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

Sunday, September 18, 2022

Seven years of sex abuse: How Mormon officials let it happen

Michael Rezendes
The Associated Press
Originally posted 4 AUG 22

Here is an excerpt:

When it comes to child sexual abuse, the Mormon church says “the first responsibility of the church in abuse cases is to help those who have been abused and protect those who may be vulnerable to future abuse,” according to its 2010 handbook for church leaders. The handbook also says, “Abuse cannot be tolerated in any form.”

But church officials, from the bishops in the Bisbee ward to officials in Salt Lake City, tolerated abuse in the Adams family for years.

“They just let it keep happening,” said MJ, in her AP interview. “They just said, ‘Hey, let’s excommunicate her father.’ It didn’t stop. ‘Let’s have them do therapy.’ It didn’t stop. ‘Hey, let’s forgive and forget and all this will go away.’ It didn’t go away.”

A similar dynamic played out in West Virginia, where church leaders were accused of covering up the crimes committed by a young abuser from a prominent Mormon family even after he’d been convicted on child sex abuse charges in Utah. The abuser, Michael Jensen, today is serving a 35- to 75-year prison sentence for abusing two children in West Virginia. Their family, along with others, sued the church and settled out of court for an undisclosed sum.

“Child abuse festers and grows in secrecy,” said Lynne Cadigan, a lawyer for the Adams children who filed suit. “That is why the mandatory reporting came into effect. It’s the most important thing in the world to immediately report to the police.”

The lawsuit filed by the three Adams children accuses The Church of Jesus Christ of Latter-day Saints and several members, including Bishops Herrod and Mauzy, of negligence and conspiring to cover up child sex abuse to avoid “costly lawsuits” and protect the reputation of the church, which relies on proselytizing and tithing to attract new members and raise money. In 2020, the church claimed approximately 16 million members worldwide, most of them living outside the United States.

“The failure to prevent or report abuse was part of the policy of the defendants, which was to block public disclosure to avoid scandals, to avoid the disclosure of their tolerance of child sexual molestation and assault, to preserve a false appearance of propriety, and to avoid investigation and action by public authority, including law enforcement,” the suit alleges. “Plaintiffs are informed and believe that such actions were motivated by a desire to protect the reputation of the defendants.”

Very few of the scores of lawsuits against The Church of Jesus Christ of Latter-day Saints mention the help line, in part because details of its operations have been a closely guarded secret. The documents in the sealed court records show how it works.

“The help line is certainly there to help — to help the church keep its secrets and to cover up abuse,” said Craig Vernon, an Idaho attorney who has filed several sex abuse lawsuits against the church.

Vernon, a former member, routinely demands that the church require bishops to report sex abuse to police or state authorities rather than the help line.

The sealed records say calls to the help line are answered by social workers or professional counselors who determine whether the information they receive is serious enough to be referred to an attorney with Kirton McConkie, a Salt Lake City firm that represents the church.

Saturday, September 17, 2022

Ethical knowledge, dilemmas and resolutions in professional coaching

Hannah K. Heitz & Mark M. Leach (2022) 
Coaching: An International Journal of Theory, 
Research and Practice
DOI: 10.1080/17521882.2022.2112247

Abstract

There is little understanding of coaches’ ethical knowledge, means to resolve ethical dilemmas, and how these dilemmas might align with those experienced in other helping professions. Using purposive convenience sampling, 260 coaches were asked about their training, the ethical dilemmas they have experienced, and how they have resolved their ethical dilemmas. The qualitative and quantitative results indicated that coaches reported a variety of dilemmas, with the three most common types being dilemmas related to conflicts of interest, confidentiality, and boundaries between therapy and coaching. The most reported methods of resolving dilemmas included informal resolution, referral to therapy, seeking supervision, seeking consultation and referring to the ICF Ethics Code. The results highlight common ethical issues that arise in coaching and their relationship to other helping professions.

Types of ethical dilemmas

Almost half of the participants reported having experienced an ethical dilemma as a coach. There were multiple types of ethical dilemmas reported by coaches, although the most prominently reported included conflicts of interest (36%), confidentiality (32%) and boundaries between therapy and coaching (20%). The remaining ethical dilemmas (12%) included a range of themes (e.g., misuse of services, criminality, compensation). Approximately 19% of coaches who reported experiencing an ethical dilemma reported more than one type. See Table 3 for themes and sample responses.

