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

Monday, March 25, 2019

U.S. companies put record number of robots to work in 2018

Reuters
Originally published February 28, 2019


U.S. companies installed more robots last year than ever before, as cheaper and more flexible machines put them within reach of businesses of all sizes and in more corners of the economy beyond their traditional foothold in car plants.

Shipments hit 28,478, nearly 16 percent more than in 2017, according to data seen by Reuters that was set for release on Thursday by the Association for Advancing Automation, an industry group based in Ann Arbor, Michigan.

Shipments increased in every sector the group tracks, except automotive, where carmakers cut back after finishing a major round of tooling up for new truck models.

The info is here.

Artificial Intelligence and Black‐Box Medical Decisions: Accuracy versus Explainability

Alex John London
The Hastings Center Report
Volume49, Issue1, January/February 2019, Pages 15-21

Abstract

Although decision‐making algorithms are not new to medicine, the availability of vast stores of medical data, gains in computing power, and breakthroughs in machine learning are accelerating the pace of their development, expanding the range of questions they can address, and increasing their predictive power. In many cases, however, the most powerful machine learning techniques purchase diagnostic or predictive accuracy at the expense of our ability to access “the knowledge within the machine.” Without an explanation in terms of reasons or a rationale for particular decisions in individual cases, some commentators regard ceding medical decision‐making to black box systems as contravening the profound moral responsibilities of clinicians. I argue, however, that opaque decisions are more common in medicine than critics realize. Moreover, as Aristotle noted over two millennia ago, when our knowledge of causal systems is incomplete and precarious—as it often is in medicine—the ability to explain how results are produced can be less important than the ability to produce such results and empirically verify their accuracy.

The info is here.

Sunday, March 24, 2019

An Ethical Obligation for Bioethicists to Utilize Social Media

Herron, PD
Hastings Cent Rep. 2019 Jan;49(1):39-40.
doi: 10.1002/hast.978.

Here is an excerpt:

Unfortunately, it appears that bioethicists are no better informed than other health professionals, policy experts, or (even) elected officials, and they are sometimes resistant to becoming informed. But bioethicists have a duty to develop our knowledge and usefulness with respect to social media; many of our skills can and should be adapted to this area. There is growing evidence of the power of social media to foster dissemination of misinformation. The harms associated with misinformation or “fake news” are not new threats. Historically, there have always been individuals or organized efforts to propagate false information or to deceive others. Social media and other technologies have provided the ability to rapidly and expansively share both information and misinformation. Bioethics serves society by offering guidance about ethical issues associated with advances in medicine, science, and technology. Much of the public’s conversation about and exposure to these emerging issues occurs online. If we bioethicists are not part of the mix, we risk yielding to alternative and less authoritative sources of information. Social media’s transformative impact has led some to view it as not just a personal tool but the equivalent to a public utility, which, as such, should be publicly regulated. Bioethicists can also play a significant part in this dialogue. But to do so, we need to engage with social media. We need to ensure that our understanding of social media is based on experiential use, not just abstract theory.

Bioethics has expanded over the past few decades, extending beyond the academy to include, for example, clinical ethics consultants and leadership positions in public affairs and public health policy. These varied roles bring weighty responsibilities and impose a need for critical reflection on how bioethicists can best serve the public interest in a way that reflects and is accountable to the public’s needs.

Saturday, March 23, 2019

The Fake Sex Doctor Who Conned the Media Into Publicizing His Bizarre Research on Suicide, Butt-Fisting, and Bestiality

Jennings Brown
www.gizmodo.com
Originally published March 1, 2019

Here is an excerpt:

Despite Sendler’s claims that he is a doctor, and despite the stethoscope in his headshot, he is not a licensed doctor of medicine in the U.S. Two employees of the Harvard Medical School registrar confirmed to me that Sendler was never enrolled and never received a MD from the medical school. A Harvard spokesperson told me Sendler never received a PhD or any degree from Harvard University.

