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, September 30, 2019

Connecting the dots on the origins of social knowledge

Arber Tasimi
in press, Perspectives on Psychological Science

Abstract

Understanding what infants know about social life is a growing enterprise. Indeed, one of the most exciting developments within psychological science over the past decade is the view that infants may come equipped with knowledge about “good” and “bad,” and about “us” and “them.” At the heart of this view is a seminal set of studies indicating that infants prefer helpers to hinderers and similar to dissimilar others. What a growing number of researchers now believe is that these preferences may be based on innate (i.e., unlearned) social knowledge. Here I consider how decades of research in developmental psychology can lead to a different way to make sense of this popular body of work. As I make connections between old observations and new theorizing––and between classic findings and contemporary research––I consider how the same preferences that are thought to emanate from innate social knowledge may, instead, reflect social knowledge that infants can rapidly build as they pursue relationships with their caregivers.  I offer this perspective with hopes that it will inspire future work that supports or questions the ideas sketched out here and, by doing so, will broaden an understanding of the origins of social knowledge.

The paper is here.

An Admissions Group Is Scrambling to Delete Parts of Its Ethical Code. That Could Mean Big Changes for Higher Ed.

Grace Elletson
The Chronicle of Higher Education
Originally published August 30, 2019

Here is an excerpt:

A handful of provisions are at issue. One prohibits colleges from offering incentives, like special housing or better financial-aid packages, only to students who use an early-decision application.

Another says colleges can’t recruit or offer enrollment to students who are already enrolled or have submitted deposits to other colleges. Under the NACAC ethics code, May 1 is when commitments by those students are made final, and colleges must respect that deadline.

Another states that colleges cannot solicit transfer applications from a previous applicant or prospect unless that student inquired about transferring.

According to a document sent to NACAC members, the Justice Department believes “that these provisions restrain competition among colleges” and that, if they are removed, thus allowing for more competition, the result “may lower” college costs if colleges can solicit students who have already committed.

If the provisions are removed, the changes will be significant, and turmoil in admissions offices should be expected, said Jon Boeckenstedt, vice provost for enrollment management at Oregon State University.

Removing those parts of the ethical code would allow institutions to recruit students from competitor colleges even after they’ve committed, and to see their own students get poached, he said.

The changes could cause colleges to enter into a precarious dance — keep students committed and simultaneously recruit others, all year long.

Given the uncertainty that the changes would cause for enrollment predictions, especially for smaller, tuition-dependent colleges, higher education’s landscape will be upended, Boeckenstedt said.

The info is here.

Sunday, September 29, 2019

The brain, the criminal and the courts

A graph shows the number of mentions of neuroscience in judicial opinions in US cases from 2005 to 2015. Capital and noncapital homicides are shown, as well as other felonies. For the three categories added together, the authors found 101 mentions in 2005 and more than 400 in 2015. All three categories show growth.Eryn Brown
knowablemagazine.org
Originally posted August 30, 2019

Here is an excerpt:

It remains to be seen if all this research will yield actionable results. In 2018, Hoffman, who has been a leader in neurolaw research, wrote a paper discussing potential breakthroughs and dividing them into three categories: near term, long term and “never happening.” He predicted that neuroscientists are likely to improve existing tools for chronic pain detection in the near future, and in the next 10 to 50 years he believes they’ll reliably be able to detect memories and lies, and to determine brain maturity.

But brain science will never gain a full understanding of addiction, he suggested, or lead courts to abandon notions of responsibility or free will (a prospect that gives many philosophers and legal scholars pause).

Many realize that no matter how good neuroscientists get at teasing out the links between brain biology and human behavior, applying neuroscientific evidence to the law will always be tricky. One concern is that brain studies ordered after the fact may not shed light on a defendant’s motivations and behavior at the time a crime was committed — which is what matters in court. Another concern is that studies of how an average brain works do not always provide reliable information on how a specific individual’s brain works.

“The most important question is whether the evidence is legally relevant. That is, does it help answer a precise legal question?” says Stephen J. Morse, a scholar of law and psychiatry at the University of Pennsylvania. He is in the camp who believe that neuroscience will never revolutionize the law, because “actions speak louder than images,” and that in a legal setting, “if there is a disjunct between what the neuroscience shows and what the behavior shows, you’ve got to believe the behavior.” He worries about the prospect of “neurohype,” and attorneys who overstate the scientific evidence.

