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, December 19, 2017

Beyond Blaming the Victim: Toward a More Progressive Understanding of Workplace Mistreatment

Lilia M. Cortina, VerĂ³nica Caridad Rabelo, & Kathryn J. Holland
Industrial and Organizational Psychology
Published online: 21 November 2017

Theories of human aggression can inform research, policy, and practice in organizations. One such theory, victim precipitation, originated in the field of criminology. According to this perspective, some victims invite abuse through their personalities, styles of speech or dress, actions, and even their inactions. That is, they are partly at fault for the wrongdoing of others. This notion is gaining purchase in industrial and organizational (I-O) psychology as an explanation for workplace mistreatment. The first half of our article provides an overview and critique of the victim precipitation hypothesis. After tracing its history, we review the flaws of victim precipitation as catalogued by scientists and practitioners over several decades. We also consider real-world implications of victim precipitation thinking, such as the exoneration of violent criminals. Confident that I-O can do better, the second half of this article highlights alternative frameworks for researching and redressing hostile work behavior. In addition, we discuss a broad analytic paradigm—perpetrator predation—as a way to understand workplace abuse without blaming the abused. We take the position that these alternative perspectives offer stronger, more practical, and more progressive explanations for workplace mistreatment. Victim precipitation, we conclude, is an archaic ideology. Criminologists have long since abandoned it, and so should we.

The article is here.

Health Insurers Are Still Skimping On Mental Health Coverage

Jenny Gold
Kaiser Health News/NPR
Originally published November 30, 2017

It has been nearly a decade since Congress passed the Mental Health Parity And Addiction Equity Act, with its promise to make mental health and substance abuse treatment just as easy to get as care for any other condition. Yet today, amid an opioid epidemic and a spike in the suicide rate, patients are still struggling to get access to treatment.

That is the conclusion of a national study published Thursday by Milliman, a risk management and health care consulting company. The report was released by a coalition of mental health and addiction advocacy organizations.

Among the findings:
  • In 2015, behavioral care was four to six times more likely to be provided out-of-network than medical or surgical care.

  • Insurers paid primary care providers 20 percent more for the same types of care than they paid addiction and mental health care specialists, including psychiatrists.

  • State statistics vary widely. In New Jersey, 45 percent of office visits for behavioral health care were out-of-network. In Washington, D.C., it was 63 percent.
The researchers at Milliman examined two large national databases containing medical claim records from major insurers for PPOs — preferred provider organizations — covering nearly 42 million Americans in all 50 states and D.C. from 2013 to 2015.

The article is here.

Monday, December 18, 2017

Unconscious Patient With 'Do Not Resuscitate' Tattoo Causes Ethical Conundrum at Hospital

George Dvorsky
Gizmodo
Originally published November 30, 2017

When an unresponsive patient arrived at a Florida hospital ER, the medical staff was taken aback upon discovering the words “DO NOT RESUSCITATE” tattooed onto the man’s chest—with the word “NOT” underlined and with his signature beneath it. Confused and alarmed, the medical staff chose to ignore the apparent DNR request—but not without alerting the hospital’s ethics team, who had a different take on the matter.

But with the “DO NOT RESUSCITATE” tattoo glaring back at them, the ICU team was suddenly confronted with a serious dilemma. The patient arrived at the hospital without ID, the medical staff was unable to contact next of kin, and efforts to revive or communicate with the patient were futile. The medical staff had no way of knowing if the tattoo was representative of the man’s true end-of-life wishes, so they decided to play it safe and ignore it.

The article is here.

Is Pulling the Lever Sexy? Deontology as a Downstream Cue to Long-Term Mate Quality

Mitch Brown and Donald Sacco
Journal of Social and Personal Relationships
November 2017

Abstract

Deontological and utilitarian moral decisions have unique communicative functions within the context of group living. Deontology more strongly communicates prosocial intentions, fostering greater perceptions of trust and desirability in general affiliative contexts. This general trustworthiness may extend to perceptions of fidelity in romantic relationships, leading to perceptions of deontological persons as better long-term mates, relative to utilitarians. In two studies, participants indicated desirability of both deontologists and utilitarians in long- and short-term mating contexts. In Study 1 (n = 102), women perceived a deontological man as more interested in long-term bonds, more desirable for long-term mating, and less prone to infidelity, relative to a utilitarian man. However, utilitarian men were undesirable as short-term mates. Study 2 (n = 112) had both men and women rate opposite sex targets’ desirability after learning of their moral decisions in a trolley problem. We replicated women’s preference for deontological men as long-term mates. Interestingly, both men and women reporting personal deontological motives were particularly sensitive to deontology communicating long-term desirability and fidelity, which could be a product of the general affiliative signal from deontology. Thus, one’s moral basis for decision-making, particularly deontologically-motivated moral decisions, may communicate traits valuable in long-term mating contexts.

The research is here.

Sunday, December 17, 2017

The Impenetrable Program Transforming How Courts Treat DNA

Jessica Pishko
wired.com
Originally posted November 29, 2017

Here is an excerpt:

But now legal experts, along with Johnson’s advocates, are joining forces to argue to a California court that TrueAllele—the seemingly magic software that helped law enforcement analyze the evidence that tied Johnson to the crimes—should be forced to reveal the code that sent Johnson to prison. This code, they say, is necessary in order to properly evaluate the technology. In fact, they say, justice from an unknown algorithm is no justice at all.

As technology progresses forward, the law lags behind. As John Oliver commented last month, law enforcement and lawyers rarely understand the science behind detective work. Over the years, various types of “junk science” have been discredited. Arson burn patterns, bite marks, hair analysis, and even fingerprints have all been found to be more inaccurate than previously thought. A September 2016 report by President Obama’s Council of Advisors on Science and Technology found that many of the common techniques law enforcement historically rely on lack common standards.

