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, January 30, 2018

Utilitarianism’s Missing Dimensions

Erik Parens
Quillette
Originally published on January 3, 2018

Here is an excerpt:

Missing the “Impartial Beneficence” Dimension of Utilitarianism

In a word, the Oxfordians argue that, whereas utilitarianism in fact has two key dimensions, the Harvardians have been calling attention to only one. A significant portion of the new paper is devoted to explicating a new scale they have created—the Oxford Utilitarianism Scale—which can be used to measure how utilitarian someone is or, more precisely, how closely a person’s moral decision-making tendencies approximate classical (act) utilitarianism. The measure is based on how much one agrees with statements such as, “If the only way to save another person’s life during an emergency is to sacrifice one’s own leg, then one is morally required to make this sacrifice,” and “It is morally right to harm an innocent person if harming them is a necessary means to helping several other innocent people.”

According to the Oxfordians, while utilitarianism is a unified theory, its two dimensions push in opposite directions. The first, positive dimension of utilitarianism is “impartial beneficence.” It demands that human beings adopt “the point of view of the universe,” from which none of us is worth more than another. This dimension of utilitarianism requires self-sacrifice. Once we see that children on the other side of the planet are no less valuable than our own, we grasp our obligation to sacrifice for those others as we would for our own. Those of us who have more than we need to flourish have an obligation to give up some small part of our abundance to promote the well-being of those who don’t have what they need.

The Oxfordians dub the second, negative dimension of utilitarianism “instrumental harm,” because it demands that we be willing to sacrifice some innocent others if doing so is necessary to promote the greater good. So, we should be willing to sacrifice the well-being of one person if, in exchange, we can secure the well-being of a larger number of others. This is of course where the trolleys come in.

The article is here.

Your Brain Creates Your Emotions

Lisa Feldman Barrett
TED Talk
Published December 2017

Can you look at someone's face and know what they're feeling? Does everyone experience happiness, sadness and anxiety the same way? What are emotions anyway? For the past 25 years, psychology professor Lisa Feldman Barrett has mapped facial expressions, scanned brains and analyzed hundreds of physiology studies to understand what emotions really are. She shares the results of her exhaustive research -- and explains how we may have more control over our emotions than we think.

Monday, January 29, 2018

Deontological Dilemma Response Tendencies and Sensorimotor Representations of Harm to Others

Leonardo Christov-Moore, Paul Conway, and Marco Iacoboni
Front. Integr. Neurosci., 12 December 2017

The dual process model of moral decision-making suggests that decisions to reject causing harm on moral dilemmas (where causing harm saves lives) reflect concern for others. Recently, some theorists have suggested such decisions actually reflect self-focused concern about causing harm, rather than witnessing others suffering. We examined brain activity while participants witnessed needles pierce another person’s hand, versus similar non-painful stimuli. More than a month later, participants completed moral dilemmas where causing harm either did or did not maximize outcomes. We employed process dissociation to independently assess harm-rejection (deontological) and outcome-maximization (utilitarian) response tendencies. Activity in the posterior inferior frontal cortex (pIFC) while participants witnessed others in pain predicted deontological, but not utilitarian, response tendencies. Previous brain stimulation studies have shown that the pIFC seems crucial for sensorimotor representations of observed harm. Hence, these findings suggest that deontological response tendencies reflect genuine other-oriented concern grounded in sensorimotor representations of harm.

The article is here.

Go Fund Yourself

Stephen Marche
Mother Jones
Originally published January/February 2018

Here is an excerpt:

Health care in America is the wedge of inequality: It’s the luxury everyone has to have and millions can’t afford. Sites like YouCaring have stepped in to fill the gap. The total amount in donations generated by crowdfunding sites has increased eleven­fold since the appearance of Obamacare. In 2011, sites like GoFundMe and YouCaring were generating a total of $837 million. Three years later, that number had climbed to $9.5 billion. Under the Trump administration, YouCaring expects donations to jump even higher, and the company has already seen an estimated 25 percent spike since the election, which company representatives believe is partly a response to the administration’s threats to Obamacare.

Crowdfunding companies say they’re using technology to help people helping people, the miracle of interconnectedness leading to globalized compassion. But an emerging consensus is starting to suggest a darker, more fraught reality—sites like YouCaring and GoFundMe may in fact be fueling the inequities of the American health care system, not fighting them. And they are potentially exacerbating racial, economic, and educational divides. “Crowdfunding websites have helped a lot of people,” medical researcher Jeremy Snyder wrote in a 2016 article for the Hastings Center Report, a journal focused on medical ethics. But, echoing other scholars, he warned that they’re “ultimately not a solution to injustices in the health system. Indeed, they may themselves be a cause of injustices.” Crowdfunding is yet another example of tech’s best intentions generating unseen and unfortunate outcomes.

