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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.Read More »The Moral Elephant in the Room – Patient Morality in Psychiatry

Why You Should Not (Be Allowed To) Have That Picnic in the Park, Even if it Does Not Make a Difference

Written by Alberto Giubilini

 

(a slightly longer version of this blogpost will appear in the journal Think. Link will be provided as soon as available)

It’s a sunny Sunday afternoon, early spring. The kind of afternoon that seems to be inviting you out for a stroll by the river. Maybe have a picnic on the green grass, in that spot over there, away from everyone. Why not?

The simple answer is: because there is a pandemic and the Government is enforcing a lockdown. You should stay home. End of the story.

And there isn’t a complex answer. The simple answer really is the end of the story.

But why? You probably understand the reasons for the lockdown. But that is a matter of policy, a general rule for the population. What difference does it make if I just go over there, where there is no one, keeping at distance from everyone? I am not going to harm anyone.

You are (probably) right: it (likely) does not make a difference, and you are (likely) not harming anyone. However, that is not the only relevant question to ask when we ask what we morally ought to do, or what a Government may permissibly require of us.

Let us consider the ethically relevant aspects of this situation.Read More »Why You Should Not (Be Allowed To) Have That Picnic in the Park, Even if it Does Not Make a Difference

Video Interview: Peter Singer on The Global Kidney Exchange Programme

In this interview with Katrien Devolder, Peter Singer defends the Global Kidney Exchange (GKE) programme, which matches donor–recipient pairs across high-income, medium-income, and low-income countries. The GKE has been accused of being a form of organ trafficking, exploiting the poor, and involving coercion and commodification of donors. Peter Singer refutes these claims, and argues that… Read More »Video Interview: Peter Singer on The Global Kidney Exchange Programme

Video Interview: Jesper Ryberg on Neurointerventions, Crime and Punishment

Should neurotechnologies that affect emotional regulation, empathy and moral judgment, be used to prevent offenders from reoffending? Is it morally acceptable to offer more lenient sentences to offenders in return for participation in neuroscientific treatment programs? Or would this amount too coercion? Is it possible to administer neurointerventions as a type of punishment? Is it… Read More »Video Interview: Jesper Ryberg on Neurointerventions, Crime and Punishment

Video Series: Should We Pay People to Quit Smoking or Lose Weight?

Should we pay people to quit smoking or lose weight? Would paying them amount to coercion?  Is there a risk that if we start paying for healthy behaviour, its value will be corrupted? Is paying unhealthy people unfair to those who already lead healthy life styles? In this video interview (with Katrien Devolder),  Dr Rebecca… Read More »Video Series: Should We Pay People to Quit Smoking or Lose Weight?

Video Series: Tom Douglas on Using Neurointerventions in Crime Prevention

Should neurointerventions be used to prevent crime? For example, should we use chemical castration as part of efforts to prevent re-offending in sex offenders? What about methadone treatment for heroin-dependent offenders? Would offering such interventions to incarcerated individuals involve coercion? Would it violate their right to freedom from mental interference? Is there such a right?… Read More »Video Series: Tom Douglas on Using Neurointerventions in Crime Prevention

Stripping Addicts of Benefits – Coercion, Consent, and the Right to Benefits

The UK government has announced plans to review the possibility of stripping drug addicts, alcoholics and obese individuals of benefits if they refuse treatment for their conditions. In support of the review, a consultation paper claims that the review is intended to “. . . consider how best to support those suffering from long-term yet treatable conditions back into work or to remain in work.”

One concern that has been raised against the plans is that stripping these individuals of their benefits is unlikely to be effective in getting them to seek treatment, with the Mirror reporting one campaigner as suggesting that “(this strategy) didn’t work in the Victorian times, (and) it’s not going to work now”.

In this post, I shall consider a challenge to the lawfulness of the proposals that is based on the claim that they would coerce individuals into accepting treatment. This is in fact a challenge that Sarah Woolaston, chair of the Health Select Committee has herself raised.

Read More »Stripping Addicts of Benefits – Coercion, Consent, and the Right to Benefits

Facebook’s new Terms of Service: Choosing between your privacy and your relationships

Facebook has changed its privacy settings this January. For Europeans, the changes have come into effect on January 30, 2015.

Apart from collecting data from your contacts, the information you provide, and from everything you see and do in Facebook, the new data policy enables the Facebook app to use your GPS, Bluetooth, and WiFi signals to track your location at all times. Facebook may also collect information about payments you make (including billing, shipping, and contact details). Finally, the social media giant collects data from third-party partners, other Facebook companies (like Instagram and Whatsapp), and from websites and apps that use their services (websites that offer “Like” buttons and use Facebook Log In).

The result? Facebook will now know where you live, work, and travel, what and where you shop, whom you are with, and roughly what your purchasing power is. It will have more information than anyone in your life about your habits, likes and dislikes, political inclinations, concerns, and, depending on the kind of use you make of the Internet, it might come to know about such sensitive issues as medical conditions and sexual preferences.

To Facebook’s credit, their new terms of services, although ambiguous, are clearer than most terms of services one finds on the Internet. Despite the intrusiveness of the privacy policy, one may look benevolently on Facebook: if their terms are comparatively explicit and clear, if users know about them and give their consent, and if in turn the company provides a valuable free service to more than a billion users, why should the new privacy policy be frowned upon? After all, if people don’t like the new terms, they are not forced to use Facebook: they are free not to sign up or they can delete their account if they are current users.

A closer look, however, might reveal the matter in a different light. Read More »Facebook’s new Terms of Service: Choosing between your privacy and your relationships