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

Thursday, June 3, 2021

Scientific panel loosens ’14-day rule’ limiting how long human embryos can be grown in the lab

Andrew Joseph
STATnews.com
Originally posted 26 May 2021

An influential scientific panel cracked open the door on Wednesday to growing human embryos in the lab for longer periods of time than currently allowed, a step that could enable the plumbing of developmental mysteries but that also raises thorny questions about whether research that can be pursued should be.

For decades, scientists around the world have followed the “14-day rule,” which stipulates that they should let human embryos develop in the lab for only up to two weeks after fertilization. The rule — which some countries (though not the United States) have codified into law — was meant to allow researchers to conduct inquiries into the early days of embryonic development, but not without limits. And for years, researchers didn’t push that boundary, not just for legal and ethical reasons, but for technical ones as well: They couldn’t keep the embryos growing in lab dishes that long.

More recently, however, scientists have refined their cell-culture techniques, finding ways to sustain embryos up to that deadline. Those advances — along with other leaps in the world of stem cell research, with scientists now transmogrifying cells into blobs that resemble early embryos or injecting human cells into animals — have complicated ethical debates about how far biomedical research should go in its quest for knowledge and potential treatments.

Now, in the latest updates to its guidelines, the International Society for Stem Cell Research has revised its view on studies that would take human embryos beyond 14 days, moving such experiments from the “absolutely not” category to a “maybe” — but only if lots of conditions are first met.

“We’ve relaxed the guidelines in that respect, we haven’t abandoned them,” developmental biologist Robin Lovell-Badge of the Francis Crick Institute, who chaired the ISSCR’s guidelines task force, said at a press briefing.

Wednesday, June 2, 2021

The clockwork universe: is free will an illusion?

Oliver Burkeman
The Guardian
Originally posted 27 APR 21

Here is an excerpt:

And Saul Smilansky, a professor of philosophy at the University of Haifa in Israel, who believes the popular notion of free will is a mistake, told me that if a graduate student who was prone to depression sought to study the subject with him, he would try to dissuade them. “Look, I’m naturally a buoyant person,” he said. “I have the mentality of a village idiot: it’s easy to make me happy. Nevertheless, the free will problem is really depressing if you take it seriously. It hasn’t made me happy, and in retrospect, if I were at graduate school again, maybe a different topic would have been preferable.”

Smilansky is an advocate of what he calls “illusionism”, the idea that although free will as conventionally defined is unreal, it’s crucial people go on believing otherwise – from which it follows that an article like this one might be actively dangerous. (Twenty years ago, he said, he might have refused to speak to me, but these days free will scepticism was so widely discussed that “the horse has left the barn”.) “On the deepest level, if people really understood what’s going on – and I don’t think I’ve fully internalised the implications myself, even after all these years – it’s just too frightening and difficult,” Smilansky said. “For anyone who’s morally and emotionally deep, it’s really depressing and destructive. It would really threaten our sense of self, our sense of personal value. The truth is just too awful here.”

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By far the most unsettling implication of the case against free will, for most who encounter it, is what is seems to say about morality: that nobody, ever, truly deserves reward or punishment for what they do, because what they do is the result of blind deterministic forces (plus maybe a little quantum randomness).  "For the free will sceptic," writes Gregg Caruso in his new book Just Deserts, a collection of dialogues with fellow philosopher Daniel Dennett, "it is never fair to treat anyone as morally responsible." Were we to accept the full implications of that idea, the way we treat each other - and especially the way we treat criminals - might change beyond recognition.

Tuesday, June 1, 2021

We Must Rethink the Role of Medical Expert Witnesses


Amitha Kalaichandran
Scientific American
Originally posted 5 May 21

Here are two excerpts:

The second issue is that the standard used by the courts to assess whether an expert witness’s scientific testimony can be included differs by state. Several states (including Minnesota) use the Frye Rule, established in 1923, which asks whether the expert’s assessment is generally accepted by the scientific community that specializes in this narrow field of expertise. Federally, and in several other states, the Daubert Standard of 1993 is used, which dictates the expert show their scientific reasoning (so the determination of validity is left to the courts), though acceptance within the scientific community is still a factor. Each standard has its drawbacks. For instance, in Frye, the expert’s community could be narrowly drawn by the legal team in a way that helps bolster the expert’s outdated or rare perspective, and the Daubert standard presumes that the judge and jury have an understanding of the science in order to independently assess scientific validity. Some states also strictly apply the standard, whereas others are more flexible. (The Canadian approach is derived from the case R v. Mohan, which states the expert be qualified and their testimony be relevant, but the test for “reliability” is left to the courts).

