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

Wednesday, July 17, 2019

Deep Ethics: The Long-Term Quest to Decide Right from Wrong

Simon Beard
www.bbc.com
Originally posted June 18, 2019

Here is an excerpt:

Our sense of right and wrong goes back a long way, so it can be helpful to distinguish between ethics and “morality”. Morality is an individual’s, largely intuitive and emotional, sense of how they should treat others. It has probably existed for hundreds of thousands of years, and maybe even in other species. Ethics, on the other hand, is a formalised set of principles that claim to represent the truth about how people should behave. For instance, while almost everyone has a strong moral sense that killing is wrong and that it simply “mustn’t be done”, ethicists have long sought to understand why killing is wrong and under what circumstances (war, capital punishment, euthanasia) it may still be permissible.

Put a small group of people together in relative isolation and this natural moral sense will usually be enough to allow them to get along. However, at some point in our history, human societies became so large and complex that new principles of organisation were needed. Originally these were likely simple buttresses to our pre-existing emotions and intuitions: invoking a supernatural parent might bring together multiple kinship groups or identifying a common enemy might keep young men from fighting each other.

However, such buttresses are inherently unstable and attempts to codify more enduring principles began shortly after our ancestors began to form stable states. From the earliest written accounts, we see appeals to what are recognisably ethical values and principles.

The information is here.

Responsibility for Killer Robots

Johannes Himmelreich
Ethic Theory Moral Prac (2019).
https://doi.org/10.1007/s10677-019-10007-9

Abstract

Future weapons will make life-or-death decisions without a human in the loop. When such weapons inflict unwarranted harm, no one appears to be responsible. There seems to be a responsibility gap. I first reconstruct the argument for such responsibility gaps to then argue that this argument is not sound. The argument assumes that commanders have no control over whether autonomous weapons inflict harm. I argue against this assumption. Although this investigation concerns a specific case of autonomous weapons systems, I take steps towards vindicating the more general idea that superiors can be morally responsible in virtue of being in command.

Tuesday, July 16, 2019

Experts Recommend SCOTUS Adopt Code of Ethics to Promote Accountability

Jerry Lambe
www.lawandcrime.com
Originally posted June 24, 2019


Here is an excerpt:

While the high court’s justices must already abide by an ethical code, many of the experts noted that the current code does not sufficiently address modern ethical standards.

“The impartiality of our judiciary should be beyond reproach, so having a basic ethics code for its members to follow is a natural outgrowth of that common value, one that should be no less rigorously applied to our nation’s highest court,” Roth testified.

He added that disclosures from the court are particularly opaque, especially when sought out by the general public.

“To the outside observer, the current protocol makes it seem as if the judiciary is hiding something. […] With members of the judiciary already filling out and filing their reports digitally, the public should obtain them the same way, without having my organization act as the middleman,” Roth said.

Frost told the subcommittee that holding a hearing on the topic was a good first step in the process.

“Part of what I care about is not just the reality of impartial and fair justice, but the public’s perception of the courts,” she said, adding, “There have been signals by the justices that the court is considering rethinking adopting a code of ethics.”

The info is here.

The possibility and risks of artificial general intelligence

Phil Torres
Bulletin of the Atomic Scientists 
Volume 75, 2019 - Issue 3: Special issue: The global competition for AI dominance

Abstract

This article offers a survey of why artificial general intelligence (AGI) could pose an unprecedented threat to human survival on Earth. If we fail to get the “control problem” right before the first AGI is created, the default outcome could be total human annihilation. It follows that since an AI arms race would almost certainly compromise safety precautions during the AGI research and development phase, an arms race could prove fatal not just to states but for the entire human species. In a phrase, an AI arms race would be profoundly foolish. It could compromise the entire future of humanity.

Here is part of the paper:

AGI arms races

An AGI arms race could be extremely dangerous, perhaps far more dangerous than any previous arms race, including the one that lasted from 1947 to 1991. The Cold War race was kept in check by the logic of mutually-assured destruction, whereby preemptive first strikes would be met with a retaliatory strike that would leave the first state as wounded as its rival. In an AGI arms race, however, if the AGI’s goal system is aligned with the interests of a particular state, the result could be a winner-take-all scenario.

The info is here.


