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

Wednesday, March 13, 2024

None of these people exist, but you can buy their books on Amazon anyway

Conspirador Norteno
Substack.com
Originally published 12 Jan 24

Meet Jason N. Martin N. Martin, the author of the exciting and dynamic Amazon bestseller “How to Talk to Anyone: Master Small Talks, Elevate Your Social Skills, Build Genuine Connections (Make Real Friends; Boost Confidence & Charisma)”, which is the 857,233rd most popular book on the Kindle Store as of January 12th, 2024. There are, however, a few obvious problems. In addition to the unnecessary repetition of the middle initial and last name, Mr. N. Martin N. Martin’s official portrait is a GAN-generated face, and (as we’ll see shortly), his sole published work is strangely similar to several books by another Amazon author with a GAN-generated face.

In an interesting twist, Amazon’s recommendation system suggests another author with a GAN-generated face in the “Customers also bought items by” section of Jason N. Martin N. Martin’s author page. Further exploration of the recommendations attached to both of these authors and their published works reveals a set of a dozen Amazon authors with GAN-generated faces and at least one published book. Amazon’s recommendation algorithms reliably link these authors together; whether this is a sign that the twelve author accounts are actually run by the same entity or merely an artifact of similarities in the content of their books is unclear at this point in time. 


Here's my take:

Forget literary pen names - AI is creating a new trend on Amazon: ghostwritten books. These novels, poetry collections, and even children's stories boast intriguing titles and blurbs, yet none of the authors on the cover are real people. Instead, their creations spring from the algorithms of powerful language models.

Here's the gist:
  • AI churns out content: Fueled by vast datasets of text and code, AI can generate chapters, characters, and storylines at an astonishing pace.
  • Ethical concerns: Questions swirl around copyright, originality, and the very nature of authorship. Is an AI-generated book truly a book, or just a clever algorithm mimicking creativity?
  • Quality varies: While some AI-written books garner praise, others are criticized for factual errors, nonsensical plots, and robotic dialogue.
  • Transparency is key: Many readers feel deceived by the lack of transparency about AI authorship. Should books disclose their digital ghostwriters?
This evolving technology challenges our understanding of literature and raises questions about the future of authorship. While AI holds potential to assist and inspire, the human touch in storytelling remains irreplaceable. So, the next time you browse Amazon, remember: the author on the cover might not be who they seem.

Tuesday, March 12, 2024

Discerning Saints: Moralization of Intrinsic Motivation and Selective Prosociality at Work

Kwon, M., Cunningham, J. L., & 
Jachimowicz, J. M. (2023).
Academy of Management Journal, 66(6),
1625–1650.

Abstract

Intrinsic motivation has received widespread attention as a predictor of positive work outcomes, including employees’ prosocial behavior. We offer a more nuanced view by proposing that intrinsic motivation does not uniformly increase prosocial behavior toward all others. Specifically, we argue that employees with higher intrinsic motivation are more likely to value intrinsic motivation and associate it with having higher morality (i.e., they moralize it). When employees moralize intrinsic motivation, they perceive others with higher intrinsic motivation as being more moral and thus engage in more prosocial behavior toward those others, and judge others who are less intrinsically motivated as less moral and thereby engage in less prosocial behaviors toward them. We provide empirical support for our theoretical model across a large-scale, team-level field study in a Latin American financial institution (n = 784, k = 185) and a set of three online studies, including a preregistered experiment (n = 245, 243, and 1,245), where we develop a measure of the moralization of intrinsic motivation and provide both causal and mediating evidence. This research complicates our understanding of intrinsic motivation by revealing how its moralization may at times dim the positive light of intrinsic motivation itself.

The article is paywalled.  Here are some thoughts:

This study focuses on how intrinsically motivated employees (those who enjoy their work) might act differently towards other employees depending on their own level of intrinsic motivation. The key points are:

Main finding: Employees with high intrinsic motivation tend to associate higher morality with others who also have high intrinsic motivation. This leads them to offer more help and support to those similar colleagues, while judging and helping less to those with lower intrinsic motivation.

Theoretical framework: The concept of "moralization of intrinsic motivation" (MOIM) explains this behavior. Essentially, intrinsic motivation becomes linked to moral judgment, influencing who is seen as "good" and deserving of help.

Implications:
  • For theory: This research adds a new dimension to understanding intrinsic motivation, highlighting the potential for judgment and selective behavior.
  • For practice: Managers and leaders should be aware of the unintended consequences of promoting intrinsic motivation, as it might create bias and division among employees.
  • For employees: Those lacking intrinsic motivation might face disadvantages due to judgment from colleagues. They could try job crafting or seeking alternative support strategies.
Overall, the study reveals a nuanced perspective on intrinsic motivation, acknowledging its positive aspects while recognizing its potential to create inequality and ethical concerns.