“I got into Harvard Medical School for MD, PhD, and Masters degree combined,” Sendler told me. I asked if he was able to get a PhD in sexual behavior from Harvard Medical School (Harvard Medical School does not provide any sexual health focuses) and he said “Yes. Yes,” without hesitation, then doubled-down: “I assume that there’s still some kind of sense of wonder on campus [about me]. Because I can see it when I go and visit [Harvard], that people are like, ‘Wow you had the balls, because no one else did that,’” presumably referring to his academic path.

Sendler told me one of his mentors when he was at Harvard Medical School was Yi Zhang, a professor of genetics at the school. Sendler said Zhang didn’t believe in him when he was studying at Harvard. But, Sendler said, he met with Zhang in Boston just a month prior to our interview. And Zhang was now impressed by Sendler’s accomplishments.

Sendler said Zhang told him in January, “Congrats. You did what you felt was right... Turns out, wow, you have way more power in research now than I do. And I’m just very proud of you, because I have people that I really put a lot of effort, after you left, into making them the best and they didn’t turn out that well.”

The info is here.

This is a fairly bizarre story and worth the long read.

Friday, March 22, 2019

We need to talk about systematic fraud

Jennifer Byrne
Nature 566, 9 (2019)
doi: 10.1038/d41586-019-00439-9

Here is an excerpt:

Some might argue that my efforts are inconsequential, and that the publication of potentially fraudulent papers in low-impact journals doesn’t matter. In my view, we can’t afford to accept this argument. Such papers claim to uncover mechanisms behind a swathe of cancers and rare diseases. They could derail efforts to identify easily measurable biomarkers for use in predicting disease outcomes or whether a drug will work. Anyone trying to build on any aspect of this sort of work would be wasting time, specimens and grant money. Yet, when I have raised the issue, I have had comments such as “ah yes, you’re working on that fraud business”, almost as a way of closing down discussion. Occasionally, people’s reactions suggest that ferreting out problems in the literature is a frivolous activity, done for personal amusement, or that it is vindictive, pursued to bring down papers and their authors.

Why is there such enthusiasm for talking about faulty research practices, yet such reluctance to discuss deliberate deception? An analysis of the Diederik Stapel fraud case that rocked the psychology community in 2011 has given me some ideas (W. Stroebe et al. Perspect. Psychol. Sci. 7, 670–688; 2012). Fraud departs from community norms, so scientists do not want to think about it, let alone talk about it. It is even more uncomfortable to think about organized fraud that is so frequently associated with one country. This becomes a vicious cycle: because fraud is not discussed, people don’t learn about it, so they don’t consider it, or they think it’s so rare that it’s unlikely to affect them, and so papers are less likely to come under scrutiny. Thinking and talking about systematic fraud is essential to solving this problem. Raising awareness and the risk of detection may well prompt new ways to identify papers produced by systematic fraud.

Last year, China announced sweeping plans to curb research misconduct. That’s a great first step. Next should be a review of publication quotas and cash rewards, and the closure of ‘paper factories’.

The info is here.

Pop Culture, AI And Ethics

Phaedra Boinodiris
Forbes.com
Originally published February 24, 2019

Here is an excerpt:


5 Areas of Ethical Focus

The guide goes on to outline five areas of ethical focus or consideration:

Accountability – there is a group responsible for ensuring that REAL guests in the hotel are interviewed to determine their needs. When feedback is negative this group implements a feedback loop to better understand preferences. They ensure that at any point in time, a guest can turn the AI off.

Fairness – If there is bias in the system, the accountable team must take the time to train with a larger, more diverse set of data.Ensure that the data collected about a user's race, gender, etc. in combination with their usage of the AI, will not be used to market to or exclude certain demographics.

Explainability and Enforced Transparency – if a guest doesn’t like the AI’s answer, she can ask how it made that recommendation using which dataset. A user must explicitly opt in to use the assistant and provide the guest options to consent on what information to gather.

