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 24, 2015

Genetically enhance humanity or face extinction - PART 1

Julian Savulescu presents at Sydney's Festival of Dangerous Ideas

In his talk at the Festival of Dangerous Ideas (Sydney Opera House), philosopher and bioethicist Julian Savulescu examines the nature of human beings as products of evolution, in particular their limited altruism, limited cooperative instincts and limited ability to take account of the future consequences of actions. He argues that humans' biology and psychology are unfit for the kind of society we live in and we must either alter our political institutions, severely restrain our technology or change our nature. Or face annihilation by our own design.





Monday, November 23, 2015

Moral Cleansing

Colin West and Chen-Bo Zhong
Current Opinion in Psychology
Available online 3 November 2015

Moral cleansing describes behaviors aimed at restoring moral self-worth in response to past transgressions. People are motivated to maintain a moral self-image and to eliminate apparent gaps between their perceived self-image and their desired moral self. Moral cleansing behaviors fall into three over-arching categories. Restitution cleansing behaviors directly resolve past misdeeds. Behavioral cleansing involves counter-balancing across multiple dimensions of the moral self whereby threats in one sub-domain are alleviated by bolstering a separate sub-domain. Symbolic cleansing includes restitution behaviors that are only symbolically connected to the provoking moral threat, such as physical or ritual cleansing. The moral cleansing literature seeks to understand these seemingly erratic sequences of compensatory behaviors.

“Every saint has a past, and every sinner has a future.” -Oscar Wilde

Highlights
• We review the literature on the psychology of moral cleansing.
• There are three categories: restitution, behavioral, and symbolic cleansing.
• The psychological mechanism is based on a malleable moral self-image.
• Moral cleansing examines the implications of sequential ethical decision-making.

The entire article is here.

Treatment-resistant depression and physician-assisted death

By Franklin G Miller
J Med Ethics doi:10.1136/medethics-2015-103060

Abstract

In a recent article, Udo Schuklenk and Suzanne van de Vathorst argued in favour of a legal option of physician-assisted death for patients with ‘treatment-resistant’ depression. In this commentary, I contend that their argument neglects the important consideration of the professional integrity of physicians. In light of this consideration, coupled with uncertainty about whether additional interventions with the patient can improve quality of life and restore the will to live, it is not appropriate to include patients with ‘treatment-resistant’ depression within a legal option of physician-assisted death.

The entire article is here.

Sunday, November 22, 2015

A Driverless Car Dystopia? Technology and the Lives We Want to Live

By Anthony Painter
RSA
Originally published November 6, 2015

Here is an excerpt:

There needs to be a bigger public debate about the type of society we want, how technology can help us, and what institutions we need to help us all interface with the changes we are likely to see. Could block-chain, bitcoin and digital currencies help us spread new forms of collective ownership and give us more power over the public services we use? How do we find a sweet-spot where consumers and workers – and we are both - share equally in the benefits of the ‘sharing economy’? Is a universal Basic Income a necessary foundation for a world of varying frequency and diverse work arrangements and obligations to others such as elderly relatives and our kids? What do we want to be private and what are we happy to share with companies or the state? Should this be a security conversation or bigger question of ethics? How should we plan transport, housing, work and services around our needs and the types of lives we want to live in communities that have human worth?

The entire article is here.

Saturday, November 21, 2015

How to Live a Lie

By William Irwin
The New York Times
Originally published November 2, 2015

Here is an excerpt:

The philosopher Michael Ruse has argued that “morality is a collective illusion foisted upon us by our genes.” If that’s true, why have our genes played such a trick on us? One possible answer can be found in the work of another philosopher Richard Joyce, who has argued that this “illusion” — the belief in objective morality — evolved to provide a bulwark against weakness of the human will. So a claim like “stealing is morally wrong” is not true, because such beliefs have an evolutionary basis but no metaphysical basis. But let’s assume we want to avoid the consequences of weakness of will that would cause us to act imprudently. In that case, Joyce makes an ingenious proposal: moral fictionalism.

