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, November 4, 2015

Psychological principles could explain major healthcare failings

Press Release
Bangor University
Originally released on

Here is an excerpt:

In the research paper, Dr Michelle Rydon-Grange who has just qualified as a Clinical Psychologist at the School of Psychology, applies psychological theory to find new understandings of the causes that lead to catastrophic failures in healthcare settings.  She explains that the aspect often neglected in inquiries is the role that human behaviour plays in contributing to these failures, and hopes that using psychological theories could prevent their reoccurrence in the future.

The value of psychological theory in safety-critical industries such as aviation and nuclear power has long been acknowledged and is based upon the notion that certain employee behaviours are required to maintain safety. However, the same is not yet true of healthcare.

Though there may not be obvious similarities between various healthcare scandals which have occurred in disparate areas of medicine over the last few decades, striking similarities in the conditions under which these crises occurred can be found, according to Rydon-Grange.

The entire pressor is here.

Only two sexes?

By Sarah Graham
The Independent
Originally posted October 17, 2015

Here is an excerpt:

It’s not surprising so many people are ignorant about us intersex people: Our very existence has been erased since the Roman Empire. It continued in the 20th century, as doctors got their scalpels out to “normalise” our bodies. In the last fifteen years, since some of us started finding our dissident voices and protesting, doctors have tried to rebrand us and said we have “Disorders of Sexual Development (DSDs)” - to legitimize their paternalism and on-going annihilation of our beings.

This is all to keep you - the public - in the dark. And to rigidly enforce the pink and blue boxes: the boring binary, straight-laced order. But let me bring you up-to-speed. There are not only the two sexes of male and female. This is an absolute barefaced lie. Nature produces bodies on a spectrum; a continuum of possibilities.

You have met one of us somewhere, for sure. As many as 1 in 1,500 babies is born visibly intersex, while many more are born not so obviously unique and interesting to the eye.

The entire article is here.

Tuesday, November 3, 2015

The neuroscience of moral cognition: from dual processes to dynamic systems

Jay J Van Bavel, Oriel FeldmanHall, Peter Mende-Siedlecki
Current Opinion in Psychology
Volume 6, December 2015, Pages 167–172

Prominent theories of morality have integrated philosophy with psychology and biology. Although this approach has been highly generative, we argue that it does not fully capture the rich and dynamic nature of moral cognition. We review research from the dual-process tradition, in which moral intuitions are automatically elicited and reasoning is subsequently deployed to correct these initial intuitions. We then describe how the computations underlying moral cognition are diverse and widely distributed throughout the brain. Finally, we illustrate how social context modulates these computations, recruiting different systems for real (vs. hypothetical) moral judgments, examining the dynamic process by which moral judgments are updated. In sum, we advocate for a shift from dual-process to dynamic system models of moral cognition.

The entire article is here.

Are MBAs to blame for VW and other business ethics fiascos?

By  Ethan Baron
Forbes
Originally published October 22, 2015

Here is an excerpt:

So, what’s wrong with recent business people today? In an interview, Queen points to an over-emphasis on tolerance, that makes it very difficult for many people to even say something is wrong. Students are entering business schools “almost as kind of blank slates in terms of [their] ability to think about, to argue about, the good,” Queen says. “Even if they may have a business ethics class, that’s not reinforced by the other messages they’re getting either in the school, from their peers, perhaps even from the business world as a whole.”

While Queen sees what may be the start of a shift away from this line of thinking, he believes that in B-schools, students are generally still coming away with a belief that a return on investment trumps all other values. And within business programs, that ideology makes it difficult for students to swim against the current. Taking an alternate view can lead students to feel alone and alienated.

The entire article is here.

Monday, November 2, 2015

Many Antidepressant Studies Found Tainted by Pharma Company Influence

By Roni Jacobson
Scientific American
Originally published October 21, 2015

Here is an excerpt:

Almost 80 percent of meta-analyses in the review had some sort of industry tie, either through sponsorship, which the authors defined as direct industry funding of the study, or conflicts of interest, defined as any situation in which one or more authors were either industry employees or independent researchers receiving any type of industry support (including speaking fees and research grants). Especially troubling, the study showed about 7 percent of researchers had undisclosed conflicts of interest. “There’s a certain pecking order of papers,” says Erick Turner, a professor of psychiatry at Oregon Health & Science University who was not associated with the research. “Meta-analyses are at the top of the evidence pyramid.” Turner was “very concerned” by the results but did not find them surprising. “Industry influence is just massive. What’s really new is the level of attention people are now paying to it.”

The researchers considered all meta-analyses of randomized controlled trials for all approved antidepressants including selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, atypical antidepressants, monoamine oxidase inhibitors and others published between 2007 and March 2014.

The entire article is here.

Does Disbelief in Free Will Increase Anti-Social Behavior?

By Gregg Caruso
Psychology Today Blog
Originally published October 16, 2015

Here is an excerpt:

Rather than defend free will skepticism, however, I would like to examine an important practical question: What if we came to disbelieve in free will and basic desert 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 (more of this in a moment)? 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 media continues to run headlines proclaiming that free will is an illusion, we need to ask what effects this will have on the general public and what the responsibility is of professionals.

