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 16, 2017

The phenomenon of “unethical amnesia”

Francesca Gino and Maryam Kouchaki
Quartz
Originally published December 29, 2016

Here is an excerpt:

In fact, psychological research on morality shows that we hold an overly optimistic view of our capacity to adhere to ethical standards. We believe that we are intrinsically more moral than others, that we will behave more ethically than others in the future, and that transgressions committed by others are morally worse than our own.

So, how do these beliefs of our moral selves play out in our day-to-day actions? As researchers who frequently study how people who care about morality often behave dishonestly, we decided to find out.

Unethical amnesia

One key result of our research is that people engage in unethical behavior repeatedly over time because their memory of their dishonest actions gets obfuscated over time. In fact, our research shows that people are more likely to forget the details of their own unethical acts compared with other incidents, including neutral, negative, or positive events, as well as the unethical actions of others.

The article is here.

Sunday, January 15, 2017

Americans Rate Healthcare Providers High on Honesty, Ethics

Jim Normal
Gallup.com
Originally posted December 2016

Most Americans trust their healthcare providers to be honest and ethical, but few other professions fare so well in Gallup's annual look at honesty and ethical standards among various fields. Nurses top the list with 84% of the public rating their standards as "high" or "very high," while members of Congress fall to the bottom -- the only profession for which a majority of Americans (59%) rate honesty and ethical standards as "low" or "very low."

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Further, for the fourth year in a row -- in a nation where religion is an important part of life for three-fourths of the population -- less than half of Americans think religious leaders have high ethical standards. Meanwhile, two groups of professionals linked to the bitter political battles of 2016 -- college teachers and journalists -- are at or near their all-time lows, with views split along partisan lines.

The article is here.

Saturday, January 14, 2017

In Praise of Ignorance

Simon Cullen
Quillette 
Originally published December 25, 2016

Here is an excerpt:

The world is such a big and messy place, all anyone can do is focus on understanding a tiny slice of it. So most of us can be forgiven our ignorance about empirical questions as complex as the causes of racial disparities in the criminal justice system, the likely effects of a particular international trade deal, the costs and benefits of raising the federal minimum wage to $15, and so forth. These questions are so enormously complex, thoughtful people who devote their lives to investigating them do not always reach consensus. But what cannot be forgiven is holding passionate opinions on issues of immense practical significance when we are almost completely ignorant of the facts. It does not matter how strongly we may believe we are factually correct or that we are fighting the darkest forces of evil, when we choose to address a topic that may seriously affect the lives of other people, we incur a correspondingly serious obligation to discharge onerous epistemic duties.

If we do not bother to acquaint ourselves with the most basic facts, to expose ourselves openly to people with whom we are inclined to disagree, and especially to those who have thought the longest and hardest about these topics, then we are not entitled to any opinion. As J.S. Mill wrote in On Liberty, “He who knows only his own side of the case knows little of that.” For most of us, the only defensible attitude on most issues is perfect agnosticism.

The problem is, we have little tolerance for agnosticism. A politician who admitted that she held no opinion on the TPP might expect mockery, even though it is as unreasonable to expect the average politician to know about the difficult empirical questions raised by such agreements as it is to expect the average doctor or nurse. And we should all be alive to the possibility that most politicians would not do much better than the rest of us if they had to pass Econ 101 tomorrow. It is even worse that we ordinary people suffer disapprobation when we express agnosticism towards issues about which we know nothing. This intolerance of ignorance threatens to sever both policy makers and ordinary people from reality, harming our best chance at improving our world — scientific knowledge combined with careful, open-minded moral thinking.

The article is here.

Friday, January 13, 2017

Disgust as embodied loss aversion

Simone Schnall
European Review Of Social Psychology Vol. 28 , Iss. 1, 2017

ABSTRACT

A quickly expanding literature has examined the link between physical disgust and morality. This article critically integrates the existing evidence and draws the following conclusions: First, there is considerable evidence that experimentally induced disgust and cleanliness influence moral judgment, but moderating variables and attributional processes need to be considered. Second, moral considerations have substantial effects on behavioural concomitants of disgust, such as facial expressions, economic games and food consumption. Third, while disgust involves a conservation concern, it can manifest itself in both liberal and conservative political attitudes. Overall, disgust can be considered to form part of a behavioural loss aversion system aimed at protecting valuable resources, including the integrity of one’s body. Recommendations are offered to investigate the role of disgust more rigorously in order to fully capture its role in moral life.

Gifts and influence: Conflict of interest policies and prescribing of psychotropic medications in the United States

Marissa King and Peter S. Bearman
Social Science & Medicine
Volume 172, January 2017, Pages 153–162

Abstract

The pharmaceutical industry spends roughly 15 billion dollars annually on detailing – providing gifts, information, samples, trips, honoraria and other inducements – to physicians in order to encourage them to prescribe their drugs. In response, several states in the United States adopted policies that restrict detailing. Some states banned gifts from pharmaceutical companies to doctors, other states simply required physicians to disclose the gifts they receive, while most states allowed unrestricted detailing. We exploit this geographic variation to examine the relationship between gift regulation and the diffusion of four newly marketed medications. Using a dataset that captures 189 million psychotropic prescriptions written between 2005 and 2009, we find that uptake of new costly medications was significantly lower in states with marketing regulation than in areas that allowed unrestricted pharmaceutical marketing. In states with gift bans, we observed reductions in market shares ranging from 39% to 83%. Policies banning or restricting gifts were associated with the largest reductions in uptake. Disclosure policies were associated with a significantly smaller reduction in prescribing than gift bans and gift restrictions. In states that ban gift-giving, peer influence substituted for pharmaceutical detailing when a relatively beneficial drug came to market and provided a less biased channel for physicians to learn about new medications. Our work suggests that policies banning or limiting gifts from pharmaceutical representatives to doctors are likely to be more effective than disclosure policies alone.

