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

Thursday, February 16, 2017

First human-pig 'chimera' created in milestone study

Hannah Devlin
The Guardian
Originally posted January 26, 2017

Scientists have created a human-pig hybrid in a milestone study that raises the prospect of being able to grow human organs inside animals for use in transplants.

It marks the first time that embryos combining two large, distantly-related species have been produced. The creation of this so-called chimera – named after the cross-species beast of Greek mythology – has been hailed as a significant first step towards generating human hearts, livers and kidneys from scratch.

Juan Carlos Izpisua Belmonte, who led the work on the part-pig, part-human embryos at the Salk Institute for Biological Studies in La Jolla, California, said: “The ultimate goal is to grow functional and transplantable tissue or organs, but we are far away from that. This is an important first step.”

The study has reignited ethical concerns that have threatened to overshadow the field’s clinical promise. The work inevitably raises the spectre of intelligent animals with humanised brains and also the potential for bizarre hybrid creatures to be accidentally released into the wild. The US National Institutes of Health (NIH) placed a moratorium on funding for the controversial experiments last year while these risks were considered.

The article is here.

Whatever happened to the DeepMind AI ethics board Google promised?

Alex Hurn
The Guardian
Originally posted January 26, 2017

Three years ago, artificial intelligence research firm DeepMind was acquired by Google for a reported £400m. As part of the acquisition, Google agreed to set up an ethics and safety board to ensure that its AI technology is not abused.

The existence of the ethics board wasn’t confirmed at the time of the acquisition announcement, and the public only became aware of it through a leak to industry news site The Information. But in the years since, senior members of DeepMind have publicly confirmed the board’s existence, arguing that it is one of the ways that the company is trying to “lead the way” on ethical issues in AI.

But in all that time DeepMind has consistently refused to say who is on the board, what it discusses, or publicly confirm whether or not it has even officially met. The Guardian has asked DeepMind and Google multiple times since the acquisition on 26 January 2014 for transparency around the board, and received just one answer on the record.

The article is here.

Wednesday, February 15, 2017

Recent Trump win on China trademark raises ethics questions

Erika Kinetz
Associated Press
Originally published February 14, 2017

Here is an excerpt:

Ethics lawyers say the trademarks present conflicts of interest for Trump and may violate the emoluments clause of the U.S. Constitution, which bars public servants from accepting anything of value from foreign governments unless explicitly approved by Congress.

Countries could use Trump's desire to control his brand to extend — or withhold — favor, especially a nation such as China where the courts and bureaucracy reflect the imperatives of the ruling Communist Party.

"There can be no question that it is a terrible idea for Donald Trump to be accepting the registration of these valuable property rights from China while he's a sitting president of the United States," said Norman Eisen, who served as chief White House ethics lawyer for President Barack Obama. "It's fair to conclude that this is an effort to influence Mr. Trump that is relatively inexpensive for the Chinese, potentially very valuable to him, but it could be very costly for the United States."

The article is here.

Judge Allows Lawsuit Against Psychologists in C.I.A. Torture Case

Sheri Fink
The New York Times
Originally published January 29, 2017

A federal judge on Friday allowed a case brought by former detainees to move forward against two American psychologists who helped devise the C.I.A.’s now-defunct program to interrogate terrorism suspects using techniques widely considered to be torture.

A United States District Court judge, Justin L. Quackenbush, denied a motion by the psychologists that sought to dismiss the case for lack of jurisdiction under provisions of a 2006 law that limits the ability of detainees to challenge their treatment.

“This ruling sends the strong signal that anyone who participates in shameful and unlawful government torture can’t count on escaping accountability in a court of law,” said Dror Ladin, a staff attorney for the American Civil Liberties Union, which, with the Gibbons law firm in Newark, represents the former detainees.

The article is here.

Tuesday, February 14, 2017

Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes

Hannawa, A. F., Shigemoto, Y., & Little, T. (2016).
Social Science & Medicine, 156, 29-38.

Abstract

Rationale

This study investigates the intrapersonal and interpersonal factors and processes that are associated with patient forgiveness of a provider in the aftermath of a harmful medical error.

Objective

This study aims to examine what antecedents are most predictive of patient forgiveness and non-forgiveness, and the extent to which social-cognitive factors (i.e., fault attributions, empathy, rumination) influence the forgiveness process. Furthermore, the study evaluates the role of different disclosure styles in two different forgiveness models, and measures their respective causal outcomes.

Methods

In January 2011, 318 outpatients at Wake Forest Baptist Medical Center in the United States were randomly assigned to three hypothetical error disclosure vignettes that operationalized verbally effective disclosures with different nonverbal disclosure styles (i.e., high nonverbal involvement, low nonverbal involvement, written disclosure vignette without nonverbal information). All patients responded to the same forgiveness-related self-report measures after having been exposed to one of the vignettes.

Results

The results favored the proximity model of interpersonal forgiveness, which implies that factors more proximal in time to the act of forgiving (i.e., patient rumination and empathy for the offender) are more predictive of forgiveness and non-forgiveness than less proximal factors (e.g., relationship variables and offense-related factors such as the presence or absence of an apology). Patients' fault attributions had no effect on their forgiveness across conditions. The results evidenced sizeable effects of physician nonverbal involvement-patients in the low nonverbal involvement condition perceived the error as more severe, experienced the physician's apology as less sincere, were more likely to blame the physician, felt less empathy, ruminated more about the error, were less likely to forgive and more likely to avoid the physician, reported less closeness, trust, and satisfaction but higher distress, were more likely to change doctors, less compliant, and more likely to seek legal advice.

