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, October 26, 2015

Would You Pull the Trolley Switch? Does it Matter?

By Lauren Cassani Davis
The Atlantic
Originally published October 9, 2015

Here is an excerpt:

The trolley dilemmas vividly distilled the distinction between two different concepts of morality: that we should choose the action with the best overall consequences (in philosophy-speak, utilitarianism is the most well-known example of this), like only one person dying instead of five, and the idea that we should always adhere to strict duties, like “never kill a human being.” The subtle differences between the scenarios provided helped to articulate influential concepts, like the distinction between actively killing someone versus passively letting them die, that continue to inform contemporary debates in law and public policy. The trolley problem has also been, and continues to be, a compelling teaching tool within philosophy.

By the late ‘90s, trolley problems had fallen out of fashion. Many philosophers questioned the value of the conclusions reached by analyzing a situation so bizarre and specific.

The entire article is here.

Researchers can change the outcome of studies just by being white

By Nikhil Sonnad
Quartz
Originally posted October 5, 2015

Here is an excerpt:

The implication is that every aspect of a study matters. Decision research has been criticized for attempting to explain all of human behavior based mainly on studies of undergraduates in rich democracies. That has led to repeating such research in other parts of the world, as the chart above shows. But that might not be enough.

“Behavioral studies that offer ‘cultural’ or other contextual explanations for variation in generosity should be taken with a grain of salt, unless we are confident that such differences aren’t driven by simpler explanations such as who was in the room at the time,” said Bilal Murtaza Siddiqi, an economist at the World Bank and one of the paper’s co-authors.

The entire article is here.

Sunday, October 25, 2015

Doctors' use of smartphones 'could threaten patient confidentiality'

By Denis Campbell
The Guardian
Originally published October 7, 2015

Details of patients’ illnesses and treatment could be leaked because so many doctors use smartphones to send details of their cases to each other, including x-ray results and photographs of wounds, warns research.

Patients are at risk of having their confidentiality breached because up to two-thirds of doctors are using SMS texts and picture messages to share information, including photographs of wounds, in the search for a second opinion.

The findings prompted concern that sensitive details of patients’ conditions could become public if doctors’ phones were lost or stolen or they inadvertently sent a message to a wrong number.

Research among 287 doctors and 564 nurses working at the five hospitals in the Imperial College healthcare NHS trust in London found that 65% of the doctors had used SMS messages to communicate with colleagues about a patient.

The entire article is here.

Saturday, October 24, 2015

Would you have sex with a Robot?

HuffPost Live



Will humans soon enjoy the option of having sex with robots? We discuss the technology behind this progressive idea, along with legal, moral and ethical implications. How will this human like sexbot alter reality? Will relationships suffer as a result?

Originally aired on October 5, 2015

Friday, October 23, 2015

Reforming the minimum wage: Toward a psychological perspective

Laura Smith
American Psychologist, Vol 70(6), Sep 2015, 557-565.

Abstract

The field of psychology has periodically used its professional and scholarly platform to encourage national policy reform that promotes the public interest. In this article, the movement to raise the federal minimum wage is presented as an issue meriting attention from the psychological profession. Psychological support for minimum wage reform derives from health disparities research that supports the causal linkages between poverty and diminished physical and emotional well-being. Furthermore, psychological scholarship relevant to the social exclusion of low-income people not only suggests additional benefits of financially inclusive policymaking, it also indicates some of the attitudinal barriers that could potentially hinder it. Although the national living wage debate obviously extends beyond psychological parameters, psychologists are well-positioned to evaluate and contribute to it.

The entire article is here.

God and the Source of Morality — Part I

By Massimo Pigliucci
The Philosophers' Magazine online
Originally published October 5, 2015

Here is an excerpt:

Why, exactly, is this a problem for those, like Euthyphro, who think gods are the ultimate source of morality? Because if one takes the first horn — what Levin calls the “pure will” theory — then one essentially admits that morality is a matter of might makes right. If God decides that genocide and rape are permissible, then they are permissible, period. (This, as is well known, does in fact happens in several places in the Old Testament, but that’s another story.)

Recoiling from so uncomfortable an admission, Euthyphro tries the second horn, what Levin calls the “guided will” theory. But here the problem is that this route implicitly admits that there are moral standards that are external to God himself, so that morality does not, then, originate from him. (And a corollary of this conclusion is that we mortals may not need the “middle God,” so to speak, to figure out what is and isn’t moral, we can arrive at it via other sources, for instance by philosophical inquiry.)

The entire article is here.

Thursday, October 22, 2015

Nudging and Informed Consent

Shlomo Cohen
The American Journal of Bioethics
Volume 13, Issue 6, 2013

Abstract

Libertarian paternalism's notion of “nudging” refers to steering individual decision making so as to make choosers better off without breaching their free choice. If successful, this may offer an ideal synthesis between the duty to respect patient autonomy and that of beneficence, which at times favors paternalistic influence. A growing body of literature attempts to assess the merits of nudging in health care. However, this literature deals almost exclusively with health policy, while the question of the potential benefit of nudging for the practice of informed consent has escaped systematic analysis. This article focuses on this question. While it concedes that nudging could amount to improper exploitation of cognitive weaknesses, it defends the practice of nudging in a wide range of other conditions. The conclusion is that, when ethically legitimate, nudging offers an important new paradigm for informed consent, with a special potential to overcome the classical dilemma between paternalistic beneficence and respect for autonomy.

The entire article is here.

Humility facilitates higher self-control

Eddie M.W. Tong, Kenny W.T. Tan, Agapera A.B. Chor, E. P.S. Koh, J. S.Y. Lee, R. W.Y. Tan
Journal of Experimental Social Psychology
Volume 62, January 2016, Pages 30–39

Abstract

Prior evidence and existing theories imply that humility engenders intra- and inter-personal attributes that facilitate self-regulatory abilities. Four experiments were conducted to test the hypothesis that humility predicts enhanced self-control. Participants who recalled humility experiences were found to be better able at sustaining their physical stamina in a handgrip task (Studies 1 and 4), resisting indulgence in chocolates (Study 2), and persevering in a frustrating tracing task (Study 3) than those who recalled neutral experiences. Studies 3 and 4 demonstrated that the effect of humility was distinct from that of self-esteem, which did not affect self-control. Study 2 ruled out two alternative hypotheses concerning achievement and compliance motives. We discuss how the findings might relate to outcomes associated with humility as evidenced in past studies.

The study can be found here.

Wednesday, October 21, 2015

Informed Consent and Standard of Care: What Must Be Disclosed

Ruth Macklin & Lois Shepherd
The American Journal of Bioethics
Volume 13, Issue 12, 2013

Abstract

The Office for Human Research Protections (OHRP) was correct in determining that the consent forms for the National Institutes of Health (NIH)-sponsored SUPPORT study were seriously flawed. Several articles defended the consent forms and criticized the OHRP's actions. Disagreement focuses on three central issues: (1) how risks and benefits should be described in informed consent documents; (2) the meaning and application of the concept of “standard of care” in the context of research; and (3) the proper role of OHRP. Examination of the consent forms reveals that they failed to disclose the reasonably foreseeable risks of the experimental interventions in the study, as well as the potential for differences in the degree of risk between these interventions. Although the concept of “standard of care” may be helpful in determining the ethical acceptability of other aspects of research, such as clinical equipoise, it is not helpful in discussing consent requirements.

The entire article is here.