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, April 13, 2017

Humans selectively edit reality before accepting it

Olivia Goldhill
Quartz
Originally published March 26, 2017

Knowledge is power, so the saying goes, which makes it all the more striking how determined humans are to avoid useful information. Research in psychology, economics, and sociology has, over the course of several decades, highlighted countless examples of cases where humans are apt to ignore information. A review of these earlier studies by Carnegie Mellon University researchers, published this month in the Journal of Economic Literature, shows the extent to which humans avoid information and so selectively edit their own reality.

Rather than highlighting all the myriad ways humans fail to proactively seek out useful information, the paper’s authors focus on active information avoidance: Cases where individuals know information is available and have free access to that information, yet choose not to consider it. Examples of this phenomenon, revealed by the previous studies, include investors not looking at their financial portfolios when the stock market is down; patients taking STD tests and then failing to obtain the results; professionals refusing to look at their colleagues’ feedback on their work; and even the propensity of wealthy people to avoid poor neighborhoods so they don’t feel awareness of and guilt over their own privilege.

The article is here.

Identity change and informed consent

Karsten Witt
Journal of Medical Ethics
Published Online First: 20 March 2017.
doi: 10.1136/medethics-2016-103684

Abstract

In this paper, I focus on a kind of medical intervention that is at the same time fascinating and disturbing: identity-changing interventions. My guiding question is how such interventions can be ethically justified within the bounds of contemporary bioethical mainstream that places great weight on the patient's informed consent. The answer that is standardly given today is that patients should be informed about the identity effects, thus suggesting that changes in identity can be treated like ‘normal’ side effects. In the paper, I argue that this approach is seriously lacking because it misses important complexities going along with decisions involving identity changes and consequently runs into mistakes. As a remedy I propose a new approach, the ‘perspective-sensitive account’, which avoids these mistakes and thus provides the conceptual resources to systematically reflect on and give a valid consent to identity-changing interventions.

The article is here.

Editor's note: While this article deals with medical interventions, such as Deep Brain Stimulation, the similar concerns might be generalized to psychotherapy and/or psychopharmacology.

Wednesday, April 12, 2017

National Corruption Breeds Personal Dishonesty

Simon Makin
Scientific American
Originally published on March 1, 2017

Here is an excerpt:

A number of studies have shown that seeing a peer behave unethically increases people's dishonesty in laboratory tests. What is much harder to investigate is how this kind of influence operates at a societal level. But that is exactly what behavioral economists Simon Gächter of the University of Nottingham in England and Jonathan Schulz of Yale University set out to do in a study published in March 2016 in Nature. Their findings suggest that corruption not only harms a nation's prosperity but also shapes the moral behavior of its citizens. The results have implications for interventions aimed at tackling corruption.

The researchers developed a measure of corruption by combining three widely used metrics that capture levels of political fraud, tax evasion and corruption in a given country. “We wanted to get a really broad index, including many different aspects of rule violations,” Schulz says. They then conducted an experiment involving 2,568 participants from 23 nations. Participants were asked to roll a die twice and report the outcome of only the first roll. They received a sum of money proportional to the number reported but got nothing for rolling a six. Nobody else saw the die, so participants were free to lie about the outcome.

The article is here.

Why People Continue to Believe Objectively False Things

Amanda Taub and Brendan Nyhan
New York Times - The Upshot
Originally posted March 22, 2017

Here is an excerpt:

Even when myths are dispelled, their effects linger. The Boston College political scientist Emily Thorson conducted a series of studies showing that exposure to a news article containing a damaging allegation about a fictional political candidate caused people to rate the candidate more negatively even when the allegation was corrected and people believed it to be false.

There are ways to correct information more effectively. Adam Berinsky of M.I.T., for instance, found that a surprising co-partisan source (a Republican member of Congress) was the most effective in reducing belief in the “death panel” myth about the Affordable Care Act.

But in the wiretapping case, Republican lawmakers have neither supported Mr. Trump’s wiretap claims (which could risk their credibility) nor strenuously opposed them (which could prompt a partisan backlash). Instead, they have tried to shift attention to a different political narrative — one that suits the partisan divide by making Mr. Obama the villain of the piece. Rather than focusing on the wiretap allegation, they have sought to portray the House Intelligence Committee hearings on Russian interference in the election as an investigation into leaks of classified information.

The article is here.

Tuesday, April 11, 2017

Welcker v. Georgia Board of Examiners of Psychologists

Legal Decision

Synopsis: Georgia State Board of Psychology is permitted to deny a license to an applicant, when the applicant's doctoral program does not meet the residency requirement, and, without substantial hardship.

