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, June 11, 2019

The Lawyer Who Wants to Transform Legal Ethics with Behavioral Science

Brian Gallagher
www.ethicalsystems.org
Originally posted May 28, 2019

Here is an excerpt:

In a paper on the psychology of conflicts of interest, you wrote that, “Too often, the Supreme Court has made assumptions about the behavior of defense lawyers without empirical support.” How does behavioral science inform the way the Supreme Court should think about defense lawyers?

In the last 40 years, the Supreme Court has analyzed conflicts of interest in a manner that, I believe, makes unsupported assumptions about how criminal defense lawyers respond to allegations about their own misbehavior. My argument is that lawyers—like all people—are poorly equipped to recognize and address their own conflicts of interest. As a result, I propose that constitutional standards for conflicts of interest should be treated more like the ethical rules concerning conflicts, which focus on the risk that a conflict will influence a lawyer’s behavior rather than whether a conflict has, in fact, caused an adverse effect on the legal representation that a client received. I’m happy that my analysis has been cited by a few state courts that have looked at these and similar issues—and who knows, maybe someday the Supreme Court will cite behavioral research in forming its opinion on this topic.

You recently shared a paper on your blog, calling it a “fascinating discussion of the role of behavioral ethics in the context of judicial decision-making.” Which points or lessons stood out to you the most?

Interestingly, in a series of decisions about the constitutional standards for judicial conflicts of interest, the Supreme Court seems to be a bit more behaviorally realistic about conflicts of interest than it has been about attorney conflicts. For instance, in a case from a few terms ago, the Supreme Court—in deciding whether a justice on the Pennsylvania Supreme Court could properly adjudicate a death penalty case when he had previously been the prosecutor who authorized capital charges against the defendant—noted that “bias is easy to attribute to others and difficult to discern in oneself.” The Court went even further, noting that when a judge is asked to participate in a case in which he or she previously served as a prosecutor, there is “a risk that the judge would be so psychologically wedded to his or her previous position as a prosecutor that the judge would consciously or unconsciously avoid the appearance of having erred or changed position.”

The info is here.

Moral character: What it is and what it does

Cohen, T. R., & Morse, L. (2014).
In A. P. Brief & B. M. Staw (Eds.), Research in Organizational Behavior.

Abstract

Moral character can be conceptualized as an individual’s disposition to think, feel, and behave in an ethical versus unethical manner, or as the subset of individual differences relevant to morality. This essay provides an organizing framework for understanding moral character and its relationship to ethical and unethical work behaviors. We present a tripartite model for understanding moral character, with the idea that there are motivational, ability, and identity elements. The motivational element is consideration of others—referring to a disposition toward considering the needs and interests of others, and how one’s own actions affect other people. The ability element is self-regulation—referring to a disposition toward regulating one’s behavior effectively, specifically with reference to behaviors that have positive short-term consequences but negative long-term consequences for oneself or others. The identity element is moral identity—referring to a disposition toward valuing morality and wanting to view oneself as a moral person. After unpacking what moral character is, we turn our attention to what moral character does, with a focus on how it influences unethical behavior, situation selection, and situation creation. Our research indicates that the impact of moral character on work outcomes is significant and consequential, with important implications for research and practice in organizational behavior.

A copy can be downloaded here.

Monday, June 10, 2019

A Missed Opportunity for the Malpractice System to Improve Health Care

Aaron Carroll
The New York Times
Originally posted May 27, 2019

Here are two excerpts:

First, the good news: These doctors quit at higher rates than other physicians. And they also tend not to pick up and move somewhere else to start fresh (which many thought they’d do given that licenses and malpractice are regulated at the state level).

But the overwhelming majority of doctors who had five or more paid claims kept on going. And they also moved to solo practice and small groups more often, where there’s even less oversight, so those problematic doctors may produce even worse outcomes.

