Common Sense

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Common Sense: A Shapely Poem by Bossypants

This little planet is all we have. We should take care of it.

Every day, you have a chance to choose gratitude and kindness.

Violence is a byproduct of anger, laziness, and lack of imagination.

This one little life is all you’ve got, buddy. You are mortal. You will die.

We need to pay taxes and give generously. There’s no need to be greedy pigs.

We are here, individually, for a very short time. There’s not much point in hoarding.

Everyone needs food, shelter, companionship, meaningful work, and time for recreation.

We should not allow people to get rich by destroying the planet or making others sick.

We should not worship rich people. In fact, we should not worship people at all.

We do not need the rich to get richer. It does not make them better people.

We should not shame poor people. In fact, shame is quite destructive.

We should curb our appetite for energy, and support renewables.

We should eat fewer bananas if we live in cold climates.

It is okay to be confused. It is not okay to be cruel.

 

 

 

 

 

 

 

 

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Fake News: Moral Incontinence

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As a psychologist interested in ethics, Dr. Bossypants spends many hours contemplating the human condition. Lately, she’s been fascinated with the facile ascent of fake news and the apparent gullibility and complicity of humans in this phenomenon. Here is the first of perhaps many speculations.

From time immemorial, humans have needed each other to survive. Even rugged individualists and extreme preppers benefit from the collective creativity of the human species. And generally, we don’t want to hang out with just any old Jane Doe or Joe Blow. We seek people who more or less value and agree with us. Usually, outliers start suspecting there’s something wrong with them, and soon enough, there will be. Completely isolated people suffer, and most break down over time.

Within the context of community, humans have a lot of other needs. For example, there are needs for power and control, prestige, order, safety, excitement, love, nourishment, offspring, humor, and attention. There are needs to contribute positively to society, and needs to protect yourself and those you love. This is not an exhaustive list. Some argue that these needs can all be traced back to the urge nature imbedded in us to propagate our genes. Maybe. But like many of our basic animal urges, we must refine, redirect, balance, and sometimes overcome these urges with consciousness, compassion, courage, reason, and love. Nature has no problem with animals dropping their pants and pooping wherever and whenever this natural and necessary need strikes, but I’m a big fan of outhouses and collective expressions of self-control in this domain. The taming of fire as an evolutionary step forward is rivaled in importance by the invention of the diaper. Indoor plumbing came much later, but again, an impressive leap for humankind.

Fake news is tempting for many reasons. As we’ve noted, humans like to feel like they belong. They hang with their homies, even in the face of evidence that their homies might be bad dudes. And humans greatly enjoy being right. Most parents have noticed that the shorter, less mature among us will argue well past the point of absurdity to hold on to a false belief that benefits them. For instance, the possibility of global warming is quite inconvenient. Therefore, the easy route is to simply deny it.

Fake news is generated for financial and political reasons. Fake news is certainly not our best attempt to explain the world or keep ourselves informed. Mature, moral humans can distinguish between fact and propaganda, between rumors and explanations. We have the means and the abilities, but we often lack the will.

So here’s one possible conclusion Dr. Bossypants endorses: Fake news is successful because of moral incontinence. Yes–giving into the temptation to cut corners and indulge in what Freud might have called leakage of the Id.

Aristotle believed humans were prone to moral incontinence when it came to money or self-aggrandizing. And of course, anger. Think about it: When you let yourself get crazy angry, you might say or do things you aren’t proud of later. Similarly, when we let ourselves want to be right at all costs, we gobble up bot-driven absurdities to bolster our beliefs. Sadly, the more frequently and loudly lies are repeated, the more likely they are to be believed. It’s Groupthink on steroids. Generating, promoting, and sharing highly suspicious “facts” in order to reassure our inward little self, be popular, or sell ads is the equivalent of taking a moral dump in a crowded room.

