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

Friday, January 29, 2021

Moral psychology of sex robots: An experimental study

M. Koverola, et al.
Journal of Brehavioral Robots
Volume 11: Issue 1

Abstract

The idea of sex with robots seems to fascinate the general public, raising both enthusiasm and revulsion. We ran two experimental studies (Ns = 172 and 260) where we compared people’s reactions to variants of stories about a person visiting a bordello. Our results show that paying for the services of a sex robot is condemned less harshly than paying for the services of a human sex worker, especially if the payer is married. We have for the first time experimentally confirmed that people are somewhat unsure about whether using a sex robot while in a committed monogamous relationship should be considered as infidelity. We also shed light on the psychological factors influencing attitudes toward sex robots, including disgust sensitivity and interest in science fiction. Our results indicate that sex with a robot is indeed genuinely considered as sex, and a sex robot is genuinely seen as a robot; thus, we show that standard research methods on sexuality and robotics are also applicable in research on sex robotics.

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Conclusion

Our results successfully show that people condemn a married person less harshly if they pay for a robot sex worker than for a human sex worker. This likely reflects the fact that many people do not consider sex with a robot as infidelity or consider it as “cheating, but less so than with a human person”. These results therefore function as a stepping-stone into new avenues of interesting research that might be appealing to evolutionary and moral psychologists alike. Most likely, sociologists and market researchers will also be interested in increasing our understanding regarding the complex relations between humans and members of new ontological categories (robots, artificial intelligences (AIs), etc.). Future research will offer new possibilities to understand both human sexual and moral cognition by focusing on how humans relate to sexual relationships with androids beyond mere fantasies produced by science fiction like Westworld or Blade Runner. As sex robots in the near future enter mass production, public opinion will presumably stabilize regarding moral attitudes toward sex with robots.


Thursday, January 28, 2021

Automation, work and the achievement gap

Danaher, J., Nyholm, S. 
AI Ethics (2020). 

Abstract

Rapid advances in AI-based automation have led to a number of existential and economic concerns. In particular, as automating technologies develop enhanced competency, they seem to threaten the values associated with meaningful work. In this article, we focus on one such value: the value of achievement. We argue that achievement is a key part of what makes work meaningful and that advances in AI and automation give rise to a number achievement gaps in the workplace. This could limit people’s ability to participate in meaningful forms of work. Achievement gaps are interesting, in part, because they are the inverse of the (negative) responsibility gaps already widely discussed in the literature on AI ethics. Having described and explained the problem of achievement gaps, the article concludes by identifying four possible policy responses to the problem.

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Conclusion

Achievement is an important part of the well-lived life. It is the positive side of responsibility. Where we blame ourselves and others for doing bad things, we also praise ourselves for achieving positive (or value neutral) things. Achievement is particularly important when it comes to meaningful work. One of the problems with widespread automation is that it threatens to undermine at least three of the four main conditions for achievement in the workplace: it can reduce the value of work tasks; reduce the cost of committing to those work tasks; and sever the causal connection between human effort and workplace outcome. This opens up ‘achievement gaps’ in the workplace. There are, however, some potential ways to manage the threat of achievement gaps: we can focus on other aspects of meaningful work; we can find some ways to retain the human touch in the production of workplace outputs; we can emphasise the importance of teamwork in producing valuable outputs; and we can find outlets for achievement outside of the workplace.

Wednesday, January 27, 2021

What One Health System Learned About Providing Digital Services in the Pandemic

Marc Harrison
Harvard Business Review
Originally posted 11 Dec 20

Here are two excerpts:

Lesson 2: Digital care is safer during the pandemic.

A patient who’s tested positive for Covid doesn’t have to go see her doctor or go into an urgent care clinic to discuss her symptoms. Doctors and other caregivers who are providing virtual care for hospitalized Covid patients don’t face increased risk of exposure. They also don’t have to put on personal protective equipment, step into the patient’s room, then step outside and take off their PPE. We need those supplies, and telehealth helps us preserve it.

Intermountain Healthcare’s virtual hospital is especially well-suited for Covid patients. It works like this: In a regular hospital, you come into the ER, and we check you out and think you’re probably going to be okay, but you’re sick enough that we want to monitor you. So, we admit you.

