Morality justifies motivated reasoning in the folk ethics of belief

2020 ◽  
Author(s):  
Corey Cusimano ◽  
Tania Lombrozo

When faced with a dilemma between believing what is supported by an impartial assessment of the evidence (e.g., that one’s friend is guilty of a crime) and believing what would better fulfill a moral obligation (e.g., that the friend is innocent), people often believe in line with the latter. But is this how people think beliefs ought to be formed? We addressed this question across three studies and found that, across a diverse set of everyday situations, people treat moral considerations as legitimate grounds for believing propositions that are unsupported by objective, evidence-based reasoning. We further document two ways in which moral evaluations affect how people prescribe beliefs to others. First, the moral value of a belief affects the evidential threshold required to believe, such that morally good beliefs demand less evidence than morally bad beliefs. Second, people sometimes treat the moral value of a belief as an independent justification for belief, and so sometimes prescribe evidentially poor beliefs to others. Together these results show that, in the folk ethics of belief, morality can justify and demand motivated reasoning.

2015 ◽  
Vol 30 (2) ◽  
pp. 335-360 ◽  
Author(s):  
Angeline Lewis

Operational reporting from the Middle East indicates that the exercise by warships of a right of visit on the high seas, in order to verify the flag of the boarded vessel, is an important part of contemporary maritime enforcement operations. However, this reliance on ‘flag verification boardings,’ pursuant to Article 110 of the United Nations Convention on the Law of the Sea 1982, challenges the proper balance of law enforcement authority against the traditional freedom of navigation. It is therefore necessary to establish clearly for both civilian masters and warship commanders where the evidentiary threshold for reasonable doubt as to the nationality of vessels lies, so as to justify non-consensual visit and search by a foreign warship. This article makes an objective, evidence-based assessment of the threshold, concluding with a caution against over-stretching the right of visit to accommodate law enforcement purposes not envisaged in the drafting of Article 110.


2019 ◽  

Thoroughly revised and expanded, the 4th edition offers a practical, objective, evidence-based guide to the medical diagnosis and management of child abuse. https://shop.aap.org/child-abuse-medical-diagnosis-and-management-4th-ed-paperback/


2020 ◽  
Vol 23 (9) ◽  
pp. 587-625 ◽  
Author(s):  
Rachael W Taylor ◽  
Lindsey Marwood ◽  
Emanuella Oprea ◽  
Valeria DeAngel ◽  
Sarah Mather ◽  
...  

Abstract Background Pharmacological augmentation is a recommended strategy for patients with treatment-resistant depression. A range of guidelines provide advice on treatment selection, prescription, monitoring and discontinuation, but variation in the content and quality of guidelines may limit the provision of objective, evidence-based care. This is of importance given the side effect burden and poorer long-term outcomes associated with polypharmacy and treatment-resistant depression. This review provides a definitive overview of pharmacological augmentation recommendations by assessing the quality of guidelines for depression and comparing the recommendations made. Methods A systematic literature search identified current treatment guidelines for depression published in English. Guidelines were quality assessed using the Appraisal of Guidelines for Research and Evaluation II tool. Data relating to the prescription of pharmacological augmenters were extracted from those developed with sufficient rigor, and the included recommendations compared. Results Total of 1696 records were identified, 19 guidelines were assessed for quality, and 10 were included. Guidelines differed in their quality, the stage at which augmentation was recommended, the agents included, and the evidence base cited. Lithium and atypical antipsychotics were recommended by all 10, though the specific advice was not consistent. Of the 15 augmenters identified, no others were universally recommended. Conclusions This review provides a comprehensive overview of current pharmacological augmentation recommendations for major depression and will support clinicians in selecting appropriate treatment guidance. Although some variation can be accounted for by date of guideline publication, and limited evidence from clinical trials, there is a clear need for greater consistency across guidelines to ensure patients receive consistent evidence-based care.


