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

Thursday, September 6, 2018

Building An Ethics-First Employee Culture Is Crucial For All Leaders

Patrick Quinlan
Forbes.com
Originally posted July 25, 2018

Here is an excerpt:

These issues — harassment, bias, sexism — are nothing new in the tech sector but, now more than ever before, employees are taking matters into their own hands to make sure ethical business practices and values are upheld, even when leadership fails to do so.

In the last few years, we have seen the entire employer-employee paradigm shift, from offices embracing open floor plans to leaders encouraging team bonding activities. Underlying this massive business transformation is a stronger emphasis on the people who make up organizations, their values and their opinions. What we’ve borne witness to is the rise of empowered employees.

For leaders, shifting gears to focus on people first may feel scary. No one wants their employees to point out something is wrong at the company. But if instilling core ethical values is truly your objective, openness to criticism is part of the job description. Your commitment to promoting a safe, empowering space is not only beneficial for your employees — it ultimately strengthens your company’s culture, values, ethics — and therefore your company’s success long-term.

When leaders lead proactively, encouraging employees to come forward with an opinion or idea, employees feel safe, heard and ready to improve their company culture from the inside out. Whether you’re running a technology giant or a small startup, it’s no overnight shift. But you can start small by asking questions, taking feedback seriously and celebrating your team’s autonomy.

The information is here.

When Doctors Struggle With Suicide, Their Profession Often Fails Them

Blake Farmer
NPR.org
Originally posted July 31, 2018

Here is an excerpt:

A particular danger for doctors trying to fend off suicidal urges is that they know exactly how to end their own lives and often have easy access to the means.

Wenger remembers his friend and colleague as the confident professional with whom he had worked in emergency rooms all over Knoxville — including the one where she died. That day three years ago still makes no sense to him.

"She was very strong-willed, strong-minded, an independent, young, female physician," says emergency doctor Betsy Hull, a close friend. "I don't think any of us had any idea that she was struggling as much personally as she was for those several months."

That day she became part of a grim set of statistics.

A harsh reality

An estimated 300 to 400 doctors kill themselves each year, a rate of 28 to 40 per 100,000 or more than double that of general population. That is according to a review of 10 years of literature on the subject presented at the American Psychiatry Association annual meeting in May.

The information is here.

Wednesday, September 5, 2018

Are embryos people? The answer will determine the future of reproductive medicine

Eric Forman
Statnews.com
Originally posted July 24, 2018

Here is an excerpt:

The goal of this process is to achieve a healthy child, which now occurs at a remarkably high rate. For specific genetic disorders, preimplantation genetic testing can reduce the odds of having a child with a lethal disorder from 25 to 50 percent to less than 1 percent.

Medicine’s ability to culture embryos and select healthy ones has improved dramatically in the last few years. A clinical trial that I led several years ago showed that transferring a single genetically tested normal embryo resulted in the same delivery rate as transferring multiple untested embryos. When genetic testing is performed, it is now standard of care to transfer just a single embryo at a time — gone are the days of risky triplet and high-order multiples after IVF. Actual babies, not embryos, are being spared from dying from the complications of genetic diseases and severe prematurity thanks to the increased use of single-embryo transfer afforded by preimplantation genetic testing.

The information is here.

Judges as moral reasoners

Jeremy Waldron
International Journal of Constitutional Law
Published: 01 January 2009

Abstract

Debates about judicial authority―including debates about the desirability of judicial review of legislation—sometimes turn on the question of whether judges have superior skills when it comes to addressing what are, essentially, moral issues about rights. This paper considers the possibility that the answer may be “no,” not because judges are inept morally, but because the institutional setting in which they act and the role that they adopt both require them to address questions about rights in a particular legalistic way—indeed, in a way that, sometimes, makes it harder rather than easier for essential moral questions to be identified and addressed. Of course, what we want is for moral issues to be addressed, not as one would make a personal moral decision, but in the name of the whole society. Perhaps the judicial mode of addressing them satisfies that description, but there are other ways of satisfying it too—including legislative approaches, which proceed by identifying all the issues and all the opinions that might be relevant to a decision, rather than artificially limiting them in the way that courts do.

Tuesday, September 4, 2018

Financial Ties That Bind: Studies Often Fall Short On Conflict-Of-Interest Disclosures

Rachel Bluth
Kaiser Health News
Originally published August 15, 2018

Papers in medical journals go through rigorous peer review and meticulous data analysis.

