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, January 9, 2017

Medical students need to learn the potent medicine of empathy

By Wolfgang Gilliar
STAT News
Originally published September 29, 2016

Here is an excerpt:

How does empathy do this? A patient who feels emotionally connected to his or her doctor is more likely to disclose important medical information and to follow the doctor’s advice. That connection can serve as the basis for true teamwork, with the patient working proactively with the medical team to improve health. Simply put, patients who feel cared about feel better and do better.

There’s also great promise in osteopathic medicine, which couples traditional medical interventions with skilled, specialized, hands-on treatments for the body’s complex system of nerves, muscles, and bones. “Healing touch” isn’t just a metaphor. This simple physical action evokes trust in patients.

Without empathy, doctors run the risk of alienating their patients. The relationship can become one-sided, with the physician simply dictating treatments and the patient following orders. Core emotional needs can be ignored, leading patients to feel lonely and downtrodden. And that deterioration of mood can make it less likely that they will experience positive outcomes from treatment.

The article is here.

Empathy is an overrated skill when dispensing medical care

Karin Jongsma
Aeon Magazine
Originally published December 15, 2016

Here is an excerpt:

In fact, this final requirement is most closely related not to empathy but to compassion – defined among emotion researchers as the feeling that arises when you are confronted with another’s suffering, including the desire to help. This non-empathetic compassion – a more distanced love and kindness and concern for others – might act as a bridge between recognising the other’s feelings and providing care without the detriments of empathy. Since compassion does not require identification with the patient, it can help in performing good care as a professional duty, building trust, and treating someone according to his or her needs, while avoiding cognitive biases and empathetic distress.

Empathy still matters in healthcare settings that don’t require action: self-help forums and family-support coordinators can be guided by empathy. And precisely because empathy is biased, physicians should be trained to critically reflect upon their empathy gaps rather than be told to fake it.



Sunday, January 8, 2017

Education or Indoctrination? The Accuracy of Introductory Psychology Textbooks in Covering Controversial Topics and Urban Legends About Psychology

Ferguson, C.J., Brown, J.M. & Torres, A.V.
Current Psychology (2016).
doi:10.1007/s12144-016-9539-7

Abstract

The introductory psychology class represents the first opportunity for the field to present new students with a comprehensive overview of psychological research. Writing introductory psychology textbooks is challenging given that authors need to cover many areas they themselves may not be intimately familiar with. This challenge is compounded by problems within the scholarly community in which controversial topics may be communicated in ideological terms within scholarly discourse. Psychological science has historically seen concerns raised about the mismatch between claims and data made about certain fields of knowledge, apprehensions that continue in the present “replication crisis.” The concern is that, although acting in good faith, introductory psychology textbook authors may unwittingly communicate information to readers that is factually untrue. Twenty-four leading introductory psychology textbooks were surveyed for their coverage of a number of controversial topics (e.g., media violence, narcissism epidemic, multiple intelligences) and scientific urban legends (e.g., Kitty Genovese, Mozart Effect) for their factual accuracy. Results indicated numerous errors of factual reporting across textbooks, particularly related to failing to inform students of the controversial nature of some research fields and repeating some scientific urban legends as if true. Recommendations are made for improving the accuracy of introductory textbooks.

The article is here.

Saturday, January 7, 2017

The Irrationality Within Us

By Elly Vintiadis
Scientific American blog
Originally published on December 12, 2016

We like to think of ourselves as special because we can reason and we like to think that this ability expresses the essence of what it is to be human. In many ways this belief has formed our civilization; throughout history, we have used supposed differences in rationality to justify moral and political distinctions between different races, genders, and species, as well as between “healthy” and “diseased” individuals. Even to this day, people often associate mental disorder with irrationality and this has very real effects on people living with mental disorders.

But are we really that rational? And is rationality really what distinguishes people who live with mental illness from those who do not? It seems not. After decades of research, there is compelling evidence that we are not as rational as we think we are and that, rather than irrationality being the exception, it is part of who we normally are.

So what does it mean to be rational? We usually distinguish between two kinds of rationality.  Epistemic rationality, which is involved in acquiring true beliefs about the world and which sets the standard for what we ought to believe, and instrumental rationality which is involved in decision-making and behavior and is the standard for how we ought to act.

The article is here.

Friday, January 6, 2017

Why Ethical People Make Unethical Choices

By Ron Carucci
Harvard Business Review
Originally posted December 16, 2016

Most companies have ethics and compliance policies that get reviewed and signed annually by all employees. “Employees are charged with conducting their business affairs in accordance with the highest ethical standards,” reads one such example. “Moral as well as legal obligations will be fulfilled in a manner which will reflect pride on the Company’s name.” Of course, that policy comes directly from Enron.  Clearly it takes more than a compliance policy or Values Statement to sustain a truly ethical workplace.

