Decision-making in everyday moral conflict situations: Development and validation of a new measure.
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ABSTRACT:
SUBMITTER: Singer N
PROVIDER: S-EPMC6443167 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
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Project description:BackgroundThis study explores the role of pleasure in decision making.ResultsIn Experiment 1, 12 subjects were presented with a questionnaire containing 46 items taken from the literature. Twenty-three items described a situation where a decision should be made and ended with a suggested solution. The other items served as filler items. The subjects were requested not to make a decision but to rate the pleasure or displeasure they experienced when reading the situation described in the item. The subjects' ratings were then compared to the decisions on the same situations made by the other subjects of the studies published by other workers. The ratings of pleasure/displeasure given by our subjects correlated significantly with the choices published by other authors. This result satisfies a necessary condition for pleasure to be the key of the decision making process in theoretical situations. In Experiment 2, a new group of 12 subjects rated their experience of pleasure/displeasure when reading various versions of 50 situations taken from daily life where an ethical decision had to be made (Questionnaire I) including 200 items. This was followed by a multiple-choice test with the 50 situations (Questionnaire II) using the same 200 items and offering the various behaviors. Subjects tended to choose ethical and unethical responses corresponding to their highest pleasure rating within each problem. In all cases the subjects' behavior was higher than chance level, and thus, followed the trend to maximize pleasure. In Experiment 3, 12 subjects reading 50 mathematical short problems followed by correct and incorrect versions of the answer to the problem (Questionnaire III), including 200 items. This was followed by a multiple-choice mathematical test with the 50 problems (Questionnaire IV) using the same 200 items and offering the correct and incorrect answers. In questionnaire IV, subjects tended to choose correct as well as incorrect responses corresponding to their highest hedonic rating within each problem. In all cases the subjects' behavior was higher than chance level, and thus, followed the trend to maximize pleasure.ConclusionsThe results of the three experiments support the hypothesis according to which decisions are made in the hedonic dimension of conscious experience.
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Project description:The literature has been relatively silent about post-conflict processes. However, understanding the way humans deal with post-conflict situations is a challenge in our societies. With this in mind, we focus the present study on the rationality of cooperative decision making after an intergroup conflict, i.e., the extent to which groups take advantage of post-conflict situations to obtain benefits from collaborating with the other group involved in the conflict. Based on dual-process theories of thinking and affect heuristic, we propose that intergroup conflict hinders the rationality of cooperative decision making. We also hypothesize that this rationality improves when groups are involved in an in-group deliberative discussion. Results of a laboratory experiment support the idea that intergroup conflict -associated with indicators of the activation of negative feelings (negative affect state and heart rate)- has a negative effect on the aforementioned rationality over time and on both group and individual decision making. Although intergroup conflict leads to sub-optimal decision making, rationality improves when groups and individuals subjected to intergroup conflict make decisions after an in-group deliberative discussion. Additionally, the increased rationality of the group decision making after the deliberative discussion is transferred to subsequent individual decision making.
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Project description:While extensive research has been conducted on adults' judgments in moral sacrificial dilemmas, there is little research on adolescents. The present study aimed at: (1) adding further empirical evidence about adolescents' moral decisions (deontological vs. utilitarian) in sacrificial moral dilemmas and (2) investigating how these moral decisions relate with gender, school grade, emotional traits (callous-unemotional traits), context-related experiences (perceived parental rejection and community violence exposure), and moral-related factors (moral disengagement and universalism value). A sample of 755 Italian adolescents (54.7% females; Mean age=16.45, SD=1.61) attending the second and the fifth year of secondary school took part in the study. Two sacrificial trolley-type dilemmas (where harmful actions promote the greater good) were presented. In the "switch" scenario (impersonal sacrificial dilemma), the choice is whether to hit a switch to save five people killing only one person. In the "footbridge" scenario (personal sacrificial dilemma), the choice is whether to push a large man off a footbridge saving five persons. For each scenario, participants had to indicate whether the proposed action was "morally acceptable" or not. Data were analyzed performing generalized linear mixed models. Our results showed that: (1) Adolescents were more likely to indicate as admissible to hit the switch rather than to push the large man; (2) male adolescents, compared to females, were more likely to say it was morally acceptable to intervene in the footbridge dilemma, whereas younger adolescents said it was morally acceptable both in the switch and the footbridge situations; and (3) higher levels of callous-unemotional traits, perceived parental rejection, and moral disengagement, on the one hand, and lower levels of universalism, on the other hand, were associated to higher admissibility to intervene in the footbridge scenario. Higher community violence exposure was associated with a lower propensity to intervene in the switch scenario. Overall, the present study expands the research on sacrificial dilemmas involving a sample of adolescents. The findings support previous studies concerning the role of emotions in making moral decisions but, at the same, open new perspectives regarding the role of contextual experiences and moral-related factors.
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Project description:Moral distress is common among critical care physicians and can impact negatively healthcare individuals and institutions. Better understanding inter-individual variability in moral distress is needed to inform future wellness interventions.ObjectivesTo explore when and how critical care physicians experience moral distress in the workplace and its consequences, how physicians' professional interactions with colleagues affected their perceived level of moral distress, and in which circumstances professional rewards were experienced and mitigated moral distress.DesignInterview-based qualitative study using inductive thematic analysis.Setting and participantsTwenty critical care physicians practicing in Canadian ICUs who expressed interest in participating in a semi-structured interview after completion of a national, cross-sectional survey of moral distress in ICU physicians.ResultsStudy participants described different ways to perceive and resolve morally challenging clinical situations, which were grouped into four clinical moral orientations: virtuous, resigned, deferring, and empathic. Moral orientations resulted from unique combinations of strength of personal moral beliefs and perceived power over moral clinical decision-making, which led to different rationales for moral decision-making. Study findings illustrate how sociocultural, legal, and clinical contexts influenced individual physicians' moral orientation and how moral orientation altered perceived moral distress and moral satisfaction. The degree of dissonance between individual moral orientations within care team determined, in part, the quantity of "negative judgments" and/or "social support" that physicians obtained from their colleagues. The levels of moral distress, moral satisfaction, social judgment, and social support ultimately affected the type and severity of the negative consequences experienced by ICU physicians.Conclusions and relevanceAn expanded understanding of moral orientations provides an additional tool to address the problem of moral distress in the critical care setting. Diversity in moral orientations may explain, in part, the variability in moral distress levels among clinicians and likely contributes to interpersonal conflicts in the ICU setting. Additional investigations on different moral orientations in various clinical environments are much needed to inform the design of effective systemic and institutional interventions that address healthcare professionals' moral distress and mitigate its negative consequences.
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