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, December 27, 2020

Do criminals freely decide to commit offences? How the courts decide?

J. Kennett & A. McCay
The Conversation
Originally published 15 OCT 20

Here is an excerpt:

Expert witnesses were reportedly divided on whether Gargasoulas had the capacity to properly participate in his trial, despite suffering from paranoid schizophrenia and delusions.

A psychiatrist for the defence said Gargasoulas’ delusional belief system “overwhelms him”; the psychiatrist expressed concern Gargasoulas was using the court process as a platform to voice his belief he is the messiah.

A second forensic psychiatrist agreed Gargasoulas was “not able to rationally enter a plea”.

However, a psychologist for the prosecution assessed him as fit and the prosecution argued there was evidence from recorded phone calls that he was capable of rational thought.

Notwithstanding the opinion of the majority of expert witnesses, the jury found Gargasoulas was fit to stand trial, and later he was convicted and sentenced to life imprisonment.

Working from media reports, it is difficult to be sure precisely what happened in court, and we cannot know why the jury favoured the evidence suggesting he was fit to stand trial. However, it is interesting to consider whether research into the psychology of blame and punishment can shed any light on their decision.

Questions of consequence

Some psychologists argue judgements of blame are not always based on a balanced assessment of free will or rational control, as the law presumes. Sometimes we decide how much control or freedom a person possessed based upon our automatic negative responses to harmful consequences.

As the psychologist Mark Alicke says:
we simply don’t want to excuse people who do horrible things, regardless of how disordered their cognitive states may be.
When a person has done something very bad, we are motivated to look for evidence that supports blaming them and to downplay evidence that might excuse them by showing that they lacked free will.

Saturday, December 26, 2020

Baby God: how DNA testing uncovered a shocking web of fertility fraud

Arian Horton
The Guardian
Originally published 2 Dec 20

Here ate two excerpts:

The database unmasked, with detached clarity, a dark secret hidden in plain sight for decades: the physician once named Nevada’s doctor of the year, who died in 2006 at age 94, had impregnated numerous patients with his own sperm, unbeknownst to the women or their families. The decades-long fertility fraud scheme, unspooled in the HBO documentary Baby God, left a swath of families – 26 children as of this writing, spanning 40 years of the doctor’s treatments – shocked at long-obscured medical betrayal, unmoored from assumptions of family history and stumbling over the most essential questions of identity. Who are you, when half your DNA is not what you thought?

(cut)

That reality – a once unknowable crime now made plainly knowable – has now come to pass, and the film features interviews with several of Fortier’s previously unknown children, each grappling with and tracing their way into a new web of half-siblings, questions of lineage and inheritance, and reframing of family history. Babst, who started as a cop at 19, dove into her own investigation, sourcing records on Dr Fortier that eventually revealed allegations of sexual abuse and molestation against his own stepchildren.

Brad Gulko, a human genomics scientist in San Francisco who bears a striking resemblance to the young Fortier, initially approached the revelation from the clinical perspective of biological motivations for procreation. “I feel like Dr Fortier found a way to justify in his own mind doing what he wanted to do that didn’t violate his ethical norms too much, even if he pushed them really hard,” he says in the film. “I’m still struggling with that. I don’t know where I’ll end up.”

The film quickly morphed, according to Olson, from an investigation of the Fortier case and his potential motivations to the larger, unresolvable questions of identity, nature versus nurture. “At first it was like ‘let’s get all the facts, we’re going to figure it out, what are his motivations, it will be super clear,’” said Olson. 

Friday, December 25, 2020

Catholics' involvement in death penalty killing spree is scandalous

James Keenan & William Montross, Jr.
National Catholic Reporter
Originally published 11 DEC 20

Here is an excerpt:

Study after study demonstrates that the death penalty is infected with racial bias; the federal death penalty is no different. Indeed, in 1994, a mere six years after the implementation of the "modern" federal death penalty, the racial disparities compelled a congressional committee to conclude, "On the federal level, cases selected have almost exclusively involved minority defendants."

We are witnessing this Advent a modern-day lynching.

Each of the defendants in these cases was involved in crimes that resulted in the deaths of others. Some of the crimes were gruesome. But who these people are warrant a closer look.

Bernard was a teenager when he was an accomplice to the murder of a young couple, both youth ministers, on the Fort Hood military reservation in Texas. He did not fire the killing shots — a co-defendant, also sentenced to death and subsequently executed — did.

