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

Thursday, February 29, 2024

Empathy Trends in American Youth Between 1979 and 2018: An Update

Konrath, S., et al. (2023).
Social Psychological and Personality Science, 0(0).

Abstract

Previous research has found declining dispositional empathy among American youth from 1979 to 2009. We update these trends until 2018, using three datasets. Study 1 presents a cross-temporal meta-analysis of undergraduates’ empathy (Interpersonal Reactivity Index), finding significant cubic trends over time: perspective taking (PT) and empathic concern (EC) both increased since 2009. Study 2 conceptually replicated these findings using nationally representative datasets, also showing increasing PT (Study 2a: American Freshman Survey) and EC (Study 2b: Monitoring the Future Survey) since 2009. We include economic, interpersonal, and worldview covariates to test for potential explanations, finding evidence that empathy trends may be related to recent changes in interpersonal dynamics.


Summary:

Shifting trend: Contrary to earlier studies, researchers found that empathy among college students has increased since 2009 in two key dimensions: perspective taking (understanding another's viewpoint) and empathic concern (sharing another's feelings).

Data sources: The study used three datasets: a meta-analysis of college students' self-reported empathy, a nationally representative survey of freshmen (American Freshman Survey), and another national survey of high school students (Monitoring the Future Survey).

Possible explanations: The reasons for the shift are explored, with potential factors including changes in interpersonal dynamics, increased exposure to diverse perspectives through technology, and growing involvement in social movements emphasizing empathy and social justice.

Overall, the research suggests that the story of empathy in American youth may be more nuanced than previously thought. While earlier studies documented a decline, recent data points towards a possible reversal. Understanding the factors influencing empathy trends is crucial for fostering a more compassionate and connected society.

The study highlights the importance of using multiple data sources and different measurement methods to gain a comprehensive understanding of complex social phenomena.  Further research is needed to confirm the trend and explore its causes in more detail.

Wednesday, February 28, 2024

Scientists are on the verge of a male birth-control pill. Will men take it?

Jill Filipovic
The Guardian
Originally posted 18 Dec 23

Here is an excerpt:

The overwhelming share of responsibility for preventing pregnancy has always fallen on women. Throughout human history, women have gone to great lengths to prevent pregnancies they didn’t want, and end those they couldn’t prevent. Safe and reliable contraceptive methods are, in the context of how long women have sought to interrupt conception, still incredibly new. Measured by the lifespan of anyone reading this article, though, they are well established, and have for many decades been a normal part of life for millions of women around the world.

To some degree, and if only for obvious biological reasons, it makes sense that pregnancy prevention has historically fallen on women. But it also, as they say, takes two to tango – and only one of the partners has been doing all the work. Luckily, things are changing: thanks to generations of women who have gained unprecedented freedoms and planned their families using highly effective contraception methods, and thanks to men who have shifted their own gender expectations and become more involved partners and fathers, women and men have moved closer to equality than ever.

Among politically progressive couples especially, it’s now standard to expect that a male partner will do his fair share of the household management and childrearing (whether he actually does is a separate question, but the expectation is there). What men generally cannot do, though, is carry pregnancies and birth babies.


Here are some themes worthy of discussion:

Shifting responsibility: The potential availability of a reliable male contraceptive marks a significant departure from the historical norm where the burden of pregnancy prevention was primarily borne by women. This shift raises thought-provoking questions that delve into various aspects of societal dynamics.

Gender equality: A crucial consideration is whether men will willingly share responsibility for contraception on an equal footing, or whether societal norms will continue to exert pressure on women to take the lead in this regard.

Reproductive autonomy: The advent of accessible male contraception prompts contemplation on whether it will empower women to exert greater control over their reproductive choices, shaping the landscape of family planning.

Informed consent: An important facet of this shift involves how men will be informed about potential side effects and risks associated with the male contraceptive, particularly in comparison to existing female contraceptives.

Accessibility and equity: Concerns emerge regarding equitable access to the male contraceptive, particularly for marginalized communities. Questions arise about whether affordable and culturally appropriate access will be universally available, regardless of socioeconomic status or geographic location.

Coercion: There is a potential concern that the availability of a male contraceptive might be exploited to coerce women into sexual activity without their full and informed consent.

