Dealing with Racist Patients

Kimani Paul-Emile, Alexander K. Smith, Bernard Lo, and Alicia Fernández
N Engl J Med 2016; 374:708-711

Here is an excerpt:

Beyond these general legal rules, when patients reject physicians on the basis of their race or ethnic background, there is little guidance for hospitals and physicians regarding ways of effectively balancing patients’ interests, medical personnel’s employment rights, and the duty to treat. We believe that sound decision making in this context will turn on five ethical and practical factors: the patient’s medical condition, his or her decision-making capacity, options for responding to the request, reasons for the request, and effect on the physician (see flow chart). It’s helpful for physicians to consider these factors as they engage in negotiation, persuasion, and (in some cases) accommodation within the practical realities of providing effective care for all patients.

The patient’s medical condition and the clinical setting should drive decision making. In an emergency situation with a patient whose condition is unstable, the physician should first treat and stabilize the patient. Reassignment requests based on bigotry may be attributable to delirium, dementia, or psychosis, and patients’ preferences may change if reversible disorders are identified and treated. Patients with significantly impaired cognition are generally not held to be ethically responsible.

The article is here.

The brain as artificial intelligence: prospecting the frontiers of neuroscience

Fuller, S.
AI & Soc (2018).
https://doi.org/10.1007/s00146-018-0820-1

Abstract

This article explores the proposition that the brain, normally seen as an organ of the human body, should be understood as a biologically based form of artificial intelligence, in the course of which the case is made for a new kind of ‘brain exceptionalism’. After noting that such a view was generally assumed by the founders of AI in the 1950s, the argument proceeds by drawing on the distinction between science—in this case neuroscience—adopting a ‘telescopic’ or a ‘microscopic’ orientation to reality, depending on how it regards its characteristic investigative technologies. The paper concludes by recommending a ‘microscopic’ yet non-reductionist research agenda for neuroscience, in which the brain is seen as an underutilised organ whose energy efficiency is likely to outstrip that of the most powerful supercomputers for the foreseeable future.

The article is here.

More Religious Leaders Challenge Silence, Isolation Surrounding Suicide

Cheryl Platzman Weinstock
npr.org
Originally posted February 11, 2018

Here is an excerpt:

Until recently, many religious leaders were not well-prepared to talk about suicide with their congregants. Now some clergy have become an important part of suicide prevention.

"Where there's faith, there's hope, and where there's hope, there's life," says David Litts, co-leader of the Faith Communities Task Force of the National Action Alliance for Suicide Prevention.

Arnold also leads that task force. "If someone dies from heart disease, for instance, or in an accident, they may wonder where God is, but when someone dies by suicide, a whole lot of other questions get raised," she says. "When you can't talk about this in church, then it feels like God can't talk about it either."

But in her church, she says, there isn't shame surrounding suicide. During the pastoral prayer, for instance, she says she lifts up congregants dealing with cancer, heart disease or mental health issues. "It's a way of signaling to people this is a safe place to talk about such things and be honest about them."

The article is here.

Polluted Morality: Air Pollution Predicts Criminal Activity and Unethical Behavior

Jackson G. Lu, Julia J. Lee, Francesca Gino, Adam D. Galinsky
Psychological Science 
First Published February 7, 2018

Abstract

Air pollution is a serious problem that affects billions of people globally. Although the environmental and health costs of air pollution are well known, the present research investigates its ethical costs. We propose that air pollution can increase criminal and unethical behavior by increasing anxiety. Analyses of a 9-year panel of 9,360 U.S. cities found that air pollution predicted six major categories of crime; these analyses accounted for a comprehensive set of control variables (e.g., city and year fixed effects, population, law enforcement) and survived various robustness checks (e.g., balanced panel, nonparametric bootstrapped standard errors). Three subsequent experiments involving American and Indian participants established the causal effect of psychologically experiencing a polluted (vs. clean) environment on unethical behavior. Consistent with our theoretical perspective, results revealed that anxiety mediated this effect. Air pollution not only corrupts people’s health, but also can contaminate their morality.

The research is here.

If you cannot get to the article, you can download it from here.

The Squishy Ethics of Sex With Robots

Adam Rogers
Wired.com
Originally published February 2, 2018

Here is an excerpt:

Most of the world is ready to accept algorithm-enabled, internet-connected, virtual-reality-optimized sex machines with open arms (arms! I said arms!). The technology is evolving fast, which means two inbound waves of problems. Privacy and security, sure, but even solving those won’t answer two very hard questions: Can a robot consent to having sex with you? Can you consent to sex with it?

One thing that is unquestionable: There is a market. Either through licensing the teledildonics patent or risking lawsuits, several companies have tried to build sex technology that takes advantage of Bluetooth and the internet. “Remote connectivity allows people on opposite ends of the world to control each other’s dildo or sleeve device,” says Maxine Lynn, a patent attorney who writes the blog Unzipped: Sex, Tech, and the Law. “Then there’s also bidirectional control, which is going to be huge in the future. That’s when one sex toy controls the other sex toy and vice versa.”

Vibease, for example, makes a wearable that pulsates in time to synchronized digital books or a partner controlling an app. We-vibe makes vibrators that a partner can control, or set preset patterns. And so on.

The article is here.

The Strange Order of Things: why feelings are the unstoppable force

John Banville
The Guardian
Originally posted February 2, 2018

Here is an excerpt:

“Feelings have not been given the credit they deserve as motives, monitors, and negotiators of human cultural endeavours.” In claiming simplicity, it is possible the author is being a mite disingenuous. The tone in which he sets out his argument is so carefully judged, so stylistically calm and scientifically collected, that most readers will be lulled into nodding agreement. Yet a moment’s thought will tell us that we conduct our lives largely in contradiction of his premise, and for the most part deal with each other, and even with ourselves, as if we were pure spirit accidentally and inconveniently shackled to half a hundredweight or so of forked flesh.

“Feelings, and more generally affect of any sort and strength,” Damasio writes, “are the unrecognised presences at the cultural conference table.” According to him, the conference began among the bacteria, which – who? – even in their “unminded existence … assume what can only be called a sort of ‘moral attitude’”. In support of his claim, he adduces the various ways in which bacteria behave that bear a striking resemblance to human social organisation. The implication is, then, that “the human unconscious literally goes back to early life-forms, deeper and further than Freud or Jung ever dreamed of”. Damasio’s argument is that we are directly descended not only from the apes, but from the earliest wrigglers at the bottom of the primordial rock pool.

The keyword throughout the book is homeostasis, of which he offers a number of definitions, the clearest of which is the earliest, and which he favours enough to set it in italics: homeostasis is the force – the word seems justified – that ensures that “life is regulated within a range that is not just compatible with survival but also conducive to flourishing, to a projection of life into the future of an organism or a species”.

The article is here.

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.

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.