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

Tuesday, June 20, 2017

Face-saving or fair-minded: What motivates moral behavior?

Alexander W. Cappelen  Trond Halvorsen  Erik Ø. Sørensen  Bertil Tungodden
Journal of the European Economic Association (2017) 15 (3): 540-557.

Abstract

We study the relative importance of intrinsic moral motivation and extrinsic social motivation in explaining moral behavior. The key feature of our experiment is that we introduce a dictator game design that manipulates these two sources of motivation. In one set of treatments, we manipulate the moral argument for sharing, in another we manipulate the information given to the recipient about the context of the experiment and the dictator's decision. The paper offers two main findings. First, we provide evidence of intrinsic moral motivation being of fundamental importance. Second, we show that extrinsic social motivation matters and is crowding-in with intrinsic moral motivation. We also show that intrinsic moral motivation is strongly associated with self-reported charitable giving outside the lab and with political preferences.

The research is here.

Theory from the ruins

Stuart Walton
Aeon
Originally posted May 31, 2017

Here is an excerpt:

When reason enabled human beings to interpret the natural world around them in ways that ceased to frighten them, it was a liberating faculty of the mind. However, in the Frankfurt account, its fatal flaw was that it depended on domination, on subjecting the external world to the processes of abstract thought. Eventually, by a gradual process of trial and error, everything in the phenomenal world would be explained by scientific investigation, which would lay bare the previously hidden rules and principles by which it operated, and which could be demonstrated anew any number of times. The rationalising faculty had thereby become, according to the Frankfurt philosophers, a tyrannical process, through which all human experience of the world would be subjected to infinitely repeatable rational explanation; a process in which reason had turned from being liberating to being the instrumental means of categorising and classifying an infinitely various reality.

Culture itself was subject to a kind of factory production in the cinema and recording industries. The Frankfurt theorists maintained a deep distrust of what passed as ‘popular culture’, which neither enlightened nor truly entertained the mass of society, but only kept people in a state of permanently unsatiated demand for the dross with which they were going to be fed anyway. And driving the whole coruscating analysis was a visceral commitment to the Marxist theme of the presentness of the past. History was not just something that happened yesterday, but a dynamic force that remained active in the world of today, which was its material product and its consequence. By contrast, the attitude of instrumental reason produced only a version of the past that ascended towards the triumph of the enlightened and democratic societies of the present day.

Since these ideas were first elaborated, they have been widely rejected or misunderstood. Postmodernism, which refuses all historical grand narratives, has done its best to overlook what are some of the grandest narratives that Western philosophy ever produced. Despite this, these polemical theories remain indispensable in the present globalised age, when the dilemmas and malaises that were once specific to Western societies have expanded to encompass almost the whole globe. As a new era of irrationalism dawns on humankind, with corruption and mendacity becoming a more or less openly avowed modus operandi of all shades of government, the Frankfurt analysis urges itself upon us once more.

The article is here.

Monday, June 19, 2017

The Value of Sharing Information: A Neural Account of Information Transmission

Elisa C. Baek, Christin Scholz, Matthew Brook O’Donnell, & Emily Falk
Psychological Science
May 2017

Abstract

Humans routinely share information with one another. What drives this behavior? We used neuroimaging to test an account of information selection and sharing that emphasizes inherent reward in self-reflection and connecting with other people. Participants underwent functional MRI while they considered personally reading and sharing New York Times articles. Activity in neural regions involved in positive valuation, self-related processing, and taking the perspective of others was significantly associated with decisions to select and share articles, and scaled with preferences to do so. Activity in all three sets of regions was greater when participants considered sharing articles with other people rather than selecting articles to read themselves. The findings suggest that people may consider value not only to themselves but also to others even when selecting news articles to consume personally. Further, sharing heightens activity in these pathways, in line with our proposal that humans derive value from self-reflection and connecting to others via sharing.

The article is here.

The behavioral and neural basis of empathic blame

Indrajeet Patil, Marta Calò, Federico Fornasier, Fiery Cushman, Giorgia Silani
Forthcoming in Scientific Reports

Abstract

Mature moral judgments rely both on a perpetrator’s intent to cause harm, and also on the actual harm caused—even when unintended. Much prior research asks how intent information is represented neurally, but little asks how even unintended harms influence judgment. We interrogate the psychological and neural basis of this process, focusing especially on the role of empathy for the victim of a harmful act. Using fMRI, we found that the ‘empathy for pain’ network was involved in encoding harmful outcomes and integrating harmfulness information for different types of moral judgments, and individual differences in the extent to which this network was active during encoding and integration of harmfulness information determined severity of moral judgments. Additionally, activity in the network was down-regulated for acceptability, but not blame, judgments for accidental harm condition, suggesting that these two types of moral evaluations are neurobiologically dissociable. These results support a model of “empathic blame”, whereby the perceived suffering of a victim colors moral judgment of an accidental harmdoer.

The paper is here.

Sunday, June 18, 2017

Has Physician-Assisted Death Become the “Good Death?”

Franklin G. Miller
The Hastings Center
Originally published May 30, 2017

“Death with dignity” for the past 40 years has meant, for many people, avoiding unwanted medical technology and dying in a hospital.  A “natural” death at home or in a hospice facility has been the goal.   During the last 20 years, physician-assisted suicide has been legalized for terminally ill patients in several states of the United States, and recently “medical assistance in dying,” which also includes active euthanasia, has become legal in Canada.  How should we think about what constitutes a good death now?