Psychological and social impact: The introduction of a male contraceptive brings with it potential psychological and social consequences that may not be immediately apparent.

Changes in sexual behavior: The availability of a male contraceptive may influence sexual practices and attitudes towards sex, prompting a reevaluation of societal norms.

Impact on relationships: The shift in responsibility for contraception could potentially cause tension or conflict in existing relationships as couples navigate the evolving dynamics.

Masculinity and stigma: The use of a male contraceptive may challenge traditional notions of masculinity, possibly leading to social stigma that individuals using the contraceptive may face.

Tuesday, February 27, 2024

Robot, let us pray! Can and should robots have religious functions? An ethical exploration of religious robots

Puzio, A.
AI & Soc (2023).
https://doi.org/10.1007/s00146-023-01812-z

Abstract

Considerable progress is being made in robotics, with robots being developed for many different areas of life: there are service robots, industrial robots, transport robots, medical robots, household robots, sex robots, exploration robots, military robots, and many more. As robot development advances, an intriguing question arises: should robots also encompass religious functions? Religious robots could be used in religious practices, education, discussions, and ceremonies within religious buildings. This article delves into two pivotal questions, combining perspectives from philosophy and religious studies: can and should robots have religious functions? Section 2 initiates the discourse by introducing and discussing the relationship between robots and religion. The core of the article (developed in Sects. 3 and 4) scrutinizes the fundamental questions: can robots possess religious functions, and should they? After an exhaustive discussion of the arguments, benefits, and potential objections regarding religious robots, Sect. 5 addresses the lingering ethical challenges that demand attention. Section 6 presents a discussion of the findings, outlines the limitations of this study, and ultimately responds to the dual research question. Based on the study’s results, brief criteria for the development and deployment of religious robots are proposed, serving as guidelines for future research. Section 7 concludes by offering insights into the future development of religious robots and potential avenues for further research.


Summary

Can robots fulfill religious functions? The article explores the technical feasibility of designing robots that could engage in religious practices, education, and ceremonies. It acknowledges the current limitations of robots, particularly their lack of sentience and spiritual experience. However, it also suggests potential avenues for development, such as robots equipped with advanced emotional intelligence and the ability to learn and interpret religious texts.

Should robots fulfill religious functions? This is where the ethical debate unfolds. The article presents arguments both for and against. On the one hand, robots could potentially offer various benefits, such as increasing accessibility to religious practices, providing companionship and spiritual guidance, and even facilitating interfaith dialogue. On the other hand, concerns include the potential for robotization of faith, the blurring of lines between human and machine in the context of religious experience, and the risk of reinforcing existing biases or creating new ones.

Ultimately, the article concludes that there is no easy answer to the question of whether robots should have religious functions. It emphasizes the need for careful consideration of the ethical implications and ongoing dialogue between religious communities, technologists, and ethicists. This ethical exploration paves the way for further research and discussion as robots continue to evolve and their potential roles in society expand.

Monday, February 26, 2024

Hope for Suicide Prevention

Ellen Barry
The New York Times
Originally published 21 Feb 24

Here is an excerpt:

Research has demonstrated that suicide is most often an impulsive act, with a period of acute risk that passes in hours, or even minutes. Contrary to what many assume, people who survive suicide attempts often go on to do well: Nine out of 10 of them do not die by suicide.

Policymakers, it seems, are paying attention. I have been reporting on mental health for The New York Times for two years, and in today’s newsletter I will look at promising, evidence-based efforts to prevent suicide.

A single element

For generations, psychiatrists believed that, in the words of the British researcher Norman Kreitman, “anyone bent on self-destruction must eventually succeed.”

Then something strange and wonderful happened: Midway through the 1960s, the annual number of suicides in Britain began dropping — by 35 percent in the following years — even as tolls crept up in other parts of Europe.

No one could say why. Had medicine improved, so that more people survived poisoning? Were antidepressant medications bringing down levels of despair? Had life in Britain just gotten better?

The real explanation, Kreitman discovered, was none of these. The drop in suicides had come about almost by accident: As the United Kingdom phased out coal gas from its supply to household stoves, levels of carbon monoxide decreased. Suicide by gas accounted for almost half of the suicides in 1960.

