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

Sunday, November 8, 2015

Deconstructing the seductive allure of neuroscience explanations

Weisberg DS, Keil FC, Goodstein J, Rawson E, Gray JR.
Judgment and Decision Making, Vol. 10, No. 5, 
September 2015, pp. 429–441

Abstract

Explanations of psychological phenomena seem to generate more public interest when they contain neuroscientific information. Even irrelevant neuroscience information in an explanation of a psychological phenomenon may interfere with people's abilities to critically consider the underlying logic of this explanation. We tested this hypothesis by giving naïve adults, students in a neuroscience course, and neuroscience experts brief descriptions of psychological phenomena followed by one of four types of explanation, according to a 2 (good explanation vs. bad explanation) x 2 (without neuroscience vs. with neuroscience) design. Crucially, the neuroscience information was irrelevant to the logic of the explanation, as confirmed by the expert subjects. Subjects in all three groups judged good explanations as more satisfying than bad ones. But subjects in the two nonexpert groups additionally judged that explanations with logically irrelevant neuroscience information were more satisfying than explanations without. The neuroscience information had a particularly striking effect on nonexperts' judgments of bad explanations, masking otherwise salient problems in these explanations.

The entire article is here.

Saturday, November 7, 2015

The End of Expertise

By Bill Fischer
Harvard Business Review
Originally published October 19, 2015

Here is an excerpt:

Increasingly, expertise is losing the respect that for years had earned it premiums in any market where uncertainty was present and complex knowledge valued. Along with it, we are shedding our reverence for “expert evaluation,” losing our regard for our Michelin guides and casting our lot in with the peer-generated Yelps of the world.

Not only is the character of expertise changing, but at the same time, new client needs are emerging. Firms are fearful of being vulnerable to an unknown (not uncertain) future; and at the same time, conditioned by living in an internet world, they expect instant knowledge responses at reasonable prices. Expertise providers are finding that the models that they have long relied upon (e.g., the familiar five forces model) are losing some of their potency, as they are based upon assumed knowledge that is increasingly difficult to determine (What industry are we in? Who are our competitors? What are our core-competencies?), and are more like time-lapse photography in presentation than the customer’s contemporary expectations of real-time, virtual streaming engagement.

The entire article is here.

Friday, November 6, 2015

People Don't Actually Want Equality

By Paul Bloom
The Atlantic
Originally published on October 22, 2015

Here is an excerpt:

Can Frankfurt really be right that people don’t value economic equality for its own sake? Many scholars believe otherwise. The primatologist Frans de Waal sums up a popular view when he writes: “Robin Hood had it right. Humanity’s deepest wish is to spread the wealth.”

In support of de Waal, researchers have found that if you ask children to distribute items to strangers, they are strongly biased towards equal divisions, even in extreme situations. The psychologists Alex Shaw and Kristina Olson told children between the ages of six and eight about two boys, Dan and Mark, who had cleaned up their room and were to be rewarded with erasers—but there were five of them, so an even split was impossible. Children overwhelmingly reported that the experimenter should throw away the fifth eraser rather than establish an unequal division. They did so even if they could have given the eraser to Dan or Mark without the other one knowing, so they couldn’t have been worrying about eliciting anger or envy.

It might seem as though these responses reflect a burning desire for equality, but more likely they reflect a wish for fairness. It is only because Dan and Mark did the same work that they should get the same reward. And so when Shaw and Olson told the children “Dan did more work than Mark,” they were quite comfortable giving three to Dan and two to Mark. In other words, they were fine with inequality, so long as it was fair.

The entire article is here.

Brain Gain: The Emerging Security and Ethical Challenges of Cognitive Enhancement

BY Nayef Al-Rodhan
Georgetown Journal of International Affairs 
Originally published July 2, 2015

The radically accelerating development of emerging strategic technologies (ESTs) poses important questions for the future of human societies.

On the one hand, ESTs promise great benefits. For example, newly developed forms of biotechnology, synthetic biology, and nanopharmaceuticals will begin to aid medical interventions, including those associated with psychological disorders. Drugs and nano-scaled mechanical delivery systems that enhance our memory and mental capacity will one day assist us in performing functions outside of our natural capabilities. On the other hand, cognitive enhancement presents us with numerous ethical dilemmas and raises fundamental questions about how we understand ourselves. Such ideas have until recently been consigned to the realm of the imagination, but the likelihood of having a roomful of superior beings with hyper-memory—or an army of them—is fast becoming technologically possible. These developments complicate longstanding debates in both philosophy and cognitive science. Cognitive enhancement questions our notions of self-understanding, as well as those aspects of our nature with which we tend to feel most familiar.

The entire article is here.

Thursday, November 5, 2015

A Code of Ethics for Health Care Ethics Consultants

Anita J. Tarzian & Lucia D. Wocial
American Journal of Bioethics 15 (5):38-51 (2015)

Abstract

For decades a debate has played out in the literature about who bioethicists are, what they do, whether they can be considered professionals qua bioethicists, and, if so, what professional responsibilities they are called to uphold. Health care ethics consultants are bioethicists who work in health care settings. They have been seeking guidance documents that speak to their special relationships/duties toward those they serve. By approving a Code of Ethics and Professional Responsibilities for Health Care Ethics Consultants, the American Society for Bioethics and Humanities (ASBH) has moved the professionalization debate forward in a significant way. This first code of ethics focuses on individuals who provide health care ethics consultation (HCEC) in clinical settings. The evolution of the code's development, implications for the field of HCEC and bioethics, and considerations for future directions are presented here.

The entire paper is here.

The Funny Thing About Adversity

By David DeSteno
The New York Times
Originally published October 16, 2015

Here are several excerpts:

In both studies, the results were the same. Those who had faced increasingly severe adversities in life — loss of a loved one at an early age, threats of violence or the consequences of a natural disaster — were more likely to empathize with others in distress, and, as a result, feel more compassion for them. And of utmost importance, the more compassion they felt, the more money they donated (in the first study) or the more time they devoted to helping the other complete his work (in the second).

Now, if experiencing any type of hardship can make a person more compassionate, you might assume that the pinnacle of compassion would be reached when someone has experienced the exact trial or misfortune that another person is facing. Interestingly, this turns out to be dead wrong.

(cut)

As a result of this glitch, reflecting on your own past experience with a specific misfortune will very likely cause you to under appreciate just how trying that exact challenge can be for someone else (or was, in fact, for you at the time). You overcame it, you think; so should he. The result? You lack compassion.

The entire article is here.

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.