Bernard, a young black man, was tried in Texas before a jury in which all but one juror was white. His attorneys did not even make an opening statement at his trial and during the penalty phase — where the jury chooses between life and death — the same attorneys offered no witnesses on his behalf.

One of the federal prosecutors who earlier secured Bernard's death sentence later sought to have his life spared. Angela Moore writes that her subsequent "experience with teenagers who have committed violent crimes, especially boys of color, has taught me much about the recklessness and fragility of adolescents, as well as their ability to mature and change."

She also finds "another troubling fact revealed by recent research is that people tend to view Black boys — like Brandon — as more blameworthy than their white counterparts" and that "Black teens like Brandon are systematically denied the 'benefit' of their youth, which is outweighed by their race in the eyes of police, prosecutors, judges and jurors."

Want to be Happy, Be Grateful

David Steindl-Rast
Ted Talk
Originally presented June 2013

The one thing all humans have in common is that each of us wants to be happy, says Brother David Steindl-Rast, a monk and interfaith scholar. And happiness, he suggests, is born from gratitude. An inspiring lesson in slowing down, looking where you're going, and above all, being grateful.


Thursday, December 24, 2020

Google Employees Call Black Scientist's Ouster 'Unprecedented Research Censorship'

Bobby Allyn
www.npr.org
Originally published 3 Dec 20

Hundreds of Google employees have published an open letter following the firing of an accomplished scientist known for her research into the ethics of artificial intelligence and her work showing racial bias in facial recognition technology.

That scientist, Timnit Gebru, helped lead Google's Ethical Artificial Intelligence Team until Tuesday.

Gebru, who is Black, says she was forced out of the company after a dispute over a research paper and an email she subsequently sent to peers expressing frustration over how the tech giant treats employees of color and women.

"Instead of being embraced by Google as an exceptionally talented and prolific contributor, Dr. Gebru has faced defensiveness, racism, gaslighting, research censorship, and now a retaliatory firing," the open letter said. By Thursday evening, more than 400 Google employees and hundreds of outsiders — many of them academics — had signed it.

The research paper in question was co-authored by Gebru along with four others at Google and two other researchers. It examined the environmental and ethical implications of an AI tool used by Google and other technology companies, according to NPR's review of the draft paper.

The 12-page draft explored the possible pitfalls of relying on the tool, which scans massive amounts of information on the Internet and produces text as if written by a human. The paper argued it could end up mimicking hate speech and other types of derogatory and biased language found online. The paper also cautioned against the energy cost of using such large-scale AI models.

According to Gebru, she was planning to present the paper at a research conference next year, but then her bosses at Google stepped in and demanded she retract the paper or remove all the Google employees as authors.

Wednesday, December 23, 2020

Beyond burnout: For health care workers, this surge of Covid-19 is bringing burnover

Wendy Dean & Simon G. Talbot
statnews.com
Originally posted 25 Nov 20

Covid-19 is roaring back for a third wave. The first two substantially increased feelings of moral injury and burnout among health care workers. This one is bringing burnover.

Health care systems are scrambling anew. The crises of ICU beds at capacity, shortages of personal protective equipment, emergency rooms turning away ambulances, and staff shortages are happening this time not in isolated hot spots but in almost every state. Clinicians again face work that is risky, heart-rending, physically exhausting, and demoralizing, all the elements of burnout. They have seen this before and are intensely frustrated it is happening again.

Too many of them are leaving health care long before retirement. The disconnect between what health care workers know and how the public is behaving, driven by relentless disinformation, is unbearable. Paraphrasing a colleague, “How can they call us essential and then treat us like we are disposable?”

It is time for leaders of hospitals and health care systems to add another, deeper layer of support for their staff by speaking out publicly and collectively in defense of science, safety, and public health, even if it risks estranging patients and politicians.

Long before the pandemic emerged, the relationships between health care organizations and their staffs were already strained by years of cost-cutting that trimmed staffing levels, supplies, and space to the bone. Driven by changes in health care reimbursement structures, systems were “optimized” to the point that they were continually running at what felt like full capacity, with precious little slack to accommodate minor surges, much less one the magnitude of a global pandemic.