Third, when it comes to assessments of cause of death specifically, understanding the distinction between necessary and sufficient is important. Juries can have a hard time teasing out the difference. In the Chauvin trial, the medical expert witnesses testifying on behalf of the prosecution were aligned in their assessment of what killed Floyd: the sustained pressure of the officer’s knee on Floyd’s neck (note that asphyxia is a common cause of cardiac arrest). However, David Fowler, the medical expert witness for the defense, suggested the asphyxia was secondary to heart disease and drug intoxication as meaningful contributors to his death.

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Another improvement could involve ensuring that courts institute a more stringent application and selection process, in which medical expert witnesses would be required to demonstrate their clinical and research competence related to the specific issues in a case, and where their abilities are recognized by their professional group. For example, the American College of Cardiology could endorse a cardiologist as a leader in a relevant subspecialty—a similar approach has been suggested as a way to reform medical expert witness testimony by emergency physicians. One drawback, according to Faigman, is that courts would be unlikely to fully abdicate their role in evaluating expertise.

Monday, May 31, 2021

Disgust Can Be Morally Valuable

Charlie Kurth
Scientific American
Originally posted 9 May 21

Here is no an excerpt:

Let’s start by considering disgust’s virtues. Not only do we tend to experience disgust toward moral wrongs like hypocrisy and exploitation, but the shunning and social excluding that disgust brings seems a fitting response to those who pollute the moral fabric in these ways. Moreover, in the face of worries about morally problematic disgust—disgust felt at the wrong time or in the wrong way—advocates respond that it’s an emotion we can substantively change for the better.

On this front, disgust’s advocates point to exposure and habituation; just like I might overcome the disgust I feel about exotic foods by trying them, I can overcome the disgust I feel about same-sex marriage by spending more time with gay couples. Moreover, work in psychology appears to support this picture. Medical school students, for instance, lose their disgust about touching dead bodies after a few months of dissecting corpses, and new mothers quickly become less disgusted by the smell of soiled diapers.

But these findings may be deceptive. For starters, when we look more closely at the results of the diaper experiment, we see that a mother’s reduced disgust sensitivity is most pronounced with regard to her own baby’s diapers, and additional research indicates that mothers have a general preference for the smell of their own children. This combination suggests, contra the disgust advocates, that a mother’s disgust is not being eliminated. Rather, her disgust at the soiled diapers is still there; it’s just being masked by the positive feelings that she’s getting from the smell of her newborn. Similarly, when we look carefully at the cadaver study, we see that while the disgust of medical students toward touching the cold bodies of the dissection lab is reduced with exposure, the disgust they feel toward touching the warm bodies of the recently deceased remained unchanged.

Sunday, May 30, 2021

Win–Win Denial: The Psychological Underpinnings of Zero-Sum Thinking

Johnson, S. G. B., Zhang, J., & Keil, F. 
(2020, April 30).
https://doi.org/10.31234/osf.io/efs5y

Abstract

A core proposition in economics is that voluntary exchanges benefit both parties. We show that people often deny the mutually beneficial nature of exchange, instead espousing the belief that one or both parties fail to benefit from the exchange. Across 4 studies (and 8 further studies in the Supplementary Materials), participants read about simple exchanges of goods and services, judging whether each party to the transaction was better off or worse off afterwards. These studies revealed that win–win denial is pervasive, with buyers consistently seen as less likely to benefit from transactions than sellers. Several potential psychological mechanisms underlying win–win denial are considered, with the most important influences being mercantilist theories of value (confusing wealth for money) and theory of mind limits (failing to observe that people do not arbitrarily enter exchanges). We argue that these results have widespread implications for politics and society.

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From the Discussion

Is Win–Win Denial Rational?

The conclusion that voluntary transactions benefit both parties rests on assumptions, and can therefore admit exceptions when these assumptions do not hold.  Voluntary trades are mutually beneficial when the parties are performing rational, selfish cost–benefit calculations and when there are no critical asymmetries in information (e.g., fraud).  There are several ways that violations of these assumptions could lead a transaction not to be win–win.  Consumers  could have inconsistent preferences over time, such that something believed to be beneficial at one time proves non-beneficial later on (e.g., liking a shirt when one buys it in the store, but growing weary of it after a couple months). Consumers could have self-control failures, making an impulse purchase that proved unwise in the longer  term.  Consumers could  have other-regarding  preferences, buying something that benefits someone else but not oneself. Finally, the consumer could be deceived by a seller who knows that the product will not satisfy their preferences (e.g., a crooked used-car salesman).

