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

Saturday, November 14, 2020

Do ethics classes influence student behavior? Case study: Teaching the ethics of eating meat

Schwitzgebel, E. et al.
Cognition
Volume 203, October 2020

Abstract

Do university ethics classes influence students' real-world moral choices? We aimed to conduct the first controlled study of the effects of ordinary philosophical ethics classes on real-world moral choices, using non-self-report, non-laboratory behavior as the dependent measure. We assigned 1332 students in four large philosophy classes to either an experimental group on the ethics of eating meat or a control group on the ethics of charitable giving. Students in each group read a philosophy article on their assigned topic and optionally viewed a related video, then met with teaching assistants for 50-minute group discussion sections. They expressed their opinions about meat ethics and charitable giving in a follow-up questionnaire (1032 respondents after exclusions). We obtained 13,642 food purchase receipts from campus restaurants for 495 of the students, before and after the intervention. Purchase of meat products declined in the experimental group (52% of purchases of at least $4.99 contained meat before the intervention, compared to 45% after) but remained the same in the control group (52% both before and after). Ethical opinion also differed, with 43% of students in the experimental group agreeing that eating the meat of factory farmed animals is unethical compared to 29% in the control group. We also attempted to measure food choice using vouchers, but voucher redemption rates were low and no effect was statistically detectable. It remains unclear what aspect of instruction influenced behavior.

Friday, November 13, 2020

Cracking the Code of Sustained Collaboration

Francesca Gino
Harvard Business Review
Originally published Nov 2019

Ask any leader whether his or her organization values collaboration, and you’ll get a resounding yes. Ask whether the firm’s strategies to increase collaboration have been successful, and you’ll probably receive a different answer.

“No change seems to stick or to produce what we expected,” an executive at a large pharmaceutical company recently told me. Most of the dozens of leaders I’ve interviewed on the subject report similar feelings of frustration: So much hope and effort, so little to show for it.

One problem is that leaders think about collaboration too narrowly: as a value to cultivate but not a skill to teach. Businesses have tried increasing it through various methods, from open offices to naming it an official corporate goal. While many of these approaches yield progress—mainly by creating opportunities for collaboration or demonstrating institutional support for it—they all try to influence employees through superficial or heavy-handed means, and research has shown that none of them reliably delivers truly robust collaboration.

What’s needed is a psychological approach. When I analyzed sustained collaborations in a wide range of industries, I found that they were marked by common mental attitudes: widespread respect for colleagues’ contributions, openness to experimenting with others’ ideas, and sensitivity to how one’s actions may affect both colleagues’ work and the mission’s outcome. Yet these attitudes are rare. Instead, most people display the opposite mentality, distrusting others and obsessing about their own status. The task for leaders is to encourage an outward focus in everyone, challenging the tendency we all have to fixate on ourselves—what we’d like to say and achieve—instead of what we can learn from others.

Thursday, November 12, 2020

Deinstitutionalization of People with Mental Illness: Causes and Consequences

Daniel Yohanna, MD
Virtual Mentor. 2013;15(10):886-891.

Here is an excerpt:

State hospitals must return to their traditional role of the hospital of last resort. They must function as entry points to the mental health system for most people with severe mental illness who otherwise will wind up in a jail or prison. State hospitals are also necessary for involuntary commitment. As a nation, we are working through a series of tragedies involving weapons in the hands of people with severe mental illness—in Colorado, where James Holmes killed or wounded 70 people, Arizona, where Jared Loughner killed or wounded 19 people, and Connecticut, where Adam Lanza killed 28 including children as young as 6 years old. All are thought to have had severe mental illness at the time of their crimes. After we finish the debate about the availability of guns, particularly to those with mental illness, we will certainly have to address the mental health system and lack of services, especially for those in need of treatment but unwilling or unable to seek it. With proper services, including involuntary commitment, many who have the potential for violence can be treated. Just where will those services be initiated, and what will be needed?

Nearly 30 years ago, Gudeman and Shore published an estimate of the number of people who would need long-term care—defined as secure, supportive, indefinite care in specialized facilities—in Massachusetts. Although a rather small study, it is still instructive today. They estimated that 15 persons out of 100,000 in the general population would need long-term care. Trudel and colleagues confirmed this approximation with a study of the long-term need for care among people with the most severe and persistent mental illness in a semi-rural area in Canada, where they estimated a need of 12.4 beds per 100,000. A consensus of other experts estimates that the total number of state beds required for acute and long-term care would be more like 50 beds per 100,000 in the population. At the peak of availability in 1955, there were 340 beds per 100,000. In 2010, the number of state beds was 43,318 or 14.1 beds per 100,000.

Wednesday, November 11, 2020

How social relationships shape moral judgment

Earp, B. D.,  et al. (2020, September 18).