With our virtual hospital — which uses a combination of telemedicine, home health, and remote patient monitoring — we send you home with a technology kit that allows us to check how you’re doing. You’ll be cared for by a virtual team, including a hospitalist who monitors your vital signs around the clock and home health nurses who do routine rounding. That’s working really well: Our clinical outcomes are excellent, our satisfaction scores are through the roof, and it’s less expensive. Plus, it frees up the hospital beds and staff we need to treat our sickest Covid patients.

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Lesson 4: Digital tools support the direction health care is headed.

Telehealth supports value-based care, in which hospitals and other care providers are paid based on the health outcomes of their patients, not on the amount of care they provide. The result is a greater emphasis on preventive care — which reduces unsustainable health care costs.

Intermountain serves a large population of at-risk, pre-paid consumers, and the more they use telehealth, the easier it is for them to stay healthy — which reduces costs for them and for us. The pandemic has forced payment systems, including the government’s, to keep up by expanding reimbursements for telehealth services.

This is worth emphasizing: If we can deliver care in lower-cost settings, we can reduce the cost of care. Some examples:
  • The average cost of a virtual encounter at Intermountain is $367 less than the cost of a visit to an urgent care clinic, physician’s office, or emergency department (ED).
  • Our virtual newborn ICU has helped us reduce the number of transports to our large hospitals by 65 a year since 2015. Not counting the clinical and personal benefits, that’s saved $350,000 per year in transportation costs.
  • Our internal study of 150 patients in one rural Utah town showed each patient saved an average of $2,000 in driving expenses and lost wages over a year’s time because he or she was able to receive telehealth care close to home. We also avoided pumping 106,460 kilograms of CO2 into the environment — and (per the following point) the town’s 24-bed hospital earned $1.6 million that otherwise would have shifted to a larger hospital in a bigger town.

Tuesday, January 26, 2021

Publish or Be Ethical? 2 Studies of Publishing Pressure & Scientific Misconduct in Research

Paruzel-Czachura M, Baran L, & Spendel Z. 
Research Ethics. December 2020. 

Abstract

The paper reports two studies exploring the relationship between scholars’ self-reported publication pressure and their self-reported scientific misconduct in research. In Study 1 the participants (N = 423) were scholars representing various disciplines from one big university in Poland. In Study 2 the participants (N = 31) were exclusively members of the management, such as dean, director, etc. from the same university. In Study 1 the most common reported form of scientific misconduct was honorary authorship. The majority of researchers (71%) reported that they had not violated ethical standards in the past; 3% admitted to scientific misconduct; 51% reported being were aware of colleagues’ scientific misconduct. A small positive correlation between perceived publication pressure and intention to engage in scientific misconduct in the future was found. In Study 2 more than half of the management (52%) reported being aware of researchers’ dishonest practices, the most frequent one of these being honorary authorship. As many as 71% of the participants report observing publication pressure in their subordinates. The primary conclusions are: (1) most scholars are convinced of their morality and predict that they will behave morally in the future; (2) scientific misconduct, particularly minor offenses such as honorary authorship, is frequently observed both by researchers (particularly in their colleagues) and by their managers; (3) researchers experiencing publication pressure report a willingness to engage in scientific misconduct in the future.

Conclusion

Our findings suggest that the notion of “publish or be ethical?” may constitute a real dilemma for the researchers. Although only 3% of our sample admitted to having engaged in scientific misconduct, 71% reported that they definitely had not violated ethical standards in the past. Furthermore, more than a half (51%) reported seeing scientific misconduct among their colleagues. We did not find a correlation between unsatisfactory work conditions and scientific misconduct, but we did find evidence to support the theory that perceived pressure to collect points is correlated with willingness to exceed ethical standards in the future.

Monday, January 25, 2021

Late Payments, Credit Scores May Predict Dementia

Judy George
MedPage Today
Originally posted 30 Nov 20

Problems paying bills and managing personal finances were evident years before a dementia diagnosis, retrospective data showed.

As early as 6 years before they were diagnosed with dementia, people with Alzheimer's disease and related dementias were more likely to miss credit account payments than their peers without dementia (7.7% vs 7.3%; absolute difference 0.4 percentage points, 95% CI 0.07-0.70), reported Lauren Hersch Nicholas, PhD, MPP, of Johns Hopkins University in Baltimore, and co-authors.

