Trump's separation of families constitutes torture, doctors find

Amanda Holpuch
theguardian.com
Originally posted 25 Feb 20

Here is an excerpt:

Legal experts have argued family separation constituted torture, but this is the first time a medical group has reached the determination.

PHR volunteer psychiatrists evaluated 17 adults and nine children who had been separated between 30 to 90 days. Most met the criteria for at least one mental health condition, including post-traumatic stress disorder, major depressive disorder or generalized anxiety disorder “consistent with, and likely linked to, the trauma of family separation”, according to the report.

Not only did the brutal family separation policy create trauma, it was intensified by the families’ previous exposure to violence on their journey to the US and in their home countries of Honduras, Guatemala and El Salvador.

All but two of the adults evaluated by PHR said they had received death threats in their home countries and 14 out of the 17 adults said they were targeted by drug cartels. All were fearful their child would be harmed or killed if they remained at home.

Almost all the children had been drugged, kidnapped, poisoned or threatened by gangs before they left. One mother told investigators she moved her daughter to different schools in El Salvador several times so gang members couldn’t find her and kill her.

The info is here.

Some Researchers Wear Yellow Pants, but Even Fewer Participants Read Consent Forms

B, Douglas, E. McGorray, & P. Ewell
PsyArXiv
Originally published 5 Feb 20

Abstract

Though consent forms include important information, those experienced with behavioral research often observe that participants do not carefully read consent forms. Three studies examined participants’ reading of consent forms for in-person experiments. In each study, we inserted the phrase “some researchers wear yellow pants” into sections of the consent form and measured participants’ reading of the form by testing their recall of the color yellow. In Study 1, we found that the majority of participants did not read consent forms thoroughly. This suggests that overall, participants sign consent forms that they have not read, confirming what has been observed anecdotally and documented in other research domains. Study 2 examined which sections of consent forms participants read and found that participants were more likely to read the first two sections of a consent form (procedure and risks) than later sections (benefits and anonymity and confidentiality). Given that rates of recall of the target phrase were under 70% even when the sentence was inserted into earlier sections of the form, we explored ways to improve participant reading in Study 3. Theorizing that the presence of a researcher may influence participants’ retention of the form, we assigned participants to read the form with or without a researcher present. Results indicated that removing the researcher from the room while participants read the consent form decreased recall of the target phrase. Implications of these results and suggestions for future researchers are discussed.

The research is here.

Video Games Need More Complex Morality Systems

Hayes Madsen
screenrant.com
Originally published 26 Feb 20

Hereis an excerpt:

Perhaps a bigger issue is the simple fact that games separate decisions into these two opposed ideas. There's a growing idea that games need to represent morality as shades of grey, rather than black and white. Titles like The Witcher 3 further this effort by trying to make each conflict not have a right or wrong answer, as well as consequences, but all too often the neutral path is ignored. Even with multiple moral options, games generally reward players for being good or evil. Take inFamous for example, as making moral choices rewards you with good or bad karma, which in turn unlocks new abilities and powers. The problem here is that great powers are locked away for players on either end, cordoning off gameplay based on your moral choices.

Video games need to make more of an effort to make any choice matter for players, and if they decide to go back and forth between good and evil, that should be represented, not discouraged. Things are seldom black and white, and for games to represent that properly there needs to be incentive across the board, whether the player wants to be good, evil, or anything in between.

Moral choices can shape the landscape of game worlds, even killing characters or entire races. Yet, choices don't always need to be so dramatic or earth-shattering. Characterization is important for making huge decisions, but the smaller day-to-day decisions often have a bigger impact on fleshing out characters.

The info is here.

U.S. Indian Health Service Doctor Indicted on Charges of Sexual Abuse

Christopher Weaver and Dan Frosch
The Wall Street Journal
Originally published 13 Feb 20

Here is an excerpt:

The new allegations aren’t the first about Dr. Ibarra-Perocier, some of the people familiar with the matter said. At least two nurses accused him internally of workplace sexual harassment in past years, the people said. Dr. Ibarra-Perocier’s wife, who left her job due to illness in 2017 and died the next year, was his supervisor during that time, they said.

In December, the HHS inspector general found the agency’s patient-protection policies don’t go far enough.

