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, May 25, 2015

Q: Is privacy dead? Of course not

By Evan Selinger
Aeon Magazine - Ideas

Here is an excerpt:

But if we’re talking about informational privacy, it isn’t a thing. Informational privacy is a series of decisions individuals and groups make. Some crucial decisions are about social and ethical norms. This means we’ve got to decide which norms to value, determine when it’s appropriate for norms to be enforced and when norm violations should be allowed to slide, and figure out which sanctions are befitting of proper norm policing. In a pluralistic society, these ends are furthered by fraught and ongoing negotiation. Such negotiation is further complicated by disruptive innovation changing how people consume and share information.

The entire article is here.

A shocking number of mentally ill Americans end up in prison instead of treatment

By Ana Swanson
The Washington Post
Originally published April 30, 2015

Here is an excerpt:

For various reasons, these community treatment plans proved inadequate, leaving many of the mentally ill homeless or in jail. According to the Department of Justice, about 15 percent of state prisoners and 24 percent of jail inmates report symptoms meet the criteria for a psychotic disorder.

In its survey of individual states, the Treatment Advocacy Center found that in 44 of the 50 states and the District of Columbia, the largest prison or jail held more people with serious mental illness than the largest state psychiatric hospital (see map below). The only exceptions were Kansas, New Jersey, North Dakota, South Dakota, Washington and Wyoming. "Indeed, the Polk County Jail in Iowa, the Cook County Jail in Illinois, and the Shelby County Jail in Tennessee each have more seriously mentally ill inmates than all the remaining state psychiatric hospitals in that state combined," the report says.

The entire article is here.

Sunday, May 24, 2015

The Stubborn System of Moral Responsibility

Bruce N. Waller, The Stubborn System of Moral Responsibility, MIT Press, 2015, 294pp.
ISBN 9780262028165.

Reviewed by Seth Shabo, University of Delaware

This book is a spirited and engaging broadside against ordinary belief in moral responsibility. Specifically, Bruce Waller challenges the entrenched belief that people bear the kind of moral responsibility for their conduct that would justify punishing them on the grounds that they deserve it. What needs explaining, in Waller's view, is why so many philosophers continue to defend this orthodoxy in the face of such powerful counterevidence. His proposed explanation encompasses a range of psychological and social factors that powerfully reinforce this belief. These include the animal impulse to strike back when harmed, an impulse that often inhibits deeper reflection into the causes of the offender's conduct; the desire to justify expressions of this strike-back impulse; the broader belief in a just universe in which wrongdoers have retribution coming to them; a heuristic tendency to substitute simpler problems for hard ones (in this case, the question of how we can correctly attribute bad qualities to people with the intractable problem of how people can truly deserve punishment); and the ascendancy of an individualistic, neoliberal political culture that downplays the role of societal conditions in shaping how people turn out.

The entire book review is here.

Saturday, May 23, 2015

Gene-Editing Human Embryos Is Ethical

Bioethicists and scientists who say otherwise are wrong.

By Ronald Bailey
Reason.com
Originally published May 1, 2015

Here are two excerpts:

The Chinese scientists essentially ignored recent calls for a moratorium on editing human reproductive cells and embryos. The month before their paper appeared, Science recommended that such research be "strongly discourage[d]" while the "societal, environmental, and ethical implications of such activity are discussed among scientific and governmental organizations." Meanwhile, Nature had editorialized that "genome editing in human embryos using current technologies could have unpredictable effects on future generations. This makes it dangerous and ethically unacceptable....At this early stage, scientists should agree not to modify the DNA of human reproductive cells." Some 40 countries have preemptively banned germline genetic engineering. (The United States is not among them.)

(cut)

In what terrible bioethical violations did the Chinese researchers engage? None. The embryos were grown to the eight-cell stage, and none of them could ever have developed into babies. No germline cells with any potential to develop into people were modified. Of the 71 embryos that survived the experiment, 54 were genetically tested. Of these, 28 embryos had the target gene "spliced." Only four contained all of the replacement genetic material, and even those were mosaics—that is, not every cell had been modified.

The entire article is here.

Friday, May 22, 2015

The Perspective Gap Is Killing Your Business. Here’s How to Fix It

Empathy is a basic quality that we all crave. So why is it so difficult to demonstrate ourselves?

