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, August 31, 2020

I'm Billy Graham's granddaughter. Evangelical support for Donald Trump insults his legacy.

Jerushah Duford
usatoday.com
Originally posted 25 August 20

Here is an excerpt:

Women of faith know better

I have given myself permission to lean into that tug at my spirit and speak out. I may be against the tide, but I am firm in my faith that this step is most consistent with my church and its teachings.

At a recent large family event, I was pulled aside by many female family members thanking me for speaking out against an administration with which they, too, had been uncomfortable. With tears in their eyes, they used a hushed tone, out of fear that they were alone or at risk of undeserved retribution.

How did we get here? How did we, as God-fearing women, find ourselves ignoring the disrespect and misogyny being shown from our president? Why do we feel we must express our discomfort in hushed whispers in quiet corners? Are we not allowed to stand up when it feels everyone else around us is sitting down?

The God we serve empowers us as women to represent Him before our churches. We represent God before we represented any political party or leader. When we fail to remember this, we are minimizing the role He created for us to fill. Jesus loved women; He served women; He valued women. We need to give ourselves permission to stand up to do the same.

If a plane gets even slightly off course, it will never reach its destination without a course correction. Perhaps this journey for us women looks similar. Perhaps you cringe at the president suggesting that America’s “suburban housewife” cares more about her status than those in need, but try to dismiss comments on women’s appearance as fake news.

When we look at our daughters, our nieces, our female students, and even ourselves, we feel the need to lean into that tug on our spirit. You might not have felt it four years ago; we do the best with what we know at the time. However, if we continue to ignore the tug we now feel, how will we ever be able to identify what is truly important to us?

The info is here.


Racism among white Christians is higher than among the nonreligious. That's no coincidence.

Robert Jones
nbcnews.com
Originally published 27 July 20

Here are two excerpts:

As a white Christian who was raised Southern Baptist and shaped by a denominational college and seminary, it pains me to see these patterns in the data. Even worse, these questions only hint at the magnitude of the problem.

To determine the breadth of these attitudes, I created a "Racism Index," a measure consisting of 15 questions designed to get beyond personal biases and include perceptions of structural injustice. These questions included the three above, as well as questions about the treatment of African Americans in the criminal justice system and general perceptions of race, racism and racial discrimination.

Even at a glance, the Racism Index reveals a clear distinction. Compared to nonreligious whites, white Christians register higher median scores on the Racism Index, and the differences among white Christian subgroups are largely differences of degree rather than kind.

Not surprisingly, given their concentration in the South, white evangelical Protestants have the highest median score (0.78) on the Racism Index. But it is a mistake to see this as merely a Southern or an evangelical problem. The median scores of white Catholics (0.72) and white mainline Protestants (0.69) — groups that are more culturally dominant in the Northeast and the Midwest — are not far behind. Notably, the median score for each white Christian subgroup is significantly above the median scores of the general population (0.57), white religiously unaffiliated Americans (0.42) and Black Protestants (0.24).

(cut)

The results point to a stark conclusion: While most white Christians think of themselves as people who hold warm feelings toward African Americans, holding racist views is nonetheless positively and independently associated with white Christian identity. Again, this troubling relationship holds not just for white evangelical Protestants, but also for white mainline Protestants and white Catholics.

The info is here.

Sunday, August 30, 2020

Prosocial modeling: A meta-analytic review and synthesis

Jung, H., Seo, E., et al. (2020).
Psychological Bulletin, 146(8), 635–663.
https://doi.org/10.1037/bul0000235

Abstract
Exposure to prosocial models is commonly used to foster prosocial behavior in various domains of society. The aim of the current article is to apply meta-analytic techniques to synthesize several decades of research on prosocial modeling, and to examine the extent to which prosocial modeling elicits helping behavior. We also identify the theoretical and methodological variables that moderate the prosocial modeling effect. Eighty-eight studies with 25,354 participants found a moderate effect (g = 0.45) of prosocial modeling in eliciting subsequent helping behavior. The prosocial modeling effect generalized across different types of helping behaviors, different targets in need of help, and was robust to experimenter bias. Nevertheless, there was cross-societal variation in the magnitude of the modeling effect, and the magnitude of the prosocial modeling effect was larger when participants were presented with an opportunity to help the model (vs. a third-party) after witnessing the model’s generosity. The prosocial modeling effect was also larger for studies with higher percentage of female in the sample, when other people (vs. participants) benefitted from the model’s prosocial behavior, and when the model was rewarded for helping (vs. was not). We discuss the publication bias in the prosocial modeling literature, limitations of our analyses and identify avenues for future research. We end with a discussion of the theoretical and practical implications of our findings.

