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, March 15, 2016

Psychologist Jens Förster earns second and third retractions as part of settlement

by Shannon Palus
Retraction Watch
Originally published February 24, 2016

High-profile social psychologist Jens Förster has earned two retractions following an investigation by his former workplace. He agreed to the retractions as part of a settlement with the German Society for Psychology (DGPs).

The papers are two of eight that were found to contain “strong statistical evidence for low veracity.” According to the report from an expert panel convened at the request of the board of the University of Amsterdam, following:
an extensive statistical analysis, the experts conclude that many of the experiments described in the articles show an exceptionally linear link. This linearity is not only surprising, but often also too good to be true because it is at odds with the random variation within the experiments.
The post is here. 

Many Dislike Health Care System But Are Pleased With Their Own Care

By Alison Kodjak
NPR
Originally posted

The United States has the most advanced health care in the world. There are gleaming medical centers across the country where doctors cure cancers, transplant organs and bring people back from near death.

But a poll conducted by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health shows that only one-third of Americans say the health care they receive is "excellent." Even fewer people are impressed with the system as a whole.

"When you're talking about health care, we have this amazing kind of schizophrenia about our system," says Dr. Georges Benjamin, executive director of the American Public Health Association.

The story is here.

Monday, March 14, 2016

Third-party punishment as a costly signal of trustworthiness

Jillian J. Jordan, Moshe Hoffman, Paul Bloom & David G. Rand
Nature
Originally published February 25, 2016

Third-party punishment (TPP), in which unaffected observers punish selfishness, promotes cooperation by deterring defection. But why should individuals choose to bear the costs of punishing? We present a game theoretic model of TPP as a costly signal of trustworthiness. Our model is based on individual differences in the costs and/or benefits of being trustworthy. We argue that individuals for whom trustworthiness is payoff-maximizing will find TPP to be less net costly (for example, because mechanisms that incentivize some individuals to be trustworthy also create benefits for deterring selfishness via TPP). We show that because of this relationship, it can be advantageous for individuals to punish selfishness in order to signal that they are not selfish themselves. We then empirically validate our model using economic game experiments. We show that TPP is indeed a signal of trustworthiness: third-party punishers are trusted more, and actually behave in a more trustworthy way, than non-punishers. Furthermore, as predicted by our model, introducing a more informative signal—the opportunity to help directly—attenuates these signalling effects. When potential punishers have the chance to help, they are less likely to punish, and punishment is perceived as, and actually is, a weaker signal of trustworthiness. Costly helping, in contrast, is a strong and highly used signal even when TPP is also possible. Together, our model and experiments provide a formal reputational account of TPP, and demonstrate how the costs of punishing may be recouped by the long-run benefits of signalling one’s trustworthiness.

The letter can be found here.

What’s the Point of Moral Outrage?

By Jillian Jordan, Paul Bloom, Moshe Hoffman and David Rand
The New York Times - Sunday Review
Originally published February 26, 2016

Human beings have an appetite for moral outrage. You see this in public life — in the condemnation of Donald J. Trump for vowing to bar Muslims from the United States, or of Hillary Clinton for her close involvement with Wall Street, to pick two ready examples — and you see this in personal life, where we criticize friends, colleagues and neighbors who behave badly.

Why do we get so mad, even when the offense in question does not concern us directly? The answer seems obvious: We denounce wrongdoers because we value fairness and justice, because we want the world to be a better place. Our indignation appears selfless in nature.

And it often is — at least on a conscious level. But in a paper published Thursday in the journal Nature, we present evidence that the roots of this outrage are, in part, self-serving. We suggest that expressing moral outrage can serve as a form of personal advertisement: People who invest time and effort in condemning those who behave badly are trusted more.

The article is here.

Sunday, March 13, 2016

Right-to-die report will call for prior consent in dementia cases

By Robert Fife and Laura Stone
The Globe and Mail - Ottawa
Originally published February 24, 2016

A special parliamentary committee will propose Parliament adopt a new physician-assisted dying law that includes advance consent for people in early stages of dementia, sources say.

In a report to be tabled in Parliament Thursday, sources say the joint Commons-Senate committee will also address how doctors should deal with people with debilitating mental disorders and young people enduring painful and terminal illnesses.

The report recommends the government should first see how medically assisted dying works with adults before allowing it for children or people with mental illnesses.

