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

Tuesday, July 18, 2023

How AI is learning to read the human mind

Nicola Smith
The Telegraph
Originally posted 23 May 2023

Here is an excerpt:

‘Brain rights’

But he warned that it could also be weaponised and used for military applications or for nefarious purposes to extract information from people.

“We are on the brink of a crisis from the point of view of mental privacy,” he said. “Humans are defined by their thoughts and their mental processes and if you can access them then that should be the sanctuary.”

Prof Yuste has become so concerned about the ethical implications of advanced neurotechnology that he co-founded the NeuroRights Foundation to promote “brain rights” as a new form of human rights.

The group advocates for safeguards to prevent the decoding of a person’s brain activity without consent, for protection of a person’s identity and free will, and for the right to fair access to mental augmentation technology.

They are currently working with the United Nations to study how human rights treaties can be brought up to speed with rapid progress in neurosciences, and raising awareness of the issues in national parliaments.

In August, the Human Rights Council in Geneva will debate whether the issues around mental privacy should be covered by the International Covenant on Civil and Political Rights, one of the most significant human rights treaties in the world.

The gravity of the task was comparable to the development of the atomic bomb, when scientists working on atomic energy warned the UN of the need for regulation and an international control system of nuclear material to prevent the risk of a catastrophic war, said Prof Yuste.

As a result, the International Atomic Energy Agency (IAEA) was created and is now based in Vienna.

Monday, July 17, 2023

Rethinking the Virtuous Circle Hypothesis on Social Media: Subjective versus Objective Knowledge and Political Participation

Lee, S., Diehl, T., & Valenzuela, S. (2021).
Human Communication Research, 48(1), 57–87.
https://doi.org/10.1093/hcr/hqab014

Abstract

Despite early promise, scholarship has shown little empirical evidence of learning from the news on social media. At the same time, scholars have documented the problem of information ‘snacking’ and information quality on these platforms. These parallel trends in the literature challenge long-held assumptions about the pro-social effects of news consumption and political participation. We argue that reliance on social media for news does not contribute to people’s real level of political knowledge (objective knowledge), but instead only influences people’s impression of being informed (subjective knowledge). Subjective knowledge is just as important for driving political participation, a potentially troubling trend given the nature of news consumption on social media. We test this expectation with panel survey data from the 2018 U.S. midterm elections. Two path model specifications (fixed effects and autoregressive) support our theoretical model. Implications for the study of the ‘dark side’ of social media and democracy are discussed.


Here is a summary.

The "virtuous circle hypothesis" states that news consumption leads to political knowledge, which leads to political participation. This hypothesis has been supported by previous research, but the authors of this paper argue that it may not hold true in the context of social media.

The authors argue that social media news consumption is often characterized by "information snacking" and "echo chambers," which can limit the amount of factual knowledge that people gain. Additionally, they argue that people's subjective sense of being informed can be just as important as their objective knowledge for driving political participation.

To test their hypothesis, the authors conducted a study of panel survey data from the 2018 U.S. midterm elections. They found that social media news consumption was positively associated with subjective knowledge, but not with objective knowledge. They also found that subjective knowledge was positively associated with political participation, even after controlling for objective knowledge.

The authors' findings suggest that the virtuous circle hypothesis may not hold true in the context of social media. They argue that social media news consumption can lead to a false sense of being informed, which can have a negative impact on political participation.

Here are some of the key takeaways from the research:
  • Social media news consumption may not lead to increased factual knowledge.
  • Subjective knowledge can be just as important as objective knowledge for driving political participation.
  • Social media news consumption can lead to a false sense of being informed.
The findings of this research have important implications for our understanding of the relationship between social media, news consumption, and political participation. They suggest that we need to be careful about how we use social media to consume news, and that we should be aware of the potential for social media to create a false sense of being informed.