Impact Statement

Public Significance Statement: This article synthesizes several decades of research on prosocial modeling and shows that witnessing others’ helpful acts encourages prosocial behavior through prosocial goal contagion. The magnitude of the prosocial modeling effect, however, varies across societies, gender and modeling contexts. The prosocial modeling effect is larger when the model is rewarded for helping. These results have important implications for our understanding of why, how, and when the prosocial modeling effect occurs. 

Saturday, August 29, 2020

The Moral Self and Moral Duties

Everett, J. A. C., Skorburg, J. A., & Savulescu, J.
(2020, January 6).
https://doi.org/10.31234/osf.io/9pqkh

Abstract

Recent research has begun treating the perennial philosophical question, “what makes a person the same over time?” as an empirical question. A long tradition in philosophy holds that psychological continuity and connectedness of memories are at the heart of personal identity. More recent experimental work, following Strohminger & Nichols (2014), has suggested that persistence of moral character, more than memories, is perceived as essential for personal identity. While there is a growing body of evidence supporting these findings, a critique by Starmans & Bloom (2018) suggests that this research program conflates personal identity with mere similarity. To address this criticism, we explore how loss of someone’s morality or memories influence perceptions of identity change, and perceptions of moral duties towards the target of the change. We present participants with a classic ‘body switch’ thought experiment and after assessing perceptions of identity persistence, we present a moral dilemma, asking participants to imagine that one of the patients must die (Study 1) or be left alone in a care home for the rest of their life (Study 2). Our results highlight the importance of the continuity of moral character, suggesting lay intuitions are tracking (something like) personal identity, not just mere similarity.

The ending:

Finally, it is important to reiterate that our work here seeks to shed light on  ordinary  people’s intuitions  about personal  identity and  moral duties and  not  to  draw  metaphysical  conclusions  about  the  nature  of  personal identity per se. We show that ordinary people think that morality is important for psychological  continuity  and  that this judgment  is  related  to  sub-sequent perceptions of moral duties. It is possible that people are mistaken about  the  nature  of  personal  identity  or  their  moral  duties,  but  that  is a debate for another paper.

Friday, August 28, 2020

Trump Shatters Ethics Norms By Making Official Acts Part Of GOP Convention

Sam Gringlas
www.npr.org
Originally posted 26 August 20

Here is an excerpt:

As part of Tuesday night's prime-time convention programming, Trump granted a presidential pardon from the White House. Secretary of State Mike Pompeo appeared from Jerusalem, where he was on official state business, to make a campaign speech with the Old City as backdrop. First lady Melania Trump delivered a speech from the White House Rose Garden. And acting Homeland Security Secretary Chad Wolf performed a naturalization ceremony on television as Trump looked on.

The Hatch Act prohibits federal employees from engaging in most political activity inside federal buildings or while on duty. Though the president and vice president are exempt from the civil provisions of the Hatch Act, federal employees like Pompeo, Wolf and any executive branch employees who helped stage the events are not.

Ethics watchdogs harshly criticized Trump's merging of official and campaign acts during the Tuesday night telecast.

"The Hatch Act was the wall standing between the government's might and candidates. Tonight a candidate tore down that wall and wielded power for his own campaign," tweeted Walter Shaub, the former head of the U.S. Office of Government Ethics. Shaub left the office in 2017 after clashing with the Trump administration over the president's failure to divest from his businesses.

This summer, Pompeo and top State Department officials sent memos to employees reminding them they must be careful to adhere to the Hatch Act. Another memo said, "Senate-confirmed Presidential appointees may not even attend a political party convention or convention-related event." That description also applies to Pompeo.