It turns out that blocking access to a single lethal means — if it is the right one — can make a huge difference.

The strategy that arose from this realization is known as “means restriction” or “means safety,” and vast natural experiments have borne it out. When Sri Lanka restricted the import of toxic pesticides, which people had ingested in moments of crisis, its suicide rate dropped by half over the next decade.


Here is my summary

The article discusses new suicide prevention measures in the U.S., where suicide rates have risen 35% in recent decades. This contrasts with global trends of declining suicide rates.
  • It highlights how installing barriers on bridges, buildings, and other high structures can deter impulsive suicide attempts. Many communities are now considering such barriers.
  • Research shows most who survive a suicide attempt go on to live their lives and not die by suicide later. This suggests preventing access to lethal means in moments of crisis can save lives.
  • Restricting access to highly lethal means like guns and toxic pesticides has significantly reduced suicide rates when implemented in other countries.
  • In the U.S., red flag laws that temporarily remove guns from high-risk individuals have been associated with drops in firearm suicides.
  • Educating gun owners on safe storage habits is another promising approach, as is providing incentives for measures like locking devices or gun safes.
  • Even brief counseling for gun owners has proven effective in getting people to voluntarily store guns securely and prevent access during periods of risk.
In summary, the text highlights several evidence-based strategies for reducing access to lethal means during periods of acute suicide risk, thereby giving people a chance to recover and survive their suicidal crises.

Sunday, February 25, 2024

Characteristics of Mental Health Specialists Who Shifted Their Practice Entirely to Telemedicine

Hailu, R., Huskamp, H. A., et al. (2024).
JAMA, 5(1), e234982. 

Introduction

The COVID-19 pandemic–related shift to telemedicine has been particularly prominent and sustained in mental health care. In 2021, more than one-third of mental health visits were conducted via telemedicine. While most mental health specialists have in-person and telemedicine visits, some have transitioned to fully virtual practice, perhaps for greater work-life flexibility (including avoiding commuting) and eliminating expenses of maintaining a physical clinic. The decision by some clinicians to practice only via telemedicine has gained importance due to Medicare’s upcoming requirement, effective in 2025, that patients have an annual in-person visit to receive telemedicine visits for mental illness and new requirements from some state Medicaid programs that clinicians offer in-person visits. We assessed the number and characteristics of mental health specialists who have shifted fully to telemedicine.

Discussion

In 2022, 13.0% of mental health specialists serving commercially insured or Medicare Advantage
enrollees had shifted to telemedicine only. Rates were higher among female clinicians and those
working in densely populated counties with higher real estate prices. A virtual-only practice allowing
clinicians to work from home may be more attractive to female clinicians, who report spending more
time on familial responsibilities, and those facing long commutes and higher office-space costs.
It is unclear how telemedicine-only clinicians will navigate new Medicare and Medicaid
requirements for in-person care. While clinicians and patients may prefer in-person care,
introducing in-person requirements for visits and prescribing could cause care interruptions,
particularly for conditions such as opioid use disorder.

Our analysis is limited to clinicians treating patients with commercial insurance or Medicare
Advantage and therefore may lack generalizability. We were also unable to determine where
clinicians physically practiced, particularly if they had transitioned to virtual-health companies. Given the shortage of mental health clinicians, future research should explore whether a virtual-only model
affects clinician burnout or workforce retention.

Saturday, February 24, 2024

Living in an abortion ban state is bad for mental health

Keren Landman
vox.com
Originally posted 20 Feb 24

Here is an excerpt:

What they found was, frankly, predictable: Before the Court’s decision, anxiety and depression scores were already higher in trigger states — a population-wide average of 3.5 compared with 3.3 in non-trigger states. After the decision, that difference widened significantly, largely due to changes in the mental health of women 18 to 45, what the authors defined as childbearing age. Among this subgroup, anxiety and depression scores subtly ticked up in those living in trigger states (from 4.62 to 4.76) — and dropped in those living in non-trigger states (from 4.57 to 4.49). There was no similar effect in older women, nor in men.

