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 18, 2019

A tech challenge? Fear not, many AI issues boil down to ethics

Peter Montagnon
www.ft.com
Originally posted June 3, 2019

Here is an excerpt:

Ethics are particularly important when technology enters the governance agenda. Machines may be capable of complex calculation but they are so far unable to make qualitative or moral judgments.

Also, the use and manipulation of a massive amount of data creates an information asymmetry. This confers power on those who control it at the potential expense of those who are the subject of it.

Ultimately there must always be human accountability for the decisions that machines originate.

In the corporate world, the board is where accountability resides. No one can escape this. To exercise their responsibilities, directors do not need to be as expert as tech teams. For sure, they need to be familiar with the scope of technology used by their companies, what it can and cannot do, and where the risks and opportunities lie.

For that they may need trustworthy advice from either the chief technology officer or external experts, but the decisions will generally be about what is acceptable and what is not.

The risks may well be of a human rather than a tech kind. With the motor industry, one risk with semi-automated vehicles is that the owners of such cars will think they can do more on autopilot than they can. It seems most of us are bad at reading instructions and will need clear warnings, perhaps to the point where the car may even seem disappointing.

The info is here.


Psychologists Mitchell and Jessen called to testify about ‘torture’ techniques in 9/11 tribunals

Thomas Clouse
www.spokesman.com
Originally posted May 20, 2019

Two Spokane psychologists who devised the “enhanced interrogation” techniques that a federal judge later said constituted torture could testify publicly for the first time at a military tribunal at Guantanamo Bay, Cuba, that is trying five men charged with helping to plan and assist in the 9/11 attacks.

James E. Mitchell and John “Bruce” Jessen are among a dozen government-approved witnesses for the defense at the military tribunal. Mitchell and Jessen’s company was paid about $81 million by the CIA for providing and sometimes carrying out the interrogation techniques, which included waterboarding, during the early days of the post 9/11 war on terror.

“This will be the first time Dr. Mitchell and Dr. Jessen will have to testify in a criminal proceeding about the torture program they implemented,” said James Connell, a lawyer for Ammar al Baluchi, one of the five Guantanamo prisoners.

Both Mitchell and Jessen were deposed but were never forced to testify as part of a civil suit filed in 2015 in Spokane by the ACLU on behalf of three former CIA prisoners, Gul Rahman, Suleiman Abdullah Salim and Mohamed Ahmed Ben Soud.

According to court records, Rahman was interrogated in a dungeon-like Afghanistan prison in isolation, subjected to darkness and extreme cold water, and eventually died of hypothermia. The other two men are now free.

The U.S. government settled that civil suit in August 2017 just weeks before it was scheduled for trial in Spokane before U.S. District Court Judge Justin Quackenbush.

The info is here.

Monday, June 17, 2019

How Jared Kushner is the ultimate test for US ethics laws

Image result for jared kushnerZachary Wolf
www.CNN.com
Originally posted June 14, 2019


Here is an excerpt:

Some of the things we knew about Kushner already are that he's in charge of coming up with a Middle East peace plan, he's been chummy with the Saudi crown prince the CIA thinks ordered the murder of a US-based journalist and he had trouble getting a security clearance.

But there is so very much we don't know about him. According to a report in the Guardian, a real estate company called Cadre in which he has an interest got some money from Saudi Arabia through an offshore fund run by Goldman Sachs. Their report is based on two unnamed sources. CNN has not independently verified the report.

If true, does that mean Kushner can't be involved in Middle East policy? Apparently not. The situation illustrates that the US laws meant to identify conflicts of interest don't do much to prevent them, particularly when it comes to extremely rich people like Kushner with complicated financial root systems.

Cadre is among scores of LLCs in which Kushner reported owning a stake. In his filings, Kushner reported leaving his official positions with Cadre in 2017 and is not involved in day-to-day operations. According to the new disclosures, his ongoing investment, however, is valued at $25 million to $50 million, though he reported receiving no income from it in 2018.

Here's another example having to do with Kushner's interest in Cadre. Last November, the company pitched opportunities to take advantage of a tax break created by the 2017 tax overhaul that encourages real estate investment in low-income areas. Is it a conflict that Kushner's wife, Ivanka Trump, a fellow White House adviser, pushed hard for the so-called "opportunity zone" tax break in the new tax law? She's showed up at events promoting the investment opportunity. Watchdog groups asked the Justice Department to launch an investigation.

The info is here.

Why High-Class People Get Away With Incompetence

Heather Murphy
The New York Times
Originally posted May 20, 2019

Here are two excerpt:

The researchers suggest that part of the answer involves what they call “overconfidence.” In several experiments, they found that people who came from a higher social class were more likely to have an inflated sense of their skills — even when tests proved that they were average. This unmerited overconfidence, they found, was interpreted by strangers as competence.

The findings highlight yet another way that family wealth and parents’ education — two of a number of factors used to assess social class in the study — affect a person’s experience as they move through the world.

“With this research, we now have reason to think that coming from a higher social class confers yet another advantage,” said Jessica A. Kennedy, a professor of management at Vanderbilt University, who was not involved in the study.

(cut)

Researchers said they hoped that the takeaway was not to strive to be overconfident. Wars, stock market crashes and many other crises can be blamed on overconfidence, they said. So how do managers, employers, voters and customers avoid overvaluing social class and being duped by incompetent wealthy people? Dr. Kennedy said she had been encouraged to find that if you show people actual facts about a person, the elevated status that comes with overconfidence often fades away.

The info is here.

Sunday, June 16, 2019

Kellyanne Conway Should Be Fired For Violating Ethics Law, Oversight Office Says

Brian Naylor & Peter Overby
www.npr.org
Originally published June 13, 2019

Presidential adviser Kellyanne Conway has repeatedly criticized Democratic candidates in her official capacity in violation of the Hatch Act and should lose her job, according to the U.S. Office of Special Counsel.

