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, July 9, 2015

Making Sex Offenders Pay — and Pay and Pay and Pay:

By Stephen J. Dubner
Freakonomics Podcast
Originally published June 10, 2015

The gist of this episode: Sure, sex crimes are horrific, and the perpetrators deserve to be punished harshly. But society keeps exacting costs — out-of-pocket and otherwise — long after the prison sentence has been served.




The podcast page is here.

“Soft” vs. “Hard” Psychological Science in the Courtroom

By Geoffrey D. Munro and Cynthia A. Munro
The Jury Expert
Originally published May 31, 2015

Background

The terms "soft science" and "hard science"are commonly applied to different scientific disciplines, and scientists have investigated and theorized about features that apply when placing scientific disciplines on a soft-hard continuum (e.g., Simonton, 2004, 2006, 2009). In the minds of laypeople, however, the difference may lie in the more simple perceptions of different scientific disciplines. The very words themselves, “soft” and “hard”, may hint at different reputations. Soft sciences are fuzzy and less rigid, suggesting lower reliability, validity, and rigor than hard sciences possess.

Psychological science includes research that is usually considered to be on the softer side of the continuum (e.g., behavioral science) as well as research that is usually considered to be on the harder side (e.g., neuroscience). However, the name “psychology” appears to elicit less respect from the general public than many other sciences. Survey data show that psychology was judged to be less important than disciplines like biology, chemistry, economics, medicine, and physics by both a random sample of adults as well as by full-time university faculty (Janda, England, Lovejoy, & Drury, 1998).

The entire article is here.

Wednesday, July 8, 2015

How could they?

By Tage Rai
Aeon Magazine
Originally published June 18, 2015

Here is an excerpt:

It would be easier to live in a world where perpetrators believe that violence is wrong and engage in it anyway. That is not the world we live in. While our refusal to acknowledge this basic fact may have helped to orient our own moral compass, it has also stood in the way of interventions that might actually reduce harm. Let’s put aside the philosophical questions that arise once we accept that there is moral disagreement about violence. How does the message that violence is morally motivated aid our efforts to reduce it?

For years, we have been trying to reduce crime by enacting mass incarceration, by placing restrictions on the mentally ill, and by teaching potential perpetrators how to exercise more self-control. On the face of it, these all sound like plausible strategies. But all of them miss their target.

One of the most robust findings in criminology is that increasing the severity of punishment has little deterrent effect. People simply aren’t as sensitive to the potential costs of crime as the rational-choice model predicts they should be, and so efforts to reduce it by cracking down have failed to justify the immense fiscal and social costs of mass incarceration. Meanwhile, because most violent crimes are committed by psychologically healthy individuals, legislation that focuses on the mentally ill – for example, by stopping them from buying guns – would lead to only a small reduction.

The entire article is here.

Prostitution, Harm, and Disability: Should Only People with Disabilities be Allowed to Pay for Sex?

By Brian D. Earp
BMJ Blogs
Originally posted June 17, 2015

Introduction

Is prostitution harmful? And if it is harmful, should it be illegal to buy (or sell) sexual services? And if so, should there ever be any exceptions? What about for people with certain disabilities—say—who might find it difficult or even impossible to find a sexual partner if they weren’t allowed to exchange money for sex? Do people have a “right” to sexual fulfillment?

In a recent issue of the Journal of Medical Ethics, Frej Klem Thomsen[1] explores these and other controversial questions. His focus is on the issue of exceptions—specifically for those with certain disabilities. According to Thomsen, a person is “relevantly disabled” (for the sake of this discussion) if and only if:

(1) she has sexual needs, and desires to exercise her sexuality, and

(2) she has an anomalous physical or mental condition that, given her social circumstances, sufficiently limits her possibilities of exercising her sexuality, including fulfilling her sexual needs. (p. 455)

There is a lot to say here.

The entire article is here.

Tuesday, July 7, 2015

Guns, suicide prevention, and backwoods lifestyles

By Massad Ayoob
Backwoods Home Magazine
Originally published June 2015

Things to look for

Don't expect the warning signal to be as obvious as "Hey, I need a gun ... and one cartridge." When someone known to you as a non-gun owner asks to borrow a gun, quiz them as to why. Don't make it an accusing "Whaddaya want a deadly weapon for?" Instead, say something like, "Well, guns are tools. If you asked to borrow one of my tools, I'd ask you if you're going to cut boards or pound nails, because that would help me to decide whether to lend you a saw or a hammer. Different guns are for shooting different things. What do you need to shoot?" And take it from there.

An answer like, "I just need a gun!" is a red flag. More questioning — and analysis of answers — is indicated. In the NHFSC program, gun dealers are taught to ask, "Do you have a cleaning kit?" A "yes" answer is fairly copacetic. The cryptic "I won't be needing that" may be another red flag.

If a neighbor asked to borrow a chainsaw or your backhoe or something in between, one of your first questions would be, "How experienced are you with that equipment?" If the answer was anything from "It doesn't matter" to "None of your business," I doubt you'd be lending them that gear. The same must be true with a firearm! If the person requesting is someone you know or suspect has little or no knowledge of firearms operation and safety, invite them to a firearms safety session. If the answer is anything like "I don't need it" or "I don't have time for that," another red warning flag is flying.

You, the friend/relative/neighbor, have an advantage the person behind the gun shop counter does not: You know this person. Apply that knowledge to their request for a gun.

