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

Saturday, August 13, 2016

State board punishes UO counseling center director

By Diane Dietz
The Register-Guard
Originally published July 23, 2016

The state psychology regulatory board voted Friday to punish Shelly Kerr, director of the University of Oregon counseling center, for giving a student’s therapy records to university lawyers without the student’s consent.

Kerr, a senior UO staff psychologist, will receive a letter of reprimand, pay a civil penalty of $2,500 and complete a six-hour course on professional ethics, the Board of Psychologist Examiners ruled.

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“Here, given the lack of a signed release from the student and the inherent conflict between the university’s interest and (the psychologist’s) ethical obligations to protect privacy of (counseling center) clients, (Kerr) should have taken additional precautions to protect the student’s counseling records.

The article is here.

Friday, August 12, 2016

How to Hold Research 'Rock Stars' Accountable for Sexual Harassment

By Sarah Brown
The Chronicle of Higher Education
Originally posted July 21, 2016

How should professors found responsible for sexual harassment be punished? How can colleges encourage victims -- often graduate students who work closely with their harassers -- to come forward? On Tuesday a panel featuring two scholars, a member of Congress, a university official, and a journalist tackled those questions and others about harassment in the sciences and in academe more broadly.

The panel, which took place at the University of California at San Francisco and was broadcast on Facebook Live, was hosted by Rep. Jackie Speier, Democrat of California, who in January drew attention for taking a stand against sexual harassment in the sciences, in a speech on the floor of the U.S. House of Representatives.

First CRISPR trial in humans is reported to start August 2016

By Sharon Begley @sxbegle
Stat News
Originally published July 21, 2016

Scientists in China plan to use the genome-editing technology CRISPR-Cas9 in patients as early as next month, Nature reported on Thursday. If they go ahead, it would be the first time people would be injected with cells whose DNA has been altered by CRISPR.

A US proposal to run a similar study received approval by a federal ethics and safety panel last month, but it faces months of additional regulatory hurdles before it can go ahead by the end of 2016 at the earliest. The Chinese scientists, led by oncologist Lu You of Sichuan University’s West China Hospital in Chengdu, received approval from the hospital’s review board on July 6, Nature reported, and plan to treat their first patient in August.

Both the US and Chinese scientists would use CRISPR to edit immune-system T cells in patients with cancer in an effort to make those cells destroy malignant cells.

The article is here.

Thursday, August 11, 2016

Why Do People Tend to Infer “Ought” From “Is”? The Role of Biases in Explanation

Christina M. Tworek and Andrei Cimpian
Psychological Science July 8, 2016

Abstract

People tend to judge what is typical as also good and appropriate—as what ought to be. What accounts for the prevalence of these judgments, given that their validity is at best uncertain? We hypothesized that the tendency to reason from “is” to “ought” is due in part to a systematic bias in people’s (nonmoral) explanations, whereby regularities (e.g., giving roses on Valentine’s Day) are explained predominantly via inherent or intrinsic facts (e.g., roses are beautiful). In turn, these inherence-biased explanations lead to value-laden downstream conclusions (e.g., it is good
to give roses). Consistent with this proposal, results from five studies (N = 629 children and adults) suggested that, from an early age, the bias toward inherence in explanations fosters inferences that imbue observed reality with value.  Given that explanations fundamentally determine how people understand the world, the bias toward inherence in these judgments is likely to exert substantial influence over sociomoral understanding.

The article is here.

Does children's moral compass waver under social pressure?

Kim EB, Chen C, Smetana J, Greenberger E
Journal of Experimental Child Psychology 150:241-251 · June 2016
DOI: 10.1016/j.jecp.2016.06.006

Abstract

The current study tested whether preschoolers' moral and social-conventional judgments change under social pressure using Asch's conformity paradigm. A sample of 132 preschoolers (Mage=3.83years, SD=0.85) rated the acceptability of moral and social-conventional events and also completed a visual judgment task (i.e., comparing line length) both independently and after having viewed two peers who consistently made immoral, unconventional, or visually inaccurate judgments. Results showed evidence of conformity on all three tasks, but conformity was stronger on the social-conventional task than on the moral and visual tasks. Older children were less susceptible to pressure for social conformity for the moral and visual tasks but not for the conventional task.

The article is here.

