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, January 26, 2019

People use less information than they think to make up their minds

Nadav Klein and Ed O’Brien
PNAS December 26, 2018 115 (52) 13222-13227

Abstract

A world where information is abundant promises unprecedented opportunities for information exchange. Seven studies suggest these opportunities work better in theory than in practice: People fail to anticipate how quickly minds change, believing that they and others will evaluate more evidence before making up their minds than they and others actually do. From evaluating peers, marriage prospects, and political candidates to evaluating novel foods, goods, and services, people consume far less information than expected before deeming things good or bad. Accordingly, people acquire and share too much information in impression-formation contexts: People overvalue long-term trials, overpay for decision aids, and overwork to impress others, neglecting the speed at which conclusions will form. In today’s information age, people may intuitively believe that exchanging ever-more information will foster better-informed opinions and perspectives—but much of this information may be lost on minds long made up.

Significance

People readily categorize things as good or bad, a welcome adaptation that enables action and reduces information overload. The present research reveals an unforeseen consequence: People do not fully appreciate this immediacy of judgment, instead assuming that they and others will consider more information before forming conclusions than they and others actually do. This discrepancy in perceived versus actual information use reveals a general psychological bias that bears particular relevance in today’s information age. Presumably, one hopes that easy access to abundant information fosters uniformly more-informed opinions and perspectives. The present research suggests mere access is not enough: Even after paying costs to acquire and share ever-more information, people then stop short and do not incorporate it into their judgments.

Friday, January 25, 2019

Decision-Making and Self-Governing Systems

Adina L. Roskies
Neuroethics
October 2018, Volume 11, Issue 3, pp 245–257

Abstract

Neuroscience has illuminated the neural basis of decision-making, providing evidence that supports specific models of decision-processes. These models typically are quite mechanical, the realization of abstract mathematical “diffusion to bound” models. While effective decision-making seems to be essential for sophisticated behavior, central to an account of freedom, and a necessary characteristic of self-governing systems, it is not clear how the simple models neuroscience inspires can underlie the notion of self-governance. Drawing from both philosophy and neuroscience I explore ways in which the proposed decision-making architectures can play a role in systems that can reasonably be thought of as “self-governing”.

Here is an excerpt:

The importance of prospection for self-governance cannot be underestimated. One example in which it promises to play an important role is in the exercise of and failures of self-control. Philosophers have long been puzzled by the apparent possibility of akrasia or weakness of will: choosing to act in ways that one judges not to be in one’s best interest. Weakness of will is thought to be an example of irrational choice. If one’s theory of choice is that one always decides to pursue the option that has the highest value, and that it is rational to choose what one most values, it is hard to explain irrational choices. Apparent cases of weakness of will would really be cases of mistaken valuation: overvaluing an option that is in fact not the most valuable option. And indeed, if one cannot rationally criticize the strength of desires (see Hume’s famous observation that “it is not against reason that I should prefer the destruction of half the world to the pricking of my little finger”), we cannot explain irrational choice.

The article is here.

Study Links Drug Maker Gifts for Doctors to More Overdose Deaths

Abby Goodnough
The New York Times
Originally posted January 18, 2019

A new study offers some of the strongest evidence yet of the connection between the marketing of opioids to doctors and the nation’s addiction epidemic.

It found that counties where opioid manufacturers offered a large number of gifts and payments to doctors had more overdose deaths involving the drugs than counties where direct-to-physician marketing was less aggressive.

The study, published Friday in JAMA Network Open, said the industry spent about $40 million promoting opioid medications to nearly 68,000 doctors from 2013 through 2015, including by paying for meals, trips and consulting fees. And it found that for every three additional payments that companies made to doctors per 100,000 people in a county, overdose deaths involving prescription opioids there a year later were 18 percent higher.

Even as the opioid epidemic was killing more and more Americans, such marketing practices remained widespread. From 2013 through 2015, roughly 1 in 12 doctors received opioid-related marketing, according to the study, including 1 in 5 family practice doctors.

The info is here.

Thursday, January 24, 2019

Facebook’s Suicide Algorithms are Invasive

Michael Spencer
www.medium.com
Originally published January 6, 2019

Here is an excerpt:

Facebook is scanning nearly every post on the platform in an attempt to assess suicide risk. Sadly, Facebook has a long history of conducting “experiments” on its users. It’s hard to own a stock that itself isn’t trustworthy either for democracy or our personal data.

Facebook acts a bit like a social surveillance program, where it passes the information (suicide score) along to law enforcement for wellness checks. That’s pretty much like state surveillance, what’s the difference?

Privacy experts say Facebook’s failure to get affirmative consent from users for the program presents privacy risks that could lead to exposure or worse. Facebook has a history with sharing our personal data with other technology companies. So we are being profiled in the most intimate ways by third parties we didn’t even know had our data.

In March 2017, Facebook launched an ambitious project to prevent suicide with artificial intelligence but what is the real reason they make these contructs? It’s to monetize our data, it’s not to “help humanity” or connect the world.

The info is here.

What Could Be Wrong with a Little ‘Moral Clarity’?

Frank Guan
The New York Times Magazine
Originally posted January 2, 2019

If, in politics, words are weapons, they often prove themselves double—edged. So it was when, on the summer night that Alexandria Ocasio—Cortez learned that she had won a Democratic congressional primary over a 10-term incumbent, she provided a resonant quote to a TV reporter. “I think what we’ve seen is that working—class Americans want a clear champion,” she said, “and there is nothing radical about moral clarity in 2018.” Dozens of news videos and articles would cite those words as journalists worked to interpret what Ocasio—Cortez’s triumph, repeated in November’s general election, might represent for the American left and its newest star.