2009 ◽  
Vol 4 (4) ◽  
pp. 37 ◽  
Author(s):  
Vahideh Zarea Gavgani

Objective – Evidence based library and information services help to link best evidence with decision making in library practice. Current library and information science practice operates in both a knowledge and evidence-based environment. Health service librarians provide information services in an evidence based health care context to improve patient care. But the evidence based practice movement has influenced many fields of human knowledge, including librarianship. Therefore, this study seeks to answer the following questions: 1) What are the perceptions of Iranian medical librarians regarding the use of an evidence based approach in their decision making processes? 2) Do Iranian medical librarians apply an evidence based approach in their professional work? 3) How do Iranian medical librarians practice an evidence based approach? 4) What are the barriers and limitations for Iranian medical librarians who engage in evidence based library and information practice (EBLIP)? Methods – This study utilized a survey to discover medical librarians’ attitudes and perceptions towards the use of an evidence based approach to library practice in Iran. Data was collected using a structured questionnaire to identify medical librarians’ attitudes toward EBLIP. Results – The findings of the study indicate that Iranian medical librarians are aware of EBLIP and that they utilize an evidence based approach towards their LIS work. They practice the five steps of an evidence based answering cycle in formulating, locating, assessing, applying, and redefining questions. However, they have less knowledge about levels of evidence, research methodologies, and critical appraisal. Conclusions – Medical librarians in Iran are familiar with the concept of an evidence based approach. More training is needed in some elements of evidence based practice to improve their approach to evidence based library and information practice.


2006 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Cecily Martina ◽  
Bradley Jones

Objective - Evidence based librarianship (EBL) springs from medical and academic origins. As librarians are tertiary educated (only occasionally with supplementary qualifications covering research and statistics) EBL has had an academic focus. The EBL literature has significant content from school and university perspectives, but has had little, if any, vocational content. This paper suggests a possible Evidence Based Librarianship context for vocational libraries. Methods - A multidisciplinary scan of evidence based literature was undertaken, covering medicine and allied health, librarianship, law, science and education. National and international vocational education developments were examined. The concept and use of evidence in vocational libraries was considered. Results - Library practice can generally benefit from generic empirical science methodologies used elsewhere. Different areas, however, may have different concepts of what constitutes evidence and appropriate methodologies. Libraries also need to reflect the evidence used in their host organisations. The Australian vocational librarian has been functioning in an evidence based educational sector: national, transportable, prescriptive, competency based and outcome driven Training Packages. These require a qualitatively different concept of evidence compared to other educational sectors as they reflect pragmatic, economic, employability outcomes. Conclusions - Vocational and other librarians have been doing research but need to be more systematic about design and analysis. Librarians need to develop ‘evidence literacy’ as one of their professional evaluation skills. Libraries will need to utilise evidence relevant to their host organisations to establish and maintain credibility, and in the vocational sector this is set in a competency based framework. Competency based measures are becoming increasingly relevant in school and university (including medical) education.


2013 ◽  
Vol 135 (8) ◽  
Author(s):  
Rupesh Kumar Srivastava ◽  
Kalyanmoy Deb ◽  
Rupesh Tulshyan

For problems involving uncertainties in design variables and parameters, a bi-objective evolutionary algorithm (EA) based approach to design optimization using evidence theory is proposed and implemented in this paper. In addition to a functional objective, a plausibility measure of failure of constraint satisfaction is minimized. Despite some interests in classical optimization literature, this is the first attempt to use evidence theory with an EA. Due to EA's flexibility in modifying its operators, nonrequirement of any gradient, its ability to handle multiple conflicting objectives, and ease of parallelization, evidence-based design optimization using an EA is promising. Results on a test problem and two engineering design problems show that the modified evolutionary multi-objective optimization algorithm is capable of finding a widely distributed trade-off frontier showing different optimal solutions corresponding to different levels of plausibility failure limits. Furthermore, a single-objective evidence-based EA is found to produce better optimal solutions than a previously reported classical optimization algorithm. Furthermore, the use of a graphical processing unit (GPU) based parallel computing platform demonstrates EA's performance enhancement around 160–700 times in implementing plausibility computations. Handling uncertainties of different types are getting increasingly popular in applied optimization studies and this EA based study is promising to be applied in real-world design optimization problems.


