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

Sunday, April 9, 2017

Are You Creeped Out by the Idea of a “Moral Enhancement” Pill?

Vanessa Rampton
Slate.com
Originally posted March 20, 2017

Here is an excerpt:

In its broad outlines, the idea of moral bioenhancement is as follows: Once we understand the biological and genetic influences on moral decision-making and judgments, we can enhance (read: improve) them with drugs, surgery, or other devices. A “morality pill” could shore up self-control, empathy, benevolence, and other desirable characteristics while discouraging tendencies toward violent aggression or racism. As a result, people might be kinder to their families, better members of their communities, and better able to address some of the world’s biggest problems such as global inequality, environmental destruction, and war.

In fact, the attempts of parents, educators, friends, philosophers, and therapists to make people behave better are already getting a boost from biology and technology. Recent studies have shown that neurological and genetic characteristics influence moral decision-making in more or less subtle ways. Some behaviors, like violent aggression, drug abuse and addiction, and the likelihood of committing a crime have been linked to genetic variables as well as specific brain chemicals such as dopamine. Conversely, evidence suggests that our ability to be empathetic, our tolerance of other racial groups, and our sensitivity to fairness all have their roots in biology. Assuming cutting-edge developments in neuroscience and genetics have been touted as able to crack the morality code, the search for a morality pill will only continue apace.

The article is here.

Saturday, April 8, 2017

Evangelicals Are Aiding and Abetting the Deconstruction of Morality

Marvin Thompson
christianpost.com
Originally posted April 3, 2017

The LA Times Editorial on April 2, 2017, described Trump and his tactics during the presidential primaries and election as “…a narcissist and a demagogue who used fear and dishonesty to appeal to the worst in American voters.” This is not merely the judgement of a disappointed liberal media unable to come to terms with a devastating election loss, and is now inveighing against the President with unwarranted charges and innuendos. If the Church, and especially evangelical churches, take that view and ignore the many conservative voices, including many within the evangelical community and other Christians not self-identified as evangelicals, then our problems run much deeper that we think.

No, the LA Times’ conclusion is a commentary on the degradation of evangelical morality. Notice, the worst in American voters. Now, pause and let that sink in.

Do you get it? Do you see the gravity of the situation for a community that professes to stand on the infallible truth of the Gospel and on immutable biblical principles? No? Then consider that it is the evangelical vote that carried Trump through the primaries and over the top in the election. Do you see it now?

Not yet? Then consider, further, what we know about Trump, about his lack of a moral compass and his unabashed embrace of it; his disrespect of others, be they male or female or disabled; his willful mendacity; his contempt for God, despite what Paula White, Dobson, et al claim about his so-called conversion (where is the evidence, as evangelicals like to ask?); his catalyzing effect on the worst racist elements of society; his promotion of hatred and violence; his utter lack of empathy for the poor and less fortunate. Nothing has changed since his election as President. Except, he now has the power to propagate his warped morality. This power was given to him by the evangelicals. Does that make it any clearer?

The blog post is here.

Friday, April 7, 2017

Informed Patient? Don’t bet on it

Mikkael Sekeres and Timothy Gilligan
The New York Times
Originally posted March 1, 2017

Here is an excerpt:

The secret is that informed consent in health care is commonly not-so-well informed. It might be a document we ask you to sign, at the behest of our lawyers, in case we end up in court if a bad outcome happens. Unfortunately, it’s often not really about informing you. In schools, teachers determine what students know through tests and homework. The standard is not whether the teacher has explained how to add, but instead whether the student can add. If we were truly invested in whether you were informed, we’d give you a quiz, or at least ask you to repeat back to us what you heard so we could assess its accuracy.

The article is here.

Against Willpower

Carl Erik Fisher
Nautilus
Originally published February 2, 2017

Here is an excerpt:

These hidden dimensions of willpower call into question the whole scholarly conception of the term, and put us into a lose-lose situation. Either our definition of willpower is narrowed and simplified to the point of uselessness (in both research and casual contexts), or it is allowed to continue as an imprecise term, standing in for an inconsistent hodgepodge of various mental functions. Willpower may simply be a pre-scientific idea—one that was born from social attitudes and philosophical speculation rather than research, and enshrined before rigorous experimental evaluation of it became possible. The term has persisted into modern psychology because it has a strong intuitive hold on our imagination: Seeing willpower as a muscle-like force does seem to match up with some limited examples, such as resisting cravings, and the analogy is reinforced by social expectations stretching back to Victorian moralizing. But these ideas also have a pernicious effect, distracting us from more accurate ways of understanding human psychology and even detracting from our efforts toward meaningful self-control. The best way forward may be to let go of “willpower” altogether.

Doing so would rid us of some considerable moral baggage. Notions of willpower are easily stigmatizing: It becomes OK to dismantle social safety nets if poverty is a problem of financial discipline, or if health is one of personal discipline. An extreme example is the punitive approach of our endless drug war, which dismisses substance use problems as primarily the result of individual choices. Unhealthy moralizing creeps into the most quotidian corners of society, too. When the United States started to get concerned about litter in the 1950s, the American Can Company and other corporations financed a “Keep America Beautiful” campaign to divert attention from the fact that they were manufacturing enormous quantities of cheap, disposable, and profitable packaging, putting the blame instead on individuals for being litterbugs. Willpower-based moral accusations are among the easiest to sling.

