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, August 6, 2022

A General Model of Cognitive Bias in Human Judgment and Systematic Review Specific to Forensic Mental Health

Neal, T. M. S., Lienert, P., Denne, E., & 
Singh, J. P. (2022).  
Law and Human Behavior, 46(2), 99–120.
https://doi.org/10.1037/lhb0000482

Abstract

Cognitive biases can impact experts’ judgments and decisions. We offer a broad descriptive model of how bias affects human judgment. Although studies have explored the role of cognitive biases and debiasing techniques in forensic mental health, we conducted the first systematic review to identify, evaluate, and summarize the findings. Hypotheses. Given the exploratory nature of this review, we did not test formal hypotheses. General research questions included the proportion of studies focusing on cognitive biases and/or debiasing, the research methods applied, the cognitive biases and debiasing strategies empirically studied in the forensic context, their effects on forensic mental health decisions, and effect sizes.

Public Significance Statement

Evidence of bias in forensic mental health emerged in ways consistent with what we know about human judgment broadly. We know less about how to debias judgments—an important frontier for future research. Better understanding how bias works and developing effective debiasing strategies tailored to the forensic mental health context hold promise for improving quality. Until then, we can use what we know now to limit bias in our work.

From the Discussion section

Is Bias a Problem for the Field of Forensic Mental Health?

Our interpretation of the judgment and decision-making literature more broadly, as well as the results from this systematic review conducted in this specific context, is that bias is an issue that deserves attention in forensic mental health—with some nuance. The overall assertion that bias is worthy of concern in forensic mental health rests both on the broader and the more specific literatures we reference here.

The broader literature is robust, revealing that well-studied biases affect human judgment and social cognition (e.g., Gilovich et al., 2002; Kahneman, 2011; see Figure 1). Although the field is robust in terms of individual studies demonstrating cognitive biases, decision science needs a credible, scientific organization of the various types of cognitive biases that have proliferated to better situate and organize the field. Even in the apparent absence of such an organizational structure, it is clear that biases influence consequential judgments not just for laypeople but for experts too, such as pilots (e.g., Walmsley & Gilbey, 2016), intelligence analysts (e.g., Reyna et al., 2014), doctors (e.g., Drew et al., 2013), and judges and lawyers (e.g., Englich et al., 2006; Girvan et al., 2015; Rachlinski et al., 2009). Given that forensic mental health experts are human, as are these other experts who demonstrate typical biases by virtue of being human, there is no reason to believe that forensic experts have automatic special protection against bias by virtue of their expertise.

Friday, August 5, 2022

The Neuroscience Behind Bad Decisions

Emily Singer
Quanta Magazine
Originally posted 13 AUG 16

Here are excerpts:

Economists have spent more than 50 years cataloging irrational choices like these. Nobel Prizes have been earned; millions of copies of Freakonomics have been sold. But economists still aren’t sure why they happen. “There had been a real cottage industry in how to explain them and lots of attempts to make them go away,” said Eric Johnson, a psychologist and co-director of the Center for Decision Sciences at Columbia University. But none of the half-dozen or so explanations are clear winners, he said.

In the last 15 to 20 years [this article was written in 2016], neuroscientists have begun to peer directly into the brain in search of answers. “Knowing something about how information is represented in the brain and the computational principles of the brain helps you understand why people make decisions how they do,” said Angela Yu, a theoretical neuroscientist at the University of California, San Diego.

Glimcher is using both the brain and behavior to try to explain our irrationality. He has combined results from studies like the candy bar experiment with neuroscience data — measurements of electrical activity in the brains of animals as they make decisions — to develop a theory of how we make decisions and why that can lead to mistakes.

(cut)

But the decision-making system operates under more complex constraints and has to consider many different types of information. For example, a person might choose which house to buy depending on its location, size or style. But the relative importance of each of these factors, as well as their optimal value — city or suburbs, Victorian or modern — is fundamentally subjective. It varies from person to person and may even change for an individual depending on their stage of life. “There is not one simple, easy-to-measure mathematical quantity like redundancy that decision scientists universally agree on as being a key factor in the comparison of competing alternatives,” Yu said.