By Justin Bariso
Inc.com
Originally published April 29, 2015

Getting designers to show consideration for those taking care of warranty problems proved difficult. Initially, the company attempted a process-based solution, designing 26 new KPIs (including a 'repairability' scorecard and incentive), along with variable compensation.

The result? In the end, the process had almost zero impact. So the company decided to try something different.

The next time around, design engineers were informed that in three years (once the car was launched on the market) they would move to the after sales network and take charge of the warranty budget. In essence, they would deal with any problems caused by their own design.

This inspired what I like to call 'self-empathy'--empathy for your future self. The designers were moved to invest extra effort now to promote easy repairability later, since they were the ones who would have to deal with negative consequences.

Although very different in concept, the goal of these two methods is the same: See things from another perspective.

The entire article is here.

Expansion of ‘Right to Try’ legislation raises ethical, safety concerns

By HemOnc Today
Originally published April 25, 2015

Early access to experimental drugs has historically been reserved for patients enrolled on clinical trials.

In 2009, the FDA revamped its 1980’s expanded access program, which allows terminally ill patients ineligible for clinical trials and for whom no alternative, approved therapies exist to ask pharmaceutical companies for access to an investigational drug in their pipeline. More than 1,500 patients received an experimental treatment through the FDA’s program in 2014.

Now, some legislatures are going a step further by adopting so-called “Right to Try” legislation, intended to give terminally ill patients comparable access to investigational drugs but removing the FDA from the process.

Since 2014, thirteen states have passed Right to Try laws, and legislators in 20 more states have plans to introduce similar legislation this year.

The entire article is here.

Thursday, May 21, 2015

Mental-Health Crunch on Campus

By Melissa Korn and  Angela Chen
The Wall Street Journal
Originally published April 28, 2015

Universities are hiring more social workers, psychologists and psychiatrists as demand for campus mental-health services rises. But persistent budget gaps mean that students in some cases foot much of the cost of the positions.

Students at George Washington University will be charged an additional $1,667 in tuition next year, a jump of 3.4%. More than $830,000 of the resulting new revenue will pay for mental-health services.

(cut)

“The demand [by students] so outpaces the supply of appointments that it’s very hard to get a weekly appointment, even for students having pretty serious symptoms that interfere with their academic function,” said Elizabeth Gong-Guy, executive director of counseling and psychological services at UCLA and president of the Association for University and College Counseling Center Directors.

The entire article is here.

Philosophers’ Biased Judgments Persist Despite Training, Expertise and Reflection

By Eric Schwitzgebel and Fiery Cushman
In press

Abstract

We examined the effects of framing and order of presentation on professional philosophers’
judgments about a moral puzzle case (the “trolley problem”) and a version of the Tversky &
Kahneman “Asian disease” scenario. Professional philosophers exhibited substantial framing
effects and order effects, and were no less subject to such effects than was a comparison group of
non-philosopher academic participants. Framing and order effects were not reduced by a forced
delay during which participants were encouraged to consider “different variants of the scenario
or different ways of describing the case”. Nor were framing and order effects lower among
participants reporting familiarity with the trolley problem or with loss-aversion framing effects,
nor among those reporting having had a stable opinion on the issues before participating the
experiment, nor among those reporting expertise on the very issues in question. Thus, for these
scenario types, neither framing effects nor order effects appear to be reduced even by high levels
of academic expertise.

The entire article is here.

Wednesday, May 20, 2015

An ethics lesson for psychologists: don’t participate in torture

By J Wesley Boyd
The Conversation
Originally posted April 29, 2015

The Senate’s Report on the CIA’s Detention and Interrogation Program (commonly known as the torture report) released in December 2014, confirmed that doctors and psychologists were complicit in the torture of detainees.

Two psychologists, unnamed in the report, but confirmed to be James Mitchell and Bruce Jessen, designed some of the “enhanced interrogation” techniques. Other psychologists monitored interrogations.

A few weeks after the release of the report the president of the American Psychological Association (APA) stated that because Jessen and Mitchell are not members of the APA, the organization has no jurisdiction over them and cannot sanction them in any way. But Mitchell and Jessen weren’t the only psychologists to violate ethical standards, and the APA has yet to fully denounce psychologists' participation in torture.

The entire story is here.