The article is here.

Thursday, January 12, 2017

The Great A.I. Awakening

Gideon Lewis-Kraus
The New York Times
Originally published December 14, 2106

Here are two excerpts:

Google’s decision to reorganize itself around A.I. was the first major manifestation of what has become an industry wide machine-learning delirium. Over the past four years, six companies in particular — Google, Facebook, Apple, Amazon, Microsoft and the Chinese firm Baidu — have touched off an arms race for A.I. talent, particularly within universities. Corporate promises of resources and freedom have thinned out top academic departments. It has become widely known in Silicon Valley that Mark Zuckerberg, chief executive of Facebook, personally oversees, with phone calls and video-chat blandishments, his company’s overtures to the most desirable graduate students. Starting salaries of seven figures are not unheard-of. Attendance at the field’s most important academic conference has nearly quadrupled. What is at stake is not just one more piecemeal innovation but control over what very well could represent an entirely new computational platform: pervasive, ambient artificial intelligence.

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The new wave of A.I.-enhanced assistants — Apple’s Siri, Facebook’s M, Amazon’s Echo — are all creatures of machine learning, built with similar intentions. The corporate dreams for machine learning, however, aren’t exhausted by the goal of consumer clairvoyance. A medical-imaging subsidiary of Samsung announced this year that its new ultrasound devices could detect breast cancer. Management consultants are falling all over themselves to prep executives for the widening industrial applications of computers that program themselves. DeepMind, a 2014 Google acquisition, defeated the reigning human grandmaster of the ancient board game Go, despite predictions that such an achievement would take another 10 years.

The article is here.

The Psychology of White-Collar Criminals

Eugene Soltes
The Atlantic
Originally posted December 14, 2016

Here is an excerpt:

Usually, a gut feeling that something will be harmful is enough of a deterrence. But when the harm is distant or abstract, this internal alarm doesn’t always go off. This absence of intuition about the harm creates a particular challenge for executives. Today, managerial decisions impact ever-greater numbers of people and the distance between executives and the people their decisions affect continues to grow. In fact, many of the people most harmed or helped by executives’ decisions are those they will never identify or meet. In this less intimate world, age-old intuitions are not always well suited to sense the kinds of potential harms that people can cause in the business world.

Reflecting on these limits to human intuition, I came to a conclusion that I found humbling. Most people like to think that they have the right values to make it through difficult times without falling prey to the same failures as the convicted executives I got to know. But those who believe they would face the same situations with their current values and viewpoints tend to underestimate the influence of the pressures, cultures, and norms that surround executive decision making. Perhaps a little humility is in order, given that people seem to have some difficulty predicting how they’d act in that environment. “What we all think is, ‘When the big moral challenge comes, I will rise to the occasion,’ [but] there’s not actually that many of us that will actually rise to the occasion,” as one former CFO put it. “I didn’t realize I would be a felon.”

The article is here.

Wednesday, January 11, 2017

The Empathy Trap

By Peter Singer
The Project Syndicate
Originally published December 12, 2016

Here is an excerpt:

“One death is tragedy; a million is a statistic.” If empathy makes us too favorable to individuals, large numbers numb the feelings we ought to have. The Oregon-based nonprofit Decision Research has recently established a website, ArithmeticofCompassion.org, aimed at enhancing our ability to communicate information about large-scale problems without giving rise to “numerical numbness.” In an age in which vivid personal stories go viral and influence public policy, it’s hard to think of anything more important than helping everyone to see the larger picture.

To be against empathy is not to be against compassion. In one of the most interesting sections of Against Empathy, Bloom describes how he learned about differences between empathy and compassion from Matthieu Ricard, the Buddhist monk sometimes described as “the happiest man on earth.” When the neuroscientist Tania Singer (no relation to me) asked Ricard to engage in “compassion meditation” while his brain was being scanned, she was surprised to see no activity in the areas of his brain normally active when people empathize with the pain of others. Ricard could, on request, empathize with others’ pain, but he found it unpleasant and draining; by contrast, he described compassion meditation as “a warm positive state associated with a strong pro-social motivation.”

The article is here.

People Don’t Consider Lying by Omission to Be Any More Honest Than Plain Old Lying

By Cari Romm
New York Magazine: The Science of Us
Originally published December 15, 2016

Here is an excerpt:

Past research has shown that people are more willing to lie by omission than they are to tell an outright falsehood, and over a series of six experiments, the researchers found that paltering is no different — to the teller, it feels more ethical, like something between the truth and a total lie. (They also found that it’s incredibly common: In one survey administered to Harvard business students, roughly half admitted that they had previously used paltering as a negotiation strategy.)

The problem is, those on the receiving end don’t feel the same way: Across the various experiments, people who learned that their conversation partner had paltered to them said they considered the move to be just as ethically rotten as telling a bald-faced lie.

The article is here.