The OSC, which oversees federal personnel issues, issued a stinging report Thursday, calling Conway "a repeat offender."

"As a highly visible member of the Administration, Ms. Conway's violations, if left unpunished, send a message to all federal employees that they need not abide by the Hatch Act's restrictions. Her actions thus erode the principal foundation of our democratic system — the rule of law," the office wrote to President Trump.

OSC is an independent federal ethics agency that has no relationship with former Department of Justice special counsel Robert Mueller's investigation into Russian interference with the 2016 election.

The Hatch Act forbids executive branch employees from taking part in political activities while engaged in their official duties.

In March 2018, the ethics agency found Conway broke the law twice in interviews about the Alabama Senate race. The new report focuses on her commentary on Democratic presidential candidates. It cites examples of her rhetoric, including suggesting Sen. Cory Booker of New Jersey was "sexist" and alleging that former Vice President Joe Biden was unwilling to be "held to account for his record."

The info is here.

Saturday, June 15, 2019

Legal questions surround police use of facial recognition tech

Alexander J Martin, Technology Reporter and Tom Cheshire
news.sky.com
Originally posted August 23, 2017

Here is an excerpt:

He noted that despite this threat to privacy "this new database is subject to none of the governance controls or other protections which apply as regards the DNA and fingerprint databases" - and that it "has been put into operation without public or parliamentary consultation or debate."

Similar concerns were raised by Parliament's science and technology committee, which also complained to the Government that it was running two years late on its planned publication date for the joint forensics and biometrics strategy.

Although a separate forensics strategy has since been published, the biometrics strategy - which will set out how police can use technologies such as facial recognition - has still not been released by the Home Office, and it is now four years overdue.

The committee also noted that facial biometrics were currently not covered by strict rules that govern the police's collection of DNA profiles and fingerprints, and recommended the biometrics commissioner's role be expanded to include them.

The info is here.

Friday, June 14, 2019

From the talking cure to a disease of silence: Effects of ethical violations in a psychoanalytic institute

Jane Burka, Angela Sowa, Barbara A. Baer, & others
The International Journal of Psychoanalysis (2019) 100:2, 247-271,

Abstract

This article presents an in-depth study of one institute’s efforts to recover from effects of ethical violations by two senior members. Qualitative data analysis from voluntary member interviews details the damage that spread throughout the institute, demonstrating that a violation of one is a violation of many. Members at all levels reported feeling disturbed in ways that affected their emotional equilibrium, their thinking processes, and their social and professional relationships. The aggregated interview data were reported to the institute community in large and small group meetings designed to reverse the “disease of silence” and to allow members to talk with each other. Outside consultation helped with this emotionally arduous process. The authors offer hypotheses concerning the nature of group anxieties during ethics crises. We assert that both sexual and non-sexual boundary violations break the incest taboo, as they breach the generational protection required of professional interactions. Ethical violations attack the group’s foundational ethos of care, unleashing primitive anxieties and defences that interfere with capacities for thinking, containment, collaboration, and integration. Since the full reality of what happened is unknowable, hybrid truths emerge, causing conflict and disturbances that inhibit thoughtful group discourse.

The article can be downloaded here.

The Ethics of Treating Loved Ones

Christopher Cheney
www.medpagetoday.com
Originally posted May 19, 2019

When treating family members, friends, colleague, or themselves, ER physicians face ethical, professional, patient welfare, and liability concerns, a recent research article found.

Similar to situations arising in the treatment of VIP patients, ER physicians treating loved ones or close associates may vary their customary medical care from the standard treatment and inadvertently produce harm rather than benefit.

"Despite being common, this practice raises ethical concerns and concern for the welfare of both the patient and the physician," the authors of the recent article wrote in the American Journal of Emergency Medicine.

There are several liability concerns for clinicians, the lead author explained.


"Doctors would be held to the same standard of care as for other patients, and if care is violated and leads to damages, they could be liable. Intuitively, family and friends might be less likely to sue but that is not true of subordinates. In addition, as we state in the paper, for most ED physicians, practice outside of the home institution is not a covered event by the malpractice insurer," said Joel Geiderman, MD, professor and co-chairman of emergency medicine, Department of Emergency Medicine, Cedars-Sinai Medical Center, Los Angeles.

The info is here.

Thursday, June 13, 2019

Moral dilemmas in (not) treating patients who feel they are a burden

Metselaar S, Widdershoven G.
[published online April 23, 2019]
Bioethics. 2019;33(4):431-438.

Abstract

Working as clinical ethicists in an academic hospital, we find that practitioners tend to take a principle‐based approach to moral dilemmas when it comes to (not) treating patients who feel like a burden, in which respect for autonomy tends to trump other principles. We argue that this approach insufficiently deals with the moral doubts of professionals with regard to feeling that you are a burden as a motive to decline or withdraw from treatment. Neither does it take into adequately account the specific needs of the patient that might underlie their feeling of being a burden to others. We propose a care ethics approach as an alternative. It focuses on being attentive and responsive to the caring needs of those involved in the care process—which can be much more specific than either receiving or withdrawing from treatment. This approach considers these needs in the context of the patient's identity, biography and relationships, and regards autonomy as relational rather than as individual. We illustrate the difference between these two approaches by means of the case of Mrs K. Furthermore, we show that a care ethics approach is in line with interventions that are found to alleviate feeling a burden and maintain that facilitating moral case deliberation among practitioners can supports them in taking a care ethics approach to moral dilemmas in (not) treating patients who feel like a burden.

The info is here.