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, October 9, 2021

Nudgeability: Mapping Conditions of Susceptibility to Nudge Influence

de Ridder, D., Kroese, F., & van Gestel, L. (2021). 
Perspectives on psychological science 
Advance online publication. 
https://doi.org/10.1177/1745691621995183

Abstract

Nudges are behavioral interventions to subtly steer citizens' choices toward "desirable" options. An important topic of debate concerns the legitimacy of nudging as a policy instrument, and there is a focus on issues relating to nudge transparency, the role of preexisting preferences people may have, and the premise that nudges primarily affect people when they are in "irrational" modes of thinking. Empirical insights into how these factors affect the extent to which people are susceptible to nudge influence (i.e., "nudgeable") are lacking in the debate. This article introduces the new concept of nudgeability and makes a first attempt to synthesize the evidence on when people are responsive to nudges. We find that nudge effects do not hinge on transparency or modes of thinking but that personal preferences moderate effects such that people cannot be nudged into something they do not want. We conclude that, in view of these findings, concerns about nudging legitimacy should be softened and that future research should attend to these and other conditions of nudgeability.

From the General Discussion

Finally, returning to the debates on nudging legitimacy that we addressed at the beginning of this article, it seems that concerns should be softened insofar as nudges do impose choice without respecting basic ethical requirements for good public policy. More than a decade ago, philosopher Luc Bovens (2009) formulated the following four principles for nudging to be legitimate: A nudge should allow people to act in line with their overall preferences; a nudge should not induce a change in preferences that would not hold under nonnudge conditions; a nudge should not lead to “infantilization,” such that people are no longer capable of making autonomous decisions; and a nudge should be transparent so that people have control over being in a nudge situation. With the findings from our review in mind, it seems that these legitimacy requirements are fulfilled. Nudges do allow people to act in line with their overall preferences, nudges allow for making autonomous decisions insofar as nudge effects do not depend on being in a System 1 mode of thinking, and making the nudge transparent does not compromise nudge effects.

Friday, October 8, 2021

Can induced reflection affect moral decision-making

Daniel Spears, et al. (2021) 
Philosophical Psychology, 34:1, 28-46, 
DOI: 10.1080/09515089.2020.1861234

Abstract

Evidence about whether reflective thinking may be induced and whether it affects utilitarian choices is inconclusive. Research suggests that answering items correctly in the Cognitive Reflection Test (CRT) before responding to dilemmas may lead to more utilitarian decisions. However, it is unclear to what extent this effect is driven by the inhibition of intuitive wrong responses (reflection) versus the requirement to engage in deliberative processing. To clarify this issue, participants completed either the CRT or the Berlin Numeracy Test (BNT) – which does not require reflection – before responding to moral dilemmas. To distinguish between the potential effect of participants’ previous reflective traits and that of performing a task that can increase reflectivity, we manipulated whether participants received feedback for incorrect items. Findings revealed that both CRT and BNT scores predicted utilitarian decisions when feedback was not provided. Additionally, feedback enhanced performance for both tasks, although it only increased utilitarian decisions when it was linked to the BNT. Taken together, these results suggest that performance in a numeric task that requires deliberative thinking may predict utilitarian responses to moral dilemmas. The finding that feedback increased utilitarian decisions only in the case of BNT casts doubt upon the reflective-utilitarian link.

From the General Discussion

Our data, however, did not fully support these predictions. Although feedback resulted in more utilitarian responses to moral dilemmas, this effect was mostly attributable to feedback on the BNT.  The effect was  not  attributable to differences in baseline task-performance. Additionally, both CRT and BNT scores predicted utilitarian responses when feedback was not provided. That  performance in the CRT predicts  utilitarian decisions is in agreement with a previous study linking cognitive reflection to utilitarian choice (Paxton et al., 2012; but see Sirota, Kostovicova, Juanchich, & Dewberry, pre-print, for the absence of effect when using a verbal CRT without numeric component).

Thursday, October 7, 2021

Axiological futurism: The systematic study of the future of values

J. Danaher
Futures
Volume 132, September 2021

Abstract

Human values seem to vary across time and space. What implications does this have for the future of human value? Will our human and (perhaps) post-human offspring have very different values from our own? Can we study the future of human values in an insightful and systematic way? This article makes three contributions to the debate about the future of human values. First, it argues that the systematic study of future values is both necessary in and of itself and an important complement to other future-oriented inquiries. Second, it sets out a methodology and a set of methods for undertaking this study. Third, it gives a practical illustration of what this ‘axiological futurism’ might look like by developing a model of the axiological possibility space that humans are likely to navigate over the coming decades.


