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

Thursday, December 10, 2015

Decreasing mental health services increases mental health emergencies

Science Daily
Originally published November 20, 2015

Countywide reductions in psychiatric services -- both inpatient and outpatient -- led to more than triple the number of emergency psychiatric consults and 55 percent increases in lengths of stay for psychiatric patients in the emergency department. The before and after study of the impact of decreasing county mental health services was published online in Annals of Emergency Medicine ('Impact of Decreasing County Mental Health Services on the Emergency Medicine').

"As is often the case, the emergency department catches everyone who falls through the cracks in the health care system," said lead study author Arica Nesper, MD, MAS of the University of California Davis School of Medicine in Sacramento. "People with mental illness did not stop needing care simply because the resources dried up. Potentially serious complaints increased after reductions in mental health services, likely representing not only worse care of patients' psychiatric issues but also the medical issues of patients with psychiatric problems."

The entire article is here.

Who Should Have The Right To Die?

By Nerdwriter
Originally posted October 28, 2015

Doctor-assisted suicide continues to be hotly debated in the United States, but the ideas – and specifically the words – used to support it have evolved in fascinating ways. Over nearly a century, there has been a shift away from terms related to death towards a focus on autonomy and dignity, drawing in no small part on the ideas of the 19th-century English philosopher John Stuart Mill.


Wednesday, December 9, 2015

The Arithmetic of Compassion

By Scott Slovic and Paul Slovic
The New York Times
Originally published December 4, 2015

WE all can relate to the saying “One death is a tragedy; a million deaths is a statistic.” Our sympathy for suffering and loss declines precipitously when we are presented with increasing numbers of victims. In the 1950s, the psychiatrist Robert Jay Lifton studied survivors of the atomic bombs dropped on Hiroshima and Nagasaki and discovered that a condition he labeled “psychic numbing” enabled them to withstand the psychological trauma of this experience.

Psychologists have since extended Dr. Lifton’s work to show how the concept of psychic numbing has implications in many other situations, such as our response to information about refugee crises, mass extinctions and climate change. This information can be deadening in its abstractness. We struggle to care when the numbers get big. The poet Zbigniew Herbert called this “the arithmetic of compassion.”

How big do the numbers have to be for insensitivity to begin? Not very, it turns out.

The entire article is here.

Three Principles to REVISE People's Unethical Behavior

Ayal, S., F. Gino, R. Barkan, and D. Ariely.
Perspectives on Psychological Science
November 2015 vol. 10 no. 6 738-741

Abstract

Dishonesty and unethical behavior are widespread in the public and private sectors and cause immense annual losses. For instance, estimates of U.S. annual losses indicate $1 trillion paid in bribes, $270 billion lost due to unreported income, and $42 billion lost in retail due to shoplifting and employee theft. In this article, we draw on insights from the growing fields of moral psychology and behavioral ethics to present a three-principle framework we call REVISE. This framework classifies forces that affect dishonesty into three main categories and then redirects those forces to encourage moral behavior. The first principle, reminding, emphasizes the effectiveness of subtle cues that increase the salience of morality and decrease people’s ability to justify dishonesty. The second principle, visibility, aims to restrict anonymity, prompt peer monitoring, and elicit responsible norms. The third principle, self-engagement, increases people’s motivation to maintain a positive self-perception as a moral person and helps bridge the gap between moral values and actual behavior. The REVISE framework can guide the design of policy interventions to defeat dishonesty.

The article is here.

Tuesday, December 8, 2015

Social trust is one of the most important measures that most people have never heard of

David Halpern
Behavioral Insights Team
November 12, 2015

Here is an excerpt:

Levels of social trust, averaged across a country, predict national economic growth as powerfully as financial and physical capital, and more powerfully than skill levels – over which every government in the world worries about incessantly. It is also associated with many other non-economic outcomes, such as life satisfaction (positively) and suicide (negatively). In short, it’s not much fun living in a place where you don’t think most other people can be trusted. Low trust implies a society where you have to keep an eye over your shoulder; where deals need lawyers instead of hand-shakes; where you don’t see the point of paying your tax or recycling your rubbish (since you doubt your neighbour will do so); and where you employ your cousin or your brother-in-law to work for you rather than a stranger who would probably be much better at the job.