The inspectors concluded the agency had focused so narrowly on medical providers who commit child sexual abuse that it didn’t adequately direct employees on how to respond to other kinds of perpetrators, victims or types of abuse.

A separate White House task force convened to examine the widening scandal is expected to release additional recommendations for improving safety at the agency’s facilities next week.

The IHS also commissioned a review of its own handling of the Weber case that is expected to lead to additional changes. The private contractor the agency retained to do that work completed its report, but the agency has withheld the document, arguing that it is a record of quality assurance program that by law is confidential.

“IHS is committed to transparency, accountability and continuous improvement,” an agency spokeswoman said in a January statement. “We also respect and protect patient privacy.”

The info is here.

Will Past Criminals Reoffend? (Humans are Terrible at Predicting; Algorithms Worse)

Sophie Bushwick
Scientific American
Originally published 14 Feb 2020

Here is an excerpt:

Based on the wider variety of experimental conditions, the new study concluded that algorithms such as COMPAS and LSI-R are indeed better than humans at predicting risk. This finding makes sense to Monahan, who emphasizes how difficult it is for people to make educated guesses about recidivism. “It’s not clear to me how, in real life situations—when actual judges are confronted with many, many things that could be risk factors and when they’re not given feedback—how the human judges could be as good as the statistical algorithms,” he says. But Goel cautions that his conclusion does not mean algorithms should be adopted unreservedly. “There are lots of open questions about the proper use of risk assessment in the criminal justice system,” he says. “I would hate for people to come away thinking, ‘Algorithms are better than humans. And so now we can all go home.’”

Goel points out that researchers are still studying how risk-assessment algorithms can encode racial biases. For instance, COMPAS can say whether a person might be arrested again—but one can be arrested without having committed an offense. “Rearrest for low-level crime is going to be dictated by where policing is occurring,” Goel says, “which itself is intensely concentrated in minority neighborhoods.” Researchers have been exploring the extent of bias in algorithms for years. Dressel and Farid also examined such issues in their 2018 paper. “Part of the problem with this idea that you're going to take the human out of [the] loop and remove the bias is: it’s ignoring the big, fat, whopping problem, which is the historical data is riddled with bias—against women, against people of color, against LGBTQ,” Farid says.

The info is here.

You’re Not Going to Kill Them With Kindness. You’ll Do Just the Opposite.

Judith Newman
The New York Times
Originally posted 8 Jan 20

It was New Year’s Eve, and my friends had just adopted a little girl, 4 years old, from China. The family was going around the table, suggesting what each thought the New Year’s resolution should be for the other. Fei Fei’s English was still shaky. When her turn came, though, she didn’t hesitate. She pointed at her new father, mother and sister in turn. “Be nice, be nice, be nice,” she said.

Fifteen years later, in this dark age for civility, a toddler’s cri de coeur resonates more than ever. In his recent remarks at the memorial service for Congressman Elijah Cummings, President Obama said, “Being a strong man includes being kind, and there’s nothing weak about kindness and compassion; nothing weak about looking out for others.” On a more pedestrian level, yesterday I walked into the Phluid Project, the NoHo gender-neutral shop where T-shirts have slogans like “Hatephobic” and “Be Your Self.” I asked the salesperson, “What is your current best seller?” She pointed to a shirt in the window imprinted with the slogan: “Be kind.”

So I’m not surprised that there’s been a little flurry of self-help books on basic human decency and what it will do for you.

Kindness is doing small acts for others without expecting anything in return. It’s the opposite of transactional, and therefore the opposite of what we’re seeing in our body politic today.

The info is here.

DoD unveils how it will keep AI in check with ethics principles

Scott Maucione
federalnewsnetwork.com
Originally posted 25 Feb 20

Here is an excerpt:

The principle areas are based on recommendations from a 15-month study by the Defense Innovation Board — a panel of science and technology experts from industry and academia.

