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

Tuesday, November 10, 2015

Federal judge says neuroscience is not ready for the courtroom--yet

By Kevin Davis
ABA Journal
Originally published October 20, 2015

Here is an excerpt:

Rakoff, who long has had an interest in neuroscience and is a founding member of the MacArthur Foundation Research Network on Law and Neuroscience, says that judges are still cautious about allowing neuroscientific evidence in court. Criminal lawyers, for example, have introduced brain scans to show a defendant’s brain dysfunction, most often as mitigation in death penalty hearings. Lawyers also have tried to introduce brain scans to prove the existence of pain and as evidence for lie detection.

“The attitude of judges toward neuroscience is one of ambivalence and skepticism,” Rakoff said. “You ask them about the hippocampus, they say it’s something at the zoo.”

The entire article is here.

Neuromodulation of Group Prejudice and Religious Belief

C. Holbrook, K. Izuma, C, Deblieck, D. Fessler, and M. Iacoboni
Social Cognitive and Affective Neuroscience (2015)
doi: 10.1093/scan/nsv107

Abstract

People cleave to ideological convictions with greater intensity in the aftermath of threat. The posterior medial frontal cortex (pMFC) plays a key role in both detecting discrepancies between desired and current conditions and adjusting subsequent behavior to resolve such conflicts. Building on prior literature examining the role of the pMFC in shifts in relatively low-level decision processes, we demonstrate that the pMFC mediates adjustments in adherence to political and religious ideologies. We presented participants with a reminder of death and a critique of their in-group ostensibly written by a member of an out-group, then experimentally decreased both avowed belief in God and out-group derogation by down-regulating pMFC activity via transcranial magnetic stimulation. The results provide the first evidence that group prejudice and religious belief are susceptible to targeted neuromodulation, and point to a shared cognitive mechanism underlying concrete and abstract decision processes. We discuss the implications of these findings for further research characterizing the cognitive and affective mechanisms at play.

The entire article is here.

Monday, November 9, 2015

When Students Become Patients, Privacy Suffers

By Charles Ornstein
ProPublica
Originally published October 23, 2015

Here is an excerpt:

Yale Health’s website informs parents that they cannot access their child’s health information without a signed written consent form. Andrea said she does not recall signing that document. When she recently asked to see any such form, she said, she was told by the counseling center’s chief that there was none. “Most of what happened while I was in the hospital happened without my knowing it,” she said. “I got an update every day or two about where my life was going.”

Andrea’s case is a vivid demonstration of how weaknesses in state and federal laws — and the often-conflicting motives of students, parents, and college officials — have left patient privacy vulnerable when students receive medical treatment on campus.

Universities walk a fine line when providing that treatment or mental-health services to students. If campus officials don’t know what’s going on or disclose too little, they risk being blamed if a student harms himself, herself, or others. If they pry too deeply, they may be accused of invading privacy, thereby discouraging students from seeking treatment.

The entire article is here.

The Illusion of Free Will

Originally published on Jul 7, 2015

Daniel Do asked us to reconsider whether we are the authors of our own thoughts.

Daniel is a student deeply engaged in brain science and philosophy of mind. He is an aspiring neuroscientist, writer, educator, and science communicator. In his free time, he enjoys biking, meditating, composing music, reading books, debating with his friends and family, and being alone with his thoughts.


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.