There are signs of a cultural shift, in which physician-assisted death is not just a permitted choice by which individuals can control the timing and circumstances of their death but is taken as a model of the good death.  A recent lengthy front page article in the New York Times recounts a case of physician-assisted death in Canada in a way that strongly suggests that a planned, orchestrated death is the ideal way to die.  While I have long supported a legal option of physician-assisted suicide for the terminally ill, I believe that this cultural shift deserves critical scrutiny.

The article is here.

Saturday, June 17, 2017

Taking Single-Payer Seriously

Dave Kamper
Jacobin Magazine
Originally published May 28, 2017

Here is an excerpt:

Medicare for All wouldn’t just scrap Obamacare — it would uproot the entire industry. It would be a huge efficiency savings. But it would also be devastating in the short term for hundreds of thousands of working people whose only crime was getting a job at an insurance company, and the hundreds of thousands more who work as billing specialists for clinics and hospitals (the number of medical assistants shot up 44 percent between 2011 and 2016). Yes, the CEO of United Health Group made $101 million in 2011. But few of the 230,000 other people working for the company saw money like that.

Bernie Sanders’s recently announced Medicare for All plan asserts that we “need a health care system that significantly reduces overhead, administrative costs, and complexity,” and projects that his plan would save $6 trillion over ten years.

The article is here.

Friday, June 16, 2017

Do You Want to Be a Cyborg?

Agata Sagan and Peter Singer
Project Syndicate
Originally posted May 17, 2017

Here is an excerpt:

In the United States, Europe, and most other countries with advanced biomedical research, strict regulations on the use of human subjects would make it extremely difficult to get permission to carry out experiments aimed at enhancing our cognitive abilities by linking our brains to computers. US regulations drove Phil Kennedy, a pioneer in the use of computers to enable paralyzed patients to communicate by thought alone, to have electrodes implanted in his own brain in order to make further scientific progress. Even then, he had to go to Belize, in Central America, to find a surgeon willing to perform the operation. In the United Kingdom, cyborg advocate Kevin Warwick and his wife had data arrays implanted in their arms to show that direct communication between the nervous systems of separate human beings is possible.

Musk has suggested that the regulations governing the use of human subjects in research could change. That may take some time. Meanwhile freewheeling enthusiasts are going ahead anyway. Tim Cannon doesn’t have the scientific or medical qualifications of Phil Kennedy or Kevin Warwick, but that hasn’t stopped him from co-founding a Pittsburgh company that implants bionic devices, often after he has first tried them out on himself. His attitude is, as he said at an event billed as “The world’s first cyborg-fair,” held in Düsseldorf in 2015, “Let’s just do it and really go for it.”

People at the Düsseldorf cyborg-fair had magnets, radio frequency identification chips, and other devices implanted in their fingers or arms. The surgery is often carried out by tattooists and sometimes veterinarians, because qualified physicians and surgeons are reluctant to operate on healthy people.

The article is here.

On What Basis Do Terrorists Make Moral Judgments?

Kendra Pierre-Louis
Popular Science
Originally published May 26, 2017

Here is an excerpt:

“Multiple studies across the world have systematically shown that in judging the morality of an action, civilized individuals typically attach greater importance to intentions than outcomes,” Ibáñez told PopSci. “If an action is aimed to induce harm, it does not matter whether it was successful or not: most people consider it as less morally admissible than other actions in which harm was neither intended nor inflicted, or even actions in which harm was caused by accident.”

For most of us, intent matters. If I mean to slam you to the ground and I fail, that’s far worse than if I don’t mean to slam you to the ground and I do. If that sounds like a no-brainer, you should know that for the terrorists in the study, the morality was flipped. They rated accidental harm as worse than the failed intentional harm, because in one situation someone doesn’t get hurt, while in the second situation someone does. Write the study’s authors, “surprisingly, this moral judgement resembles that observed at early development stages.”

Perhaps more chilling, this tendency to focus on the outcomes rather than the underlying intention means that the terrorists are focused more on outcomes than your average person, and that terror behavior is "goal directed." Write the study's authors "... our sample is characterized by a general tendency to focus more on the outcomes of actions than on the actions' underlying intentions." In essence terrorism is the world's worst productivity system, because when coupled with rational choice theory—which says that we tend to act in ways that maximize getting our way with the least amount of personal sacrifice—murdering a lot of people to get your goal, absent moral stigma, starts to make sense.

The article is here.

Thursday, June 15, 2017

How the Science of “Blue Lies” May Explain Trump’s Support

Jeremy Adam Smith
Scientific American
Originally posted on March 24, 2017

Here are two excerpts:

This has led many people to ask themselves: How does the former reality-TV star get away with it? How can he tell so many lies and still win support from many Americans?

Journalists and researchers have suggested many answers, from a hyperbiased, segmented media to simple ignorance on the part of GOP voters. But there is another explanation that no one seems to have entertained. It is that Trump is telling “blue lies”—a psychologist’s term for falsehoods, told on behalf of a group, that can actually strengthen bonds among the members of that group.

(cut)

This research—and these stories—highlights a difficult truth about our species: we are intensely social creatures, but we are prone to divide ourselves into competitive groups, largely for the purpose of allocating resources. People can be prosocial—compassionate, empathetic, generous, honest—in their group and aggressively antisocial toward out-groups. When we divide people into groups, we open the door to competition, dehumanization, violence—and socially sanctioned deceit.

“People condone lying against enemy nations, and since many people now see those on the other side of American politics as enemies, they may feel that lies, when they recognize them, are appropriate means of warfare,” says George Edwards, a political scientist at Texas A&M University and one of the country’s leading scholars of the presidency.

The article is here.