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, February 9, 2019

Are groups more competitive, more selfish-rational or more prosocial bargainers?

UlrikeVollstädt & RobertBöhm
Journal of Behavioral and Experimental Economics
Available online 14 December 2018

Abstract

Often, it is rather groups than individuals that make decisions. In previous experiments, groups have frequently been shown to act differently from individuals in several ways. It has been claimed that inter-group interactions may be (1) more competitive, (2) more selfish-rational, or (3) more prosocial than inter-individual interactions. While some of these observed differences may be due to differences in the experimental setups, it is still not clear which of the three kinds of behavior is prevailing as they have hardly been distinguishable in previous experiments. We use Rubinstein’s alternating offers bargaining game to compare inter-individual with inter-group behavior since it allows separating the predictions of competitive, selfish-rational and prosocial behavior. We find that groups are, on average, more selfish-rational bargainers than individuals, in particular when being in a weak as opposed to a strong position.

From the Conclusion section:

From these four results, we could infer that groups are not more competitive than individuals since being more competitive would mean making higher first round demands and needing more rounds than individuals in both discount factor combinations. Nevertheless, it was not clear
whether the observed behavior was more rational or more prosocial.

A pdf can be downloaded here.

Friday, February 8, 2019

Empathy is hard work: People choose to avoid empathy because of its cognitive costs

Daryl Cameron, Cendri Hutcherson, Amanda Ferguson,  and others
PsyArXiv Preprints
Last edited January 25, 2019

Abstract

Empathy is considered a virtue, yet fails in many situations, leading to a basic question: when given a choice, do people avoid empathy? And if so, why? Whereas past work has focused on material and emotional costs of empathy, here we examined whether people experience empathy as cognitively taxing and costly, leading them to avoid it. We developed the Empathy Selection Task, which uses free choices to assess desire to empathize. Participants make a series of binary choices, selecting situations that lead them to engage in empathy or an alternative course of action. In each of 11 studies (N=1,204) and a meta-analysis, we found a robust preference to avoid empathy, which was associated with perceptions of empathy as effortful, aversive, and inefficacious. Experimentally increasing empathy efficacy eliminated empathy avoidance, suggesting cognitive costs directly cause empathy choice. When given the choice to share others’ feelings, people act as if it’s not worth the effort.

The research is here.

Relational Ethics in Therapeutic Practice

Kenneth J. Gergen
Australian and New Zealand Journal of Family Therapy 2015, 36, 409–418

Abstract

A therapist’s ethical values will not always match those of his/her clients; nor may the values they share be congenial with those central to their acquaintances outside. To whose values should a therapist then be responsible?  Here it is useful to think in terms of first and second order ethics. First order ethics are those common to everyday life; they are under continuous production, and may or may not be fully articulated. They are also in frequent conflict, inciting animosity and hatred. A second order ethic, however, is one that places the supreme value on the relational process from which all ethics spring. It is thus an ethic that prizes those actions that can bring multiple and conflicting voices into productive communication. Illustrative therapeutic practices are provided.

Here is part of the conclusion:

As I am proposing, the ethical posture of the therapist extends far beyond the therapeutic relationship. The therapeutic life-world ripples across an extended sea of relationships. It is in this respect that the relational ethic explored here is also one that incorporates – without condoning – all traditions of moral value. It seeks to move beyond the local worlds in which we dwell and to build bridges among them. This does not mean sacrificing one’s values as a therapist, nor sympathising with all those
proclivities from which clients draw satisfaction. But it does mean resisting the temptation to be right; to know the good. It means enabling the process by which multiple worlds become mutually infused.

A pdf can be downloaded here.

Thursday, February 7, 2019

Do People Believe That They Are More Deontological Than Others?

Ming-Hui Li and Li-Lin Rao
Personality and Social Psychology Bulletin
First published January 20, 2019

Abstract

The question of how we decide that someone else has done something wrong is at the heart of moral psychology. Little work has been done to investigate whether people believe that others’ moral judgment differs from their own in moral dilemmas. We conducted four experiments using various measures and diverse samples to demonstrate the self–other discrepancy in moral judgment. We found that (a) people were more deontological when they made moral judgments themselves than when they judged a stranger (Studies 1-4) and (b) a protected values (PVs) account outperformed an emotion account and a construal-level theory account in explaining this self–other discrepancy (Studies 3 and 4). We argued that the self–other discrepancy in moral judgment may serve as a protective mechanism co-evolving alongside the social exchange mechanism and may contribute to better understanding the obstacles preventing people from cooperation.

The research is here.

Google is quietly infiltrating medicine, but what rules will it play by?

Michael Millenson
STAT News
Originally posted January 3, 2019

Here is an excerpt:

Other tech companies are also making forays into fields previously reserved for physicians as they compete for a slice of the $3.5 trillion health care pie. Renowned surgeon and author Dr. Atul Gawande was hired to head the still-nascent health care joint venture between Amazon, Berkshire Hathaway, and JPMorgan. Apple recently hired more than 50 physicians to tend its growing health care portfolio. Those efforts include Apple Watch apps to detect irregular heart rhythms and falls, a medical record repository on your iPhone, a genetic risk score for heart disease, and a partnership with medical equipment manufacturer Zimmer Biomet aimed at improving knee and hip surgery.

Google is hiring physicians, too. Its high-profile hires include the former chief executives of the Geisinger Clinic and the Cleveland Clinic. The company’s ambitious health care expansion plans reportedly encompass everything from the management of Parkinson’s disease to selling hardware to providers and insurers.

