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, May 14, 2015

Do Killer Robots Violate Human Rights?

When machines are anthropomorphized, we risk applying a human standard that should not apply to mere tools.

By Patrick Lin
The Atlantic
Originally published April 20, 2015

Here is an excerpt:

What’s objectionable to many about lethal autonomous weapons systems is that, even if the weapons aim only at lawful targets, they seem to violate a basic right to life. This claim is puzzling at first, since killing is so commonplace and permitted in war. If you’re a combatant, you are legally liable to be killed at any time; so it’s unclear that there’s a right to life at all.

But what we mean is that, in armed conflicts, a right to life means a right not to be killed arbitrarily, unaccountably, or otherwise inhumanely. To better understand the claim, a right to life can be thought of as a right to human dignity. Human dignity is arguably more basic than a right to life, which can be more easily forfeited or trumped. For instance, even lawful executions should be humane in civilized society.

The entire article is here.

Why Aristole Wants You to Be Good

By Kristjan Kristjansson
Big Ideas at Slate.com

Here is an excerpt:

Many social scientists consider this philosophical question quirky at best. The reason? An abundance of psychological evidence demonstrates the extrinsic benefits of moral choices over immoral ones, even for psychology’s Eldorado: subjective well-being. Of course, even though social scientists pride themselves on their value-neutrality, they are rarely neutral with regard to what they consider the “ungrounded grounder” of all human strivings, namely happiness, and they typically understand happiness as subjective well-being.

A case in point here is the copious literature on the benefits of the moral emotion of gratitude for subjective well-being. We now know with certainty—at least the sort of certainty to which any social scientific inquiry can aspire—that grateful people are in general happy people. Over and above that, meticulous empirical research on gratitude has shown all sorts of instrumental benefits for what social scientists call “pro-social ends.” Thus, as a moral barometer, gratitude attends affirmatively to a positive moral change in our environment; as a moral motivator, gratitude urges us to contribute to the welfare of our benefactor (or even third parties) in the future; as a moral reinforcer, gratitude makes benefactors more likely to replicate their benevolent acts at later junctures and in different contexts.

The entire article is here.


Wednesday, May 13, 2015

Born this way? How high-tech conversion therapy could undermine gay rights

By Andrew Vierra and Brian Earp
The Conversation
Originally published on April 21, 2015

Here is an excerpt:

We fully agree with the President and believe that this is a step in the right direction. Of course, in addition to being unsafe as well as ethically unsound, current conversion therapy approaches aren’t actually effective at doing what they claim to do – changing sexual orientation.

But we also worry that this may be a short-term legislative solution to what is really a conceptual problem.

The question we ought to be asking is “what will happen if and when scientists do end up developing safe and effective technologies that can alter sexual orientation?”

Based on current scientific research, it is not unlikely that medical researchers – in the not-too-distant future – will know enough about the genetic, epigenetic, neurochemical and other brain-level factors that are involved in shaping sexual orientation that these variables could in fact be successfully modified.

The entire article is here.

Science Cannot Teach Us to Be Good

By Daniel Jacobson
Big Ideas at Slate.com

Here is an excerpt:

Consider first the relativist conception of morality, on which goodness consists in conformity with the widely accepted practices of one’s society. Sometimes such behavior is called pro-social, a tendentious term that seems to imply that non-conformity is antisocial. If to be virtuous is to be fully enculturated, as this view claims, then moral dissent must be both mistaken (since moral facts are at bottom sociological facts) and vicious (since goodness is conformity).

Although many social scientists advocate this view, it rests on a premise that cannot claim any scientific backing: the normative principle that it is always illegitimate to criticize another culture by standards it does not accept. This is widely seen as a failure of tolerance, as cultural imperialism or ethnocentrism. The relativists don’t seem to notice that their own principle puts such criticism out of bounds, since conformity to widely accepted ethnocentrism is virtuous by their lights. In fact, no one holds the relativist principle consistently.

The entire article is here.