Diaper-up, people. These compelling human needs (to belong, be right, be rich, etc.) set us up for trouble when paired with immaturity and laziness. Sure, it’s thrilling to contribute to massive conspiracy theories. It’s easier to believe than check the facts. It’s also easier to fear, cheer, and jeer than reason, research, and admit being wrong. But easier isn’t better. In fact, sometimes it’s a public health hazard, and pretty much always, it stinks. Of course, there will be people willing to tell you it doesn’t, but trust me on this one folks, it reeks.

 

Ego and other possibilities

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The term “ego” is an ancient one, with Latin roots. It simply means “I” or “Self.” Its first known use in English was in the late 1700s. Psychologists love to argue about whether there actually is an “I” in the sense of predictable personality traits, or whether at any given time, our behaviors and moods are the result of ingesting food, drugs, and alcohol, exercise, responding to the expectations of others, the amount of sunlight in a given day, how much love we’ve soaked in, the amount of sleep we’ve managed to get, and maybe the cosmic forces at work on us.

Of course, a related meaning of ego has to do with our personal valuation of this “I” that may or may not define us. Sometimes, we are more certain of ourselves, our internal integrity, our worth, and our motivations than other times. And of course, for reasons still being debated, some of us vastly, vastly, vastly over-estimate our worth to the world and believe we are entitled to unlimited resources and praise. Why are some people far too humble and others sickeningly prideful?

Though Dr. Bossypants is not Buddhist, she believes Buddhists possess significant wisdom. As she understands it, the Buddhists believe that this “ego” or sense of separate individuality gets in our way of recognizing how artificial the boundaries between apparent “individuals” are. If we had less attachment to ego, we could more clearly see the unity, the connection, the oneness of all the pieces and parts of ourselves and our fellow beings, our earth, our galaxy, and even the time-space continuum.

It is indeed jarring to consider ourselves as one with all living beings, because this would include our current leadership, those aspiring to leadership, our alcoholic uncle, and even terrorists who blow themselves and others to smithereens. Most of us consider it creepy or stupid to seek even a tiny corner of common ground with these fellow human beings who act so abhorrently.

At this juncture, Dr. Bossypants must confess she is about to make claims that can’t be fully substantiated. But as far as it can be studied, it does not appear that the infliction of pain, hatred, deprivation, or even death is effective in changing human behavior for the better. Oh yes, we can change human behavior with such actions, but the change is, at best, temporary compliance, with enhanced motivation for later revenge.

It requires intelligence, tenacity, self-control, creativity, and great strength of character to find common ground with people we refer to as evil. These same attributes, plus wisely-used resources, are necessary to contain, reroute, and/or defeat the spread of destructive behavior. Research suggests that violence begets violence. Dr. Bossypants readily admits that this totally sucks because revenge feels good whereas the application of containment and compassion are tedious, slow, and even dangerous (in the short run).

But the real, long-term dangers are far worse: Ever-deadlier weapons, shriveled empathy, us/them dehumanizing rationalizations, bigger prisons, less education, hungry, abused, or unwanted children, and the increasingly shrill declarations of US FIRST. It just doesn’t work that way, dear readers. The ways we treat each other—including every single “other”—are the building blocks of the future. Just as violence will engender more violence, ultimately, kindness will bring forth more kindness. Humans appear to be uniquely able to make corrective choices. Dr. Bossypants is rooting for us all. With courage, we can choose some better paths.

Ethical Commandments

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Fans of Dr. Bossypants may remember that she blogged about ethics for a while before turning to trauma. Clever of her, because she firmly believes the infliction of trauma on others is unethical, so all her blogs are still relevant! And faithful readers also know she believes that trauma damages babies, children, and all people severely. Such damage may result in these same people then inflicting trauma on others later in life, perhaps not even realizing it as such. It is a vicious, potentially deadly cycle.

Philosopher Bernard Gert (1934-2011) created a list of ten moral commandments. Here they are:

  1. Do not kill other human beings.
  2. Do not cause unnecessary pain (this lets surgeons and dentists off the ethical hook).
  3. Do not disable another human being.
  4. Do not deprive another human being of freedom.
  5. Do not deprive another human being of pleasure.
  6. Do not deceive others.
  7. Keep your promises to others.
  8. Do not cheat.
  9. Obey the law.
  10. Do your duties—those required by social relationships, your job, your commitments, and so on.