In this climate, DNA evidence has been a modern miracle. DNA remains the gold standard for solving crimes, bolstered by academics, verified scientific studies, and experts around the world. Since the advent of DNA testing, nearly 200 people have been exonerated using newly tested evidence; in some places, courts will only consider exonerations with DNA evidence. Juries, too, have become more trusting of DNA, a response known popularly as the “CSI Effect.” A number of studies suggest that the presence of DNA evidence increases the likelihood of conviction or a plea agreement.

The article is here.

Punish the Perpetrator or Compensate the Victim?

Yingjie Liu, Lin Li, Li Zheng, and Xiuyan Guo
Front. Psychol., 28 November 2017

Abstract

Third-party punishment and third-party compensation are primary responses to observed norms violations. Previous studies mostly investigated these behaviors in gain rather than loss context, and few study made direct comparison between these two behaviors. We conducted three experiments to investigate third-party punishment and third-party compensation in the gain and loss context. Participants observed two persons playing Dictator Game to share an amount of gain or loss, and the proposer would propose unfair distribution sometimes. In Study 1A, participants should decide whether they wanted to punish proposer. In Study 1B, participants decided to compensate the recipient or to do nothing. This two experiments explored how gain and loss contexts might affect the willingness to altruistically punish a perpetrator, or to compensate a victim of unfairness. Results suggested that both third-party punishment and compensation were stronger in the loss context. Study 2 directly compare third-party punishment and third-party compensation in the both contexts, by allowing participants choosing between punishment, compensation and keeping. Participants chose compensation more often than punishment in the loss context, and chose more punishments in the gain context. Empathic concern partly explained between-context differences of altruistic compensation and punishment. Our findings provide insights on modulating effect of context on third-party altruistic decisions.

The research is here.

Saturday, December 16, 2017

Does Religion Make People Moral?

Mustafa Akyol
The New York Times
Originally published November 28, 2017

Here is an excerpt:

Does religion really make people more moral human beings? Or does the gap between morality and the moralists — a gap evident in Turkey today and in many other societies around the world — reveal an ugly hypocrisy behind all religion?

My humble answer is: It depends. Religion can work in two fundamentally different ways: It can be a source of self-education, or it can be a source of self-glorification. Self-education can make people more moral, while self-glorification can make them considerably less moral.

Religion can be a source of self-education, because religious texts often have moral teachings with which people can question and instruct themselves. The Quran, just like the Bible, has such pearls of wisdom. It tells believers to “uphold justice” “even against yourselves or your parents and relatives.” It praises “those who control their wrath and are forgiving toward mankind.” It counsels: “Repel evil with what is better so your enemy will become a bosom friend.” A person who follows such virtuous teachings will likely develop a moral character, just as a person who follows similar teachings in the Bible will.

The article is here.

Friday, December 15, 2017

The Vortex

Oliver Burkeman
The Guardian
Originally posted November 30, 2017

Here is an excerpt:

I realise you don’t need me to tell you that something has gone badly wrong with how we discuss controversial topics online. Fake news is rampant; facts don’t seem to change the minds of those in thrall to falsehood; confirmation bias drives people to seek out only the information that bolsters their views, while dismissing whatever challenges them. (In the final three months of the 2016 presidential election campaign, according to one analysis by Buzzfeed, the top 20 fake stories were shared more online than the top 20 real ones: to a terrifying extent, news is now more fake than not.) Yet, to be honest, I’d always assumed that the problem rested solely on the shoulders of other, stupider, nastier people. If you’re not the kind of person who makes death threats, or uses misogynistic slurs, or thinks Hillary Clinton’s campaign manager ran a child sex ring from a Washington pizzeria – if you’re a basically decent and undeluded sort, in other words – it’s easy to assume you’re doing nothing wrong.

But this, I am reluctantly beginning to understand, is self-flattery. One important feature of being trapped in the Vortex, it turns out, is the way it looks like everyone else is trapped in the Vortex, enslaved by their anger and delusions, obsessed with point-scoring and insult-hurling instead of with establishing the facts – whereas you’re just speaking truth to power. Yet in reality, when it comes to the divisive, depressing, energy-sapping nightmare that is modern online political debate, it’s like the old line about road congestion: you’re not “stuck in traffic”. You are the traffic.

The article is here.

Loneliness Might Be a Killer, but What’s the Best Way to Protect Against It?

Rita Rubin
JAMA. 2017;318(19):1853-1855.

Here is an excerpt:

“I think that it’s clearly a [health] risk factor,” first author Nancy Donovan, MD, said of loneliness. “Various types of psychosocial stress appear to be bad for the human body and brain and are clearly associated with lots of adverse health consequences.”

Though the findings overall are mixed, the best current evidence suggests that loneliness may cause adverse health effects by promoting inflammation, said Donovan, a geriatric psychiatrist at the Center for Alzheimer Research and Treatment at Brigham and Women’s Hospital in Boston.

Loneliness might also be an early, relatively easy-to-detect marker for preclinical Alzheimer disease, suggests an article Donovan coauthored. She and her collaborators recently reported in JAMA Psychiatry that loneliness was associated with a higher cortical amyloid burden in 79 cognitively normal elderly adults. Cortical amyloid burden is being investigated as a potential biomarker for identifying asymptomatic adults with the greatest risk of Alzheimer disease. However, large-scale population screening for amyloid burden is unlikely to be practical.

Regardless of whether loneliness turns out to be a marker for preclinical Alzheimer disease, enough is known about its health effects that physicians need to be able to recognize it, Holt-Lunstad says.

“The cumulative evidence points to the benefit of including social factors in medical training and continuing education for health care professionals,” she and Brigham Young colleague Timothy Smith, PhD, wrote in an editorial.

The article is here.