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, November 2, 2017

Culture and Business Ethics

Marshall Schminke
www.ethicalsystems.com
Originally published October 3, 2017

Here is an excerpt:

What do most companies overlook when it comes to organizational design?

Supervisors. Despite some high profile missteps, organizations generally do a pretty good job of making ethics a front-and-center issue at the upper levels.  Likewise, they invest heavily in education and training at the level of the rank-and-file worker.  But as with so many strategically important issues, low-to-mid-level supervisors are often ignored.  This is troublesome, because research shows the single most important factor in driving employees’ ethical actions is not what top managers or coworkers say or do.  Rather, it is the immediate supervisor—and whether he or she is capable of creating an ethically supportive work culture that employees experience every day—that matters most.  Yet in most cases, these “sergeants and lieutenants” of the workplace receive relatively little attention when it comes to ethics and ethics training.

How can E&C teams better emphasize ethics vs. compliance?

Culture. It’s not that rules aren’t important.  They are.  And they must be understood and followed.  But complex business environments—and complex ethical rules and standards—cannot address every situation employees might encounter.  Therefore, the only real insurance organizations have for getting the best ethical effort possible from their employees is to bake it into the culture and climate, where it becomes second nature to employees trying to do their best in a tough business world.

What have you learned as a part of the ES culture measurement working group?

As a culture and climate researcher for years, this experience has been truly eye-opening for me.  It has introduced me to different perspectives on culture and, in turn, exposed me to completely different ways of thinking about how to create and maintain effective ethical cultures.  For example, of the eight components of ethical culture identified by the Ethical Systems culture measurement working group, I had only a passing familiarity with the ethical awareness and ethical leadership components.  This experience has not only improved my understanding of those components, but has also heightened my awareness of how they fit and interact with the other six components.

The information is here.

Christian self-enhancement

Gebauer, Jochen E.; Sedikides, Constantine; & Schrade, Alexandra.
Journal of Personality and Social Psychology, Vol 113(5), Nov 2017, 786-809

Abstract

People overestimate themselves in domains that are central to their self-concept. Critically, the psychological status of this “self-centrality principle” remains unclear. One view regards the principle as an inextricable part of human nature and, thus, as universal and resistant to normative pressure. A contrasting view regards the principle as liable to pressure (and subsequent modification) from self-effacement norms, thus questioning its universality. Advocates of the latter view point to Christianity’s robust self-effacement norms, which they consider particularly effective in curbing self-enhancement, and ascribe Christianity an ego-quieting function. Three sets of studies examined the self-centrality principle among Christians. Studies 1A and 1B (N = 2,118) operationalized self-enhancement as better-than-average perceptions on the domains of commandments of faith (self-centrality: Christians ≫ nonbelievers) and commandments of communion (self-centrality: Christians > nonbelievers). Studies 2A–2H (N = 1,779) operationalized self-enhancement as knowledge overclaiming on the domains of Christianity (self-centrality: Christians ≫ nonbelievers), communion (self-centrality: Christians > nonbelievers), and agency (self-centrality: Christians ≈ nonbelievers). Studies 3A–3J (N = 1,956) operationalized self-enhancement as grandiose narcissism on the domains of communion (self-centrality: Christians > nonbelievers) and agency (self-centrality: Christians ≈ nonbelievers). The results converged across studies, yielding consistent evidence for Christian self-enhancement. Relative to nonbelievers, Christians self-enhanced strongly in domains central to the Christian self-concept. The results also generalized across countries with differing levels of religiosity. Christianity does not quiet the ego. The self-centrality principle is resistant to normative pressure, universal, and rooted in human nature.

The research can be found here.

Wednesday, November 1, 2017

Psychologists are facing consequences for helping with torture. It’s not enough.

Roy Eidelson
The Washington Post
Originally posted October 13, 2017

In August, two psychologists, James Mitchell and Bruce Jessen, settled a lawsuit filed by the American Civil Liberties Union on behalf of three former CIA detainees. The psychologists were accused of designing, implementing and overseeing the CIA’s experimental program of torture and abuse (for which their consulting firm received tens of millions of dollars). The evidence against them was compelling: a detailed Senate report, multiple depositions, newly declassified documents and even Mitchell’s memoir . Prior to settling, Mitchell and Jessen denied any legal responsibility, and their attorneys argued their inculpability by comparing them to the low-level technicians whose employers provided lethal gas for Hitler’s extermination camps.

