An fMRI investigation of emotional engagement in moral judgment

Moral decision-making at night and the impact of night work with blue-enriched white light or warm white light: a counterbalanced crossover study

BACKGROUND

Cognitive function, including moral decision-making abilities, can be impaired by sleep loss. Blue-enriched light interventions have been shown to ameliorate cognitive impairment during night work. This study investigated whether the quality of moral decision-making during simulated night work differed for night work in blue-enriched white light, compared to warm white light.

METHODS

Using a counterbalanced crossover design, three consecutive night shifts were performed in blue-enriched white light (7000 K) and warm white light (2500 K) provided by ceiling-mounted LED luminaires (photopic illuminance: ∼200 lx). At 03:30 h on the second shift (i.e. twice) and at daytime (rested), the Defining Issues Test-2, assessing the activation of cognitive schemas depicting different levels of cognitive moral development, was administered. Data from 30 (10 males, average age 23.3 ± 2.9 years) participants were analysed using linear mixed-effects models.

RESULTS

Activation of the post-conventional schema (P-score), that is, the most mature moral level, was significantly lower for night work in warm white light (EMM; estimated marginal mean = 44.3, 95% CI = 38.9-49.6; pholm=.007), but not blue-enriched white light (EMM = 47.5, 95% CI = 42.2-52.8), compared to daytime (EMM = 51.2, 95% CI = 45.9-56.5). Also, the P-score was reduced for night work overall (EMM = 45.9, 95% CI = 41.1-50.8; p=.008), that is, irrespective of light condition, compared to daytime. Neither activation of the maintaining norms schema (MN-score), that is, moderately developed moral level, nor activation of the personal interest schema (i.e. the lowest moral level) differed significantly between light conditions. The MN-score was however increased for night work overall (EMM = 26.8, 95% CI = 23.1-30.5; p=.033) compared to daytime (EMM = 23.1, 95% CI = 18.9-27.2).

CONCLUSION

The results indicate that moral decisions during simulated night work in warm white light, but not blue-enriched white light, become less mature and principle-oriented, and more rule-based compared to daytime, hence blue-enriched white light may function as a moderator. Further studies are needed, and the findings should be tentatively considered.Trial registration: ClinicalTrials.gov (ID: NCT03203538) Registered: 26/06/2017; https://clinicaltrials.gov/study/NCT03203538.

Why moral psychology needs personality psychology

People vary in how they perceive, think about, and respond to moral issues. Clearly, we cannot fully understand the psychology of morality without accounting for individual differences in moral functioning. But decades of neglect of and explicit skepticism toward such individual differences has resulted in a lack of integration between moral psychology and personality psychology-the study of psychological differences between people. In recent years, these barriers to progress have started to break down. This special issue aims to celebrate and further increase the visibility of the personality psychology of morality. Here, we introduce the articles in this special issue by highlighting some important contributions a personality-based perspective has to offer moral psychology-particularly in comparison to the currently prominent social psychological approach. We show that personality psychology is well-placed to (a) contribute toward a rigorous empirical foundation for moral psychology, (b) tackle the conceptualization and assessment of stable moral tendencies, (c) assess the predictive validity of moral traits in relation to consequential outcomes, (d) uncover the mechanisms underlying individual differences in moral judgments and behavior, and (e) provide insights into moral development. For these reasons, we believe that moral psychology needs personality psychology to reach its full scholarly potential.

Development and classification of autonomous vehicle's ambiguous driving scenario

Human drivers are gradually being replaced by highly automated driving systems, and this trend is expected to persist. The response of autonomous vehicles to Ambiguous Driving Scenarios (ADS) is crucial for legal and safety reasons. Our research focuses on establishing a robust framework for developing ADS in autonomous vehicles and classifying them based on AV user perceptions. To achieve this, we conducted extensive literature reviews, in-depth interviews with industry experts, a comprehensive questionnaire survey, and factor analysis. We created 28 diverse ambiguous driving scenarios and examined 548 AV users' perspectives on moral, ethical, legal, utility, and safety aspects. Based on the results, we grouped ADS, with all of them having the highest user perception of safety. We classified these scenarios where autonomous vehicles yield to others as moral, bottleneck scenarios as ethical, cross-over scenarios as legal, and scenarios where vehicles come to a halt as utility-related. Additionally, this study is expected to make a valuable contribution to the field of self-driving cars by presenting new perspectives on policy and algorithm development, aiming to improve the safety and convenience of autonomous driving.

The role of cognitive estimation in understanding the mental states of others

Previous studies have emphasized the critical role of the prefrontal cortex in cognitive estimation and theory of mind, however, none of them has questioned the possible role of cognitive estimation processes in understanding the mental states of others. In this study, we compared 30 patients with focal prefrontal cortex damage and 30 control subjects matched by gender, age, and education level on their performances on a cognitive estimation task and two tasks assessing theory of mind: the "Faux-Pas" task and the Reading the Mind in the Eyes task. The results showed that patients were significantly impaired compared with control subjects on both abilities of cognitive estimation and theory of mind. Moreover, regression analyses showed that performance on theory of mind was predicted by the scores on cognitive estimation. Finally, using voxel-based lesion analysis, we identified a partially common bilaterally distributed prefrontal network involved in both these domains centred within the ventral and dorsomedial areas with extension to the dorsolateral prefrontal cortex.

Oxytocin, but not vasopressin, decreases willingness to harm others by promoting moral emotions of guilt and shame

Prosocial and moral behaviors have overlapping neural systems and can both be affected in a number of psychiatric disorders, although whether they involve similar neurochemical systems is unclear. In the current registered randomized placebo-controlled trial on 180 adult male and female subjects, we investigated the effects of intranasal administration of oxytocin and vasopressin, which play key roles in influencing social behavior, on moral emotion ratings for situations involving harming others and on judgments of moral dilemmas where others are harmed for a greater good. Oxytocin, but not vasopressin, enhanced feelings of guilt and shame for intentional but not accidental harm and reduced endorsement of intentionally harming others to achieve a greater good. Neither peptide influenced arousal ratings for the scenarios. Effects of oxytocin on guilt and shame were strongest in individuals scoring lower on the personal distress subscale of trait empathy. Overall, findings demonstrate for the first time that oxytocin, but not vasopressin, promotes enhanced feelings of guilt and shame and unwillingness to harm others irrespective of the consequences. This may reflect associations between oxytocin and empathy and vasopressin with aggression and suggests that oxytocin may have greater therapeutic potential for disorders with atypical social and moral behavior.

Pulling the lever in a hurry: the influence of impulsivity and sensitivity to reward on moral decision-making under time pressure

BACKGROUND

Making timely moral decisions can save a life. However, literature on how moral decisions are made under time pressure reports conflicting results. Moreover, it is unclear whether and how moral choices under time pressure may be influenced by personality traits like impulsivity and sensitivity to reward and punishment.

METHODS

To address these gaps, in this study we employed a moral dilemma task, manipulating decision time between participants: one group (N = 25) was subjected to time pressure (TP), with 8 s maximum time for response (including the reading time), the other (N = 28) was left free to take all the time to respond (noTP). We measured type of choice (utilitarian vs. non-utilitarian), decision times, self-reported unpleasantness and arousal during decision-making, and participants' impulsivity and BIS-BAS sensitivity.