Conclusion

The findings of this study imply that physician nonverbal involvement during error disclosures stimulates a healing mechanism for patients and the physician-patient relationship. Physicians who disclose a medical error in a nonverbally uninvolved way, on the other hand, carry a higher malpractice risk and are less likely to promote healthy, reconciliatory outcomes.

The article is here.

Are Kantians Better Social Partners? People Making Deontological Judgments are Perceived to Be More Prosocial than They Actually are

Capraro, Valerio and Sippel, Jonathan and Zhao, Bonan and others
(January 25, 2017).

Abstract

Why do people make deontological decisions, although they often lead to overall unfavorable outcomes? One account is receiving considerable attention: deontological judgments may signal commitment to prosociality and thus may increase people's chances of being selected as social partners --- which carries obvious long-term benefits. Here we test this framework by experimentally exploring whether people making deontological judgments are expected to be more prosocial than those making consequentialist judgments and whether they are actually so. We use two ways of identifying deontological choices. In a first set of three studies, we use a single moral dilemma whose consequentialist course of action requires a strong violation of Kant's practical imperative that humans should never be used solely as a mere means. In a second set of two studies, we use two moral dilemmas: one whose consequentialist course of action requires no violation of the practical imperative, and one whose consequentialist course of action requires a strong violation of the practical imperative; and we focus on people changing decision when passing from the former dilemma to the latter one, thereby revealing a strong reluctance to violate Kant's imperative. Using economic games, we take three measures of prosociality: trustworthiness, altruism, and cooperation. Our results procure converging evidence for a perception bias according to which people making deontological choices are believed to be more prosocial than those making consequentialist choices, but actually they are not so. Thus, these results provide a piece of evidence against the assumption that deontological judgments signal commitment to prosociality.

The article is here.

Monday, February 13, 2017

Psychologist recounts interrogation of terror detainee

Shawn Vestal
Spokesman-Review
Originally published January 25, 2017

Here is an excerpt:

Jessen’s account was part of a series of documents recently released as part of a Freedom of Information Act request by the ACLU, which has filed a lawsuit against Jessen and his former business partner, James Mitchell. The interview represents the fullest public description of his role from Jessen, who lives in Spokane and operated a for-profit interrogation firm downtown staffed with former Fairchild Air Force Base officers. He has repeatedly denied interview requests from reporters.

The lawsuit against the two contractors is proceeding through federal court in Spokane. Rahman, through his family, is one of three named plaintiffs.

Jessen was interviewed as part of the CIA investigation into Rahman’s death at a “black site” known as the Salt Pit in Afghanistan in 2002. Rahman was a suspected Afghan militant and the CIA records refer to him as a member of al-Qaida.

In his interview, Jessen said his role varied from observer to hands-on interrogator, but makes clear he was closely involved. Another document says Jessen had six “sessions” with Rahman.

The article is here.

The "Bad Is Black" Effect: Why People Believe Evildoers Have Darker Skin Than Do-Gooders

Alter, A., Stern, C. Granot, Y., & Balcetis, E.
Pers Soc Psychol Bull. 2016 Dec;42(12):1653-1665.

Abstract

Across six studies, people used a "bad is black" heuristic in social judgment and assumed that immoral acts were committed by people with darker skin tones, regardless of the racial background of those immoral actors. In archival studies of news articles written about Black and White celebrities in popular culture magazines (Study 1a) and American politicians (Study 1b), the more critical rather than complimentary the stories, the darker the skin tone of the photographs printed with the article. In the remaining four studies, participants associated immoral acts with darker skinned people when examining surveillance footage (Studies 2 and 4), and when matching headshots to good and bad actions (Studies 3 and 5). We additionally found that both race-based (Studies 2, 3, and 5) and shade-based (Studies 4 and 5) associations between badness and darkness determine whether people demonstrate the "bad is black" effect. We discuss implications for social perception and eyewitness identification.

The article is here.

Sunday, February 12, 2017

Expert Witness Testimony in Civil Commitment Hearings for Sexually Dangerous Individuals

Jennifer E. Alleyne, Kaustubh G. Joshi and Marie E. Gehle
Journal of the American Academy of Psychiatry and the Law Online June 2016, 44 (2) 265-267

Here is the Discussion Section:

Sexually dangerous individual (or sexually violent predator) laws across the country follow a general scheme. The individual has been convicted of certain sexual offenses and has a mental abnormality or personality disorder that makes him likely to commit similar crimes in the future. Whether decided by a judge or jury, the result is frequently the indefinite commitment of the person. Because the questions at hand are generally outside the expertise of the trier of fact, the testimony of qualified expert witnesses is crucial. Therefore, the admissibility and credibility of mental health testimony are often heavily scrutinized during the proceedings.

Mr. Loy sought to find Dr. Sullivan's and Dr. Volk's testimonies inadmissible on different grounds. Having a license on probation, giving testimony that creates an alleged bias, or, for example, routinely testifying for one side versus the other does not automatically render the witness unqualified or the testimony inadmissible. In most jurisdictions, the case law and statutes governing the admission of expert witness testimony allow for its use if the witness has some degree of expertise in the field in which he will testify and if the testimony helps the trier of fact to understand the evidence or determine a fact at issue.

Inherent in the civil commitment of sexual offenders are complex concerns regarding psychiatric diagnoses, risk assessment, and volitional impairment. The trier of fact depends on expert testimony to understand and decide these questions. If the expert has a skeleton in the closet, has an imperfection in his qualifications, or holds an alleged bias, the trier of fact should appropriately weigh the credibility of that testimony when rendering a decision. Such testimony is not automatically inadmissible. A court's discretion in admitting expert witness testimony will not be reversed unless the district court abuses its discretion in admitting expert testimony. Finally, in most jurisdictions, the court's assessment of witness credibility is granted deference.

The article is here.