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

Saturday, November 25, 2017

Rather than being free of values, good science is transparent about them

Kevin Elliott
The Conversation
Originally published November 8, 2017

Scientists these days face a conundrum. As Americans are buffeted by accounts of fake news, alternative facts and deceptive social media campaigns, how can researchers and their scientific expertise contribute meaningfully to the conversation?

There is a common perception that science is a matter of hard facts and that it can and should remain insulated from the social and political interests that permeate the rest of society. Nevertheless, many historians, philosophers and sociologists who study the practice of science have come to the conclusion that trying to kick values out of science risks throwing the baby out with the bathwater.

Ethical and social values – like the desire to promote economic development, public health or environmental protection – often play integral roles in scientific research. By acknowledging this, scientists might seem to give away their authority as a defense against the flood of misleading, inaccurate information that surrounds us. But I argue in my book “A Tapestry of Values: An Introduction to Values in Science” that if scientists take appropriate steps to manage and communicate about their values, they can promote a more realistic view of science as both value-laden and reliable.

The article is here.

Friday, November 24, 2017

Trump presidency spurs cottage industry of ethics watchdogs

Fredreka Schouten
USA Today
Originally posted November 23, 2017

Here is an excerpt:

The groups pursuing Trump say they are trying to keep close tabs on a president who is bucking ethical norms by retaining ownership of his businesses and abruptly firing FBI Director James Comey, who was leading the agency’s probe into the Russian government involvement in last year’s election.

“We are in a crisis of ethics,” said Noah Bookbinder, the executive director of Citizens for Responsibility and Ethics in Washington or CREW. “There are ethics a
nd conflicts and influence problems in this administration unlike any we have ever seen. And it began with the president’s decision not to divest from his businesses.”

White House officials this week contended that Trump is operating ethically. As an example, they point to his signing of a far-reaching ethics policy that, among other things, tries to slow the revolving door between government and industry by imposing a five-year cooling-off period before former government appointees can work as lobbyists.

“An organized onslaught from partisan groups committed to undermining the President’s agenda can’t change the fact that he has elevated ethics within this administration,” White House spokesman Raj Shah said in a statement.

The information is here.

Navigating Political Talk at Work

David W. Ballard
Harvard Business Review
Originally posted March 2, 2017

Here is an excerpt:

Managers should recognize that the current political environment could be having an effect on people, especially if they’re talking about it in the office. Be aware of employees’ stress levels, share information about benefits and resources that are available to help support them, and encourage appropriate use of your company’s employee assistance program, mental health benefits, flexible work arrangements, and workplace wellness activities that can help people stay healthy and functioning at their best.

Senior leaders and supervisors can communicate a powerful message by modeling the behavior and actions they’re trying to promote in the organization. By demonstrating civility and respect, actively using available support resources, participating in organizational activities, and managing their own stress levels in healthy ways, business leaders can back their words with actions that show they are serious about creating a healthy work environment.

Focusing on common goals and shared values is another way to bring people together despite their differences. As a manager, set clear goals for your team and focus people on working together toward common objectives. When political turmoil is creating tension and distraction, focusing on the work and accomplishing something together may be a welcome reprieve.

Finally, step in if things get too heated. If the current political climate is negatively affecting an employee’s job performance, address the issue before it creates a bigger problem. Provide the necessary feedback, work with the employee to create a plan, and point them to available resources that might help. When tensions turn into conflicts between coworkers, counsel employees on any relevant policies related to harassment or incivility, help them find ways to work together, and involve human resources as needed.

The article is here.

Thursday, November 23, 2017

Tiny human brain organoids implanted into rodents, triggering ethical concerns

Sharon Begley
STAT News
Originally posted November 6, 2017

Here is an excerpt:

He and his colleagues discussed the ethics of implanting human brain organoids into rats, including whether the animals might become too human. “Some of what people warn about is still science fiction,” he said. “Right now, the organoids are so crude we probably decrease” the rats’ brain function.

