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

Monday, August 23, 2021

Deconstructing Moral Character Judgments

Hartman, R., Blakey, W., & Gray, K.
Current Opinions in Psychology

Abstract

People often make judgments of others' moral character-an inferred moral essence that presumably predicts moral behavior. We first define moral character and explore why people make character judgments before outlining three key elements that drive character judgments: behavior (good vs. bad, norm violations, and deliberation), mind (intentions, explanations, capacities), and identity (appearance, social groups, and warmth). We also provide a taxonomy of moral character that goes beyond simply good vs. evil. Drawing from the Theory of Dyadic Morality, we outline a two-dimensional triangular space of character judgments (valence and strength/agency), with three key corners-heroes, villains, and victims. Varieties of perceived moral character include saints and demons, strivers/sinners and opportunists, the non-moral, virtuous and culpable victims, and pure victims.

Conclusion 

It seems obvious that people make summary judgments of others’ moral character, but less obvious is how exactly that make those judgments. We suggest that people rely upon behavior, identity, and perceived mind when inferring the moral essence of others. We acknowledge that this list is certainly incomplete and will be expanded with future research. One key area of expansion explored here is the importance of perceived strength/agency in character judgments, which helps provide a taxonomy of character types. Whatever the exact varieties and drivers of moral character judgments, these judgments are clearly an important foundation of social life.

Sunday, August 22, 2021

America’s long history of anti-science has dangerously undermined the COVID vaccine

Peter Hotez
The Dallas Morning News
Originally published 15 Aug 21

Here is an excerpt:

America’s full-throated enthusiasm for vaccines lasted until the early 2000s. The 1998 Lancet publication of a paper from Andrew Wakefield and his colleagues, which wrongly asserted that the measles virus in the MMR vaccine replicated in the colons of children to cause pervasive developmental disorder (autism), ushered in a new era of distrust for vaccine.

It also resulted in distrust for the U.S. Health and Human Services agencies promoting vaccinations. The early response from the Centers for Disease Control and Prevention was to dismiss growing American discontent for vaccines as a fringe element, until eventually in the 2010s anti-vaccine sentiment spread across the internet.

The anti-vaccine movement eventually adopted medical freedom and used it to gain strength and accelerate in size, internet presence and external funding. Rising out of the American West, anti-vaccine proponents insisted that only parents could make vaccine choices and they were prepared to resist government requirements for school entry or attendance.

In California, the notion of vaccine choice gained strength in the 2010s, leading to widespread philosophical exemptions to childhood MMR vaccines and other immunizations. Vaccine exemptions reached critical mass, ultimately culminating in a 2014–2015 measles epidemic in Orange County.

The outbreak prompted state government intervention through the introduction of California Senate Bill 277 that eliminated these exemptions and prevented further epidemics, but it also triggered aggressive opposition. Anti-vaccine health freedom groups harassed members of the Legislature and labeled prominent scientists as pharma shills. They touted pseudoscience, claiming that vaccines were toxic, or that natural immunity acquired from the illness was superior and more durable than vaccine-induced immunity.

Health freedom then expanded through newly established anti-vaccine political action committees in Texas and Oklahoma in the Southwest, Oregon in the Pacific Northwest, and Michigan and Ohio in the Midwest, while additional anti-vaccine organizations formed in almost every state.

These groups lobbied state legislatures to promote or protect vaccine exemptions, while working to cloak or obscure classroom or schoolwide disclosures of vaccine exemptions. They also introduced menacing consent forms to portray vaccines as harmful or toxic.

The Texans for Vaccine Choice PAC formed in 2015, helping to accelerate personal belief immunization exemptions to a point where today approximately 72,000 Texas schoolchildren miss vaccines required for school entry and attendance.

Saturday, August 21, 2021

The relational logic of moral inference

Crockett, M., Everett, J. A. C., Gill, M., & Siegel, J. 
(2021, July 9). https://doi.org/10.31234/osf.io/82c6y

Abstract

How do we make inferences about the moral character of others? Here we review recent work on the cognitive mechanisms of moral inference and impression updating. We show that moral inference follows basic principles of Bayesian inference, but also departs from the standard Bayesian model in ways that may facilitate the maintenance of social relationships. Moral inference is not only sensitive to whether people make moral decisions, but also to features of decisions that reveal their suitability as a relational partner. Together these findings suggest that moral inference follows a relational logic: people form and update moral impressions in ways that are responsive to the demands of ongoing social relationships and particular social roles. We discuss implications of these findings for theories of moral cognition and identify new directions for research on human morality and person perception.