2020 ◽  
Vol 108 (2) ◽  
Author(s):  
Joey Nicholson ◽  
Adina Kalet ◽  
Cees Van der Vleuten ◽  
Anique De Bruin

Objective: Evidence-based medicine practices of medical students in clinical scenarios are not well understood. Optimal foraging theory (OFT) is one framework that could be useful in breaking apart information-seeking patterns to determine effectiveness and efficiency of different methods of information seeking. The aims of this study were to use OFT to determine the number and type of resources used in information seeking when medical students answer a clinical question, to describe common information-seeking patterns, and identify patterns associated with higher quality answers to a clinical question.Methods: Medical students were observed via screen recordings while they sought evidence related to a clinical question and provided a written response for what they would do for that patient based on the evidence that they found.Results: Half (51%) of study participants used only 1 source before answering the clinical question. While the participants were able to successfully and efficiently navigate point-of-care tools and search engines, searching PubMed was not favored, with only half (48%) of PubMed searches being successful. There were no associations between information-seeking patterns and the quality of answers to the clinical question.Conclusion: Clinically experienced medical students most frequently relied on point-of-care tools alone or in combination with PubMed to answer a clinical question. OFT can be used as a framework to understand the information-seeking practices of medical students in clinical scenarios. This has implications for both teaching and assessment of evidence-based medicine in medical students.


2019 ◽  
Vol 2 (1) ◽  
pp. 23 ◽  
Author(s):  
J. Neary ◽  
Jyotpal Singh ◽  
Scott Bishop ◽  
Ryan Dech ◽  
Matthew Butz ◽  
...  

Introduction: The prevalence and incidence of sport-related concussion have continued to increase over the past decade, and researchers from various backgrounds strive for evidenced-based clinical assessment and management. When diagnosing and managing a concussion, a battery of tests from several domains (e.g., symptom reporting, neurocognitive, physiology) must be used. In this study, we propose and develop an objective, evidence-based protocol to assess the pathophysiology of the brain by using non-invasive methods. Methods: Contact sport athletes (n = 300) will be assessed at the beginning of the season in a healthy state to establish baseline values, and then prospectively followed if a mild traumatic brain injury (mTBI) occurs on approximately days 1–2, 3–5, 7–10, 21, 30, and subsequently thereafter, depending on the severity of injury. The protocol includes spontaneous measurements at rest, during head postural change, controlled breathing maneuvers for cerebrovascular reactivity, a neurovascular coupling stimuli, and a baroreflex/autoregulation maneuver. Physiological data collection will include cerebral blood flow velocity, cerebral oxygenation, respiratory gases for end-tidal oxygen and carbon dioxide, finger photoplethysmography for blood pressure, seismocardiography for cardiac mechanics, and electrocardiography. Conclusion, Limitations, and Ethics: The protocol will provide an objective, physiological evidence-based approach in an attempt to better diagnose concussion to aid in return-to-play or -learn. Ethics approval has been granted by the University Research Ethics Board.


Cognition ◽  
2021 ◽  
pp. 104513
Author(s):  
Corey Cusimano ◽  
Tania Lombrozo

Medwave ◽  
2021 ◽  
Vol 21 (03) ◽  
pp. e8164-e8164
Author(s):  
Bastián Schuller-Martínez ◽  
Nicolás Meza ◽  
Javier Pérez-Bracchiglione ◽  
Juan Víctor Ariel Franco ◽  
Cristóbal Loezar ◽  
...  

The significant increase in scientific evidence production has led to the creation of methods to facilitate evidence review and synthesis. This has turned, this has resulted in the emergence of different designs depending on the review’s objective. Evidence gap maps constitute a novel approach for literature review. They are thematic collections of a broad field of evidence, using a systematic search strategy that identifies gaps in knowledge and engages, early on, the target audience to design a friendly graphic product. Evidence maps are a tool to be considered in the roster of options available for research funders in that they are particularly useful for evidence-based decision-making and evidence-based policy development. The most commonly used formats to display the findings of evidence gap search designs are the bubble plot and the intervention-outcome framework. This article corresponds to the sixth of a series of narrative reviews on general topics of biostatistics and clinical epidemiology. The purpose of this review is to describe the principal features of evidence gap maps, highlighting their main objectives and utility, exploring the most commonly used mapping formats, and comparing this approach with other evidence synthesis designs.


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