These  are  of  course  more  than  theoretical  possibilities—many demonstrations of human irrationality have been demonstrated in lab and field studies (Frederick et al., 2009; Loewenstein & Prelec, 1992; Malmandier & Tate, 2005 among many others). The key question is whether the real-world prevalence of irrationality and fraud is sufficient to justify the conclusion that ordinary consumer transactions—like those tested here—are so riddled with incompetence that our participants were right to deny that transactions are typically win–win. We respond to this challenge with four points. 

First, an empirical point. It is not just the magnitude of win–win denial of interest here, but how this magnitude responds to our experimental manipulations. It is hard to see how the effects of time-framing or cueing participants to buyers’ reasons would produce the effects that they do, independent of the mechanisms we have proposed for win–win denial (namely mercantilism and theory of mind). It is especially difficult to see why people would claim that barters make neither party better-off if the issue is exploitation. Thus, even if the magnitude of the effects is reasonable in some conditions of some of our experiments because people’s intuitions are attuned to the (allegedly) large extent of market failures, some of the patterns we see and the differences in these patterns across conditions seem to necessitate the mechanisms we propose.

Second, a sanity check. We tested intuitions about a range of typical consumer transactions in our items, finding consistent effects across items (see Part A of the Supplementary Materials). Is it really that plausible that people are impulsively hiring plumbers or that their hair stylists are routinely fraudsters? If such ordinary transactions are actually making consumers worse-off, it is very difficult to see how the rise of market economies has brought prosperity to much of the world—indeed, if win–win denial correctly  describes most consumer transactions, one should predict a negative relationship between well-being and economic activity (contradicting the large association between subjective well-being and per capita income across countries; Stevenson & Wolfers, 2013). In our view, one can acknowledge occasional consumer irrationalities, while not thereby concluding that all or most market activity is irrational, which, we submit, would fly in the face both of economic science and common sense. Actually, to claim that consumers are consistently irrational threatens paradox: The more one thinks that consumers are irrational in general,  the more  one  must  believe that participants in the current experiments are (rationally) attuned to their own irrationality.

Saturday, May 29, 2021

Comparisons Inform Me Who I Am: A General Comparative-Processing Model of Self-Perception

Morina N.
Perspectives on Psychological Science. 
February 2021. 
doi:10.1177/1745691620966788
 
Abstract

People’s self-concept contributes to their sense of identity over time. Yet self-perception is motivated and serves survival and thus does not reflect stable inner states or accurate biographical accounts. Research indicates that different types of comparison standards act as reference frames in evaluating attributes that constitute the self. However, the role of comparisons in self-perception has been underestimated, arguably because of lack of a guiding framework that takes into account relevant aspects of comparison processes and their interdependence. I propose a general comparative model of self-perception that consists of a basic comparison process involving the individual’s prior mental representation of the target dimension, the construal of the comparison standard, and the comparison outcome representing the posterior representation of the target dimension. The generated dimensional construal is then appraised with respect to one’s motives and controllability and goes on to shape emotional, cognitive, and behavioral responses. Contextual and personal factors influence the comparison process. This model may be informative in better understanding comparison processes in people’s everyday lives and their role in shaping self-perception and in designing interventions to assist people overcome undesirable consequences of comparative behavior.

Concluding Remarks

Comparisons inform people about their current selves and their progress toward end goals. Comparative evaluations are omnipresent in everyday life, appear both unintentionally and intentionally, and are context sensitive. The current framework defines comparison as a dynamic process consisting of several subcomponents. The segmentation of the subcomponent processes into activation of comparison, basic comparison process, valuation, as well as emotional, cognitive, and behavioral responses is not rigid; however, the taxonomy should prove conceptually useful because it breaks down the comparison process into testable constituent subprocesses. A better understanding of comparative behavior processes will enhance the knowledge of self-perception and help identify effective strategies that promote more adaptive comparisons.

Friday, May 28, 2021

‘Belonging Is Stronger Than Facts’: The Age of Misinformation

Max Fisher
The New York Times
Originally published 7 May 21

Hereis an excerpt:

We are in an era of endemic misinformation — and outright disinformation. Plenty of bad actors are helping the trend along. 

