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, March 6, 2018

Toward a Psychology of Moral Expansiveness

Daniel Crimston, Matthew J. Hornsey, Paul G. Bain, Brock Bastian
Current Directions in Psychological Science 
Vol 27, Issue 1, pp. 14 - 19

Abstract

Theorists have long noted that people’s moral circles have expanded over the course of history, with modern people extending moral concern to entities—both human and nonhuman—that our ancestors would never have considered including within their moral boundaries. In recent decades, researchers have sought a comprehensive understanding of the psychology of moral expansiveness. We first review the history of conceptual and methodological approaches in understanding our moral boundaries, with a particular focus on the recently developed Moral Expansiveness Scale. We then explore individual differences in moral expansiveness, attributes of entities that predict their inclusion in moral circles, and cognitive and motivational factors that help explain what we include within our moral boundaries and why they may shrink or expand. Throughout, we highlight the consequences of these psychological effects for real-world ethical decision making.

The article is here.

Don't Blame PPC, Blame Poor Ethics

Kyle Infante
Forbes.com
Originally posted on February 2, 2018

Here is an excerpt:

To sum up the entire debacle in a nutshell: Marketing entities would create referral ads and websites to bid on highly sought after addiction keywords, drive traffic to their call centers and send people to facilities-based purely on profit. There was no clinical or medical prescreening being conducted, no thought put into placing that individual with the appropriate level of care. Suffering addicts and alcoholics were being misled by strategic digital marketing tactics and pushed to the highest bidder. Often, these high bidders had a slew of ethical issues. This drove the cost per click for each ad through the roof, and soon enough only the Goliaths could compete on PPC (pay per click). Unless you had the money to hire an advertising agency or had an in-house marketer with extensive digital experience, there was no way to survive.

Recently, Google stepped in and placed restrictions on these ads to curb the gross abuse of the market. In September 2017, Google began to limit the kinds of ads facilities could create and just this year placed a temporary ban on all recovery ads to audit the entire industry.

The article is here.

Monday, March 5, 2018

Would you be willing to zap your child's brain? Public perspectives on parental responsibilities and the ethics of enhancing children with transcranial direct current stimulation

Katy Wagner, Hannah Maslen, Justin Oakley, and Julian Savulescu
AJOB Empirical Bioethics Vol. 0, Iss. ja, 2018

Abstract

BACKGROUND:
Transcranial direct current stimulation (tDCS) is an experimental brain stimulation technology that may one day be used to enhance the cognitive capacities of children. Discussion about the ethical issues that this would raise has rarely moved beyond expert circles. However, the opinions of the wider public can lead to more democratic policy decisions and broaden academic discussion of this issue.

METHODS:
We performed a quantitative survey of members of the US public. A between-subjects design was employed, where conditions varied based on the trait respondents considered for enhancement.

RESULTS:
227 responses were included for analysis. Our key finding was that the majority were unwilling to enhance their child with tDCS. Respondents were most reluctant to enhance traits considered fundamental to the self (such as motivation and empathy). However, many respondents may give in to implicit coercion to enhance their child in spite of an initial reluctance. A ban on tDCS was not supported if it were to be used safely for the enhancement of mood or mathematical ability. Opposition to such a ban may be related to the belief that tDCS use would not represent cheating or violate authenticity (as it relates to achievements rather than identity).

CONCLUSIONS:
The wider public appears to think that crossing the line from treatment to enhancement with tDCS would not be in a child's best interests. However, an important alternative interpretation of our results is that lay people may be willing to use enhancers that matched their preference for 'natural' enhancers. A ban on the safe use of tDCS for enhancing non-fundamental traits would be unlikely to garner public support. Nonetheless, it could become important to regulate tDCS in order to prevent misuse on children, because individuals reluctant to enhance may be likely to give in to implicit coercion to enhance their child.

The research is here.

