Confidence in U.S. Supreme Court Sinks to Historic Low

Jeffrey Jones

Gallup.com

Originally posted 23 JUN 22

Story Highlights

• 25% of Americans have confidence in Supreme Court, down from 36% in 2021
• Current reading is five percentage points lower than prior record low
• Confidence is down among Democrats and independents this year

With the U.S. Supreme Court expected to overturn the 1973 Roe v. Wade decision before the end of its 2021-2022 term, Americans' confidence in the court has dropped sharply over the past year and reached a new low in Gallup's nearly 50-year trend. Twenty-five percent of U.S. adults say they have "a great deal" or "quite a lot" of confidence in the U.S. Supreme Court, down from 36% a year ago and five percentage points lower than the previous low recorded in 2014.

These results are based on a June 1-20 Gallup poll that included Gallup's annual update on confidence in U.S. institutions. The survey was completed before the end of the court's term and before it issued its major rulings for that term. Many institutions have suffered a decline in confidence this year, but the 11-point drop in confidence in the Supreme Court is roughly double what it is for most institutions that experienced a decline. Gallup will release the remainder of the confidence in institutions results in early July.

The Supreme Court is likely to issue a ruling in the Dobbs v. Jackson Women's Health Organization case before its summer recess. The decision will determine the constitutionality of a Mississippi law that would ban most abortions after 15 weeks of pregnancy. A leaked draft majority opinion in the case suggests that the high court will not only allow the Mississippi law to stand, but also overturn Roe v. Wade, the 1973 court ruling that prohibits restrictions on abortion during the first trimester of pregnancy. Americans oppose overturning Roe by a nearly 2-to-1 margin.

In September, Gallup found the Supreme Court's job approval rating at a new low and public trust in the judicial branch of the federal government down sharply. These changes occurred after the Supreme Court declined to block a Texas law banning most abortions after six weeks of pregnancy, among other controversial decisions at that time. Given these prior results, it is unclear if the drop in confidence in the Supreme Court measured in the current poll is related to the anticipated Dobbs decision or had occurred several months before the leak.

The info is here.

What drives mass shooters? Grievance, despair, and anger are more likely triggers than mental illness, experts say

Deanna Pan

Boston Globe

Originally posted 3 JUN 22

Here is an excerpt:

A 2018 study by the FBI’s Behavioral Analysis Unit evaluating 63 active shooters between 2000 and 2013 found that a quarter were known to have been diagnosed with any kind of mental illness, and just 3 of the 63 had a verified psychotic disorder.

Although 62 percent of shooters showed signs that they were struggling with issues like depression, anxiety, or paranoia, their symptoms, the study notes, may ultimately have been “transient manifestations of behaviors and moods” that would not qualify them for a formal diagnosis.

Formally diagnosed mental illness, the study concludes, “is not a very specific predictor of violence of any type, let alone targeted violence,” given that roughly half of the US population experiences symptoms of mental illness over the course of their lifetimes.

Forensic psychologist Jillian Peterson, cofounder of The Violence Project, a think tank dedicated to reducing violence, said mass shooters are typically younger men, channeling their pain and anger through acts of violence and aggression. For many mass shooters, Peterson said, their path to violence begins with early childhood trauma. They often share a sense of “entitlement,” she said — to wealth, power, romance, and success. When they don’t achieve those goals, they become enraged and search for a scapegoat.

”As they get older, you see a lot of despair, hopelessness, self-hate — many of them attempt suicide — isolation. And then that kind of despair, isolation, that self-hatred turns outward,” Peterson said. “School shooters blame their schools. Some people blame a racial group or women or a religious group or the workplace.”

But mental illness, she said, is rarely an exclusive motive for mass shooters. In a study published last year, Peterson and her colleagues analyzed a dataset of 172 mass shooters for signs of psychosis — features of schizophrenia and other mood disorders. Although mental illness and psychotic disorders were overrepresented among the mass shooters they studied, Peterson’s study found most mass shooters were motivated by other factors, such as interpersonal conflicts, relationship problems, or a desire for fame.