Ethical dilemmas

Approximately half of respondents indicated that they had encountered an ethical dilemma, and those most reported parallel the most common dilemmas reported by psychologists and counsellors. Coach responses most frequently acknowledged ethical dilemmas around conflicts of interest, confidentiality and boundaries of competence, similar to those of a multinational study by Pettifor and Sawchuk (2006) who indicated that practicing psychologists reported confidentiality, multiple relationships and competence as most common. Coaches did not report ethical dilemmas related to multiple relationships as frequently as psychologists in the Pettifor and Sawchuk study; instead, coaches reported a higher percentage of dilemmas related to conflicts of interest. At the time of data collection, multiple relationships were not explicitly mentioned in the ICF Ethics Code, except within the specific context of romantic relationships with clients, so other forms of multiple relationships may not naturally come to mind for coaches. Given that broader multiple relationships were not included within the ICF Ethics Code and the code emphasised conflicts of interest, it was difficult to discern whether coach dilemmas that were described as conflicts of interest were similar to what could be described as multiple relationships. After data was collected, the ICF Ethics Code was updated to include a broader definition of multiple relationships.

Friday, September 16, 2022

Talking with strangers is surprisingly informative

Atir, S., Wald, K. A., & Epley, N. (2022).
PNAS, 119(34). 
https://doi.org/10.1073/pnas.2206992119

Abstract

A meaningful amount of people’s knowledge comes from their conversations with others. The amount people expect to learn predicts their interest in having a conversation (pretests 1 and 2), suggesting that the presumed information value of conversations guides decisions of whom to talk with. The results of seven experiments, however, suggest that people may systematically underestimate the informational benefit of conversation, creating a barrier to talking with—and hence learning from—others in daily life. Participants who were asked to talk with another person expected to learn significantly less from the conversation than they actually reported learning afterward, regardless of whether they had conversation prompts and whether they had the goal to learn (experiments 1 and 2). Undervaluing conversation does not stem from having systematically poor opinions of how much others know (experiment 3) but is instead related to the inherent uncertainty involved in conversation itself. Consequently, people underestimate learning to a lesser extent when uncertainty is reduced, as in a nonsocial context (surfing the web, experiment 4); when talking to an acquainted conversation partner (experiment 5); and after knowing the content of the conversation (experiment 6). Underestimating learning in conversation is distinct from underestimating other positive qualities in conversation, such as enjoyment (experiment 7). Misunderstanding how much can be learned in conversation could keep people from learning from others in daily life.

Significance

Conversation can be a useful source of learning about practically any topic. Information exchanged through conversation is central to culture and society, as talking with others communicates norms, creates shared understanding, conveys morality, shares knowledge, provides different perspectives, and more. Yet we find that people systematically undervalue what they might learn in conversation, anticipating that they will learn less than they actually do. This miscalibration stems from the inherent uncertainty of conversations, where it can be difficult to even conceive of what one might learn before one learns it. Holding miscalibrated expectations about the information value of conversation may discourage people from engaging in them more often, creating a potentially misplaced barrier to learning more from others.


Direct applications to psychotherapy.

Thursday, September 15, 2022

The psychology of hate: Moral concerns differentiate hate from dislike

Pretus, C., Ray, J. L., et al. (2018, June 25). 
https://doi.org/10.31234/osf.io/x9y2p

Abstract

We investigated whether any differences in the psychological conceptualization of hate and dislike were simply a matter of degree of negativity (i.e., hate falls on the end of the continuum of dislike) or also morality (i.e., hate is imbued with distinct moral components that distinguish it from dislike). In three lab studies in Canada and the US, participants reported disliked and hated attitude objects and rated each on dimensions including valence, attitude strength, morality, and emotional content. Quantitative and qualitative measures revealed that hated attitude objects were more negative than disliked attitude objects and associated with moral beliefs and emotions, even after adjusting for differences in negativity. In study four, we analyzed the rhetoric on real hate sites and complaint forums and found that the language used on prominent hate websites contained more words related to morality, but not negativity, relative to complaint forums.