Donald Trump and the rise of tribal epistemology

David Roberts
Vox.com
Originally posted May 19, 2017 and still extremely important

Here is an excerpt:

Over time, this leads to what you might call tribal epistemology: Information is evaluated based not on conformity to common standards of evidence or correspondence to a common understanding of the world, but on whether it supports the tribe’s values and goals and is vouchsafed by tribal leaders. “Good for our side” and “true” begin to blur into one.

Now tribal epistemology has found its way to the White House.

Donald Trump and his team represent an assault on almost every American institution — they make no secret of their desire to “deconstruct the administrative state” — but their hostility toward the media is unique in its intensity.

It is Trump’s obsession and favorite target. He sees himself as waging a “running war” on the mainstream press, which his consigliere Steve Bannon calls “the opposition party.”

The article is here.

Sunday, March 4, 2018

Increasing honesty in humans with noninvasive brain stimulation

Michel André Maréchal, Alain Cohn, Giuseppe Ugazio and Christian C. Ruff
Proceedings of the National Academy of Sciences (PNAS)
April, 114(17), 4360-4364

Abstract

Honesty plays a key role in social and economic interactions and is crucial for societal functioning. However, breaches of honesty are pervasive and cause significant societal and economic problems that can affect entire nations. Despite its importance, remarkably little is known about the neurobiological mechanisms supporting honest behavior. We demonstrate that honesty can be increased in humans with transcranial direct current stimulation (tDCS) over the right dorsolateral prefrontal cortex. Participants (n = 145) completed a die-rolling task where they could misreport their outcomes to increase their earnings, thereby pitting honest behavior against personal financial gain. Cheating was substantial in a control condition but decreased dramatically when neural excitability was enhanced with tDCS. This increase in honesty could not be explained by changes in material self-interest or moral beliefs and was dissociated from participants’ impulsivity, willingness to take risks, and mood. A follow-up experiment (n = 156) showed that tDCS only reduced cheating when dishonest behavior benefited the participants themselves rather than another person, suggesting that the stimulated neural process specifically resolves conflicts between honesty and material self-interest. Our results demonstrate that honesty can be strengthened by noninvasive interventions and concur with theories proposing that the human brain has evolved mechanisms dedicated to control complex social behaviors.

The article is here.

Saturday, March 3, 2018

Why It's OK Behavioral Economics Failed To Prevent Heart Attacks

Peter Ubel
Forbes.com
Originally published January 31, 2018

Here are two excerpts:

To increase the chance people will take these important pills, a team out of the University of Pennsylvania created a behavioral economic incentive. The intervention was multipronged. It included enrolling patients in lotteries, which gave them a chance to win money every day they took their pills. It encouraged patients to enlist a friend to help them stay on track taking their pills, a friend who would get notified every time they skipped their medications for a few days in a row.

But the intervention failed — it neither increased adherence to medications nor reduced hospitalizations for heart attacks. These results are shown in the figure below, which, despite appearances, shows two lines, representing the intervention group and the control group, respectively; the lines practically merge into one...

(cut)

Sometimes behavioral economics is criticized for being over-hyped, for being touted as the answer to all our behavioral problems. I’ve been one of those critics. But my beef isn’t with behavioral economists — my research frequently draws upon insights from that field. My issue is with people who think of behavioral economics as some kind of magic wand we can wave over stubbornly harmful behavior. Changing people’s behavior is hard to do, especially without resorting to draconian measures.

We need to keep experimenting with ways to help people take care of their health.

The article is here.

Friday, March 2, 2018

Burnout in mental health providers

Practice Research and Policy Staff
American Psychological Association Practice Organization
Originally published January 25, 2018

Burnout commonly affects individuals involved in the direct care of others, including mental health practitioners. Burnout consists of three components: emotional exhaustion, depersonalization of clients and feelings of ineffectiveness or lack of personal accomplishment (Maslach, Jackson & Lieter, 1997). Emotional exhaustion may include feeling overextended, being unable to feel compassion for clients and feeling unable to meet workplace demands. Depersonalization is the process by which providers distance themselves from clients to prevent emotional fatigue. Finally, feelings of ineffectiveness and lack of personal accomplishment occur when practitioners feel a negative sense of personal and/or career worth.