Peterson’s study found psychotic symptoms, such as delusions or hallucinations, played no role in almost 70 percent of cases, and only a minor role in 11 percent of cases, where the shooters had other motives. In just 10 percent of cases, perpetrators were directly responding to their delusions or hallucinations when they were planning and committing their attacks.

Here is the info.

Work group rituals enhance the meaning of work

T. Kima, O. Sezer, et al.

Organizational Behavior and 

Human Decision Processes

Volume 165, July 2021, Pages 197-212

Abstract

The many benefits of finding meaning in work suggest the importance of identifying activities that increase job meaningfulness. The current paper identifies one such activity: engaging in rituals with workgroups. Five studies (N = 1,099) provide evidence that performing group rituals can enhance the meaningfulness of work, and that in turn this meaning can enhance organizational citizenship behaviors (to the benefit of those groups). We first define group rituals both conceptually and empirically, identifying three types of features associated with group rituals—physical actions, psychological import, and communality—and differentiating group rituals from the related concept of group norms (Pilot Studies A and B). We then examine—correlationally in a survey of employed individuals (Study 1a) and experimentally in a study that manipulates the presence or absence of the three types of ritualistic features (Study 1b)—whether performing an activity at work with ritualistic physical, psychological, and communal features (versus an activity with none or just one of these features) is associated with more meaningful work experiences. We test whether this enhanced meaning predicts the extent to which individuals are willing to engage in behaviors enacted on behalf of that group, even without the promise of reward, using organizational citizenship behaviors in Studies 1a–1b and performance on a brainstorming task in Study 2. Taken together, these studies offer a framework for understanding group ritual and offer novel insight into the downstream consequences of employing group rituals in organizational contexts.

Highlights

• Physical, psychological, and communal elements capture group ritual’s core meaning.

• Organizations can employ group rituals to imbue tasks with meaning.

• This meaning can, in turn, enhance organizational citizenship behaviors.

Conclusion

Group rituals are prevalent in countless contexts, from sporting events to religious services to workplaces. Our findings not only suggest that there may be wisdom behind their ubiquity, but also that groups can engineer group activities to increase the success of meaning transfer. A series of ritualistic movements can become a simple—yet effective—tool for enhancing meaning at work. 

A pdf of the research is here.

Leaders with Multicultural Experiences Communicate and Lead More Effectively, Especially in Multinational Teams

J. G. Lu, R. I. Swaab, A. D. Galinsky

Organization Science

Published Online: 22 Jul 2021

Abstract

In an era of globalization, it is commonly assumed that multicultural experiences foster leadership effectiveness. However, little research has systematically tested this assumption. We develop a theoretical perspective that articulates how and when multicultural experiences increase leadership effectiveness. We hypothesize that broad multicultural experiences increase individuals’ leadership effectiveness by developing their communication competence. Because communication competence is particularly important for leading teams that are more multinational, we further hypothesize that individuals with broader multicultural experiences are particularly effective when leading more versus less multinational teams. Four studies test our theory using mixed methods (field survey, archival panel, field experiments) and diverse populations (corporate managers, soccer managers, hackathon leaders) in different countries (Australia, Britain, China, America). In Study 1, corporate managers with broader multicultural experiences were rated as more effective leaders, an effect mediated by communication competence. Analyzing a 25-year archival panel of English Premier League soccer managers, Study 2 replicates the positive effect of broad multicultural experiences using a team performance measure of leadership effectiveness. Importantly, this effect was moderated by team national diversity: soccer managers with broader multicultural experiences were particularly effective when leading teams with greater national diversity. Study 3 (digital health hackathon) and Study 4 (COVID-19 policy hackathon) replicate these effects in two field experiments, in which individuals with varying levels of multicultural experiences were randomly assigned to lead hackathon teams that naturally varied in national diversity. Overall, our research suggests that broad multicultural experiences help leaders communicate more competently and lead more effectively, especially when leading multinational teams.