As a psychologist who has spent the past decade working with colleagues and other human rights advocates to reset my profession’s moral compass against torture, I recognize this settlement as an achievement, even if it’s not the damning finding of liability I would have preferred. The case marks the first instance of legal accountability of any kind for psychologists who abandoned ethical standards — and basic decency — while claiming they were merely following government orders on torture. Getting to this point was an uphill battle. And there’s still a long way to go before psychologists’ participation in torture is ended for good.

The article is here.

Three professors under criminal investigation for sexual misconduct

The Dartmouth Senior Staff
The Dartmouth
Originally posted October 31, 2017

Three professors are alleged to have engaged in sexual misconduct and are being investigated by law enforcement, College President Phil Hanlon wrote in a campus-wide email Tuesday morning. The New Hampshire Attorney General’s office, the Grafton County Attorney’s office, the New Hampshire State Police, the Grafton County Sheriff’s office and the Hanover Police Department have all launched criminal investigations of the professors.

Psychology and brain sciences professors Todd Heatherton, Bill Kelley and Paul Whalen are on paid leave and their access to campus has been restricted, College spokesperson Diana Lawrence confirmed on Oct. 25. Lawrence said the professors were being investigated by the College for “allegations of serious misconduct.”

“It is important to remember that investigations are ongoing, with no official findings yet produced,” Hanlon wrote. “However, we take these allegations very seriously and are pursuing our own independent investigations in coordination with law enforcement officials.”

The College is cooperating with law enforcement officials, Hanlon wrote.

“I want to say in the most emphatic way possible that sexual misconduct and harassment are unacceptable and have no place at Dartmouth,” Hanlon wrote in his email. “Such acts harm us as individuals and as members of the community.”

The article is here.

Tuesday, October 31, 2017

Does Your Gut Always Steer You Right?

Elizabeth Bernstein
The Wall Street Journal
Originally published October 9, 2017

Here is an excerpt:

When should you trust your gut? Consult your gut for complex decisions.

These include important, but not life-or-death, choices such as what car to buy, where to move, which job offer to accept. Your conscious mind will have too much information to sort through, and there may not be one clear choice. For example, there’s a lot to consider when deciding on a new home: neighborhood (Close to work but not as fun? Farther away but nicer?), price, type of home (Condo or house?). Research shows that when people are given four choices of which car to buy or which apartment to rent—with slightly different characteristics to each—and then are distracted from consciously thinking about their decision, they make better choices. “Our conscious mind is not very good at having all these choices going on at once,” says Dr. Bargh. “When you let your mind work on this without paying conscious attention, you make a better decision.”

Using unconscious and conscious thought to make a decision is often best. And conscious thought should come first. An excellent way to do this is to make a list of the benefits and drawbacks of each choice you could make. We are trained in rational decision-making, so this will satisfy your conscious mind. And sometimes the list will be enough to show you a clear decision.

But if it isn’t, put it away and do something that absorbs your conscious mind. Go for a hike or run, walk on the beach, play chess, practice a musical instrument. (No vegging out in front of the TV; that’s too mind-numbing, experts say.) “Go into yourself without distractions from the outside, and your unconscious will keep working on the problem,” says Emeran Mayer, a gastroenterologist and neuroscientist and the author of “The Mind-Gut Connection” and a professor at UCLA’s David Geffen School of Medicine.

If the stakes are high, try to think rationally

Even if time is tight. For example, if your gut tells you to jump in front of a train to help someone who just fell on the tracks, that might be worth risking your life. If it’s telling you to jump in front of that train because you dropped your purse, it’s not. Your rational mind, not your gut, will know the difference, Dr. Bargh says.

The article is here.

Note: As usual, I don't agree with everything in this article.

Who Is Rachael? Blade Runner and Personal Identity

Helen Beebee
iai news
Originally posted October 5, 2017

It’s no coincidence that a lot of philosophers are big fans of science fiction. Philosophers like to think about far-fetched scenarios or ‘thought experiments’, explore how they play out, and think about what light they can shed on how we should think about our own situation. What if you could travel back in time? Would you be able to kill your own grandfather, thereby preventing him from meeting your grandmother, meaning that you would never have been born in the first place? What if we could somehow predict with certainty what people would do? Would that mean that nobody had free will? What if I was really just a brain wired up to a sophisticated computer running virtual reality software? Should it matter to me that the world around me – including other people – is real rather than a VR simulation? And how do I know that it’s not?