The principles are as follows:

1. Responsible: DoD personnel will exercise appropriate levels of judgment and care, while remaining responsible for the development, deployment, and use of AI capabilities.
2. Equitable: The Department will take deliberate steps to minimize unintended bias in AI capabilities.
3. Traceable: The Department’s AI capabilities will be developed and deployed such that relevant personnel possess an appropriate understanding of the technology, development processes, and operational methods applicable to AI capabilities, including with transparent and auditable methodologies, data sources, and design procedure and documentation.
4. Reliable: The Department’s AI capabilities will have explicit, well-defined uses, and the safety, security, and effectiveness of such capabilities will be subject to testing and assurance within those defined uses across their entire life-cycles.
5. Governable: The Department will design and engineer AI capabilities to fulfill their intended functions while possessing the ability to detect and avoid unintended consequences, and the ability to disengage or deactivate deployed systems that demonstrate unintended behavior.

The article is here.

When Medical Debt Collectors Decide Who Gets Arrested

Lizzie Presser

Propublica.org
Originally posted 16 Oct 19

Here is an excerpt:

Across the country, thousands of people are jailed each year for failing to appear in court for unpaid bills, in arrangements set up much like this one. The practice spread in the wake of the recession as collectors found judges willing to use their broad powers of contempt to wield the threat of arrest. Judges have issued warrants for people who owe money to landlords and payday lenders, who never paid off furniture, or day care fees, or federal student loans. Some debtors who have been arrested owed as little as $28.

More than half of the debt in collections stems from medical care, which, unlike most other debt, is often taken on without a choice or an understanding of the costs. Since the Affordable Care Act of 2010, prices for medical services have ballooned; insurers have nearly tripled deductibles — the amount a person pays before their coverage kicks in — and raised premiums and copays, as well. As a result, tens of millions of people without adequate coverage are expected to pay larger portions of their rising bills.

The sickest patients are often the most indebted, and they’re not exempt from arrest. In Indiana, a cancer patient was hauled away from home in her pajamas in front of her three children; too weak to climb the stairs to the women’s area of the jail, she spent the night in a men’s mental health unit where an inmate smeared feces on the wall. In Utah, a man who had ignored orders to appear over an unpaid ambulance bill told friends he would rather die than go to jail; the day he was arrested, he snuck poison into the cell and ended his life.

The info is here.

Business gets ready to trip

Jeffrey O'Brien
Forbes. com
Originally posted 17 Feb 20

Here is an excerpt:

The need for a change in approach is clear. “Mental illness” is an absurdly large grab bag of disorders, but taken as a whole, it exacts an astronomical toll on society. The National Institute of Mental Health says nearly one in five U.S. adults lives with some form of it. According to the World Health Organization, 300 million people worldwide have an anxiety disorder. And there’s a death by suicide every 40 seconds—that includes 20 veterans a day, according to the U.S. Department of Veterans Affairs. Almost 21 million Americans have at least one addiction, per the U.S. Surgeon General, and things are only getting worse. The Lancet Commission—a group of experts in psychiatry, public health, neuroscience, etc.—projects that the cost of mental disorders, currently on the rise in every country, will reach $16 trillion by 2030, including lost productivity. The current standard of care clearly benefits some. Antidepressant medication sales in 2017 surpassed $14 billion. But SSRI drugs—antidepressants that boost the level of serotonin in the brain—can take months to take hold; the first prescription is effective only about 30% of the time. Up to 15% of benzodiazepine users become addicted, and adults on antidepressants are 2.5 times as likely to attempt suicide.

Meanwhile, in various clinical trials, psychedelics are demonstrating both safety and efficacy across the terrain. Scientific papers have been popping up like, well, mushrooms after a good soaking, producing data to blow away conventional methods. Psilocybin, the psychoactive ingredient in magic mushrooms, has been shown to cause a rapid and sustained reduction in anxiety and depression in a group of patients with life-threatening cancer. When paired with counseling, it has improved the ability of some patients suffering from treatment-resistant depression to recognize and process emotion on people’s faces. That correlates to reducing anhedonia, or the inability to feel pleasure. The other psychedelic agent most commonly being studied, MDMA, commonly called ecstasy or molly, has in some scientific studies proved highly effective at treating patients with persistent PTSD. In one Phase II trial of 107 patients who’d had PTSD for an average of over 17 years, 56% no longer showed signs of the affliction after one session of MDMA-assisted therapy. Psychedelics are helping to break addictions, as well. A combination of psilocybin and cognitive therapy enabled 80% of one study’s participants to kick cigarettes for at least six months. Compare that with the 35% for the most effective available smoking-cessation drug, varenicline.

The info is here.