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

Tuesday, March 19, 2019

Treasury Secretary Steven Mnuchin's Hollywood ties spark ethics questions in China trade talks

Emma Newburger
CNBC.com
Originally posted March 15, 2019

Treasury Secretary Steven Mnuchin, one of President Donald Trump's key negotiators in the U.S.-China trade talks, has pushed Beijing to grant the American film industry greater access to its markets.

But now, Mnuchin’s ties to Hollywood are raising ethical questions about his role in those negotiations. Mnuchin had been a producer in a raft of successful films prior to joining the Trump administration.

In 2017, he divested his stake in a film production company after joining the White House. But he sold that position to his wife, filmmaker and actress Louise Linton, for between $1 million and $2 million, The New York Times reported on Thursday. At the time, she was his fiancée.

That company, StormChaser Partners, helped produce the mega-hit movie “Wonder Woman,” which grossed $90 million in China, according to the Times. Yet, because of China’s restrictions on foreign films, the producers received a small portion of that money. Mnuchin has been personally engaged in trying to ease those rules, which could be a boon to the industry, according to the Times.

The info is here.

We're Teaching Consent All Wrong

Sarah Sparks
www.edweek.org
Originally published January 8, 2019

Here is an excerpt:

Instead, researchers and educators offer an alternative: Teach consent as a life skill—not just a sex skill—beginning in early childhood, and begin discussing consent and communication in the context of relationships by 5th or 6th grades, before kids start seriously thinking about sex. (Think that's too young? In yet another study, the CDC found 8 in 10 teenagers didn't get sex education until after they'd already had sex.)

Educators and parents often balk at discussing strategies for and examples of consent because "they incorrectly believe that if you teach consent, students will become more sexually active," said Mike Domitrz, founder of the Date Safe Project, a Milwaukee-based sexual-assault prevention program that focuses on consent education and bystander interventions. "It's a myth. Students of both genders are pretty consistent that a lot of the sexual activity that is going on is occurring under pressure."

Studies suggest young women are more likely to judge consent on verbal communication and young men relied more on nonverbal cues, though both groups said nonverbal signals are often misinterpreted. And teenagers can be particularly bad at making decisions about risky behavior, including sexual situations, while under social pressure. Brain studies have found adolescents are more likely to take risks and less likely to think about negative consequences when they are in emotionally arousing, or "hot," situations, and that bad decision-making tends to get even worse when they feel they are being judged by their friends.

Making understanding and negotiating consent a life skill gives children and adolescents ways to understand and respect both their own desires and those of other people. And it can help educators frame instruction about consent without sinking into the morass of long-running arguments and anxiety over gender roles, cultural values, and teen sexuality.

The info is here.

Monday, March 18, 2019

The college admissions scandal is a morality play

Elaine Ayala
San Antonio Express-News
Originally posted March 16, 2019

The college admission cheating scandal that raced through social media and dominated news cycles this week wasn’t exactly shocking: Wealthy parents rigged the system for their underachieving children.

It’s an ancient morality play set at elite universities with an unseemly cast of characters: spoiled teens and shameless parents; corrupt test proctors and paid test takers; as well as college sports officials willing to be bribed and a ring leader who ultimately turned on all of them.

William “Rick” Singer, who went to college in San Antonio, wore a wire to cooperate with FBI investigators.

(cut)

Yet even though they were arrested, the 50 people involved managed to secure the best possible outcome under the circumstances. Unlike many caught shoplifting or possessing small amounts of marijuana and who lack the lawyers and resources to help them navigate the legal system, the accused parents and coaches quickly posted bond and were promptly released without spending much time in custody.

The info is here.

OpenAI's Realistic Text-Generating AI Triggers Ethics Concerns

William Falcon
Forbes.com
Originally posted February 18, 2019

Here is an excerpt:

Why you should care.

GPT-2 is the closest AI we have to make conversational AI a possibility. Although conversational AI is far from solved, chatbots powered by this technology could help doctors scale advice over chats, scale advice for potential suicide victims, improve translation systems, and improve speech recognition across applications.