Corporate ethical failures have become painfully common, and they aren’t cheap.  In the last decade, billions of dollars have been paid in fines by companies charged with ethical breaches. The most recent National Business Ethics Survey indicates progress as leaders make concerted efforts to pay holistic attention to their organization’s systems. But despite progress, 41% of workers reported seeing ethical misconduct in the previous 12 months, and 10% felt organizational pressure to compromise ethical standards. Wells Fargo’s recent debacle cost them $185 million in fines because 5300 employees opened up more than a million fraudulent accounts.  When all is said and done, we’ll likely learn that the choices of those employees resulted from deeply systemic issues.

The article is here.


‘Dear plagiarist’: A scientist calls out his double-crosser

By Adam Marcus and Ivan Oransky
STAT News
Originally published December 12, 2016

It’s a researcher’s worst nightmare: Pour five years, and at least 4,000 hours, of sweat and tears into a study, only to have the work stolen from you — by someone who was entrusted to confidentially review the manuscript.

But unlike many sordid tales of academia, this one is being made public. Dr. Michael Dansinger, of Tufts Medical Center, has taken to print to excoriate a group of researchers in Italy who stole his data and published it as their own.

Writing in the prestigious Annals of Internal Medicine — which unwittingly facilitated the episode by farming the paper out for review and then rejecting it — Dansinger calls out the scientists who published their nearly identical version in the somewhat less prestigious EXCLI Journal.

The article is here.

Thursday, January 5, 2017

Understanding America’s Moral Divides

Julie Beck
The Atlantic
Originally published December 14, 2016

Here is an excerpt:

Part of why it’s easy for anyone to see themselves, or the groups they belong to, as super moral is because morality itself is a vague concept. “You can have one person, for instance, who cares very deeply for their friends and family and would go to the ends of the earth for these people,” Tappin says. “And yet they don’t, say, give a dime to foreign charity. And then you’ve got another person who spends their entire life donating money overseas, yet in their interpersonal life, perhaps they don’t treat their family members very well. In those cases, how do you compare who’s more moral? It seems quite impossible to judge and it’s just at the mercy of people’s preferences.”


Haidt’s work identifies six different moral metrics—liberty, fairness, loyalty, authority, care, and purity. Different groups and cultures prefer to emphasize these domains to different degrees. For example, people in Eastern countries tend to emphasize purity and loyalty more than people in Western countries. People who live in countries where there has historically been higher prevalence of disease also place a higher value on purity, as well as loyalty and authority. In the United States, liberals tend to focus mostly on care, fairness, and liberty, while conservatives generally emphasize all six domains. Other research shows that people rate the moral values a group holds as the most important characteristic affecting whether they’re proud to be a member of the group, or more likely to distance themselves from it.

The article is here.

To Make a Team More Effective, Find Their Commonalities

David DeSteno
Harvard Business Review
December 12, 2016

Here is an excerpt:

When it comes to empathy and compassion, the most powerful tool is a sense of similarity – a belief that people’s interests are joined and, thus, that they’re all on the same team and will benefit from supporting each other. Consider an example from the first World War. British and German troops were fighting a long, bloody battle in the trenches outside of Ypres, Belgium. But on Christmas Eve, the British began to see their foes light candles and sing familiar carols. Soon, these men, who had previously been trying to kill each other, came out to greet one another, share stories and celebrate the holiday together. For a brief period, they re-categorized themselves as members of the same group, in this case defined by religion, and felt a new camaraderie.

You can achieve a similar effect by emphasizing or introducing even less significant similarities. For example, Claremont McKenna’s Piercarlo Valdesolo and I conducted an experiment in which we had participants tap their hands in synch — or not in synch — with another person, who was later unfairly stuck with an onerous assignment. Half of the people who had tapped in unison with their partners offered to help with the task, compared with only 18% of those who were out of synch. The in-synch tappers reported not only feeling more similar to the strangers with whom they’d been paired, but also more compassion for them, and those two measures increased in tandem.

The article is here.

Wednesday, January 4, 2017

Beware Bogus Theories of Sexual Orientation

By Michael Shermer
Scientific American Magazine
Originally published on December 1, 2016

Here is an excerpt:

Shouldn't such principles apply to everyone regardless of whether or not their sexual orientation is biologically determined? Of course, and in most Western countries today they do. But in Judeo-Christian America, the argument goes like this: The Bible says that homosexuality is a sin (Leviticus 20:13). If sexual orientation has a strong biological component, then gays and lesbians can hardly be held morally culpable for their sinful ways. But if it's a choice, then they can be rehabilitated (through “conversion therapy”) and forgiven (“love the sinner, hate the sin” goes the popular trope). Evangelist Jimmy Swaggart articulated the logic this way: “While it is true that the seed of original sin carries with it every type of deviation, aberration, perversion, and wrongdoing, the homosexual cannot claim to have been born that way any more than the drunkard, gambler, killer, etc.”

While the authors of the New Atlantis article are not this crude and overtly bigoted in their conclusions, according to geneticist Dean Hamer, emeritus at the National Institutes of Health, “it is a selective and outdated collection of references and arguments aimed at confusing rather than clarifying our understanding of sexual orientation and gender identity.”

The article is here.