The American Journal of Bioethics, Volume 12, Issue 3, Page 19-21, March 2012.

There is a significant body of evidence showing that patients want to know when they are harmed as a result of their medical care. In 2005 the National Patient Safety Agency issued guidance on the process to be followed when communicating errors to patients and their carers. However, there is still a significant gap between the rhetoric of being open and clinical practice. This gap reflects the competing interests arising from the concept of being open and the difficulties involved in (...) the process itself. This paper presents several case studies to explore the complexities of being open and the organizational support required to overcome these. (shrink)

From a traditional moral point of view, business practitioners often seem overly concerned about the behavior of their peers in deciding how they ought to act. We propose to account for this concern by introducing a mutual trust perspective, where moral obligations are grounded in a sense of trust that others will abide by the same rules. when grounds for trust are absent, the obligation is weakened. We illustrate this perspective by examining the widespread ambivalence with regard to deception about (...) one's settlement preferences in negotiation. On an abstract level, such deception generally seems undesirable, though in many individual cases it is condoned, even admired as shrewd bargaining. Because of the difficulty in verifying someone's settlement preferences, it is hard to establish a basis for trusting the revelations of the other party, especially in competitive negotiations with relative strangers. (shrink)

When is it ethically justifiable to mislead participants about the nature of a film or television program? Producers of the 2006 film Borat: Cultural Learnings of America for Make Benefit Glorious Nation of Kazakhstan used brilliantly crafted releases to undermine potential fraud claims from participants misled about the comedy. This article argues that if portraying participants can result in foreseeable, substantial negative consequences for them, the portrayal must serve an overriding public interest. The test is applied to scenes in Borat.

This article explores the role of desires in the ethics of deception. The argument concentrates on intrinsic desires not to have false beliefs and on the resulting role of false beliefs as building-blocks, not just causes, of harm. If there is a duty of beneficence at all and desire fulfilment is at least a component of welfare, there is often a direct wrongness in causing a false belief.

This study examines the use of names in the construction of “credibility” as a journalistic duty. Using the framework set forth by Tuchman (1972) of objectivity as a “strategic ritual,” the study discusses the ethical justifications put forth by the New York Times for the process through which it decided to identify a CIA interrogator who had been involved in questioning 9/11 captives. The examination concludes that the facticity of naming should ultimately be uncoupled from the concept of credibility.

Individuals often lie for psychological rewards (e.g., preserving self image and/or protecting others), absent economic rewards. We conducted a laboratory experiment, using a modified dictator game, to identify conditions that entice individuals to lie solely for psychological rewards. We argue that such lies can provide a ready means for individuals to manage others’ impression of them. We investigated the effect of social distance (the perceived familiarity, intimacy, or psychological proximity between two parties) and knowledge of circumstances (whether parties have common (...) or asymmetric information) on the frequency of lying. We found that lying occurs more frequently when social distance is near and that the effect is exacerbated when information is asymmetric. Our theoretical development suggests that, under these conditions, individuals’ need to manage others’ impression is magnified. We discuss the implications of our findings. (shrink)

Health communication researchers and practitioners continue to debate about the types of influence that are appropriate in health promotion. A widely held assumption is that health campaigns and communicators should respect the autonomy of their audiences, and that the most appropriate way to do so is to persuade them by means of truthful substantive information. This approach to ethical persuasion, though, suffers from certain blind spots. To account for circumstances when respecting autonomy might take a back seat to other ethical (...) considerations, a comprehensive framework for the ethics of health communication needs to acknowledge types of communication that aim to do something other than provide substantive information (disclosive and directive communication), and subjective circumstances when people are not motivated to process information or make active choices (low processing motivation and decision aversion). (shrink)

Hysteria is thought to involve the unconscious production of symptoms that resemble neurological disorders. However, it is not usually possible to distinguish this from deception, leading some authors to advocate dropping the distinction. In this paper, I argue that deception is not a unitary concept, so that hysteria may indeed involve a form of deception without necessarily the ethical implications of lying. The evidence for and against deception in hysteria is considered, and a taxonomy of deception outlined. The evidence is (...) argued to support deception as a sufficient model for hysteria, though not necessarily in the form of lying, and not such as to exclude other models for much of their behavior. An appreciation of the distinct forms of deception may help clinicians to clarify their relationships with their patients with hysteria, and clarify the distinction from malingering. (shrink)

Our cultural disagreements can often be anticipated, negotiated and resolved using shared methods of moral reasoning. This claim is incompatible with any extreme version of communitarianism or strong ethical relativism, which hold that one's culture is the final arbiter of good, bad, right and wrong, or that the rights of the community should trump individual rights within that community. This view is discussed and found to be implausible using the example of common grounds for responding to different cultural views about (...) being truthful in medical practice. Its implausibility stems from difficulties individuating cultures, and accounting for intercultural goals, values and methods. Given our increasingly diverse populations, problems arise as clinicians from one culture try to care respectfully and compassionately for people from other groups. Yet working from shared values and goals, we can use some bridging methods such as discussing grim news in the third person. Claims that something is a cultural belief or attitude, moreover, cannot always be taken at face value. Various meanings of ‘multiculturalism’ are distinguished. (shrink)