Tuesday, December 22, 2020

Examining the asymmetry in judgments of racism in self and others

Angela C. Bell, Melissa Burkley, & 
Jarrod Bock (2019)
The Journal of Social Psychology, 159:5, 611-627.
DOI: 10.1080/00224545.2018.1538930

Abstract

Across three experiments, participants were provided with a list of racist behaviors that purportedly were enacted from a fellow student but in fact were based on the participants’ own behaviors. People consistently evaluated themselves as less racist than this comparison other, even though this other’s racist behaviors were identical to their own. Studies 2a and 2b demonstrate this effect is quite robust and even occurs under social pressure and social consensus conditions in which participants were free to express their racial biases. Thus, it appears that people are less likely to base their racist trait ratings on behavioral evidence when evaluating themselves compared to when they are evaluating another. Taken together, this work provides evidence for the consistency and robustness of self-enhanced social comparisons as applied to the trait domain of racism. Further, this work sheds insight into why people deny they are racist when they act racist.

General discussion

The present work provides evidence for the consistency and robustness of the biased self-enhanced evaluations of racism. Across three experiments, participants received a list of racist behaviors that purportedly were enacted from a fellow student but in fact were based on the participants’ own behaviors. People consistently evaluated themselves as less racist than this comparison other, even though this other’s racist behaviors were identical to their own. Studies2a and 2b demonstrate this effect is quite robust and even occurs under conditions in which participants feel free to express their racial biases. Taken together, this work suggests that people are less likely to base their racist trait ratings on behavioral evidence when evaluating themselves compared to when they are evaluating another. By doing so, people are able to maintain the self-perception that they are not racist even in the face of contradictory behavioral evidence (i.e., people are less racist than themselves).

(I emphasized this last sentence.)

Monday, December 21, 2020

Physicians' Ethics Change With Societal Trends

Batya S. Yasgur
MedScape.com
Originally posted 23 Nov 20

Here is an excerpt:

Are Romantic Relationships With Patients Always Off Limits?

Medscape asked physicians whether it was acceptable to become romantically or sexually involved with a patient. Compared to 2010, in 2020, many more respondents were comfortable with having a relationship with a former patient after 6 months had elapsed. In 2020, 2% said they were comfortable having a romance with a current patient; 26% were comfortable being romantic with a person who had stopped being a patient 6 months earlier, but 62% said flat-out 'no' to the concept. In 2010, 83% said "no" to the idea of dating a patient; fewer than 1% agreed that dating a current patient was acceptable, and 12% said it was okay after 6 months.

Some respondents felt strongly that romantic or sexual involvement is always off limits, even months or years after the physician is no longer treating the patient. "Once a patient, always a patient," wrote a psychiatrist.

On the other hand, many respondents thought being a "patient" was not a lifelong status. An orthopedic surgeon wrote, "After 6 months, they are no longer your patient." Several respondents said involvement was okay if the physician stopped treating the patient and referred the patient to another provider. Others recommended a longer wait time.

"Although most doctors have traditionally kept their personal and professional lives separate, they are no longer as bothered by bending of boundaries and have found a zone of acceptability in the 6-month waiting period," Goodman said.

Packer added that the "greater relaxation of sexual standards and boundaries in general" might have had a bearing on survey responses because "doctors are part of those changing societal norms."

Evans suggested that the rise of individualism and autonomy partially accounts for the changing attitudes toward physician-patient (or former patient) relationships. "Being prohibited from having a relationship with a patient or former patient is increasingly being seen as an infringement on civil liberties and autonomy, which is a major theme these days."

Sunday, December 20, 2020

Choice blindness: Do you know yourself as well as you think?

David Edmonds
BBC.com
Originally published 3 Oct 20

Here is an excerpt:

Clearly we lack self-knowledge about our motives and choices. But so what? What are the implications of this research?

Well, perhaps one general point is that we should learn to be more tolerant of people who change their minds. We tend to have very sensitive antennae for inconsistency - be this inconsistency in a partner, who's changed their mind on whether they fancy an Italian or an Indian meal, or a politician who's backed one policy in the past and now supports an opposing position. But as we often don't have a clear insight into why we choose what we choose, we should surely be given some latitude to switch our choices.

There may also be more specific implications for how we navigate through our current era - a period in which there is growing cultural and political polarisation. It would be natural to believe that those who support a left-wing or right-wing party do so because they're committed to that party's ideology: they believe in free markets or, the opposite, in a larger role for the state. But Petter Johansson's work suggests that our deeper commitment is not to particular policies, since, using his switching technique, we can be persuaded to endorse all sorts of policies. Rather, "we support a label or a team".

That is to say, we're liable to overestimate the extent to which a Trump supporter - or a Biden supporter - backs his or her candidate because of the policies the politician promotes. Instead, someone will be Team Trump, or Team Biden. A striking example of this was in the last US election. Republicans have traditionally been pro-free trade - but when Trump began to advocate protectionist policies, most Republicans carried on backing him, without even seeming to notice the shift.