We have long known that some doctors are likelier than others to be sued. Those who practice in certain higher-risk specialties — like surgery, obstetrics and gynecology, and emergency medicine — are more likely to be sued than those in lower-risk specialties like family medicine, pediatrics and psychiatry. Men are more likely to be sued than women. Lawsuits seem to peak when doctors are around 40.

(cut)

Those who accumulated more claims were more likely to stop practicing medicine. Even though they were more likely to retire, more than 90 percent of doctors who had at least five claims were still in practice.

Physicians with more claims were also not any more likely than those with fewer or no complaints to move to another state and continue practicing. This is actually one of the reasons the practitioner data bank was created — to prevent doctors from running away from their history by moving between states. In that respect, it appears to be working.

What’s worrisome, though, is that physicians with more claims shifted their type of practice. Those with five or more claims had more than twice the odds of moving into solo practice.

The info is here.

Does evolutionary biology contribute to ethics?

Bateson, P.
Biol Philos (1989) 4: 287.
https://doi.org/10.1007/BF02426629

Abstract

Human propensities that are the products of Darwinian evolution may combine to generate a form of social behavior that is not itself a direct result of such pressure. This possibility may provide a satisfying explanation for the origin of socially transmitted rules such as the incest taboo. Similarly, the regulatory processes of development that generated adaptations to the environment in the circumstances in which they evolved can produce surprising and sometimes maladaptive consequences for the individual in modern conditions. These combinatorial aspects of social and developmental dynamics leave a subtle but not wholly uninteresting role for evolutionary biology in explaining the origins of human morality.

Sunday, June 9, 2019

German ethics council expresses openness to eventual embryo editing

Sharon Begley
www.statnews.com
Originally posted May 13, 2019

Here is an excerpt:

The council’s openness to human germline editing was notable, however. Because of the Nazis’ eugenics programs and horrific human medical experiments, Germany has historically been even warier than other Western countries of medical technologies that might violate human dignity or could be exploited for eugenic purposes. The country’s 1990 Embryo Protection Act prohibits germline modifications for the purpose of reproduction.

“Germany has been very reluctant to get involved with anything that could lead to a re-introduction of eugenic practices in their society,” Annas said.

Despite that history, a large majority of the council called further development and possible use of germline editing “a legitimate ethical goal when aimed at avoiding or reducing genetically determined disease risks,” it said in a statement. If the procedure can be shown not to harm embryos or the children they become, it added, then altering a gene that otherwise causes a devastating illness such as cystic fibrosis or sickle cell is acceptable.

While some ethicists and others argue against embryo editing on the ground that it violates the embryos’ dignity, the German council wrote, “the question also arises as to whether the renunciation of germline intervention, which could spare the people concerned severe suffering, would not violate their human dignity, too.” Similarly, failing to intervene in order to spare a future child pain and suffering “would at least have to be justified,” the council said, echoing arguments that some families with a history of inherited diseases have.

The info is here.

Saturday, June 8, 2019

Anger, Fear, and Echo Chambers: The Emotional Basis for Online Behavior

Wollebæk, D., Karlsen, R., Steen-Johnsen, K., & Enjolras, B.
(2019). Social Media + Society. 
https://doi.org/10.1177/2056305119829859

Abstract

Emotions, such as anger and fear, have been shown to influence people’s political behavior. However, few studies link emotions specifically to how people debate political issues and seek political information online. In this article, we examine how anger and fear are related to politics-oriented digital behavior, attempting to bridge the gap between the thus far disconnected literature on political psychology and the digital media. Based on survey data, we show that anger and fear are connected to distinct behaviors online. Angry people are more likely to engage in debates with people having both similar and opposing views. They also seek out information confirming their views more frequently. Anxious individuals, by contrast, tend to seek out information contradicting their opinions. These findings reiterate predictions made in the extant literature concerning the role of emotions in politics. Thus, we argue that anger reinforces echo chamber dynamics and trench warfare dynamics in the digital public sphere, while fear counteracts these dynamics.

