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, March 31, 2018

Individual Moral Development and Moral Progress

Schinkel, A. & de Ruyter, D.J.
Ethical Theory and Moral Practice (2017) 20: 121.
https://doi.org/10.1007/s10677-016-9741-6

Abstract

At first glance, one of the most obvious places to look for moral progress is in individuals, in particular in moral development from childhood to adulthood. In fact, that moral progress is possible is a foundational assumption of moral education. Beyond the general agreement that moral progress is not only possible but even a common feature of human development things become blurry, however. For what do we mean by ‘progress’? And what constitutes moral progress? Does the idea of individual moral progress presuppose a predetermined end or goal of moral education and development, or not? In this article we analyze the concept of moral progress to shed light on the psychology of moral development and vice versa; these analyses are found to be mutually supportive. We suggest that: moral progress should be conceived of as development that is evaluated positively on the basis of relatively stable moral criteria that are the fruit and the subject of an ongoing conversation; moral progress does not imply the idea of an end-state; individual moral progress is best conceived of as the development of various components of moral functioning and their robust integration in a person’s identity; both children and adults can progress morally - even though we would probably not speak in terms of progress in the case of children - but adults’ moral progress is both more hard-won and to a greater extent a personal project rather than a collective effort.

Download the paper here.

Friday, March 30, 2018

Trump Wants More Asylums — and Some Psychiatrists Agree

Benedict Carey
The New York Times
Originally published March 5, 2018

Here is an excerpt:

The third, and perhaps most critical, point of agreement in the asylum debate is that money is lacking in a nation that puts mental health at the bottom of the health budget. These disorders are expensive to treat in any setting, and funds for hospital care and community supports often come out of the same budget.

In his paper arguing for the return of asylums, Dr. Sisti singled out the Worcester Recovery Center and Hospital in Massachusetts.

This $300 million state hospital, opened in 2012, has an annual budget of $80 million, 320 private rooms, a range of medical treatments and nonmedical supports, like family and group therapy, and vocational training. Its progress is closely watched among mental health experts.

The average length of stay for adolescents is 28 days, and the average for continuing care (for the more serious cases) is 85 days, according to Daniela Trammell, a spokeswoman for the Massachusetts Department of Mental Health.

“Some individuals are hospitalized for nine months to a year; a smaller number is hospitalized for one to three years,” she wrote in an email.

Proponents of modern asylums insist that this kind of money is well spent, considering the alternatives for people with mental disabilities in prison or on the streets. Opponents are not convinced.

The article is here.

Not Noble Savages After All: Limits to Early Altruism

Karen Wynn, Paul Bloom, Ashley Jordan, Julia Marshall, Mark Sheskin
Current Directions in Psychological Science 
Vol 27, Issue 1, pp. 3 - 8
First Published December 22, 2017

Abstract

Many scholars draw on evidence from evolutionary biology, behavioral economics, and infant research to argue that humans are “noble savages,” endowed with indiscriminate kindness. We believe this is mistaken. While there is evidence for an early-emerging moral sense—even infants recognize and favor instances of fairness and kindness among third parties—altruistic behaviors are selective from the start. Babies and young children favor people who have been kind to them in the past and favor familiar individuals over strangers. They hold strong biases for in-group over out-group members and for themselves over others, and indeed are more unequivocally selfish than older children and adults. Much of what is most impressive about adult morality arises not through inborn capacities but through a fraught developmental process that involves exposure to culture and the exercise of rationality.

The article is here.

Thursday, March 29, 2018

Government watchdog files 30 ethics complaints against Trump administration

Julia Manchester
The Hill
Originally posted March 26, 2018

Here is an excerpt:

"The bottom line is that neither Trump nor his administration take conflicts of interest and ethics seriously," Lisa Gilbert, the group's vice president of legislative affairs, told the network.

" 'Drain the swamp' was far more campaign rhetoric than a commitment to ethics, and the widespread lack of compliance and enforcement of Trump's ethics executive order shows that ethics do not matter in the Trump administration."

NBC News reports Public Citizen filed complaints with the White House Office of Management and Budget, the Environmental Protection Agency, and the departments of Defense, Homeland Security, Housing and Urban Development, Transportation, Health and Human Services, Commerce and Interior, among others.

Trump signed an executive order shortly after he took office in 2017 that was aimed at cracking down on lobbyists' influence in the U.S. government.

The order allowed officials who departed the administration to lobby the government, except the agency for which they worked, and permitted lobbyists to enter the administration as long as they didn't work on specific issues that would impact former clients or employers for two years.

The article is here.

Authors of premier medical textbook didn’t disclose $11 million in industry payments

Adam Marcus and Ivan Oransky
www.statnews.com
Originally published March 6, 2018

Here is an excerpt:

“These findings indicate that full transparency of [author conflicts] should become a standard practice among the authors of biomedical educational materials,” according to the authors, whose study appears in the journal AJOB Empirical Bioethics.

McGraw-Hill, which publishes Harrison’s, did not respond to STAT’s requests for comment.

Financial disclosures have become de rigueur in scientific journals, where many of Harrison’s authors also publish and are subject to guidelines for such disclosures. Textbooks, however, have typically not required disclosures — and that means they’ve fallen even more behind standard practices.

