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, October 24, 2016

Should doctors have the legal right to refuse care?

By Lisa Rapaport
Reuters Health
Originally published October 5, 2016

Physicians shouldn’t have the legal right to act as conscientious objectors and refuse to provide services like abortion or assisted suicide even when these things conflict with their personal values, some doctors argue.

That’s because access to care should take priority, and conscientious objectors may make it more difficult for patients to get treatment they need, Dr. Julian Savulescu of the University of Oxford in the U.K. and Udo Schuklenk of Queens University in Ontario, Canada, argue in an article in the journal Bioethics.

They make their case as a growing number of countries worldwide are grappling with how much autonomy to give patients and doctors to make decisions about care at the very beginning and end of life, particularly in an era when new technology and social media keep pushing the boundaries of long-held personal and religious beliefs.

The article is here.

Are Biases Hurting Your Health?

By Stacey Colino
US New and World Report
Originally published October 5, 2016

It's human nature to have cognitive biases. These tendencies to think in certain ways or process information by filtering it through your personal preferences, beliefs and experiences are normal, but they can offer a skewed perspective.

"We all have these biases – they are the lenses through which we process information and they are a necessary part of the information-selection process," says Mark Reinecke, professor and chief psychologist at Northwestern University and Northwestern Memorial Hospital in Chicago. Even physicians and mental health professionals have cognitive biases when making decisions for their own health and while treating patients.

Meanwhile, certain subtle mental biases can affect the health choices you make on a daily basis – often without your realizing it. This can include everything from the dietary and physical activity choices you make to the screening tests you choose to the medications you take. Sometimes these biases are harmless while other times they could be problematic.

The article is here.

Sunday, October 23, 2016

Preferences and beliefs in ingroup favoritism

Jim A. C. Everett, Nadira S. Faber, and Molly Crockett
Front. Behav. Neurosci., 13 February 2015

Ingroup favoritism—the tendency to favor members of one’s own group over those in other groups—is well documented, but the mechanisms driving this behavior are not well understood. In particular, it is unclear to what extent ingroup favoritism is driven by preferences concerning the welfare of ingroup over outgroup members, vs. beliefs about the behavior of ingroup and outgroup members. In this review we analyze research on ingroup favoritism in economic games, identifying key gaps in the literature and providing suggestions on how future work can incorporate these insights to shed further light on when, why, and how ingroup favoritism occurs. In doing so, we demonstrate how social psychological theory and research can be integrated with findings from behavioral economics, providing new theoretical and methodological directions for future research.

Across many different contexts, people act more prosocially towards members of their own group relative to those outside their group. Consequently, a number of scientific disciplines concerned with human cognition and behavior have sought to explain such ingroup favoritism (also known as parochial altruism). Here we explore to what extent ingroup favoritism is driven by preferences concerning the welfare of ingroup over outgroup members, vs. beliefs about the (future) behavior of ingroup and outgroup members.

The article is here.

Saturday, October 22, 2016

Religious right suddenly decides morality’s not important in politics

Matthew Sheffield
Salon.com
Originally posted October 19, 2016

Throughout its history as a distinct political group, members of the so-called religious right have always made it a point to say that personal morals were important to political leadership. Thanks to Donald Trump’s becoming the Republican Party’s nominee against Hillary Clinton, however, it appears that white evangelical Protestants are changing their opinions.

Just five years ago, in 2011, a mere 30 percent of white evangelicals agreed with the idea that people who commit unethical acts in their personal lives could still behave ethically in their professional capacities, according to a study released today by PRRI, a nonpartisan research organization. Now, with Trump as the GOP standard-bearer, a huge majority — of 72 percent — do.

That immense shift in opinion means that the same types who made up former “Moral Majority” now comprise the religious group most likely to agree that public and private morality can be separate.

The article is here.

Friday, October 21, 2016

Is Character Necessary for Moral Behavior?

Angela Knobel
The Virtue Blog
Originally posted October 5, 2016

Here is an excerpt:

With these definitions in hand, we can reformulate our question. Is a given virtue necessary for the kind of morally good action characteristic of that virtue? For example, is the virtue of courage necessary for courageous actions? Is the virtue of kindness necessary for kind actions? (Let’s leave aside questions about the so-called “unity” of the virtues — that is, for instance, whether one can be courageous but unkind, or kind but cowardly.) At first blush, it might seem obvious that the answer is “no”: people who aren’t particularly courageous sometimes do courageous things, and people who aren’t particularly kind sometimes do kind things. This is true. But do they do these things in the same way that courageous or kind people do them?

The blog post is here.

