AI and Phronesis

We argue that the growing prevalence of statistical machine learning in everyday decision making – from creditworthiness to police force allocation – effectively replaces many of our humdrum practical judgments and that this will eventually undermine our capacity for making such judgments. We lean on Aristotle’s famous account of how phronesis and moral virtues develop to make our case. If Aristotle is right that the habitual exercise of practical judgment allows us to incrementally hone virtues, and if AI saves us time by taking over some of those practical judgments, or if its pattern recognition capacities are very good at learning that kind of behavior – we risk innovating ourselves out of moral competence with the introduction of AI.

Virtuous Engineers

Modern approaches to engineering ethics typically involve the systematic application of universal abstract principles, reflecting the culturally dominant paradigm of technical rationality. By contrast, virtue ethics recognizes that sensitivity to context and practical judgment are indispensable in particular concrete situations, and therefore focuses on the person who acts, rather than the action itself. Moral and intellectual virtues are identified within a specific social practice in accordance with its proper purpose, its societal role and associated responsibilities, and the internal goods that are unique to it. As a result, ethics is recognized as something integral to engineering, rather than supplemental to it. This is necessary and appropriate, since engineers are often the decision-makers in contexts where the potential beneficiaries and harm-bearers are not the same, such that even their routine technical choices have ethical ramifications.

COMPETENCIES OF MEDICAL LABORATORY PERSONNEL

Competence is defined as the quality or state of having sufficientknowledge, judgment, skill, or strength for a particular duty or in a particularrespect.Thus, for medical technologists to be considered “competent” they haveto possess sufficient medical knowledge, practical judgment, skill in the laboratory,or demonstrable attributes necessary to the performance of being a medicallaboratory scientist.This study seeks to answer the problem of an observed competency gap in some areas in health care knowledge, literacy, and skills among medical laboratory personnel. This study used a self-rated survey questionnaireas the descriptive survey method of researchtoassessed the level of competencies in the area of clinical work and fieldexpertise of selected medical laboratory personnel in Metro Manila in terms ofResearch, Quality Management Systems, General Laboratory Practices,Communication, Management and Leadership, Professional Ethics, WorkForceTraining, Emergency Management and Response, and Laboratory Safety. Based on the result of the self-rated survey,the respondents are “moderately competent” inthe following areas:Research, Communication, WorkForce Training skills, and Laboratory Safety. In response, aproposed health matrix program was created inthese competencyareasthat showeda need for continuing education and training. Although the respondents scored “highly competent” in Quality Management System, General Laboratory Practice, Management and Leadership, and Professional Ethics, the researcher still suggests further training in these areas to become more proficient and expert.

What is a mental disorder? An exemplar-focused approach

The question of ‘what is a mental disorder?’ is central to the philosophy of psychiatry, and has crucial practical implications for psychiatric nosology. Rather than approaching the problem in terms of abstractions, we review a series of exemplars – real-world examples of problematic cases that emerged during work on and immediately after DSM-5, with the aim of developing practical guidelines for addressing future proposals. We consider cases where (1) there is harm but no clear dysfunction, (2) there is dysfunction but no clear harm, and (3) there is possible dysfunction and/or harm, but this is controversial for various reasons. We found no specific criteria to determine whether future proposals for new entities should be accepted or rejected; any such proposal will need to be assessed on its particular merits, using practical judgment. Nevertheless, several suggestions for the field emerged. First, while harm is useful for defining mental disorder, some proposed entities may require careful consideration of individual v. societal harm, as well as of societal accommodation. Second, while dysfunction is useful for defining mental disorder, the field would benefit from more sharply defined indicators of dysfunction. Third, it would be useful to incorporate evidence of diagnostic validity and clinical utility into the definition of mental disorder, and to further clarify the type and extent of data needed to support such judgments.

Assessment of judgment ability in a Brazilian sample of patients with mild cognitive impairment and dementia

ABSTRACT. Judgment is the ability to make sound decisions after consideration of relevant information, possible solutions, likely outcomes, and contextual factors. Loss of judgment is common in patients with mild cognitive impairment (MCI) and dementia. The Test of Practical Judgment (TOP-J) evaluates practical judgment in adults and the elderly, with 15- and 9-item versions that require individuals to listen to scenarios about everyday problems and report their solutions. Objective: Adaptation of TOP-J for a Brazilian sample, preparation of a reduced version and verification of the accuracy of both. Methods: Eighty-five older adults, including 26 with MCI, 20 with Alzheimer’s disease (AD), 15 with frontotemporal dementia behavioral variant (FTDbv) and 24 controls, underwent neuropsychological assessment including the Brazilian adaptation of the TOP-J (TOP-J-Br). Results: On both TOP-J-Br versions, controls outperformed MCI, AD and FTDbv patients (p<0.001) and MCI outperformed AD and FTDbv (p<0.001). For the TOP-J/15-Br, the best cutoff for distinguishing controls and patients had a sensitivity of 91.7%, specificity of 59.0% and area under the curve of 0.8. For the TOP-J/9-Br, the best cutoff for distinguishing controls and patients had a sensitivity of 79.9%, specificity of 72.1% and area under the curve of 0.82. Conclusion: The TOP-J/15-Br, and particularly the TOP-J/9-Br, showed robust psychometric properties and the potential for clinical utility in Brazilian older adults at various stages of neurodegenerative cognitive decline.