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Financial Incentives, Coercion and Psychosis

Financial Incentives, Coercion and Psychosis

In a recent editorial in the British Medical Journal, Tim Kendall draws attention to a recent study that suggests that modest financial incentives can significantly improve adherence in people treated with depot drugs for schizophrenia and other psychoses in the UK. This study looks set to reignite the debate regarding the moral permissibility of offering financial incentives as a part of medical care. Whilst those who support this practice point out that we already offer non-financial rewards to many patients, others have criticised the practice as, among other things, amounting to coercion. In this post, I shall contest this particular objection to the practice of offering financial incentives to patients as part of medical care.Read More »Financial Incentives, Coercion and Psychosis

Event Announcement: Serotonin influences the use of social norms in resource dilemmas” by Prof Robert Rogers and “Prosociality and trust” by Prof Paul A.M. Van Lange

“Serotonin influences the use of social norms in resource dilemmas” and “Prosociality and trust”

Professor Robert Rogers asks how do people sustain resources for the benefit of individuals and communities and avoid the ‘Tragedy of the Commons’ in which shared resources become exhausted? And Prof Paul Van Lange will discuss psychological and neuroscientific evidence showing that for prosocials, it is essential that they count on reciprocity. In contrast, for individualists, they may switch to cooperation  if they come to be convinced that they can count on reciprocity

Time and Date: Friday15 November, 5pm – 7pm

Venue: Oxford Martin School, Corner of Catte and Holywell Street, Oxford

All welcome. Please register online

Full abstracts:
Read More »Event Announcement: Serotonin influences the use of social norms in resource dilemmas” by Prof Robert Rogers and “Prosociality and trust” by Prof Paul A.M. Van Lange

What Fuels the Fighting: Disagreement over Facts or Values?

In a particularly eye-catching pull quote in the November issue of The Atlantic, journalist and scholar Robert Wright claims, “The world’s gravest conflicts are not over ethical principles or disputed values but over disputed facts.”[1]

The essay, called “Why We Fight – And Can We Stop?” in the print version and “Why Can’t We All Just Get Along? The Uncertain Biological Basis of Morality” in the online version, reviews new research by psychologists Joshua Greene and Paul Bloom on the biological foundations of our moral impulses. Focusing mainly on Greene’s newest book, Moral Tribes: Emotion, Reason, and the Gap Between Us and Them, Wright details Greene’s proposed solution to the rampant group conflict we see both domestically and internationally. Suggesting that we are evolutionarily wired to cooperate or ‘get along’ with members of groups to which we belong, Greene identifies the key cause of fighting as different groups’ “incompatible visions of what a moral society should be.”[2] And his answer is to strive for a ‘metamorality’ – a universally shared moral perspective (he suggests utilitarianism) that would create a global in-group thus facilitating cooperation.

Read More »What Fuels the Fighting: Disagreement over Facts or Values?

Breaking the mould: genetics and education

Tonight I participated in BBC’s “The Moral Maze”, discussing the recent reactions to a report by Dominic Cummings, an advisor to the education secretary, that mentioned that genetic factors have a big impact on educational outcomes. This ties in with the recent book G is for Genes by Kathryn Asbury (also on the program) and Robert Plomin where they argue that children are not blank slates and that genetic information might enable personalized education. Ah, children, genetics, IQ, schools – the perfect mixture for debate!

Unfortunately for me the panel tore into my transhumanist views rather than ask me about the main topic for the evening, so I ended up debating something different. This is what I would have argued if there had been time:

Read More »Breaking the mould: genetics and education

The Tragedy of Moral Mistakes

A tragic case was recently reported of a man who died following botched care via the NHS’ telephone helpline. Suffering from blood poisoning, a series of errors, mis-recording and failure to listen meant that he was told simply to take the remedy ‘Gaviscon’. He died shortly afterwards.  This was rightly widely reported in the press as a major failing of the health system. Many such catastrophic errors in medicine are reported in the press, and wherever possible safeguards put in place to prevent their re-occurrence.

However, we seem to accept deaths that occur not through medical mistakes but through what I will call moral mistakes. For example, each day 3 people die on the waiting list to receive organ transplants. Many of those could be saved if all those eligible and consenting to give organs did so. But instead, organs are withheld even when those who have opted in to organ donation die, because their families decide against it. Others are withheld because we have failed to introduce an opt out system of consent, meaning that those who simply never got around to signing up are excluded from bringing life to another person.