Until recently, “moral clarity” was more likely to signal combativeness toward the left, not from it: It served for decades as a badge of membership among conservative hawks and cultural crusaders. But in the Trump era, militant certainty takes precedence across the political spectrum. On the left, “moral clarity” can mean taking an unyielding stand against economic inequality or social injustice, climate change or gun violence. Closer to the center, it can take on a sonorous, transpartisan tone, as when Senator Robert Menendez, a Democrat, and former Speaker Paul Ryan, a Republican, each called for “moral clarity” in the White House reaction to the murder of the journalist Jamal Khashoggi. And it can fly beyond politics altogether, as when the surgeon and author Atul Gawande writes that better health care “does not take genius. It takes diligence. It takes moral clarity.” We hear about moral clarity any time there is impatience with equivocation, delay, conciliation and confusion — whenever people long for rapid action based on truths they hold to be self—evident.

The info is here.

Wednesday, January 23, 2019

New tech doorbells can record video, and that's an ethics problem

Molly Wood
www.marketplace.org
Originally posted January 17, 2019

Here is an excerpt:

Ring is pretty clear in its terms and conditions that people are allowing Ring employees to access videos, not live streams, but cached videos. And that's in order to train that artificial intelligence to be better at recognizing neighbors, because they're trying to roll out a feature where they use facial recognition to match with the people that are considered safe. So if I have the Ring cameras, I can say, "All these are safe people. Here's pictures of my kids, my neighbors. If it's not one of these people, consider them unsafe." So that's a new technology. They need to be able to train their algorithms to recognize who's a person, what's a car, what's a cat. Some subset of the videos that are being uploaded just for typical usage are then being shared with their research team in the Ukraine.

The info is here.

What if consciousness is just a product of our non-conscious brain?

Peter Halligan and David A Oakley
The Conversation
Originally published December 20, 2018

Here is an excerpt:

The non-conscious nature of being

Previously, we argued that while undeniably real, the “experience of consciousness” or subjective awareness is precisely that – awareness. No more, no less. We proposed that while consciousness is created by brain systems, it has no causal relationship with or control over mental processes. The fact that personal awareness accompanies the contents of the personal narrative is causally compelling. But it is not necessarily relevant to understanding and explaining the psychological processes underpinning them.

This quote from George Miller – one of the founders of cognitive psychology – helps explain this idea. When one recalls something from memory, “consciousness gives no clue as to where the answer comes from; the processes that produce it are unconscious. It is the result of thinking, not the process of thinking, that appears spontaneously in consciousness”.

Taking this further, we propose that subjective awareness – the intimate signature experience of what it is like to be conscious – is itself a product of non-conscious processing. This observation, was well captured by pioneering social psychologist Daniel Wegner when he wrote that, “unconscious mechanisms create both conscious thought about action and the action, and also produce the sense of will we experience by perceiving the thought as the cause of the action”.

The info is here.

Tuesday, January 22, 2019

Proceedings Start Against ‘Sokal Squared’ Hoax Professor

Katherine Mangan
The Chronicle of Higher Education
Originally posted January 7, 2019

Here is an excerpt:

The Oregon university’s institutional review board concluded that Boghossian’s participation in the elaborate hoax had violated Portland State’s ethical guidelines, according to documents Boghossian posted online. The university is considering a further charge that he had falsified data, the documents indicate.

Last month Portland State’s vice president for research and graduate studies, Mark R. McLellan, ordered Boghossian to undergo training on human-subjects research as a condition for getting further studies approved. In addition, McLellan said he had referred the matter to the president and provost because Boghossian’s behavior "raises ethical issues of concern."

Boghossian and his supporters have gone on the offensive with an online press kit that links to emails from Portland State administrators. It also includes a video filmed by a documentary filmmaker that shows Boghossian reading an email that asks him to appear before the institutional review board in October. In the video, Boghossian discusses the implications of potentially being found responsible for professional misconduct. He’s speaking with his co-authors, Helen Pluckrose, a self-described "exile from the humanities" who studies medieval religious writings about women, and James A. Lindsay, an author and mathematician.

The info is here.

Kaiser settled 2014 patient-dumping class-action suit earlier this year

Michael McCough
The Sacramento Bee
Originally posted December 20, 2018

Kaiser Foundation Health Plan recently settled a 2014 class-action lawsuit stemming from two allegations that it dumped patients with severe mental illness.

Plaintiffs Douglas Kerr and Barbara Knighton alleged that in separate incidents, Kaiser psychiatrists told them their sons needed to be transferred to locked residential facilities called IMDs (institutions for mental disease) for treatment, according to court documents. Knighton and Kerr claimed they were both told they should remove their children from their Kaiser health plans in 2014 to be transferred to these county-run institutions — a change that shifted the costs of treatment from Kaiser to government-funded programs such as Medi-Cal.

Despite the settlement, Kaiser said in a statement it continues to dispute some of the claims included in the lawsuit.

“In certain relatively rare cases, Kaiser Permanente members entered a specialized type of locked mental health facility that often preferred Medi-Cal coverage to private insurance,” Kaiser Vice President of Communications John Nelson said in an emailed statement. “In some of these cases, cancellation of Kaiser Permanente coverage was required to enter the facility. However, this was not Kaiser Permanente’s requirement, and we cover many members’ care at such facilities. Any decision to cancel coverage was made by a court-appointed conservator.”

The info is here.