The entire article is here.

'Fallout 4' tackles morality in an interesting way

By Antonio Villa-Boas
Business Insider
Originally published November 19, 2015

Here is an excerpt:

But the companions that accompany you throughout the game have unique perks that give you useful advantages in certain situations. The thing is, you need to gain their respect with specific behaviours and actions if you want access to those perks.

You can check which behaviours each companion prefers, but overall, they prefer that you are not a “bad” person.

Don’t murder innocent people, don’t use drugs, don’t pick locks to places or things that don’t belong to you, don’t pickpocket, and don’t steal. While you can do all those things in the game, you won’t win over most of your companions and you’ll make it harder to access their perks.

The companions turn out to be “Fallout 4’s” moral arbiters!

The entire article is here.

Monday, December 7, 2015

Everyone Else Could Be a Mindless Zombie

By Kurt Gray
Time Magazine
Originally posted November 17, 2015

Here is an excerpt:

Our research reveals that whether something can think or feel is mostly a matter of perception, which can lead to bizarre reversals. Objectively speaking, humans are smarter than cats, and yet people treat their pets like people and the homeless like objects. Objectively speaking, pigs are smarter than baby seals, but people will scream about seal clubbing while eating a BLT.

That minds are perceived spells trouble for political harmony. When people see minds differently in chickens, fetuses, and enemy combatants, it leads to conflicts about vegetarianism, abortion, and torture. Despite facilitating these debates, mind perception can make our moral opponents seem more humans and less monstrous. With abortion, both liberals and conservatives agree that killing babies is immoral, and disagree only about whether a fetus is a baby or a mass of mindless cells.

The entire article is here.

Poker-faced morality: Concealing emotions leads to utilitarian decision making

Jooa Julia Lee, Francesca Gino
Organizational Behavior and Human Decision Processes Volume 126, 
January 2015, Pages 49–64

Abstract

This paper examines how making deliberate efforts to regulate aversive affective responses influences people’s decisions in moral dilemmas. We hypothesize that emotion regulation—mainly suppression and reappraisal—will encourage utilitarian choices in emotionally charged contexts and that this effect will be mediated by the decision maker’s decreased deontological inclinations. In Study 1, we find that individuals who endorsed the utilitarian option (vs. the deontological option) were more likely to suppress their emotional expressions. In Studies 2a, 2b, and 3, we instruct participants to either regulate their emotions, using one of two different strategies (reappraisal vs. suppression), or not to regulate, and we collect data through the concurrent monitoring of psycho-physiological measures. We find that participants are more likely to make utilitarian decisions when asked to suppress their emotions rather than when they do not regulate their affect. In Study 4, we show that one’s reduced deontological inclinations mediate the relationship between emotion regulation and utilitarian decision making.

The article is here.

Sunday, December 6, 2015

The Effects of Social Context and Acute Stress on Decision Making Under Uncertainty

Oriel FeldmanHall, Candace M. Raio, J. T. Kubota, M. G. Seiler,  & E. A. Phelps
Psychological Science, November 5, 2015
doi: 10.1177/0956797615605807

Abstract

Uncertainty preferences are typically studied in neutral, nonsocial contexts. This approach, however, fails to capture the dynamic factors that influence choices under uncertainty in the real world. Our goal was twofold: to test whether uncertainty valuation is similar across social and nonsocial contexts, and to investigate the effects of acute stress on uncertainty preferences. Subjects completed matched gambling and trust games following either a control or a stress manipulation. Those who were not under stress exhibited no differences between the amount of money gambled and the amount of money entrusted to partners. In comparison, stressed subjects gambled more money but entrusted less money to partners. We further found that irrespective of stress, subjects were highly attuned to irrelevant feedback in the nonsocial, gambling context, believing that every loss led to a greater chance of winning (the gamblers’ fallacy). However, when deciding to trust a stranger, control subjects behaved rationally, treating each new interaction as independent. Stress compromised this adaptive behavior, increasing sensitivity to irrelevant social feedback.

The entire article is here.