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

Sunday, September 6, 2020

Our morally unserious president on display in Kenosha

Michael Sean Winters
National Catholic Reporter
Originally posted 4 September 20

President Donald Trump went to Kenosha, Wisconsin, this week to "survey the property damage" according to a White House transcript. He spoke a lot about law and order and very little about justice, as if the concepts are not necessarily related. To him, they probably are not.

A morally serious person would begin any examination of the damage in Kenosha with a look at an MRI of Jacob Blake's shattered torso. Blake was shot seven times in the back — reports said he was shot at "point blank range," but that phrase covers a range of distances — the gun only a few feet from his body. The video made the shooting look like a public execution.

Donald Trump is not a morally serious person.

A morally serious person would continue his survey of the damage in Kenosha by visiting with the family of Jacob Blake, especially his three young sons who witnessed the shooting. They are ages 3, 5 and 8, and the trauma to which they were exposed is horrific to contemplate. A morally serious person would express sympathy with the family and the community, mindful of how much more shocking the shocking video of Blake's shooting was if you knew the victim.

Donald Trump is not a morally serious person.

A morally serious person would understand that, while it is entirely fitting for the nation's chief magistrate to mourn the death of Aaron "Jay" Danielson, the 39-year old Trump supporter gunned down on the streets of Portland, Oregon, it is wrong to mourn his death publicly without mentioning the shooting of Blake, on the very day you are going to Kenosha. Such uneven treatment epitomizes the very reason it is still necessary to remind the nation that Black lives matter.

Donald Trump is not a morally serious person.

A morally serious person would inquire into the legacy of racism, structural racism, in Kenosha and elsewhere, the racism that made the shooting of Blake horrifying but not surprising. A morally serious person would not take refuge in chatter about "a few bad apples" but confront the police culture that permits such bad apples to poison the bushel. A morally serious person would work, and work hard, at finding ways to ameliorate the effects of racism and call fellow citizens to that deep examination of conscience every episode of police brutality against Black men demands.

Donald Trump is not a morally serious person.

The info is here.

Saturday, September 5, 2020

Generosity without borders: The interactive effect of spatial distance and donation goals on charitable giving

A. Jing Xu, M. A. Rodas, C. J. Torelli
Organizational Behavior and 
Human Decision Processes
Volume 161, November 2020, Pages 65-78

Abstract

Although past research suggests that people are more likely to donate money to nearby causes to maximize their positive impact on others’ lives, donations to foreign causes are growing rapidly. Incorporating both other-focused impact goals and self-focused moral goals into our conceptualization, we propose that an interplay between the accessibility of impact/moral goals and the spatial distance between donors and recipients of charitable causes (e.g., faraway vs. nearby recipients) influences charitable behaviors (e.g., donation amounts and charitable choices). Specifically, when the goal to maintain a moral self-concept (impact recipients’ lives) is accessible, donors experience a more expansive conception of their moral circle (apply the “closeness-equals-impact” heuristic) and donate more money to faraway (nearby) causes. We further demonstrate that moral (impact) goals are more abstract (concrete) motivations, and their effects also emerge when priming an abstract (concrete) mindset. Five studies support these predictions while ruling out alternative interpretations.

Highlights

• The goal to maintain a moral self-concept leads to higher donations to faraway causes.

• This effect is mediated by perceived expansion of one’s circle of moral regard.

• The goal to impact recipients’ lives leads to higher donations to nearby causes.

• Moral goals are abstract and can be activated by an abstract mindset.

• Impact goals are concrete and can be activated by a concrete mindset.

• Self-importance of moral identity moderates the effect of spatial distance on donations.

The research is here.

Friday, September 4, 2020

X-Phi and Impartiality Thought Experiments: Investigating the Veil of Ignorance

N. Paulo & T. Pƶlzler
Diametros 17 (2020), 64: 72–89
doi: 10.33392/diam.1499

Abstract

This paper discusses “impartiality thought experiments”, i.e., thought experiments that attempt to generate intuitions which are unaffected by personal characteristics such as age, gender or race. We focus on the most prominent impartiality thought experiment, the Veil of Ignorance (VOI), and show that both in its original Rawlsian version and in a more generic version, empirical investigations can be normatively relevant in two ways: First, on the assumption that the VOI is effective and robust, if subjects dominantly favor a certain normative judgment behind the VOI this provides evidence in favor of that judgment; if, on the other hand, they do not dominantly favor a judgment this reduces our justification for it. Second, empirical investigations can also contribute to assessing the effectiveness and robustness of the VOI in the first place, thereby supporting or undermining its applications across the board.

From the Conclusion:

There are two ways in which empirical investigations of the VOI turned out to be normatively relevant. First, on the assumption that the VOI is effective and robust, if subjects dominantly favor a certain normative judgment behind the VOI this provides evidence in favor of that judgment; if, on the other hand, they do not dominantly favor a judgment this reduces our justification for it. Second, empirical investigations can also contribute to assessing the effectiveness and robustness of the VOI in the first place, thereby supporting or undermining its applications across the board. Analogous conclusions may apply to other impartiality thought experiments as well.