These differences were small but statistically meaningful, especially since they sampled the entire population, not just women considering an abortion. Moreover, they were consistent across trigger states, whether their policies and political battles around abortion had been high- or low-profile. Even when the researchers omitted data from states with particularly severe restrictions on women’s reproductive health (looking at you, Texas), the results held up.

It’s notable that the different levels of mental distress across states after Roe was overturned weren’t just a consequence of worsened anxiety and depression in states with trigger bans. Also contributing: an improvement in these symptoms in states without these bans. We can’t tell from the study exactly why that is, but it seems plausible that women living in states that protect their right to access necessary health care simply feel some relief.


Here is the citation to the study:

Thornburg B, Kennedy-Hendricks A, Rosen JD, Eisenberg MD. Anxiety and Depression Symptoms After the Dobbs Abortion Decision. JAMA. 2024;331(4):294–301. doi:10.1001/jama.2023.25599

Conclusions and Relevance  In this study of US survey data from December 2021 to January 2023, residence in states with abortion trigger laws compared with residence in states without such laws was associated with a small but significantly greater increase in anxiety and depression symptoms after the Dobbs decision.

Friday, February 23, 2024

How Did Polyamory Become So Popular?

Jennifer Wilson
The New Yorker
Originally posted 25 Dec 23

Here is an excerpt:

What are all these open couples, throuples, and polycules suddenly doing in the culture, besides one another? To some extent, art is catching up with life. Fifty-one per cent of adults younger than thirty told Pew Research, in 2023, that open marriage was “acceptable,” and twenty per cent of all Americans report experimenting with some form of non-monogamy. The extramarital “entanglements” of Will and Jada Pinkett Smith have been tabloid fodder for the past two years. (Pinkett Smith once clarified that their marriage is not “open”; rather, it is a “relationship of transparency.”) In 2020, the reality show “House Hunters,” on HGTV, saw a throuple trying to find their dream home—one with a triple-sink vanity. The same year, the city of Somerville, Massachusetts, allowed domestic partnerships to be made up of “two or more” people.

Some, like the sex therapist (and author of “Open Monogamy, A Guide to Co-Creating Your Ideal Relationship Agreement,” 2021), Tammy Nelson, have attributed the acceptance of a greater number of partners to pandemic-born domestic ennui; after being stuck with one person all day every day, the thinking goes, couples are ready to open up more than their pods. Nelson is part of a cohort of therapists, counsellors, and advice writers, including Esther Perel and the “Savage Love” columnist Dan Savage, who are encouraging married couples to think more flexibly about monogamy. Their advice has found an eager audience among the well-heeled attendees of the “ideas festival” circuit, featured in talks at Google, SXSW, and the Aspen Institute.

The new monogamy skepticism of the moneyed gets some screen time in the pandemic-era breakout hit “The White Lotus.” The show mocks the leisure class as they mope around five-star resorts in Hawaii and Sicily, stewing over love, money, and the impossibility, for people in their tax bracket, of separating the two. In the latest season, Ethan (Will Sharpe) and Harper (Aubrey Plaza) are an attractive young couple stuck in a sexless marriage—until, that is, they go on vacation with the monogamish Cameron (Theo James) and Daphne (Meghann Fahy). After Cameron and Harper have some unaccounted-for time together in a hotel room, Ethan tracks down an unbothered Daphne, lounging on the beach, to share his suspicion that something has happened between their spouses. Some momentary concern on Daphne’s face quickly morphs—in a devastatingly subtle performance by Fahy—into a sly smile. “A little mystery? It’s kinda sexy,” she assures Ethan, before luring him into a seaside cove. That night Ethan and Harper have sex, the wounds of their marriage having been healed by a little something on the side.


Here is my summary:

The article discusses the increasing portrayal and acceptance of non-monogamous relationships in contemporary culture, particularly in literature, cinema, and television. It notes that open relationships, throuples, and polyamorous arrangements are gaining prominence, reflecting changing societal attitudes. The author cites statistics and cultural examples, including a Gucci perfume ad and a plot twist in the TV series "Riverdale." The rise of non-monogamy is linked to a broader shift in societal norms, with some attributing it to pandemic-related ennui and a desire for more flexibility in relationships. The text also delves into the historical roots of polyamory, mentioning the Kerista movement and its adaptation to conservative times in the 1980s. The author concludes by expressing a desire for a more inclusive and equitable representation of polyamory, critiquing the limited perspective presented in a specific memoir discussed in the text.