Abstract

Our judgments of whether an action is morally wrong depend on who is involved and their relationship to one another. But how, when, and why do social relationships shape such judgments? Here we provide new theory and evidence to address this question. In a pre- registered study of U.S. participants (n = 423, nationally representative for age, race and gender), we show that particular social relationships (like those between romantic partners, housemates, or siblings) are normatively expected to serve distinct cooperative functions – including care, reciprocity, hierarchy, and mating – to different degrees. In a second pre- registered study (n = 1,320) we show that these relationship-specific norms, in turn, influence the severity of moral judgments concerning the wrongness of actions that violate cooperative expectations. These data provide evidence for a unifying theory of relational morality that makes highly precise out-of-sample predictions about specific patterns of moral judgments across relationships. Our findings show how the perceived morality of actions depends not only on the actions themselves, but also on the relational context in which those actions occur.

From the Discussion

In other relationships, by contrast, such as those between friends, family members, or romantic partners --so-called “communal” relationships --reciprocity takes a different form: that of mutually expected responsiveness to one another’s needs. In this form of reciprocity, each party tracks the other’s needs (rather than specific benefits provided) and strives to meet these needs to the best of their respective abilities, in proportion to the degree of responsibility each has assumed for the other’s welfare. Future work should distinguish between these two types of reciprocity: that is, mutual care-based reciprocity in communal relationships (when both partners have similar needs and abilities) and tit-for-tat reciprocity between “transactional” cooperation partners who have equal standing or claim on a resource.

Tuesday, November 10, 2020

Why Good Ethics Are Now Big Business—And How To Embrace Them

Phil Lewis
Forbes.com
Originally published 14 Oct 20

Here is an excerpt:

“I think ethics cascading through the business, through the teams and managers, is very much about cascading the culture, but a culture that everyone understands. It’s about hiring the right people. People who share our values,” he explains. 

“And this wouldn’t work if you were just thinking about today or tomorrow as a business. But if you think about five years, or 10 years, or 50 years, the way Japanese businesses operate, looking after people, giving them a sense of purpose, making sure that the growth path of the business is also thinking about the growth path of the individual… If you really look after people, that intrinsic motivation will follow.”

It’s almost a karmic approach to business, then: do good things and good things will come to you. That’s an approach Pawlik has taken through the pandemic too—and it seems to be proving its worth. 

“When this happened, we were very much, ‘What do you need? Can I help you with strategy? Can I help you reach a new market and diversify? Whatever it is, let's put some time together, and you can ask questions, and I'll just help.’ I offered to do loads of free training to organizations, to support them. The approach was: let's just give them more value and see if we can help people. 

“And that came back tenfold. People were so happy with how we've supported them, that when they got stronger legs, they came back to us and said, ‘You know what? You really helped us through that difficult time period. You didn't need to, you didn't ask for anything back. And now we want to reciprocate.’ It's perfectly logical. Help people, and good things will come back.”

Monday, November 9, 2020

Betrayal vs. Nonbetrayal Trauma: Different Effects of Social Support & Emotion Regulation on PTSD Symptom Severity

N. Kline & K.M. Palm Read
Psychological Trauma: 
Theory, Research, Practice, and Policy. 

Abstract

Objective: Betrayal Trauma Theory posits that interpersonal traumas are particularly injurious when the perpetrator is a person that the victim previously trusted and was close to. A relevant protective factor to examine is social support, which may influence PTSD symptomology through its influence on emotion regulation. The aim of the current study was to examine differences in the associations between social support, emotion regulation, and PTSD symptom severity for survivors of betrayal trauma and nonbetrayal trauma. 

Method: Two hundred and 73 trauma survivors (age: M = 25.96 years, SD = 9.42 years; 80.2% female; 63.7% White) completed the anonymous, online survey. Results: Across both groups, emotion regulation mediated the relationship between social support and PTSD symptom severity. A multiple-samples SEM analysis showed that the betrayal group evidenced a weaker relationship between social support and emotion regulation. 

Conclusions: Findings suggest that survivors of high betrayal trauma may not engage with their social support in ways that foster emotion regulation skills. Therefore, for high betrayal trauma survivors specifically, group interventions that involve the survivor and close contact(s), may be particularly beneficial in enhancing emotion regulation and decreasing PTSD symptomology.

Impact Statement

Findings suggest social support may influence the impact of trauma through improving survivors’ ability to regulate emotions. Survivors of betrayal trauma may not seek out social support to the same extent or manner as nonbetrayal trauma survivors, limiting opportunities for beneficial emotional regulation practices and support. Clinicians should consider focusing on how interpersonal processes can facilitate greater understanding, acceptance, and regulation of emotions following betrayal trauma. 

Sunday, November 8, 2020

Where loneliness can lead

Samantha Rose Hill
aeon.co
Originally published 16 Oct 20

Here is an excerpt:

Why loneliness is not obvious.

Arendt’s answer was: because loneliness radically cuts people off from human connection. She defined loneliness as a kind of wilderness where a person feels deserted by all worldliness and human companionship, even when surrounded by others. The word she used in her mother tongue for loneliness was Verlassenheit – a state of being abandoned, or abandon-ness. Loneliness, she argued, is ‘among the most radical and desperate experiences of man’, because in loneliness we are unable to realise our full capacity for action as human beings. When we experience loneliness, we lose the ability to experience anything else; and, in loneliness, we are unable to make new beginnings.