When the Spirit Is Willing, but the Flesh Is Weak Developmental Differences in Judgments About Inner Moral Conflict

Christina Starmans & Paul Bloom
Psychological Science 
September 27, 2016

Abstract

Sometimes it is easy to do the right thing. But often, people act morally only after overcoming competing immoral desires. How does learning about someone’s inner moral conflict influence children’s and adults’ moral judgments about that person? Across four studies, we discovered a striking developmental difference: When the outcome is held constant, 3- to 8-year-old children judge someone who does the right thing without experiencing immoral desires to be morally superior to someone who does the right thing through overcoming conflicting desires—but adults have the opposite intuition. This developmental difference also occurs for judgments of immoral actors: Three- to 5-year-olds again prefer the person who is not conflicted, whereas older children and adults judge that someone who struggles with the decision is morally superior. Our findings suggest that children may begin with the view that inner moral conflict is inherently negative, but, with development, come to value the exercise of willpower and self-control.

The article is here.

Thursday, October 20, 2016

Cultural Humility in Psychotherapy Supervision

Joshua Hook, et al
American Journal of Psychotherapy, Volume 70, Number 2, 2016, pp. 149-166

Abstract:

As a core component of multicultural orientation, cultural humility can be considered an important attitude for clinical supervisees to adopt and practically implement. How can cultural humility be most meaningfully incorporated in supervision? In what ways can supervisors stimulate the development of a culturally humble attitude in our supervisees? We consider those questions in this paper and present a model for addressing cultural humility in clinical supervision. The primary focus is given to two areas: (a) modeling and teaching of cultural humility through interpersonal interactions in supervision, and (b) teaching cultural humility through outside activities and experiences. Two case studies illustrating the model are presented, and a research agenda for work in this area is outlined.

The article is here.

Cognitive biases can affect moral intuitions about cognitive enhancement

Lucius Caviola, Adriano Mannino, Julian Savulescu and Nadira Faulmüller
Frontiers in Systems Neuroscience. 2014; 8: 195.
Published online 2014 Oct 15.

Abstract

Research into cognitive biases that impair human judgment has mostly been applied to the area of economic decision-making. Ethical decision-making has been comparatively neglected. Since ethical decisions often involve very high individual as well as collective stakes, analyzing how cognitive biases affect them can be expected to yield important results. In this theoretical article, we consider the ethical debate about cognitive enhancement (CE) and suggest a number of cognitive biases that are likely to affect moral intuitions and judgments about CE: status quo bias, loss aversion, risk aversion, omission bias, scope insensitivity, nature bias, and optimistic bias. We find that there are more well-documented biases that are likely to cause irrational aversion to CE than biases in the opposite direction. This suggests that common attitudes about CE are predominantly negatively biased. Within this new perspective, we hope that subsequent research will be able to elaborate this hypothesis and develop effective de-biasing techniques that can help increase the rationality of the public CE debate and thus improve our ethical decision-making.

The article is here.

Wednesday, October 19, 2016

Exploring the Association between Exposure to Suicide and Suicide Risk among Military Service Members and Veterans

Melanie A. Homa, Ian H. Stanley, Peter M. Gutierrezb, Thomas E. Joiner
Journal of Affective Disorders

Background

Past research suggests that suicide has a profound impact on surviving family members and friends; yet, little is known about experiences with suicide bereavement among military populations. This study aimed to characterize experiences with suicide exposure and their associations with lifetime and current psychiatric symptoms among military service members and veterans

Methods

A sample of 1,753 United States military service members and veterans completed self-report questionnaires assessing experiences with suicide exposure, lifetime history of suicidal thoughts and behaviors, current suicidal symptoms, and perceived likelihood of making a future suicide attempt

Results

The majority of participants (57.3%) reported knowing someone who had died by suicide, and of these individuals, most (53.1%) reported having lost a friend to suicide. Chi-square tests, one-way ANOVAs, and logistic regression analyses revealed that those who reported knowing a suicide decedent were more likely to report more severe current suicidal symptoms and a history of suicidal thoughts and behaviors compared to those who did not know a suicide decedent. Hierarchical linear regression analyses indicated that greater self-reported interpersonal closeness to a suicide decedent predicted greater self-reported likelihood of a future suicide attempt, even after controlling for current suicidal symptoms and prior suicidal thoughts and behaviors

Limitations

This study utilized cross-sectional data, and information regarding degree of exposure to suicide was not collected

Conclusions

Military personnel and veterans who have been bereaved by suicide may themselves be at elevated risk for suicidal thoughts and behaviors. Additional work is needed to delineate the relationship between these experiences.

The article is here.