Highlights

• Outlines a new field of inquiry: axiological futurism.

• Defends the role of axiological futurism in understanding technology in society.

• Develops a set of methods for undertaking this inquiry into the axiological future.

• Presents a model for understanding the impact of AI, robotics and ICTs on human values.


From the Conclusion

In conclusion, axiological futurism is the systematic and explicit inquiry into the axiological possibility space for future human (and post-human) civilisations. Axiological futurism is necessary because, given the history of axiological change and variation, it is very unlikely that our current axiological systems will remain static and unchanging in the future. Axiological futurism is also important because it is complementary to other futurological inquiries. While it might initially seem that axiological futurism cannot be a systematic inquiry, this is not the case. Axiological futurism is an exercise in informed speculation.

Wednesday, October 6, 2021

Immoral actors’ meta-perceptions are accurate but overly positive

Lees, J. M., Young, L., & Waytz, A.
(2021, August 16).
https://doi.org/10.31234/osf.io/j24tn

Abstract

We examine how actors think others perceive their immoral behavior (moral meta-perception) across a diverse set of real-world moral violations. Utilizing a novel methodology, we solicit written instances of actors’ immoral behavior (N_total=135), measure motives and meta-perceptions, then provide these accounts to separate samples of third-party observers (N_total=933), using US convenience and representative samples (N_actor-observer pairs=4,615). We find that immoral actors can accurately predict how they are perceived, how they are uniquely perceived relative to the average immoral actor, and how they are misperceived. Actors who are better at judging the motives of other immoral actors also have more accurate meta-perceptions. Yet accuracy is accompanied by two distinct biases: overestimating the positive perceptions others’ hold, and believing one’s motives are more clearly perceived than they are. These results contribute to a detailed account of the multiple components underlying both accuracy and bias in moral meta-perception.

From the General Discussion

These results collectively suggest that individuals who have engaged in immoral behavior can accurately forecast how others will react to their moral violations.  

Studies 1-4 also found similar evidence for accuracy in observers’ judgments of the unique motives of immoral actors, suggesting that individuals are able to successfully perspective-take with those who have committed moral violations. Observers higher in cognitive ability (Studies 2-3) and empathic concern (Studies 2-4) were consistently more accurate in these judgments, while observers higher in Machiavellianism (Studies 2-4) and the propensity to engage in unethical workplace behaviors (Studies 3-4) were consistently less accurate. This latter result suggests that more frequently engaging in immoral behavior does not grant one insight into the moral minds of others, and in fact is associated with less ability to understand the motives behind others’ immoral behavior.

Despite strong evidence for meta-accuracy (and observer accuracy) across studies, actors’ accuracy in judging how they would be perceived was accompanied by two judgment biases.  Studies 1-4 found evidence for a transparency bias among immoral actors (Gilovich et al., 1998), meaning that actors overestimated how accurately observers would perceive their self-reported moral motives. Similarly, in Study 4 an examination of actors’ meta-perception point estimates found evidence for a positivity bias. Actors systematically overestimate the positive attributions, and underestimate the negative attributions, made of them and their motives. In fact, the single meta-perception found to be the most inaccurate in its average point estimate was the meta-perception of harm caused, which was significantly underestimated.

Tuesday, October 5, 2021

Social Networking and Ethics

Vallor, Shannon
The Stanford Encyclopedia of Philosophy 
(Fall 2021 Edition), Edward N. Zalta (ed.)

Here is an excerpt:

Contemporary Ethical Concerns about Social Networking Services

While early SNS scholarship in the social and natural sciences tended to focus on SNS impact on users’ psychosocial markers of happiness, well-being, psychosocial adjustment, social capital, or feelings of life satisfaction, philosophical concerns about social networking and ethics have generally centered on topics less amenable to empirical measurement (e.g., privacy, identity, friendship, the good life and democratic freedom). More so than ‘social capital’ or feelings of ‘life satisfaction,’ these topics are closely tied to traditional concerns of ethical theory (e.g., virtues, rights, duties, motivations and consequences). These topics are also tightly linked to the novel features and distinctive functionalities of SNS, more so than some other issues of interest in computer and information ethics that relate to more general Internet functionalities (for example, issues of copyright and intellectual property).