From the Discussion

Practical Implications

Because of the rise of globalization, individuals and organizations increasingly value and invest in multicultural experiences. However, multicultural experiences are expensive. The present research lends support to the common belief that multicultural experiences foster leadership effectiveness (Karabell 2016, Pelos 2017). Notably, our studies consistently found that the breadth (but not the depth) of multicultural experiences predicted leadership effectiveness via communication competence. This finding suggests that organizations should ensure that expatriates are exposed to a broad set of experiences. For example, when structuring international assignments, organizations should consider exposing their employees to a range of foreign postings (e.g., global rotation programs) rather than one lengthy foreign posting (Suutari and Makel ¨ a¨ 2007). Similarly, individuals may consider pursuing multinational educational programs (e.g., global MBA) that allow them to engage with different cultures.

Just as individuals’ multicultural experiences are increasingly prevalent, so are multinational teams. The

present research examined three multinational team contexts with high ecological validity and real-world

consequences. Across these contexts, we provide evidence that multinational teams perform better when

led by leaders with broad multicultural experiences.

The research is here.

Thousands of Medical Professionals Urge Supreme Court To Uphold Roe: ‘Provide Patients With the Treatment They Need’

Phoebe Kolbert

Ms. Magazine

Originally posted 21 JUN 22

Any day now, the Supreme Court will issue its decision in Dobbs v. Jackson Women’s Health Organization, which many predict will overturn or severely gut Roe v. Wade. Since the start of the Dobbs v. Jackson hearings in December, medical professionals have warned of the drastic health impacts brought on by abortion bans. Now, over 2,500 healthcare professionals from all 50 states have signed a letter urging the Supreme Court to scrap their leaked Dobbs draft opinion and uphold Roe.  

Within 30 days of a decision to overturn Roe, at least 26 states will ban abortion. Clinics in remaining pro-abortion states are preparing for increased violence from anti-abortion extremists and an influx of out-of-state patients. The number of legal abortions performed nationwide is projected to fall by about 13 percent. Many abortion clinics in states with bans will be forced to close their doors, if they haven’t already. The loss of these clinics also comes with the loss of the other essential reproductive healthcare they provide, including STI screenings and treatment, birth control and cervical cancer screenings.

The letter, titled “Medical Professionals Urge Supreme Court to Uphold Roe v. Wade, Protect Abortion Access,” argues that decisions around pregnancy and abortion should be made by patients and their doctors, not the courts.

The info from Ms. Magazine is here.

Here is how the letter begins:

Medical Professionals Urge Supreme Court to Uphold Roe v. Wade, Protect Abortion Access

As physicians and health care professionals, we are gravely concerned that the U.S. Supreme Court appears prepared to end the constitutional right to an abortion. We urge the Supreme Court to to scrap their draft opinion, uphold the constitutional right to an abortion, and ensure that abortions remain legal nationwide, as allowed for in Roe v. Wade. In this moment of crisis, we want to make crystal clear the consequences to our patients’ health if they can no longer access abortions.

Abortions are safe, common and a critical part of health care and reproductive medicine. Medical professionals and medical associations agree, including the American Medical Association, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the American College of Nurse Midwives and many others.

Prohibiting access to safe and legal abortion has devastating implications for health care. Striking down Roe v. Wade would affect not just abortion access, but also maternal care as well as fertility treatments. Pregnancy changes a person’s physiology. These changes can potentially worsen existing diseases and medical conditions.

As physicians and medical professionals, we see the real-life consequences when an individual does not get the care that they know they need, including abortions. The woman who has suffered the violation and trauma of rape would be forced to carry a pregnancy.

Denying access to abortion from people who want one can adversely affect their health, safety and economic well-being, including delayed separation from a violent partner and increased likelihood of falling into poverty by four times. These outcomes can also have drastic impacts on their health.

The entire letter is here.

South Carolina bill permits health care providers refuse non-emergency care based on beliefs

Brooke Migdon

The Hill

Originally posted 1 APR 22

Story at a glance

• Legislators in South Carolina on Friday passed a bill which would allow healthcare providers to deny care based on their personal beliefs. It would also apply to insurance companies, which may be entitled to refuse to pay for care.

