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 22, 2020

Inference from explanation.

Kirfel, L., Icard, T., & Gerstenberg, T.
(2020, May 22).
https://doi.org/10.31234/osf.io/x5mqc

Abstract

What do we learn from a causal explanation? Upon being told that "The fire occurred because a lit match was dropped", we learn that both of these events occurred, and that there is a causal relationship between them. However, causal explanations of the kind "E because C" typically disclose much more than what is explicitly stated. Here, we offer a communication-theoretic account of causal explanations and show specifically that explanations can provide information about the extent to which a cited cause is normal or abnormal, and about the causal structure of the situation. In Experiment 1, we demonstrate that people infer the normality of a cause from an explanation when they know the underlying causal structure. In Experiment 2, we show that people infer the causal structure from an explanation if they know the normality of the cited cause. We find these patterns both for scenarios that manipulate the statistical and prescriptive normality of events. Finally, we consider how the communicative function of explanations, as highlighted in this series of experiments, may help to elucidate the distinctive roles that normality and causal structure play in causal explanation.

Conclusion

In this paper, we investigate the communicative dimensions of explanation, revealing some of the rich and subtle inferences people draw from them. We find that people are able to infer additional information from a causal explanation beyond what was explicitly communicated, such as causal structure and normality of the causes.  Our studies show that people make these inferences in part by appeal to what they themselves would judge reasonable to say across different possible scenarios. The overall pattern of judgments and inferences brings us closer to a full understanding of how causal explanations function inhuman discourse and behavior, while also raising new questions concerning the prominent role of norms in causal judgment and the function of causal explanation more broadly.

Editor's Note: This research has significant implications for psychotherapy.


Tuesday, July 21, 2020

College Football’s Brand At Stake, Ethics Expert Says

Penn State football seniors deserved a bigger crowd in final game ...Ray Glier
Forbes.com
Originally posted 16 July 20

Here is an excerpt:

“What is the potential harm vs potential good? This the core ethical question,” Etzel said.

The caretakers of college athletics insist it is too early to be making decisions about canceling football this fall. They are allowing players to work out, coaches to scheme, and fans to dream until the last possible moment before they have to pull the plug. Their runway is growing short.

“To be certain—rigid in what is important—is very risky,” Etzel said in an email response to the ethical dilemma facing college administrators. “Decisions and potential mistakes of this magnitude have not been made in the past, so those running and influencing the show have no benchmarks.

“Presidents and other leaders need to responsibly step in to decide on their own—consistent with their job descriptions—just what the most useful, compassionate path is for each organization.”

If athletes get sick from the virus in workouts this summer and do not recover, or have permanent damage to their health, the college game will get hit with vitriol nationally like it has never seen before. Millions of people in the U.S. are college football fans, but not everyone worships the U. Coaches and administrators are going to be painted as money-thirsty villains. An athletic director, maybe a coach, is going to be scapegoated, then fired, if an athlete does not recover from the virus.

The info is here.

Collective narcissism predicts the belief and dissemination of conspiracy theories during the COVID-19 pandemic.

Sternisko, A., Cichocka, A., Cislak, A.,
& Van Bavel, J. J. (2020, May 21).
PsyArXiv
https://doi.org/10.31234/osf.io/4c6av

Abstract

While COVID-19 was quietly spreading across the globe, conspiracy theories were finding loud voices on the internet. What contributes to the spread of these theories? In two national surveys (NTotal = 950) conducted in the United States and the United Kingdom, we identified national narcissism – a belief in the greatness of one’s nation that others do not appreciate – as a risk factor for the spread of conspiracy theories during the COVID-19 pandemic. We found that national narcissism was strongly associated with the proneness to believe and disseminate conspiracy theories related to COVID-19, accounting for up to 22% of the variance. Further, we found preliminary evidence that belief in COVID-19 conspiracy theories and national narcissism was linked to health-related behaviors and attitudes towards public policies to mitigate the spread of COVID-19. Our study expands previous work by illustrating the importance of identity processes in the spread of conspiracy theories during pandemics.

Conclusion

Ultimately, we hope that our studies are not only relevant for researchers but also for practitioners.Yet, little is known about how to increase or decrease the link between collective narcissism and conspiracy theories. Therefore, we urge future research to examine if focusing on the protection of the national image influences the spread of COVID-19 conspiracy theories, and the implications of these associations for public-health communication. For instance, underscoring that the national in-group is in some way disadvantaged in fighting the pandemic might increase the need to assert the image of the group and further fuel conspiracy theories.  Conversely, public-health messages might benefit from stressing that the adherence to health guidelines and policies also helps protect the nation’s image. Exploring such and other interventions could help limit the current ‘infodemic'.