Despite the methodological challenges of applying philosophical theory to rapidly shifting empirical patterns of SNS influence, philosophical explorations of the ethics of SNS have continued in recent years to move away from Borgmann and Dreyfus’ transcendental-existential concerns about the Internet, to the empirically-driven space of applied technology ethics. Research in this space explores three interlinked and loosely overlapping kinds of ethical phenomena:
  • direct ethical impacts of social networking activity itself (just or unjust, harmful or beneficial) on participants as well as third parties and institutions;
  • indirect ethical impacts on society of social networking activity, caused by the aggregate behavior of users, platform providers and/or their agents in complex interactions between these and other social actors and forces;
  • structural impacts of SNS on the ethical shape of society, especially those driven by the dominant surveillant and extractivist value orientations that sustain social networking platforms and culture.
Most research in the field, however, remains topic- and domain-driven—exploring a given potential harm or domain-specific ethical dilemma that arises from direct, indirect, or structural effects of SNS, or more often, in combination. Sections 3.1–3.5 outline the most widely discussed of contemporary SNS’ ethical challenges.

Monday, October 4, 2021

Reactance, morality, and disgust: the relationship between affective dispositions and compliance with official health recommendations during the COVID-19 pandemic

Díaz, R., & Cova, F. (2021). 
Cognition & emotion, 1–17. 
https://doi.org/10.1080/02699931.2021.1941783

Abstract

Emergency situations require individuals to make important changes in their behavior. In the case of the COVID-19 pandemic, official recommendations to avoid the spread of the virus include costly behaviors such as self-quarantining or drastically diminishing social contacts. Compliance (or lack thereof) with these recommendations is a controversial and divisive topic, and lay hypotheses abound regarding what underlies this divide. This paper investigates which psychological traits separate people who comply with official recommendations from those who don't. In four pre-registered studies on both U.S. and French samples, we found that individuals' self-reported compliance with official recommendations during the COVID-19 pandemic was partly driven by individual differences in moral values, disgust sensitivity, and psychological reactance. We discuss the limitations of our studies and suggest possible applications in the context of health communication.

From the General Discussion

However, results for semi-partial correlations paint a different   picture. First, perspective-taking is no longer a significant predictor of past compliance, but only of future compliance. Moreover, correlations coefficients for care values and perspective-taking were no longer the highest:correlations were in the same order of magnitude for care values than for pathogen disgust and psychological reactance, and quite low (<.10) for perspective-taking. This suggests  that, compared to the  effect of pathogen disgust  and  psychological  reactance,  the effect of care values and perspective-taking was for a great part explainable by other variables. On the contrary,  the overall effect of Pathogen Disgust seemed mostly unaffected by  the introduction of other variables, suggesting that its effect is not explained by these other variables.

The effect of perspective-taking on past and future compliance was particularly low for Study 2a, compared to Studies 1a and 1b. What could explain this difference? A first possible explanation is the nature of our sample: two US samples in Studies 1a and 1b, and a French sample  for  Study  2a.  However, it is not  clear why  this  should make a difference to the relationship between perspective-taking and compliance. A second explanation might be that Study  2a  included fewer predictors  than  Studies1a and 1b.  However,  this  seems  unlikely, because the zero-order correlations for perspective-taking were also smaller in Study 2 a third explanation might be timing: as mentioned earlier,Studies 1a and 1 were conducted in the middle of the first wave, while Study 2a was conducted between the first and second French waves, at a time where victims of COVID-19 were far fewer and less present and salient in medias. In absence of actual persons to take the perspective of, perspective-taking might have been less likely to motivate compliance.

Sunday, October 3, 2021

Prosocial behavior and altruism: A review of concepts and definitions

Pfattheicher, S., Nielsen, Y. A., & Thielmann, I. 
Current Opinion in Psychology
Available online 23 August 2021

Abstract

The field of prosociality is flourishing, yet researchers disagree about how to define prosocial behavior and often neglect defining it altogether. In this review, we provide an overview about the breadth of definitions of prosocial behavior and the related concept of altruism. Common to almost all definitions is an emphasis on the promotion of welfare in agents other than the actor. However, definitions of the two concepts differ in terms of whether they emphasize intentions and motives, costs and benefits, and the societal context. In order to improve on the conceptual ambiguity surrounding the study of prosociality, we urge researchers to provide definitions, to use operationalizations that match their definitions, and to acknowledge the diversity of prosocial behavior.