She suggests that uncertainty in how we value different options is behind some of our poor decisions. “If you’ve bought a lot of houses, you’ll evaluate houses differently than if you were a first-time homebuyer,” Yu said. “Or if your parents bought a house during the housing crisis, it may later affect how you buy a house.”

Moreover, Yu argues, the visual and decision-making systems have different end-goals. “Vision is a sensory system whose job is to recover as much information as possible from the world,” she said. “Decision-making is about trying to make a decision you’ll enjoy. I think the computational goal is not just information, it’s something more behaviorally relevant like total enjoyment.”

For many of us, the main concern over decision-making is practical — how can we make better decisions? Glimcher said that his research has helped him develop specific strategies. “Rather than pick what I hope is the best, instead I now always start by eliminating the worst element from a choice set,” he said, reducing the number of options to something manageable, like three.


Curator's note: Oddly enough, this last sentence is what personalized algorithms do.  Pushing people to limited options has both positive and negative aspects.  While it may help with decision-making, it also helps with political polarization.

Thursday, August 4, 2022

Gab users are responding to the Doug Mastriano controversy by calling for antisemitic violence


Eric Hananoki
MediaMatters.org
Originally posted 1 AUG 22

Following criticism of Pennsylvania GOP gubernatorial nominee Doug Mastriano paying Gab for campaign help, users of the far-right platform are responding by posting antisemitic death threats and calls for violence against Jewish people. Those posts included such hate speech as “exterminate all jews,” “WHERE IS ADOLPH WHEN HE IS NEEDED,” and, “Dear Lord, SMITE JOSH SHAPIRO, that weasel, lying Jew.”

Gab caters to far-right extremists, including people who have been banned from other social media platforms. Many of its users are antisemites and neo-Nazis who use the site to express their hatred toward Jewish people. Gab CEO Andrew Torba is a virulent antisemite who this year reposted praise of Gab as a place to get “differing opinions” on the Holocaust. 

Gab’s extremist history is well-known, especially to people in Pennsylvania. In 2018, a Gab user posted antisemitic and violent remarks on the site before he allegedly killed 11 people in Pittsburgh’s Tree of Life synagogue. 

Still, Mastriano said in a campaign filing that he paid $5,000 to Gab for “consulting” services on April 28. Shortly afterward, he did a video interview with Torba in which he praised the Gab founder for “giving us a platform for free speech” and said, “Thank God for what you’ve done.” Mastriano also made clear he followed Torba, telling him at one point that he “liked that one meme” the Gab CEO shared. 

On July 8, Media Matters unearthed Mastriano’s campaign expenditure. Shortly afterward, HuffPost’s Christopher Mathias reported that the payment seemed to be for new followers, as “every new account currently being created on Gab automatically follows Mastriano.” (Torba denied this.) 

Pittsburgh’s WESA reported on July 13 that a Gab post by Mastriano "on July 9 — a criticism of Democratic economic policies — received 157 comments. At least two dozen of those responses — the most common response by far — were antisemitic insults about state Attorney General Josh Shapiro, the Democratic candidate in the race for governor. Shapiro is Jewish.” 


Curator's Note: Sorry for this very Pennsylvania specific article.  This politician cannot hold any office, let alone the Governor's office of my beloved Commonwealth.  We need to vote like our rights depend on it, because they do.

Mastriano is pictured in Washington DC (on the right) on January 6.

Wednesday, August 3, 2022

Predictors and consequences of intellectual humility

Porter, T., Elnakouri, A., Meyers, E.A. et al.
Nat Rev Psychol (2022). 
https://doi.org/10.1038/s44159-022-00081-9

Abstract

In a time of societal acrimony, psychological scientists have turned to a possible antidote — intellectual humility. Interest in intellectual humility comes from diverse research areas, including researchers studying leadership and organizational behaviour, personality science, positive psychology, judgement and decision-making, education, culture, and intergroup and interpersonal relationships. In this Review, we synthesize empirical approaches to the study of intellectual humility. We critically examine diverse approaches to defining and measuring intellectual humility and identify the common element: a meta-cognitive ability to recognize the limitations of one’s beliefs and knowledge. After reviewing the validity of different measurement approaches, we highlight factors that influence intellectual humility, from relationship security to social coordination. Furthermore, we review empirical evidence concerning the benefits and drawbacks of intellectual humility for personal decision-making, interpersonal relationships, scientific enterprise and society writ large. We conclude by outlining initial attempts to boost intellectual humility, foreshadowing possible scalable interventions that can turn intellectual humility into a core interpersonal, institutional and cultural value.