• The bill would also protect those who decline to provide medical services from civil, criminal or administrative liability.

• Some say the bill, known as the “Medical Ethics and Diversity Act,” would disproportionately affect the LGBTQ+ community, as well as women and people of color.

South Carolina lawmakers on Friday passed a bill allowing medical professionals and insurance companies to deny care based on personal belief. Some say the legislation, which now heads to the state Senate for consideration, would disproportionately impact LGBTQ+ people, women, and people of color.

Under the bill, titled the “Medical Ethics and Diversity Act,” South Carolina law would be altered to excuse medical practitioners, health care institutions and health care payers from providing care that violates their “conscience.” It would also shield those who decline to provide medical services to patients from civil, criminal or administrative liability.

Dozens of state residents in February testified against the bill, calling it vague and overbroad. They also shared concerns that the legislation would disproportionately impact marginalized communities.

In a statement on Friday, Human Rights Campaign Legal Director Sarah Warbelow said she finds it “disturbing” that politicians in South Carolina are prioritizing individual providers’ beliefs over the wellbeing of patients.

“This legislation is dangerously silent in regards to the needs of patients and fails to consider the impact that expanding refusals can have on their health,” she said. “Religious freedom is a fundamental American value that is entirely compatible with providing quality, non-discriminatory healthcare. It is not a license to deprive others of their rights simply because of personal beliefs.”

Warbelow said the bill sends a message to patients with non-medical views inconsistent with that of their doctors that they are “not equal members of society entitled to dignity and respect.”

The info is here.

Editor's Note: Those politicians who pass laws based on culture wars are clearly violating the principle-based ethics on which all medical ethics rely.  If they pass harmful laws that conflict with health care ethics, then they are not fit to serve.

Gina Haspel Observed Waterboarding at CIA Black Site, Psychologist Testifies

Carol Rosenberg and J. E. Barnes

The New York Times

Originally posted 4 JUN 22

During Gina Haspel’s confirmation hearing to become director of the CIA in 2018, Sen. Dianne Feinstein, D-Calif., asked her if she had overseen the interrogations of a Saudi prisoner, Abd al-Rahim al-Nashiri, which included the use of a waterboard.

Haspel declined to answer, saying it was part of her classified career.

While there has been reporting about her oversight of a CIA black site in Thailand where al-Nashiri was waterboarded, and where Haspel wrote or authorized memos about his torture, the precise details of her work as the chief of base, the CIA officer who oversaw the prison, have been shrouded in official secrecy.

But testimony at a hearing last month in Guantánamo Bay, Cuba, included a revelation about the former CIA director’s long and secretive career. James E. Mitchell, a psychologist who helped develop the agency’s interrogation program, testified that the chief of base at the time, whom he referred to as Z9A in accordance with court rules, watched while he and a teammate subjected al-Nashiri to “enhanced interrogation” that included waterboarding at the black site.

Z9A is the code name used in court for Haspel.

The CIA has never acknowledged Haspel’s work at the black site, and the use of the code name represented the court’s acceptance of an agency policy of not acknowledging state secrets — even those that have already been spilled. Former officials long ago revealed that she ran the black site in Thailand from October 2002 until December 2002, during the time al-Nashiri was being tortured, which Mitchell described in his testimony.

Guantánamo Bay is one of the few places where America is still wrestling with the legacy of torture in the aftermath of the Sept. 11, 2001, attacks. Torture has loomed over the pretrial phase of the death penalty cases for years and is likely to continue to do so as hearings resume over the summer.

The info is here.

The Christian Right is violating the First Amendment by banning abortion

Noah Berlatsky

NBC News Cultural Critic

Originally published 18 JUN 22

The anti-abortion rights movement is largely faith based. Catholics and evangelical Christians argue that life begins at conception, and that fetuses have souls. On those grounds, they want to prevent anyone from obtaining abortion services.

They’ve had a good deal of success with that recently. A leaked Supreme Court draft opinion suggests the high court is set to overturn Roe v. Wade, effectively gutting the constitutional right to abortion. In anticipation, many conservative states have passed sweeping anti-abortion legislation.

