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

Thursday, October 17, 2019

AI ethics and the limits of code(s)

Machine learningGeoff Mulgan
nesta.org.uk
Originally published September 16, 2019

Here is an excerpt:

1. Ethics involve context and interpretation - not just deduction from codes.

Too much writing about AI ethics uses a misleading model of what ethics means in practice. It assumes that ethics can be distilled into principles from which conclusions can then be deduced, like a code. The last few years have brought a glut of lists of principles (including some produced by colleagues at Nesta). Various overviews have been attempted in recent years. A recent AI Ethics Guidelines Global Inventory collects over 80 different ethical frameworks. There’s nothing wrong with any of them and all are perfectly sensible and reasonable. But this isn’t how most ethical reasoning happens. The lists assume that ethics is largely deductive, when in fact it is interpretive and context specific, as is wisdom. One basic reason is that the principles often point in opposite directions - for example, autonomy, justice and transparency. Indeed, this is also the lesson of medical ethics over many decades. Intense conversation about specific examples, working through difficult ambiguities and contradictions, counts for a lot more than generic principles.

The info is here.

Why Having a Chief Data Ethics Officer is Worth Consideration

The National Law Review
Image result for chief data ethics officerOriginally published September 20, 2019

Emerging technology has vastly outpaced corporate governance and strategy, and the use of data in the past has consistently been “grab it” and figure out a way to use it and monetize it later. Today’s consumers are becoming more educated and savvy about how companies are collecting, using and monetizing their data, and are starting to make buying decisions based on privacy considerations, and complaining to regulators and law makers about how the tech industry is using their data without their control or authorization.

Although consumers’ education is slowly deepening, data privacy laws, both internationally and in the U.S., are starting to address consumers’ concerns about the vast amount of individually identifiable data about them that is collected, used and disclosed.

Data ethics is something that big tech companies are starting to look at (rightfully so), because consumers, regulators and lawmakers are requiring them to do so. But tech companies should consider looking at data ethics as a fundamental core value of the company’s mission, and should determine how they will be addressed in their corporate governance structure.

The info is here.

Wednesday, October 16, 2019

Birmingham psychologist defrauded state Medicaid of more than $1.5 million, authorities say

Carol Robinson
Sharon Waltz
al.com
Originally published August 15, 2019

A Birmingham psychologist has been charged with defrauding the Alabama Medicaid Agency of more than $1 million by filing false claims for counseling services that were not provided.

Sharon D. Waltz, 50, has agreed to plead guilty to the charge and pay restitution in the amount of $1.5 million, according to a joint announcement Thursday by Northern District of Alabama U.S. Attorney Jay Town, Department of Health and Human Services -Office of Inspector General Special Agent Derrick L. Jackson and Alabama Attorney General Steve Marshall.

“The greed of this defendant deprived mental health care to many at-risk young people in Alabama, with the focus on profit rather than the efficacy of care,” Town said. “The costs are not just monetary but have social and health impacts on the entire Northern District. This prosecution, and this investigation, demonstrates what is possible when federal and state law enforcement agencies work together.”

The info is here.

Tribalism is Human Nature

Clark, Cory & Liu, Brittany & Winegard, Bo & Ditto, Peter.  (2019).
Current Directions in Psychological Science. 
10.1177/0963721419862289.

Abstract

Humans evolved in the context of intense intergroup competition, and groups comprised of loyal members more often succeeded than those that were not. Therefore, selective pressures have consistently sculpted human minds to be "tribal," and group loyalty and concomitant cognitive biases likely exist in all groups. Modern politics is one of the most salient forms of modern coalitional conflict and elicits substantial cognitive biases. Given the common evolutionary history of liberals and conservatives, there is little reason to expect pro-tribe biases to be higher on one side of the political spectrum than the other. We call this the evolutionarily plausible null hypothesis and recent research has supported it. In a recent meta-analysis, liberals and conservatives showed similar levels of partisan bias, and a number of pro-tribe cognitive tendencies often ascribed to conservatives (e.g., intolerance toward dissimilar others) have been found in similar degrees in liberals. We conclude that tribal bias is a natural and nearly ineradicable feature of human cognition, and that no group—not even one’s own—is immune.