Discussion and Conclusion

The analyses have shown that anger and fear have distinct effects on echo chamber and trench warfare dynamics in the digital sphere. With regard to the debate dimension, we have shown that anger is positively related to participation in online debates. This finding confirms the results of a recent study by Hasell and Weeks (2016). Importantly, however, the impact of anger is not limited to echo chamber discussions with like-minded and similar people. Angry individuals are also over-represented in debates between people holding opposing views and belonging to a different class or
ethnic background. This entails that regarding online debates, anger contributes more to what has been previously labeled as trench warfare dynamics than to echo chamber dynamics.

The research is here.

Friday, June 7, 2019

Trading morality for a good economy

Michael Gerson
www.dailyherald.com
Originally posted May 28, 2019

Here is an excerpt:

Bennett went on to talk about how capitalism itself depends on good private character; how our system of government requires leaders of integrity; how failings of character can't be neatly compartmentalized. "A president whose character manifests itself in patterns of reckless personal conduct, deceit, abuse of power and contempt for the rule of law," he wrote, "cannot be a good president."

Above all, Bennett argued that the cultivation of character depends on the principled conduct of those in positions of public trust. "During moments of crisis," he wrote, "of unfolding scandal, people watch closely. They learn from what they see. And they often embrace a prevailing attitude and ethos, and employ what seems to work for others. So it matters if the legacy of the president is that the ends justify the means; that rules do not apply across the board; that lawlessness can be excused. It matters, too, if we demean the presidency by lowering our standards of expectations for the office and by redefining moral authority down. It matters if truth becomes incidental, and public office is used to cover up misdeeds. And it matters if we treat a president as if he were a king, above the law."

All this was written while Bill Clinton was president. And Bennett himself now seems reluctant to apply these rules "across the board" to a Republican president. This is not unusual. It is the political norm to ignore the poor character of politicians we agree with. But this does nothing to discredit Bennett's argument.

If you are a sexual harasser who wants to escape consequences, or a businessperson who habitually plays close to ethical lines, your hour has come. If you dream of having a porn-star mistress, or hope to game the tax system for your benefit, you have found your man and your moment. For all that is bent and sleazy, for all that is dishonest and dodgy, these are the golden days.

The info is here.

Cameras Everywhere: The Ethics Of Eyes In The Sky

Tom Vander Ark
Forbes.com
Originally posted May 8, 2019

Pictures from people's houses can predict the chances of that person getting into a car accident. The researchers that created the system acknowledged that "modern data collection and computational techniques...allow for unprecedented exploitation of personal data, can outpace development of legislation and raise privacy threats."

Hong Kong researchers created a drone system that can automatically analyze a road surface. It suggests that we’re approaching the era of automated surveillance for civil and military purposes.

In lower Manhattan, police are planning a surveillance center where officers can view thousands of video cameras around the downtown.


Microsoft turned down the sale of facial recognition software to California law enforcement arguing that innocent women and minorities would be disproportionately held for questioning. It suggests that the technology is running ahead of public policy but not ready for equitable use. 

And speaking of facial recognition, Jet Blue has begun using it in lieu of boarding passes on some flights much to the chagrin of some passengers who wonder when they gave consent for this application and who has access to what biometric data.

The info is here.

Thursday, June 6, 2019

A socio-historical take on the meta-problem of consciousness

Hakwan Lau and Matthias Michel
PsyArXiv Preprints
Last Edited May 21, 2019

Abstract

Whether consciousness is hard to explain depends on the notion of explanation at play. Importantly, for an explanation to be successful, it is necessary to have a correct understanding of the relevant basic empirical facts (i.e. the explanans). We review socio-historical factors that account for why, as a field, the neuroscience of consciousness has not been particularly successful at getting the basic facts right. And yet, we tend to aim for explanations of an unrealistically and unnecessarily ambitious nature. This discrepancy between ambitious notions of explanations and the relatively poor quality of explanans may account for what Chalmers calls “the meta-problem”.

The paper is here.