The researchers, led by Brian Piper, a neuroscientist at the Geisinger Commonwealth School of Medicine in Scranton, Pa., acknowledge that simply looking at patent awards and fees from biomedical companies doesn’t prove the existence of biased work. But they note that medical textbooks are enormously influential due to their perceived authority and the wide readership they receive.

The article is here.

Wednesday, March 28, 2018

Mental Health Crisis for Grad Students

Colleen Flaherty
Inside Higher Ed
Originally published March 6, 2018

Several studies suggest that graduate students are at greater risk for mental health issues than those in the general population. This is largely due to social isolation, the often abstract nature of the work and feelings of inadequacy -- not to mention the slim tenure-track job market. But a new study in Nature Biotechnology warns, in no uncertain terms, of a mental health “crisis” in graduate education.

“Our results show that graduate students are more than six times as likely to experience depression and anxiety as compared to the general population,” the study says, urging action on the part of institutions. “It is only with strong and validated interventions that academia will be able to provide help for those who are traveling through the bioscience workforce pipeline.”

The paper is based on a survey including clinically validated scales for anxiety and depression, deployed to students via email and social media. The survey’s 2,279 respondents were mostly Ph.D. candidates (90 percent), representing 26 countries and 234 institutions. Some 56 percent study humanities or social sciences, while 38 percent study the biological and physical sciences. Two percent are engineering students and 4 percent are enrolled in other fields.

Some 39 percent of respondents scored in the moderate-to-severe depression range, as compared to 6 percent of the general population measured previously with the same scale.

The article is here.

The Academic Mob and Its Fatal Toll

Brad Cran
Quillette.com
Originally published March 2, 2018

Here is an excerpt:

In her essay “The Anatomy of an Academic Mobbing,” Joan Friedenberg states that “most mobbers see their actions as perfectly justified by the perceived depravity of their target, at least until they are asked to account for it with some degree of thoughtfulness, such as in a court deposition, by a journalist or in a judicial hearing.”

The flip side to the depravity of the target is the righteousness of the mob. What makes members of the mob so passionately inhumane is that their position as righteous becomes instantly wrapped up in the successful destruction of the target. As Friedenberg writes “An unsuccessful account leaves the mobber entirely morally culpable.”

Moral culpability creates fear and stokes irrational behavior, not within the target but within the mob itself. If a mob fails to cast out the target then eventually the mob will have to come to terms with the rights of the person they tried to destroy and the fact that all people, regardless of manufactured depravity, are deserving of humanity and basic fair treatment.

Every effort will be made to increase the allegation count, magnify the severity of each accusation, reinterpret any past actions of the target as malicious, and wipe away any sign that the target ever had a single redeemable quality that could point to the fact that they are undeserving of total destruction and shunning. For this reason “bullying” is a common accusation levelled against mobbing targets.

The article is here.

Tuesday, March 27, 2018

"My Brain Made Me Do It" Is Becoming a More Common Criminal Defense

Dina Fine Maron
Scientific American
Originally published March 5, 2018

Here is an excerpt:

But experts looking back at the 2007 case now say Hodges was part of a burgeoning trend: Criminal defense strategies are increasingly relying on neurological evidence—psychological evaluations, behavioral tests or brain scans—to potentially mitigate punishment. Defendants may cite earlier head traumas or brain disorders as underlying reasons for their behavior, hoping this will be factored into a court’s decisions. Such defenses have been employed for decades, mostly in death penalty cases. But as science has evolved in recent years, the practice has become more common in criminal cases ranging from drug offenses to robberies.

“The number of cases in which people try to introduce neurotechnological evidence in the trial or sentencing phase has gone up by leaps and bounds,” says Joshua Sanes, director of the Center for Brain Science at Harvard University. But such attempts may be outpacing the scientific evidence behind the technology, he adds.

“In 2012 alone over 250 judicial opinions—more than double the number in 2007—cited defendants arguing in some form or another that their ‘brains made them do it,’” according to an analysis by Nita Farahany, a law professor and director of Duke University’s Initiative for Science and Society. More recently, she says, that number has climbed to around 420 each year.

The article is here.

Neuroblame?

Stephen Rainey
Practical Ethics
Originally posted February 15, 2018

Here is an excerpt:

Rather than bio-mimetic prostheses, replacement limbs and so on, we can predict that technologies superior to the human body will be developed. Controlled by the brains of users, these enhancements will amount to extensions of the human body, and allow greater projection of human will and intentions in the world. We might imagine a cohort of brain controlled robots carrying out mundane tasks around the home, or buying groceries and so forth, all while the user gets on with something altogether more edifying (or does nothing at all but trigger and control their bots). Maybe a highly skilled, and well-practised, user could control legions of such bots, each carrying out separate tasks.

Before getting too carried away with this line of thought, it’s probably worth getting to the point. The issue worth looking at concerns what happens when things go wrong. It’s one thing to imagine someone sending out a neuro-controlled assassin-bot to kill a rival. Regardless of the unusual route taken, this would be a pretty simple case of causing harm. It would be akin to someone simply assassinating their rival with their own hands. However, it’s another thing to consider how sloppily framing the goal for a bot, such that it ends up causing harm, ought to be parsed.

The blog post is here.