In this paper we aim to think systematically about, formulate, and begin addressing some of the challenges to applying theories of moral responsibility to behaviors shaped by a particular subset of unsettling psychological complexities: namely, implicit biases.

This chapter begins by sketching an account of morally responsible agency and the general conditions under which it may fail. We discuss how far individuals with psychiatric diagnoses may be exempt from morally responsible agency in the way that infants are, with examples drawn from a sample of diagnoses intended to make dierent issues salient. We further discuss a recent proposal that clinicians may hold patients responsible without blaming them for their acts. We also consider cognitively impaired subjects in the (...) light of related issues in moral and political theory, asking whether they have been unjustly excluded from liberal conceptions of political community due to their presumed lack of agency. (shrink)

It is now taken for granted in many circles that substantial psychological variability exists across human populations; we do not merely differ in the ways we behave, but in the ways we think, as well. Versions of this view have been around since early interest in ‘cultural relativism’ in cultural psychology and anthropology, but Joe Henrich, Steven Heine, and Ara Norenzayan’s 2010 paper, ‘The Weirdest People in the World?’ has had an exciting and catalyzing impact on the field, getting researchers (...) involved in discussions of human nature to take cross-cultural cognitive diversity seriously. Reviewing a broad selection of comparative studies from across the behavioral sciences, in social psychology, cognitive... (shrink)

According to theoretical work on epistemic injustice, baseless discrediting of the knowledge of people with marginalized social identities is a central driver of prejudice and discrimination. Discrediting of knowledge may sometimes be subtle, but it is pernicious, inducing chronic stress and coping strategies such as emotional avoidance. In this research, we sought to deepen the understanding of epistemic injustice’s impact by examining emotional responses to being discredited and assessing if marginalized social group membership predicts these responses. We conducted a novel (...) series of three experiments (Total N = 1690) in which participants (1) shared their factual knowledge about how a game worked or their personal feelings about the game; (2) received discrediting feedback (invalidating remarks), validating feedback (affirming remarks), or insulting feedback (general negative social evaluation); and then (3) reported their affect. In all three studies, on average, affective responses to discrediting feedback were less negative than to insulting feedback, and more negative than to validating feedback. Participants who shared their knowledge reported more negative affect after discrediting feedback than participants who shared their feelings. There were consistent individual differences, including a twice-replicated finding of reduced negative affect after receiving discrediting and insulting feedback for Black men compared to White men and women and Black women. Black men’s race-based traumatic symptom scores predicted their affective responses to discrediting and insulting feedback, suggesting that experience with discrimination contributed to the emotional processing of a key aspect of epistemic injustice: remarks conveying baseless discrediting of knowledge. (shrink)

This article takes the following two assumptions for granted: first, that gifts influence physicians and, second, that the influences gifts have on physicians may be harmful for patients. These assumptions are common in the applied ethics literature, and they prompt an obvious practical question, namely, what is the best way to mitigate the negative effects? We examine the negative effects of gift giving in depth, considering how the influence occurs, and we assert that the ethical debate surrounding gift-giving practices must (...) be reoriented. Our main claim is that the failure of recent policies addressing gift giving can be traced to a misunderstanding of what psychological mechanisms are most likely to underpin physicians’ biased behavior as a result of interaction with the medical industry. The problem with gift giving is largely not a matter of malicious or consciously self-interested behavior, but of well-intentioned actions on the part of physicians that are nonetheless perniciously infected by the presence of the medical industry. Substantiating this claim will involve elaboration on two points. First, we will retrace the history of policies regarding gift giving between the medical profession and the medical industry and highlight how most policies assume a rationalistic view of moral agency. Reliance on this view of agency is best illustrated by past attempts to address gift giving in terms of conflicts of interest. Second, we will introduce and motivate an alternate view of moral agency emerging from recent literature in social psychology on implicit social cognition. We will show that proper consideration of implicit social cognition paints a picture of human psychology at odds with the rationalistic model assumed in discussions of COIs. With these two pieces on the table we will be able to show that, without fully appreciating the social-psychological mechanisms of implicit cognition, policy-makers are likely to overlook significant aspects of how gifts influence doctors. (shrink)