RESULTS

We found no group effect on the type of choice, suggesting that time pressure per se did not influence moral decisions. However, impulsivity affected the impact of time pressure, in that individuals with higher cognitive instability showed slower response times under no time constraint. In addition, higher sensitivity to reward predicted a higher proportion of utilitarian choices regardless of the time available for decision.

CONCLUSIONS

Results are discussed within the dual-process theory of moral judgement, revealing that the impact of time pressure on moral decision-making might be more complex and multifaceted than expected, potentially interacting with a specific facet of attentional impulsivity.

Cross-cultural differences in prefrontal cortex activity in moral judgment: A functional near-infrared spectroscopy (fNIRS) study based on the CNI model

BACKGROUND

In the past, comparative cultural neurological studies of moral judgments have mainly focused on Eastern and Western groups. We initially examined Japanese and Chinese groups, both East Asian cultures. We utilized a recently proposed polynomial model known as the "consequences, norms, and generalized inaction" (CNI) model to investigate the variations in the overall prefrontal cortex activity between these two groups during moral judgment.

METHODS

We employed functional near-infrared spectroscopy (fNIRS) to analyze the prefrontal cortex (PFC) activity within a CNI model of moral judgment among 23 healthy Japanese and 26 healthy Chinese adults.

RESULTS AND CONCLUSIONS

Our study revealed significant differences in the PFC activation between Japanese and Chinese individuals in the CNI moral judgment task context. Specifically, during the CNI task, Chinese men exhibited higher right dorsolateral prefrontal cortex (R-DLPFC) activity than Chinese women. In contrast, Japanese women showed greater left dorsolateral prefrontal cortex (L-DLPFC) activity than Japanese men. In an international comparison, R-DLPFC activity was higher in Chinese men than in Japanese men. Conversely, the left ventrolateral prefrontal cortex activity was higher in Japanese men compared to Chinese men. Additionally, among women, the right ventromedial prefrontal cortex activity was higher in Japanese women than in Chinese women. In conclusion, our findings support the perspective of cultural psychology and identify cultural and sex differences in PFC activity between Japanese and Chinese individuals.

The effect of cognitive load, ego depletion, induction and time restriction on moral judgments about sacrificial dilemmas: a meta-analysis

Greene's influential dual-process model of moral cognition (mDPM) proposes that when people engage in Type 2 processing, they tend to make consequentialist moral judgments. One important source of empirical support for this claim comes from studies that ask participants to make moral judgments while experimentally manipulating Type 2 processing. This paper presents a meta-analysis of the published psychological literature on the effect of four standard cognitive-processing manipulations (cognitive load; ego depletion; induction; time restriction) on moral judgments about sacrificial moral dilemmas [n = 44; k = 68; total N = 14, 003; M(N) = 194.5]. The overall pooled effect was in the direction predicted by the mDPM, but did not reach statistical significance. Restricting the dataset to effect sizes from (high-conflict) personal sacrificial dilemmas (a type of sacrificial dilemma that is often argued to be best suited for tests of the mDPM) also did not yield a significant pooled effect. The same was true for a meta-analysis of the subset of studies that allowed for analysis using the process dissociation approach [n = 8; k = 12; total N = 2, 577; M(N) = 214.8]. I argue that these results undermine one important line of evidence for the mDPM and discuss a series of potential objections against this conclusion.

The Utilitarian Virtual Self - Using Embodied Personalized Avatars to Investigate Moral Decision-Making in Semi-Autonomous Vehicle Dilemmas

Embodied personalized avatars are a promising new tool to investigate moral decision-making by transposing the user into the "middle of the action" in moral dilemmas. Here, we tested whether avatar personalization and motor control could impact moral decision-making, physiological reactions and reaction times, as well as embodiment, presence and avatar perception. Seventeen participants, who had their personalized avatars created in a previous study, took part in a range of incongruent (i.e., harmful action led to better overall outcomes) and congruent (i.e., harmful action led to trivial outcomes) moral dilemmas as the drivers of a semi-autonomous car. They embodied four different avatars (counterbalanced - personalized motor control, personalized no motor control, generic motor control, generic no motor control). Overall, participants took a utilitarian approach by performing harmful actions only to maximize outcomes. We found increased physiological arousal (SCRs and heart rate) for personalized avatars compared to generic avatars, and increased SCRs in motor control conditions compared to no motor control. Participants had slower reaction times when they had motor control over their avatars, possibly hinting at more elaborate decision-making processes. Presence was also higher in motor control compared to no motor control conditions. Embodiment ratings were higher for personalized avatars, and generally, personalization and motor control were perceptually positive features. These findings highlight the utility of personalized avatars and open up a range of future research possibilities that could benefit from the affordances of this technology and simulate, more closely than ever, real-life action.

Conflict in moral and nonmoral decision making: an empirical study coupled with a computational model

While moral psychology research has extensively studied decision making using moral dilemmas, such high-conflict situations may not fully represent all moral decisions. Moreover, most studies on the effect of conflict have focused on nonmoral decisions, and it is unclear how it applies to the moral realm. The present mixed-method research investigates how conflict impacts moral compared to nonmoral decision making. In a preregistered empirical study ( N = 42 ), participants made moral and nonmoral decisions with varying levels of conflict while their mouse trajectories were recorded. Results indicate that moral decisions were more stable in the presence of conflict, while still seeking compromise. In addition, decisions were more affected when conflict got higher. Mouse-tracking data further indicate that some factors are impacting the decision process earlier than others, supporting the relevance of tracing methods to dig into finer-grained decision dynamics. We also present a computational model that aims to capture decision mechanisms and how conflict and morality influence decision making. The model uses dynamic neural fields coupled with sensorimotor control to map a continuous decision space. Two model versions were compared: one with greater perceptual weight for moral information, and another with earlier processing of moral versus nonmoral information. The simulated data more successfully reproduced empirical patterns for the second version, thus providing insights into the underlying decision processes for both moral and nonmoral decisions, in the presence of conflict or not.

Social class and moral judgment: a process dissociation perspective

Do social classes differ in moral judgment? Previous research showed that upper-class actors have a greater inclination toward utilitarian judgments than lower-class actors and that this relationship is mediated by empathic concern. In this paper, we take a closer look at class-based differences in moral judgment and use the psychometric technique of process dissociation to measure utilitarian and deontological decision inclinations as independent and orthogonal concepts. We find that upper-class actors do indeed have a greater inclination toward decisions consistent with utilitarian principles, albeit only to a quite small extent. Class-related differences are more pronounced with respect to deontological judgments, in so far as upper-class actors are less inclined to judgments consistent with deontological principles than lower-class actors. In addition, it is shown that class-based differences in utilitarian judgments are mediated by cognitive styles and not so much by empathic concern or moral identity. None of these potential mediators explains class-based differences in the inclination toward deontological judgments.

Do Adverse Childhood Experiences Make Us More Utilitarian in Moral Dilemmas?

Purpose

Adverse childhood experiences (ACEs) have been associated with various aspects of morality, but their precise impact on moral decision-making remains unclear. This study aims to explore how ACEs influence moral decision-making in sacrificial dilemmas.

Methods

Study 1 employed traditional dilemma analysis to quantify utilitarian responses and compare them among groups with no, low, and high ACEs. Study 2 utilized the CNI model to quantify three determinants of moral decision-making: sensitivity to consequences (C parameter), sensitivity to norms (N parameter), and general action tendencies (I parameter). Differences in these parameters among groups with no, low, and high ACEs were investigated.