Conclusion 

Humans are tribal creatures. They were not designed to reason dispassionately about the world; rather, they were designed to reason in ways that promote the interests of their coalition (and hence, themselves). It would therefore be surprising if a particular group of individuals did not display such tendencies, and recent work suggests, at least in the U.S. political sphere, that both liberals and conservatives are substantially biased—and to similar degrees. Historically, and perhaps even in modern society, these tribal biases are quite useful for group cohesion but perhaps also for other moral purposes (e.g., liberal bias in favor of disadvantaged groups might help increase equality). Also, it is worth noting that a bias toward viewing one’s own tribe in a favorable light is not necessarily irrational. If one’s goal is to be admired among one’s own tribe, fervidly supporting their agenda and promoting their goals, even if that means having or promoting erroneous beliefs, is often a reasonable strategy (Kahan et al., 2017). The incentives for holding an accurate opinion about global climate change, for example, may not be worth the 12 social rejection and loss of status that could accompany challenging the views of one’s political ingroup.

The info is here.

Tuesday, October 15, 2019

Want To Reduce Suicides? Follow The Data — To Medical Offices, Motels And Even Animal Shelters

Maureen O’Hagan
Kaiser Health News
Originally published September 23, 2019

Here is an excerpt:

Experts have long believed that suicide is preventable, and there are evidence-based programs to train people how to identify and respond to folks in crisis and direct them to help. That’s where Debra Darmata, Washington County’s suicide prevention coordinator, comes in. Part of Darmata’s job involves running these training programs, which she described as like CPR but for mental health.

The training is typically offered to people like counselors, educators or pastors. But with the new data, the county realized they were missing people who may have been the last to see the decedents alive. They began offering the training to motel clerks and housekeepers, animal shelter workers, pain clinic staffers and more.

It is a relatively straightforward process: Participants are taught to recognize signs of distress. Then they learn how to ask a person if he or she is in crisis. If so, the participants’ role is not to make the person feel better or to provide counseling or anything of the sort. It is to call a crisis line, and the experts will take over from there.

Since 2014, Darmata said, more than 4,000 county residents have received training in suicide prevention.

“I’ve worked in suicide prevention for 11 years,” Darmata said, “and I’ve never seen anything like it.”

The sheriff’s office has begun sending a deputy from its mental health crisis team when doing evictions. On the eviction paperwork, they added the crisis line number and information on a county walk-in mental health clinic. Local health care organizations have new procedures to review cases involving patient suicides, too.

The info is here.

Why not common morality?

Rhodes R 
Journal of Medical Ethics 
Published Online First: 11 September 2019. 
doi: 10.1136/medethics-2019-105621

Abstract

This paper challenges the leading common morality accounts of medical ethics which hold that medical ethics is nothing but the ethics of everyday life applied to today’s high-tech medicine. Using illustrative examples, the paper shows that neither the Beauchamp and Childress four-principle account of medical ethics nor the Gert et al 10-rule version is an adequate and appropriate guide for physicians’ actions. By demonstrating that medical ethics is distinctly different from the ethics of everyday life and cannot be derived from it, the paper argues that medical professionals need a touchstone other than common morality for guiding their professional decisions. That conclusion implies that a new theory of medical ethics is needed to replace common morality as the standard for understanding how medical professionals should behave and what medical professionalism entails. En route to making this argument, the paper addresses fundamental issues that require clarification: what is a profession? how is a profession different from a role? how is medical ethics related to medical professionalism? The paper concludes with a preliminary sketch for a theory of medical ethics.