Tuesday, May 12, 2015

A Drug Trial’s Frayed Promise

By Katie Thomas
The New York Times
Originally published April 17, 2015

Here is an excerpt:

The University of Minnesota’s clinical trial practices are now under intense scrutiny. In February, a panel of outside experts excoriated the university for failing to properly oversee clinical trials and for paying inadequate attention to the protection of vulnerable subjects. The review, commissioned by the university after years of criticism of its research practices, singled out Dr. Schulz and his department of psychiatry, describing “a culture of fear” that pervaded the department.

In March, after another critical report by Minnesota’s legislative auditor, the university announced that it would halt all drug trials being conducted by the psychiatry department until outside experts could review them. And this month, the university announced that Dr. Schulz would step down as head of the psychiatry department. The dean of the medical school, Dr. Brooks Jackson, said in a statement to reporters that Dr. Schulz’s decision “was completely his own” and that he would “remain a valued member of our faculty.”

The entire article is here.

Answering 'Why be good?" for a Three-Year-old

By Christian B. Miller
Big Ideas at Slate.com

Here is an excerpt:

I would also mention to my son that the question of, “Why be good?” is especially important because most of us—myself included—are simply not good, morally speaking. We do not have a virtuous or good character. Why do I say that? You might think it is obvious based on watching the nightly news. But my answer is based on hundreds of psychological studies from the last 50 years. In a famous experiment, for instance, Yale psychologist Stanley Milgram found that many people would willingly shock an innocent person, even to the point of death, if pressured from an authority figure. Less well known but also important, are the findings by Lisa Shu of the London Business School. She and her colleagues have found that cheating on tests dramatically increases when it becomes clear to the test-takers that they will not get caught.

So there is a virtuous way to be—honest, compassionate, etc.—and then there is how we tend to actually be, which is not virtuous. Instead our characters are very much a mixed bag, with many good moral tendencies and many bad ones too. Given that most of us are not virtuous people, the question becomes: Why should we bother to try to develop a better character? Why should we care about it? Does developing better character even matter?

The entire article is here.

Monday, May 11, 2015

The Problem With Satisfied Patients

A misguided attempt to improve healthcare has led some hospitals to focus on making people happy, rather than making them well.

Alexandra Robbins
The Atlantic
Originally published April 17, 2015

Here is an excerpt:

Patient-satisfaction surveys have their place. But the potential cost of the subjective scores are leading hospitals to steer focus away from patient health, messing with the highest stakes possible: people’s lives.

The vast majority of the thirty-two-question survey, known as HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) addresses nursing care. For example, in a section about nurses, the survey asks, “During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?”

This question is misleading because it doesn’t specify whether the help was medically necessary. Patients have complained on the survey, which in previous incarnations included comments sections, about everything from “My roommate was dying all night and his breathing was very noisy” to “The hospital doesn’t have Splenda.” A nurse at the New Jersey hospital lacking Splenda said, “This somehow became the fault of the nurse and ended up being placed in her personnel file.” An Oregon critical-care nurse had to argue with a patient who believed he was being mistreated because he didn’t get enough pastrami on his sandwich (he had recently had quadruple-bypass surgery). “Many patients have unrealistic expectations for their care and their outcomes,” the nurse said.

The entire article is here.

Can Adversity Make Us Good?

By Eranda Jayawickreme
Big Ideas at Slate.com

Here is an excerpt:

Nevertheless, we know that adversity can help answer the question, “Why be good?” Psychologist Johanna Ray Vollhardt at Clark University has claimed that traumatic life events may in fact enhance the motivation to help other disadvantaged members of society, including people outside the groups with which you identify. One possible explanation for this “altruism born of suffering” is that trauma often forces people to recognize how limited their time on Earth is, which in turn clarifies their values and promotes moral behavior. Blackie found this to be the case in a study she published in Psychological Science, where experimentally manipulating thoughts about death—in this case, asking participants to imagine dying in an apartment fire—predicted increased charitable giving behavior (in this case, the intention to donate blood).

In other words, as the philosopher Valerie Tiberius at the University of Minnesota has argued, we want to be good because we care about having good lives, and adversity can help provide the necessary knowledge and perspective. I would call this knowledge and perspective wisdom.

The entire article is here.

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.