Monday, July 15, 2019

How the concept of forgiveness is used to gaslight women

Sophie King
Medium.com
Originally posted June 13, 2019

I’m not against the concept of forgiveness, I’ve chosen to forgive people countless times. However, what I’m definitely against, is pressuring people to forgive and shaming them if they don’t. I’ve found there’s a lot of stigma attached to those who choose not to forgive, especially if you’re a woman.

Women that don’t forgive, are assumed to be “scorned”, “bitter and twisted”. The stereotypes that surround “unforgiving” women, are used to gaslight them.

When women express that they’re upset or angry (and justifiably so), as a result of being hurt, people dismiss them as “bitter” and the validity of their feelings and experiences are questioned.

She isn’t psychologically traumatised because she’s been wronged, she’s just a “scorned woman”, “got an axe to grind”, “holding a grudge” and “unable to move on”. The fault lies with her, not the perpetrator because she won’t “let it go” and “get over it”. She’s not the victim, she’s bringing it on herself by not forgiving. The blame is shifted from the wrongdoer to the victim.

The info is here.

Why parents are struggling to find mental health care for their children

Bernard Wolfson
Kaiser Health News/PBS.org
Originally posted May 7, 2019

Here is an excerpt:

Think about how perverse this is. Mental health professionals say that with children, early intervention is crucial to avoid more severe and costly problems later on. Yet even parents with good insurance struggle to find care for their children.

The U.S. faces a growing shortage of mental health professionals trained to work with young people — at a time when depression and anxiety are on the rise. Suicide was the No. 2 cause of death for children and young adults from age 10 to 24 in 2017, after accidents.

There is only one practicing child and adolescent psychiatrist in the U.S. for about every 1,800 children who need one, according to data from the American Academy of Child & Adolescent Psychiatry.

Not only is it hard to get appointments with psychiatrists and therapists, but the ones who are available often don’t accept insurance.

“This country currently lacks the capacity to provide the mental health support that young people need,” says Dr. Steven Adelsheim, director of the Stanford University psychiatry department’s Center for Youth Mental Health and Wellbeing.

The info is here.

Sunday, July 14, 2019

The Voluntariness of Voluntary Consent: Consent Searches and the Psychology of Compliance

Sommers, Roseanna and Bohns, Vanessa K.
Yale Law Journal, Vol. 128, No. 7, 2019. 
Available at SSRN: https://ssrn.com/abstract=3369844

Abstract

Consent-based searches are by far the most ubiquitous form of search undertaken by police. A key legal inquiry in these cases is whether consent was granted voluntarily. This Essay suggests that fact finders’ assessments of voluntariness are likely to be impaired by a systematic bias in social perception. Fact finders are likely to under appreciate the degree to which suspects feel pressure to comply with police officers’ requests to perform searches.

In two preregistered laboratory studies, we approached a total of 209 participants (“Experiencers”) with a highly intrusive request: to unlock their password-protected smartphones and hand them over to an experimenter to search through while they waited in another room. A separate 194 participants (“Forecasters”) were brought into the lab and asked whether a reasonable person would agree to the same request if hypothetically approached by the same researcher. Both groups then reported how free they felt, or would feel, to refuse the request.

Study 1 found that whereas most Forecasters believed a reasonable person would refuse the experimenter’s request, most Experiencers — 100 out of 103 people — promptly unlocked their phones and handed them over. Moreover, Experiencers reported feeling significantly less free to refuse than did Forecasters contemplating the same situation hypothetically.

Study 2 tested an intervention modeled after a commonly proposed reform of consent searches, in which the experimenter explicitly advises participants that they have the right to with- hold consent. We found that this advisory did not significantly reduce compliance rates or make Experiencers feel more free to say no. At the same time, the gap between Experiencers and Forecasters remained significant.

These findings suggest that decision makers judging the voluntariness of consent consistently underestimate the pressure to comply with intrusive requests. This is problematic because it indicates that a key justification for suspicionless consent searches — that they are voluntary — relies on an assessment that is subject to bias. The results thus provide support to critics who would like to see consent searches banned or curtailed, as they have been in several states.