This is just one example of how mistakes in medical ethics can kill people. There are many more.

Read More »The Tragedy of Moral Mistakes

Can we Have an Interest Theory of Rights for Animals, and a Will Theory for Humans?

By Luke Davies

Follow Luke on Twitter.

 

A recent article in the New York Times has advocated extending the notion of personhood, and the rights associated with that status, to dogs. Gregory Burns, the author of the article, argued for this position on the basis of the structural and functional similarity between the caudate nucleus of dogs and humans. The caudate nucleus, Burns tells us, is that part of the brain responsible for our feeling of anticipation of things we enjoy. More than this, the activity of the caudate nucleus is so consistent in MRI scans that he claims we may be able to use our monitoring of its activity to predict our tastes for certain things (he lists music, food and beauty). Importantly for Burns, activity in the caudate increased in dogs in response to positive stimulus: a gesture signaling food, or the appearance of the owner. The tentative conclusion to these findings is that the MRI images signal the possibility of canine emotion. Burns makes clear that without the capacity to communicate with us, which dogs certainly do not possess, the findings are still quite limited.  However, he views the existence of emotion as sufficient for personhood, and personhood as sufficient for being a possessor of rights. This leads him to conclude that dogs should be recognized as having the rights persons have.

 

Though there is good reason to doubt the argumentative moves Burns makes in his short article, that’s not what I’d like to do here. (A Letter to the Editor sent to the NTY regarding the article warns, for example, against assuming that complex emotional states–such as love, which Burns mentions–can be reduced to physical states. This alone should give us pause before asserting any larger similarities between human and canine consciousness.)  Rather, I would pose a question that came to me after reading the article: Is it possible that the rights animals possess have a different function the rights humans possess? Read More »Can we Have an Interest Theory of Rights for Animals, and a Will Theory for Humans?

Winchester Lectures: Kamm’s Trolleyology and Is There a Morally Relevant Difference Between Killing and Letting Die?

The Winchester Visiting Lecturerships were established in 1995 for the purpose of inviting visiting lecturers in the fields of International Relations, History, Philosophy, Religion, Theology or Law. We are grateful to the committee for this opportunity to bring Professor Frances Kamm to Oxford for this series of two lectures October 21 – 22, 2013.  

Over the series, Frances Kamm considered a kaleidoscope of cases in which one innocent person must be killed to prevent 5 innocent people being killed. She argued in some situations, killing one is permissible to prevent 5 other people being killed, yet in other cases it is impermissible to kill one to save 5. Or so go her intuitions. She points to what she finds are morally relevant considerations that distinguish permissible from impermissible killing.

The most straight forward case of impermissible killing, and the one in which she and many others have a clear intuitions, is Transplant.

In Transplant, a doctor contemplates killing one innocent person and harvesting his/her organs to save 5 people with organ failure. This is John Harris’ survival lottery.

But this is a dirty example. Transplant imports many intutions. For example, that doctors should not kill their patients, that those with organ failure are old while the healthy donor is young, that those with organ failure are somehow responsible for their illness, that this will lead to a slippery slope of more widespread killings, that this will induce widespread terror at the prospect of being chosen, etc, etc

A better version of Transplant is Epidemic.

Read More »Winchester Lectures: Kamm’s Trolleyology and Is There a Morally Relevant Difference Between Killing and Letting Die?

Thorpe Park’s ‘Asylum’ maze is unrealistic. Does this make it more or less inappropriate?

There has been much discussion this week about whether Thorpe Park’s ‘Asylum’ maze perpetuates the stigma that sometimes surrounds mental illness. The live action horror maze is an attraction that has opened for Halloween for the last eight years. Replete with special effects, its interior is set up to look like the intermittently-lit corridors of a dilapidated hospital. As the maze-goers try to find their way through the corridors, actors dressed as ‘patients’ jump out, scare and chase them until they find the exit. You can get a sense of the maze here.

Polls have been set up to gauge the public response to the maze and petitions started in an attempt to get Thorpe Park to close it down. Having set up a poll on Twitter, Paul Jenkins, the chief executive officer of the charity Rethink Mental Illness has been quoted as saying ‘While of course there’s nothing wrong with a bit of Halloween fun, explicit references to ‘patients’ crosses a line and reinforces damaging stereotypes about mental illness.’Read More »Thorpe Park’s ‘Asylum’ maze is unrealistic. Does this make it more or less inappropriate?