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, January 20, 2018

Exploiting Risk–Reward Structures in Decision Making under Uncertainty

Christina Leuker Thorsten Pachur Ralph Hertwig Timothy Pleskac
PsyArXiv Preprints
Posted December 21, 2017

Abstract

People often have to make decisions under uncertainty — that is, in situations where the probabilities of obtaining a reward are unknown or at least difficult to ascertain. Because outside the laboratory payoffs and probabilities are often correlated, one solution to this problem might be to infer the probability from the magnitude of the potential reward. Here, we investigated how the mind may implement such a solution: (1) Do people learn about risk–reward relationships from the environment—and if so, how? (2) How do learned risk–reward relationships impact preferences in decision-making under uncertainty? Across three studies (N = 352), we found that participants learned risk–reward relationships after being exposed to choice environments with a negative, positive, or uncorrelated risk–reward relationship. They learned the associations both from gambles with explicitly stated payoffs and probabilities (Experiments 1 & 2) and from gambles about epistemic
events (Experiment 3). In subsequent decisions under uncertainty, participants exploited the learned association by inferring probabilities from the magnitudes of the payoffs. This inference systematically influenced their preferences under uncertainty: Participants who learned a negative risk–reward relationship preferred the uncertain option over a smaller sure option for low payoffs, but not for high payoffs. This pattern reversed in the positive condition and disappeared in the uncorrelated condition. This adaptive change in preferences is consistent with the use of the risk–reward heuristic.

From the Discussion Section:

Risks and rewards are the pillars of preference. This makes decision making under uncertainty a vexing problem as one of those pillars—the risks, or probabilities—is missing (Knight, 1921; Luce & Raiffa, 1957). People are commonly thought to deal with this problem by intuiting subjective probabilities from their knowledge and memory (Fox & Tversky, 1998; Tversky & Fox, 1995) or by estimating statistical probabilities from samples of information (Hertwig & Erev, 2009). Our results support another ecologically grounded solution, namely, that people estimate the missing probabilities from their immediate choice environments via their learned risk–reward relationships.

The research is here.

Friday, January 19, 2018

Why banning autonomous killer robots wouldn’t solve anything

Susanne Burri and Michael Robillard
aeon.com
Originally published December 19, 2017

Here is an excerpt:

For another thing, it is naive to assume that we can enjoy the benefits of the recent advances in artificial intelligence (AI) without being exposed to at least some downsides as well. Suppose the UN were to implement a preventive ban on the further development of all autonomous weapons technology. Further suppose – quite optimistically, already – that all armies around the world were to respect the ban, and abort their autonomous-weapons research programmes. Even with both of these assumptions in place, we would still have to worry about autonomous weapons. A self-driving car can be easily re-programmed into an autonomous weapons system: instead of instructing it to swerve when it sees a pedestrian, just teach it to run over the pedestrian.

To put the point more generally, AI technology is tremendously useful, and it already permeates our lives in ways we don’t always notice, and aren’t always able to comprehend fully. Given its pervasive presence, it is shortsighted to think that the technology’s abuse can be prevented if only the further development of autonomous weapons is halted. In fact, it might well take the sophisticated and discriminate autonomous-weapons systems that armies around the world are currently in the process of developing if we are to effectively counter the much cruder autonomous weapons that are quite easily constructed through the reprogramming of seemingly benign AI technology such as the self-driving car.

The article is here.

AI is Fueling Smarter Prosthetics Than Ever Before

Andrea Powell
www.wired.com
Originally posted December 22, 2017

The distance between prosthetic and real is shrinking. Thanks to advances in batteries, brain-controlled robotics, and AI, today’s mechanical limbs can do everything from twist and point to grab and lift. And this isn’t just good news for amputees. “For something like bomb disposal, why not use a robotic arm?” says Justin Sanchez, manager of Darpa’s Revolutionizing Prosthetics program. Well, that would certainly be handy.

The article and pictures are here.

Thursday, January 18, 2018

Cooperation and the evolution of hunter-gatherer storytelling

Daniel Smith and others
Nature Communications, 8: 1853
doi: 10.1038/s41467-017-02036-8

Storytelling is a human universal. From gathering around the camp-fire telling tales of ancestors to watching the latest television box-set, humans are inveterate producers and consumers of stories. Despite its ubiquity, little attention has been given to understanding the function and evolution of storytelling. Here we explore the impact of storytelling on hunter gatherer cooperative behaviour and the individual-level fitness benefits to being a skilled storyteller. Stories told by the Agta, a Filipino hunter-gatherer population, convey messages relevant to coordinating behaviour in a foraging ecology, such as cooperation, sex equality and egalitarianism. These themes are present in narratives from other foraging societies. We also show that the presence of good storytellers is associated with increased cooperation. In return, skilled storytellers are preferred social partners and have greater reproductive success, providing a pathway by which group-beneficial behaviours, such as storytelling, can evolve via individual-level selection. We conclude that one of the adaptive functions of storytelling among hunter gatherers may be to organise cooperation.