Importance of intellectual humility

The willingness to recognize the limits of one’s knowledge and fallibility can confer societal and individual benefits, if expressed in the right moment and to the proper extent. This insight echoes the philosophical roots of intellectual humility as a virtue. State and trait intellectual humility have been associated with a range of cognitive, social and personality variables (Table 2). At the societal level, intellectual humility can promote societal cohesion by reducing group polarization and encouraging harmonious intergroup relationships. At the individual level, intellectual humility can have important consequences for wellbeing, decision-making and academic learning.

Notably, empirical research has provided little evidence regarding the generalizability of the benefits or drawbacks of intellectual humility beyond the unique contexts of WEIRD (Western, educated, industrialized, rich and democratic) societies. With this caveat, below is an initial set of findings concerning the implications of possessing high levels of intellectual humility. Unless otherwise specified, the evidence below concerns trait-level intellectual humility. After reviewing these benefits, we consider attempts to improve an individual’s intellectual humility and confer associated benefits.

Social implications

People who score higher in intellectual humility are more likely to display tolerance of opposing political and religious views, exhibit less hostility toward members of those opposing groups, and are more likely to resist derogating outgroup members as intellectually and morally bankrupt. Although intellectually humbler people are capable of intergroup prejudice, they are more willing to question themselves and to consider rival viewpoints104. Indeed, people with greater intellectual humility display less myside bias, expose themselves to opposing perspectives more often and show greater openness to befriending outgroup members on social media platforms. By comparison, people with lower intellectual humility display features of cognitive rigidity and are more likely to hold inflexible opinions and beliefs.

Tuesday, August 2, 2022

How to end cancel culture

Jennifer Stefano
Philadelphia Inquirer
Originally posted 25 JUL 22

Here is an excerpt:

Radical politics requires radical generosity toward those with whom we disagree — if we are to remain a free and civil society that does not descend into violence. Are we not a people defined by the willingness to spend our lives fighting against what another has said, but give our lives to defend her right to say it? Instead of being hypersensitive fragilistas, perhaps we could give that good old-fashioned American paradox a try again.

But how? Start by engaging in the democratic process by first defending people’s right to be awful. Then use that right to point out just how awful someone’s words or deeds are. Accept that you have freedom of speech, not freedom from offense. A free society best holds people accountable in the arena of ideas. When we trade debate for the dehumanizing act of cancellation, we head down a dangerous path — even if the person who would be canceled has behaved in a dehumanizing way toward others.

Canceling those with opinions most people deem morally wrong and socially unacceptable (racism, misogyny) leads to a permissiveness in simply labeling speech we do not like as those very things without any reason or recourse. Worse, cancel culture is creating a society where dissenting or unpopular opinions become a risk. Canceling isn’t about debate but dehumanizing.

Speech is free. The consequences are not. Actress Constance Wu attempted suicide after she was canceled in 2019 for publicly tweeting she didn’t love her job on a hit TV show. Her words harmed no one, but she was publicly excoriated for them. Private DMs from her fellow Asian actresses telling her she was a “blight” on the Asian American community made her believe she didn’t deserve to live. Wu didn’t lose her job for her words, but she nearly lost her life.

Cancel culture does more than make the sinner pay a penance. It offers none of the healing redemption necessary for a free and civil society. In America, we have always believed in second chances. It is the basis for the bipartisan work on issues like criminal justice reform. Our achievements here have been a bright spot.

We as a civil society want to give the formerly incarcerated a second chance. How about doing the same for each other?

Monday, August 1, 2022

If I Could Do It, So Can They: Among the Rich, Those With Humbler Origins are Less Sensitive to the Difficulties of the Poor

Koo, H. J., Piff, P. K., & Shariff, A. F. (2022). 
Social Psychological and Personality Science.
https://doi.org/10.1177/19485506221098921

Abstract

Americans venerate rags-to-riches stories. Here we show that people view those who became rich more positively than those born rich and expect the Became Rich to be more sympathetic toward social welfare (Studies 1a and b). However, we also find that these intuitions are misguided. Surveys of wealthy individuals (Studies 2a and b) reveal that, compared with the Born Rich, the Became Rich perceive improving one’s socioeconomic conditions as less difficult, which, in turn, predicts less empathy for the poor, less perceived sacrifices by the poor, more internal attributions for poverty, and less support for redistribution. Corroborating this, imagining having experienced upward mobility (vs. beginning and staying at the top) causes people to view such mobility as less difficult, reducing empathy and support for those failing to move up (Study 3). These findings suggest that becoming rich may shift views about the poor in ways that run counter to common intuitions and cultural assumptions.