Results

Both Study 1 and Study 2 revealed that the high-ACE and low-ACE groups showed significantly higher utilitarian responses compared to the no-ACE group. However, no notable differences emerged between the high-ACE and low-ACE groups. Study 2 found that the N parameter was significantly lower in the high-ACE group compared to the low and no-ACE groups. Similarly, the low-ACE group exhibited significantly lower scores in the N parameter compared to the no-ACE group. Additionally, no significant differences were observed in the C and I parameters among groups with no, low, and high ACEs.

Conclusion

These findings suggest that individuals with a high number of ACEs tend to exhibit more utilitarian responses, attributed to decreased affective response to the violation of moral rules, rather than increased deliberative cost-benefit reasoning or a general preference for action. Such insights deepen our understanding of the precise aspects of moral decision-making influenced by ACEs.

Vicarious punishment of moral violations in naturalistic drama narratives predicts cortical synchronization

Punishment of moral norm violators is instrumental for human cooperation. Yet, social and affective neuroscience research has primarily focused on second- and third-party norm enforcement, neglecting the neural architecture underlying observed (vicarious) punishment of moral wrongdoers. We used naturalistic television drama as a sampling space for observing outcomes of morally-relevant behaviors to assess how individuals cognitively process dynamically evolving moral actions and their consequences. Drawing on Affective Disposition Theory, we derived hypotheses linking character morality with viewers' neural processing of characters' rewards and punishments. We used functional magnetic resonance imaging (fMRI) to examine neural responses of 28 female participants while free-viewing 15 short story summary video clips of episodes from a popular US television soap opera. Each summary included a complete narrative structure, fully crossing main character behaviors (moral/immoral) and the consequences (reward/punishment) characters faced for their actions. Narrative engagement was examined via intersubject correlation and representational similarity analysis. Highest cortical synchronization in 9 specifically selected regions previously implicated in processing moral information was observed when characters who act immorally are punished for their actions with participants' empathy as an important moderator. The results advance our understanding of the moral brain and the role of normative considerations and character outcomes in viewers' engagement with popular narratives.

The covariant structural and functional neuro-correlates of cognitive impairments in patients with end-stage renal diseases

Introduction

Cognitive impairment (CI) is a common complication of end-stage renal disease (ESRD) that is associated with structural and functional changes in the brain. However, whether a joint structural and functional alteration pattern exists that is related to CI in ESRD is unclear.

Methods

In this study, instead of looking at brain structure and function separately, we aim to investigate the covariant characteristics of both functional and structural aspects. Specifically, we took the fusion analysis approach, namely, multimodal canonical correlation analysis and joint independent component analysis (mCCA+jICA), to jointly study the discriminative features in gray matter volume (GMV) measured by T1-weighted (T1w) MRI, fractional anisotropy (FA) in white matter measured by diffusion MRI, and the amplitude of low-frequency fluctuation (ALFF) measured by blood oxygenation-level-dependent (BOLD) MRI in 78 ESRD patients versus 64 healthy controls (HCs), followed by a mediation effect analysis to explore the relationship between neuroimaging findings, cognitive impairments and uremic toxins.

Results

Two joint group-discriminative independent components (ICs) were found to show covariant abnormalities across FA, GMV, and ALFF (all p < 0.05). The most dominant joint IC revealed associative patterns of alterations of GMV (in the precentral gyrus, occipital lobe, temporal lobe, parahippocampal gyrus, and hippocampus), alterations of ALFF (in the precuneus, superior parietal gyrus, and superior occipital gyrus), and of white matter FA (in the corticospinal tract and inferior frontal occipital fasciculus). Another significant IC revealed associative alterations of GMV (in the dorsolateral prefrontal and orbitofrontal cortex) and FA (in the forceps minor). Moreover, the brain changes identified by FA and GMV in the above-mentioned brain regions were found to mediate the negative correlation between serum phosphate and mini-mental state examination (MMSE) scores (all p < 0.05).

Conclusion

The mCCA+jICA method was demonstrated to be capable of revealing covariant abnormalities across neuronal features of different types in ESRD patients as contrasted to HCs, and joint brain changes may play an important role in mediating the relationship between serum toxins and CIs in ESRD. Our results show the mCCA+jICA fusion analysis approach may provide new insights into similar neurobiological studies.

Swedish maternity care professionals' perception of labor induction

BACKGROUND

Sweden recently adopted new labor induction guidelines lowering the threshold for post-term pregnancies to 41+ weeks. Despite evidence-based foundation, these guidelines stirred controversy among maternity care professionals, who voiced concerns about potential risks and unintended consequences, such as a rising Caesarean section rate. Midwives also highlighted potential impacts on their roles, workload, and working environment; implications that could affect obstetricians and gynecologists as well. Investigating Swedish maternity care professionals' views on labor induction could benefit policymakers, managers, and birthing women alike.

AIM

The aim of this study was to describe and compare midwives to obstetricians/gynecologists, with regards to their views on labor induction, and how this relates to other work-related variables such as overall job satisfaction, clinical experience, gender, age, personality, and workload.

METHODS

Swedish midwives (N = 207, 99 % women, M = 45.2 years), and obstetricians/gynecologists (N = 240, 83 % women, M = 44.3 years) responded to an online questionnaire reflecting aspects of maternity care work. The data was analyzed using Welch's t-test and Pearson's correlation analysis.

RESULTS

A large difference was observed in labor induction views between midwives and obstetricians/gynecologists (d = 1.39), as well as lower job satisfaction with midwives (d = -0.26). Overall job satisfaction further correlated negatively with views on labor induction (r = -0.30).

CONCLUSIONS

Labor inductions might pose challenges to midwives and could bring to light underlying tensions between obstetricians/gynecologists and midwives. Given the modest response rate of the study, we cautiously suggest that while the development of new maternity care guidelines should be grounded in evidence, they should also embrace concerns and insights from a diversity of professional perspectives.

You're heartless, I'm less: self-image and social norms in moral judgment

Are moral judgments to sacrificial dilemmas shaped by a latent social norm? The present research addresses this issue. We report a set of six studies (plus a supplementary one) which question the existence of a social norm in the longstanding deontism/utilitarian debate by relying on two original tools, namely substitution technique and self-presentation paradigm. Study 1 showed that American participants asked to answer like most Americans would do gave more utilitarian responses than control participants who answered in their own name (Study 1). Study 2 showed that participants instructed to answer in a disapproval fashion were more utilitarian than both participants instructed to answer in an approval fashion and control participants. Importantly, no difference was observed between the approval and control conditions, suggesting that participants naturally align their moral judgments with a latent norm they think is the most socially desirable. Studies 3-5 explored in addition the effect of the activation of a deontism-skewed norm using the substitution instruction on subsequent impression formation. For the latter task, participants were instructed to evaluate a random participant selected from a previous study who gave utilitarian-like responses (Studies 3a-3b), or to evaluate a fictitious politician who endorsed either a deontic or utilitarian orientation (Studies 4-5). Although we consistently replicated the effect of substitution instruction, we failed to show that attempts to activate a norm in a given individual shaped their evaluation of other people who do not align with this norm. Finally, we report a mini meta-analysis targeting the pooled effect and homogeneity among our studies.