Sunday, January 28, 2018

Republicans redefine morality as whatever Trump does

Dana Milbank
The Washington Post
Posted on January 26, 2018

Someday, likely three years from now, perhaps sooner, perhaps — gulp — later, President Trump will depart the stage.

But what will be left of us?

New evidence suggests that the damage he is doing to the culture is bigger than the man. A Quinnipiac University poll released Thursday found that two-thirds of Americans say Trump is not a good role model for children. Every component of society feels that way — men and women, old and young, black and white, highly educated or not — except for one: Republicans. By 72 to 22 percent, they say Trump is a good role model.

In marked contrast to the rest of the country, Republicans also say that Trump shares their values (82 percent) and that — get this — he “provides the United States with moral leadership” (80 percent).

And what moral leadership this role model has been providing!

The article is here.

Saturday, January 27, 2018

Evolving Morality

Joshua Greene
Aspen Ideas Festival
2017

Human morality is a set of cognitive devices designed to solve social problems. The original moral problem is the problem of cooperation, the “tragedy of the commons” — me vs. us. But modern moral problems are often different, involving what Harvard psychology professor Joshua Greene calls “the tragedy of commonsense morality,” or the problem of conflicting values and interests across social groups — us vs. them. Our moral intuitions handle the first kind of problem reasonably well, but often fail miserably with the second kind. The rise of artificial intelligence compounds and extends these modern moral problems, requiring us to formulate our values in more precise ways and adapt our moral thinking to unprecedented circumstances. Can self-driving cars be programmed to behave morally? Should autonomous weapons be banned? How can we organize a society in which machines do most of the work that humans do now? And should we be worried about creating machines that are smarter than us? Understanding the strengths and limitations of human morality can help us answer these questions.

The one-hour talk on SoundCloud is here.

Friday, January 26, 2018

Should Potential Risk of Chronic Traumatic Encephalopathy Be Discussed with Young Athletes?

Kimberly Hornbeck, Kevin Walter, and Matthew Myrvik
AMA Journal of Ethics. July 2017, Volume 19, Number 7: 686-692.

Abstract

As participation in youth sports has risen over the past two decades, so has the incidence of youth sports injuries. A common topic of concern is concussion, or mild traumatic brain injury, in young athletes and whether concussions sustained at a young age could lead to lifelong impairment such as chronic traumatic encephalopathy (CTE). While the pathway from a concussed young athlete to an adult with CTE remains unknown, current research is attempting to provide more clarity. This article discusses how health care professionals can help foster an informed, balanced decision-making process regarding participation in contact sports that involves the parents as well as the children.

The information is here.

Power Causes Brain Damage

Jerry Useem
The Atlantic
Originally published July 2017

Here is an excerpt:

This is a depressing finding. Knowledge is supposed to be power. But what good is knowing that power deprives you of knowledge?

The sunniest possible spin, it seems, is that these changes are only sometimes harmful. Power, the research says, primes our brain to screen out peripheral information. In most situations, this provides a helpful efficiency boost. In social ones, it has the unfortunate side effect of making us more obtuse. Even that is not necessarily bad for the prospects of the powerful, or the groups they lead. As Susan Fiske, a Princeton psychology professor, has persuasively argued, power lessens the need for a nuanced read of people, since it gives us command of resources we once had to cajole from others. But of course, in a modern organization, the maintenance of that command relies on some level of organizational support. And the sheer number of examples of executive hubris that bristle from the headlines suggests that many leaders cross the line into counterproductive folly.

Less able to make out people’s individuating traits, they rely more heavily on stereotype. And the less they’re able to see, other research suggests, the more they rely on a personal “vision” for navigation. John Stumpf saw a Wells Fargo where every customer had eight separate accounts. (As he’d often noted to employees, eight rhymes with great.) “Cross-selling,” he told Congress, “is shorthand for deepening relationships.”

The article is here.

Thursday, January 25, 2018

Neurotechnology, Elon Musk and the goal of human enhancement

Sarah Marsh
The Guardian
Originally published January 1, 2018

Here is an excerpt:

“I hope more resources will be put into supporting this very promising area of research. Brain Computer Interfaces (BCIs) are not only an invaluable tool for people with disabilities, but they could be a fundamental tool for going beyond human limits, hence improving everyone’s life.”

He notes, however, that one of the biggest challenges with this technology is that first we need to better understand how the human brain works before deciding where and how to apply BCI. “This is why many agencies have been investing in basic neuroscience research – for example, the Brain initiative in the US and the Human Brain Project in the EU.”

Whenever there is talk of enhancing humans, moral questions remain – particularly around where the human ends and the machine begins. “In my opinion, one way to overcome these ethical concerns is to let humans decide whether they want to use a BCI to augment their capabilities,” Valeriani says.

“Neuroethicists are working to give advice to policymakers about what should be regulated. I am quite confident that, in the future, we will be more open to the possibility of using BCIs if such systems provide a clear and tangible advantage to our lives.”

The article is here.