The article is here.

Saturday, March 12, 2016

Should you edit your children’s genes?

Erika Check Hayden
Nature
Originally posted 23 February 2016

Here is an excerpt:

But emerging technologies are already testing the margins of what people deem acceptable. Parents today have unprecedented control over what they pass on to their children: they can use prenatal genetic screening to check for conditions such as Down’s syndrome, and choose whether or not to carry a fetus to term. Preimplantation genetic diagnosis allows couples undergoing in vitro fertilization to select embryos that do not have certain disease-causing mutations. Even altering the heritable genome — as might be done if CRISPR were used to edit embryos — is acceptable to some. Mitochondrial replacement therapy, which replaces a very small number of genes that a mother passes on with those from a donor, was approved last year in the United Kingdom for people who are at risk of certain genetic disorders.

Many safety, technical and legal barriers still stand in the way of editing DNA in human embryos. But some scientists and ethicists say that it is important to think through the implications of embryo editing now — before these practical hurdles are overcome. What sort of world would these procedures create for those currently living with disease and for future generations?

The article is here.

Friday, March 11, 2016

Amusing Ourselves to Death? The Tension between Entertainment Values and Civic Virtues

Kayhan Parsi
bioethics.net
Originally posted February 24, 2016

Here is an excerpt:

I appreciate the fact that television is currently experiencing its latest golden age, with programming that rivals great literary works. Moreover, I believe that social media can be a force for good, mobilizing people to engage, to learn, and to be involved. Yet, with the dominance of visual and social media culture, we all need to become better educated on how to “read” this media culture. We need to reflect on how these new media shape the political landscape. And we need to connect the civic virtues in a meaningful way and harness the great power of these technologies. One way to do this is to adopt the Oxford-style debate format promoted by Intelligence Squared. As Rosencraz and Donvan argue, our current format reveals nothing of substance but rather is an opportunity for entertainment values to reign supreme. The candidate that says the most outrageous thing wins in this kind of format (WWF anyone?). On the other hand, “Oxford-style debate would force the candidates to respond to intense questions, marshal relevant facts, and expose weaknesses in their opponents’ arguments. Memorized talking points could not be disguised as answers.”

The blog post is here.

Notes From Psychiatry’s Battle Lines

By George Makari
The New York Times - Opinionator
February 23, 2016

Here is an excerpt:

Consider this: Like most clinicians, I am eager for scientific progress, something new that will yield more clarity and provide my patients with faster or deeper relief. However, as I take stock of a new “neuroenhancer,” or the latest genetic correlation that may point to the cause of an illness, or a suddenly popular diagnosis, the historian in me senses ghosts beginning to stir.

Historians have shown that psychiatry has long suffered from the adoption of scientific-sounding theories and cures that turned out to be dogma. Perhaps the clearest example of such “scientism” was psychiatry’s embrace, in the early 19th century, of Franz Joseph Gall’s phrenology, in which all mental attributes and deficiencies were assigned to specific brain locales, evidence be damned. During much of the 20th century, psychoanalysis proposed far more conclusive answers than it could support, and today, the same could be said for some incautious neurobiological researchers.

The article is here.

Thursday, March 10, 2016

Robots could learn human values by reading stories, research suggests

By Alison Flood
The Guardian
Originally published February 18, 2016

Here is an excerpt:

The system was named Quixote, said Riedl, after Cervantes’ would-be knight-errant, who “reads stories about chivalrous knights and decides to emulate the behaviour of those knights”. The researchers’ paper sees them argue that “stories are necessarily reflections of the culture and society that they were produced in”, and that they “encode many types of sociocultural knowledge: commonly shared knowledge, social protocols, examples of proper and improper behaviour, and strategies for coping with adversity”.

“We believe that a computer that can read and understand stories, can, if given enough example stories from a given culture, ‘reverse engineer’ the values tacitly held by the culture that produced them,” they write. “These values can be complete enough that they can align the values of an intelligent entity with humanity. In short, we hypothesise that an intelligent entity can learn what it means to be human by immersing itself in the stories it produces.”

Riedl said that, “In theory, a collected works of a society could be fed into an AI and the values extracted from the stories would become part of its goals, which is equivalent to writing down all the ‘rules’ of society.”

The researchers see the Quixote technique as best for robots with a limited purpose that need to interact with humanity.

The article is here.