Monday, July 20, 2020

Physicians united: Here’s why pulling out of WHO is a big mistake

Andis Robeznieks
American Medical Association
Originally published 8 July 20

Here is an excerpt:

The joint statement builds on a previous response from the AMA made back in May after the administration announced its intention to withdraw from the WHO.

Withdrawal served “no logical purpose,” made finding a solution to the pandemic more challenging and could have harmful repercussions in worldwide efforts to develop a vaccine and effective COVID-19 treatments, then-AMA President Patrice A. Harris, MD, MA, said at the time.

Defeating COVID-19 “requires the entire world working together,” Dr. Harris added.

In April, Dr. Harris said withdrawing from the WHO would be “a dangerous step in the wrong direction, and noted that “fighting a global pandemic requires international cooperation “

“Cutting funding to the WHO—rather than focusing on solutions—is a dangerous move at a precarious moment for the world,” she added

The message regarding the need for a unified international effort was echoed in the statement from the physician leaders.

"As our nation and the rest of the world face a global health pandemic, a worldwide, coordinated response is more vital than ever,” they said. “This dangerous withdrawal not only impacts the global response against COVID-19, but also undermines efforts to address other major public health threats.”

The info is here.

Seven Tips for Maintaining the Frame in Online Therapy

Clifford Arnold & Thomas Franklin
Psychiatric News
Originally published 25 June 20

While we are in the midst of a pandemic, teleconferencing technology can be a source of both stability and insecurity in the therapeutic relationship; on the one hand, it confers the near-miraculous ability to remain connected at a safe distance, while on the other hand it upends the basic conditions under which therapy takes place, like simply being in the same room together.

When striving for continuity in the transition from in-person to online therapy, a possible pitfall is to conserve the verbal elements of therapy and ignore the rest. This is counterproductive since the nonverbal aspects of therapy have an arguably greater impact on patients, and without them words can be ineffectual. The set of nonverbal conditions that engender trust, confidence, and security in patients and allow the words of therapy to be effective is called the therapeutic frame. The following tips are meant to help maintain the therapeutic frame during this precarious time, specifically in the transition from the office to the screen.

1. Create some distance: One way to preserve a familiar and comfortable frame is to observe personal space online as one would in the office. It would feel awkward, intrusive, and exhausting to sit four feet away from a patient and stare directly into her face for an hour straight in the office, yet we do that regularly online. Perhaps we are compensating for feeling distant in other ways or perhaps we simply can’t see or hear very well. It’s ok to back up, and some technological modifications can help (see tip #3). The extra space might allow both parties to feel less self-conscious and more at ease, less focused on maintaining a perfect affect and more on the therapy.

2. Body language matters: Here’s another reason to back off the camera a bit: Expanding the field of vision to include not just facial expressions but also upper-body language (for example, hand gestures, posture, distance modulation) has been shown to increase empathy measures, according to David T. Nguyen and John Canny in the article “More Than Face-to-Face: Empathy Effects of Video Framing.” Experiment with this. Sit back, expand the visual frame, move, and gesture as you would in person—find what feels connective and go with it. In addition to camera distance, the angle matters too; if the lens is positioned at a height lower than your eyes it may appear to your patients that you are looking down on them. Stack some books under your monitor to avoid the impression of being overbearing or aloof.

The info is here.

Sunday, July 19, 2020

Virtue signalling is virtuous

Neil Levy
Synthese (2020).
https://doi.org/10.1007/s11229-020-02653-9

Abstract

The accusation of virtue signalling is typically understood as a serious charge. Those accused usually respond (if not by an admission of fault) by attempting to show that they are doing no such thing. In this paper, I argue that we ought to embrace the charge, rather than angrily reject it. I argue that this response can draw support from cognitive science, on the one hand, and from social epistemology on the other. I claim that we may appropriately concede that what we are doing is (inter alia) virtue signalling, because virtue signalling is morally appropriate. It neither expresses vices, nor is hypocritical, nor does it degrade the quality of public moral discourse. Signalling our commitment to norms is a central and justifiable function of moral discourse, and the same signals provide (higher-order) evidence that is appropriately taken into account in forming moral beliefs.

