Rational Choice and Moral Decision Making in Research

University psychology and sociology researchers rated the likelihood they would engage in misconduct as described in 9 research scenarios, while also making moral judgments and rating the likelihood of discovery and sanctions. Multiple regression revealed significant effects across various scenarios for moral judgment as well as shame and embarrassment on reducing misconduct. The effects on misconduct of the perceived probability of sanctions were conditioned on moral judgments in some scenarios. The results have implications for how universities address the prevention, detection, and sanctioning of research misconduct.     

Moral Decision Making and Nontoleration of Honor Code Offenses

Acceptance of the nontoleration clause of an honor code, and incorporation of this principle as an internalized value, tends to diminish from year to year even as moral development increases. Convicted honor violators unanimously endorsed their commitment to the honor code in concept but indicated greater toleration of honor code offenses than a comparison group of nonviolators when confronted with realistic scenarios. Kohlberg's (1969) theory of moral development does not give adequate consideration to the contextual environment surrounding acts that are deemed moral or immoral. This study's findings were better explained by principles drawn from postmodern philosophy and the concept of Informed Belief.     

In re Edna MF: Case Law Confusion in Surrogate Decision Making

I review the recent case of Edna Folz, a 73 year-old woman who was suffering through the end stages of very advanced Alzheimer's dementia when her case was adjudicated by the Wisconsin Supreme Court. I consider this case as an example of how courts are increasingly misinterpreting the ethical and legal decision-making standards known as substituted judgment and best interests and thereby threatening individuals' treatment decision-making rights as developed by other courts over the past two decades and creating serious roadblocks to health-care providers' ability to render appropriate patient care. The Wisconsin Supreme Court held that Edna's legal guardian could not authorize withdrawal of Edna's treatment, ruling that as a matter of law, if an incompetent person is not in a persistent vegetative state, it is not in his or her best interests for life-sustaining treatment to be withdrawn unless (s)he has executed an advance directive or other statement clearly indicating his or her desires.     

Moral Orientation as a Component of Ethical Decision Making

Morals are foundational to professional and ethical counseling practice. Moral orientation may play an integral role in ethical decision making. The authors review the literature regarding moral orientation and discuss the connection to ethical decision making. Implications for counselor preparation and practice are addressed.     

替代指标在心血管疾病临床决策中的正确认识

在心血管疾病临床试验中,替代指标常用于评价干预措施的疗效.但替代指标在心血管疾病临床试验中非常复杂,因此,心血管医生在解读和评价心血管疾病临床试验的结果时,应正确认识替代指标的内涵、应用背景及其局限性,同时,还应客观地评价相关替代指标的证据强度,以寻找最好的医学证据指导其临床决策和实践.     

The Conflation of Moral and Epistemic Virtue

Abstract: Accounts of virtue suffer a conflation problem when they appear unable to preserve intuitive distinctions between types of virtue. In this essay I argue that a number of influential attempts to preserve the distinction between moral and epistemic virtues fail, on the grounds that they characterize virtuous traits in terms of ‘characteristic motivation’. I claim that this does not distinguish virtuous traits at the level of value‐conferring quality, and I propose that the best alternative is to distinguish them at the level of good produced. It follows from this that a consequentialist account is best placed to avoid a conflation of moral and epistemic virtue.     

Dimensions of Moral Intensity and Ethical Decision Making: An Empirical Study

Moral intensity is a construct that relates to issues in terms of their perceived moral significance. Individuals' perceptions of moral intensity should impact their recognition of issues as posing moral dilemmas and should also affect ethical judgments and behavioral intentions regarding issues. This study examined the relationship between 4 dimensions of moral intensity and the ethical decision-making process. Two work-related actions were presented to respondents, who then completed measures of the 4 dimensions of moral intensity, whether the actions posed an ethical issue, ethical judgments regarding the actions, and the likelihood that they would engage in the actions. Results indicate that moral intensity dimensions were associated with individuals' ethical decisions. Social consensus and seriousness of consequences were particularly important influences on the ethical decision-making process.     

Social Closeness and Decision Making: Moral, Attributive and Emotional Reactions to Third Party Transgressions

Decisions involving moral vectors are inherently social. This paper investigates social closeness to others as one of the important factors that mediate our evaluations of moral infractions. The influence of social closeness on participants?? third-party evaluations of moral transgressions was measured across development. Participants?? intentional attributions, punitive sentiments, moral judgments, and emotional reactions were measured using responses to hypothetical vignettes that describe socio-moral transgressions involving theft. Participants?? attribution judgments, punitive decisions, and emotional reactions differed when their social relationship with the perpetrator (Study One), and alternatively with the victim (Study Two), of the transgression was varied. Evidence is provided for the supposition that morality is a construct of social cooperative exchange and that social closeness influences socio-moral evaluations and judgments.     

替代指标在心血管疾病临床决策中的正确认识

在心血管疾病临床试验中,替代指标常用于评价干预措施的疗效。但替代指标在心血管疾病临床试验中非常复杂,因此,心血管医生在解读和评价心血管疾病临床试验的结果时,应正确认识替代指标的内涵、应用背景及其局限性,同时,还应客观地评价相关替代指标的证据强度,以寻找最好的医学证据指导其临床决策和实践。     

Hans-Martin Sass,Robert M. Veatch,Rihito Kimura (eds.). Advance Directives and Surrogate Decision Making in Health Care

Theoretical Medicine and Bioethics -