The article is here.

Implications for psychotherapy and couples counseling.

Humans 2.0: meet the entrepreneur who wants to put a chip in your brain

Zofia Niemtus
The Guardian
Originally posted December 14, 2017

Here are two exerpts:

The shape that this technology will take is still unknown. Johnson uses the term “brain chip”, but the developments taking place in neuroprosthesis are working towards less invasive procedures than opening up your skull and cramming a bit of hardware in; injectable sensors are one possibility.

It may sound far-fetched, but Johnson has a track record of getting things done. Within his first semester at university, he’d set up a profitable business selling mobile phones to fellow students. By age 30, he’d founded online payment company Braintree, which he sold six years later to PayPal for $800m. He used $100m of the proceeds to create Kernel in 2016 – it now employs more than 30 people.

(cut)

“And yet, the brain is everything we are, everything we do, and everything we aspire to be. It seemed obvious to me that the brain is both the most consequential variable in the world and also our biggest blind spot as a species. I decided that if the root problems of humanity begin in the human mind, let’s change our minds.”

The article is here.

Wednesday, January 17, 2018

‘I want to help humans genetically modify themselves’

Tom Ireland
The Guardian
Originally posted December 24, 2017

Josiah Zayner, 36, recently made headlines by becoming the first person to use the revolutionary gene-editing tool Crispr to try to change their own genes. Part way through a talk on genetic engineering, Zayner pulled out a syringe apparently containing DNA and other chemicals designed to trigger a genetic change in his cells associated with dramatically increased muscle mass. He injected the DIY gene therapy into his left arm, live-streaming the procedure on the internet.

The former Nasa biochemist, based in California, has become a leading figure in the growing “biohacker” movement, which involves loose collectives of scientists, engineers, artists, designers, and activists experimenting with biotechnology outside of conventional institutions and laboratories.

Despite warnings from the US Food and Drug Administration (FDA) that selling gene therapy products without regulatory approval is illegal, Zayner sells kits that allow anyone to get started with basic genetic engineering techniques, and has published a free guide for others who want to take it further and experiment on themselves.

The article is here.

Do Physicians Have an Ethical Duty to Repair Relationships with So-Called “Difficult” Patients?

Micah Johnson
AMA Journal of Ethics. April 2017, Volume 19, Number 4: 323-331.
doi: 10.1001/journalofethics.2017.19.04.ecas1-1704.

Abstract

This essay argues that physicians hold primary ethical responsibility for repairing damaged patient-physician relationships. The first section establishes that the patient-physician relationship has an important influence on patient health and argues that physicians’ duty to treat should be understood as including a responsibility to repair broken relationships, regardless of which party was “responsible” for the initial tension. The second section argues that the person with more power to repair the relationship also has more responsibility to do so and considers the moral psychology of pain as foundational to conceiving the patient in this case as especially vulnerable and disempowered. The essay concludes with suggestions for clinicians to act on the idea that a healthy patient-physician relationship ought to lie at the center of medicine’s moral mission.

The article is here.

Tuesday, January 16, 2018

3D Printed Biomimetic Blood Brain Barrier Eliminates Need for Animal Testing

Hannah Rose Mendoza
3Dprint.com
Originally published December 21, 2017

The blood-brain barrier (BBB) may sound like a rating system for avoiding horror movies, but in reality it is a semi-permeable membrane responsible for restricting and regulating the entry of neurotoxic compounds, diseases, and circulating blood into the brain. It exists as a defense mechanism to protect the brain from direct contact with damaging entities carried in the body. Normally, this is something that is important to maintain as a strong defense; however, there are times when medical treatments require the ability to trespass beyond this biological barrier without damaging it. This is especially true now in the era of nanomedicine, when therapeutic treatments have been developed to combat brain cancer, neurodegenerative diseases, and even the effects of trauma-based brain damage.

In order to advance medical research in these important areas, it has been important to operate in an environment that accurately represents the BBB. As such, researchers have turned to animal subjects, something which comes with significant ethical and moral questions.

The story is here.

Should Governments Invest More in Nudging?

Shlomo Benartzi, John Beshears, Katherine L. Milkman, and others
Psychological Science 
Vol 28, Issue 8, pp. 1041 - 1055
First Published June 5, 2017

Abstract

Governments are increasingly adopting behavioral science techniques for changing individual behavior in pursuit of policy objectives. The types of “nudge” interventions that governments are now adopting alter people’s decisions without coercion or significant changes to economic incentives. We calculated ratios of impact to cost for nudge interventions and for traditional policy tools, such as tax incentives and other financial inducements, and we found that nudge interventions often compare favorably with traditional interventions. We conclude that nudging is a valuable approach that should be used more often in conjunction with traditional policies, but more calculations are needed to
determine the relative effectiveness of nudging.

The article is here.