The Moral Elephant in the Room – Patient Morality in Psychiatry
Cross-post from the Journal of Medical Ethics Blog.
By Doug McConnell, Matthew Broome, and Julian Savulescu.
In our paper, “Making psychiatry moral again”, we aim to develop and justify a practical ethical guide for psychiatric involvement in patient moral growth. Ultimately we land on the view that psychiatrists should help patients express their own moral values by default but move to address the content of those moral values in the small subset of cases where the patient’s moral views are sufficiently inaccurate or underdeveloped.
Those who are interested in how we got that position can see our argument in the paper but here we’ll say something about what motivated us to write this paper. Continue reading
The Morality of Sending Asylum Seekers to Rwanda
Written by Doug McConnell
The government has recently claimed that their policy to send asylum seekers on a one-way trip to Rwanda as part of the UK-Rwanda Migration and Economic Development Partnership is “completely moral” and responds to an “urgent moral imperative”. The justification for these claims is that the policy will act as a “very considerable deterrent” to asylum seekers and break the business model of people smugglers who put asylum seekers at risk of drowning in the English Channel. Needless to say, these claims about the morality of the Rwanda policy are highly contested. Here, I assess whether they stand up to even the most charitable assessment. Continue reading
The Right To Tweet
By Doug McConnell
On January 6th, 2021 Trump was locked out his Twitter account for 12 hours after describing the people who stormed the US Capitol as “patriots”. A few days later, his account was permanently suspended after further tweets that Twitter judged to risk “further incitement of violence” given the socio-political context at the time. Elon Musk has recently claimed that, if his deal goes through to take control of Twitter, he would reverse the decision to ban Trump because it was “morally bad and foolish in the extreme”.
Here, I argue that the original suspension of Trump’s account was justified but not its permanence. So I agree with Musk, in part. I suggest a modified system of suspension to deal with rule breakers according to which Trump’s access should be reinstated. Continue reading
Parliament Psychedelic
Written by Doug McConnell
Boris Johnson, Rishi Sunak, and Liz Truss are on psychedelics at the Palace of Westminster. This isn’t the work of Russian spies who have dusted off the KGB playbook or yet another Downing Street party but, rather, a near-future professional development program for politicians.
The path to this near-future scenario has two steps. First, let us suppose that psychedelics make good on their early promise as moral bioenhancers. Second, once effective moral enhancements exist, then people whose jobs entail making morally momentous decisions, such as politicians, would be morally required to take those enhancements. Continue reading
Philosophical Fiddling While the World Burns: Second Movement
Written by Doug McConnell
Most ethicists would agree that the climate emergency is one of the most serious ethical problems society has ever faced, yet the focus of most of our work is elsewhere. In his piece, “Philosophical Fiddling While the World Burns”, Charles Foster suggests that business as usual for ethicists – “fine ethical tuning” and making “subtle distinctions” – amounts to shuffling the deck chairs when we know the ship is heading for an iceberg. Here I argue that, frustratingly, most ethicists qua ethicists have a limited role in responding to the climate emergency. However, this doesn’t mean we should despair but, rather, that we should also contribute to addressing the climate emergency outside the ivory tower qua citizens. Continue reading
The Morality of Carbon Border Taxes
By Doug McConnell
The European Parliament has adopted a tool called the Carbon Border Adjustment Mechanism (CBAM) which will apply the EU’s carbon pricing to imported goods. This means that imports from countries with lesser or non-existent carbon pricing will effectively face a tariff. Various governments including Australia and China have objected strongly to the CBAM claiming that it unfairly forces EU rules on other countries, discriminates against them, and represents a return to the bad old days of trade protectionism.
So are CBAMs a noble mechanism to push the world towards carbon neutrality or the latest tool for powerful nations to assert control over weaker nations? I argue that the CBAM does have the potential to be discriminatory and unjust but not against rich countries like Australia that have had ample opportunity to develop (and maintain) a carbon pricing system.
Is a Publication Boycott of Chinese Science a Justifiable Response to Human Rights Violations Perpetrated by Chinese Doctors and Scientists?
By Doug McConnell
Recently the editor-in-chief of the Annals of Human Genetics, Prof David Curtis, resigned from his position, in part, because the journal’s publisher, Wiley, refused to publish a letter he co-authored with Thomas Schulze, Yves Moreau, and Thomas Wenzel. In that letter, they argue in favour of a boycott on Chinese medical and scientific publications as a response to the serious human rights violations happening in China. Several other leading journals, the Lancet, the BMJ and JAMA have also refused to publish the letter claiming that a boycott against China would be unfair and counterproductive.
This raises two separate ethical issues: 1. Should journals refuse to publish a letter arguing in favour of a boycott on Chinese medical and scientific publications? 2. Should journals actually establish a boycott on Chinese medical and scientific publications? Continue reading
A Juror’s Guide to Going Rogue
Written by Doug McConnell
A jury recently acquitted several activists charged with causing £25,000 worth of damage to Shell’s HQ in London despite the defendants admitting that they caused the damage and the judge informing the jury that the defendants had no legal defence. In other words, if the law were applied correctly, the jury had no choice but to find them guilty. When juries deviate from the law and “go rogue” like this, it is known as “nullification”. But when, if ever, should juries behave in this way? Continue reading
Ethics of the GameStop Short Squeeze
By Doug McConnell
Recently a large, loosely coordinated group of individual ‘retail investors’ have been buying up stocks that certain hedge funds had bet against (i.e. ‘shorted’). In doing so, the retail investors have driven up the price of those stocks. This has caused hedge funds that shorted the stock to lose billions of dollars and enabled a number of retail investors to get rich in the process. The phenomenon is anthropologically interesting because it is symbolic of a shift in power away from the traditional Wall Street players towards less wealthy, less well-connected individuals. But what are the ethics of this? Did Average Joe Trader just bring a measure of justice to Wall Street? Or did the mob unethically manipulate the market? If they did, are their actions any more unethical than the usual behaviour of institutional investors? Continue reading
Dementia, Pagal, or Neurocognitive Disorder: What Is In a Name?
By Doug McConnell
A recent BBC news story has drawn attention to the fact that there isn’t a word for “dementia” in many South Asian languages and some South Asian people living in the UK still use the stigmatising Punjabi word “pagal”, meaning “crazy” or “mad”. The news story implicitly assumes that the word “dementia” is non-stigmatising but this is disputed. If the word “dementia” is itself stigmatizing, are anglophones really in a position to criticize other languages? Can we adopt a non-stigmatising word for dementia? Continue reading
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