Studies estimate that anywhere between 21 percent and 61 percent of mental health practitioners experience signs of burnout (Morse et al., 2012). Burnout has been associated with workplace climate, caseload size and severity of client symptoms (Acker, 2011; Craig & Sprang, 2010; Thompson et al., 2014). In contrast, studies examining burnout prevention have found that smaller caseloads, less paperwork and more flexibility at work are associated with lower rates of burnout (Lent & Schwartz, 2012). Burnout results in negative outcomes for both practitioners and their clients. Symptoms of burnout are not solely psychological; burnout has also been linked to physical ailments such as headaches and gastrointestinal problems (Kim et al., 2011).

The following studies examine correlates and predictors of burnout in mental health care providers. The first study investigates burnout amongst practitioners working on posttraumatic stress disorder clinical teams in Veterans Affairs (VA) health care settings. The second study examines correlates of burnout in sexual minority practitioners, and the third study investigates the impact of personality on burnout. Finally, the fourth study examines factors that may prevent burnout.

The information is here.

Thursday, March 1, 2018

Concern for Others Leads to Vicarious Optimism

Andreas Kappes, Nadira S. Faber, Guy Kahane, Julian Savulescu, Molly J. Crockett
Psychological Science 
First Published January 30, 2018

Abstract

An optimistic learning bias leads people to update their beliefs in response to better-than-expected good news but neglect worse-than-expected bad news. Because evidence suggests that this bias arises from self-concern, we hypothesized that a similar bias may affect beliefs about other people’s futures, to the extent that people care about others. Here, we demonstrated the phenomenon of vicarious optimism and showed that it arises from concern for others. Participants predicted the likelihood of unpleasant future events that could happen to either themselves or others. In addition to showing an optimistic learning bias for events affecting themselves, people showed vicarious optimism when learning about events affecting friends and strangers. Vicarious optimism for strangers correlated with generosity toward strangers, and experimentally increasing concern for strangers amplified vicarious optimism for them. These findings suggest that concern for others can bias beliefs about their future welfare and that optimism in learning is not restricted to oneself.

From the Discussion section

Optimism is a self-centered phenomenon in which people underestimate the likelihood of negative future events for themselves compared with others (Weinstein, 1980). Usually, the “other” is defined as a group of average others—an anonymous mass. When past studies asked participants to estimate the likelihood of an event happening to either themselves or the average population, participants did not show a learning bias for the average population (Garrett & Sharot, 2014). These findings are unsurprising given that people typically feel little concern for anonymous groups or anonymous individual strangers (Kogut & Ritov, 2005; Loewenstein et al., 2005). Yet people do care about identifiable others, and we accordingly found that people exhibit an optimistic learning bias for identifiable strangers and, even more markedly, for friends. Our research thereby suggests that optimism in learning is not restricted to oneself. We see not only our own lives through rose-tinted glasses but also the lives of those we care about.

The research is here.

Monkeys? Humans? The ethics of testing diesel fumes

Joel Gunter
BBC News
Originally published January 30, 2018

"These tests on monkeys or even humans cannot be justified ethically in any way," said Steffen Seibert, a spokesman for German Chancellor Angela Merkel.

Environment Minister Barbara Hendricks called the experiments "abominable", opposition politician Stephan Weil said they were "absurd and abhorrent".

But in a world where animal testing and paid medical testing on humans is commonplace, why have these particular tests provoked such outrage?

The exact nature of the VW tests is not known, as their methodology and findings have not been made public, but two independent scientists who have conducted air pollution tests on human volunteers told the BBC that similar tests on humans are commonplace.

"There have been hundreds of such studies, in most countries in the world, over the last 30 years," said Frank Kelly, professor of environmental health at King's College London. "They are funded by national governments, following strict ethical review, to understand the impact of emissions on human health."

The controversial, and possibly unethical, aspect of the VW testing was that it had been funded by a lobby group rather than an independent, government-funded body, he said.

The article is here.