The fast-developing field of neuroscience has given philosophy, as well as other disciplines and the public broadly, many new tools and perspectives for investigating one of our most pressing challenges: addressing the health and well-being of our mental lives. In some cases, neuroscientific innovation has led to clearer understanding of the mechanisms of mental illness and precise new modes of treatment. In other cases, features of neuroscience itself, such as the enticing nature of the data it produces compared to previous (...) behavioral methods, together with its costliness and “coldness” have complicated understanding of mental illness and decision making about mental illness. Taking neuroscientific information into account can leave practitioners in psychiatry and law with difficult questions, stemming not only from the complexity of these fields, but also from our rapidly evolving understanding of and facility with neuroscience. In this chapter, we will review several examples of the insights and dilemmas that have unfolded as mental illness has been examined through the lens of neuroscience, covering diagnoses such as obsessive-compulsive disorder (OCD), schizophrenia, addiction, and severe mood disorders. (shrink)

In many areas of philosophy, it is becoming more and more mainstream to appeal or at least refer to social science research. For example, in moral psychology, the empirically informed approach is well established in the literature on moral judgment, moral emotions, and moral responsibility (Greene, 2013; Nichols, 2004; Prinz, 2007; Kelly, 2011; Doris, 2016; Roskies, 2006; Vargas, 2013). Does work in the social sciences have any bearing on philosophical questions about practical reason or reasoning? While there has been some (...) excellent work that explores this question (e.g., Stein, 1996 ; Bishop and Trout, 2004 ), the growing empirical wave is less noticeable here. But this may not be because empirical research is irrelevant to the philosophical questions in the area. In this chapter, we will consider three questions about practical reason or reasoning that might be illuminated by attention to research in the social sciences. First, we’ll consider whether research on the role of sentiments on moral judgment is relevant to the philosophical debate between moral rationalism and moral sentimentalism. Second, we’ll consider whether research on the unconscious causes of action undermines philosophical views about the relationship between reasons and actions. Third, we’ll consider whether research on implicit bias is relevant to the normative question of how we can reason better. Along the way, we’ll see that when philosophical arguments and theories about practical reason make empirical assumptions – which they often do – empirical research can help to test these assumptions. We’ll also see that philosophical theories don’t always make the assumptions they are accused of making by their critics. Finally, we’ll see that we can make better prescriptions for how to reason better if we have a better sense of what we’re doing wrong. (shrink)

Self-knowledge is a difficult thing. Many have had the experience of knowing that a friend or partner is in a bad mood before she herself realizes it. Similarly, with mental illness it seems that a person may be sick without realizing it, or even while denying it outright. Anosognosia, the lack of awareness that one is mentally ill, is most visible in cases of dementia or brain damage, but recent insights in psychology have shown that healthy human beings too generally (...) lack accurate introspective awareness in matters of our own well-being.1 Getting this right—whether or not someone is flourishing2 psychologically—is crucial in psychiatry, and self-report cannot always be relied upon.At the same time, many have been... (shrink)

I take issue with Kalisch et al.’s formulation of PASTOR, arguing that care must be taken in understanding what is meant by “appraisal.” I examine the implications of PASTOR given two competing possibilities for what counts as an appraisal – first, if appraisal is restricted to conscious reflection on one’s circumstances, and second, if appraisal is expanded to include subconscious mechanisms of evaluation.

We discuss the implications of the Selfish Goal model for moral responsibility, arguing it suggests a form of skepticism we call the “locus problem.” In denying that individuals contain any genuine psychological core of information processing, the Selfish Goal model denies the kind of locus of control intuitively presupposed by ascriptions of responsibility. We briefly consider ways the problem might be overcome.