Discussion

In our first study, we examined whether the conceptual differences between hate and dislike are simply a matter of degree of negativity or also a matter of morality. We found support for the intensity hypothesis—hated objects were viewed as more negative than disliked objects—suggesting that the difference between hate and dislike is indeed a matter of intensity. However, we also found support for the morality hypothesis—hated attitude objects were rated as more connected to participants’ core moral beliefs and were associated with higher levels of moral emotions (contempt, anger, and disgust) than disliked attitude objects—suggesting that the difference between hate and dislike may also be a matter of morality. We found convergent evidence for this latter hypothesis across quantitative and qualitative analyses, with self-reports, expressions of moral emotions, and spontaneous descriptions.

We note that differences in morality were attenuated when participants were asked about disliked attitudinal objects first. We discuss possible explanations of this order effect below. Importantly, the results supporting the morality hypothesis remained significant even when adjusting for negativity. Above and beyond the effect of negativity, both moral concerns and moral emotions explained the variance in ratings of hated versus disliked attitude objects. Likewise, participants spontaneously reported that hated objects were more closely tied to morality than disliked objects in their qualitative responses. These findings provide preliminary evidence that the conceptualization of hate may differ from dislike, and that morality may play a key role in explaining this difference.

Wednesday, September 14, 2022

The psychology of asymmetric zero-sum beliefs

Roberts, R., & Davidai, S. (2022).
Journal of Personality and 
Social Psychology, 123(3), 559–575.
https://doi.org/10.1037/pspi0000378

Abstract

Zero-sum beliefs reflect the perception that one party’s gains are necessarily offset by another party’s losses. Although zero-sum relationships are, from a strictly theoretical perspective, symmetrical, we find evidence for asymmetrical zero-sum beliefs: The belief that others gain at one’s own expense, but not vice versa. Across various contexts (international relations, interpersonal negotiations, political partisanship, organizational hierarchies) and research designs (within- and between-participant), we find that people are more prone to believe that others’ success comes at their own expense than they are to believe that their own success comes at others’ expense. Moreover, we find that people exhibit asymmetric zero-sum beliefs only when thinking about how their own party relates to other parties but not when thinking about how other parties relate to each other. Finally, we find that this effect is moderated by how threatened people feel by others’ success and that reassuring people about their party’s strengths eliminates asymmetric zero-sum beliefs. We discuss the theoretical contributions of our findings to research on interpersonal and intergroup zero-sum beliefs and their implications for understanding when and why people view life as zero-sum.

General Discussion

Why do Americans believe that when China gains the U.S. loses but that when the U.S. gains, the whole world—including China— gains as well? Why do both Republicans and Democrats believe that the opposing party only benefits its own voters but that their own party’s success benefits all voters regardless of political affiliation?  And, why do negotiators so commonly believe that the other side is “out to get them” but that they themselves are merely trying to get the best possible deal that benefits all parties involved? In seven studies, we found robust and consistent evidence for asymmetric zero-sum beliefs.  Although situations involving two or more parties are either zero-sum or not, we found that people are ready to view them as both zero-sum and non-zero-sum, believing that other parties succeed at their expense, but that their own party does not succeed at others’ expense. Moreover, we found that people exhibit asymmetric zero-sum beliefs when considering how their party relates to other parties but not when considering how other parties relate to each other. Finally, both correlational and causal evidence found that feeling threatened led to asymmetric zero-sum beliefs. The more participants felt threatened by an opposing country, political party, or work colleague, the more they viewed the other party’s gains as coming at their expense. In contrast, feeling threatened did not affect beliefs regarding how much one’s
own gains come at others’ expense.

Tuesday, September 13, 2022

First synthetic embryos: the scientific breakthrough raises serious ethical questions

Savulescu, J., Gyngell, C., & Sawai, T.
The Conversation
Originally posted 11 AUG 22

Here is an excerpt:

Artificial wombs

In the latest study, the scientists started with collections of stem cells. The conditions created by the external uterus triggered the developmental process that makes a fetus. Although the scientists said we are a long way off synthetic human embryos, the experiment brings us closer to a future where some humans gestate their babies artificially.