Monday, March 11, 2024

Why People Fail to Notice Horrors Around Them

Tali Sharot and Cass R. Sunstein
The New York Times
Originally posted 25 Feb 24

The miraculous history of our species is peppered with dark stories of oppression, tyranny, bloody wars, savagery, murder and genocide. When looking back, we are often baffled and ask: Why weren't the horrors halted earlier? How could people have lived with them?

The full picture is immensely complicated. But a significant part of it points to the rules that govern the operations of the human brain.

Extreme political movements, as well as deadly conflicts, often escalate slowly. When threats start small and increase gradually, they end up eliciting a weaker emotional reaction, less resistance and more acceptance than they would otherwise. The slow increase allows larger and larger horrors to play out in broad daylight- taken for granted, seen as ordinary.

One of us is a neuroscientist; the other is a law professor. From our different fields, we have come to believe that it is not possible to understand the current period - and the shifts in what counts as normal - without appreciating why and how people do not notice so much of what we live with.

The underlying reason is a pivotal biological feature of our brain: habituation, or our tendency to respond less and less to things that are constant or that change slowly. You enter a cafe filled with the smell of coffee and at first the smell is overwhelming, but no more than 20 minutes go by and you cannot smell it any longer. This is because your olfactory neurons stop firing in response to a now-familiar odor.

Similarly, you stop hearing the persistent buzz of an air-conditioner because your brain filters out background noise. Your brain cares about what recently changed, not about what remained the same.
Habituation is one of our most basic biological characteristics - something that we two-legged, bigheaded creatures share with other animals on earth, including apes, elephants, dogs, birds, frogs, fish and rats. Human beings also habituate to complex social circumstances such as war, corruption, discrimination, oppression, widespread misinformation and extremism. Habituation does not only result in a reduced tendency to notice and react to grossly immoral deeds around us; it also increases the likelihood that we will engage in them ourselves.


Here is my summary:

From a psychological perspective, the failure to notice horrors around us can be attributed to cognitive biases and the human tendency to see reality in predictable yet flawed ways. This phenomenon is linked to how individuals perceive and value certain aspects of their environment. Personal values play a crucial role in shaping our perceptions and emotional responses. When there is a discrepancy between our self-perception and reality, it can lead to various troubles as our values define us and influence how we react to events. Additionally, the concept of safety needs is highlighted as a mediating factor in mental disorders induced by stressful events. The unexpected nature of events can trigger fear and anger, while the anticipation of events can induce calmness. This interplay between safety needs, emotions, and pathological conditions underscores how individuals react to perceived threats and unexpected situations, impacting their mental well-being

Sunday, March 10, 2024

MAGA’s Violent Threats Are Warping Life in America

David French
New York Times - Opinion
Originally published 18 Feb 24

Amid the constant drumbeat of sensational news stories — the scandals, the legal rulings, the wild political gambits — it’s sometimes easy to overlook the deeper trends that are shaping American life. For example, are you aware how much the constant threat of violence, principally from MAGA sources, is now warping American politics? If you wonder why so few people in red America seem to stand up directly against the MAGA movement, are you aware of the price they might pay if they did?

Late last month, I listened to a fascinating NPR interview with the journalists Michael Isikoff and Daniel Klaidman regarding their new book, “Find Me the Votes,” about Donald Trump’s efforts to overturn the 2020 election. They report that Georgia prosecutor Fani Willis had trouble finding lawyers willing to help prosecute her case against Trump. Even a former Georgia governor turned her down, saying, “Hypothetically speaking, do you want to have a bodyguard follow you around for the rest of your life?”

He wasn’t exaggerating. Willis received an assassination threat so specific that one evening she had to leave her office incognito while a body double wearing a bulletproof vest courageously pretended to be her and offered a target for any possible incoming fire.


Here is my summary of the article:

David French discusses the pervasive threat of violence, particularly from MAGA sources, and its impact on American politics. The author highlights instances where individuals faced intimidation and threats for opposing the MAGA movement, such as a Georgia prosecutor receiving an assassination threat and judges being swatted. The article also mentions the significant increase in threats against members of Congress since Trump took office, with Capitol Police opening over 8,000 threat assessments in a year. The piece sheds light on the chilling effect these threats have on individuals like Mitt Romney, who spends $5,000 per day on security, and lawmakers who fear for their families' safety. The overall narrative underscores how these violent threats are shaping American life and politics

Saturday, March 9, 2024

New Evidence Suggests Long COVID Could Be a Brain Injury

Sara Novak
MedScape.com
Originally posted 8 Feb 24

Brain fog is one of the most common, persistent complaints in patients with long COVID. It affects as many as 46% of patients who also deal with other cognitive concerns like memory loss and difficulty concentrating. 