Wednesday, August 10, 2016

Fool Me Twice, Shame on You; Fool Me Three Times, I’m a Medical Board

by David Epstein
ProPublica
Originally published July 15, 2016

Here is an excerpt:

The Journal-Constitution analyzed public records from every single state. The low-bar-good-news is that “the vast majority of the nation’s 900,000 licensed physicians don’t sexually abuse patients.” Hurrah. The bad news is that the AJC couldn’t determine the extent of the problem due to reporting practices that give as much information as a teenager asked about his day at school. Except minus “fine.”

What else?

Some cases were truly egregious, particularly when “hospitals … fail to report sexual misconduct to regulators, despite laws in most states requiring them to do so.” For example: the AJC reported that one doctor was fired by three Tennessee hospitals (twice for sexual misconduct), but incurred no medical board actions.

The information is here.

Why are doctors plagued by depression and suicide?

By Judith Graham @judith_graham
STAT News
Originally published July 21, 2016

Here is an excerpt:

The starkest sign of the crisis gripping medicine is the number of physicians who commit suicide every year — 300 to 400, about the size of three average medical school classes. Male doctors are 1.4 times more likely to kill themselves than men in the general population; female physicians, 2.3 times more likely.

The grim tally is probably an under-count, since many suicides aren’t listed as such on death certificates. And it doesn’t include suicides among medical students, which aren’t tracked systematically in the United States.

In one study of six medical schools, nearly 1 in 4 students reported clinically significant symptoms of depression. Almost 7 percent said they had thought of ending their lives in the last two weeks.

The article is here.

Tuesday, August 9, 2016

The Effects of Victim Anonymity on Unethical Behavior

Yam, K.C. & Reynolds, S.J.
J Bus Ethics (2016) 136: 13.
doi:10.1007/s10551-014-2367-5

Abstract

We theorize that victim anonymity is an important factor in ethical decision making, such that actors engage in more self-interested and unethical behaviors toward anonymous victims than they do toward identifiable victims. Three experiments provided empirical support for this argument. In Study 1, participants withheld more life-saving products from anonymous than from identifiable victims. In Study 2, participants allocated a sum of payment more unfairly when interacting with an anonymous than with an identifiable partner. Finally, in Study 3, participants cheated more from an anonymous than from an identifiable person. Anticipated guilt fully mediated these effects in all three studies. Taken together, our research suggests that anonymous victims may be more likely to incur unethical treatment, which could explain many unethical business behaviors.

The article is here.

Fiction: Simulation of Social Worlds

By Keith Oatley
Trends in Cognitive Science
(2016) Volume 20, Issue 8, p 618–628

Here is an excerpt:

What is the basis for effects of improved empathy and theory-of-mind with engagement in fiction? Two kinds of account are possible, process and content, and they complement each other.

One kind of process is inference: engagement in fiction may involve understanding characters by inferences of the sort we make in conversation about what people mean and what kinds of people they are. In an experiment to test this hypothesis, participants were asked to read Alice Munro's The Office, a first-person short story about a woman who rents an office in which to write. In one condition, the story starts in Munro's words, which include ‘But here comes the disclosure which is not easy for me. I am a writer. That does not sound right. Too presumptuous, phony, or at least unconvincing’. In a comparison version, the story starts with readers being told directly what the narrator feels: ‘I’m embarrassed telling people that I am a writer …’ , p. 270). People who read the version in Munro's own words had to make inferences about what kind of person the narrator was and how she felt. They attained a deeper identification and understanding of the protagonist than did those who were told directly how she felt. Engagement in fiction can be thought of as practice in inference making of this kind.

A second kind of process is transportation: the extent to which people become emotionally involved, immersed, or carried away imaginatively in a story. The more transportation that occurred in reading a story, the greater the story-consistent emotional experience has been found to be. Emotion in fiction is important because, as in life, it can signal what is significant in the relation between events and our concerns [42]. In an experiment on empathetic effects, the more readers were transported into a fictional story, the greater were found to be both their empathy and their likelihood of responding on a behavioral measure: helping someone who had dropped some pencils on the floor. The vividness of imagery during reading has been found to improve transportation and to increase empathy. To investigate such imagery, participants in a functional magnetic resonance imaging (fMRI) machine were asked to imagine a scene when given between three and six spoken phrases, for instance, ‘a dark blue carpet’ … ‘a carved chest of drawers’ … ‘an orange striped pencil’. Three phrases were enough to activate the hippocampus to its largest extent and for participants to imagine a scene with maximum vividness. In another study, one group of participants listened to a story and rated the intensity of their emotions while reading. In a second group of participants, parts of the story that raters had found most emotional produced the largest changes in heart rate and greatest fMRI-based activations.

The article is here.