Decision-making: What science tells us about approaching. ethical dilemmas October Lissa Power-deFur Ph.D., CCC-SLP Longwood University

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1 2 DISCLOSURES Decision-making: What science tells us about approaching Financial ethical dilemmas October 2018 Lissa Power-deFur Ph.D., CCC-SLP Longwood University Lissa is receiving an honorarium from ArkSHA for this presentation Lissa is an employee of Longwood University Nonfinancial Lissa teaches Ethics and Professional Issues at Longwood University Lissa served as a Director in Special Education and Student Services at the Va. Dept. of Education 3 LEARNING OBJECTIVES Participants will 4 Explain the science of decision-making Identify the influence of biases, willful blindness and group think on responding to ethical dilemmas Identify strategies for mitigating the negative influences on decision-making when approaching ethical dilemmas A STORY FROM HISTORY

5 CHALLENGES TO RESOLVING ETHICAL DILEMMAS 6 1. Limited cognitive capacity 2. Personal predispositions and preferences 3. Dunning-Kruger effect 4. Comfortable being comfortable 5. Homogeneity in our lives How do we decide the importance of an issue? From the work of Daniel Kahneman (Nobel Prize in Economics for pioneering work in decision-making) 7 Influence of Bias and Intuitive Thinking: Two Systems in our Minds 8 SYSTEM 1 SYSTEM 2 SYSTEM 1 Operates automatically and quickly Little or no effort No sense of voluntary control SYSTEM 2 Allocated attention to effort mental activities Associated with choice and concentration Sound location Automatic speech Detect emotions Automatic math and reading Driving on empty road Understand simple speech Associations between ideas Source for beliefs and choices of System 2 Focus attention on action Attend to speech in noise Search memory for information Complete physical activity that isn t natural Compare items for value Complete your tax forms Check the validity of a position Requires attention and are disrupted when attention is diverted

1st Task: Go down both columns, calling out whether each word in printed in lower or upper case. 2 ND Task: Repeat and say whether each word is printed to the left or right of center. 9 10 Humans tend to be overconfident LEFT Right RIGHT LEFT Left RIGHT left right upper lower upper UPPER LOWER lower LOWER upper When System I is involved, we tend to draw conclusion and then look for the arguments that support it. It is easier to stop thinking than to continue to explore information. 11 12 If primed to find flaws you will This is your system 1 talking. Slow down and let your system 2 take control. Daniel Kahneman For our best abilities especially under stress the two systems must work together.

13 DECISION-MAKING NEEDS TO BECOME AUTOMATIC WILLFUL BLINDNESS 14 15 You are responsible if you could have known, and should have known something that instead you strove not to see. 16 Photo: content.time.com

Homogeneity 17 18 Photo: glitter-graphics.com Comfortable being comfortable 19 20 Too often we... Enjoy the comfort of opinion without the discomfort of thought. JOHN F. KENNEDY Photo: business2businesscommunity.com

Personal Predispositions and Prejudices 21 22 Too many people have ful opinions, with half the facts. TONY GASKINS, JR. Photo: answers.com 23 WYSIATI* explains 24 Why we assume limited info is all there is to know high level of confidence (by ignoring what isn t known) Failure to allow for possibility that evidence is missing How we frame information (90% fat free vs. 10% fat) Our ability to ignore our own ignorance * What You See is All There Is Dunning-Kruger Effect Cognitive bias in which people of low ability have illusory superiority and mistakenly assess their cognitive ability as greater than it is SLPs without training in dysphagia services felt more confident than those who did have training (O Donoghue and Dean-Claytor, 2008)

A common bias: the halo effect 25 We have a tendency to like (or dislike) everything about a person We are inclined to view all qualities of a person based on our judgement of one attribute POTENTIAL SOURCES OF BIAS 26 Salient events that are easily retrieved from memory Repetition has strong influence Dramatic event (floods, crashes, terrorism) Personal experiences Our tendency to overestimate our own effort 27 System 1 s influence on decision-making 28 Any time our left brain is confronted with in formation that does not jibe with our self-image, Exaggerates consistency (halo knowledge, or conceptual framework, our lefthemisphere effect) interpreter creates a belief to enable all in coming information tomake sense and mesh with our ongoing idea of ourself. Generates impressions, feeling and inclinations Operates automatically and quickly, without voluntary control Infers and invents causes and intentions Neglects ambiguity and suppresses doubt Is biased to believe and confirm Focuses on existing evidence and ignores absent evidence (WYSIATI) Generates limited set of assessments Frames decision making narrowly, isolating information Michael Gazzaniga, 2005

Tendency toward group think and the failure to speak truth to power 29 30 Madness is the exception in individuals but the rule in groups. NIETZCHE Photo: personal.psu.edu Limited Cognitive Capacity 31 People easily believe falsehoods 32 Through frequent repetition, as the information becomes familiar Familiar information is not easily distinguished from truth Photo: lifehacker.com

33 Cognitive strain is affected by the level of effort and presence of unmet demands HOWEVER 34 Being in a good mood promotes cognitive ease. Cognitive strain is induced by listening when in a bad mood, in difficult situations, to complicated information, or to a presentation that is hard to read When in a good mood we tend to be more intuitive and creative But less vigilant and prone to logical errors When in a bad mood we revert to a sense of threat Vigilance is often increased 35 The human brain is built in a way that ensures our past memories are faulty. Michael Gazzaniga 36 Intense focus on a task can make people blind (the invisible gorilla) Blind to the obvious Blind to our blindness

37 38 You can do several things at once, but only if they are easy and undemanding. Humans tend to make judgments and decision by emotion, trivial details, inadequate sensitivity to factual information Daniel Kahneman Do I like it? Hate it? How strongly do I feel about it? The emotional tail wags the rational dog (Jonathon Haidt, as quoted by Daniel Kahneman) 39 WHEN WE ARE COGNITIVELY BUSY WE ARE MORE LIKELY TO Make selfish choices Use sexist (and other inappropriate) language Make superficial judgements Same effect comes from Lack of sleep Few drinks Fatigue Hunger Anxiety 40 Improving our Decision-Making Recognize the homogeneity of our lives Put more effort into heterogeneity. Avoid groupthink by encouraging questions, dissent, minority opinions. Realize that silence can be dangerous.

Have confidence that uncertainty 41 42 facilitates independent judgment. Seek opinions of a person who does not know the Don t rush to make a decision answer but will think it through with you Learn from the past Use organizations and systems Don t let your desire to be entertained cripple your need to be informed 43 Be comfortable changing your position. 44 Remember that essential issues are not Be wary if there is only one available option. resolved quickly. Understand the limits of our cognitive capacity. Develop the courage to intervene when worried about what you see. Minimize reliance on technology for communication.

45 Using our Two Systems: Intuition? The situation has provided a cue; this cue has given the expert access to information stores in memory, and the information provides the answer. 46 As all wisdom does, seeing starts with simple questions: what could I know, should I know, that I don t know? Just what am I missing here? (Hefferman, 2012) Herbert Simon, referred to chess masters, as quoted by Daniel Kahneman 47 REFERENCES Gazzaniga, M. S. (2005). The ethical brain. NY: The Dana Foundation. Hefferman, M. (2011). Willful blindness: why we ignore the obvious at our peril. London: Walker Books. Kahneman, D. (2011). Thinking, fast and slow. NY: Farrar, Straus and Girous.