This article argues that afirm and consistent editorial focus on a poilitician's public virtue would serve well as the essence of journalistic communication about piitical character. Public virtue is defined as the ethical character traits attributed to a politician by an editorialist, based on direct obsemation, of the politician's words and deeds, broadly construed. After presenting the theoretical foundation of this definition, via qualitative case-study methodology, this essay analyzes the editorial claims made in the Atlanta newspapers about Gov. Bill Clinton's (...) political character during the 1992 presidential campaign. The Atlanta case demonstrates how a clear focus on public virtue can operate in practice. The conclusion discusses expectations that readers, opinion columnists, and newspaper editors should keep in mind as character issue is broughtforth in the press. (shrink)

This paper examines a constellation of ethical and editorial issues that have arisen since philosophers started to conduct, submit and publish empirical research. These issues encompass concerns over responsible authorship, fair treatment of human subjects, ethicality of experimental procedures, availability of data, unselective reporting and publishability of research findings. This study aims to assess whether the philosophical community has as yet successfully addressed such issues. To do so, the instructions for authors, submission process and published research papers of 29 main (...) journals in philosophy have been considered and analyzed. In light of the evidence reported here, it is argued that the philosophical community has as yet failed to properly tackle such issues. The paper also delivers some recommendations for authors, reviewers and editors in the field. (shrink)

This article offers a general discussion of the concept of false hope. Its ultimate aim is to clarify the meaning and the relevance of that concept for medicine and medical research. In the first part, the concept of hope is discussed. I argue that hope is more than a combination of a desire and a belief about the probability that the desire will be fulfilled. Imagination and anticipation are as well components of hope. I also discuss if hope implies orientation (...) to action. In the second part, I examine the concept of false hope. I show that hope is false if it cannot be justified epistemically. There is, I argue, an intimate relation between false hope and ignorance. Hope is justified—“realistic”—when the hoping person knows and accepts experts’ judgement about the probability of hope fulfillment. I then argue that what matters for evaluating a person’s hope is not only whether it is realistic, but also whether it is reasonable in the light of the aim and goals that a person strives for in his life. Part three goes into the question of what is morally wrong about having or causing false hope. In the fourth part, the relevance is shown of the insights from the previous parts for the debate on false hope in medicine and clinical research. (shrink)

Lavoie and Talwar examine the phenomenon of prosocial lie telling: lying with the intention to benefit others. They investigate how well children aged 4 to 11 are able to conceal information about a surprise gift from their parents based on these children’s responses to their parents’ questions. Lavoie and Talwar conclude that, as children’s theory of mind abilities and working memory improve, their ability to conceal information from others also develops.

This article aims to systematize different alternatives for the conceptualization of lying, in order to clarify the meaning of contemporary post-truth. Given the limitations of a historical reconstruction of the meanings of lying devised by the philosophical tradition, and because conceptual analysis risks of fetishizing the lying assertion, we aim to enrich the conceptualization of lying through the lexicographical description of the prototypical sense and the variants of our idiomatic vocabulary for lying. By distinguishing the formal conditions of telling a (...) lie and the situational nuances of the realization of lying, one can recognize a new regime of lies in contemporary post-truth. (shrink)

This article examines deception possibilities for two players in simple three-person voting games. An example of one game vulnerable to (tacit) deception by two players is given and its implications discussed. The most unexpected findings of this study is that in those games vulnerable to deception by two players, the optimal strategy of one of them is always to announce his (true) preference order. Moreover, since the player whose optimal announcement is his true one is unable to induce a better (...) outcome for himself by misrepresenting his preference, while his partner can, this player will find that possessing a monopoly of information will not give him any special advantage. In fact, this analysis demonstrates that he may have incentives to share his information selectively with one or another of his opponents should he alone possess complete information at the outset. (shrink)

ABSTRACT Does the fact that deception is widely practised – even though there is a general prohibition against deception – provide insight into the ethics of deceptive methods in research, especially for social‐behavioral research? I answer in the affirmative. The ubiquity of deception argument, as I will call it, points to the need for a concrete and nuanced understanding of the variety of deceptive practices, and thus promises an alternative route of analysis for why some deception may be permissible in (...) social‐behavioral research. As an alternative argument it also promises to break the stalemate that emerges in debates on the ethics of deceptive methods in social‐behavioral research. In the current paper I (1) motivate and articulate the ubiquity argument in order to clarify the significance of ubiquity and discharge some initial objections. Then, on the recommendations of the ubiquity argument, I (2) highlight the importance of interpersonal relationships for understanding the ethics of deception. Following this insight I (3) provide an analysis of several features of the researcher‐participant relationship relevant to the understanding of the ethics of deception in research. I then (4) conclude the argument with some recommendations for the ethical use of deceptive methods in social‐behavioral research. (shrink)