Concluding remarks

Together with many other researchers, we share the excitement about the study of prosocial behavior. To more strongly connect (abstract) theory and (concrete) behavior we need to carefully define and operationalize our constructs. More conceptual work is needed to clearly distinguish prosocial behavior from altruism and other types of prosocial behavior (such as cooperation and helping), and we should take care to avoid using the terms interchangeably. We hope that the present paper will encourage scholars targeting prosocial behavior or altruism in their research to use definitions more often and mindfully—to further develop the exciting field of prosocial behavior.

Saturday, October 2, 2021

We’ve Never Protected the Vulnerable

Aaron Carroll
The Atlantic
Originally posted 5 Sept 21

Here is an excerpt:

The Americans With Disabilities Act provides for some accommodations for people with disabilities or diseases in certain situations, but those are extremely limited. They also apply only to the afflicted. My friend’s wife, a teacher, couldn’t tell her school that she needed special treatment because someone was vulnerable in her life. The school implemented no precautions to reduce her chance of being exposed to illness and getting sick, in order to keep her husband safe at home. Neither could his kids demand changes at their schools. Asking schools to alter their behavior to protect relatives of students may seem like a big ask, but I couldn’t even persuade all of our close friends to get vaccinated against the flu to protect him.

COVID-19 has exposed these gaps in our public solidarity, not caused them. The way we handle influenza is the best example, as the infectious disease that usually causes the highest number of deaths each year. Even though the young and the old are at real risk from flu, along with the immunocompromised, we’ve almost never engaged in any special protections for these groups. I’ve begged people for years to get immunized to protect others, and most don’t listen. Other countries mask more during respiratory-virus seasons; almost no one even thinks of masking here. Few distance from others, even though that’s a more palatable option for most Americans. To the contrary, many people consider it a mark of pride to “tough it out” and come to work while sick, potentially exposing others.

Our current situation with COVID-19 is especially difficult because so many Americans believe they’ve already given more than enough. Any further adjustments to their life, even if they seem small, feel like too much to bear. It’s natural that Americans want to get back to normal, and I’m not arguing that we should lock down until no risk remains. I’m asking that we think about others more in specific settings. We don’t all have to wear a mask all the time, but we could get used to always carrying one. That way, if we are around people who might live with others at high risk, we could mask around them and stand a little farther away. We could cancel our evening plans or miss a concert if we’re sick. Is it really that hard to get a flu shot every year?

Friday, October 1, 2021

The prisoner’s dilemma: The role of medical professionals in executions

Elisabeth Armstrong
Journal of Medical Ethics
Originally posted 7 Sept 21

Here is an excerpt:

Clinician Participation in Executions is Either Wrong or Misguided

Clinicians might participate in executions out of an inappropriate commitment to capital punishment; this position of leveraging medical education and credentials to punish or harm has no grounding in ethical conversation. It is entirely inappropriate to undermine trust in the medical profession in service of one’s political or philosophical beliefs – those ought to be relegated to the voting booths.

However, some practitioners might be present at an execution out of a well-intentioned, but misguided commitment to preventing suffering. Their reasoning is along the lines, “If states are proceeding with an execution, shouldn’t a clinician be present to ensure there is no undue harm or suffering?” Writing on lethal injections, Dr. Sandeep Jahaur writes in the New York Times, “Barring physicians from executions will only increase the risk that prisoners will unduly suffer,” in violation of the Hippocratic Oath and the 8th Amendment of the US Constitution. He points out that no ethics board would allow the testing of execution drugs on human participants, therefore, in the absence of a “controlled investigation” it is important that a doctor is present to assist when things go awry.

Dr. Jahaur adds that if doctors (or other clinicians) do not assist, people with less experience are often called upon to insert catheters, assess and insert the IVs, mix and administer the drugs, monitor a patient’s vital signs, then confirm death; and of course, step in if anything goes wrong. Dr. Atul Gawande agrees that it is unlikely that a lethal injection could be performed without a physician without the occasional tragic mistake. As recently as October of 2014, the lack of involvement from clinicians resulted in the administration of an incorrect drug to an inmate – resulting in forty-three minutes of writhing and groaning before he died.

The Case for Ending Practitioner Participation

There is no denying that these cases of suffering are disturbing and compelling. Ultimately, however, the bioethical case for participation is grossly outweighed by the case against it: medical involvement on any level intrinsically violates the ethical principles of autonomy, beneficence, non-maleficence, and justice – compromising the foundations of the medical system. (Underline added.)