From the Conclusion

The charge that someone is engaged in virtue signalling is widely felt to be a serious one. It is an accusation that stings. I hope we can now see that it should sting very much less. Virtue signalling is not an ir- or arational influence on belief formation. Rather, it provides (higher-order) evidence, which serves as an input into rational deliberation. Moreover, signalling is not a perversion of the central function of moral discourse. Independently of the role it plays in deliberation, signalling is a central function of public moral discourse, with an important role to play in enabling cooperation. Virtue signallers are not, in the main, hypocritical in their motivations and we have some grounds for thinking they are not dishonest in the signals they send.

Saturday, July 18, 2020

Making Decisions in a COVID-19 World

Baruch Fischoff
JAMA. 2020;324(2):139-140.
doi:10.1001/jama.2020.10178

Here are two excerpts:

Individuals must answer complementary questions. When is it safe enough to visit a physician’s office, get a dental check-up, shop for clothing, ride the bus, visit an aging or incarcerated relative, or go to the gym? What does it mean that some places are open but not others and in one state, but not in a bordering one? How do individuals make sense of conflicting advice about face masks, fomites, and foodstuffs?

Risk analysis translates technical knowledge into terms that people can use. Done to a publication standard, risk analysis requires advanced training and substantial resources. However, even back-of-the-envelope calculations can help individuals make sense of otherwise bewildering choices. Combined with behavioral research, risk analysis can help explain why reasonable people sometimes make different decisions. Why do some people wear face masks and crowd on the beach, while others do not? Do they perceive the risks differently or are they concerned about different risks?

(cut)

Second, risk analyses are needed to apply that knowledge. However solid the science on basic physical, biological, and behavioral processes, applying it requires knowledge of specific settings. How do air and people circulate? What objects and surfaces do people and viruses touch? How sustainable are physical barriers and behavioral practices? Risk analysts derive such estimates by consulting with scientists who know the processes and decision makers who know the settings.3 Boundary organizations are needed to bring the relevant parties together in each sector (medicine, sports, schools, movie production, etc) to produce estimates informed by the science and by people who know how that sector works.

The info is here.

Friday, July 17, 2020

Ivanka Trump's love for Goya beans violates ethics rules, say US rights groups

ImageAssociated Press
Originally posted 15 July 2020

The White House has defended Ivanka Trump tweeting a photo of herself holding up a can of Goya beans to buck up a Hispanic-owned business that she says has been unfairly treated, arguing she had “every right” to publicly express her support.

Government watchdogs countered that President Donald Trump’s daughter and senior adviser doesn’t have the right to violate ethics rules that bar government officials from using their public office to endorse specific products or groups.

These groups contend Ivanka Trump’s action also highlights broader concerns about how the president and those around him often blur the line between politics and governing. The White House would be responsible for disciplining Ivanka Trump for any ethics violation but chose not to in a similar case involving White House counselor Kellyanne Conway in 2017.

Goya became the target of a consumer boycott after CEO Robert Unanue praised the president at a Hispanic event at the White House on Thursday last week.

Trump tweeted the next day about his “love” for Goya, and his daughter followed up late Tuesday by tweeting a photo of herself holding a can of Goya black beans with a caption that read, “If it’s Goya, it has to be good,” in English and Spanish.

The info is here.

Immunity to Covid-19 could be lost in months, UK study suggests

Ian Sample
The Guardian
Originally posted 12 July 20

People who have recovered from Covid-19 may lose their immunity to the disease within months, according to research suggesting the virus could reinfect people year after year, like common colds.

In the first longitudinal study of its kind, scientists analysed the immune response of more than 90 patients and healthcare workers at Guy’s and St Thomas’ NHS foundation trust and found levels of antibodies that can destroy the virus peaked about three weeks after the onset of symptoms then swiftly declined.

Blood tests revealed that while 60% of people marshalled a “potent” antibody response at the height of their battle with the virus, only 17% retained the same potency three months later. Antibody levels fell as much as 23-fold over the period. In some cases, they became undetectable.

“People are producing a reasonable antibody response to the virus, but it’s waning over a short period of time and depending on how high your peak is, that determines how long the antibodies are staying around,” said Dr Katie Doores, lead author on the study at King’s College London.

The study has implications for the development of a vaccine, and for the pursuit of “herd immunity” in the community over time.

The immune system has multiple ways to fight the coronavirus but if antibodies are the main line of defence, the findings suggested people could become reinfected in seasonal waves and that vaccines may not protect them for long.

The info is here.