Sunday, July 16, 2023

Gender-Affirming Care for Cisgender People

Theodore E. Schall and Jacob D. Moses
Hastings Center Report 53, no. 3 (2023): 15-24.
DOI: 10.1002/hast.1486 

Abstract

Gender-affirming care is almost exclusively discussed in connection with transgender medicine. However, this article argues that such care predominates among cisgender patients, people whose gender identity matches their sex assigned at birth. To advance this argument, we trace historical shifts in transgender medicine since the 1950s to identify central components of "gender-affirming care" that distinguish it from previous therapeutic models, such as "sex reassignment." Next, we sketch two historical cases-reconstructive mammoplasty and testicular implants-to show how cisgender patients offered justifications grounded in authenticity and gender affirmation that closely mirror rationales supporting gender-affirming care for transgender people. The comparison exposes significant disparities in contemporary health policy regarding care for cis and trans patients. We consider two possible objections to the analogy we draw, but ultimately argue that these disparities are rooted in "trans exceptionalism" that produces demonstrable harm.


Here is my summary:

The authors cite several examples of gender-affirming care for cisgender people, such as breast reconstruction following mastectomy, penile implants following testicular cancer, hormone replacement therapy, and hair removal. They argue that these interventions can be just as important for cisgender people's mental and physical health as they are for transgender people.

The authors also note that gender-affirming care for cisgender people is often less scrutinized and less stigmatized than such care for transgender people. Cisgender people do not need special letters of permission from mental health providers to access care whose primary purpose is to affirm their gender identity. And insurance companies are less likely to exclude gender-affirming care for cisgender people from their coverage.

The authors argue that the differences in the conceptualization and treatment of gender-affirming care for cisgender and transgender people reflect broad anti-trans bias in society and health care. They call for a more inclusive view of gender-affirming care that recognizes the needs of all people, regardless of their gender identity.

Final thoughts:
  1. Gender-affirming care can be lifesaving. It can help reduce anxiety, depression, and suicidal thoughts.  Gender-affirming care can be framed as suicide prevention.
  2. Gender-affirming care is not experimental. It has been studied extensively and is safe and effective. See other posts on this site for more comprehensive examples.
  3. All people deserve access to gender-affirming care, regardless of their gender identity. This is basic equality and fairness in terms of access to medical care.

Saturday, July 15, 2023

Christ, Country, and Conspiracies? Christian Nationalism, Biblical Literalism, and Belief in Conspiracy Theories

Walker, B., & Vegter, A.
Journal for the Study of Religion
May 8, 2023.

Abstract

When misinformation is rampant, “fake news” is rising, and conspiracy theories are widespread, social scientists have a vested interest in understanding who is most susceptible to these false narratives and why. Recent research suggests Christians are especially susceptible to belief in conspiracy theories in the United States, but scholars have yet to ascertain the role of religiopolitical identities and epistomological approaches, specifically Christian nationalism and biblical literalism, in generalized conspiracy thinking. Because Christian nationalists sense that the nation is under cultural threat and biblical literalism provides an alternative (often anti-elite) source of information, we predict that both will amplify conspiracy thinking. We find that Christian nationalism and biblical literalism independently predict conspiracy thinking, but that the effect of Christian nationalism increases with literalism. Our results point to the contingent effects of Christian nationalism and the need for the religious variables in understanding conspiracy thinking.

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I could not find a free pdf.  Here is  summary.

The study's findings suggest that Christian nationalism and biblical literalism may be contributing factors to the rise of conspiracy theories in the United States. The study also suggests that efforts to address the problem of conspiracy theories may need to focus on addressing these underlying beliefs.

Here are some additional details from the study:
  • The study surveyed a nationally representative sample of U.S. adults.
  • The study found that 25% of Christian nationalists and 20% of biblical literalists believe in at least one conspiracy theory, compared to 12% of people who do not hold these beliefs.
  • The study found that the belief in conspiracy theories is amplified when people feel that their nation is under cultural threat. For example, Christian nationalists who believe that the nation is under cultural threat are more likely to believe that the government is hiding information about extraterrestrial life.

Friday, July 14, 2023

The illusion of moral decline

Mastroianni, A.M., Gilbert, D.T.
Nature (2023).