General Discussion

Across five preregistered studies, we found that people expect the Became Rich to hold more sympathetic attitudes toward the poor than the Born Rich (Studies 1a and b). However, our subsequent studies showed these intuitions to be misguided. In reality, the Became Rich thought it less difficult to improve one’s socioeconomic conditions than the Born Rich, views that were negatively linked to redistribution support and various sympathetic attitudes toward the poor (Studies 2a and b). Corroborating this, those induced to feel that they had moved up within an organization (vs. having a stationary high position) thought it less difficult to improve one’s position in the company, which in turn predicted reduced sympathetic attitudes toward others struggling to move up (Study 3). Contrary to lay expectations, people who have successfully achieved upward social mobility may, in fact, be less sensitive to the plight of the poor than those born into privilege.

The current study has several limitations that call for future investigation. First, we cannot definitively draw the conclusion that it is the experience of upward mobility itself that causes shifts in perceptions of difficulty. Although Study 3 is supportive of the possibility, experiencing upward mobility in the workplace may not be the same as experiencing upward mobility in real life—the latter may involve longer time periods and multiple pathways (e.g., own effort, personal connections, luck, and marriage). It will be important to more directly test our findings in future studies by using, for instance, longitudinal approaches to confirm the effect of experienced upward mobility on attitudes toward social welfare. Second, although we targeted rich individuals in the United States, online survey samples do not typically include multimillionaires and billionaires. Revisiting our findings among the super wealthy would be an important next step, given the sociopolitical influence they wield.

Sunday, July 31, 2022

What is 'purity'? Conceptual murkiness in moral psychology

Gray, K., DiMaggio, N., Schein, C., 
& Kachanoff, F. (2021, February 3). 
https://doi.org/10.31234/osf.io/vfyut

Abstract

Purity is an important topic in psychology. It has a long history in moral discourse, has helped catalyze paradigm shifts in moral psychology, and is thought to underlie political differences. But what exactly is “purity?” To answer this question, we review the history of purity and then systematically examine 158 psychology papers that define and operationalization (im)purity. In contrast to the many concepts defined by what they are, purity is often understood by what it isn’t—obvious dyadic harm. Because of this “contra”-harm understanding, definitions and operationalizations of purity are quite varied. Acts used to operationalize impurity include taking drugs, eating your sister’s scab, vandalizing a church, wearing unmatched clothes, buying music with sexually explicit lyrics, and having a messy house. This heterogeneity makes purity a “chimera”—an entity composed of various distinct elements. Our review reveals that the “contra-chimera” of purity has 9 different scientific understandings, and that most papers define purity differently from how they operationalize it. Although people clearly moralize diverse concerns—including those related to religion, sex, and food—such heterogeneity in conceptual definitions is problematic for theory development. Shifting definitions of purity provide “theoretical degrees of freedom” that make falsification extremely difficult. Doubts about the coherence and consistency of purity raise questions about key purity-related claims of modern moral psychology, including the nature of political differences and the cognitive foundations of moral judgment.

Conclusion

Purity is an ancient concept that has moved from historical religious rhetoric to modern moral psychology.  Many things have changed in this leap—Dr. Kellogg would never have imagined a scientific discipline catalyzed by loving incest—but purity still seems to be a heterogeneous concept with diverse understandings. This diversity makes purity an exciting topic to study, but our review suggests that purity lacks a common core, beyond involving acts that are less-than-obviously harmful.  Without a consistent and non-tautological understanding of purity, it is difficult to argue that purity is a unique and distinct construct, and it is impossible to argue for a mental mechanism dedicated to purity. It is clear, however, that purity is featured in moral rhetoric and can help shed light on cultural differences. Moving forward, we suggest that the field should unpack the richness of purity and individually explore its many understanding. When conducting this research, we should consider not only what purity isn’t, but what it really is.