Richard Haass, the longtime president of the Council on Foreign Relations who has served in several Republican administrations, said it's inappropriate for a secretary of state to appear at a political convention while serving as the nation's top diplomat.

The info is here.

Thursday, August 27, 2020

Patients aren’t being told about the AI systems advising their care

Rebecca Robbins and Erin Brodwin
statnews.com
Originally posted 15 July 20

Here is an excerpt:

The decision not to mention these systems to patients is the product of an emerging consensus among doctors, hospital executives, developers, and system architects, who see little value — but plenty of downside — in raising the subject.

They worry that bringing up AI will derail clinicians’ conversations with patients, diverting time and attention away from actionable steps that patients can take to improve their health and quality of life. Doctors also emphasize that they, not the AI, make the decisions about care. An AI system’s recommendation, after all, is just one of many factors that clinicians take into account before making a decision about a patient’s care, and it would be absurd to detail every single guideline, protocol, and data source that gets considered, they say.

Internist Karyn Baum, who’s leading M Health Fairview’s rollout of the tool, said she doesn’t bring up the AI to her patients “in the same way that I wouldn’t say that the X-ray has decided that you’re ready to go home.” She said she would never tell a fellow clinician not to mention the model to a patient, but in practice, her colleagues generally don’t bring it up either.

Four of the health system’s 13 hospitals have now rolled out the hospital discharge planning tool, which was developed by the Silicon Valley AI company Qventus. The model is designed to identify hospitalized patients who are likely to be clinically ready to go home soon and flag steps that might be needed to make that happen, such as scheduling a necessary physical therapy appointment.

Clinicians consult the tool during their daily morning huddle, gathering around a computer to peer at a dashboard of hospitalized patients, estimated discharge dates, and barriers that could prevent that from occurring on schedule.

The info is here.

Wednesday, August 26, 2020

Morality justifies motivated reasoning in the folk ethics of belief

Cusimano, C., & Lombrozo, T. (2020, July 20).
https://doi.org/10.31234/osf.io/7r5yb

Abstract

When faced with a dilemma between believing what is supported by an impartial assessment of the evidence (e.g., that one’s friend is guilty of a crime) and believing what would better fulfill a moral obligation (e.g., that the friend is innocent), people often believe in line with the latter. But is this how people think beliefs ought to be formed? We addressed this question across three studies and found that, across a diverse set of everyday situations, people treat moral considerations as legitimate grounds for believing propositions that are unsupported by objective, evidence-based reasoning. We further document two ways in which moral evaluations affect how people prescribe beliefs to others. First, the moral value of a belief affects the evidential threshold required to believe, such that morally good beliefs demand less evidence than morally bad beliefs. Second, people sometimes treat the moral value of a belief as an independent justification for belief, and so sometimes prescribe evidentially poor beliefs to others. Together these results show that, in the folk ethics of belief, morality can justify and demand motivated reasoning.

From the Discussion

Additionally, participants reported that moral concerns affected the standards of evidence that apply to belief, such that morally-desirable beliefs require less evidence than morally-undesirable beliefs. In Study 1, participants reported that, relative to an impartial observer with the same information, someone with a moral reason to be optimistic had a wider range of beliefs that could be considered“consistent with” and “based on” the evidence.  Critically however, the broader range of beliefs that were consistent with the same evidence were only beliefs that were more morally desirable; morally undesirable beliefs were not more consistent with the evidence. In Studies 2 and 3, participants agreed more strongly that someone who had a moral reason to adopt a desirable belief had sufficient evidence to do so compared to someone who lacked a moral reason, even though they formed the same belief on the basis of the same evidence.  Likewise, on average, participants judged that when someone adopted the morally undesirable belief, they were more often judged as having insufficient evidence for doing so relative to someone who lacked a moral reason (again, even though they formed the same belief on the basis of the same evidence).  Finally, in Study 2 (though not in Study 3), these judgments replicated using an indirect measure of evidentiary quality; namely, attributions of knowledge. In sum, these findings document that one reason people may prescribe a motivated belief to someone is because morality changes how much evidence they consider to be required to hold the belief in an evidentially-sound way.