Interpreting human rights as the social psychological phenomenon of rights claiming

In the last 5 years, the intersection between psychology and human rights has become more evident, with influential international, national and local human rights institutions, including the American Psychological Association, issuing reports and resolutions on the topic. Within jurisprudence, human rights are less of a legalistic regulatory enactment and more of what social psychologists refer to as injunctive norms. We argue that conceptualising human rights as the social-psychological process of both creating and aligning injunctive and descriptive norms clarifies human rights and makes them more accessible to groups and individuals in society engaged in rights claiming. Rights claiming is a term we use to describe the moral cognitive process of people engaged in individual and/or collective behaviour aimed at securing their social identity within the public sphere where that identity is marginalised or the subject of discrimination. We argue that placing rights claiming at the centre of human rights psychology advances human rights. Focusing psychological research on social identity, the alignment of injunctive norms, deontic moral cognitions, human dignity, social dominance orientations and collective and individual behaviours forms part of securing a clear specialty in psychological science dedicated to human rights and advancing the American Psychological Association (APA)'s human rights mandate.

The effects of explicit reasoning on moral judgements

We report four experiments that investigate explicit reasoning and moral judgements. In each experiment, some subjects responded to the "footbridge" version of the trolley problem (which elicits stronger moral intuitions), whereas others responded to the "switch" version (which elicits weaker moral intuitions). Experiments 1-2 crossed the type of trolley problem with four reasoning conditions: control, counter-attitudinal, pro-attitudinal, and mixed reasoning (both types of reasoning). Experiments 3-4 examine whether moral judgements vary based on (a) when reasoners engage in counter-attitudinal reasoning, (b) when they make the moral judgement, and (c) by the type of moral dilemma. These two experiments comprised five conditions: control (judgement only), delay-only (2-minute wait then judgement), reasoning-only (reasoning then judgement), reasoning-delay (reasoning, then 2-minute delay, then judgement), and delayed-reasoning (2-minute delay, then reasoning, then judgement). These conditions were crossed with the type of trolley problem. We find that engaging in some form of counter-attitudinal reasoning led to less typical judgements (regardless of when it occurs), but this effect was mostly restricted to the switch version of the dilemma (and was strongest in the reasoning-delay conditions). Furthermore, neither pro-attitudinal reasoning nor delayed judgements on their own impacted subjects' judgements. Reasoners therefore seem open to modifying their moral judgements when they consider opposing perspectives but might be less likely to do so for dilemmas that elicit relatively strong moral intuitions.

Doubling down on dual systems: A cerebellum-amygdala route towards action- and outcome-based social and affective behavior

The amygdala and cerebellum are both evolutionary preserved brain structures containing cortical as well as subcortical properties. For decades, the amygdala has been considered the fear-center of the brain, but recent advances have shown that the amygdala acts as a critical hub between cortical and subcortical systems and shapes social and affective behaviors beyond fear. Likewise, the cerebellum is a dedicated control unit that fine-tunes motor behavior to fit contextual requirements. There is however increasing evidence that the cerebellum strongly influences subcortical as well as cortical processes beyond the motor domain. These insights broadened the view on the cerebellum's functions to also include social and affective behavior. Here we explore how the amygdala and cerebellum might interact in shaping social and affective behaviors based on their roles in threat reactivity and reinforcement learning. A novel mechanistic neural framework of cerebellum-amygdala interactions will be presented which provides testable hypotheses for future social and affective neuroscientific research in humans.

Beyond Trolleyology: The CNI Model of Moral-Dilemma Responses

PUBLIC ABSTRACT

How do people make judgments about actions that violate moral norms yet maximize the greater good (e.g., sacrificing the well-being of a small number of people for the well-being of a larger number of people)? Research on this question has been criticized for relying on highly artificial scenarios and for conflating multiple distinct factors underlying responses in moral dilemmas. The current article reviews research that used a computational modeling approach to disentangle the roles of multiple distinct factors in responses to plausible moral dilemmas based on real-world events. By disentangling sensitivity to consequences, sensitivity to moral norms, and general preference for inaction versus action in responses to realistic dilemmas, the reviewed work provides a more nuanced understanding of how people make judgments about the right course of action in moral dilemmas.

The puzzle of wrongless injustice: Reflections on Kürthy and Sousa

The Database of Exemplars (DOE) account of moral cognition emerged in part to explain how wrongless harms could arise (Royzman & Borislow, 2022; henceforth, RB) in spite of being denied by most traditional models (Schein & Gray, 2018; Turiel, 1983; Shweder, 1997; Haidt, 2012). Herein, we defend this account against a set of results that have been claimed to disprove it (Kurthy & Sousa, this issue; henceforth, KS). We argue that DOE is in line with all the findings KS perceive as uniquely supportive of their own account (appraising an act as unjust engenders a judgment of wrong) while RB's findings (Royzman & Borislow, 2022, Studies 2 and 3) do challenge KS under varied conceptions of what it would take for an agent to be or appear unjust in his or her treatment of others, affirming that wrongless injustice is an empirical fact that one must strive to explain and that DOE helps us explain.

Structural and Functional Brain Changes After Glucocorticoid Therapy in Thyroid-Associated Ophthalmopathy

OBJECTIVE

To investigate the brain structural and functional alterations in patients with thyroid-associated ophthalmopathy (TAO) before and after glucocorticoid therapy, using voxel-based morphometry (VBM) as well as resting-state functional magnetic resonance imaging (MRI) with amplitude of low-frequency fluctuation (ALFF) and regional homogeneity (ReHo).

METHODS

Between 2019 and 2022, 32 patients with TAO and 23 healthy controls underwent pre-therapy MRI in Nanjing, China. Intravenous glucocorticoid therapy was administered to all patients. At 3 months after end of therapy, 26 patients were available for rescanned MRI. VBM, ALFF, and ReHo were used to evaluate the brain structural and functional differences.

RESULTS

Before therapy, TAO patients showed significantly decreased gray matter volume (GMV) in the left orbital part of superior frontal gyrus (ORBsup) and medial superior frontal gyrus (SFGmed) than healthy controls. Patients had higher ALFF values in bilateral gyrus rectus and olfactory cortex and lower values in bilateral cuneus. Patients also showed decreased ReHo values in bilateral lingual gyrus. After therapy, increased GMV in the left anterior cingulate gyrus and SFGmed, increased ALFF values in bilateral cuneus and superior occipital gyrus, and increased ReHo values in bilateral SFGmed were found in TAO patients compared to the pre-therapy cohort. Compared to controls, decreased GMV in left ORBsup was observed in post-therapy TAO patients.

CONCLUSION

Our results indicated that TAO might cause functional and structural deficits in the visual and emotional regions of the brain, with recovery in the former and partial restoration in the latter after effective glucocorticoid therapy. These findings may lead to deeper understanding of the pathophysiological mechanism behind TAO.

Predictive cues elicit a liminal confirmation bias in the moral evaluation of real-world images

Previous research suggested that predictive cues enhance the preference and reduce the response time for congruent targets during bivalent food evaluation, indicating a confirmation bias. Less is known about how prior processing affects subjective moral evaluation. Here, we used three different types of predictive cues to elicit directional vs. non-predictive prior processing and then asked the participants to perform moral evaluations on a continuous scale from -10 ("very immoral") to +10 ("very moral") with a diverse set of real-world images. Our experimental image database balanced the morality of image content and the volatility of the ratings based on the means and standard deviations in a preliminary study. Ratings, response times, and gaze positions were measured to examine the effects of predictive cues on the moral evaluation of real-world images. We found that the moral ratings were in line with the expectations induced by the cues. Compared to the non-predictive condition, the moral evaluation in the directional conditions was more polarized. For neutral images, the predictive cues tilted the evaluations to positive vs. negative, indicating a decisive liminal influence. High-volatility images were impacted more than low-volatility images in ratings as well as response times. Furthermore, the gaze positions during the interval between the predictive cue and the image showed a spatial displacement in line with the cue instruction, indicating a response bias. Together, the results show that predictive cues elicit a liminal confirmation bias in moral image evaluation, much in the same way as in bivalent food evaluation.