Yet many of these articles are missing a key piece of information: the financial ties of the authors.

Nearly two-thirds of the 100 physicians who rake in the most money from 10 device manufacturers failed to disclose a conflict of interest in their academic writing in 2016, according to a study published Wednesday in JAMA Surgery.

The omission can have real-life impact for patients when their doctors rely on such research to make medical decisions, potentially without knowing the authors’ potential conflicts of interest.

“The issue is anytime there’s a new technology, people get really excited about it,” said lead researcher Dr. Mehraneh Jafari. “Whoever is reading the data on it needs to have the most information.”

The article is here.

Belief in God: Why People Believe, and Why They Don’t

Brett Mercier, , Stephanie R. Kramer, Azim F. Shariff
Current Directions in Psychological Science
First Published July 31, 2018

Abstract

Belief in a god or gods is a central feature in the lives of billions of people and a topic of perennial interest within psychology. However, research over the past half decade has achieved a new level of understanding regarding both the ultimate and proximate causes of belief in God. Ultimate causes—the evolutionary influences on a trait—shed light on the adaptive value of belief in God and the reasons why a tendency toward this belief exists in humans. Proximate causes—the immediate influences on the expression of a trait—explain variation and changes in belief. We review this research and discuss remaining barriers to a fuller understanding of belief in God.

The article is here.


Monday, September 3, 2018

Bishop says Catholic Church suffers from 'crisis of sexual morality'

Daniel Burke
CNN.com
Originally posted August 1, 2018

The sexual abuse accusations against a prominent American archbishop reveal a "grievous moral failure" within the Catholic Church, the president of the US Conference of Catholic Bishops said on Tuesday.

Cardinal Daniel DiNardo, president of the Catholic bishops conference, also said the conference "will pursue the many questions" about the accusations against Archbishop Theodore McCarrick "to the full extent of its authority."

"Our Church is suffering from a crisis of sexual morality," DiNardo said. "The way forward must involve learning from past sins."

DiNardo's statement comes as the Catholic Church, including Pope Francis, is facing a quickly escalating sexual abuse scandal that has ensnared top church leaders on several continents.

The information is here.

Sunday, September 2, 2018

Negative effects in psychotherapy

Alexander Rozental, Louis Castonguay, Sona Dimidjian, and others
BJPsych Open (2018) 4, 307–312.

Background

Psychotherapy can alleviate mental distress and improve quality of life, but little is known about its potential negative effects and how to determine their frequency.

Aims

To present a commentary on the current understanding and future research directions of negative effects in psychotherapy.

Method

An anonymous survey was distributed to a select group of researchers, using an analytical framework known as strengths, weaknesses, opportunities and threats.

Results

The researchers perceive an increased awareness of negative effects in psychotherapy in recent years, but also discuss some of the unresolved issues in relation to their definition, assessment and reporting. Qualitative methods and naturalistic designs are regarded as important to pursue, although a number of obstacles to using such methods are identified.

Conclusion

Negative effects of psychotherapy are multifaceted, warranting careful considerations in order for them to be monitored and reported in research settings and routine care.

The info is here.

Saturday, September 1, 2018

Why Ethical People Become Unethical Negotiators

Dina Gerdeman
Forbes.com
Originally posted July 31, 2018

Here is an excerpt:

With profit and greed driving the desire to deceive, it’s not surprising that negotiators often act unethically. But it’s too simplistic to think people always enter a negotiation looking to dupe the other side.

Sometimes negotiators stretch the truth unintentionally, falling prey to what Bazerman and his colleagues call “bounded ethicality” by engaging in unethical behavior that contradicts their values without knowing it.

Why does this happen? In the heat of negotiations, “ethical fading” comes into play, and people are unable to see the ethical implications of their actions because their desire to win gets in the way. The end result is deception.

In business, with dollars at stake, many people will interpret situations in ways that naturally favor them. Take Bazerman’s former dentist, who always seemed too quick to drill. “He was overtreating my mouth, and it didn’t make sense,” he says.

In service professions, he explains, people often have conflicts of interest. For instance, a surgeon may believe that surgery is the proper course of action, but her perception is biased: She has an incentive and makes money off the decision to operate. Another surgeon might just as easily come to the conclusion that if it’s not bothering you, don’t operate. “Lawyers are affected by how long a case takes to settle,” he adds. “

The info is here.