But not everyone is Christian. And imposing Christian morality and Christian dogma on non-Christians is a good working definition of religious tyranny — which the First Amendment of the Constitution explicitly rejects. 

That principle of religious freedom is the basis of a lawsuit brought by Congregation L’Dor Va-Dor, a synagogue in Boynton Beach, Florida, against a sweeping state abortion ban set to take effect on July 1. Congregation L’Dor Va-Dor is challenging a single law on behalf of a single religion. But the case is also a broader challenge to the anti-abortion rights movement, which conflates a right-wing Christian demand for forced birth with universal morality, and insists on subjugating the country to a sectarian code.

The new Florida law bans most abortions after 15 weeks. There are no exceptions for cases of incest, rape or human trafficking. It does allow an abortion to save a pregnant person’s life or to prevent serious physical injury. But these exceptions aren’t enough to keep the law from violating the free exercise of the Jewish faith. The congregation’s lawsuit states that the Florida law violates Jewish religious beliefs holding that abortion “is required if necessary to protect the health, mental or physical well-being of the woman,” among other reasons.

The info is here.

Anti-Black Racism as a Chronic Condition

Nneka Sederstrom and Tamika Lasege, 

In A Critical Moment in Bioethics: Reckoning 

with Anti-Black Racism through Intergenerational 

Dialogue,  ed.  Faith  E.  Fletcher  et  al., 

Special  Report, Hastings Center Report 52, no. 2 

(2022):  S24-S29.

Abstract

Because America has a foundation of anti-Black racism, being born Black in this nation yields an identity that breeds the consequences of a chronic condition. This article highlights several ways in which medicine and clinical ethics, despite the former's emphasis on doing no harm and the latter's emphasis on nonmaleficence, fail to address or acknowledge some of the key ways in which physicians can—and do—harm patients of color. To understand harm in a way that can provide real substance for ethical standards in the practice of medicine, physicians need to think about how treatment decisions are constrained by a patient's race. The color of one's skin can and does negatively affect the quality of a person's diagnosis, promoted care plan, and prognosis. Yet racism in medicine and bioethics persist—because a racist system serves the interests of the dominant caste, White people. As correctives to this system, the authors propose several antiracist commitments physicians or ethicists can make.

(cut)

Here are some commitments to add to a newly revised Hippocratic oath: We shall stop denying that racism exists in medicine. We shall face the reality that we fail to train and equip our clinicians with the ability to effectively make informed clinical decisions using the reality of how race impacts health outcomes. We shall address the lack of the declaration of racism as a bioethics priority and work to train ethicists on how to engage in antiracism work. We shall own the effects of racism at every level in health care and the academy. Attempting to talk about everything except racism is another form of denial, privilege, and power that sustains racism. We will not have conversations about disproportionally high rates of “minority” housing insecurity, food scarcity, noncompliance with treatment plans, “drug-seeking behavior,” complex social needs, or “disruptive behavior” or rely on any other terms that are disguised proxies for racism without explicitly naming racism. As ethicists, we will not engage in conversations around goal setting, value judgments, benefits and risks of interventions, autonomy and capacity, or any other elements around the care of patients without naming racism.

So where do we go from here? How do we address the need to decolonize medicine and bioethics? When do we stop being inactive and start being proactive? It starts upstream with improving the medical education and bioethics curricula to accurately and thoroughly inform students on the social and biological sciences of human beings who are not White in America. Then, and only then, will we breed a generation of race-conscious clinicians and ethicists who can understand and interpret the historic inequities in our system and ultimately be capable of providing medical care and ethical analysis that reflect the diversity of our country. Clinical ethics program development must include antiracism training to develop clinical ethicists who have the skills to recognize and address racism at the bedside in clinical ethics consultation. It requires changing the faces in the field and addressing the extreme lack of racial diversity in bioethics. Increasing the number of clinicians of color in all professions within medicine, but especially the numbers of physicians, advance practice providers, and clinical ethicists, is imperative to the goal of improving patient outcomes for Black and brown populations.

The info is here.