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

Saturday, August 24, 2019

Decoding the neuroscience of consciousness

Emily Sohn
Nature.com
Originally published July 24, 2019

Here is an excerpt:

That disconnect might also offer insight into why current medications for anxiety do not always work as well as people hope, LeDoux says. Developed through animal studies, these medications might target circuits in the amygdala and affect a person’s behaviours, such as their level of timidity — making it easier for them to go to social events. But such drugs don’t necessarily affect the conscious experience of fear, which suggests that future treatments might need to address both unconscious and conscious processes separately. “We can take a brain-based approach that sees these different kinds of symptoms as products of different circuits, and design therapies that target the different circuits systematically,” he says. “Turning down the volume doesn’t change the song — only its level.”

Psychiatric disorders are another area of interest for consciousness researchers, Lau says, on the basis that some mental-health conditions, including schizophrenia, obsessive–compulsive disorder and depression, might be caused by problems at the unconscious level — or even by conflicts between conscious and unconscious pathways. The link is only hypothetical so far, but Seth has been probing the neural basis of hallucinations with a ‘hallucination machine’ — a virtual-reality program that uses machine learning to simulate visual hallucinatory experiences in people with healthy brains. Through experiments, he and his colleagues have shown that these hallucinations resemble the types of visions that people experience while taking psychedelic drugs, which have increasingly been used as a tool to investigate the neural underpinnings of consciousness.

If researchers can uncover the mechanisms behind hallucinations, they might be able to manipulate the relevant areas of the brain and, in turn, treat the underlying cause of psychosis — rather than just address the symptoms. By demonstrating how easy it is to manipulate people’s perceptions, Seth adds, the work suggests that our sense of reality is just another facet of how we experience the world.

The info is here.

Friday, August 23, 2019

Medical Acts and Conscientious Objection: What Can a Physician be Compelled to Do?

Nathan K. Gamble and Michael Pruski
The New Bioethics
DOI: 10.1080/20502877.2019.1649871

Abstract

A key question has been underexplored in the literature on conscientious objection: if a physician is required to perform ‘medical activities,’ what is a medical activity? This paper explores the question by employing a teleological evaluation of medicine and examining the analogy of military conscripts, commonly cited in the conscientious objection debate. It argues that physicians (and other healthcare professionals) can only be expected to perform and support medical acts – acts directed towards their patients’ health. That is, physicians cannot be forced to provide or support services that are not medical in nature, even if such activities support other socially desirable pursuits. This does not necessarily mean that medical professionals cannot or should not provide non-medical services, but only that they are under no obligation to provide them.

Moral Grandstanding

Justin Tosi and Brandon Warmke
Philosophy & Public Affairs
First published: 27 December 2016
https://doi.org/10.1111/papa.12075

Here is an excerpt:

We suspect that most people would agree that grandstanding is annoying. We think that it is also morally problematic. In our view, the vast majority of moral grandstanding is bad, and, in general, one should not grandstand. We will adduce some reasons for this view shortly, but we should make a few preliminary points.

First, we will not argue that grandstanding should never be done. We are open to the possibility that there are circumstances in which either an instance of grandstanding possesses no bad‐making features or, even if an instance does have bad‐making features, the option of not grandstanding will be even worse.

Second, we will not claim that people who grandstand are bad people in virtue of engaging in grandstanding. We all have flaws that are on occasion revealed in the public square. Engaging in grandstanding is not obviously worse than many other flaws, and a propensity to grandstand is not indefeasible evidence that someone lacks good character.

Third, although we do believe that grandstanding is typically bad and should not be done, we are not prescribing any particular social enforcement mechanisms to deal with it. Presently, our concerns are the nature of grandstanding and its moral status. It does not follow, at least in any straightforward way, that people should intervene in public moral discourse to discourage others from grandstanding, or to blame them for grandstanding.

The info is here.

Thursday, August 22, 2019

New Jersey will allow terminally ill patients to end their lives

Taylor Romine
CNN.com
Originally posted July 1, 2019

Terminally ill adults in New Jersey will now be able to ask for medical help to end their lives.