Abstract

Anecdotal evidence indicates that people believe that morality is declining. In a series of studies using both archival and original data (n = 12,492,983), we show that people in at least 60 nations around the world believe that morality is declining, that they have believed this for at least 70 years and that they attribute this decline both to the decreasing morality of individuals as they age and to the decreasing morality of successive generations. Next, we show that people’s reports of the morality of their contemporaries have not declined over time, suggesting that the perception of moral decline is an illusion. Finally, we show how a simple mechanism based on two well-established psychological phenomena (biased exposure to information and biased memory for information) can produce an illusion of moral decline, and we report studies that confirm two of its predictions about the circumstances under which the perception of moral decline is attenuated, eliminated or reversed (that is, when respondents are asked about the morality of people they know well or people who lived before the respondent was born). Together, our studies show that the perception of moral decline is pervasive, perdurable, unfounded and easily produced. This illusion has implications for research on the misallocation of scarce resources, the underuse of social support and social influence.

Discussion

Participants in the foregoing studies believed that morality has declined, and they believed this in every decade and in every nation we studied. They believed the decline began somewhere around the time they were born, regardless of when that was, and they believed it continues to this day. They believed the decline was a result both of individuals becoming less moral as they move through time and of the replacement of more moral people by less moral people. And they believed that the people they personally know and the people who lived before they did are exceptions to this rule. About all these things, they were almost certainly mistaken. One reason they may have held these mistaken beliefs is that they may typically have encountered more negative than positive information about the morality of contemporaries whom they did not personally know, and the negative information may have faded more quickly from memory or lost its emotional impact more quickly than the positive information did, leading them to believe that people today are not as kind, nice, honest or good as once upon a time they were.

Here are some important points:
  • There are a number of reasons why people might believe that morality is declining. One reason is that people tend to focus on negative news stories, which can give the impression that the world is a more dangerous and immoral place than it actually is. Another reason is that people tend to remember negative events more vividly than positive events, which can also lead to the impression that morality is declining.
  • Despite the widespread belief in moral decline, there is no evidence to suggest that morality is actually getting worse. In fact, there is evidence to suggest that morality has been improving over time. For example, crime rates have been declining for decades, and people are more likely to volunteer and donate to charity than they were in the past.
  • The illusion of moral decline can have a number of negative consequences. It can lead to cynicism, apathy, and a sense of hopelessness. It can also make it more difficult to solve social problems, because people may believe that the problem is too big or too complex to be solved.

Thursday, July 13, 2023

A time for moral actions: Moral identity, morality-as-cooperation and moral circles predict support of collective action to fight the COVID-19 pandemic in an international sample

Boggio, P. S., Nezlek, J. B., et al. (2022).
Journal of Personality and Social Psychology,
122(4), 937-956.

Abstract

Understanding what factors are linked to public health behavior in a global pandemic is critical to mobilizing an effective public health response. Although public policy and health messages are often framed through the lens of individual benefit, many of the behavioral strategies needed to combat a pandemic require individual sacrifices to benefit the collective welfare. Therefore, we examined the relationship between individuals’ morality and their support for public health measures. In a large-scale study with samples from 68 countries worldwide (Study 1; N = 46,576), we found robust evidence that moral identity, morality-as-cooperation, and moral circles are each positively related to people’s willingness to engage in public health behaviors and policy support. Together, these moral dispositions accounted for 9.8%, 10.2%, and 6.2% of support for limiting contact, improving hygiene, and supporting policy change, respectively. These morality variables (Study 2) and Schwartz’s values dimensions (Study 3) were also associated with behavioral responses across 42 countries in the form of reduced physical mobility during the pandemic. These results suggest that morality may help mobilize citizens to support public health policy.

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Here is a summary of this research.  I could not find a free pdf.

The COVID-19 pandemic has had a significant impact on the world, and it has required individuals to make sacrifices for the collective good. The authors of this study were interested in understanding how individuals' moral identities, their beliefs about morality, and their sense of moral community might influence their willingness to support collective action to fight the pandemic.