Now, researchers believe they know why. A new study has found that these symptoms may be the result of a viral-borne brain injury that may cause cognitive and mental health issues that persist for years.

Researchers found that 351 patients hospitalized with severe COVID-19 had evidence of a long-term brain injury a year after contracting the SARS-CoV-2 virus. The findings were based on a series of cognitive tests, self-reported symptoms, brain scans, and biomarkers. 

Brain Deficits Equal to 20 Years of Brain Aging

As part of the preprint study, participants took a cognition test with their scores age-matched to those who had not suffered a serious bout of COVID-19. Then a blood sample was taken to look for specific biomarkers, showing that elevated levels of certain biomarkers were consistent with a brain injury. Using brain scans, researchers also found that certain regions of the brain associated with attention were reduced in volume.

Patients who participated in the study were "less accurate and slower" in their cognition, and suffered from at least one mental health condition, such as depression, anxiety, or posttraumatic stress disorder, according to researchers.

The brain deficits found in COVID-19 patients were equivalent to 20 years of brain aging and provided proof of what doctors have feared: that this virus can damage the brain and result in ongoing mental health issues. 

Friday, March 8, 2024

What Does Being Sober Mean Today? For Many, Not Full Abstinence

Ernesto Londono
The New York Times
Originally posted 4 Feb 24

Here are two excerpts:

Notions of what constitutes sobriety and problematic substance use have grown more flexible in recent years as younger Americans have shunned alcohol in increasing numbers while embracing cannabis and psychedelics - a phenomenon that alarms some addiction experts.

Not long ago, sobriety was broadly understood to mean abstaining from all intoxicating substances, and the term was often associated with people who had overcome severe forms of addiction. These days, it is used more expansively, including by people who have quit drinking alcohol but consume what they deem moderate amounts of other substances, including marijuana and mushrooms.

(cut)

As some drugs come to be viewed as wellness boosters by those who use them, adherence to the full abstinence model favored by organizations like Alcoholics Anonymous is shifting. Some people call themselves "California sober," a term popularized in a 2021 song by the pop star Demi Lovato, who later disavowed the idea, saying on social media that "sober sober is the only way to be."

Approaches that might have once seemed ludicrous-like treating opioid addiction with psychedelics - have gained broader enthusiasm among doctors as drug overdoses kill tens of thousands of Americans each year.

"The abstinence-only model is very restrictive," said Dr. Peter Grinspoon, a primary care physician at Massachusetts General Hospital who specializes in medical cannabis and is a recovering opioid addict. "We really have to meet people where they are and have a broader recovery tent."

It is impossible to know how many Americans consider themselves part of an increasingly malleable concept of sobriety, but there are indications of shifting views of acceptable substance use. Since 2000, alcohol use among younger Americans has declined significantly, according to a Gallup poll.

At the same time, the use of cannabis and psychedelics has risen as state laws and attitudes grow more permissive, even as both remain illegal under federal law.

A survey found that 44 percent of adults aged 19 to 30 said in 2022 that they had used cannabis in the past year, a record high. That year, 8 percent of adults in the same age range said they had used psychedelics, an increase from the 3 percent a decade earlier.

Thursday, March 7, 2024

Canada Postpones Plan to Allow Euthanasia for Mentally Ill

Craig McCulloh
Voice of America News
Originally posted 8 Feb 24

The Canadian government is delaying access to medically assisted death for people with mental illness.

Those suffering from mental illness were supposed to be able to access Medical Assistance in Dying — also known as MAID — starting March 17. The recent announcement by the government of Canadian Prime Minister Justin Trudeau was the second delay after original legislation authorizing the practice passed in 2021.

The delay came in response to a recommendation by a majority of the members of a committee made up of senators and members of Parliament.

One of the most high-profile proponents of MAID is British Columbia-based lawyer Chris Considine. In the mid-1990s, he represented Sue Rodriguez, who was dying from amyotrophic lateral sclerosis, commonly known as ALS.

Their bid for approval of a medically assisted death was rejected at the time by the Supreme Court of Canada. But a law passed in 2016 legalized euthanasia for individuals with terminal conditions. From then until 2022, more than 45,000 people chose to die.


Summary:

Canada originally planned to expand its Medical Assistance in Dying (MAiD) program to include individuals with mental illnesses in March 2024.
  • This plan has been postponed until 2027 due to concerns about the healthcare system's readiness and potential ethical issues.
  • The original legislation passed in 2021, but concerns about safeguards and mental health support led to delays.
  • This issue is complex and ethically charged, with advocates arguing for individual autonomy and opponents raising concerns about coercion and vulnerability.
I would be concerned about the following issues:
  • Vulnerability: Mental illness can impair judgement, raising concerns about informed consent and potential coercion.
  • Safeguards: Concerns exist about insufficient safeguards to prevent abuse or exploitation.
  • Mental health access: Limited access to adequate mental health treatment could contribute to undue pressure towards MAiD.
  • Social inequalities: Concerns exist about disproportionate access to MAiD based on socioeconomic background.