Although OpenAI acknowledges these potential benefits, it also acknowledges the potential risks of releasing the technology. Misuse could include, impersonate others online, generate misleading news headlines, or automate the automation of fake posts to social media.

But I argue these malicious applications are already possible without this AI. There exist other public models which can already be used for these purposes. Thus, I think not releasing this code is more harmful to the community because A) it sets a bad precedent for open research, B) keeps companies from improving their services, C) unnecessarily hypes these results and D) may trigger unnecessary fears about AI in the general public.

The info is here.

Sunday, March 17, 2019

Actions Speak Louder Than Outcomes in Judgments of Prosocial Behavior

Daniel A. Yudkin, Annayah M. B. Prosser, and Molly J. Crockett
Emotion (2018).

Recently proposed models of moral cognition suggest that people's judgments of harmful acts are influenced by their consideration both of those acts' consequences ("outcome value"), and of the feeling associated with their enactment ("action value"). Here we apply this framework to judgments of prosocial behavior, suggesting that people's judgments of the praiseworthiness of good deeds are determined both by the benefit those deeds confer to others and by how good they feel to perform. Three experiments confirm this prediction. After developing a new measure to assess the extent to which praiseworthiness is influenced by action and outcome values, we show how these factors make significant and independent contributions to praiseworthiness. We also find that people are consistently more sensitive to action than to outcome value in judging the praiseworthiness of good deeds, but not harmful deeds. This observation echoes the finding that people are often insensitive to outcomes in their giving behavior. Overall, this research tests and validates a novel framework for understanding moral judgment, with implications for the motivations that underlie human altruism.

Here is an excerpt:

On a broader level, past work has suggested that judging the wrongness of harmful actions involves a process of “evaluative simulation,” whereby we evaluate the moral status of another’s action by simulating the affective response that we would experience performing the action ourselves (Miller et al., 2014). Our results are consistent with the possibility that evaluative simulation also plays a role in judging the praiseworthiness of helpful actions.  If people evaluate helpful actions by simulating what it feels like to perform the action, then we would expect to see similar biases in moral evaluation as those that exist for moral action. Previous work has shown that individuals often do not act to maximize the benefits that others receive, but instead to maximize the good feelings associated with performing good deeds (Berman et al., 2018; Gesiarz & Crockett, 2015; Ribar & Wilhelm, 2002). Thus, the asymmetry in moral evaluation seen in the present studies may reflect a correspondence between first-person moral decision-making and third-person moral evaluation.

Download the pdf here.

Saturday, March 16, 2019

How Should AI Be Developed, Validated, and Implemented in Patient Care?

Michael Anderson and Susan Leigh Anderson
AMA J Ethics. 2019;21(2):E125-130.
doi: 10.1001/amajethics.2019.125.

Abstract

Should an artificial intelligence (AI) program that appears to have a better success rate than human pathologists be used to replace or augment humans in detecting cancer cells? We argue that some concerns—the “black-box” problem (ie, the unknowability of how output is derived from input) and automation bias (overreliance on clinical decision support systems)—are not significant from a patient’s perspective but that expertise in AI is required to properly evaluate test results.

Here is an excerpt:

Automation bias. Automation bias refers generally to a kind of complacency that sets in when a job once done by a health care professional is transferred to an AI program. We see nothing ethically or clinically wrong with automation, if the program achieves a virtually 100% success rate. If, however, the success rate is lower than that—92%, as in the case presented—it’s important that we have assurances that the program has quality input; in this case, that probably means that the AI program “learned” from a cross section of female patients of diverse ages and races. With diversity of input secured, what matters most, ethically and clinically, is that that the AI program has a higher cancer cell-detection success rate than human pathologists.

Friday, March 15, 2019

Ethical considerations on the complicity of psychologists and scientists in torture

Evans NG, Sisti DA, Moreno JD
Journal of the Royal Army Medical Corps 
Published Online First: 20 February 2019.
doi: 10.1136/jramc-2018-001008

Abstract

Introduction 
The long-standing debate on medical complicity in torture has overlooked the complicity of cognitive scientists—psychologists, psychiatrists and neuroscientists—in the practice of torture as a distinct phenomenon. In this paper, we identify the risk of the re-emergence of torture as a practice in the USA, and the complicity of cognitive scientists in these practices.