The authors conducted a study with a sample of over 46,000 people from 68 countries. They found that people who had a strong moral identity, who believed that morality is about cooperation, and who had a broad sense of moral community were more likely to support collective action to fight the pandemic. These findings suggest that individuals' moral identities and beliefs can play an important role in motivating them to take action to benefit the collective good.

The authors conclude that their findings have important implications for public health campaigns. They suggest that public health campaigns should focus on appealing to people's moral identities and beliefs in order to motivate them to take action to fight the pandemic.

Here are some of the key findings of the study:
  • People with a strong moral identity were more likely to support collective action to fight the pandemic.
  • People who believed that morality is about cooperation were more likely to support collective action to fight the pandemic.
  • People who had a broad sense of moral community were more likely to support collective action to fight the pandemic.
These findings suggest that individuals' moral identities and beliefs can play an important role in motivating them to take action to benefit the collective good.

Wednesday, July 12, 2023

Doing Good or Feeling Good? Justice Concerns Predict Online Shaming Via Deservingness and Schadenfreude

Barron, A., Woodyatt, L., et al. (2023).

Abstract

Public shaming has moved from the village square and is now an established online phenomenon. The current paper explores whether online shaming is motivated by a person’s desire to do good (a justice motive); and/or, because it feels good (a hedonic motive), specifically, as a form of malicious pleasure at another’s misfortune (schadenfreude). We examine two key aspects of social media that may moderate these processes: anonymity (Study 1) and social norms (the responses of other users; Studies 2-3). Across three experiments (N = 225, 198, 202) participants were presented with a fabricated news article featuring an instance of Islamophobia and given the opportunity to respond. Participants’ concerns about social justice were not directly positively associated with online shaming and had few consistent indirect effects on shaming via moral outrage. Rather, justice concerns were primarily associated with shaming via participants’ perception that the offender was deserving of negative consequences, and their feelings of schadenfreude regarding these consequences. Anonymity did not moderate this process and there was mixed evidence for the qualifying effect of social norms. Overall, the current studies point to the hedonic motive in general and schadenfreude specifically as a key moral emotion associated with people’s shaming behaviour.

Conclusion

The results from three studies point to perceptions of deservingness and schadenfreude as important predictors of online shaming. Given the exploratory nature of the current work and the paucity of existing research on online shaming, many avenues exist for future research. Social psychology is well placed to understand both individual and group processes that may influence shaming behaviour – in particular, how certain features of the online environment and aspects of the transgressor may interact to influence the nature and severity of online shaming behaviour. As society continues to rely on social media to consume content and connect with others, we are hopeful that future research stimulates a more comprehensive understanding of the dynamics of online shaming and its consequences. 

Here are some additional key points from the article:
  • Online shaming is a form of social punishment that is increasingly common in the digital age.
  • There are two main motivations for online shaming: a desire to do good (a justice motive) and a desire to feel good (a hedonic motive).
  • The feeling of schadenfreude plays an important role in mediating the relationship between justice concerns and online shaming.

Tuesday, July 11, 2023

Conspirituality: How New Age conspiracy theories threaten public health

D. Beres, M. Remski, & J. Walker
bigthink.com
Originally posted 17 June 23

Here is an excerpt:

Disaster capitalism and disaster spirituality rely, respectively, on an endless supply of items to commodify and minds to recruit. While both roar into high gear in times of widespread precarity and vulnerability, in disaster spirituality there is arguably more at stake on the supply side. Hedge fund managers can buy up distressed properties in post-Katrina New Orleans to gentrify and flip. They have cash on hand to pull from when opportunity strikes, whereas most spiritual figures have to use other means for acquisitions and recruitment during times of distress.

Most of the influencers operating in today’s conspirituality landscape stand outside of mainstream economies and institutional support. They’ve been developing fringe religious ideas and making money however they can, usually up against high customer turnover.