Summary

There is growing evidence that people infer moral character from behaviors that are not explicitly moral. The data so far suggest that people who are patient, hard-working, tolerant of ambiguity, risk-averse, and actively open-minded are seen as more moral and trustworthy. While at first blush this collection of preferences may seem arbitrary, considering moral inference from a relational perspective reveals a coherent logic. All of these preferences are correlated with cooperative behavior, and comprise traits that are desirable for long-term relationship partners. Reaping the benefits of long-term relationships requires patience and a tolerance for ambiguity: sometime people make mistakes despite good intentions. Erring on the side of caution and actively seeking evidence to inform decision-making in social situations not only helps prevent harmful outcomes (Kappes et al., 2019), but also signals respect: social life is fraught with uncertainty (FeldmanHall & Shenhav, 2019; Kappes et al., 2019), and assuming we know what’s best for another person can have bad consequences, even when our intentions are good.  If evidence continues to suggest that certain types of non-moral preferences are preferred in social partners, partner choice mechanisms may explain the prevalence of those preferences in the broader population.

Friday, August 20, 2021

Would I Give Aducanumab to My Mother?

Dena S. Davis
The Hastings Center
Originally published 11 June 21

Here is an excerpt:

First, it is not at all clear that the drug works, in terms of affecting cognition and slowing decline. As Jason Karlawish explains in an incisive piece in STAT, crucial scientific steps were missed, and the current data are inconclusive and contradictory. 

Side effects include possible brain swelling and bleeds (which appear to be severe in about 6% of patients), headache, falls, diarrhea, and what Biogen describes as “confusion/delirium/altered mental status/disorientation.”  Wait a minute!  I thought the reason to take this drug was that one already had altered mental status and confusion.

Before someone is even considered eligible for aducanumab, they must take a PET scan to ascertain that they have elevated levels of amyloid and then an MRI to make sure they don’t already have brain swelling. MRIs have to be repeated regularly while people are on the drug. I know perfectly competent adults who are freaked out by MRI’s.  How do you explain this to someone with dementia?  Or do you sedate them, thus adding to the risk? Furthermore, the drug itself is not a pill, but a monthly infusion. 

Put that all together, and it just doesn’t add up. How would my mother’s life change for the better? There is little evidence of the drug’s efficacy. Meanwhile, her peaceful life in her rural home with her dedicated caregiver would now be punctuated by trips to the hospital for MRI’s, and monthly struggles to start infusions in her 90-year-old body, with its tiny veins and paper-thin skin. Aducanumab is apparently best suited to people in the early stages of Alzheimer’s, but even in the earliest stage my mother refused to accept that she had a problem. I cannot imagine successfully explaining that we were taking these measures in the faint hope of combatting a problem she insisted she didn’t have. And in the absence of an explanation she could understand, surely the frequent hospital trips would feel to her like unpleasant, even scary, invasions.


Thursday, August 19, 2021

A simple definition of ‘intentionally’

Quillien, T., & German, T. C.
Cognition
Volume 214, September 2021, 104806

Abstract

Cognitive scientists have been debating how the folk concept of intentional action works. We suggest a simple account: people consider that an agent did X intentionally to the extent that X was causally dependent on how much the agent wanted X to happen (or not to happen). Combined with recent models of human causal cognition, this definition provides a good account of the way people use the concept of intentional action, and offers natural explanations for puzzling phenomena such as the side-effect effect. We provide empirical support for our theory, in studies where we show that people's causation and intentionality judgments track each other closely, in everyday situations as well as in scenarios with unusual causal structures. Study 5 additionally shows that the effect of norm violations on intentionality judgments depends on the causal structure of the situation, in a way uniquely predicted by our theory. Taken together, these results suggest that the folk concept of intentional action has been difficult to define because it is made of cognitive building blocks, such as our intuitive concept of causation, whose logic cognitive scientists are just starting to understand.