Methods 
We review arguments for physician complicity in torture. We argue that these defences fail to defend the complicity of cognitive scientists. We address objections to our account, and then provide recommendations for professional associations in resisting complicity in torture.

Results 
Arguments for cognitive scientist complicity in torture fail when those actions stem from the same reasons as physician complicity. Cognitive scientist involvement in the torture programme has, from the outset, been focused on the outcomes of interrogation rather than supportive care. Any possibility of a therapeutic relationship between cognitive therapists and detainees is fatally undermined by therapists’ complicity with torture.

Conclusion 
Professional associations ought to strengthen their commitment to refraining from engaging in any aspect of torture. They should also move to protect whistle-blowers against torture programmes who are members of their association. If the political institutions that are supposed to prevent the practice of torture are not strengthened, cognitive scientists should take collective action to compel intelligence agencies to refrain from torture.

4 Ways Lying Becomes the Norm at a Company

Ron Carucci
Harvard Business Review
Originally posted February 15, 2019

Here is an excerpt:

Unjust accountability systems. When an organization’s processes for measuring employee contributions is perceived as unfair or unjust, we found it is 3.77 times more likely to have people withhold or distort information. We intentionally excluded compensation in our research, because incentive structures can sometimes play disproportionate roles in influencing behavior, and simply looked at how contribution was measured and evaluated through performance management systems, routine feedback processes, and cultural recognition. One interviewee captured a pervasive sentiment about how destructive these systems can be: “I don’t know why I work so hard. My boss doesn’t have a clue what I do. I fill out the appraisal forms at the end of the year, he signs them and sends them to HR. We pretend to have a discussion, and then we start over. It’s a rigged system.” Our study showed that when accountability processes are seen as unfair, people feel forced to embellish their accomplishments and hide, or make excuses for their shortfalls. That sets the stage for dishonest behavior. Research on organizational injustice shows a direct correlation between an employee’s sense of fairness and a conscious choice to sabotage the organization. And more recent research confirms that unfair comparison among employees leads directly to unethical behavior.

Fortunately, our statistical models show that even a 20% improvement in performance management consistency, as evidenced by employees belief that their contributions have been fairly assessed against known standards, can improve truth telling behavior by 12%.

The info is here.

Thursday, March 14, 2019

An ethical pathway for gene editing

Julian Savulescu & Peter Singer
Bioethics
First published January 29, 2019

Ethics is the study of what we ought to do; science is the study of how the world works. Ethics is essential to scientific research in defining the concepts we use (such as the concept of ‘medical need’), deciding which questions are worth addressing, and what we may do to sentient beings in research.

The central importance of ethics to science is exquisitely illustrated by the recent gene editing of two healthy embryos by the Chinese biophysicist He Jiankui, resulting in the birth of baby girls born this month, Lulu and Nana. A second pregnancy is underway with a different couple. To make the babies resistant to human immunodeficiency virus (HIV), He edited out a gene (CCR5) that produces a protein which allows HIV to enter cells. One girl has both copies of the gene modified (and may be resistant to HIV), while the other has only one (making her still susceptible to HIV).

He Jiankui invited couples to take part in this experiment where the father was HIV positive and the mother HIV negative. He offered free in vitro fertilization (IVF) with sperm washing to avoid transmission of HIV. He also offered medical insurance, expenses and treatment capped at 280,000 RMB/CNY, equivalent to around $40,000. The package includes health insurance for the baby for an unspecified period. Medical expenses and compensation arising from any harm caused by the research were capped at 50,000 RMB/CNY ($7000 USD). He says this was from his own pocket. Although the parents were offered the choice of having either gene‐edited or ‐unedited embryos transferred, it is not clear whether they understood that editing was not necessary to protect their child from HIV, nor what pressure they felt under. There has been valid criticism of the process of obtaining informed consent.4 The information was complex and probably unintelligible to lay people.

The info is here.