In order to illustrate why loneliness is the essence of totalitarianism and the common ground of terror, Arendt distinguished isolation from loneliness, and loneliness from solitude. Isolation, she argued, is sometimes necessary for creative activity. Even the mere reading of a book, she says requires some degree of isolation. One must intentionally turn away from the world to make space for the experience of solitude but, once alone, one is always able to turn back.

Totalitarianism uses isolation to deprive people of human companionship, making action in the world impossible, while destroying the space of solitude. The iron-band of totalitarianism, as Arendt calls it, destroys man’s ability to move, to act, and to think, while turning each individual in his lonely isolation against all others, and himself. The world becomes a wilderness, where neither experience nor thinking are possible.

Saturday, November 7, 2020

Psychopathy as moral blindness: a qualifying exploration of the blindness-analogy in psychopathy theory and research

Rasmus Rosenberg Larsen (2020) 
Philosophical Explorations, 23:3, 214-233
DOI: 10.1080/13869795.2020.1799662

Abstract

The term psychopathy refers to a personality disorder associated with callous personality traits and antisocial behaviors. Throughout its research history, psychopathy has frequently been described as a peculiar form of moral blindness, engendering a narrative about a patient stereotype incapable of taking a genuine moral perspective, similar to a blind person who is deprived of proper visual perceptions. However, recent empirical research has shown that clinically diagnosed psychopaths are morally more fit than initially thought, and the blindness-analogy now comes across as largely misleading. In this contribution, the moral-blindness analogy is explored in an attempt to qualify anew its relevance in psychopathy theory and research. It is demonstrated that there are indeed theoretically relevant parallels to be drawn between blindness and psychopathy, parallels that are especially illuminating when accounting for the potential symptomatology, dimensionality, and etiological nature of the disorder.

Concluding remarks

In summary, what has been proposed throughout this paper is a perspective in terms of how to interpret and improve psychopathy research, an approach which lends itself to theorize psychopathy as a peculiar form of moral blindness. Following leading research, it was posited that psychopathy must, first of all, be understood as an emotional disorder, that is, a disorder of substantial emotional attenuation. Building on Prinz’s constructivist sentimentalism, it was demonstrated how said emotional incapacity could manifest in moral psychological impairments, as an inability to perceive the degrees of moral rightness and wrongness. Prinz’s theory was then expanded by adding (or amending) that psychopaths are not necessarily impaired in terms of perceiving the categorical value of a given moral situation, i.e. judging whether something is either right or wrong. Indeed, psychopaths must perceive this basic information by the mere fact that they do have some levels of valanced emotional experience. Instead, what is predicted is that globally low emotion attenuation (i.e. psychopathy) leads to observable differences in terms of
judging the degree of rightness and wrongness of a situation.

Friday, November 6, 2020

Deluded, with reason

Huw Green
aeon.co
Originally published 31 Aug 20

Here is an excerpt:

Of course, beliefs don’t exist only in a private mental context, but can also be held in place by our relationships and social commitments. Consider how political identities often involve a cluster of commitments to various beliefs, even where there is no logical connection between them – for instance, how a person who advocates for say, trans rights, is also more likely to endorse Left-wing economic policies. As the British clinical psychologist Vaughan Bell and his colleagues note in their preprint, ‘De-rationalising Delusions’ (2019), beliefs facilitate affiliation and intragroup trust. They cite earlier philosophical work by others that suggests ‘reasoning is not for the refinement of personal knowledge … but for argumentation, social communication and persuasion’. Indeed, our relationships usually ground our beliefs in a beneficial way, preventing us from developing ideas too disparate from those of our peers, and helping us to maintain a set of ‘healthy’ beliefs that promote our basic wellbeing and continuity in our sense of self.

Given the social function of beliefs, it’s little surprise that delusions usually contain social themes. Might delusion then be a problem of social affiliation, rather than a purely cognitive issue? Bell’s team make just this claim, proposing that there is a broader dysfunction to what they call ‘coalitional cognition’ (important for handling social relationships) involved in the generation of delusions. Harmful social relationships and experiences could play a role here. It is now widely acknowledged that there is a connection between traumatic experiences and symptoms of psychosis. It’s easy to see how trauma could have a pervasive impact on a person’s sense of how safe and trustworthy the world feels, in turn affecting their belief systems.

The British philosopher Matthew Ratcliffe and his colleagues made this point in their 2014 paper, observing how ‘traumatic events are often said to “shatter” a way of experiencing the world and other people that was previously taken for granted’. They add that a ‘loss of trust in the world involves a pronounced and widespread sense of unpredictability’ that could make people liable to delusions because the ideas we entertain are likely to be shaped by what feels plausible in the context of our subjective experience. Loss of trust is not the same as the absence of a grounding belief, but I would argue that it bears an important similarity. When we lose trust in something, we might say that we find it hard to believe in it. Perhaps loss of certain forms of ordinary belief, especially around close social relationships, makes it possible to acquire beliefs of a different sort altogether.