Development of Moral Judgments in Impersonal and Personal Dilemmas in Autistic Spectrum Disorders from Childhood to Late Adolescence

A potential underlying mechanism associated with the difficulties in social interactions in Autistic Spectrum Disorders (ASD) concerns the abnormal development of moral reasoning. The present study examined utilitarian and deontological judgments in impersonal and personal moral dilemmas, comparing 66 individuals with ASD and 61 typically developing (TD) individuals between 6 and 18 years. Utilitarian judgments decreased with age. This decline was much more gradual for personal dilemmas in the ASD than in the TD group. ASD individuals rated utilitarian judgments as more appropriate but felt less calm, consistent with the Empathy Imbalance hypothesis. Utilitarian judgments were associated with social interaction difficulties in ASD. These findings identify possible social therapeutic targets for more efficient coping strategies in individuals with ASD.

Moral reasoning behind the veil of ignorance: An investigation into perspective-taking accessibility in the context of autonomous vehicles

Perspective-taking (PT) accessibility has been recognized as an important factor in affecting moral reasoning, also playing a non-trivial role in moral investigation towards autonomous vehicles (AVs). A new proposal to deepen this effect leverages the principles of the veil of ignorance (VOI), as a moral reasoning device aimed to control self-interested decisions by limiting the access to specific perspectives and to potentially biased information. Throughout two studies, we deepen the role of VOI reasoning in the moral perception of AVs, disclosing personal and contingent information progressively throughout the experiment. With the use of the moral trilemma paradigm, two different VOI conditions were operationalized, inspired by the Original Position theory by John Rawls and the Equiprobability Model by John Harsanyi. Evidence suggests a significant role of VOI reasoning in affecting moral reasoning, which seems not independent from the order in which information is revealed. Coherently, a detrimental effect of self-involvement on utilitarian behaviours was detected. These results highlight the importance of considering PT accessibility and self-involvement when investigating moral attitudes towards AVs, since it can help the intelligibility of general concerns and hesitations towards this new technology.

Probability, measurement mismatches, and sacrificial moral decision-making

Despite the importance of uncertainty in decision-making, few published studies have examined how individuals make moral judgments under uncertainty. Across four experiments (N = 445), we examined whether a relatively small shift in probability affected participants' judgments of both moral acceptability and choice. Overall, reading dilemmas where the characters were either certain or likely to die, the probability of the sacrificed individual and the group at risk dying both had independent effects on participants' responses. That is, participants were more accepting of sacrificing the individual if they were not certain to die, but less accepting if the group was only likely to die when the individual was not sacrificed. Furthermore, a number of participants made acceptability ratings that did not match the action they endorsed, either finding the sacrificial decision more acceptable but refusing to make it, or choosing the sacrificial decision while viewing it as less acceptable. Many participants also stated that this was because they recognised a crucial difference between what they viewed as morally acceptable in a dilemma and what they were actually willing to do. Such mismatches may reflect the sensitivity and complexity of the moral principles that individuals employ during their moral decision-making.

Racial stereotypes and facial physical attractiveness: exploring their implications in moral assessments in healthcare

In this study of 333 participants, we investigated how racial stereotypes and facial attractiveness impact moral evaluations in healthcare. We used pictures of faces with different levels of attractiveness in moral dilemma scenarios, performing statistical analyses such as ANOVA and ANCOVA to examine these complex interactions. We found that physical attractiveness positively influences moral evaluations only in low moral conflict scenarios and does not apply to high conflict or impersonal situations. The relationship between self-declared skin color and participants' gender was only confirmed in a specific scenario, highlighting the complexity of these influences. Hypotheses three and four, which suggested that participants' ethnic and moral identity would suppress the effects of racial stereotypes and facial attractiveness, were not confirmed. However, we observed that the ethnic profile of the faces and the participants' motivation to control prejudice positively influenced moral evaluations. These results are interpreted in light of theories on interpersonal attraction, moral judgment, and intergroup relationships, providing essential insights into the complex dynamics that shape moral evaluations in healthcare.

Neural perspectives on morality due to beguiling mechanisms

We consider deception an example of behavior that challenges traditional explanations of moral behavior. Beguiling mechanisms, by which we mean deceptiveness with charming seduction for diversion, subtly influence moral sensitivity and judgment in moral dilemma situations. The duality of beguiling mechanisms is important to grasp, including how they relate to the ambiguity of situations. Further, we view moral behavior as quasi-adaptive, affectively based, and reliant on the processes of social cognition, arising out of a set of domain-general primitive predispositions that aggregate to produce moral "mindsets" and increasingly complex moral actions. Building on recent theoretical developments, contend that morality involves a complex heterarchical-hierarchical neurological architecture, where activity is dynamically and contextually dependent, as well as dependent on evolved brain structures and early life year socialization. We contribute to conceptualizing moral behavior from an integrated modern neural perspective. This provides a balance between moral decisions as situational, emotional, and genetically completed non-conscious processes, and the more traditional view of conscious reasoning. Beguiling mechanisms illustrate an integrative model of morality, consistent with emerging insights from affective and cognitive neuroscience.

EEG Correlates of Moral Decision-Making: Effect of Choices and Offers Types

Background: Moral decision-making consists of a complex process requiring individuals to evaluate potential consequences of personal and social decisions, including applied organizational contexts.Methods: This research aims to investigate the behavioral (offer responses and reaction times, RTs) and electrophysiological (EEG) correlates underlying moral decision-making during three different choice conditions (professional fit, company fit, and social fit) and offers (fair, unfair, and neutral).Results: An increase of delta and theta frontal activity (related to emotional behavior and processes) and beta frontal and central activity (linked to cognitive and attentional processes) was found. A left beta, delta, and theta frontal activity was observed for fair offers in professional fit conditions, while increased right frontal delta and theta activity was found in response to unfair offers in company fit conditions. Also, an increase of left delta and theta parietal activity for unfair offers in social fit condition was detected. Finally, higher accepted responses were found for fair and neutral offers in professional and social fit conditions, with increased RTs for unfair offers suggesting decisions' cognitive load and complexity.Conclusions: By revealing a greater involvement of left and right frontal areas in decision-making processes based on choices and offers, personal interest evaluations and emotional values, and of parietal areas in more prosocial and altruistic moral behavior, current findings provide information about the neural and behavioral correlates underlying company moral behavior.

Foreign and Regional Languages Make You Less Deontological

Previous studies have shown that foreign languages can change people's responses to moral dilemmas, making them more likely to choose harm (e.g., to kill one individual in order to save a few lives). Regional languages have also been shown to make sacrificial choices more likely. Regional languages are typically acquired early and used routinely among family and acquaintances, thus differing from foreign languages that are typically acquired later and used rather sporadically. Using a process dissociation procedure, we show in the present study that regional and foreign languages weaken the contribution of the deontological view in similar ways. Furthermore, the effects of both languages were modulated by proficiency, so that less proficient bilinguals showed a stronger decrease of the deontological tendency. These similarities suggest that the effects induced by both languages stem from what these languages have in common. Both languages are not experienced in contexts critical in forging moral views (e.g., public institutions, media, schools). We propose that the effects of foreign and regional languages stem from the lack of experience in such contexts.