Gert realized that there may be times when you are certain the deeply moral thing to do is to break one of the commandments. If so, he believed that you should only break it if you’d be willing to allow everyone else, in all times and in all places, to break the same commandment in the same situation.

It seems obvious that killing, hurting, disabling, or depriving people of freedom or pleasure causes some level of trauma in the hurt, disabled or deprived one. Being lied to and cheated isn’t much fun, and in some situations, can also be traumatic. And of course, at the social level, our culture would fall apart if everyone broke the law all the time, and/or failed to do their personal and civic duties. We’d have a broken culture.

But beyond this set of rather obvious conclusions, Dr. B would like readers to ponder another set of costs. We can easily see the cost of such actions on those acted against, or on society at large. But what are the costs of crossing those lines to the actor? The cost of breaking those profoundly basic moral edicts? The killer, the torturer, the liar, the cheat, the dictator–why are they willing or able to cross those lines, and what does it do to their psychological condition?

Dr. B believes in the long run, the actor is diminished in the process of acting unethically. But it is, perhaps, a habit-forming brutal cycle with enough shallow rewards to keep the unethical actor repeating the harmful actions.

Is there a way for society to help cheaters, liars, law-breakers, or brutal people to see the costs to themselves? Is there a way to peel back the “rewards” and help humans see that ill-gotten gains are ultimately malignant? Or could we at least stop tolerating or admiring such actions? Probably not, but Dr. Bossypants is going on record, with the wise Bernard Gert, as saying that killing, hurting, disabling, depriving, lying, cheating, breaking the law, and failing to do your basic duties—these are all unethical, psychological corrosive actions harming the victims, our community, and most likely harming the perpetrators as well.

Thank you for any thoughts you may wish to post. Also, someday soon, Dr. Bossypants promises to write something upbeat. And because of Number 7 above, you can bank on it.

More thoughts on trauma

045 (2)In our continued considerations of trauma and the costs of trauma to human development and functioning, Dr. Bossypants came across a horrifyingly illustrative example, recently published in the New Yorker. http://www.newyorker.com/magazine/2017/04/03/the-trauma-of-facing-deportation. It has to do with childhood trauma and the extreme physical and psychological costs of such trauma. It also demonstrates the role culture plays how pain and terror are expressed.

The mind is a most amazing expression of life. Dr. Bossypants uses the term “mind” rather than “brain” because some consider the brain a seething mass of neurons, electrical impulses, neurotransmitters, and gray matter—a complex but eventually unravel-able mystery—whereas in Dr. Bossypants’s lexicon, the mind encompasses consciousness and something beyond the sum of the parts of the brain. The mind goes beyond nurture or nature, biology, rewards, or punishments. Victor Frankl said, “Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.” Dr. Bossypants might add, “In our response lies our survival.” Regardless of your own leanings, dear reader, at present what we know is that this mind/brain organ adapts, acts, and reacts. It learns and then makes changes accordingly. For the most part, it seeks to survive, but as in the article noted above, sometimes, it assess the hopelessness of a situation and begins to shut down.

The question Dr. Bossypants wants to raise is this: Why do humans hurt each other? Some argue that males hurt each other to show dominance and thus attract mating partners. Dr. Bossypants hastens to note that there is ample evidence this is not necessarily the case.

Is it fear that causes us to hurt each other? Deep down inside, are we so afraid of being hurt that we hurt others so they can’t hurt us? Or is it fear of deprivation, leading us to hurt others for the sake of accumulation, which then becomes greed?

Or expediency? The threat of pain, or pain itself, changes behavior temporarily, but it has a lot of psychological collateral damage. When big people hurt little people, or crowds of people hurt one person, we usually call that bullying. And we generally don’t approve. We’ve come to realize that such bullying causes a lot of damage to the one bullied.