Questions such as these routinely get posed in sci-fi books and films, and in a particularly vivid and thought-provoking way. In immersing yourself in an alternative version of reality, and by identifying or sympathising with the characters and seeing things from their point of view, you can often get a much better handle on the question. Philip K. Dick – whose Do Androids Dream of Electric Sheep?, first published in 1968, is the story on which the 1982 film Blade Runner is based –  was a master at exploring these kinds of philosophical questions. Often the question itself is left unstated; his characters are generally not much prone to philosophical rumination on their situation. But it’s there in the background nonetheless, waiting for you to find it and to think about what the answer might be.

Some of the questions raised by the original Dick story don’t get any, or much, attention in Blade Runner. Mercerism – the peculiar quasi-religion of the book, which is based on empathy and which turns out to be founded on a lie  – doesn’t get a mention in the film. And while, in the film as in the book, the capacity for empathy is what (supposedly) distinguishes humans from androids (or, in the film, replicants; apparently by 1982 ‘android’ was considered too dated a word), in the film we don’t get the suggestion that the purported significance of empathy, through its role in Mercerism, is really just a ploy: a way of making everyone think that androids lack, as it were, the essence of personhood, and hence can be enslaved and bumped off with impunity.

The article is here.

Monday, October 30, 2017

Nobel Prize in Economics Awarded to American Richard Thaler

David Gauthier-Villars in Stockholm and Ben Leubsdorf in Washington
The Wall Street Journal
Originally posted October 9, 2017

Here are two excerpts:

Mr. Thaler “has given us new insight into how human psychology shapes decision-making,” the academy said.

Asked to describe the takeaway from his research, Mr. Thaler told the academy and reporters: “The most important lesson is that economic agents are humans and that economic models have to incorporate that.”

(cut)

“I’ll try to spend it as irrationally as possible,” Mr. Thaler said.

The article is here.

Human Gene Editing Marches On

bioethics.net
Originally published October 6, 2017

Here is an excerpt:

In all three cases, the main biologic approach, and the main ethical issues, are the same.  The main differences were which genes were being edited, and how the embryos were obtained.

This prompted Nature to run an editorial to say that it is “time to take stock” of the ethics of this research.  Read the editorial here.  The key points:  This is important work that should be undertaken thoughtfully.  Accordingly, donors of any embryos or cells should be fully informed of the planned research.  Only as many embryos should be created as are necessary to do the research.  Work on embryos should be preceded by work on pluripotent, or “reprogrammed,” stem cells, and if questions can be fully answered by work with those cells, then it may not be necessary to repeat the studies on whole, intact human embryos, and if that is not necessary, perhaps it should not be done.  Finally, everything should be peer reviewed.

I agree that editing work in non-totipotent cells should be at all times favored over work on intact embryos, but if one holds that an embryo is a human being that should have the benefits of protections afforded human research subjects, then Nature’s ethical principles are rather thin, little more than an extension of animal use provisions for studies in which early humans are the raw materials for the development of new medical treatments.

The article is here.

Sunday, October 29, 2017

Courage and Compassion: Virtues in Caring for So-Called “Difficult” Patients

Michael Hawking, Farr A. Curlin, and John D. Yoon
AMA Journal of Ethics. April 2017, Volume 19, Number 4: 357-363.

Abstract

What, if anything, can medical ethics offer to assist in the care of the “difficult” patient? We begin with a discussion of virtue theory and its application to medical ethics. We conceptualize the “difficult” patient as an example of a “moral stress test” that especially challenges the physician’s character, requiring the good physician to display the virtues of courage and compassion. We then consider two clinical vignettes to flesh out how these virtues might come into play in the care of “difficult” patients, and we conclude with a brief proposal for how medical educators might cultivate these essential character traits in physicians-in-training.

Here is an excerpt:

To give a concrete example of a virtue that will be familiar to anyone in medicine, consider the virtue of temperance. A temperate person exhibits appropriate self-control or restraint. Aristotle describes temperance as a mean between two extremes—in the case of eating, an extreme lack of temperance can lead to morbid obesity and its excess to anorexia. Intemperance is a hallmark of many of our patients, particularly among those with type 2 diabetes, alcoholism, or cigarette addiction. Clinicians know all too well the importance of temperance because they see the results for human beings who lack it—whether it be amputations and dialysis for the diabetic patient; cirrhosis, varices, and coagulopathy for the alcoholic patient; or chronic obstructive pulmonary disease and lung cancer for the lifelong smoker. In all of these cases, intemperance inhibits a person’s ability to flourish. These character traits do, of course, interact with social, cultural, and genetic factors in impacting an individual’s health, but a more thorough exploration of these factors is outside the scope of this paper.

The article is here.