From the end

People can use the word “intentionally” in very strange ways. Our intuitions about whether something is intentional are swayed by moral considerations, are pulled one way or another depending on the amount
of control an agent exerts, and are influenced by how circuitous the causal chain between the agent and the outcome is. Intentionality requires a relevant belief, but the latter can be present in very small doses.
Norm-violating actions are judged as more intentional than norm-conforming actions – except when they are judged as less intentional.

These seemingly erratic intuitions can be anxiety-inducing. One might conclude that our commonsense psychology is fundamentally moralistic; that linguistic meaning is hopelessly entangled in its context;
or that motivational and pragmatic factors constantly warp our intuitions about the proper extension of words.

We think such anxiety might be misplaced. Instead, we view the strangeness of “intentionally” as emerging naturally from the core structure of the concept. The way people use the concept of intentional
action offers a fascinating window on some of the building blocks that make up human thought: it lets us glimpse into our implicit causal model of the mind, and the algorithms with which we assign causes to events.

Wednesday, August 18, 2021

The Shape of Blame: How statistical norms impact judgments of blame and praise

Bostyn, D. H., & Knobe, J. (2020, April 24). 
https://doi.org/10.31234/osf.io/2hca8

Abstract

For many types of behaviors, whether a specific instance of that behavior is either blame or praiseworthy depends on how much of the behavior is done or how people go about doing it. For instance, for a behavior such as “replying quickly to emails”, whether a specific reply is blame or praiseworthy will depend on the timeliness of that reply. Such behaviors lie on a continuum in which part of the continuum is praiseworthy (replying quickly) and another part of the continuum is blameworthy (replying late). As praise shifts towards blame along such behavioral continua, the resulting blame-praise curve must have a specific shape. A number of questions therefore arise. What determines the shape of that curve? And what determines “the neutral point”, i.e., the point along a behavioral continuum at which people neither blame nor praise? Seven studies explore these issues, focusing specifically on the impact of statistical information, and provide evidence for a hypothesis we call the “asymmetric frequency hypothesis.”

From the Discussion

Asymmetric frequency and moral cognition

The results obtained here appear to support the asymmetric frequency hypothesis. So far, we have summarized this hypothesis as “People tend perceive frequent behaviors as not blameworthy.” But how exactly is this hypothesis best understood?Importantly, the asymmetric frequency effect does not imply that whenever a behavior becomes more frequent, the associated moral judgment will shift towards the neutral. Behaviors that are considered to be praiseworthy do not appear to become more neutral simply because they become more frequent. The effect of frequency only appears to occur when a behavior is blameworthy, which is why we dubbed it an asymmetric effect.An enlightening historical example in this regard is perhaps the “gay revolution” (Faderman, 2015). As knowledge of the rate of homosexuality has spread across society and people have become more familiar with homosexuality within their own communities, moral norms surrounding homosexuality have shifted from hostility to increasing acceptance (Gallup 2019). Crucially, however, those who already lauded others for having a loving homosexual relation did not shift their judgment towards neutral indifference over the same time period. While frequency mitigates blameworthiness, it does not cause a general shift towards neutrality. Even when everyone does the right thing, it does not lose its moral shine.

Tuesday, August 17, 2021

One -- but Not the Same

Schwenkler, J. Byrd, N. Lambert, E., & Taylor, M.
Philosophical Studies

Abstract

Ordinary judgments about personal identity are complicated by the fact that phrases like “same person” and “different person” have multiple uses in ordinary English. This complication calls into question the significance of recent experimental work on this topic. For example, Tobia (2015) found that judgments of personal identity were significantly affected by whether the moral change described in a vignette was for the better or for the worse, while Strohminger and Nichols (2014) found that loss of moral conscience had more of an effect on identity judgments than loss of biographical memory. In each case, however, there are grounds for questioning whether the judgments elicited in these experiments engaged a concept of numerical personal identity at all (cf. BerniÅ«nas and Dranseika 2016; Dranseika 2017; Starmans and Bloom 2018). In two pre-registered studies we validate this criticism while also showing a way to address it: instead of attempting to engage the concept of numerical identity through specialized language or the terms of an imaginary philosophical debate, we should consider instead how the identity of a person is described through the connected use of proper names, definite descriptions, and the personal pronouns “I”, “you”, “he”, and “she”. When the experiments above are revisited in this way, there is no evidence that the differences in question had an effect on ordinary identity judgments.