Is it pleasure that causes us to hurt each other? Sadism exists; those who are sadistic enjoy causing pain. How did that twist come to be in that psyche? It doesn’t seem very adaptive, or loving, or helpful…could it have manifested due to early childhood trauma? Could it lie quietly in our cultural narrative, increasingly brought to the surface by media and war? Does it somehow come back to fear?

The sad truth is that Dr. Bossypants does not know the answer to this basic question, and believes that perhaps, no one else does either. In fact, there may be a multiplicity of answers. What is known is that inflicting pain on others, either bodily or psychologically, ultimately does not pay off very well. In the short run, bullies might get the lunch money, but in the long run, Dr. Bossypants suspects that the lunch money will not make the bully happy, and such actions cost the community and the victims a great deal more than the lunch money.

What Dr. Bossypants does know is that humans have choices. We can evolve beyond hurting each other, whether on the playground, the street corner, or the battlefield. Nonviolence takes great courage and extraordinary intelligence. It takes self-restraint and self-sacrifice. It is noble and rare. It begins at home, in the refusal to hurt each other. Potentially, it can extend to a global way of being. Yes, Dr. Bossypants may be guilty of extreme optimism, but no, she hasn’t been smoking anything. And frankly, dear readers, nonviolence will turn out to be a far better choice than the annihilation of our species.

Bossiness on Healthcare

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A roving reporter chanced upon Dr. Bossypants and did a quick interview for our edification.

Q:        For our listening audience, could you tell us by what authority does Dr. Bossypants issue her edicts?

A:       Yes. Here is an abbreviated list:

  • Some people like her.
  • She has a two masters degrees and a doctorate from an accredited institution of higher learning.
  • She was a professor for 24 years, and had the good sense to retire in a timely way.
  • She’s stayed alive and in shape for many decades, produced lovely children, marrying only twice, with the second attempt lasting over thirty years and counting.
  • She has faced a deadly disease.
  • She grows a fine garden and eats healthy food.
  • She thinks she knows what’s best, but she tries to be reasonable.
  • And, as mentioned above, some people like her.

Q:        What does Dr. Bossypants have for us to consider today?

A:        The topic for today, dear readers, is greed, government, and healthcare.

Q:        Well then, hmmm. What does Dr. Bossypants have to say about these important topics?

A:        Listen up, people. Dr. Bossypants has been a keen observer of human nature for many years. Humans are greedy. We don’t have to be, but most of us are. And corporations (posing as people, or not) are greedier. We all need some limits.

If you think, for one minute, that medical insurance companies have the health of those they cover at heart, you’re a fool. Admittedly, government is a clumsy expression of the common good. It functions only insofar as those comprising the “common” take responsibility and stay involved. Yes, Medicaid and Medicare are fraught with fraud and tomfoolery. All human institutions suffer from such. But the profit-motive in healthcare needs to be removed or minimized.

And yes, as humans, we will err. It’s better to err on the side of the collective good than on the side of making the rich richer. Eventually, things get top-heavy and dynasties topple. Dr. Bossypants hastens to assure everyone that toppling is something to avoid. Middle-class is a good, good thing. Trust us on this, dear reader.

Q:        So Dr. Bossypants thinks a single-payer medical system is the way to go?

A:        Basically, yes. Dr. Bossypants is not an economist, but she suspects in the long run, Medicare for all will cost less in taxes than random and inadequate emergency care provided to the poor and uninsured.

It is to a society’s advantage to attend to the health of its citizens. Healthy people are smarter people. They work more. They take better care of their offspring. They are happier. Of course, there are limits to what should be provided, but we can figure that out.

Q:        Where would Dr. Bossypants draw that line?

A:        Cosmetic surgeries that are for appearance only. People need to pay for their own hair implants or facelifts. Also, we need to pull back from excessive medical testing, when whatever the results are, we can’t fix it anyway. These are a couple that come to mind. Dr. Bossypants has a tiny modicum of faith in the collective wisdom of ethically-minded professionals who can develop these difficult guidelines. But the basics of health care should be provided collectively, by all of us, paying taxes. Period. First things first.

