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, June 30, 2018

The Ethics of Ceding More Power To Machines

Brhmie Balaram
www.theRSA.org
Originally posted May 31, 2018

Here is an excerpt:

This gets to the crux of people’s fears about AI – there is a perception that we may be ceding too much power to AI, regardless of the reality. The public’s concerns seem to echo that of the academic Virginia Eubanks, who argues that the fundamental problem with these systems is that they enable the ethical distance needed “to make inhuman choices about who gets food and who starves, who has housing and who remains homeless, whose family stays together and whose is broken up by the state.”

Yet, these systems also have the potential to increase the fairness of outcomes if they are able to improve accuracy and minimise biases. They may also increase efficiency and savings for both the organisation that deploys the systems, as well as the people subject to the decision.

These are the sorts of trade-offs that a public dialogue, and in particular, a long-form deliberative process like a citizens’ jury, can address.

The info is here.

Friday, June 29, 2018

Business Class

John Benjamin
The New Republic
Originally posted May 14, 2018

Students in the country’s top MBA programs pride themselves on their open-mindedness. This is, after all, what they’ve been sold: American business schools market their ability to train the kinds of broadly competent, intellectually receptive people that will help solve the problems of a global economy.

But in truth, MBA programs are not the open forums advertised in admissions brochures. Behind this façade, they are ideological institutions committed to a strict blend of social liberalism and economic conservatism. Though this fusion may be the favorite of American elites—the kinds of people who might repeat that tired line “I’m socially liberal but fiscally conservative”—it takes a strange form in business school. Elite business schooling is tailored to promote two types of solutions to the big problems that arise in society: either greater innovation or freer markets. Proposals other than what’s essentially more business are brushed aside, or else patched over with a type of liberal politics that’s heavy on rhetorical flair but light on relevance outside privileged circles.

It is in this closed ideological loop that we wannabe masters of the universe often struggle to think clearly about the common good or what it takes to achieve it.

The information is here.

The Surprising Power of Questions

Alison Wood Brooks and Leslie K. John
Harvard Business Review
May-June 2018 Issue

Here are two excerpts:

Most people don’t grasp that asking a lot of questions unlocks learning and improves interpersonal bonding. In Alison’s studies, for example, though people could accurately recall how many questions had been asked in their conversations, they didn’t intuit the link between questions and liking. Across four studies, in which participants were engaged in conversations themselves or read transcripts of others’ conversations, people tended not to realize that question asking would influence—or had influenced—the level of amity between the conversationalists.

The New Socratic Method

The first step in becoming a better questioner is simply to ask more questions. Of course, the sheer number of questions is not the only factor that influences the quality of a conversation: The type, tone, sequence, and framing also matter.

(cut)

Not all questions are created equal. Alison’s research, using human coding and machine learning, revealed four types of questions: introductory questions (“How are you?”), mirror questions (“I’m fine. How are you?”), full-switch questions (ones that change the topic entirely), and follow-up questions (ones that solicit more information). Although each type is abundant in natural conversation, follow-up questions seem to have special power. They signal to your conversation partner that you are listening, care, and want to know more. People interacting with a partner who asks lots of follow-up questions tend to feel respected and heard.

An unexpected benefit of follow-up questions is that they don’t require much thought or preparation—indeed, they seem to come naturally to interlocutors. In Alison’s studies, the people who were told to ask more questions used more follow-up questions than any other type without being instructed to do so.

The article is here.

This article clearly relates to psychotherapy communication.

Thursday, June 28, 2018

Making better decisions in groups

The Royal Society
Originally published May 24, 2018

The animation and briefing on making better decisions in groups is based on the research work of Dr Dan Bang and Professor Chris Frith FRS.

It introduces the key concepts around improving decision making in groups with the aim of alerting Royal Society committee chairs and panel members to consider that by pooling diverse information and different areas of expertise, groups can make better decisions than individuals.




Are Most Clinical Trials Unethical?

Michel Shamy
American Council on Science and Health
Originally published May 21, 2018

Here is an excerpt:

Therefore, to render RCTs scientifically and ethically justifiable, certain conditions must be met. But what are they?

Much of the recent literature on the topic of RCT ethics references the concept of “equipoise,” which refers to uncertainty or disagreement in the medical community. Though it is widely cited, “equipoise” has been defined inconsistently, is not universally accepted, and can be difficult to operationalize. Most scientists agree that we should not do another study when the answer is known ahead of time; to do so would be redundant, wasteful, and ultimately harmful to patients. When some estimates suggest that as much as 85% of clinical research may be wasteful, there is a strong imperative to develop clear criteria for when RCTs are necessary. In the absence of such criteria, RCTs that are unnecessary may be allowed to proceed – and unnecessary RCTs are, by definition, unethical.