Monday, October 14, 2019

Principles of karmic accounting: How our intuitive moral sense balances rights and wrongs

Samuel Johnson and Jaye Ahn
PsyArXiv
Originally posted September 10, 2019

Abstract

We are all saints and sinners: Some of our actions benefit other people, while other actions harm people. How do people balance moral rights against moral wrongs when evaluating others’ actions? Across 9 studies, we contrast the predictions of three conceptions of intuitive morality—outcome- based (utilitarian), act-based (deontologist), and person-based (virtue ethics) approaches. Although good acts can partly offset bad acts—consistent with utilitarianism—they do so incompletely and in a manner relatively insensitive to magnitude, but sensitive to temporal order and the match between who is helped and harmed. Inferences about personal moral character best predicted blame judgments, explaining variance across items and across participants. However, there was modest evidence for both deontological and utilitarian processes too. These findings contribute to conversations about moral psychology and person perception, and may have policy implications.

General Discussion

These  studies  begin  to  map  out  the  principles  governing  how  the  mind  combines  rights  and wrongs to form summary judgments of blameworthiness. Moreover, these principles are explained by inferences  about  character,  which  also  explain  differences  across  scenarios  and  participants.  These results overall buttress person-based accounts of morality (Uhlmann et al., 2014), according to which morality  serves  primarily  to  identify  and  track  individuals  likely  to  be  cooperative  and  trustworthy social partners in the future.

These results also have implications for moral psychology beyond third-party judgments. Moral behavior is motivated largely by its expected reputational consequences, thus studying the psychology of  third-party  reputational  judgments  is  key  for  understanding  people’s  behavior  when  they  have opportunities  to  perform  licensing  or  offsetting acts.  For  example,  theories  of  moral  self-licensing (Merritt et al., 2010) disagree over whether licensing occurs due to moral credits (i.e., having done good, one can now “spend” the moral credit on a harm) versus moral credentials (i.e., having done good, later bad  acts  are  reframed  as  less  blameworthy). 

The research is here.

Why we don’t always punish: Preferences for non-punitive responses to moral violations

Joseph Heffner & Oriel FeldmanHall
Scientific Reports, volume 9, 
Article number: 13219 (2019) 

Abstract

While decades of research demonstrate that people punish unfair treatment, recent work illustrates that alternative, non-punitive responses may also be preferred. Across five studies (N = 1,010) we examine non-punitive methods for restoring justice. We find that in the wake of a fairness violation, compensation is preferred to punishment, and once maximal compensation is available, punishment is no longer the favored response. Furthermore, compensating the victim—as a method for restoring justice—also generalizes to judgments of more severe crimes: participants allocate more compensation to the victim as perceived severity of the crime increases. Why might someone refrain from punishing a perpetrator? We investigate one possible explanation, finding that punishment acts as a conduit for different moral signals depending on the social context in which it arises. When choosing partners for social exchange, there are stronger preferences for those who previously punished as third-party observers but not those who punished as victims. This is in part because third-parties are perceived as relatively more moral when they punish, while victims are not. Together, these findings demonstrate that non-punitive alternatives can act as effective avenues for restoring justice, while also highlighting that moral reputation hinges on whether punishment is enacted by victims or third-parties.

The research is here.

Readers may want to think about patients in psychotherapy and licensing board actions.

Sunday, October 13, 2019

A Successful Artificial Memory Has Been Created

Robert Martone
A Successful Artificial Memory Has Been CreatedScientific American
Originally posted August27, 2019

Here is the conclusion:

There are legitimate motives underlying these efforts. Memory has been called “the scribe of the soul,” and it is the source of one’s personal history. Some people may seek to recover lost or partially lost memories. Others, such as those afflicted with post-traumatic stress disorder or chronic pain, might seek relief from traumatic memories by trying to erase them.

The methods used here to create artificial memories will not be employed in humans anytime soon: none of us are transgenic like the animals used in the experiment, nor are we likely to accept multiple implanted fiber-optic cables and viral injections. Nevertheless, as technologies and strategies evolve, the possibility of manipulating human memories becomes all the more real. And the involvement of military agencies such as DARPA invariably renders the motivations behind these efforts suspect. Are there things we all need to be afraid of or that we must or must not do? The dystopian possibilities are obvious.

Creating artificial memories brings us closer to learning how memories form and could ultimately help us understand and treat dreadful diseases such as Alzheimer’s. Memories, however, cut to the core of our humanity, and we need to be vigilant that any manipulations are approached ethically.

The info is here.