Wednesday, March 6, 2024

We're good people: Moral conviction as social identity

Ekstrom, P. D. (2022, April 27).

Abstract

Moral convictions—attitudes that people construe as matters of right and wrong—have unique effects on behavior, from activism to intolerance. Less is known, though, about the psychological underpinnings of moral convictions themselves. I propose that moral convictions are social identities. Consistent with the idea that moral convictions are identities, I find in two studies that attitude-level moral conviction predicts (1) attitudes’ self-reported identity centrality and (2) reaction time to attitude-related stimuli in a me/not me task. Consistent with the idea that moral convictions are social identities, I find evidence that participants used their moral convictions to perceive, categorize, and remember information about other individuals’ positions on political issues, and that they did so more strongly when their convictions were more identity-central. In short, the identities that participants’ moral convictions defined were also meaningful social categories, providing a basis to distinguish “us” from “them.” However, I also find that non-moral attitudes can serve as meaningful social categories. Although moral convictions were more identity-central than non-moral attitudes, moral and non-moral attitudes may both define social identities that are more or less salient in certain situations. Regardless, social identity may help explain intolerance for moral disagreement, and identity-based interventions may help reduce that intolerance.

Here is my summary:

Main Hypothesis:
  • Moral convictions (beliefs about right and wrong) are seen as fundamental and universally true, distinct from other attitudes.
  • The research proposes that they shape how people view themselves and others, acting as social identities.
Key Points:
  • Moral convictions define group belonging: People use them to categorize themselves and others as "good" or "bad," similar to how we might use group affiliations like race or religion.
  • They influence our relationships: We tend to be more accepting and trusting of those who share our moral convictions.
  • They can lead to conflict: When morals clash, it can create animosity and division between groups with different convictions.
Evidence:
  • The research cites studies showing how people judge others based on their moral stances, similar to how they judge based on group membership.
  • It also shows how moral convictions predict behavior like activism and intolerance towards opposing views.
Implications:
  • Understanding how moral convictions function as social identities can help explain conflict, prejudice, and social movements.
  • It may also offer insights into promoting understanding and cooperation between groups with differing moral beliefs.
Overall:

This research suggests that moral convictions are more than just strong opinions; they act as powerful social identities shaping how we see ourselves and interact with others. Understanding this dynamic can offer valuable insights into social behavior and potential avenues for promoting tolerance and cooperation.

Tuesday, March 5, 2024

You could lie to a health chatbot – but it might change how you perceive yourself

Dominic Wilkinson
The Conversation
Originally posted 8 FEB 24

Here is an excerpt:

The ethics of lying

There are different ways that we can think about the ethics of lying.

Lying can be bad because it causes harm to other people. Lies can be deeply hurtful to another person. They can cause someone to act on false information, or to be falsely reassured.

Sometimes, lies can harm because they undermine someone else’s trust in people more generally. But those reasons will often not apply to the chatbot.

Lies can wrong another person, even if they do not cause harm. If we willingly deceive another person, we potentially fail to respect their rational agency, or use them as a means to an end. But it is not clear that we can deceive or wrong a chatbot, since they don’t have a mind or ability to reason.

Lying can be bad for us because it undermines our credibility. Communication with other people is important. But when we knowingly make false utterances, we diminish the value, in other people’s eyes, of our testimony.

For the person who repeatedly expresses falsehoods, everything that they say then falls into question. This is part of the reason we care about lying and our social image. But unless our interactions with the chatbot are recorded and communicated (for example, to humans), our chatbot lies aren’t going to have that effect.

Lying is also bad for us because it can lead to others being untruthful to us in turn. (Why should people be honest with us if we won’t be honest with them?)

But again, that is unlikely to be a consequence of lying to a chatbot. On the contrary, this type of effect could be partly an incentive to lie to a chatbot, since people may be conscious of the reported tendency of ChatGPT and similar agents to confabulate.


Here is my summary:

The article discusses the potential consequences of lying to a health chatbot, even though it might seem tempting. It highlights a situation where someone frustrated with a wait for surgery considers exaggerating their symptoms to a chatbot screening them.

While lying might offer short-term benefits like quicker attention, the author argues it could have unintended consequences:

Impact on healthcare:
  • Inaccurate information can hinder proper diagnosis and treatment.
  • It contributes to an already strained healthcare system.
Self-perception:
  • Repeatedly lying, even to a machine, can erode honesty and integrity.
  • It reinforces unhealthy avoidance of seeking professional help.
The article encourages readers to be truthful with chatbots for better healthcare outcomes and self-awareness. It acknowledges the frustration with healthcare systems but emphasizes the importance of transparency for both individual and collective well-being.