Each year over 300,000 women worldwide die in childbirth or as a result of pregnancy complications, many because they lack basic care. Even in wealthy countries, pregnancy and childbirth is risky and healthcare providers are criticised for failing mothers.

There is an urgent need to make healthcare more accessible across the planet, provide better mental health support for mothers and make pregnancy and childbirth safer. In an ideal world every parent should expect excellent care in all aspects of motherhood. This technology could help treat premature babies and give at least some women a different option: a choice of whether to carry their child or use an external uterus.

Some philosophers say there is a moral imperative to develop artificial wombs to help remedy the unfairness of parenting roles. But other researchers say artificial wombs would threaten a women’s legal right to terminate a pregnancy.

Synthetic embryos and organs

In the last few years, scientists have learned more about how to coax stem cells to develop into increasingly sophisticated structures, including ones that mimic the structure and function of human organs (organoids). Artificial human kidneys, brains, hearts and more have all been created in a lab, though they are still too rudimentary for medical use.

The issue of whether there are moral differences between using stem cells to produce models of human organs for research and using stem cells to create a synthetic embryo are already playing out in law courts.

One of the key differences between organoids and synthetic embryos is their potential. If a synthetic embryo can develop into a living creature, it should have more protection than those which don’t.

Synthetic embryos do not currently have potential to actually create a living mouse. If scientists did make human synthetic embryos, but without the potential to form a living being, they should arguably be treated similarly to organoids.

Monday, September 12, 2022

A longitudinal study of functional connectome uniqueness and its association with psychological distress in adolescence

Shan, Z.Y, Mohamed, A. Z. et al.
NeuroImage, Volume 258, 
September 2022, 119358

Abstract

Each human brain has a unique functional synchronisation pattern (functional connectome) analogous to a fingerprint that underpins brain functions and related behaviours. Here we examine functional connectome (whole-brain and 13 networks) maturation by measuring its uniqueness in adolescents who underwent brain scans longitudinally from 12 years of age every four months. The uniqueness of a functional connectome is defined as its ratio of self-similarity (from the same subject at a different time point) to the maximal similarity-to-others (from a given subject and any others at a different time point). We found that the unique whole brain connectome exists in 12 years old adolescents, with 92% individuals having a whole brain uniqueness value greater than one. The cingulo-opercular network (CON; a long-acting ‘brain control network’ configuring information processing) demonstrated marginal uniqueness in early adolescence with 56% of individuals showing uniqueness greater than one (i.e., more similar to her/his own CON four months later than those from any other subjects) and this increased longitudinally. Notably, the low uniqueness of the CON correlates (β = -18.6, FDR-Q < < 0.001) with K10 levels at the subsequent time point. This association suggests that the individualisation of CON network is related to psychological distress levels. Our findings highlight the potential of longitudinal neuroimaging to capture mental health problems in young people who are undergoing profound neuroplasticity and environment sensitivity period.

Highlights

• Functional connectome uniqueness in adolescents was examined using a temporally rich (up to 9 time points) and a well-controlled (fixed 4 months interval) longitudinal study.

• A unique functional connectome exists at 12 years old.

• The cingulo-opercular network (a long-acting ‘brain control network’ configuring information processing) demonstrated marginal uniqueness.

• Uniqueness indices of the cingulo-opercular network were significantly and negatively associated with the subsequent psychological distress.

Conclusions

In sum, this study confirmed that a unique whole-brain functional connectome exists and is stable over 16 months in early adolescents. For the first time, this study characterised the development of ‘brain control networks’ in adolescents. An individually unique frontoparietal network for immediate information processing exists in early adolescence. Meanwhile, a unique CON for long-acting brain configuration is marginal. We posit that the maturation of CON provides a biological explanation of increased vulnerability in adolescents, which is further confirmed by the finding that CON uniqueness indices are associated with psychological distress measures. Our findings provide support for the notion that a ‘brain signature’ may be utilised in monitoring psychological distress in young people.