Have they been depressed lately? Gravely ill? Suffered the loss of a loved one, or a crushing economic reverse? Have they been recently dumped by a lover or spouse? I put the latter in italics for two reasons: It seems to be a particular trigger for the departure-from-life impulse, and it's associated with not just intent to commit suicide, but sometimes, intent to commit murder as well. All of these can be red flags.

When someone you know asks to borrow a lethal weapon, and it seems out of character for them to do so, be particularly alert for signs of "departure ritual." The person who has committed herself to leaving life behind will often put her affairs in order. The person who has been chronically tardy in paying bills suddenly brings all accounts up to date, for example. Conversely, in one case I worked, the individual burned all his bills in a ritual bonfire the night before he committed "suicide by cop," attacking police with a weapon and forcing a sergeant to shoot him to death.

The entire blog post is here.

Massad participated in an Ethics and Psychology podcast that can be found here.

Free Will Skepticism and Its Implications: An Argument for Optimism

By Gregg Caruso
For Free Will Skepticism in Law and Society, ed. Elizabeth Shaw & Derk Pereboom

Here is an excerpt:

     What, then, would be the consequence of accepting free will skepticism? What if we came to disbelieve in free will and moral responsibility? What would this mean for our interpersonal relationships, society, morality, meaning, and the law? What would it do to our standing as human beings? Would it cause nihilism and despair as some maintain? Or perhaps increase anti-social behavior as some recent studies have suggested (Vohs and Schooler 2008; Baumeister, Masicampo, and DeWall 2009)? Or would it rather have a humanizing effect on our  practices and policies, freeing us from the negative effects of free will belief? These questions are of profound pragmatic importance and should be of interest independent of the metaphysical debate over free will. As public proclamations of skepticism continue to rise, and as the mass media continues to run headlines announcing "Free will is an illusion" and "Scientists say free will probably doesn't exist,"we need to ask what effects this will have on the general public and what the responsibility is of professionals.

Monday, July 6, 2015

Brain implant trials raise ethical concerns

By Emily Underwood
Science Magazine
Originally published June 11, 2015

In recent decades, investigators have developed therapies for depression, Parkinson's disease, deafness, and other conditions that rely on electrodes sending signals into the brain. But moving from laboratory experiments to the clinic has been difficult. Last week, in a workshop at the National Institute of Mental Health in Bethesda, Maryland, researchers focused on ways to remove some of the obstacles to developing new therapies using invasive neuromodulating devices, as well as the ethical and practical issues such devices raise. Two new rounds of grants from President Barack Obama's Brain Research through Advancing Innovative Neurotechnologies Initiative this summer aim to bridge the gap between promising preclinical studies with invasive brain devices and large human trials.

The entire article is here, behind a paywall.

Welcoming the Concept of Alief to Medical Ethics

By J.S. Blumenthal-Barby
bioethics.net
Originally published June 15, 2015

Philosopher Tamar Gendler has introduced (circa 2008) a new concept in the philosophical literature that could be of interest to medical ethicists. The concept is that of ‘alief’ and it is meant to contrast with the concept of ‘belief.’ An example Gendler discusses to tease out the difference between the two concepts is the example of a woman who believes African American and Caucasian people to be of equal intelligence, yet in her behavioral responses it seems as if she believes differently (e.g., she is more surprised when an African American student of hers makes an intelligent comment than she is when a Caucasian student does, she more quickly associates intelligence with her Caucasian students, when grading exams she might grade the same quality exam differently if written by an African American student than a Caucasian student, etc.). In other words, if you ask her explicitly, she says she believes P (in this case, P is “all races are of equal intelligence”), and she says it sincerely. But, you might think from the outside that she believes ~P (in this case, “all races are not of equal intelligence”). You might be tempted to say that she does not really believe P. What Gendler wants to say is that this woman does believe P, but that she has an ‘alief’ that is in tension with her belief of P (she has a “belief discordant alief”). The content of this alief is a set of associations that get activated (usually from habit) and show themselves in behavioral responses. Another example Gendler discusses is a glass walkway over the Grand Canyon. When walking across, a person may believe that the walkway is completely safe, but alieve something very different. The content of the alief is: ““Really high up, long long way down. Not a safe place to be! Get off!!”” While beliefs change in response to evidence, aliefs might not (they change in response to habits or affective associations).

The entire blog post is here.

Sunday, July 5, 2015

The Death Treatment

When should people with a non-terminal illness be helped to die?

By Rachel Aviv
The New Yorker
Originally published June 22, 2015

Belgium was the second country in the world, after the Netherlands, to decriminalize euthanasia; it was followed by Luxembourg, in 2009, and, this year, by Canada and Colombia. Switzerland has allowed assisted suicide since 1942. The United States Supreme Court has recognized that citizens have legitimate concerns about prolonged deaths in institutional settings, but in 1997 it ruled that death is not a constitutionally protected right, leaving questions about assisted suicide to be resolved by each state. Within months of the ruling, Oregon passed a law that allows doctors to prescribe lethal drugs for patients who have less than six months to live. In 2008, Washington adopted a similar law; Montana decriminalized assisted suicide the year after; and Vermont legalized it in 2013.

The right-to-die movement has gained momentum at a time of anxiety about the graying of the population; people who are older than sixty-five represent the fastest-growing demographic in the United States, Canada, and much of Europe. But the laws seem to be motivated less by the desires of the elderly than by the concerns of a younger generation, whose members derive comfort from the knowledge that they can control the end of their lives.

The entire article is here.