Ethicists argue that “not a problem now” doesn’t mean “never a problem.” One concern raised by the human brain organoid implants “is that functional integration [of the organoids] into the central nervous system of animals can in principle alter an animal’s behavior or needs,” said bioethicist Jonathan Kimmelman of McGill University in Montreal. “The task, then, is to carefully monitor if such alterations occur.” If the human implant gives an animal “increased sentience or mental capacities,” he added, it might suffer more.

Would it feel like a human trapped in a rodent’s body? Because both the Salk and Penn experiments used adult rodents, their brains were no longer developing, unlike the case if implants had been done with fetal rodent brains. “It’s hard to imagine how human-like cognitive capacities, like consciousness, could emerge under such circumstances,” Kimmelman said, referring to implants into an adult rodent brain. Chen agreed: He said his experiment “carries much less risk of creating animals with greater ‘brain power’ than normal” because the human organoid goes into “a specific region of already developed brain.”

The belief that consciousness is off the table is in fact the subject of debate. An organoid would need to be much more advanced than today’s to experience consciousness, said the Allen Institute’s Koch, including having dense neural connections, distinct layers, and other neuro-architecture. But if those and other advances occur, he said, “then the question is very germane: Does this piece of cortex feel something?” Asked whether brain organoids can achieve consciousness without sensory organs and other means of perceiving the world, Koch said it would experience something different than what people and other animals do: “It raises the question, what is it conscious of?”

The article is here.

Wednesday, November 22, 2017

The Public’s Distrust of Biotech Is Deepening. Commercialization May Be to Blame.

Jim Kozubek
undark.org
Originally published November 3, 2017

Here is an excerpt:

The high profile patent battle over the CRISPR-Cas9 gene editing tool, often valued commercially at a billion dollars, and the FDA approval of the first genetically modified medicine for $475,000 — a sale price that is 19 times the cost to manufacture it — have displayed the capacity for turning taxpayer-funded research into an aggressive money-making enterprise. More personally, genetics are being used to typify people for cancer risk and age-related diseases, schizophrenia, autism, and intelligence, none of which truly belong to diagnostic categories.

It is therefore no surprise that parents may want to protect their newborns from becoming targets of commercialization.

In truth, genome sequencing is an extension of earlier commercial sequencing tests and standard newborn screening tests. BabySeq has expanded these to 166 genes, which can theoretically predict thousands of disorders and identify several genetic risk variants. For instance, it has identified a dozen newborns to have a genetic variant associated with biotinidase deficiency, which can impact cognition, and be fixed by taking a simple vitamin. Casie Genetti, a researcher at Boston Children’s Hospital, noted researchers found 109 of 125 babies had at least one, and up to six, genetic variants for an autosomal recessive disorder, meaning that if they went on to have children with a partner who had a corresponding gene compromised in a similar way, it could be damaging or life-threatening for their own baby.

Part of the problem is that we all have some measure of genetic variation, and that can be either dangerous or advantageous depending on the cell type or genetic background or environment.

The article is here.

Many Academics Are Eager to Publish in Worthless Journals

Gina Kolata
The New York Times
Originally published October 30, 2017

Here is an excerpt:

Yet “every university requires some level of publication,” said Lawrence DiPaolo, vice president of academic affairs at Neumann University in Aston, Pa.

Recently a group of researchers invented a fake academic: Anna O. Szust. The name in Polish means fraudster. Dr. Szust applied to legitimate and predatory journals asking to be an editor. She supplied a résumé in which her publications and degrees were total fabrications, as were the names of the publishers of the books she said she had contributed to.

The legitimate journals rejected her application immediately. But 48 out of 360 questionable journals made her an editor. Four made her editor in chief. 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.”

The lead author of the Dr. Szust sting operation, Katarzyna Pisanski, a psychologist at the University of Sussex in England, said the question of what motivates people to publish in such journals “is a touchy subject.”

“If you were tricked by spam email you might not want to admit it, and if you did it wittingly to increase your publication counts you might also not want to admit it,” she said in an email.

The consequences of participating can be more than just a résumé freckled with poor-quality papers and meeting abstracts.

Publications become part of the body of scientific literature.

There are indications that some academic institutions are beginning to wise up to the dangers.