But the real drivers, some experts believe, are social and psychological forces that make people prone to sharing and believing misinformation in the first place. And those forces are on the rise.

“Why are misperceptions about contentious issues in politics and science seemingly so persistent and difficult to correct?” Brendan Nyhan, a Dartmouth College political scientist, posed in a new paper in Proceedings of the National Academy of Sciences.

It’s not for want of good information, which is ubiquitous. Exposure to good information does not reliably instill accurate beliefs anyway. Rather, Dr. Nyhan writes, a growing body of evidence suggests that the ultimate culprits are “cognitive and memory limitations, directional motivations to defend or support some group identity or existing belief, and messages from other people and political elites.”

Put more simply, people become more prone to misinformation when three things happen. First, and perhaps most important, is when conditions in society make people feel a greater need for what social scientists call ingrouping — a belief that their social identity is a source of strength and superiority, and that other groups can be blamed for their problems.

As much as we like to think of ourselves as rational beings who put truth-seeking above all else, we are social animals wired for survival. In times of perceived conflict or social change, we seek security in groups. And that makes us eager to consume information, true or not, that lets us see the world as a conflict putting our righteous ingroup against a nefarious outgroup.

This need can emerge especially out of a sense of social destabilization. As a result, misinformation is often prevalent among communities that feel destabilized by unwanted change or, in the case of some minorities, powerless in the face of dominant forces.

Framing everything as a grand conflict against scheming enemies can feel enormously reassuring. And that’s why perhaps the greatest culprit of our era of misinformation may be, more than any one particular misinformer, the era-defining rise in social polarization.

“At the mass level, greater partisan divisions in social identity are generating intense hostility toward opposition partisans,” which has “seemingly increased the political system’s vulnerability to partisan misinformation,” Dr. Nyhan wrote in an earlier paper.

Thursday, May 27, 2021

How Adobe’s Ethics Committee Helps Manage AI Bias

Jared Council
The Wall Street Journal
Originally posted 5 May 21

Review boards can help companies mitigate some of the risks associated with using artificial intelligence, according to Adobe Inc. executive Dana Rao.

Mr. Rao, Adobe’s general counsel, said one of the top risks in using AI systems is that the technology can perpetuate harmful bias against certain demographics, based on what it learns from data. Ethics committees can be one way of managing those risks and putting organizational values into practice.

Adobe’s AI ethics committee, launched two years ago, has been able to review new features for potential bias before those features are deployed, Mr. Rao said Wednesday at The Wall Street Journal’s Risk & Compliance Forum. The committee is made up of employees of various ethnicities and genders from different parts of the company, including legal, government relations and marketing.

“It takes a lot of people across your company to help figure this out,” he said. “Sometimes we might look at it and say there’s not an issue here,” he said, but getting a diverse group of people together can help identify issues product developers might miss.

Wednesday, May 26, 2021

Before You Answer, Consider the Opposite Possibility—How Productive Disagreements Lead to Better Outcomes

Ian Leslie
The Atlantic
Originally published 25 Apr 21

Here is an excerpt:

This raises the question of how a wise inner crowd can be cultivated. Psychologists have investigated various methods. One, following Stroop, is to harness the power of forgetting. Reassuringly for those of us who are prone to forgetting, people with poor working memories have been shown to have a wiser inner crowd; their guesses are more independent of one another, so they end up with a more diverse set of estimates and a more accurate average. The same effect has been achieved by spacing the guesses out in time.

More sophisticated methods harness the mind’s ability to inhabit different perspectives and look at a problem from more than one angle. People generate more diverse estimates when prompted to base their second or third guess on alternative assumptions; one effective technique is simply asking people to “consider the opposite” before giving a new answer. A fascinating recent study in this vein harnesses the power of disagreement itself. A pair of Dutch psychologists, Philippe Van de Calseyde and Emir Efendić, asked people a series of questions with numerical answers, such as the percentage of the world’s airports located in the U.S.. Then they asked participants to think of someone in their life with whom they often disagreed—that uncle with whom they always argue about politics—and to imagine what that person would guess.

The respondents came up with second estimates that were strikingly different from their first estimate, producing a much more accurate inner crowd. The same didn’t apply when they were asked to imagine how someone they usually agree with would answer the question, which suggests that the secret is to incorporate the perspectives of people who think differently from us. That the respondents hadn’t discussed that particular question with their disagreeable uncle did not matter. Just the act of thinking about someone with whom they argued a lot was enough to jog them out of habitual assumptions.