In recent years a small industry has actually grown up around precisely these questions. In the skeptical community, for example, a number of different positions have been developed and advanced—including Saul Smilansky’s illusionism, Thomas Nadelhoffer’s disillusionism, Shaun Nichols’ anti-revolution, and the optimistic skepticism of Derk Pereboom, Bruce Waller, and myself.

The entire article is here.

Sunday, November 1, 2015

The Illusion of Choice: Free Will and Determinism

By Vexen Crabtree
Science and Truth Versus Mass Confusion

1. Nothing Escapes the Laws of Physics

Free will is an illusion. Our amazingly, wonderfully complex brains are comprised of various cognitive systems cycling amongst themselves and generating our thoughts, consciousness, choices and behaviour. These systems and their effects all result from the mechanical, inorganic laws of physics, over which we have no control.

Consciousness is presented to us as a result of our neurons, our brains, our senses. When we lose these, we lose consciousness. These systems are governed and controlled by neurochemicals, hormones, ionisation, impulses: in short, by biochemistry. Biochemistry is in turn merely a type of chemistry, and when we look at the molecules and atoms that make up our chemistry, they obey the laws of physics.

Balls bouncing around a pool table have no free will. The basic chemicals that make up our bodies and minds have no free will. Neurons fire when they should fire, according to their electrochemical properties. They don't randomly fire: They fire when they're stimulated to fire by other neurons or by environmental inputs. Stimulation results from a constant biochemical cycle. These natural cycles determine our states of mind and our choices. Through a long and complicated series of cause and effect, our choices are made. As such, all our 'choices' are ultimately the result of impersonal and mechanical forces. There is no "free will force" that causes neurons to fire some times and not at others. They fire in accordance with the rules of physics, firmly beyond our control but not beyond our appreciation. These facts are proclaimed also by none other than the foremost physicist Albert Einstein:
“I do not at all believe in human freedom in the philosophical sense. Everybody acts not only under external compulsion but also in accordance with inner necessity.”
Albert Einstein (1954)
Sociologists and psychologists have studied the subliminal, subconscious and external factors that affect our behaviour, and a vast number of studies that have found that our behaviour is determined by outside agency but that we always think it is caused by our own will.

The entire blog entry is here.

Saturday, October 31, 2015

Why the Free Will Debate Never Ends

By Julian Baggini
The Philosophers Magazine
Originally published October 13, 2015

Here is an excerpt:

Smilansky is speculating about optimism and pessimism. But one study has come up with some empirical evidence that extraversion and introversion are correlated with beliefs about free will, concluding that “extraversion predicts, to a significant extent, those who have compatibilist versus incompatibilist intuitions.”

Many are appalled by this idea as it goes against the whole notion that philosophy is about arguments, not arguers. But you only need to read the biographies and autobiographies of great philosophers to see that their personalities are intimately tied up with their ideas. W V O Quine, for instance, recalled how as a toddler he sought the unfamiliar way home, which he interpreted as reflecting “the thrill of discovery in theoretical science: the reduction of the unfamiliar to the familiar.” Later, he was obsessed with crossing state lines and national borders, ticking each off on a list as he did so. Paul Feyerabend recalled how, not yet ten, he was enchanted by magic and mystery and wasn’t affected by “the many strange events that seemed to make up our world.” Only a philosopher with delusions of her subject's objectivity would be surprised to find out that Quine and Feyerabend went on to write very different kinds of philosophy: Quine’s in a formal, logical, systematising tradition (though typically on the limits of such formalisations); Feyerabend’s anti-reductive and anti-systematising. It would take a great deal of faith in the objectivity of philosophy and philosophers to think that Feyerabend and Quine arrived at their respective philosophical positions simply by following the arguments where they led, when their inclinations so obviously seem to be in tune with their settled conclusions.

The entire article is here.

Friday, October 30, 2015

A Short History of Empathy

By Susan Lanzoni
The Atlantic
Originally published October 15, 2015

Here is an excerpt:

In the past few decades, interest in empathy has spread beyond psychology to primatology and neuroscience. In the 1990s, neuroscientists studying monkeys discovered mirror neurons, cells in the animals’ brains that fired not only when a monkey moved, but also when the monkey saw another one make the same movement. The discovery of mirror neurons spurred a wave of research into empathy and brain activity that quickly extended to humans as well. Other recent studies have further widened empathy’s reach into fields like economics and literature, finding that wealth disparities weaken empathic response and that reading fiction can improve it.

But as Kristof and Bloom illustrate, there is still some cultural debate about what empathy means today. And in the psychology community, the answers are no more clear-cut. Critics of the mirror-neuron theory, for example, question not only the location of these neurons in the human brain, but whether simulation of another’s gestures is a good description of empathy in the first place. The social psychologist C. Daniel Batson, who has researched empathy for decades, argues that the term can now refer to eight different concepts: knowing another’s thoughts and feelings; imagining another’s thoughts and feelings; adopting the posture of another; actually feeling as another does; imagining how one would feel or think in another’s place; feeling distress at another’s suffering; feeling for another’s suffering, sometimes called pity or compassion; and projecting oneself into another’s situation.

The entire article is here.