Editor's Note: Huge implications for psychotherapy.

Tuesday, August 25, 2020

Uncertainty about the impact of social decisions increases prosocial behaviour

Kappes, A., Nussberger, A. M., et al.
Nature human behaviour, 2(8), 573–580.
https://doi.org/10.1038/s41562-018-0372-x

Abstract

Uncertainty about how our choices will affect others infuses social life. Past research suggests uncertainty has a negative effect on prosocial behavior by enabling people to adopt self-serving narratives about their actions. We show that uncertainty does not always promote selfishness. We introduce a distinction between two types of uncertainty that have opposite effects on prosocial behavior. Previous work focused on outcome uncertainty: uncertainty about whether or not a decision will lead to a particular outcome. But as soon as people’s decisions might have negative consequences for others, there is also impact uncertainty: uncertainty about how badly others’ well-being will be impacted by the negative outcome. Consistent with past research, we found decreased prosocial behavior under outcome uncertainty. In contrast, prosocial behavior was increased under impact uncertainty in incentivized economic decisions and hypothetical decisions about infectious disease threats. Perceptions of social norms paralleled the behavioral effects. The effect of impact uncertainty on prosocial behavior did not depend on the individuation of others or the mere mention of harm, and was stronger when impact uncertainty was made more salient. Our findings offer insights into communicating uncertainty, especially in contexts where prosocial behavior is paramount, such as responding to infectious disease threats.

From the Summary

To summarize, we show that uncertainty does not always decrease prosocial behavior; instead, the type of uncertainty matters. Replicating previous findings, we found that outcome uncertainty – uncertainty about the outcomes of decisions – made people behave more selfishly. However, impact uncertainty about how an outcome will impact another person’s well-being increased prosocial behavior, in economic and health domains. Examining closer the effect of impact uncertainty on prosociality, we show that for the increase in prosociality to occur, simply mentioning negative outcomes or inducing uncertainty about aspects of the other person unrelated to the negative outcome is not sufficient to increase prosociality. Rather, it seems that uncertainty relating to the impact of negative outcomes on others is needed to increase prosociality in our studies. Finally, we show that impact uncertainty is only effective when it is salient, thereby potentially overcoming people’s reluctance to contemplating the harm they might cause.

Monday, August 24, 2020

Natural Compatibilism, Indeterminism, and Intrusive Metaphysics

Nadelhoffer, T., Rose, D., Buckwalter, W.,
& Nichols, S. (2019, August 25).
https://doi.org/10.31219/osf.io/rzbqh

Abstract

The claim that common sense regards free will and moral responsibility as compatible with determinism has played a central role in both analytic and experimental philosophy. In this paper, we show that evidence in favor of this “natural compatibilism” is undermined by the role that indeterministic metaphysical views play in how people construe deterministic scenarios. To demonstrate this, we re-examine two classic studies that have been used to support natural compatibilism. We find that although people give apparently compatibilist responses, this is largely explained by the fact that people import an indeterministic metaphysics into deterministic scenarios when making judgments about freedom and responsibility. We conclude that judgments based on these scenarios are not reliable evidence for natural compatibilism.

Here is an excerpt from the Discussion:

The most obvious rejoinder for natural compatibilists is to deny that our intrusion items are properly construed as measures of creeping indeterminism. On this view, our items beg the question against compatibilism and our findings can be given a compatibilist-friendly interpretation.Here, the natural compatibilist is likely to appeal to the difference between the unconditional and the conditional ability to do otherwise. In an indeterministic universe, agents can have the unconditional ability to do otherwise—that is, they could have done otherwise even if everything leading up to their decision remained exactly the same. In a deterministic universe, on the other hand, agents merely have the conditional ability to do otherwise—that is, agents could have acted differently only insofar as something (either the past or the laws) had been different than it actually was. Compatibilists suggest that this conditional ability to do otherwise (along with other cognitive and volitional capacities) can ground free will and moral responsibility even in a deterministic universe. Incompatibilists disagree, insisting instead that free will requires indeterminism and the unconditional ability to do otherwise.