They also were more likely to develop subprime credit scores 2.5 years before their dementia diagnosis (8.5% vs 8.1%; absolute difference 0.38 percentage points, 95% CI 0.04-0.72), the researchers wrote in JAMA Internal Medicine.

Higher payment delinquency and subprime credit rates persisted for at least 3.5 years after a dementia diagnosis.

"Our study provides the first large-scale evidence of the financial symptoms of Alzheimer's disease and related dementias using administrative financial records," Nicholas said.

"These results are important because they highlight a new source of data -- consumer credit reports -- that can help detect early signs of Alzheimer's disease," she told MedPage Today. "While doctors have long believed that dementia presents in the checkbook, our study helps show that these financial symptoms are common and span years before and after diagnosis, suggesting unmet need for assistance managing money."

Sunday, January 24, 2021

Trust does not need to be human: it is possible to trust medical AI

Ferrario A, Loi M, Viganò E.
Journal of Medical Ethics 
Published Online First: 25 November 2020. 
doi: 10.1136/medethics-2020-106922

Abstract

In his recent article ‘Limits of trust in medical AI,’ Hatherley argues that, if we believe that the motivations that are usually recognised as relevant for interpersonal trust have to be applied to interactions between humans and medical artificial intelligence, then these systems do not appear to be the appropriate objects of trust. In this response, we argue that it is possible to discuss trust in medical artificial intelligence (AI), if one refrains from simply assuming that trust describes human–human interactions. To do so, we consider an account of trust that distinguishes trust from reliance in a way that is compatible with trusting non-human agents. In this account, to trust a medical AI is to rely on it with little monitoring and control of the elements that make it trustworthy. This attitude does not imply specific properties in the AI system that in fact only humans can have. This account of trust is applicable, in particular, to all cases where a physician relies on the medical AI predictions to support his or her decision making.

Here is an excerpt:

Let us clarify our position with an example. Medical AIs support decision making by the provision of predictions, often in the form of machine learning model outcomes, to identify and plan better prognoses, diagnoses and treatments.3 These outcomes are the result of complex computational processes on high-dimensional data that are difficult to understand by physicians. Therefore, it may be convenient to look at the medical AI as a ‘black box’, or an input–output system whose internal mechanisms are not directly accessible or understandable. Through a sufficient number of interactions with the medical AI, its developers and AI-savvy colleagues, and by analysing different types of outputs (eg, those of young patients or multimorbid ones), the physician may develop a mental model, that is, a set of beliefs, on the performance and error patterns of the AI. We describe this phase in the relation between the physician and the AI as the ‘mere reliance’ phase, which does not need to involve trust (or at best involves very little trust).

Saturday, January 23, 2021

Norms Affect Prospective Causal Judgments

Henne, P., & others
(2019, December 30). 

Abstract

People more frequently select norm-violating factors, relative to norm-conforming ones, as the cause of some outcome. Until recently, this abnormal-selection effect has been studied using retrospective vignette-based paradigms. We use a novel set of video stimuli to investigate this effect for prospective causal judgments—i.e., judgments about the cause of some future outcome. Four experiments show that people more frequently select norm-violating factors, relative to norm-conforming ones, as the cause of some future outcome. We show that the abnormal-selection effects are not primarily explained by the perception of agency (Experiment 4). We discuss these results in relation to recent efforts to model causal judgment.

From the Discussion

The results of these experiments have some important consequences for the study of causal cognition. While accounting for some of the limitations of past work on abnormal selection, we present strong evidence in support of modal explanations for abnormal-selection effects. Participants in our studies select norm-violating factors as causes for stimuli that reduce the presence of agential cues (Experiments 1-3), and increasing agency cues does not change this tendency (Experiment 4). Social explanations might account for abnormal-selection behavior in some contexts, but, in general, abnormal-selection behavior likely does not depend on perceived intentions of agents, assessments of blame, or other social concerns. Rather, abnormal-selection effects seem to reflect a more general causal reasoning process, not just processes related to social or moral cognition, that involves modal cognition.The modal explanations for abnormal selection effects predict the results that we present here; in non-social situations, abnormal-selection effects should occur, and they should occur for prospective causal judgments. Even if the social explanation can account for the results of Experiments 1-3, it does not predict the results of Experiment 4. In Experiment 4, we increased agency cues, and we saw an increase in perceived intentionality attributed to the objects in our stimuli. But we did not see a change in abnormal-selection behavior, as social explanations predict. While these results are not evidence that the social explanation is completely mistaken about causal-selection behavior, we have strong evidence that modal explanations account for these effects—even when agency cues are increased.

