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

Friday, November 30, 2018

To regulate AI we need new laws, not just a code of ethics

Paul Chadwick
The Guardian
Originally posted October 28, 2018

Here is an excerpt:

To Nemitz, “the absence of such framing for the internet economy has already led to a widespread culture of disregard of the law and put democracy in danger, the Facebook Cambridge Analytica scandal being only the latest wake-up call”.

Nemitz identifies four bases of digital power which create and then reinforce its unhealthy concentration in too few hands: lots of money, which means influence; control of “infrastructures of public discourse”; collection of personal data and profiling of people; and domination of investment in AI, most of it a “black box” not open to public scrutiny.

The key question is which of the challenges of AI “can be safely and with good conscience left to ethics” and which need law. Nemitz sees much that needs law.

In an argument both biting and sophisticated, Nemitz sketches a regulatory framework for AI that will seem to some like the GDPR on steroids.

Among several large claims, Nemitz argues that “not regulating these all pervasive and often decisive technologies by law would effectively amount to the end of democracy. Democracy cannot abdicate, and in particular not in times when it is under pressure from populists and dictatorships.”

The info is here.

The Knobe Effect From the Perspective of Normative Orders

Andrzej Waleszczyński, Michał Obidziński, & Julia Rejewska
Studia Humana Volume 7:4 (2018), pp. 9—15

Abstract:

The characteristic asymmetry in the attribution of intentionality in causing side effects, known as the Knobe effect, is considered to be a stable model of human cognition. This article looks at whether the way of thinking and analysing one scenario may affect the other and whether the mutual relationship between the ways in which both scenarios are analysed may affect the stability of the Knobe effect. The theoretical analyses and empirical studies performed are based on a distinction between moral and non-moral normativity possibly affecting the judgments passed in both scenarios. Therefore, an essential role in judgments about the intentionality of causing a side effect could be played by normative competences responsible for distinguishing between normative orders.

The research is here.

Thursday, November 29, 2018

Ethical Free Riding: When Honest People Find Dishonest Partners

Jörg Gross, Margarita Leib, Theo Offerman, & Shaul Shalvi
Psychological Science
https://doi.org/10.1177/0956797618796480

Abstract

Corruption is often the product of coordinated rule violations. Here, we investigated how such corrupt collaboration emerges and spreads when people can choose their partners versus when they cannot. Participants were assigned a partner and could increase their payoff by coordinated lying. After several interactions, they were either free to choose whether to stay with or switch their partner or forced to stay with or switch their partner. Results reveal that both dishonest and honest people exploit the freedom to choose a partner. Dishonest people seek a partner who will also lie—a “partner in crime.” Honest people, by contrast, engage in ethical free riding: They refrain from lying but also from leaving dishonest partners, taking advantage of their partners’ lies. We conclude that to curb collaborative corruption, relying on people’s honesty is insufficient. Encouraging honest individuals not to engage in ethical free riding is essential.

Conclusion
The freedom to select partners is important for the establishment of trust and cooperation. As we show here, however, it is also associated with potential moral hazards. For individuals who seek to keep the risk of collusion low, policies providing the freedom to choose one’s partners should be implemented with caution. Relying on people’s honesty may not always be sufficient because honest people may be willing to tolerate others’ rule violations if they stand to profit from them. Our results clarify yet again that people who are not willing to turn a blind eye and stand up to corruption should receive all praise.

Does AI Ethics Need to be More Inclusive?

Patrick Lin
Forbes.com
Originally posted October 29, 2018

Here is an excerpt:

Ethics is more than a survey of opinions

First, as the study’s authors allude to in their Nature paper and elsewhere, public attitudes don’t dictate what’s ethical or not.  People believe all kinds of crazy things—such as that slavery should be permitted—but that doesn’t mean those ethical beliefs are true or have any weight.  So, capturing responses of more people doesn’t necessarily help figure out what’s ethical or not.  Sometimes, more is just more, not better or even helpful.

This is the difference between descriptive ethics and normative ethics.  The former is more like sociology that simply seeks to describe what people believe, while the latter is more like philosophy that seeks reasons for why a belief may be justified (or not) and how things ought to be.

Dr. Edmond Awad, lead author of the Nature paper, cautioned, “What we are trying to show here is descriptive ethics: peoples’ preferences in ethical decisions.  But when it comes to normative ethics, which is how things should be done, that should be left to experts.”

Nonetheless, public attitudes are a necessary ingredient in practical policymaking, which should aim at the ethical but doesn’t always hit that mark.  If expert judgments in ethics diverge too much from public attitudes—asking more from a population than what they’re willing to agree to—that’s a problem for implementing the policy, and a resolution is needed.

The info is here.

Wednesday, November 28, 2018

Why good businesspeople do bad things

Joseph Holt
The Chicago Tribune
Originally posted October 30, 2018

Here is an excerpt:

Businesspeople are also more likely to engage in bad behavior if they assume that their competitors are doing so and that they will be at a competitive disadvantage if they do not.

A 2006 study showed that MBA students in the U.S. and Canada were more likely to cheat than other graduate students. One of the authors of the study, Donald McCabe, explained in an article that the cheating was a result of MBA students’ “succeed-at-all-costs mentality” and the belief that they were acting the way they believed they needed to act to succeed in the corporate world.

Casey Donnelly, Gatto’s attorney, claimed in her opening statement at the trial that “every major apparel company” engaged in the same payment practice, and that her client was simply attempting to “level the playing field.”

Federal authorities engaged in a yearslong investigation of shadowy dealings involving shoe companies, sports agents, college coaches and top high school basketball players have reportedly looked into Nike and Under Armour as well as Adidas.