To be clear, I’ve connected the dots among separate Google companies in a way Google might dispute. However, there are some concerns about how and whether any separation of information will be maintained. In November, Bloomberg reported that plans in the United Kingdom to combine an Alphabet subsidiary using artificial intelligence on medical records with the Google search engine were “tripping alarm bells about privacy.”

The info is here.

Wednesday, February 6, 2019

Are scientists’ reactions to ‘CRISPR babies’ about ethics or self-governance?

Nina Frahm and Tess Doezema
STAT News
Originally published January 28, 2019

Here is an excerpt:

The research community widely agreed that He and his colleagues crossed an ethical line with the first inheritable genetic modification of human beings. Gene-editing experts as well as bioethicists described the transgression as being conducted by a “rogue” individual. But when leading voices such as NIH Director Francis Collins assert that He’s work “represents a deeply disturbing willingness by Dr. He and his team to flout international ethical norms,” what are they actually expressing concern about? Who determines what are the ethics of altering human life?

We believe that the alarm being sounded by the scientific community isn’t really about ethics. It’s about protecting a particular form of scientific self-governance, which the “ethics” discourse supports. What are currently treated as matters of research ethics are in fact political and social questions of fundamental human importance.

Key decisions about when and how it will be appropriate to make inheritable changes to human beings currently lie in the hands of scientists. Although ethics are repeatedly invoked, the most prominent condemnations of He’s actions don’t actually address whether it’s ethical to tinker with human life through gene editing. A largely ignored part of the story are the five “draft ethical principles” of He’s lab at the Southern University of Science and Technology of China. If the outcry from scientists was truly about ethics, we would be seeing a discussion of the relative merits of He’s ethical principles, engagement with their content, and perhaps an exploration of how to jointly achieve a better set of operating principles. Instead, the ethics of using CRISPR for germline gene editing have apparently been determined and settled among scientists, closing down a meaningful debate about the limits and opportunities of genetic engineering.

The info is here.

Artificial Intelligence and ethics will drive a patient matching revolution in 2019

Mark Larow
MedCity News
Originally posted January 1, 2019

Here is an excerpt:

Yet nowhere can AI have a more immediate and accessible impact than in patient matching. Currently, health systems have teams of data stewards and health information management (HIM) professionals dedicated to finding, reviewing, researching, and resolving records that their EHR or EMPI has flagged as “potential duplicates.” Essentially, these employees are spending hours each day looking at, for example, a record for Jane Jones and another for Jane Smith, trying to decide if both Janes are actually the same person and if her records should be merged.

Referential matching technology can automate 50-to-75 percent of this manual effort by being an intelligent and data-driven technology. It can automatically find and resolve duplicate records that EHRs and EMPIs have missed, enabling data stewards and HIM staff to focus on higher-value projects—while simultaneously lowering the operational costs and inefficiencies plaguing health systems by automating manual work.

Ultimately, automating the discovery and resolution of duplicate records with referential matching technology can reduce claims denials to save up to $1.5 million, reduce operational costs by at least $200,000, improve the ROI of EHR deployments, and enable value-based care and patient engagement initiatives by enabling more complete and accurate patient health histories.

Ethics

Health systems are increasingly making technology investments not just to reduce costs or improve efficiencies, but also because not using new technologies is becoming unethical. We have reached a tipping point where innovative new technologies are prominent, successful, and inexpensive enough for ethics to begin driving technology purchasing decisions.

The info is here.

Tuesday, February 5, 2019

China's Latest Cloned-Monkey Experiment Is an Ethical Mess

Ryan F. Mandelbaum
www.gizmodo.com
Originally published January 19, 2019

Chinese researchers have cloned five gene-edited monkeys with a host of genetic disease symptoms, according to two scientific papers published today.

The researchers say they want to use the gene-edited macaques for biomedical research; basically, they hope that engineering sick primates will reduce the total number of macaques used in research around the world. But their experiment is a minefield of ethical quandaries—and makes you wonder whether the potential benefits to science are enough to warrant all of the harm to these monkeys.

The researchers began by using CRISPR/Cas9 to alter the DNA of a donor macaque. CRISPR/Cas9 is the often-discussed gene editing tool derived from bacteria that combines repeating sequences of DNA and a DNA-cutting enzyme in order to customize DNA sequences. Experts and the press have heralded it as an important advance due to how quickly and cheaply it can alter DNA, but recent research has demonstrated it may cause more unintended effects than previously thought.

(cut)

This research combines a ton of ethical issues into one package, from those surrounding animal rights to cloning to gene editing. As bioethicist Carolyn Neuhaus from The Hastings Center summarized her reaction to the announcement: “Whoa, this is a doozy.”

The info is here.

Sexual Harassment in Academia: Ethical Climates and Bounded Ethicality

Ann E. Tenbrunsel, McKenzie R. Rees, and Kristina A. Diekmann
Annual Review of Psychology
Vol. 70:245-270 (Volume publication date January 2019)
First published as a Review in Advance on August 29, 2018

Abstract

This article reviews research on sexual harassment, particularly that pertaining to academia, to understand its underlying causes. Arguing that sexual harassment is an ethical issue, we draw on the field of behavioral ethics to structure our review. We first review ethical climate antecedents at the individual, leader, organizational, and environmental levels and examine their effects on both the occurrence of and responses to sexually harassing behaviors. This discussion is followed by an exploration of research that speaks to the cognitive processes of bounded ethicality—including ethical fading, motivated blindness, and the slippery slope—and their role in facilitating and perpetuating sexual harassment. We conclude by highlighting the value to be gained from integrating research on sexual harassment with research on behavioral ethics and identifying several practical steps that can be taken to curb sexual harassment in academia.

The research is here.