The article is here.

Thursday, April 6, 2017

Would You Deliver an Electric Shock in 2015?

Dariusz DoliƄski, Tomasz Grzyb, Tomasz Grzyb and others
Social Psychological and Personality Science
First Published January 1, 2017

Abstract

In spite of the over 50 years which have passed since the original experiments conducted by Stanley Milgram on obedience, these experiments are still considered a turning point in our thinking about the role of the situation in human behavior. While ethical considerations prevent a full replication of the experiments from being prepared, a certain picture of the level of obedience of participants can be drawn using the procedure proposed by Burger. In our experiment, we have expanded it by controlling for the sex of participants and of the learner. The results achieved show a level of participants’ obedience toward instructions similarly high to that of the original Milgram studies. Results regarding the influence of the sex of participants and of the “learner,” as well as of personality characteristics, do not allow us to unequivocally accept or reject the hypotheses offered.

The article is here.

“After 50 years, it appears nothing has changed,” said social psychologist Tomasz Grzyb, an author of the new study, which appeared this week in the journal Social Psychological and Personality Science.

A Los Angeles Times article summaries the study here.

How to Upgrade Judges with Machine Learning

by Tom Simonite
MIT Press
Originally posted March 6, 2017

Here is an excerpt:

The algorithm assigns defendants a risk score based on data pulled from records for their current case and their rap sheet, for example the offense they are suspected of, when and where they were arrested, and numbers and type of prior convictions. (The only demographic data it uses is age—not race.)

Kleinberg suggests that algorithms could be deployed to help judges without major disruption to the way they currently work in the form of a warning system that flags decisions highly likely to be wrong. Analysis of judges’ performance suggested they have a tendency to occasionally release people who are very likely to fail to show in court, or to commit crime while awaiting trial. An algorithm could catch many of those cases, says Kleinberg.

Richard Berk, a professor of criminology at the University of Pennsylvania, describes the study as “very good work,” and an example of a recent acceleration of interest in applying machine learning to improve criminal justice decisions. The idea has been explored for 20 years, but machine learning has become more powerful, and data to train it more available.

Berk recently tested a system with the Pennsylvania State Parole Board that advises on the risk a person will reoffend, and found evidence it reduced crime. The NBER study is important because it looks at how machine learning can be used pre-sentencing, an area that hasn’t been thoroughly explored, he says.

The article is here.

Editor's Note: I often wonder how much time until machine learning is applied to psychotherapy.

Wednesday, April 5, 2017

Canada passes genetic ‘anti-discrimination’ law

Xavier Symons
BioEdge
Originally published 10 March 2017

Canada’s House of Commons has passed a controversial new law that prevents corporations from demanding genetic information from potential employees or customers.

The law, known as ‘Bill S-201’, makes it illegal for companies to deny someone a job if they refuse a genetic test, and also prevents insurance companies from making new customer policies conditional on the supply of genetic information. Insurance companies will no longer be able to solicit genetic tests so as to determine customer premiums.

Critics of the bill said that insurance premiums would skyrocket, in some cases up to 30 or 50 per cent, if companies are prevented from obtaining genetic data. And Prime Minister Justin Trudeau labelled the proposed legislation “unconstitutional” as it impinges on what he believes should be a matter for individual provinces to regulate.

The article is here.

Root Out Bias from Your Decision-Making Process

Thomas C. Redman
Harvard Business Review
Originally posted March 10, 2017

Here is an excerpt:

Making good decisions involves hard work. Important decisions are made in the face of great uncertainty, and often under time pressure. The world is a complex place: People and organizations respond to any decision, working together or against one another, in ways that defy comprehension. There are too many factors to consider. There is rarely an abundance of relevant, trusted data that bears directly on the matter at hand. Quite the contrary — there are plenty of partially relevant facts from disparate sources — some of which can be trusted, some not — pointing in different directions.

With this backdrop, it is easy to see how one can fall into the trap of making the decision first and then finding the data to back it up later. It is so much faster. But faster is not the same as well-thought-out. Before you jump to a decision, you should ask yourself, “Should someone else who has time to assemble a complete picture make this decision?” If so, you should assign the decision to that person or team.

The article is here.

Tuesday, April 4, 2017

Two licensing boards, for psychologists and counselors, at impasse with governor over sexual orientation language

Nancy Hicks
Lincoln Journal Star  
Originally posted March 11, 2017

Two state licensing boards that oversee psychologists and mental health counselors have been at odds with two Nebraska governors and the Nebraska Catholic Conference for almost a decade over sexual orientation and gender identity language in their rules.

The two licensing boards -- the Board of Psychology and the Board of Mental Health Practice -- have been unable to update their rules because they have refused to compromise on these issues.

And it looks like that impasse will continue, after the administration of Gov. Pete Ricketss recently rejected both sets of rules and provided its own draft of acceptable language.

That proposed language -- which strips out antidiscrimination protection based on sexual orientation and gender identity -- “is completely unacceptable and egregious,” said Dr. Anne Talbot, president of the Nebraska Psychological Association, which represents psychologists across the state.

Her group will oppose the administration's proposed changes when the issue is before the state licensing board May 31.

The article is here.