In April, Gov. Phil Murphy signed the Medical Aid in Dying for the Terminally Ill Act. It goes into effect Thursday.

It allows adults with a prognosis of six months or less to live to get a prescription for life-ending medication.

Other jurisdictions that allow physician-assisted suicide are: California, Colorado, Oregon, Vermont, Washington, Hawaii, Montana and the District of Columbia.

The law requires either a psychiatrist or psychologist determine that the patient has the mental capacity to make the decision. The prescription is a series of self-administered pills that can be taken at home.

"Allowing residents with terminal illnesses to make end-of-life choices for themselves is the right thing to do," Murphy said in a statement.

The info is here.

Repetition increases perceived truth equally for plausible and implausible statements

Lisa Fazio David Rand Gordon Pennycook
PsyArXiv
Originally created February 28, 2019

Abstract

Repetition increases the likelihood that a statement will be judged as true. This illusory truth effect is well-established; however, it has been argued that repetition will not affect belief in unambiguous statements. When individuals are faced with obviously true or false statements, repetition should have no impact. We report a simulation study and a preregistered experiment that investigate this idea. Contrary to many intuitions, our results suggest that belief in all statements is increased by repetition. The observed illusory truth effect is largest for ambiguous items, but this can be explained by the psychometric properties of the task, rather than an underlying psychological mechanism that blocks the impact of repetition for implausible items. Our results indicate that the illusory truth effect is highly robust and occurs across all levels of plausibility. Therefore, even highly implausible statements will become more plausible with enough repetition.

The research is here.

The conclusion:

In conclusion, our findings are consistent with the hypothesis that repetition increases belief in all statements equally, regardless of their plausibility. However, there is an important difference between this internal mechanism (equal increase across plausibility) and the observable effect. The observable effect of repetition on truth ratings is greatest for items near the midpoint of perceived truth, and small or nonexistent for items at the extremes. While repetition effects are difficult to observe for very high and very low levels of perceived truth, our results suggest that repetition increases participants’ internal representation of truth equally for all statements. These findings have large implications for daily life where people are often repeatedly exposed to both plausible and implausible falsehoods. Even implausible falsehoods may slowly become more plausible with repetition.

Wednesday, August 21, 2019

Personal infidelity and professional conduct in 4 settings

John M. Griffin, Samuel Kruger, and Gonzalo Maturana
PNAS first published July 30, 2019
https://doi.org/10.1073/pnas.1905329116

Abstract

We study the connection between personal and professional behavior by introducing usage of a marital infidelity website as a measure of personal conduct. Police officers and financial advisors who use the infidelity website are significantly more likely to engage in professional misconduct. Results are similar for US Securities and Exchange Commission (SEC) defendants accused of white-collar crimes, and companies with chief executive officers (CEOs) or chief financial officers (CFOs) who use the website are more than twice as likely to engage in corporate misconduct. The relation is not explained by a wide range of regional, firm, executive, and cultural variables. These findings suggest that personal and workplace behavior are closely related.

Significance

The relative importance of personal traits compared with context for predicting behavior is a long-standing issue in psychology. This debate plays out in a practical way every time an employer, voter, or other decision maker has to infer expected professional conduct based on observed personal behavior. Despite its theoretical and practical importance, there is little academic consensus on this question. We fill this void with evidence connecting personal infidelity to professional behavior in 4 different settings.

The Conclusion:

More broadly, our findings suggest that personal and professional lives are connected and cut against the common view that ethics are predominantly situational. This supports the classical view that virtues such as honesty and integrity influence a person’s thoughts and actions across diverse contexts and has potentially important implications for corporate recruiting and codes of conduct. A possible implication of our findings is that the recent focus on eliminating sexual misconduct in the workplace may have the auxiliary effect of reducing fraudulent workplace activity.

Tech Is Already Reading Your Emotions - But Do Algorithms Get It Right?

Jessica Baron
Forbes.com
Originally published July 18, 2019

From measuring shopper satisfaction to detecting signs of depression, companies are employing emotion-sensing facial recognition technology that is based on flawed science, according to a new study.