Dewayne Fox, an associate professor of fisheries at Delaware State University, sits on a committee at his school that reviews job applicants. One recent applicant, he recalled, listed 50 publications in such journals and is on the editorial boards of some of them.

A few years ago, he said, no one would have noticed. But now he and others on search committees at his university have begun scrutinizing the publications closely to see if the journals are legitimate.

The article is here.

Tuesday, November 21, 2017

What The Good Place Can Teach You About Morality

Patrick Allan
Lifehacker.com
Originally posted November 6, 2017

Here is an excerpt:

Doing “Good” Things Doesn’t Necessarily Make You a Good Person

In The Good Place, the version of the afterlife you get sent to is based on a complicated point system. Doing “good” deeds earns you a certain number of positive points, and doing “bad” things will subtract them. Your point total when you die is what decides where you’ll go. Seems fair, right?

Despite the fact The Good Place makes life feel like a point-based videogame, we quickly learn morality isn’t as black and white as positive points and negative points. At one point, Eleanor tries to rack up points by holding doors for people; an action worth 3 points a pop. To put that in perspective, her score is -4,008 and she needs to meet the average of 1,222,821. It would take her a long time to get there but it’s one way to do it. At least, it would be if it worked. She quickly learns after awhile that she didn’t earn any points because she’s not actually trying to be nice to people. Her only goal is to rack up points so she can stay in The Good Place, which is an inherently selfish reason. The situation brings up a valid question: are “good” things done for selfish reasons still “good” things?

I don’t want to spoil too much, but as the series goes on, we see this question asked time and time again with each of its characters. Chidi may have spent his life studying moral ethics, but does knowing everything about pursuing “good” mean you are? Tahani spent her entire life as a charitable philanthropist, but she did it all for the questionable pursuit of finally outshining her near-perfect sister. She did a lot of good, but is she “good?” It’s something to consider yourself as you go about your day. Try to do “good” things, but ask yourself every once in awhile who those “good” things are really for.

The article is here.

Note: I really enjoy watching The Good Place.  Very clever. 

My spoiler: I think Michael is supposed to be in The Good Place too, not really the architect.

Harnessing the Placebo Effect: Exploring the Influence of Physician Characteristics on Placebo Response

Lauren C. Howe, J. Parker Goyer, and Alia J. Crum
Health Psychology, 36(11), 1074-1082.

Abstract

Objective: Research on placebo/nocebo effects suggests that expectations can influence treatment outcomes, but placebo/nocebo effects are not always evident. This research demonstrates that a provider’s social behavior moderates the effect of expectations on physiological outcomes.

Methods: After inducing an allergic reaction in participants through a histamine skin prick test, a health care provider administered a cream with no active ingredients and set either positive expectations (cream will reduce reaction) or negative expectations (cream will increase reaction). The provider demonstrated either high or low warmth, or either high or low competence.

Results: The impact of expectations on allergic response was enhanced when the provider acted both warmer and more competent and negated when the provider acted colder and less competent.

Conclusion: This study suggests that placebo effects should be construed not as a nuisance variable with mysterious impact but instead as a psychological phenomenon that can be understood and harnessed to improve treatment outcomes.

Link to the pdf is here.

Monday, November 20, 2017

Best-Ever Algorithm Found for Huge Streams of Data

Kevin Hartnett
Wired Magazine
Originally published October 29, 2017

Here is an excerpt:

Computer programs that perform these kinds of on-the-go calculations are called streaming algorithms. Because data comes at them continuously, and in such volume, they try to record the essence of what they’ve seen while strategically forgetting the rest. For more than 30 years computer scientists have worked to build a better streaming algorithm. Last fall a team of researchers invented one that is just about perfect.

“We developed a new algorithm that is simultaneously the best” on every performance dimension, said Jelani Nelson, a computer scientist at Harvard University and a co-author of the work with Kasper Green Larsen of Aarhus University in Denmark, Huy Nguyen of Northeastern University and Mikkel Thorup of the University of Copenhagen.

This best-in-class streaming algorithm works by remembering just enough of what it’s seen to tell you what it’s seen most frequently. It suggests that compromises that seemed intrinsic to the analysis of streaming data are not actually necessary. It also points the way forward to a new era of strategic forgetting.