Week 6 - Discussion

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Chamberlain University College of Nursing *

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Philosophy

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Dec 6, 2023

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Week 6 Three core approaches to inductive reasoning 1. Comparative reasoning (analogical reasoning) 2. Two forms of empirical reasoning (reasoning from observation) a. Inductive generalization b. Casual reasoning Critical reasoning is about making, defending, and understanding conclusions about our observations of the world around us. We reason our way from observations to conclusions – the " reasoning up" of inductive reasoning or having arrived at general judgments and conclusions about the world around us. We " reason down " from those generalities to their application to circumstances The text defines two approaches to inductive reasoning – comparative and empirical reasoning – so there are two discussions this week. Empirical reasoning Depends on observation. Includes taking samples of populations. Testing to see if there is a cause and effect. o Inductive generalization Statistical methods o Casual reasoning Comparative Reasoning The use of an analogy Has a long tradition in medicine – both in research and in learning and explaining medical terms and conditions. Noticing similarities lead us to wonder if they are like others – ex. What I know about treating one type of infection may be transferable to another. Principal of Moral Equivalence Compares the ethics of two actions and decides if the two are “just about as good as” or “just about as bad as” False moral equivalency occurs when the comparison is faulty
Discussion In what way are the two situations similar? These two situations are similar due to them both pertaining to substances that could be or are harmful. Tobacco products and opioids were able to flourish due to doctors promoting or prescribing these harmful substances. The tobacco industry capitalized on medical professionals promoting them, in 1946 the popular company Camel created a slogan that said, “More doctors smoke Camels than any other cigarette” (Gardner & Brandt, 2006). Now a slogan like this would lead people to think “if the doctors think it’s okay, then it must be okay”. As far as opioids, there were several misconceptions and deceiving information out there for patients and physicians. Ronald Hirsch, MD states that physicians were faced with the possibility of malpractice lawsuits if they did not adequately treat pain, and that prescribing 30 days’ worth of pills when only a few days were sufficient, was just easier which could also lead to the remaining pills being sold, stolen, or taken anyway leading to an addiction (2017). The bottom line is these two are similar because they both involved deceiving information for all, and exploitation of physicians and the influence they have on patients. In what way are the two situations different? These two situations are different because with tobacco products, doctors’ titles and authority were being manipulated to lead everyone to believe tobacco products were safe and recommended by medical professionals. For the opioid epidemic, doctors were informed false information that only 1% of patients became addicted to prescribed opioids, and that they would face malpractice lawsuits if they did not treat pain enough. Though, this did lead doctors to become criminals in the way that some started to illegally prescribe medications on the side and accept payment for them (Hirsch, 2017) which aided in the epidemic, there’s an estimation that 50% of opioid overdoses that end in death are from prescriptions (Gale, 2016) Apply the concept of moral equivalence. Is the conduct of doctors in relation to the tobacco industry morally equivalent to the conduct of doctors in the opioid crisis? The concept of moral equivalence states that actions that are similar, morally, should be treated and evaluated similarly. When taking both situations into account and evaluating their similarities, it’s safe to say in both scenarios doctors acted unethically and committed immoral actions. We cannot single out the percentage of doctors who acted unethically mistakenly, and those who did knowingly. Doctors did not know the effects of tobacco use back in the 1930-40’s, but they still promoted it – similarly the doctors did not know the truth of opioids and how easy it is to become addicted to, but they still prescribed an unethical amount.
Discussion 2 Methodology of Quinn (1999) (Study #1) There was a study done by Quinn et al. in 1999, this study was done to show if there was correlation between nearsightedness, or myopia, and ambient night-time light exposure. This study consisted of 479 children between the ages of 2 and 16 years old, and the researchers used a questionnaire as their form of conducting research. They found that children who had some form of night light in their room under the age of 2 had a greater association or were nearsighted. The study states that it “does not establish a causal link” and “it raises the possibility of a ‘critical period’” (Quinn, et al., 1999). This shows that these findings did not show concrete evidence, but just an association between children who were nearsighted and if they had ambient lighting in their room under the age of 2. I think the most failed step in scientific investigation is step 4 – identifying all the factors related to the hypothesis, as these researchers did not take other conditions into consideration, like genetics. Methodology of Zadnik (2000) (Study #2) Zadnik et al. study maintained a different approach with different findings, for the same question. It was pointed out in Quinn’s study, that parents who were myopic themselves, were more likely to use a night-light in their children’s rooms than non-myopic parents and there is a possibility this was not considered which then effected the results of the study (NEI, 2000). With Zadnik’s method, they examined a higher number of children and noted that their findings would provide relief to parents who let their children use a nightlight (Zadnik et al ., 2000), meaning they found that children who slept with a nightlight did not lead them to have a greater association with being myopic, but rather genetics. This study was also conducted on a median age of 8 years old, rather than 11 by Quinn. Impact of Methodology on Reporting The methodology involved and the way studies are reported, most certainly influences how the study is viewed and received by the masses. Both studies performed focused on the same subject, but the methods involved were vastly different leading to an effective and ineffective conclusion. Study #1 created a hypothesis and focused on one form to measure and test the hypothesis. Whereas study #2 involved extensive other conditions that could cause or worsen myopia in children, rather than just if a child under 2 used a night light. This effects how people view the study and trust the worthiness of it – if the methodology is not correlating then there is no worthiness in the study. References Quinn, G. et al. (1999). Myopia and ambient lighting at night . Nature. https://doi.org/10.1038/20094 Links to an external site. U.S. Department of Health and Human Services. (2000). Myopia development and nighttime light exposure in infancy . National Eye Institute. https://www.nei.nih.gov/about/news-and- events/news/myopia-development-and-nighttime-light-exposure-infancy Zadnik, K. et al. (2000). Myopia and ambient night-time lighting. Nature. https://doi.org/10.1038/35004661
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