We have proposed a preliminary set of criteria to guide judgments about whether a proposed RCT is scientifically justified. Every RCT should (1) ask a clear question, (2) assert a specific hypothesis, and (3) ensure that the hypothesis has not already been answered by available knowledge, including non-randomized studies. Then, we examined a sample of high quality, published RCTs and found that only 44% met these criteria.

The information is here.

Wednesday, June 27, 2018

Experts outline ethics issues with use of genealogy DNA to solve crimes

Carolyn Crist
Business Insider
Originally published June 1, 2018

With recent revelations that U.S. law enforcement can - and already has - dipped into consumer genealogy DNA databases to help solve crimes, experts say more discussion of the ethical issues raised by this unintended use of personal information is needed.

It's unclear, for instance, whether online genealogy site users know their DNA is available to criminal investigators - and whether they'd object to it being used for that purpose, write the authors of an essay exploring the topic in the Annals of Internal Medicine.

"We're seeing a divide about this right now. On one hand, it's a powerful technology to solve cases, but it also raises questions for consumers," said lead author Benjamin Berkman, who heads the section on the ethics of genetics and new technologies at the National Institutes of Health's Department of Bioethics in Bethesda, Maryland.

"The idea that they upload their data for genealogy purposes and it's used in such a different way really surprises some people," he told Reuters Health in a telephone interview. "The terms of service agreements don't explain this clearly, and even if they did, people wouldn't read it or find it in the dense legalese."

The information is here.

Understanding Moral Preferences Using Sentiment Analysis

Capraro, Valerio and Vanzo, Andrea
(May 28, 2018).

Abstract

Behavioral scientists have shown that people are not solely motivated by the economic consequences of the available actions, but they also care about the actions themselves. Several models have been proposed to formalize this preference for "doing the right thing". However, a common limitation of these models is their lack of predictive power: given a set of instructions of a decision problem, they lack to make clear predictions of people's behavior. Here, we show that, at least in simple cases, the overall qualitative pattern of behavior can be predicted reasonably well using a Computational Linguistics technique, known as Sentiment Analysis. The intuition is that people are reluctant to make actions that evoke negative emotions, and are eager to make actions that stimulate positive emotions. To show this point, we conduct an economic experiment in which decision-makers either get 50 cents, and another person gets nothing, or the opposite, the other person gets 50 cents and the decision maker gets nothing. We experimentally manipulate the wording describing the available actions using six words, from very negative (e.g., stealing) to very positive (e.g., donating) connotations. In agreement with our theory, we show that sentiment polarity has a U-shaped effect on pro-sociality. We also propose a utility function that can qualitatively predict the observed behavior, as well as previously reported framing effects. Our results suggest that building bridges from behavioral sciences to Computational Linguistics can help improve our understanding of human decision making.

The research is here.

Tuesday, June 26, 2018

Understanding unconscious bias

The Royal Society
Originally published November 17, 2015

This animation introduces the key concepts of unconscious bias.  It forms part of the Royal Society’s efforts to ensure that all those who serve on Royal Society selection and appointment panels are aware of differences in how candidates may present themselves, how to recognise bias in yourself and others, how to recognise inappropriate advocacy or unreasoned judgement. You can find out more about unconscious bias and download a briefing which includes current academic research at www.royalsociety.org/diversity.



A great three-minute video.

The alliance in adult psychotherapy: A meta-analytic synthesis.

Flückiger C, Del Re AC, Wampold BE, & Horvath AO
Psychotherapy (Chicago, Ill.) [24 May 2018]

Abstract

The alliance continues to be one of the most investigated variables related to success in psychotherapy irrespective of theoretical orientation. We define and illustrate the alliance (also conceptualized as therapeutic alliance, helping alliance, or working alliance) and then present a meta-analysis of 295 independent studies that covered more than 30,000 patients (published between 1978 and 2017) for face-to-face and Internet-based psychotherapy. The relation of the alliance and treatment outcome was investigated using a three-level meta-analysis with random-effects restricted maximum-likelihood estimators. The overall alliance-outcome association for face-to-face psychotherapy was r = .278 (95% confidence intervals [.256, .299], p < .0001; equivalent of d = .579). There was heterogeneity among the effect sizes, and 2% of the 295 effect sizes indicated negative correlations. The correlation for Internet-based psychotherapy was approximately the same (viz., r = .275, k = 23). These results confirm the robustness of the positive relation between the alliance and outcome. This relation remains consistent across assessor perspectives, alliance and outcome measures, treatment approaches, patient characteristics, and countries. The article concludes with causality considerations, research limitations, diversity considerations, and therapeutic practices.

The research is here.