If the idea of having your face recorded and then analyzed for mood so that someone can intervene in your life sounds creepy, that’s because it is. But that hasn’t stopped companies like Walmart from promising to implement the technology to improve customer satisfaction, despite numerous challenges from ethicists and other consumer advocates.

At the end of the day, this flavor of facial recognition software probably is all about making you safer and happier – it wants to let you know if you’re angry or depressed so you can calm down or get help; it wants to see what kind of mood you’re in when you shop so it can help stores keep you as a customer; it wants to measure your mood while driving, playing video games, or just browsing the Internet to see what goods and services you might like to buy to improve your life.


The problem is – well, aside from the obvious privacy issues and general creep factor – that computers aren’t really that good at judging our moods based on the information they get from facial recognition technology. To top it off, this technology exhibits that same kind of racial bias that other AI programs do, assigning more negative emotions to black faces, for example. That’s probably because it’s based on flawed science.

The info is here.

Tuesday, August 20, 2019

What Alan Dershowitz taught me about morality

Molly Roberts
The Washington Post
Originally posted August 2, 2019

Here are two excerpts:

Dershowitz has been defending Donald Trump on television for years, casting himself as a warrior for due process. Now, Dershowitz is defending himself on TV, too, against accusations at the least that he knew about Epstein allegedly trafficking underage girls for sex with men, and at the worst that he was one of the men.

These cases have much in common, and they both bring me back to the classroom that day when no one around the table — not the girl who invoked Ernest Hemingway’s hedonism, nor the boy who invoked God’s commandments — seemed to know where our morality came from. Which was probably the point of the exercise.

(cut)

You can make a convoluted argument that investigations of the president constitute irresponsible congressional overreach, but contorting the Constitution is your choice, and the consequences to the country of your contortion are yours to own, too. Everyone deserves a defense, but lawyers in private practice choose their clients — and putting a particular focus on championing those Dershowitz calls the “most unpopular, most despised” requires grappling with what it means for victims when an abuser ends up with a cozy plea deal.

When the alleged abuser is your friend Jeffrey, whose case you could have avoided precisely because you have a personal relationship, that grappling is even more difficult. Maybe it’s still all worth it to keep the system from falling apart, because next time it might not be a billionaire financier who wanted to seed the human race with his DNA on the stand, but a poor teenager framed for a crime he didn’t commit.

Dershowitz once told the New York Times he regretted taking Epstein’s case. He told me, “I would do it again.”

The info is here.

Can Neuroscience Understand Free Will?

Brian Gallagher
nautil.us
Originally posted on July 19, 2019

Here is an excerpt:

Clinical neuroscientists and neurologists have identified the brain networks responsible for this sense of free will. There seems to be two: the network governing the desire to act, and the network governing the feeling of responsibility for acting. Brain-damaged patients show that these can come apart—you can have one without the other.

Lacking essentially all motivation to move or speak has a name: akinetic mutism. The researchers, lead by neurologists Michael Fox, of Harvard Medical School, and Ryan Darby, of Vanderbilt University, analyzed 28 cases of this condition, not all of them involving damage in the same departments. “We found that brain lesions that disrupt volition occur in many different locations, but fall within a single brain network, defined by connectivity to the anterior cingulate,” which has links to both the “emotional” limbic system and the “cognitive” prefrontal cortex, the researchers wrote. Feeling like you’re moving under the direction of outside forces has a name, too: alien limb syndrome. The researchers analyzed 50 cases of this condition, which again involved brain damage in different spots. “Lesions that disrupt agency also occur in many different locations, but fall within a separate network, defined by connectivity to the precuneus,” which is involved, among other things, in the experience of agency.

The results may not map onto “free will” as we understand it ethically—the ability to choose between right and wrong. “It remains unknown whether the network of brain regions we identify as related to free will for movements is the same as those important for moral decision-making, as prior studies have suggested important differences,” the researchers wrote. For instance, in a 2017 study, he and Darby analyzed many cases of brain lesions in various regions predisposing people to criminal behavior, and found that “these lesions all fall within a unique functionally connected brain network involved in moral decision making.”

The info is here.