Sunday, September 11, 2022

Mental control and attributions of blame for negligent wrongdoing

Murray, S., Krasich, K., et al. (2022).
Journal of Experimental Psychology: 
General. Advance online publication.
https://doi.org/10.1037/xge0001262

Abstract

Third-personal judgments of blame are typically sensitive to what an agent knows and desires. However, when people act negligently, they do not know what they are doing and do not desire the outcomes of their negligence. How, then, do people attribute blame for negligent wrongdoing? We propose that people attribute blame for negligent wrongdoing based on perceived mental control, or the degree to which an agent guides their thoughts and attention over time. To acquire information about others’ mental control, people self-project their own perceived mental control to anchor third-personal judgments about mental control and concomitant responsibility for negligent wrongdoing. In four experiments (N = 841), we tested whether perceptions of mental control drive third-personal judgments of blame for negligent wrongdoing. Study 1 showed that the ease with which people can counterfactually imagine an individual being non-negligent mediated the relationship between judgments of control and blame. Studies 2a and 2b indicated that perceived mental control has a strong effect on judgments of blame for negligent wrongdoing and that first-personal judgments of mental control are moderately correlated with third-personal judgments of blame for negligent wrongdoing. Finally, we used an autobiographical memory manipulation in Study 3 to make personal episodes of forgetfulness salient. Participants for whom past personal episodes of forgetfulness were made salient judged negligent wrongdoers less harshly compared with a control group for whom past episodes of negligence were not salient. Collectively, these findings suggest that first-personal judgments of mental control drive third-personal judgments of blame for negligent wrongdoing and indicate a novel role for counterfactual thinking in the attribution of responsibility.

Conclusion

Models  of  blame  attribution  predict  that  judgments  of  blame  for  negligent  wrongdoing  are sensitive to the perceived  capacity of the individual  to  avoid being negligent. In  this paper, we explored two extensions of these models. The first is that people use perceived degree of mental control to inform judgments of blame for negligent wrongdoing. Information about mental control is acquired through self-projection. These results suggest a novel role for counterfactual thinking in attributing blame, namely that counterfactual thinking is the process whereby people self-project to acquire information that is used to inform judgments of blame.

Saturday, September 10, 2022

Social norms and dishonesty across societies

Aycinena, D., et al.
PNAS, 119 (31), 2022.

Abstract

Social norms have long been recognized as an important factor in curtailing antisocial behavior, and stricter prosocial norms are commonly associated with increased prosocial behavior. In this study, we provide evidence that very strict prosocial norms can have a perverse negative relationship with prosocial behavior. In laboratory experiments conducted in 10 countries across 5 continents, we measured the level of honest behavior and elicited injunctive norms of honesty. We find that individuals who hold very strict norms (i.e., those who perceive a small lie to be as socially unacceptable as a large lie) are more likely to lie to the maximal extent possible. This finding is consistent with a simple behavioral rationale. If the perceived norm does not differentiate between the severity of a lie, lying to the full extent is optimal for a norm violator since it maximizes the financial gain, while the perceived costs of the norm violation are unchanged. We show that the relation between very strict prosocial norms and high levels of rule violations generalizes to civic norms related to common moral dilemmas, such as tax evasion, cheating on government benefits, and fare dodging on public transportation. Those with very strict attitudes toward civic norms are more likely to lie to the maximal extent possible. A similar relation holds across countries. Countries with a larger fraction of people with very strict attitudes toward civic norms have a higher society-level prevalence of rule violations.

Significance

Much of the research in the experimental and behavioral sciences finds that stronger prosocial norms lead to higher levels of prosocial behavior. Here, we show that very strict prosocial norms are negatively correlated with prosocial behavior. Using laboratory experiments on honesty, we demonstrate that individuals who hold very strict norms of honesty are more likely to lie to the maximal extent. Further, countries with a larger fraction of people with very strict civic norms have proportionally more societal-level rule violations. We show that our findings are consistent with a simple behavioral rationale. If perceived norms are so strict that they do not differentiate between small and large violations, then, conditional on a violation occurring, a large violation is individually optimal.


In essence, very strict social norms can backfire.  People can lie to the fullest extent with similar costs to minimal lying.