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

Monday, July 25, 2016

Enhancement as Nothing More than Advantageous Bodily and Mental States

by Hazem Zohny
BMJ Blogs
Originally posted May 20, 2016

Some bodily and mental states are advantageous: a strong immune system, a sharp mind, strength.  These are advantageous precisely because, in most contexts, they are likely to increase your chances of leading a good life.  In contrast, disadvantageous states – e.g. the loss of a limb, a sense, or the ability to recall things – are likely to diminish those chances.

One way to think about enhancement and disability is in such welfarist terms.  A disability is no more than a disadvantageous bodily or mental state, while to undergo an enhancement is to change that state into a more advantageous one – that is, one that is more conducive to your well-being.  This would hugely expand the scope of what is considered disabling or enhancing.  For instance, there may be all kinds of real and hypothetical things you could change about your body and mind that would (at least potentially) be advantageous: you could mend a broken arm or stop a tumour from spreading, but you could also vastly sharpen your senses, take a drug that makes you more likeable, stop your body from expiring before the age of 100, or even change the scent of your intestinal gases to a rosy fragrance.

The article is here.

Consciousness: The Mind Messing With the Mind

By George Johnson
The New York Times
Originally published July 4, 2016

Here is an excerpt:

Michael Graziano, a neuroscientist at Princeton University, suggested to the audience that consciousness is a kind of con game the brain plays with itself. The brain is a computer that evolved to simulate the outside world. Among its internal models is a simulation of itself — a crude approximation of its own neurological processes.

The result is an illusion. Instead of neurons and synapses, we sense a ghostly presence — a self — inside the head. But it’s all just data processing.

“The machine mistakenly thinks it has magic inside it,” Dr. Graziano said. And it calls the magic consciousness.

It’s not the existence of this inner voice he finds mysterious. “The phenomenon to explain,” he said, “is why the brain, as a machine, insists it has this property that is nonphysical.”

The article is here.

Sunday, July 24, 2016

Nation’s psychiatric bed count falls to record low

By Lateshia Beachum
The Washington Post
Originally published July 1, 2016

The number of psychiatric beds in state hospitals has dropped to a historic low, and nearly half of the beds that are available are filled with patients from the criminal justice system.

Both statistics, reported in a new national study, reflect the sweeping changes that have taken place in the half-century since the United States began deinstitutionalizing mental illness in favor of outpatient treatment. But the promise of that shift was never fulfilled, and experts and advocates say the result is seen even today in the increasing ranks of homeless and incarcerated Americans suffering from serious mental conditions.

The article is here.

Saturday, July 23, 2016

Four Ways Your Leadership May Be Encouraging Unethical Behavior

Ron Carucci
Forbes.com
Originally published June 14, 2016

Most leaders would claim they want the utmost ethical standards upheld by those they lead. But they might be shocked to discover that, even with the best of intentions, their own leadership may be corrupting the choices of those they lead.

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1. You are making it psychologically unsafe to speak up. Despite saying things like, “I have an open door policy,” where employees can express even controversial issues, some leadership actions may dissuade the courage needed to raise ethical concerns . Creating a culture in which people freely speak up is vital to ensuring people don’t collude with, or incite misconduct.

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2. You are applying excessive pressure to reach unrealistic performance targets. Significant research suggests that unfettered goal setting can encourage people to make compromising choices in order to reach targets, especially if those targets seem unrealistic. Leaders may be inviting people to cheat in two ways. They will cut corners on the way they reach a goal, or they will lie when reporting how much of the goal they actually achieved.

The article is here.

Friday, July 22, 2016

Medical involvement in torture today?

Kenneth Boyd
J Med Ethics 2016;42:411-412 doi:10.1136/medethics-2016-103737

In the ethics classroom, medical involvement in torture is often discussed in terms of what happens or has happened elsewhere, in some imagined country far away, under a military dictatorship for example, or historically in Nazi Germany or Stalin's Russia. In these contexts, at a distance in space or time, the healthcare professional's moral dilemma can be clearly demonstrated. On the one hand, any involvement whatever in the practice of torture, countenancing or condoning as well as participating, is forbidden, formally by the World Medical Association 1957 Declaration of Tokyo, but more generally by the professional duty to do no harm. On the other hand, the professional duty of care, and more generally human decency and compassion, forbids standing idly by when no other professional with comparable skills is available to relieve the suffering of victims of torture. In such circumstances, the health professional's impulse to exercise their duty of care, albeit thereby implicitly countenancing or condoning torture, may be strengthened by the knowledge that to refuse may put their own life or that of a member of their family in danger. But then again, they may also be all too aware that in exercising their duty of care they may simply be ‘patching up’ the victims in order for them to be tortured again.

The article is here.

What This White-Collar Felon Can Teach You About Your Temptation To Cross That Ethical Line

Ron Carucci
Forbes.com
Originally posted June 28, 2016

The sobering truth of Law Professor Donald Langevoort’s words silenced the room like a loud mic-drop: “We’re not as ethical as we think we are.” Participants at Ethical Systems recent Ethics By Design conference were visibly uncomfortable…because they all knew it was true.

Research strongly indicates people over-estimate how strong their ethics are. I wanted to learn more about why genuinely honest people can be lured to cross lines they surely would have predicted, “I would never do that!”

The article is here.

Thursday, July 21, 2016

Frankenstein’s paperclips

The Economist
Originally posted June 25, 2016

Here is an excerpt:

AI researchers point to several technical reasons why fear of AI is overblown, at least in its current form. First, intelligence is not the same as sentience or consciousness, says Mr Ng, though all three concepts are commonly elided. The idea that machines will “one day wake up and change their minds about what they will do” is just not realistic, says Francesca Rossi, who works on the ethics of AI at IBM. Second, an “intelligence explosion” is considered unlikely, because it would require an AI to make each version of itself in less time than the previous version as its intelligence grows. Yet most computing problems, even much simpler ones than designing an AI, take much longer as you scale them up.

Third, although machines can learn from their past experiences or environments, they are not learning all the time.

The article is here.

March of the machines

The Economist
Originally published June 25, 2016

Here is an excerpt:

After many false dawns, AI has made extraordinary progress in the past few years, thanks to a versatile technique called “deep learning”. Given enough data, large (or “deep”) neural networks, modelled on the brain’s architecture, can be trained to do all kinds of things. They power Google’s search engine, Facebook’s automatic photo tagging, Apple’s voice assistant, Amazon’s shopping recommendations and Tesla’s self-driving cars. But this rapid progress has also led to concerns about safety and job losses. Stephen Hawking, Elon Musk and others wonder whether AI could get out of control, precipitating a sci-fi conflict between people and machines. Others worry that AI will cause widespread unemployment, by automating cognitive tasks that could previously be done only by people. After 200 years, the machinery question is back. It needs to be answered.

The article is here.

Wednesday, July 20, 2016

Fear and Loathing in Bioethics

Carl Elliott
Narrative Inquiry in Bioethics
Volume 6.1 (2016) 43–46

Abstract

As bioethicists have become medical insiders, they have had to struggle with a conflict between what their superiors expect of them and the demands of their conscience. Often they simply resign themselves to the conflict and work quietly within the system. But the machinery of the medical–industrial complex grinds up conscientious people because those people can see no remedies for injustice apart from the bureaucratic procedures prescribed by the machine itself. The answer to injustice is not a memorandum of understanding or a new strategic plan, but rather public resistance and solidarity.

The article is here.