Negative emotionality downregulation affects moral choice but not moral judgement of harm: a pharmacological study

Previous neuroscientific research has expounded on the fundamental role played by emotion during moral decision-making. Negative emotionality has been observed to exert a general inhibitory effect towards harmful behaviors against others. Nevertheless, the downregulation of negative affects at different levels of moral processing (e.g. impersonal versus personal moral dilemmas) alongside its possible interactions with other factors (e.g. perspective taking) hasn't been directly assessed; both of which can assist in predicting future moral decision-making. In the present research, we empirically test (Study 1, N = 41) whether downregulating negative emotionality through pharmacological interventions using lorazepam (a GABA receptor agonist), modulate the permissibility of harm to others -i.e. if participants find it more morally permissible to harm others when harm is unavoidable (inevitable harm moral dilemmas), than when it may be avoided (evitable harm moral dilemmas). Furthermore, using another sample (Study 2, N = 31), we assess whether lorazepam's effect is modulated by different perspective-taking conditions during a moral dilemma task -e.g. "is it morally permissible for you to […]?" (1st person perspective), relative to "is it morally permissible for [x individual] to […]?" (3rd person perspective)-, where the outcome of the different scenarios is controlled. The results of both studies converge, revealing an emotion-dependent, rather than an outcome-dependent, pharmacological modulation. Lorazepam only influenced interpersonal moral judgments when not modulated by the evitable/inevitable condition. Furthermore, there was a significant interaction between perspective-taking and drug administration, as lorazepam exerted a larger effect in modulating moral choices rather than moral judgements.

Within your rights: Dissociating wrongness and permissibility in moral judgement

Are we ever morally permitted to do what is morally wrong? It seems intuitive that we are, but evidence for dissociations among judgement of permissibility and wrongness is relatively scarce. Across four experiments (N = 1438), we show that people judge that some behaviours can be morally wrong and permissible. The dissociations arise because these judgements track different morally relevant aspects of everyday moral encounters. Judgements of individual rights predicted permissibility but not wrongness, while character assessment predicted wrongness but not permissibility. These findings suggest a picture in which moral evaluation is granular enough to express reasoning about different types of normative considerations, notably the possibility that people can exercise their rights in morally problematic ways.

Ethical reasoning versus empathic bias: a false dichotomy?

Does empathy necessarily impede equity in altruism? Emerging findings from cognitive and affective science suggest that rationality and empathy are mutually compatible, contradicting some earlier, prominent arguments that empathy impedes equitable giving. We propose alternative conceptualizations of relationships among empathy, rationality, and equity, drawing on interdisciplinary advances in altruism research.

Family favouring effects across intent and outcome-based moral judgements and decisions

Doing harm is a moral violation, but helping a family member is morally obligatory. In this study, participants encountered this ethical dilemma through stories featuring their sibling (i.e., brother) as either the perpetrator or victim in various moral scenarios. Subsequently, they provided their moral judgements (i.e., moral acceptability and perceived transgression) and made decisions (i.e., willingness and difficulty to disclose what the agent did to the police) regarding the perpetrator. The manipulation of family membership was integrated into the moral scenarios, which were crafted based on whether the perpetrator had malicious intent and whether those intentions resulted in a harmful outcome (i.e., intentional harm, failed attempts to harm, accidental harm, and a harmless/baseline). While we initially expected that individuals would exhibit favouritism towards their brother when harmful intent or outcomes were absent, our findings revealed that both agent/victim identities (brother/stranger) and intent-outcome-based moral scenarios had an additive effect on both measures of moral judgement. This suggests that the family favouring effect was observed across all intent-outcome scenarios, with a slightly more pronounced effect when the brother accidentally harmed a stranger compared to a stranger accidentally harming the brother. Regarding moral decisions, participants demonstrated a willingness to disclose what they witnessed regardless of their familial relationship with the agent or victim, but it was universally perceived as a difficult decision to make. Together, our results underscore the context-specific nature of moral judgements and decisions, emphasising the significant impact of family members when they are involved as moral characters.

Intact moral decision-making in adults with moderate-severe traumatic brain injury

Background and aim

Deficits in decision-making are a common consequence of moderate-severe traumatic brain injury (TBI). Less is known, however, about how individuals with TBI perform on moral decision-making tasks. To address this gap in the literature, the current study probed moral decision-making in a sample of individuals with TBI using a widely employed experimental measure.

Methods/hypothesis

We administered a set of 50 trolley-type dilemmas to 31 individuals with TBI and 31 demographically matched, neurotypical comparison participants. We hypothesized that individuals with TBI would be more likely to offer utilitarian responses to personal dilemmas than neurotypical peers.

Results

In contrast to our hypothesis, we observed that individuals with TBI were not more likely to offer utilitarian responses for personal dilemmas.

Conclusion

Our results suggest that moral decision-making ability is not uniformly impaired following TBI. Rather, neuroanatomical (lesion location) and demographic (age at injury) characteristics may be more predictive of a disruption in moral decision-making than TBI diagnosis or injury severity alone. These results inform the neurobiology of moral decision-making and have implications for characterizing patterns of spared and impaired cognitive abilities in TBI.

To bridge or not to bridge: Moral Judgement in Cocaine Use Disorders, a case-control study on human morality

BACKGROUND

In the "Dual-Process theory", morality is characterized by the interaction between an automatic-emotional process, mediated by the Anterior Cingulate Cortex (ACC) and linked to personal-deontological decisions, and a rational-conscious one, mediated by the Dorso-Lateral Prefrontal Cortex (DLPFC) and linked to impersonal-utilitarian decisions. These areas are altered by chronic use of cocaine, with a possible impact on moral decision-making.

OBJECTIVE

To evaluate the difference between a group of Cocaine Use Disorder (CUD) patients and a control group in moral decision-making.

METHODS

Subjects with CUD were compared to an equal-sized healthy group regarding their moral decision-making. Trolley and Footbridge Moral Dilemmas were administered to each group. The quality of the answer (yes or no) and the time needed to answer were recorded.

RESULTS

The recruited group includes 72 subjects, 36 with CUD and 36 healthy subjects (average age of 39.51 ± 9.89). In the Trolley dilemma, almost all the subjects (97.3%) answered "yes", while in the Footbridge dilemma CUD subjects answered "yes" more often (52.7%) than the healthy group (19.4%).

CONCLUSION

For strong emotional dilemmas (Footbridge), cocaine users answered "yes" with a higher frequency compared to healthy subjects, highlighting a wider utilitarian tendency in decision-making and a poor emotional participation.

Meanness trumps language: Lack of foreign language effect in early bilinguals' moral choices

Moral decision-making is influenced by various factors, including personality and language. In this cross-sectional study, we investigated the Foreign-Language effect (FLe) in early, highly proficient, Catalan-Spanish bilinguals and examined the role of several personality dimensions in their responses to moral dilemmas. We obtained a multilevel data structure with 766 valid trials from 52 Catalan-dominant undergraduate students who read and responded anonymously to a computerized task with 16 standardized moral dilemmas, half in Catalan and half in Spanish. Results of a multilevel multivariate logistic regression analysis showed that consistent with previous research, participants gave more utilitarian responses to impersonal than personal dilemmas. The language of the dilemma had no effect on the response (dichotomous: utilitarian vs. deontological), decision time, or affective ratings, contradicting the hypothesis of shallower emotional processing of the information in the second language. Interestingly, cruelty features of psychopathy were significantly associated with an enhanced proportion of utilitarian decisions irrespective of the language or the nature of the dilemmas. Furthermore, cruelty features interacted with participants' assessment of dilemma aspects like vividness and verisimilitude. Overall, our findings suggest that early bilinguals immersed in a dual-language context using close Romance languages do not show the FLe and that personality traits like cruelty can modulate moral decisions regardless of language or dilemma type.