Q:        What are “first things,” Dr. B?

A:        Full availability of primary care, nutritional education, preventative care, emergency services, life-saving surgeries and treatments, every possible form of birth control, sex education, (K through graduate school), abortion for those who do not wish to bear a child, fantastic prenatal and postnatal care for all who do wish to bear a child, basic dental care, basic mental health care, and support and education for those who choose to smoke or are obese, to name a few. But I would defer to the collective wisdom of an appointed team—a team absolutely and completely stripped of any chance to benefit monetarily from the decisions the team needs to make.

Q:        My, you’re judgmental and a bit nasty.

A:        Indeed. And hopelessly optimistic. We can do this, people. We can. We do it fairly well for soldiers and those imprisoned, and my yes, for those in congress. We CAN do it for the rest of us.

Cue, here, the maniacal laughter necessary for such situations.

 

Ethics. Bioethics. Health Care. Oh My.

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Being human, we’re accustomed to eating contradictions for breakfast. Even if we eat little else. We intend to behave quite a bit better than we usually do, and we squabble over what it means to be moral, or to live a good, fulfilling, worthy life.

Even if we agree on a moral rule, or make a law, we might observe the rule or obey the law for radically different reasons, or break the law for reasons we believe to be moral. Yes, indeed, dear readers. Dr. Bossypants knows it’s difficult to sort this all out, even though she has tried mightily to blog about morality and ethics in a most intriguing and approachable manner. Now, we have one more lens through which we might view moral decision-making, and then a bit of a summary, so those of you determined to put these ethical thoughts into ethical actions might do so. Right away. Please.

In the late 1970s, bioethics became a recognized specialty as hospitals and healthcare providers grappled with ethical decision-making in the increasingly contentious, conflicted, expensive world of healthcare.

Tom Beauchamp and James Childress identified four  guiding principles in the first edition of their influential book Principles of Biomedical Ethics:

  • Autonomy (Human beings should have authority over decisions affecting their health and well-being.)
  • Beneficence (Decisions should be made on the basis of doing good and being of help to others.)
  • Nonmaleficence (People should strive to do no unjustified harm.)
  • Justice (All people should be treated equally and benefits and burdens should be distributed fairly.)

Principles don’t offer concrete answers, but provide a framework to begin the hard work of ethical decision-making in the face of competing needs and limited resources.

Robert Bellah said “Cultures are dramatic conversations about things that matter to their participants.”

Listen, dear readers. Right now, we are engaged in a monumental conversation in our culture. We’re talking health care. Is it a basic human right? If so, how much health care should we make available in a world of apparently limited resources? Who should profit in the provision of health care, and how much profit is justified? Who should pay, and how should that duty be distributed?

Should we provide abortions to those who do not wish to be pregnant? Should we provide viagra to those who wish to have a pharmaceutically-assisted erection? Should we provide a means by which someone suffering, or near death, could choose to die with medical assistance? Oh, the inflammatory and politically-loaded questions just go on and on. They require deep thought. They require wisdom. These matters are seething with ethical quandaries.

Kant reminds us we should never treat people as a means to an end, nor deny anyone rights we would wish for ourselves.

John Stuart Mill reminds us we should choose paths, practices, and laws that insure the greatest possible good (health) for the greatest number.

Aristotle urges us to find the golden mean, the balancing point between excesses. And to be generous, courageous, and prudent.

Feminists remind us of the huge, destructive problems that arise when power is used to abuse others, to deny basic rights, and to enrich the already-rich.

Those who practice relationship-inclusive ethics remind us that we must always consider the direct impact of our actions–and our goal should be to take the most compassionate action possible.

The bioethicists offer us principles to consider, though admittedly these principles might actually conflict with each other sometimes.

We do not live in a perfect world. It is our job to make it better, not to give up in anger or despair. The ability to reason, converse, and find common ground is a human attribute we should treasure. Courage, dear ones. Be good people.