User Data Rights – The hotel does not own a guest’s data and a guest has the right to have the system purges at any time. Upon request, a guest can receive a summary of what information was gathered by the Ai assistant.

Value Alignment – Align the experience to the values of the hotel. The hotel values privacy and ensuring that guests feel respected and valued. Make it clear that the AI assistant is not designed to keep data or monitor guests. Relay how often guest data is auto deleted. Ensure that the AI can speak in the guest’s respective language.

The info is here.

Thursday, March 21, 2019

Anger as a moral emotion: A 'bird's eye view' systematic review

Tim Lomas
Counseling Psychology Quarterly


Anger is common problem for which counseling/psychotherapy clients seek help, and is typically regarded as an invidious negative emotion to be ameliorated. However, it may be possible to reframe anger as a moral emotion, arising in response to perceived transgressions, thereby endowing it with meaning. In that respect, the current paper offers a ‘bird’s eye’ systematic review of empirical research on anger as a moral emotion (i.e., one focusing broadly on the terrain as a whole, rather than on specific areas). Three databases were reviewed from the start of their records to January 2019. Eligibility criteria included empirical research, published in English in peer-reviewed journals, on anger specifically as a moral emotion. 175 papers met the criteria, and fell into four broad classes of study: survey-based; experimental; physiological; and qualitative. In reviewing the articles, this paper pays particular attention to: how/whether anger can be differentiated from other moral emotions; antecedent causes and triggers; contextual factors that influence or mitigate anger; and outcomes arising from moral anger. Together, the paper offers a comprehensive overview of current knowledge into this prominent and problematic emotion. The results may be of use to counsellors and psychotherapists helping to address anger issues in their clients.

Download the paper here.

Note: Other "symptoms" in mental health can also be reframed as moral issues.  PTSD is similar to Moral Injury.  OCD is highly correlated with scrupulosity, excessive concern about moral purity.  Unhealthy guilt is found in many depressed individuals.  And, psychologists used forgiveness of self and others as a goal in treatment.

China’s CRISPR twins might have had their brains inadvertently enhanced

Antonio Regalado 
MIT Technology Review
Originally posted February 21, 2019

The brains of two genetically edited girls born in China last year may have been changed in ways that enhance cognition and memory, scientists say.

The twins, called Lulu and Nana, reportedly had their genes modified before birth by a Chinese scientific team using the new editing tool CRISPR. The goal was to make the girls immune to infection by HIV, the virus that causes AIDS.

Now, new research shows that the same alteration introduced into the girls’ DNA, deletion of a gene called CCR5, not only makes mice smarter but also improves human brain recovery after stroke, and could be linked to greater success in school.

“The answer is likely yes, it did affect their brains,” says Alcino J. Silva, a neurobiologist at the University of California, Los Angeles, whose lab uncovered a major new role for the CCR5 gene in memory and the brain’s ability to form new connections.

“The simplest interpretation is that those mutations will probably have an impact on cognitive function in the twins,” says Silva. He says the exact effect on the girls’ cognition is impossible to predict, and “that is why it should not be done.”

The info is here.

Wednesday, March 20, 2019

Israel Approves Compassionate Use of MDMA to Treat PTSD

Ido Efrati
www.haaretz.com
Originally posted February 10, 2019

MDMA, popularly known as ecstasy, is a drug more commonly associated with raves and nightclubs than a therapist’s office.

Emerging research has shown promising results in using this “party drug” to treat patients suffering from post-traumatic stress disorder, and Israel’s Health Ministry has just approved the use of MDMA to treat dozens of patients.

MDMA is classified in Israel as a “dangerous drug”, recreational use is illegal, and therapeutic use of MDMA has yet to be formally approved and is still in clinical trials.

However, this treatment is deemed as “compassionate use,” which allows drugs that are still in development to be made available to patients outside of a clinical trial due to the lack of effective alternatives.

The info is here.