ChatGPT's performance before and after teaching in mass casualty incident triage

Since its initial launching, ChatGPT has gained significant attention from the media, with many claiming that ChatGPT's arrival is a transformative milestone in the advancement of the AI revolution. Our aim was to assess the performance of ChatGPT before and after teaching the triage of mass casualty incidents by utilizing a validated questionnaire specifically designed for such scenarios. In addition, we compared the triage performance between ChatGPT and medical students. Our cross-sectional study employed a mixed-methods analysis to assess the performance of ChatGPT in mass casualty incident triage, pre- and post-teaching of Simple Triage And Rapid Treatment (START) triage. After teaching the START triage algorithm, ChatGPT scored an overall triage accuracy of 80%, with only 20% of cases being over-triaged. The mean accuracy of medical students on the same questionnaire yielded 64.3%. Qualitative analysis on pre-determined themes on 'walking-wounded', 'respiration', 'perfusion', and 'mental status' on ChatGPT showed similar performance in pre- and post-teaching of START triage. Additional themes on 'disclaimer', 'prediction', 'management plan', and 'assumption' were identified during the thematic analysis. ChatGPT exhibited promising results in effectively responding to mass casualty incident questionnaires. Nevertheless, additional research is necessary to ensure its safety and efficacy before clinical implementation.

Time course of effective connectivity associated with perspective taking in utterance comprehension

This study discusses the effective connectivity in the brain and its time course in realizing perspective taking in verbal communication through electroencephalogram (EEG) associated with the understanding of Japanese utterances. We manipulated perspective taking in a sentence with the Japanese subsidiary verbs -ageru and -kureru, which mean "to give". We measured the EEG during the auditory presentation of the sentences with a multichannel electroencephalograph, and the partial directed coherence and its temporal variations were analyzed using the source localization method to examine causal interactions between nineteen regions of interest in the brain. Three different processing stages were recognized on the basis of the connectivity hubs, direction of information flow, increase or decrease in flow, and temporal variation. We suggest that perspective taking in speech comprehension is realized by interactions between the mentalizing network, mirror neuron network, and executive control network. Furthermore, we found that individual differences in the sociality of typically developing adult speakers were systematically related to effective connectivity. In particular, attention switching was deeply concerned with perspective taking in real time, and the precuneus played a crucial role in implementing individual differences.

Language Nativeness Modulates Physiological Responses to Moral vs. Immoral Concepts in Chinese-English Bilinguals: Evidence from Event-Related Potential and Psychophysiological Measures

Morality has been an integral part of social cognition and our daily life, and different languages may exert distinct impacts on human moral judgment. However, it remains unclear how moral concept is encoded in the bilingual brain. This study, therefore, aimed to explore the emotional and cognitive involvement of bilingual morality judgement by using combined event-related potential (ERP) and psychophysiological (including skin, heart, and pulse) measures. In the experiment, thirty-one Chinese-English bilingual participants were asked to make moral judgments in Chinese and English, respectively. Our results revealed increased early frontal N400 and decreased LPC in L1 moral concept encoding as compared to L2, suggesting that L1 was more reliant on automatic processes and emotions yet less on elaboration. In contrast, L2 moral and immoral concepts elicited enhanced LPC, decreased N400, and greater automatic psychophysiological electrocardiograph responses, which might reflect more elaborate processing despite blunted emotional responses and increased anxiety. Additionally, both behavioral and P200 data revealed a reliable immorality bias across languages. Our results were discussed in light of the dual-process framework of moral judgments and the (dis)embodiment of bilingual processing, which may advance our understanding of the interplay between language and morality as well as between emotion and cognition.

Is it true that negative emotions cause more utilitarian judgements? from the influence of emotion and cognition

ABSTRACTThe affect-as-information (AAI) model proposes that emotions influence the accessibility and value of information (Avramova & Inbar, 2013). Furthermore, according to the dual-process model of moral judgement, emotions and cognition influence moral judgement (Greene, 2007; Greene et al., 2001, 2008); however, there is no direct evidence of a causal chain to support this model's proposition. By using a 3 (emotions: positive vs. neutral vs. negative) × 2 (primed rule: save lives vs. do not kill) between-participants design, we examined two hypotheses in two experiments: supraliminal (Experiment 1) and subliminal (Experiment 2) priming. Our results partially supported the AAI model and confirmed that emotions and cognition independently influence moral judgement. Specifically, the positive emotions group made more utilitarian decisions after being primed with the "save lives" rule and more deontological decisions after being primed with the do not kill rule. However, priming did not affect moral judgement in the negative emotion condition. Further, irrespective of whether priming was done, the negative emotion group mostly made utilitarian decisions. Accordingly, we propose a dynamic dual-process model of moral judgement, that can help clarify how emotion and cognition influence moral judgement.

The microstructural change of the brain and its clinical severity association in pediatric Tourette syndrome patients

BACKGROUND

Gilles de la Tourette syndrome (GTS) is a prevalent pediatric neurological disorder. Most studies point to abnormalities in the cortico-striato-thalamocortical (CSTC) circuits. Neuroimaging studies have shown GTS's extensive impact on the entire brain. However, due to participant variability and potential drug and comorbidity impact, the results are inconsistent. To mitigate the potential impact of participant heterogeneity, we excluded individuals with comorbidities or those currently undergoing medication treatments. Based on the hypothesis of abnormality within the CSTC circuit, we investigated microstructural changes in white matter using diffusion spectrum imaging (DSI). This study offers the first examination of microstructural changes in treatment-naïve pediatric patients with pure GTS using diffusion spectrum imaging.

METHODS

This single-center prospective study involved 30 patients and 30 age- and gender-matched healthy volunteers who underwent sagittal T1-weighted MRI and DSI. We analyzed generalized fractional anisotropy, mean diffusivity, axial diffusivity, and radial diffusivity.

RESULTS

No significant differences were observed in mean diffusivity and axial diffusivity values between the two groups. However, the patient group exhibited significantly higher generalized fractional anisotropy values in the right frontostriatal tract of the dorsolateral prefrontal cortex, the right frontostriatal tract of the precentral gyrus, and bilateral thalamic radiation of the dorsolateral prefrontal cortex. Additionally, the generalized fractional anisotropy value of the right frontostriatal tract of the precentral gyrus is inversely correlated with the total tic severity scores at the most severe condition.

CONCLUSION

Treatment-naïve pediatric GTS patients demonstrated increased connectivity within the CSTC circuit as per diffusion spectrum imaging, indicating possible CSTC circuit dysregulation. This finding could also suggest a compensatory change. It thus underscores the necessity of further investigation into the fundamental pathological changes in GTS. Nevertheless, the observed altered connectivity in GTS patients might serve as a potential target for therapeutic intervention.