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Editor's note: This research is very important for psychologists, clinicians, and psychotherapists trying to understand and conceptualize their patient's behaviors and symptoms.  Studies show clinicians have poor inter-rater reliability to explain accurate the causes of behaviors and symptoms.  In this study, norm violations are more likely seen as causes, a bias for which we all need to understand.

Friday, January 22, 2021

Brain Scans Confirm There's a Part of You That Remains 'You' Throughout Your Life

Mike McRae
Science Alert
Originally published 27 Nov 20

At the very core of your identity a kernel of self awareness combines memories of the past with the fleeting sensations of the present, and adds a touch of anticipation for the future.

The question of whether this ongoing sense of 'you' is as robust as it feels has intrigued philosophers and psychologists throughout the ages. A new, small psychobiological study weighs in, looking at brain scans to conclude that at least some part of you is indeed consistent as you grow and age.

"In our study, we tried to answer the question of whether we are the same person throughout our lives," says Miguel Rubianes, a neuroscientist from the Complutense University of Madrid.

"In conjunction with the previous literature, our results indicate that there is a component that remains stable while another part is more susceptible to change over time."

Self-continuity forms the very basis of identity. Every time you use the word 'I', you're referring to a thread that stitches a series of experiences into a tapestry of a lifetime, representing a relationship between the self of your youth with one yet to emerge.

Yet identity is more than the sum of its parts. Consider the allegory of Theseus's ship, or the grandfather's axe paradox – a tool that's had its shaft replaced, as well as its head, but is still somehow the same axe that belonged to grandfather.

If our experiences change us, swapping out components of our identity with every heart break and every promotion, every illness and every windfall, can we truly still say we see ourself as the same person today as we were when we were four years old?

You can be forgiven for thinking this sounds more like philosophical navel-gazing than something science can address. But there are perspectives which psychology – and even the wiring of our neurological programming – can flesh out.

Thursday, January 21, 2021

Reexamining the role of intent in moral judgements of purity violations

Kupfer, T. R., Inbar, Y. & Yybur, J.
Journal of Experimental Social Psychology
Volume 91, November 2020, 104043

Abstract

Perceived intent is a pivotal factor in moral judgement: intentional moral violations are considered more morally wrong than accidental ones. However, a body of recent research argues that intent is less important for moral judgements of impure acts – that it, those acts that are condemned because they elicit disgust. But the literature supporting this claim is limited in multiple ways. We conducted a new test of the hypothesis that condemnation of purity violations operates independently from intent. In Study 1, participants judged the wrongness of moral violations that were either intentional or unintentional and were either harmful (e.g., stealing) or impure (e.g., public defecation). Results revealed a large effect of intent on moral wrongness ratings that did not vary across harmful and disgusting scenarios. In Study 2, a registered report, participants judged the wrongness of disgust-eliciting moral violations that were either mundane and dyadic (e.g., serving contaminated food) or abnormal and self-directed (e.g., consuming urine). Results revealed a large effect of intent on moral wrongness judgements that did not vary across mundane and abnormal scenarios. Findings challenge the claim that moral judgements about purity violations rely upon unique psychological mechanisms that are insensitive to information about the wrongdoer's mental state.

From the Discussion

Across two studies, we found that participants rated intentional disgusting acts more morally wrong than unintentional disgusting acts. Study 1 showed that intent had a large effect on moral judgement of mundane, dyadic impure acts, such as serving contaminated food, or urinating in public. Moreover, the effect of intent on moral judgement was not different for harm and purity violations. Study 2 showed that there was also a large effect of intent on moral judgement of abnormal, self-directed, purity violations, using scenarios similar to those frequently used in past research, such as eating a pet dog (e.g., Barrett et al., 2016), drinking urine (e.g., Young & Saxe, 2011), or eating cloned human meat (e.g., Russell & Giner-Sorolla, 2011). In Study 2 the effect of intent did not differ across abnormal, self-directed purity violations and mundane, dyadic purity violations. These results are inconsistent with previous findings purporting to show little or no effect of intent on moral judgements of impure acts (e.g., Barrett et al., 2016; Chakroff et al., 2015; Young & Saxe, 2011).

Italics added.