Time will tell whether those companies were involved in similar payment schemes.

The info is here.

Promoting wellness and stress management in residents through emotional intelligence training

Ramzan Shahid, Jerold Stirling, William Adams
Advances in Medical Education and Practice ,Volume 9

Background: 

US physicians are experiencing burnout in alarming numbers. However, doctors with high levels of emotional intelligence (EI) may be immune to burnout, as they possess coping strategies which make them more resilient and better at managing stress. Educating physicians in EI may help prevent burnout and optimize their overall wellness. The purpose of our study was to determine if educational intervention increases the overall EI level of residents; specifically, their stress management and wellness scores.

Participant and methods: 

Residents from pediatrics and med-ped residency programs at a university-based training program volunteered to complete an online self-report EI survey (EQ-i 2.0) before and after an educational intervention. The four-hour educational workshop focused on developing four EI skills: self-awareness; self-management; social awareness; and social skills. We compared de-identified median score reports for the residents as a cohort before and after the intervention.

Results: 

Thirty-one residents (20 pediatric and 11 med-ped residents) completed the EI survey at both time intervals and were included in the analysis of results. We saw a significant increase in total EI median scores before and after educational intervention (110 vs 114, P=0.004). The stress management composite median score significantly increased (105 vs 111, P<0.001). The resident’s overall wellness score also improved significantly (104 vs 111, P=0.003).

Conclusions: 

As a group, our pediatric and med-peds residents had a significant increase in total EI and several other components of EI following an educational intervention. Teaching EI skills related to the areas of self-awareness, self-management, social awareness, and social skill may improve stress management skills, promote wellness, and prevent burnout in resident physicians.

The research is here.

Tuesday, November 27, 2018

A fate worse than death

Cathy Rentzenbrink
Prospect Magazine
Originally posted March 18, 2018

Here is an excerpt:

We have lost our way with death. Improvements in medicine have led us to believe that a long and fulfilling life is our birthright. Death is no longer seen as the natural consequence of life but as an inconvenient and unjust betrayal. We are in an age of denial.

Why does this matter? Why not allow ourselves this pleasant and surely harmless delusion? It matters because we are in a peculiar and precise period of history where our technological advances enable us to keep people alive when we probably shouldn’t. Life or death is no longer a black and white situation. There are many and various shades of grey. We behave as though death is the worst outcome, but it isn’t.

Many years after the accident, when I wrote a book about it called The Last Act of Love, I catalogued what happened to me as I witnessed the destruction of my brother. I detailed the drinking and the depression. The hardest thing was tracking our journey from hope to despair. I still find it hard to be precise about exactly when and how I realised that Matty would be better off dead. I know I moved from being convinced that if I tried hard enough I could bring Matty back to life, to thinking I should learn to love him as he was. Eventually I asked myself the right question: would Matty himself want to be alive like this? Of course, the answer was no.

The info is here.

Therapist empathy and client outcome: An updated meta-analysis

Elliott, R., Bohart, A. C., Watson, J. C., & Murphy, D. (2018).
Psychotherapy, 55(4), 399-410.

Abstract

Put simply, empathy refers to understanding what another person is experiencing or trying to express. Therapist empathy has a long history as a hypothesized key change process in psychotherapy. We begin by discussing definitional issues and presenting an integrative definition. We then review measures of therapist empathy, including the conceptual problem of separating empathy from other relationship variables. We follow this with clinical examples illustrating different forms of therapist empathy and empathic response modes. The core of our review is a meta-analysis of research on the relation between therapist empathy and client outcome. Results indicated that empathy is a moderately strong predictor of therapy outcome: mean weighted r = .28 (p < .001; 95% confidence interval [.23, .33]; equivalent of d = .58) for 82 independent samples and 6,138 clients. In general, the empathy–outcome relation held for different theoretical orientations and client presenting problems; however, there was considerable heterogeneity in the effects. Client, observer, and therapist perception measures predicted client outcome better than empathic accuracy measures. We then consider the limitations of the current data. We conclude with diversity considerations and practice recommendations, including endorsing the different forms that empathy may take in therapy.


Clinical Impact Statement—
Question: Does therapist empathy predict success in psychotherapy? 
Findings: In general, clients have moderately better outcomes in psychotherapy when clients, therapists, and observers perceive therapists as understanding them. 
Meaning: Empathy is an important element of any therapeutic relationship, and worth the investment of time and effort required to do it well and consistently. 
Next Steps: Careful research using diverse methods is needed to firmly establish and explain the causal role of therapist empathy in bringing about client outcome; clinicians can contribute by identifying situations in which empathy may be particularly valuable or conversely contraindicated.

Monday, November 26, 2018

First gene-edited babies claimed in China

Marilynn Marchione
Associated Press
Originally posted today

A Chinese researcher claims that he helped make the world’s first genetically edited babies — twin girls born this month whose DNA he said he altered with a powerful new tool capable of rewriting the very blueprint of life.

If true, it would be a profound leap of science and ethics.

A U.S. scientist said he took part in the work in China, but this kind of gene editing is banned in the United States because the DNA changes can pass to future generations and it risks harming other genes.

Many mainstream scientists think it’s too unsafe to try, and some denounced the Chinese report as human experimentation.

The researcher, He Jiankui of Shenzhen, said he altered embryos for seven couples during fertility treatments, with one pregnancy resulting thus far. He said his goal was not to cure or prevent an inherited disease, but to try to bestow a trait that few people naturally have — an ability to resist possible future infection with HIV, the AIDS virus.

The info is here.