Does the cowl make the monk? The effect of military and Red Cross uniforms on empathy for pain, sense of agency and moral behaviors

According to the embodied cognition framework, cognitive functions are not confined to the brain but are also shaped by the mutual interactions between the brain, body, and external environment. In this regard, a theory developed in 2012, called enclothed cognition, suggests an effect on wearing specific clothing on various psychological processes. However, the neuro-cognitive mechanisms underlying the impact of clothing on behavior have received less systematic investigation. The present study examined the influence of clothing on prosocial behaviors, and focused on sense of agency, and empathy for pain as neuro-cognitive processes of interest. Participants (40 in total) wore civilian, military, and Red Cross uniforms. They were paired up and assigned as either agents or victims. Agents had the option to administer real electric shocks to victims for a monetary reward of +€0.05. They could choose to shock freely (free condition) or follow the experimenter's instructions (coerced condition). We measured prosocial behavior by counting the number of shocks prevented, neural empathic response using electroencephalography with the P3 and the LPP, and sense of agency through an implicit method based on interval estimates. Findings showed that wearing the Red Cross uniform led to more prosocial behavior compared to civilian clothing. The Red Cross uniform also increased neural response to pain when participants witnessed shocks, compared to civilian or military clothing. Moreover, wearing a military uniform increased the sense of agency in the free condition, as compared to civilian clothing. This study broadens our knowledge on the impact of enclothed cognition on cognitive and psychological processes.

Machines and humans in sacrificial moral dilemmas: Required similarly but judged differently?

There is an increasing interest in understanding human-machine differences in morality. Prior research relying on Trolley-like, moral-impersonal dilemmas suggests that people might apply similar norms to humans and machines but judge their identical decisions differently. We examined people's moral norm imposed on humans and robots (Study 1) and moral judgment of their decisions (Study 2) in Trolley and Footbridge dilemmas. Participants imposed similar, utilitarian norms to them in Trolley but different norms in Footbridge where fewer participants thought humans versus robots should take action in the moral-personal dilemma. Unlike previous research, we witnessed a norm-judgment symmetry that prospective norm aligns with retrospective judgment. The more required decision was judged more moral across agents and dilemmas. We discussed the theoretical implications for machine morality.

Do contemplative practices make us more moral?

Contemplative practices are a staple of modern life and have historically been intertwined with morality. However, do these practices in fact improve our morality? The answer remains unclear because the science of contemplative practices has focused on unidimensional aspects of morality, which do not align with the type of interdependent moral functioning these practices aspire to cultivate. Here, we appeal to a multifactor construct, which allows the assessment of outcomes from a contemplative intervention across multiple dimensions of moral cognition and behavior. This offers an open-minded and empirically rigorous investigation into the impact of contemplative practices on moral actions. Using this framework, we gain insight into the effect of mindfulness meditation on morality, which we show does indeed have positive influences, but also some negative influences, distributed across our moral functioning.

The role of empathy in trolley problems and variants: A systematic review and meta-analysis

The role of empathy in morality is a subject of ongoing scientific debate due to the lack of systematic reviews and meta-analyses on this topic. To address this gap, we conducted a PRISMA-based systematic quantitative review to investigate the role of empathy in moral judgements, decision-making, and inclinations using trolley problems and variants, which are popular types of moral dilemmas that explore utilitarianism and deontology. We searched for articles in four databases (PsycINFO, Pubmed, WorldWideScience, and Scopus) and performed citation searches. Out of 661 records, we selected 34 that studied the associations between empathy and moral judgements, moral decision-making, and/or moral inclinations. Six meta-analyses and systematic reviews of these records consistently showed small to moderate associations between affective empathy and these moral parameters, particularly in personal moral dilemmas involving intentional harm (although some approaches highlighted more complex associations between these parameters). Regarding other empathy domains, most studies found limited or insignificant links between cognitive empathy domains and moral judgements, decision-making, and inclinations. We discuss the nuances and implications of these results.

One strike and you're a lout: Cherished values increase the stringency of moral character attributions

Moral dilemmas are inescapable in daily life, and people must often choose between two desirable character traits, like being a diligent employee or being a devoted parent. These moral dilemmas arise because people hold competing moral values that sometimes conflict. Furthermore, people differ in which values they prioritize, so we do not always approve of how others resolve moral dilemmas. How are we to think of people who sacrifice one of our most cherished moral values for a value that we consider less important? The "Good True Self Hypothesis" predicts that we will reliably project our most strongly held moral values onto others, even after these people lapse. In other words, people who highly value generosity should consistently expect others to be generous, even after they act frugally in a particular instance. However, reasoning from an error-management perspective instead suggests the "Moral Stringency Hypothesis," which predicts that we should be especially prone to discredit the moral character of people who deviate from our most deeply cherished moral ideals, given the potential costs of affiliating with people who do not reliably adhere to our core moral values. In other words, people who most highly value generosity should be quickest to stop considering others to be generous if they act frugally in a particular instance. Across two studies conducted on Prolific (N = 966), we found consistent evidence that people weight moral lapses more heavily when rating others' membership in highly cherished moral categories, supporting the Moral Stringency Hypothesis. In Study 2, we examined a possible mechanism underlying this phenomenon. Although perceptions of hypocrisy played a role in moral updating, personal moral values and subsequent judgments of a person's potential as a good cooperative partner provided the clearest explanation for changes in moral character attributions. Overall, the robust tendency toward moral stringency carries significant practical and theoretical implications.

Deontology and Utilitarianism in Real Life: A Set of Moral Dilemmas Based on Historic Events

Moral dilemmas are frequently used to examine psychological processes that drive decisions between adhering to deontological norms and optimizing the outcome. However, commonly used dilemmas are generally unrealistic and confound moral principle and (in)action so that results obtained with these dilemmas might not generalize to other situations. In the present research, we introduce new dilemmas that are based on real-life events. In two studies (a European student sample and a North American MTurk sample, total N = 789), we show that the new factual dilemmas were perceived to be more realistic and less absurd than commonly used dilemmas. In addition, factual dilemmas induced higher participant engagement. From this, we draw the preliminary conclusion that factual dilemmas are more suitable for investigating moral cognition. Moreover, factual dilemmas can be used to examine the generalizability of previous results concerning action (vs. inaction) and concerning a wider range of deontological norms.

When Do Korsakoff Patients Justify Immoral Behaviors? The Influence of Premorbid Delinquency and Self-Other Perspectives in Moral Decision-Making and Moral Reasoning

Korsakoff's syndrome (KS) is a chronic neuropsychiatric disorder caused by a vitamin B1 deficiency. KS is characterized by profound amnesia and often accompanied by poor executive functioning, decreased social-cognitive abilities, and difficulties in behavioral regulation. As moral behaviors and attitudes may provide insight in socio-behavioral interactions, the current study aimed to evaluate everyday moral maturity by administering self- versus other-oriented moral dilemmas in a group of KS patients (n = 20) and healthy controls (n = 20). Responses were scored according to the Kohlberg stages of moral reasoning. Furthermore, we assessed premorbid delinquency and current neurocognitive functioning as possible relevant factors. Our results show that KS patients were prone to lower levels of moral maturity when confronted with moral dilemmas relating to themselves, compared to dilemmas relating to (un)personal others in KS patients, while healthy subjects showed an opposite pattern. Moral immaturity could find its origin already before the onset of the KS diagnosis, as suggested by the elevated premorbid levels of delinquent behavior and correlation between premorbid delinquency and moral maturity in KS. Lower moral maturity could therefore be a possible predisposing factor to both delinquency and later development of Korsakoff's syndrome.