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

Wednesday, August 26, 2015

The Future of Morality, at Every Internet User's Fingertips

By Tim Hwang
The Atlantic
Originally posted August 5, 2015

Here is an excerpt:

The choice not to link is therefore a personal moral act: It invokes an individual responsibility around making content accessible to others online. The economics of advertising are such that linking provides a frictionless channel for an audience’s attention (read: money) to reach content. The web of information stitched together by an individual as they browse and publish across the Internet is also implicitly a web of support for the content being linked to.

This shuffles up our traditional notions of what it means to link. Linking is tangled up with our concepts of proof and good argumentation online. One links to something else in order to provide a citation that backs up a point—that’s how I’m using links in this very article, for instance. The often-heard call of “citation needed” on Wikipedia echoes much of the same functionality.

Choosing not to link in that context represents a belief that the ethical duties around linking will sometimes outweigh the need to use linking to facilitate discourse and debate online. In some ways, it implies that the latter use is the lesser necessary as the ability to find information has grown enormously from the early days of the web.

The entire article is here.

Note: The article provides examples of why linking may be rewarding inappropriate, unethical, or immoral acts by internet sites and authors.

Tuesday, August 25, 2015

The Lion, the Myth, and the Morality Tale

By Brandon Ferdig
The American Thinker
Originally posted August 8, 2015

Here is an excerpt:

There’s nothing inherently wrong with myth and symbolism. They are emotional-mental tools used to categorize our world, to seek its improvement, to add meaning, to sink our emotional teeth into life and cultivate richness around our experience. Epic is awesome.

It was awesome for those who cried when seeing Barack Obama elected because of the interpreted representative step forward and victory of our nation. It’s awesome to feel moved by the sight of an animal that represents and elicits majesty. And it’s awesome to find other like-minded folks and bond in celebration or fight for a better world.

But there’s a risk.

To the degree that we subscribe to a particular ideology is the potential for us to color the events of our world with its tint. Suddenly we have something invested into these events -- our world view, our ego -- and exaggerated responses result. We’ll fight to defend our ideology, details and facts be damned. Get with like-minded folks, and you can create a mob.

The entire article is here.

The curious tale of Julie and Mark: Unraveling the moral dumbfounding effect

Edward B. Royzman, Kwanwoo Kim, Robert F. Leeman
Judgment and Decision Making, Vol. 10, No. 4, July 2015, pp. 296–313

Abstract

The paper critically reexamines the well-known “Julie and Mark” vignette, a stylized account of two college-age siblings opting to engage in protected sex while vacationing abroad (e.g., Haidt, 2001). Since its inception, the story has been viewed as a rhetorically powerful validation of Hume’s “sentimentalist” dictum that moral judgments are not rationally deduced but arise directly from feelings of pleasure or displeasure (e.g., disgust). People’s typical reactions to the vignette are alleged to support this view by demonstrating that individuals are prone to become morally dumbfounded (Haidt, 2001; Haidt, Bjorklund, & Murphy, 2000), i.e., they tend to “stubbornly” maintain their disapproval of the act without supporting reasons. In what follows, we critically reassess the traditional account, predicated on the notion that, among other things, most subjects simply fail to be convinced that the siblings’ actions are truly harm-free, thus having excellent reasons to disapprove of these acts. In line with this critique, 3 studies found that subjects 1) tended not to believe that the siblings’ actions were in fact harmless; 2) notwithstanding that, and in spite of holding a number of “counterargument-immune” reasons, subjects could be effectively maneuvered into exhibiting all the trademark signs of a morally dumbfounded state (which they subsequently recanted), and 3) with subjects’ beliefs about harm and standards of normative evaluation properly factored in, a more rigorous assessment procedure yielded a dumbfounding estimate of about 0. Based on these and related results, we contend that subjects’ reactions are wholly in line with the rationalist model of moral judgment and that their use in support of claims of moral arationalism should be reevaluated.

The entire article is here.

Monday, August 24, 2015

Good Without Knowing it: Subtle Contextual Cues can Activate Moral Identity and Reshape Moral Intuition

Keith Leavitt, Lei Zhu, Karl Aquino
Journal of Business Ethics
July 2015  Date: 30 Jul 2015

Abstract

The role of moral intuition (i.e., a set of implicit processes which occur automatically and at the fringe of conscious awareness) has been increasingly implicated in business decisions and (un)ethical business behavior. But troublingly, because implicit processes often operate outside of conscious awareness, decision makers are generally unaware of their influence. We tested whether subtle contextual cues for identity can alter implicit beliefs. In two studies, we found that contextual cues which nonconsciously prime moral identity weaken the implicit association between the categories of “business” and “ethical,” an implicit association which has previously been linked to unethical decision making. Further, changes in this implicit association mediated the relationship between contextually primed moral identity and concern for external stakeholder groups, regardless of self-reported moral identity. Thus, our results show that subtle contextual cues can lead individuals to render more ethical judgments, by automatically restructuring moral intuition below the level of consciousness.

The entire article is here.

Detox or lose your benefits

New welfare proposals are based on bad evidence and worse ethics

Ian Hamilton
The Conversation
Originally posted August 3, 2015

When is a choice not really a choice? It could be argued that the latest proposal from the government aimed at people who have problems with drugs and alcohol is not a choice but an ultimatum – accept help for your problem or lose your right to welfare benefits.