Here are two excerpts:

Neither the Board's decision to deny Welcker a license nor their denial of her petition for waiver can be considered a contested case. Georgia law allows the denial of a license without a hearing where an applicant fails to show that she has met all the qualifications for that license. OCGA § 43-1-19 (a). Therefore, because no hearing was required by law before the denial of Welcker's license, the Board's denial of Welcker's license application does not present a contested case subject to judicial review.

The Board's decision to deny a petition for waiver also cannot be considered a contested case. OCGA § 43-1-19 (j) explicitly states that the "refusal to issue a previously denied license" shall not be considered a contested case under the Administrative Procedure Act and "notice and hearing with the meaning of the [Act] shall not be required"; however, the applicant "shall be allowed to appear before the board if he or she so requests." Nevertheless, such rulings are expressly made subject to judicial review under OCGA § 50-13-9.1 (f), which provides that "[t]he agency's decision to deny a petition for variance or waiver shall be subject to judicial review in accordance with Code Section 50-13-19."

(cut)

The Board denied Welcker's petition for waiver on two grounds: (1) her failure to meet the appropriate residency requirements "as per the Board rules in effect in 2007" and (2) her failure to prove a substantial hardship resulting from strict application of the rule.

The ruling is here.

The Associations between Ethical Organizational Culture,Burnout, and Engagement: A Multilevel Study

Mari Huhtala, Asko Tolvanen, Saija Mauno, and Taru Feldt
J Bus Psychol
DOI 10.1007/s10869-014-9369-2

Abstract/Purpose

Ethical culture is a specific form of organizational culture (including values and systems that can promote ethical behavior), and as such a socially constructed phenomenon. However, no previous studies have investigated the degree to which employees’ perceptions of their organization’s ethical culture are shared within work units (departments), which was the first aim of this study. In addition, we studied the associations between ethical culture and occupational well-being (i.e., burnout and work engagement) at both the individual and work-unit levels.

Design/Methodology/Approach

The questionnaire data were gathered from 2,146 respondents with various occupations in 245 different work units in one public sector organization. Ethical organizational culture was measured with the corporate ethical virtues scale, including eight sub-dimensions.

Findings

Multilevel structural equation modeling showed that 12–27 % of the total variance regarding the dimensions of ethical culture was explained by departmental homogeneity (shared experiences). At both the within and between levels, higher perceptions of ethical culture associated with lower burnout and higher work engagement.

Implications

The results suggest that organizations should support ethical practices at the work-unit level, to enhance work engagement, and should also pay special attention to work units with a low ethical culture because these work environments can expose employees to burnout.

Originality/Value

This is one of the first studies to find evidence of an association between shared experiences of ethical culture and collective feelings of both burnout and work engagement.

A copy of the article is here.

Monday, April 10, 2017

A Scholarly Sting Operation Shines a Light on ‘Predatory’ Journals

Gina Kolata
The New York Times
Originally posted March 22, 2017

Here is an excerpt:

Yet, when Dr. Fraud applied to 360 randomly selected open-access academic journals asking to be an editor, 48 accepted her and four made her editor in chief. She got two offers to start a new journal and be its editor. One journal sent her an email saying, “It’s our pleasure to add your name as our editor in chief for the journal with no responsibilities.”

Little did they know that they had fallen for a sting, plotted and carried out by a group of researchers who wanted to draw attention to and systematically document the seamy side of open-access publishing. While those types of journals began with earnest aspirations to make scientific papers available to everyone, their proliferation has had unintended consequences.

Traditional journals typically are supported by subscribers who pay a fee while authors pay nothing to be published. Nonsubscribers can only read papers if they pay the journal for each one they want to see.

Open-access journals reverse that model. The authors pay and the published papers are free to anyone who cares to read them.

Publishing in an open-access journal can be expensive — the highly regarded Public Library of Science (PLOS) journals charge from $1,495 to $2,900 to publish a paper, with the fee dependent on which of its journals accepts the paper.

Not everyone anticipated what would happen next, or to what extent it would happen.

The article is here.

Citigroup Has an On-call Ethicist to Help It Solve Moral Issues

Alana Abramson
Fortune Magazine
Originally posted March 17, 2017

It turns out that Citigroup has an on-call ethicist to handle issues around the intersection of banking, finance, and morality.

The bank has worked with Princeton University Professor David Miller for the past three years, according to the Wall Street Journal. His role includes providing advice to top executives and reviewing topics and projects they have concerns about.

Miller was brought on, according to the Journal, by Citigroup CEO Michael Corbat, who felt the role was necessary after learning about employees' hesitations to voice concerns about wrongdoings, and public perceptions of banks.

The article is here.

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.