Following a fictionalist account of morality, would mean that we would accept moral statements like “stealing is wrong” while not believing they are true. As a result, we would act as if it were true that “stealing is wrong,” but when pushed to give our answer to the theoretical, philosophical question of whether “stealing is wrong,” we would say no. The appeal of moral fictionalism is clear. It is supposed to help us overcome weakness of will and even take away the anxiety of choice, making decisions easier.

The entire article is here.

Friday, November 20, 2015

Exemptions for child abuse reporting weighed

Jessica Masulli Reyes
The (Wilmington, Del.) New Journal
Originally published November 9, 2015

A Delaware judge is considering the constitutionality of a state law that exempts priests from being required to report suspected child abuse disclosed during confessions — and, if the law is constitutional, whether it should protect elders in a Jehovah's Witnesses congregation.

The Attorney General's Office filed a lawsuit against the Laurel Delaware Congregation of Jehovah's Witnesses last year alleging two elders failed to report to state authorities a sexual relationship between a woman and a 14-year-old boy, both of whom were members of the congregation.

State law says individuals and organizations must report suspected child abuse and neglect immediately via a 24-hour state hotline, unless they learn of the abuse in an attorney-client setting or "that between priest and penitent in a sacramental confession."

The entire article is here.

Should Doctors Be Tested for Competence at Age 65?

By Leigh Page
MedScape
Originally published October 28, 2015

Should older physicians be forced to stop practicing once they begin to slow down? Some experts in competency testing are calling for doctors to be evaluated as early as age 65, arguing that that's when physical and mental disabilities start to become apparent.

A few hospitals have already started evaluating physicians in their 70s for competency. When results show significant impairment, these physicians are required to get remediation, submit to limitations of their privileges, or retire completely, depending on the severity of the impairment.

Some experts argue that the cutoff age for these exams should be 65 years, which would have a huge impact on America's doctors. Owing to the baby boom, 240,000 doctors are now in that age group—a fourfold increase since 1975, according to the American Medical Association (AMA).

In June 2015, delegates to the AMA decided to bring together stakeholders to create guidelines for such testing. But other physician groups are still on the fence, and the issue divides the medical community.

The entire article is here.


Thursday, November 19, 2015

Is moral bioenhancement dangerous?

Nicholas Drake
J Med Ethics doi:10.1136/medethics-2015-102944

Abstract

In a recent response to Persson and Savulescu's Unfit for the Future, Nicholas Agar argues that moral bioenhancement is dangerous. His grounds for this are that normal moral judgement should be privileged because it involves a balance of moral subcapacities; moral bioenhancement, Agar argues, involves the enhancement of only particular moral subcapacities, and thus upsets the balance inherent in normal moral judgement. Mistaken moral judgements, he says, are likely to result. I argue that Agar's argument fails for two reasons. First, having strength in a particular moral subcapacity does not necessarily entail a worsening of moral judgement; it can involve strength in a particular aspect of morality. Second, normal moral judgement is not sufficiently likely to be correct to be the standard by which moral judgements are measured.

The entire article is here.

With Sobering Science, Doctor Debunks 12-Step Recovery

Interview with Lance Dodes
NPR
Originally posted March 23, 2014

Here is an excerpt:

There is a large body of evidence now looking at AA success rate, and the success rate of AA is between 5 and 10 percent. Most people don't seem to know that because it's not widely publicized. ... There are some studies that have claimed to show scientifically that AA is useful. These studies are riddled with scientific errors and they say no more than what we knew to begin with, which is that AA has probably the worst success rate in all of medicine.

It's not only that AA has a 5 to 10 percent success rate; if it was successful and was neutral the rest of the time, we'd say OK. But it's harmful to the 90 percent who don't do well. And it's harmful for several important reasons. One of them is that everyone believes that AA is the right treatment. AA is never wrong, according to AA. If you fail in AA, it's you that's failed.