tangible rewards and consequences. Across two studies we show that real moral decisions can dramatically contradict moral choices made in hypothetical scenarios (Study 1). However, by systematically enhancing the contextual information available to subjects when addressing a hypothetical moral problem—thereby reducing the opportunity for mental simulation—we were able to incrementally bring subjects’ responses in line with their moral behaviour in real situations (Study 2). These results imply that previous work relying mainly on decontextualized hypothetical scenarios may not accurately reflect moral decisions in everyday life. The findings also shed light on contextual factors that can alter how moral decisions are made, such as the salience of a personal gain.

The entire article is here.

Deontic and instantive morality

By Adrienne Martin
PEA Soup blog
Originally published April 10, 2015

Morality is not exclusively deontic.  There are, after all, many things that are morally good to do though not required, or morally bad though not forbidden. However, a deontic conception has gotten a grip on the contemporary conception of interpersonal morality, or morality insofar as it has to do with proper relations between persons in virtue of their personality. One presently popular conception of interpersonal morality runs along these lines: Interpersonal morality consists in obligations or duties that are incumbent on all persons; to have a duty is to be accountable to somebody. If I am accountable to somebody, then she has standing or authority to demand my compliance; and to exercise this authority is to be disposed to respond to noncompliance with Strawsonian reactive attitudes and practices expressive of them.

The entire blog post is here.

Tuesday, May 5, 2015

For one VA whistleblower, getting fired was too much

By Donovan Slack
http://www.wausaudailyherald.com
Originally posted April 12, 2015

Here are two excerpts:

There, officers found the body of Christopher Kirkpatrick, a 38-year-old clinical psychologist who had shot himself in the head after being fired from the Tomah Veterans Affairs Medical Center.

Kirkpatrick had complained some of his patients were too drugged to treat properly, but like other whistleblowers at the facility, he was ousted and his concerns of wrongdoing were disregarded.

Retaliation against whistleblowers has become a major problem at VA facilities across the country. The U.S. Office of Special Counsel is investigating 110 retaliation claims from whistleblowers in 38 states and the District of Columbia.

(cut)

VA officials said since Kirkpatrick's death, the agency has implemented online whistleblower training for 32,000 managers and executives at the agency, and now requires all employees to take a course every other year that includes a component about whistleblower rights. VA spokeswoman Genevieve Billia said notices of termination should contain language informing the affected employee of those rights. She did not respond to a message asking if that was mandatory.

The entire article is here.