From the Discussion

Our findings do, however, suggest a promising strategy for the experimental study of how philosophically important concepts are employed by people without formal philosophical training. As we noted above, in philosophy we use phrases like “numerical identity” and “qualitative identity” in a somewhat artificial way, in order thereby to disambiguate between the different meanings a phrase like “same person” can have in ordinary language. But we cannot easily disambiguate things in this way when we wish to investigate how these concepts are understood by non-philosophers: for a question like “Is the man after the accident numerically the same as the man before?” cannot be posed to such a person without first explicating the meaning of the italicized phrase.

Monday, August 16, 2021

Therapist Targeted Googling: Characteristics and Consequences for the Therapeutic Relationship

Cox, K. E., Simonds, L. M., & Moulton-Perkins, A. 
(2021).  Professional Psychology: 
Research and Practice. Advance online publication. 

Abstract

Therapist-targeted googling (TTG) refers to a patient searching online to find information about their therapist. The present study investigated TTG prevalence and characteristics in a sample of adult psychotherapy clients. Participants (n = 266) who had attended at least one session with a therapist completed an anonymous online survey about TTG prevalence, motivations, and perceived impact on the therapeutic relationship. Two-thirds of the sample had conducted TTG. Those participants who were having therapy privately had worked with more than one therapist, or were having sessions more often than weekly were significantly more likely to conduct TTG; this profile was particularly common among patients who were having psychodynamic psychotherapy. Motivations included wanting to see if the therapist is qualified, curiosity, missing the therapist, and wanting to know them better. Nearly a quarter who undertook TTG thought the findings impacted the therapeutic relationship but only one in five had disclosed TTG to the therapist. TTG beyond common sense consumerism can be conceptualized as a patient’s attempt to attain closeness to the therapist but may result in impacts on trust and ability to be open. Disclosures of TTG may constitute important therapeutic material. 

Impact Statement

This study suggests that there are multiple motivations for clients searching online for information about their therapist. It highlights the need for practitioners to carefully consider the information available about them online and the importance of client searching to the therapeutic relationship.

Here is the conclusion:

In this study, most participants searched for information about their therapist. Curiosity and commonsense consumerism might explain much of this activity. We argue that there is evidence that some of this might be motivated by moments of vulnerability between sessions to regain a connection with the therapist. We also suggest that the discovery of challenging information during vulnerability might represent difficulties for the patient that are not disclosed to the therapist due to feelings of guilt and shame. Further work is needed to understand TTG, the implications on the therapeutic relationship, and how therapists work with disclosures of TTG in a way that does not provoke more shame in the patient, but which also allows therapists to effectively manage therapeutic closeness and their own vulnerability.

Sunday, August 15, 2021

Prosocial Behavior and Reputation: When Does Doing Good Lead to Looking Good?

Berman, J. Z., & Silver, I.
(2021). Current Opinion in Psychology
Available online 9 July 2021

Abstract

One reason people engage in prosocial behavior is to reap the reputational benefits associated with being seen as generous. Yet, there isn’t a direct connection between doing good deeds and being seen as a good person. Rather, prosocial actors are often met with suspicion, and sometimes castigated as disingenuous braggarts, empty virtue-signalers, or holier-than-thou hypocrites. In this article, we review recent research on how people evaluate those who engage in prosocial behavior and identify key factors that influence whether observers will praise or denigrate a prosocial actor for doing a good deed.

(cut)

Obligations to Personal Relations

One complicating factor that affects how actors are judged concerns whether they are donating to a cause that benefits a close personal relation. Recent theories of morality suggest that people see others as obligated to help close personal relations over distant strangers.  Despite these obligations, or perhaps because of them, prosocial actors are afforded less credit when they donate to causes that benefit close others: doing so is seen as relatively selfish compared to helping strangers. At the same time, helping a stranger instead of helping a close other is seen as a violation of one’s commitments and obligations, which can also damage one’s reputation. Understanding the role of relationship-specific obligations in judgments of selfless behavior is still nascent and represents an emerging area of research.