The results also suggest that a popular reform proposal — requiring police to advise citizens of their right to refuse consent — may have little effect. This corroborates previous observational studies, which find negligible effects of Miranda warnings on confession rates among interrogees, and little change in rates of consent once police start notifying motorists of their right to refuse vehicle searches. We suggest that these warnings are ineffective because they fail to address the psychology of compliance. The reason people comply with police, we contend, is social, not informational. The social demands of police-citizen interactions persist even when people are informed of their rights. It is time to abandon the myth that notifying people of their rights makes them feel empowered to exercise those rights.

Saturday, July 13, 2019

The Worst Patients in the World

David Freedman
The Atlantic - July 2019 Issue

Here are two excerpts:

Recriminations tend to focus on how Americans pay for health care, and on our hospitals and physicians. Surely if we could just import Singapore’s or Switzerland’s health-care system to our nation, the logic goes, we’d get those countries’ lower costs and better results. Surely, some might add, a program like Medicare for All would help by discouraging high-cost, ineffective treatments.

But lost in these discussions is, well, us. We ought to consider the possibility that if we exported Americans to those other countries, their systems might end up with our costs and outcomes. That although Americans (rightly, in my opinion) love the idea of Medicare for All, they would rebel at its reality. In other words, we need to ask: Could the problem with the American health-care system lie not only with the American system but with American patients?

(cut)

American patients’ flagrant disregard for routine care is another problem. Take the failure to stick to prescribed drugs, one more bad behavior in which American patients lead the world. The estimated per capita cost of drug noncompliance is up to three times as high in the U.S. as in the European Union. And when Americans go to the doctor, they are more likely than people in other countries to head to expensive specialists. A British Medical Journal study found that U.S. patients end up with specialty referrals at more than twice the rate of U.K. patients. They also end up in the ER more often, at enormous cost. According to another study, this one of chronic migraine sufferers, 42 percent of U.S. respondents had visited an emergency department for their headaches, versus 14 percent of U.K. respondents.

Finally, the U.S. stands out as a place where death, even for the very aged, tends to be fought tooth and nail, and not cheaply. “In the U.K., Canada, and many other countries, death is seen as inevitable,” Somava Saha said. “In the U.S., death is seen as optional. When [people] become sick near the end of their lives, they have faith in what a heroic health-care system will accomplish for them.”

The info is here.

Friday, July 12, 2019

The Troubled History of Psychiatry

Jerome Groopman
The New Yorker
Originally posted May 20, 2019

Here is an excerpt:

Yet, despite the phenomenal success of Prozac, and of other SSRIs, no one has been able to produce definitive experimental proof establishing neurochemical imbalances as the pathogenesis of mental illness. Indeed, quite a lot of evidence calls the assumption into question. Clinical trials have stirred up intense controversy about whether antidepressants greatly outperform the placebo effect. And, while SSRIs do boost serotonin, it doesn’t appear that people with depression have unusually low serotonin levels. What’s more, advances in psychopharmacology have been incremental at best; Harrington quotes the eminent psychiatrist Steven Hyman’s assessment that “no new drug targets or therapeutic mechanisms of real significance have been developed for more than four decades.” This doesn’t mean that the available psychiatric medication isn’t beneficial. But some drugs seem to work well for some people and not others, and a patient who gets no benefit from one may do well on another. For a psychiatrist, writing a prescription remains as much an art as a science.

Harrington’s book closes on a sombre note. In America, the final decade of the twentieth century was declared the Decade of the Brain. But, in 2010, the director of the National Institute of Mental Health reflected that the initiative hadn’t produced any marked increase in rates of recovery from mental illness. Harrington calls for an end to triumphalist claims and urges a willingness to acknowledge what we don’t know.

Although psychiatry has yet to find the pathogenesis of most mental illness, it’s important to remember that medical treatment is often beneficial even when pathogenesis remains unknown. After all, what I was taught about peptic ulcers and stress wasn’t entirely useless; though we now know that stress doesn’t cause ulcers, it can exacerbate their symptoms. Even in instances where the discovery of pathogenesis has produced medical successes, it has often worked in tandem with other factors. Without the discovery of H.I.V. we would not have antiretroviral drugs, and yet the halt in the spread of the disease owes much to simple innovations, such as safe-sex education and the distribution of free needles and condoms.

The info is here.