Saturday, July 30, 2022

The global belief that "life gets better and better"

Busseri M. A. (2022).
Journal of personality and social 
psychology, 123(1), 223–247.
https://doi.org/10.1037/pspp0000415

Abstract

National-level differences in individuals' ratings of their recollected past, current, and anticipated future life satisfaction (LS) were examined using results from two pioneering projects comprising national-level results for 14 countries (Cantril, 1965) and 15 regions of the world (Gallup International Research Institutes & Charles F. Kettering Foundation, 1976; Study 1), as well as sequential results from the Gallup World Poll based on 137 countries representing a broad range of nations from around the world surveyed from 2005 to 2018 (Study 2). Results from both studies revealed a robust belief that "life gets better" over time (i.e., recollected past < current < anticipated future LS) in nations around the world. Such beliefs were examined in relation to objective and subjective indicators of societal-level functioning. Results replicated across studies in showing that nations with less positive societal functioning and prosperity were characterized by less recollected past improvements in LS, and yet greater anticipated future improvements in LS. Results from Study 2 also revealed that such expectations were positively biased compared to changes over time in national levels of LS; further, greater bias was related to less positive societal-level functioning. In conclusion, examining national-level differences in LS from a subjective temporal perspective provides valuable new insights concerning human development and prosperity across countries, over time, and around the world. 

From the General Discussion

Together, such findings suggest that the belief that life gets increasingly satisfying over time, particularly into the future, is nearly universal at a national level. What might explain the widespread (but typically erroneous) conviction that life becomes increasingly satisfying over time? This belief may be a reflection,
in part, of the positive historical trajectory of human development and economic prosperity found around the world. Indeed, as suggested by the historical trends observed both in Study 1 across a 10-year period during the 1960s and 1970s, and in Study 2 across a 13-year period between 2005 and 2018, objective indicators of human development and socioeconomic prosperity generally increased consistently over time. The inclining subjective LS trajectories observed in nations around the world may thus reflect widespread awareness of such global improvements in societal functioning. Critically, however, in Study 2 very high levels of stability were found for each of the indicators of societal functioning and a high preponderance of variance in such indicators was observed between nations, rather than within countries over time.

Further, despite the general trend toward improvements in societal level functioning over time, many nations were not characterized by statistically reliable changes (decreases or increases) across the three
periods examined. Also noteworthy, results concerning unique associations between national-level differences in the subjective LS trajectories and societal-level functioning were inconsistent across periods and functioning indicators. Thus, it appears that the widespread belief that LS gets better and better is not merely a reflection of how life generally changes over time.

Friday, July 29, 2022

Thematic analysis and natural language processing of job-related problems prior to physician suicide in 2003-2018

Kim, K., et al. (2022). 
Suicide & life-threatening behavior
Advance online publication. 
https://doi.org/10.1111/sltb.12896

Abstract

Introduction: Although previous studies have consistently demonstrated that physicians are more likely than non-physicians to experience work-related stressors prior to suicide, the specific nature of these stressors remains unknown. The current study aimed to better characterize job-related problems prior to physician suicide.

Methods: The study utilized a mixed methods approach combining thematic analysis and natural language processing to develop themes representing death investigation narratives of 200 physician suicides with implicated job problems in the National Violent Death Reporting System database between 2003 and 2018.

Results: Through thematic analysis, six overarching themes were identified: incapacity to work due to deterioration of physical health, substance use jeopardizing employment, interaction between mental health and work-related issues, relationship conflict affecting work, legal problems leading to work-related stress, and increased financial stress. Natural language processing analysis confirmed five of these themes and elucidated important subthemes.

Conclusions: This is the first known study that integrated thematic analysis and natural language processing to characterize work-related stressors preceding physician suicide. The findings highlight the importance of bolstering systemic support for physicians experiencing job problems associated with their physical and mental health, substance use, relationships, legal matters, and finances in suicide prevention efforts.


These six themes are:
  • an incapacity to work due to deterioration of physical health, 
  • substance use that was jeopardizing employment, 
  • the interaction between mental health and work-related issues, 
  • relationship conflicts affecting work, 
  • legal problems, and 
  • increased financial stress.