Thursday, September 3, 2020

Children’s evaluations of third-party responses to unfairness: Children prefer helping over punishment.

Lee, Y., & Warneken, F. (2020, June 13).
https://doi.org/10.31234/osf.io/x8e7w

Abstract

Third-party punishment of selfish individuals is an important mechanism to intervene against unfairness. However, there is another way in which third parties can intervene. Rather than focusing on the unfair individual, third parties can choose to help those who were treated unfairly by reducing inequality. Such third-party helping as an alternative to third-party punishment has received little attention in studies with children. Across four studies, we examined the evaluations of third-party punishment versus third-party helping in N = 322 5- to 9-year-old children. Study 1, 3 and 4 showed that when asked about the agents directly, children evaluated both helpers and punishers positively, but they preferred helpers over punishers overall. When asked about the type of intervention itself, children preferred helping over punishment, suggesting that their preference for the type of intervention corresponds to how children think about the agents performing these interventions. Study 2 showed that children’s preference for third-party helping is driven by distributive justice concerns and not a mere preference for giving or resource maximization as children consider which type of third-party intervention decreases inequality. Together, this series of studies demonstrate that children between 5 and 9 years of age develop a sophisticated understanding of punishment and helping as two adequate forms of intervention but also display a preference for third-party helping. We discuss how these findings and prior work with adults supports the hypothesis of developmental continuity, showing that a preference for helping over punishment is deeply rooted in ontogeny.

From the Discussion:

The current study contributes to the literature by moving beyond the focus on punishment alone and probing children’s thinking about punishment and helping side by side. Prior developmental research focused on comparing punishers with third parties such as onlookers who choose not to intervene after witnessing a transgression (e.g., Vaish et al., 2016) or givers who reward a transgressor(e.g., Hamlin et al., 2011), which might have led to inflating children’s preference for punishers. Instead, the current study compared punishment with helping, a valid and common form of third-party intervention. Additionally, our study assessed children’s evaluations of punishment intervention per se and revealed a subtle but meaningful difference in understanding punishers vs. punishment, which was especially remarkable in young children. With the use of various measures and comparisons, the current study provided a more comprehensive understanding of the development of third-party punishment in children

Wednesday, September 2, 2020

Poll: Most Americans believe the Covid-19 vaccine approval process is driven by politics, not science

Ed Silverman
statnews.com
Originally published 31 August 20

Seventy-eight percent of Americans worry the Covid-19 vaccine approval process is being driven more by politics than science, according to a new survey from STAT and the Harris Poll, a reflection of concern that the Trump administration may give the green light to a vaccine prematurely.

The response was largely bipartisan, with 72% of Republicans and 82% of Democrats expressing such worries, according to the poll, which was conducted last week and surveyed 2,067 American adults.

The sentiment underscores rising speculation that President Trump may pressure the Food and Drug Administration to approve or authorize emergency use of at least one Covid-19 vaccine prior to the Nov. 3 election, but before testing has been fully completed.

Concerns intensified in recent days after Trump suggested in a tweet that the FDA is part of a “deep state” conspiracy to sabotage his reelection bid. In a speech Thursday night at the Republican National Convention, he pledged that the administration “will produce a vaccine before the end of the year, or maybe even sooner.”

The info is here.

Please see top line: 80% of Americans surveyed worry that approving vaccine too quickly would worry about safety.  The implication is that fewer people would choose the vaccine if safety is an issue.

Tuesday, September 1, 2020

Systemic racism and U.S. health care

J. Feagin & Z. Bennefield
Social Science & Medicine
Volume 103, February 2014, Pages 7-14

Abstract

This article draws upon a major social science theoretical approach–systemic racism theory–to assess decades of empirical research on racial dimensions of U.S. health care and public health institutions. From the 1600s, the oppression of Americans of color has been systemic and rationalized using a white racial framing–with its constituent racist stereotypes, ideologies, images, narratives, and emotions. We review historical literature on racially exploitative medical and public health practices that helped generate and sustain this racial framing and related structural discrimination targeting Americans of color. We examine contemporary research on racial differentials in medical practices, white clinicians' racial framing, and views of patients and physicians of color to demonstrate the continuing reality of systemic racism throughout health care and public health institutions. We conclude from research that institutionalized white socioeconomic resources, discrimination, and racialized framing from centuries of slavery, segregation, and contemporary white oppression severely limit and restrict access of many Americans of color to adequate socioeconomic resources–and to adequate health care and health outcomes. Dealing justly with continuing racial “disparities” in health and health care requires a conceptual paradigm that realistically assesses U.S. society's white-racist roots and contemporary racist realities. We conclude briefly with examples of successful public policies that have brought structural changes in racial and class differentials in health care and public health in the U.S. and other countries.

Highlights

• A full-fledged theory of structural (systemic) racism for interpreting health care data.

• A full-fledged developed theory of structural (systemic) racism for interpreting public health data.

• Focus on powerful white decision makers central to health-related institutions.

• Importance of listening to patients and physicians of color on health issues.

• Implications of systemic racism theory and data for public policies regarding medical care and public health.

The info is here.

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.