This proposal raises some very serious issues. Treating any condition is based on consent – the person should be willing to have the treatment. In this case, people have little choice and therefore they would probably be consenting to treatment to avoid losing money. This also passes on an ethical dilemma to treatment staff, who would need to decide if they are willing to participate in state-sponsored coercion.

Sunday, August 23, 2015

Psychologist's Work For GCHQ Deception Unit Inflames Debate Among Peers

By Andrew Fishman
The Intercept
Originally posted August 7, 2015

A British psychologist is receiving sharp criticism from some professional peers for providing expert advice to help the U.K. surveillance agency GCHQ manipulate people online.

The debate brings into focus the question of how or whether psychologists should offer their expertise to spy agencies engaged in deception and propaganda.

Dr. Mandeep K. Dhami, in a 2011 paper, provided the controversial GCHQ spy unit JTRIG with advice, research pointers, training recommendations, and thoughts on psychological issues, with the goal of improving the unit’s performance and effectiveness. JTRIG’s operations have been referred to as “dirty tricks,” and Dhami’s paper notes that the unit’s own staff characterize their work using “terms such as ‘discredit,’ promote ‘distrust,’ ‘dissuade,’ ‘deceive,’ ‘disrupt,’ ‘delay,’ ‘deny,’ ‘denigrate/degrade,’ and ‘deter.’” The unit’s targets go beyond terrorists and foreign militaries and include groups considered “domestic extremist[s],” criminals, online “hacktivists,” and even “entire countries.”

The entire article is here.

Saturday, August 22, 2015

A Quantitative Analysis of Undisclosed Conflicts of Interest in Pharmacology Textbooks

Piper BJ, Telku HM, Lambert DA (2015) A Quantitative Analysis of Undisclosed Conflicts of Interest in Pharmacology Textbooks. PLoS ONE 10(7): e0133261. doi:10.1371/journal.pone.0133261

Abstract

Background

Disclosure of potential conflicts of interest (CoI) is a standard practice for many biomedical journals but not for educational materials. The goal of this investigation was to determine whether the authors of pharmacology textbooks have undisclosed financial CoIs and to identify author characteristics associated with CoIs.

Methods and Findings

The presence of potential CoIs was evaluated by submitting author names (N = 403; 36.3% female) to a patent database (Google Scholar) as well as a database that reports on the compensation ($USD) received from 15 pharmaceutical companies (ProPublica’s Dollars for Docs). All publications (N = 410) of the ten highest compensated authors from 2009 to 2013 and indexed in Pubmed were also examined for disclosure of additional companies that the authors received research support, consulted, or served on speaker’s bureaus. A total of 134 patents had been awarded (Maximum = 18/author) to textbook authors. Relative to DiPiro’s Pharmacotherapy: A Pathophysiologic Approach, contributors to Goodman and Gilman’s Pharmacological Basis of Therapeutics and Katzung’s Basic and Clinical Pharmacology were more frequently patent holders (OR = 6.45, P < .0005). Female authors were less likely than males to have > 1 patent (OR = 0.15, P < .0005). A total of $2,411,080 USD (28.3% for speaking, 27.0% for consulting, and 23.9% for research), was received by 53 authors (Range = $299 to $310,000/author). Highly compensated authors were from multiple fields including oncology, psychiatry, neurology, and urology. The maximum number of additional companies, not currently indexed in the Dollars for Docs database, for which an author had potential CoIs was 73.

Conclusions

Financial CoIs are common among the authors of pharmacology and pharmacotherapy textbooks. Full transparency of potential CoIs, particularly patents, should become standard procedure for future editions of educational materials in pharmacology.

The entire article is here.

Friday, August 21, 2015

How medical students learn ethics: an online log of their learning experiences

Carolyn Johnston & Jonathan Mok
J Med Ethics doi:10.1136/medethics-2015-102716

Abstract

Medical students experience ethics learning in a wide variety of formats, delivered not just through the taught curriculum. An audit of ethics learning was carried out at a medical school through a secure website over one academic year to determine the quantity and range of medical ethics learning in the undergraduate curriculum and compare this with topics for teaching described by the Institute of Medical Ethics (IME) (2010) and the General Medical Council's (GMC) Tomorrow's Doctors (2009). The online audit captured the participants’ reflections on their learning experiences and the impact on their future practice. Results illustrate the opportunistic nature of ethics learning, especially in the clinical years, and highlight the reality of the hidden curriculum for medical students. Overall, the ethics learning was a helpful and positive experience for the participants and fulfils the GMC and IME curriculum requirements.

The entire article is here.

How do Medical Students Learn Ethics?

Guest Post by Carolyn Johnston
BMJ Blogs
Originally posted on August 3, 2015

How interested are medical students in learning ethics and law? I have met students who have a genuine interest in the issues, who are engaged in teaching sessions and may go on to intercalate in ethics and law. On the other hand some consider that ethics is “just common sense”. They want to know only the legal parameters within which they will go on to practice and do not want to be troubled with a discussion of ethical issues for which there may not be a “correct” answer.

Ethics and law is a core part of the undergraduate medical curriculum and so in order to engage students successfully I need to know whether my teaching materials are relevant, useful and interesting. In 2010 I ran a student selected component in which MBBS Year 2 students created materials for medical ethics and law topics for pre-clinical students which they considered were engaging and relevant, so that students might go further than learning merely to pass exams. One student, Marcus Sorensen, who had managed a design consultancy focusing on web design and development before starting his medical studies, came up with the idea of a website as a platform for ethics materials for King’s students and he created the website http://get-ethical.co.uk.

The entire article is here.