The info is here.

Saturday, September 28, 2019

Morality as a Basic Psychological Need

Prentice, M., Jayawickreme, E., Hawkins, A.,
Hartley, A., Furr, R. M., & Fleeson, W. (2019). 
Social Psychological and Personality Science, 10(4), 449–460. https://doi.org/10.1177/1948550618772011

Abstract

We investigate the long-standing yet understudied assumption that feeling moral is a basic psychological need, perhaps like the needs to feel autonomous, competent, and related (ACR). We report an empirical “entrance exam” on whether morality should be considered a need. Specifically, we applied to morality a pioneering method from which Sheldon and colleagues provided evidence that ACR are basic psychological needs. In two studies and four samples, participants recalled events in which they felt un/satisfied, meaningful, pleasurable, at their best, and at their worst. They rated how much candidate psychological needs were satisfied during them. Morality was frequently as or more satisfied than ACR during peak events. Further, it was positively related to indices of positive functioning. These findings suggest feelings of being moral may help people identify times when life is going well. Further, they suggest that morality may be a fundamental psychological need and warrants further investigation.

Conclusion

That people have a need to feel moral is a classic psychological notion, and such a need seems integral to explaining the development and maintenance of human moral cognition and behavior.  Despite this, such a need has remained somewhat controversial for mainstream psychological science. We demonstrate that morality meets many of the criteria set out by Baumeister and Leary (1995). More broadly, we see that morality provides important information about whether people’s lives are going well. This work provides a basis for a more prominent position of the moral need in future research.

Friday, September 27, 2019

Empathy choice in physicians and non-physicians

Daryl Cameron and Michael Inzlicht
PsyArXiv
Originally created on September 11, 2019

Abstract

Empathy in medical care has been one of the focal points in the debate over the bright and dark sides of empathy. Whereas physician empathy is sometimes considered necessary for better physician-patient interactions, and is often desired by patients, it also has been described as a potential risk for exhaustion among physicians who must cope with their professional demands of confronting acute and chronic suffering. The present study compared physicians against demographically matched non-physicians on a novel behavioral assessment of empathy, in which they choose between empathizing or remaining detached from suffering targets over a series of trials. Results revealed no statistical differences between physicians and non-physicians in their empathy avoidance, though physicians were descriptively more likely to choose empathy. Additionally, both groups were likely to perceive empathy as cognitively challenging, and perceived cognitive costs of empathy associated with empathy avoidance. Across groups, there were also no statistically significant differences in self-reported trait empathy measures and empathy-related motivations and beliefs. Overall, these results suggest that physicians and non-physicians were more similar than different in terms of their empathic choices and in their assessments of the costs and benefits of empathy for others.

Conclusion:

In summary, do physicians choose empathy, and should they do so?  We find that physicians do not how a clear preference to approach or avoid empathy.  Nevertheless, they do perceive empathy to be cognitively taxing, entailing effort, aversiveness, and feelings of inefficacy, and these perceptions associated with reduced empathy choice.  Physicians who derived more satisfaction and less burnout from helping were more likely to choose empathy, and so too if they believed that empathy is good, and useful, for medical practice.  More generally, in the current work, physicians did not show statistically meaningful differences from demographically matched controls in trait empathy, empathy regulation behavior, motivations to approach or avoid empathy, or beliefs about empathy’s use for medicine.  Although it has often been suggested that physicians exhibit different levels of empathy due to the demands of medical care, the current results suggest that physicians are much like everyone else, sensitive to the relevant costs and benefits of empathizing.

The research is here.

Nudging Humans

Brett M. Frischmann
Villanova University - School of Law
Originally published August 1, 2019

Abstract

Behavioral data can and should inform the design of private and public choice architectures. Choice architects should steer people toward outcomes that make them better off (according to their own interests, not the choice architects’) but leave it to the people being nudged to choose for themselves. Libertarian paternalism can and should provide ethical constraints on choice architects. These are the foundational principles of nudging, the ascendant social engineering agenda pioneered by Nobel Prize winning economist Richard Thaler and Harvard law professor Cass Sunstein.