For the mega-rich disaster capitalist, a hurricane or civil war is a windfall. But for the skint disaster spiritualist, a public catastrophe like 9/11 or COVID-19 is a life raft. Many have no choice but to climb aboard and ride. Additionally, if your spiritual group has been claiming for years to have the answers to life’s most desperate problems, the disaster is an irresistible dare, a chance to make good on divine promises. If the spiritual group has been selling health ideologies or products they guarantee will ensure perfect health, how can they turn away from the opportunity presented by a pandemic?


Here is my summary with some extras:

The article argues that conspirituality is a growing problem that is threatening public health. Conspiritualists push the false beliefs that vaccines are harmful, that the COVID-19 pandemic is a hoax, and that natural immunity is the best way to protect oneself from disease. These beliefs can lead people to make decisions that put their health and the health of others at risk.

The article also argues that conspirituality is often spread through social media platforms, which can make it difficult to verify the accuracy of information. This can lead people to believe false or misleading information, which can have serious consequences for their health.  However, some individuals can make a profit from the spread of disinformation.

The article concludes by calling for more research on conspirituality and its impact on public health. It also calls for public health professionals to be more aware of conspirituality and to develop strategies to address it.
  • Conspirituality is a term that combines "conspiracy" and "spirituality." It refers to the belief that certain anti-science ideas (such as alternative medicine, non-scientific interventions, and spiritual healing) are being suppressed by a powerful elite. Conspiritualists often believe that this elite is responsible for a wide range of problems, including the COVID-19 pandemic.
  • The term "conspirituality" was coined by sociologists Charlotte Ward and David Voas in 2011. They argued that conspirituality is a unique form of conspiracy theory that is characterized by blending 1) New Age beliefs (religious and spiritual ideas) of a paradigm shift in consciousness (in which we will all be awakened to a new reality); and, 2) traditional conspiracy theories (in which an elite, powerful, and covert group of individuals are either controlling or trying to control the social and political order.)

Monday, July 10, 2023

Santa Monica’s Headspace Health laid off dozens of therapists. Their patients don’t know where they went

Jaimie Ding
The Los Angeles Times
Originally posted 7 July 23

When Headspace Health laid off 33 of its therapists June 29, patients were told their providers had left the platform.

What they didn’t know was their therapists had lost their jobs. And they suddenly had no way to contact them.

Several therapists who were let go from Headspace, the Santa Monica meditation app and remote mental health care company, have raised alarm over their treatment and that of their patients after the companywide layoff of 181 total employees, which amounts to 15% of the workforce.

After the layoffs were announced in the morning without warning, these therapists said they immediately lost access to their patient care systems. Appointments, they said, were canceled without explanation, potentially causing irreparable harm to their patients and forcing them to violate the ethical guidelines of their profession.

One former therapist, who specializes in working with the LGBTQ+ community, said one of his clients had just come out in a session the day before he lost his job. The therapist requested anonymity because he was still awaiting severance from Headspace and feared retribution.

“I’m the first person they’ve ever talked to about it,” he said. “They’re never going back to therapy. They just had the first person she talked to about it abandon them.”

He didn’t know he had been laid off until 10 minutes after his first appointment was supposed to start and he had been unable to log into the system.


Some thoughts and analysis from me.  There are clear ethical and legal concerns here.

Abandoning patients: Headspace Health did not provide patients with any notice or information about where their therapists had gone. This is a violation of the ethical principle of fidelity, which requires healthcare providers to act in the best interests of their patients. It also leaves patients feeling abandoned and without a source of care.

Potential for harm to patients: The sudden loss of a therapist can be disruptive and stressful for patients, especially those who are in the middle of treatment. This could lead to relapses, increased anxiety, or other negative consequences. In more extreme, but realistic cases, it could even lead to suicide.

In addition to the ethical and legal problems outlined above, the article also raises questions about the quality of care that patients can expect from Headspace Health. If the company is willing to abruptly lay off therapists without providing any notice or information to patients, it raises concerns about how they value the well-being of their patients. It also raises questions about the company's commitment to providing quality care.  Headspace may believe itself to be a tech company, but it is a healthcare company subject to many rules, regulations, and standards.