Thursday, February 22, 2024

Rising Suicide Rate Among Hispanics Worries Community Leaders

A. Miller and M. C. Work
KFF Health News
Originally posted 22 Jan 24

Here is an excerpt:

The suicide rate for Hispanic people in the United States has increased significantly over the past decade. The trend has community leaders worried: Even elementary school-aged Hispanic children have tried to harm themselves or expressed suicidal thoughts.

Community leaders and mental health researchers say the pandemic hit young Hispanics especially hard. Immigrant children are often expected to take more responsibility when their parents don’t speak English ― even if they themselves aren’t fluent. Many live in poorer households with some or all family members without legal residency. And cultural barriers and language may prevent many from seeking care in a mental health system that already has spotty access to services.

“Being able to talk about painful things in a language that you are comfortable with is a really specific type of healing,” said Alejandra Vargas, a bilingual Spanish program coordinator for the Suicide Prevention Center at Didi Hirsch Mental Health Services in Los Angeles.

“When we answer the calls in Spanish, you can hear that relief on the other end,” she said. “That, ‘Yes, they’re going to understand me.’”

The Centers for Disease Control and Prevention’s provisional data for 2022 shows a record high of nearly 50,000 suicide deaths for all racial and ethnic groups.

Grim statistics from KFF show that the rise in the suicide death rate has been more pronounced among communities of color: From 2011 to 2021, the suicide rate among Hispanics jumped from 5.7 per 100,000 people to 7.9 per 100,000, according to the data.

For Hispanic children 12 and younger, the rate increased 92.3% from 2010 to 2019, according to a study published in the Journal of Community Health.

Wednesday, February 21, 2024

Ethics Ratings of Nearly All Professions Down in U.S.

M. Brenan and J. M. Jones
gallup.com
Originally posted 22 Jan 24

Here is an excerpt:

New Lows for Five Professions; Three Others Tie Their Lows

Ethics ratings for five professions hit new lows this year, including members of Congress (6%), senators (8%), journalists (19%), clergy (32%) and pharmacists (55%).

Meanwhile, the ratings of bankers (19%), business executives (12%) and college teachers (42%) tie their previous low points. Bankers’ and business executives’ ratings were last this low in 2009, just after the Great Recession. College teachers have not been viewed this poorly since 1977.

College Graduates Tend to View Professions More Positively

About half of the 23 professions included in the 2023 survey show meaningful differences by education level, with college graduates giving a more positive honesty and ethics rating than non-college graduates in each case. Almost all of the 11 professions showing education differences are performed by people with a bachelor’s degree, if not a postgraduate education.

The largest education differences are seen in ratings of dentists and engineers, with roughly seven in 10 college graduates rating those professions’ honesty and ethical standards highly, compared with slightly more than half of non-graduates.

Ratings of psychiatrists, college teachers and pharmacists show nearly as large educational differences, ranging from 14 to 16 points, while doctors, nurses and veterinarians also show double-digit education gaps.

These educational differences have been consistent in prior years’ surveys.

Adults without a college degree rate lawyers’ honesty and ethics slightly better than college graduates in the latest survey, 18% to 13%, respectively. While this difference is not statistically significant, in prior years non-college graduates have rated lawyers more highly by significant margins.

Partisans’ Ratings of College Teachers Differ Most    
                
Republicans and Democrats have different views of professions, with Democrats tending to be more complimentary of workers’ honesty and ethical standards than Republicans are. In fact, police officers are the only profession with higher honesty and ethics ratings among Republicans and Republican-leaning independents (55%) than among Democrats and Democratic-leaning independents (37%).

The largest party differences are seen in evaluations of college teachers, with a 40-point gap (62% among Democrats/Democratic leaners and 22% among Republicans/Republican leaners). Partisans’ honesty and ethics ratings of psychiatrists, journalists and labor union leaders differ by 20 points or more, while there is a 19-point difference for medical doctors.