The foundation bears tremendous weight. Nudging permeates private and public institutions worldwide. It creeps into the design of an incredible number of human-computer interfaces and affects billions of choices daily. Yet the foundation has deep cracks.

This critique of nudging exposes those hidden fissures. It aims at the underlying theory and agenda, rather than one nudge or another, because that is where micro meets macro, where dynamic longitudinal impacts on individuals and society need to be considered. Nudging theorists and practitioners need to better account for the longitudinal effects of nudging on the humans being nudged, including malleable beliefs and preferences as well as various capabilities essential to human flourishing. The article develops two novel and powerful criticisms of nudging, one focused on nudge creep and another based on normative myopia. It explores these fundamental flaws in the nudge agenda theoretically and through various examples and case studies, including electronic contracting, activity tracking in schools, and geolocation tracking controls on an iPhone.

The paper is here.

Thursday, September 26, 2019

Business and the Ethical Implications of Technology

Martin, K., Shilton, K. & Smith, J.
J Bus Ethics (2019).
https://doi.org/10.1007/s10551-019-04213-9

Abstract

While the ethics of technology is analyzed across disciplines from science and technology studies (STS), engineering, computer science, critical management studies, and law, less attention is paid to the role that firms and managers play in the design, development, and dissemination of technology across communities and within their firm. Although firms play an important role in the development of technology, and make associated value judgments around its use, it remains open how we should understand the contours of what firms owe society as the rate of technological development accelerates. We focus here on digital technologies: devices that rely on rapidly accelerating digital sensing, storage, and transmission capabilities to intervene in human processes. This symposium focuses on how firms should engage ethical choices in developing and deploying these technologies. In this introduction, we, first, identify themes the symposium articles share and discuss how the set of articles illuminate diverse facets of the intersection of technology and business ethics. Second, we use these themes to explore what business ethics offers to the study of technology and, third, what technology studies offers to the field of business ethics. Each field brings expertise that, together, improves our understanding of the ethical implications of technology. Finally we introduce each of the five papers, suggest future research directions, and interpret their implications for business ethics.

The Introduction is here.

There are several other articles related to this introduction.

Patients don't think payers, providers can protect their data, survey finds

healthcare data analyticsPaige Minemyer
Fierce Healthcare
Originally published on August 26, 2019

Patients are skeptical of healthcare industry players’ ability to protect their data—and believe health insurers to be the worst at doing so, a new survey shows.

Harvard T.H. Chan School of Public Health and Politico surveyed 1,009 adults in mid-July and found that just 17% have a “great deal” of faith that their health plan will protect their data.

By contrast, 24% said they had a “great deal” of trust in their hospital to protect their data, and 34% said the same about their physician’s office. In addition, 22% of respondents said they had “not very much” trust in their insurer to protect their data, and 17% said they had no trust at all.

The firms that fared the worst on the survey, however, were online search engines and social media sites. Only 7% said they have a “great deal” of trust in search engines such as Google to protect their data, and only 3% said the same about social media platforms.

The info is here.

Wednesday, September 25, 2019

Suicide rates climbing, especially in rural America

Misti Crane
Ohio State News
Originally published September 6, 2019

Suicide is becoming more common in America, an increase most pronounced in rural areas, new research has found.

The study, which appears online today (Sept. 6, 2019) in the journal JAMA Network Open, also highlights a cluster of factors, including lack of insurance and the prevalence of gun shops, that are associated with high suicide rates.

Researchers at The Ohio State University evaluated national suicide data from 1999 to 2016, and provided a county-by-county national picture of the suicide toll among adults. Suicide rates jumped 41 percent, from a median of 15 per 100,000 county residents in the first part of the study to 21.2 per 100,000 in the last three years of the analysis. Suicide rates were highest in less-populous counties and in areas where people have lower incomes and fewer resources. From 2014 through 2016, suicide rates were 17.6 per 100,000 in large metropolitan counties compared with 22 per 100,000 in rural counties.

In urban areas, counties with more gun shops tended to have higher suicide rates. Counties with the highest suicide rates were mostly in Western states, including Colorado, New Mexico, Utah and Wyoming; in Appalachian states including Kentucky, Virginia and West Virginia; and in the Ozarks, including Arkansas and Missouri.

The info is here.