Search Results (25)

We examine the moral dilemma of how autonomous vehicles (AVs) should be programmed to act in unavoidable crash scenarios involving trade-offs between saving one life and saving many. We report results from three experimental studies that investigate individuals’ preferences over alternative AV decision rules in stylized crash scenarios. Across designs, we find robust support for a probabilistic decision rule that assigns passengers and pedestrians equal ex ante chances of survival (a 50:50 rule). This preference persists across different framings and remains salient even when additional probabilistic options are introduced. Full article

Background: Ethical decision-making in medical care increasingly requires balancing clinical values, professional duties, and organizational reasoning. Understanding how healthcare professionals navigate moral dilemmas necessitates examining the philosophical orientations that shape their ethical judgments. Alongside traditional medical ethics, a business ethics perspective highlights organizational and managerial dimensions of healthcare, offering a more comprehensive understanding of ethical decision-making in modern clinical contexts. Aim: This study aims to examine how healthcare professionals reason about ethical dilemmas by mapping their moral orientations and decision-making patterns across five ethical frameworks-idealism, relativism, objectivism, legalism, and Machiavellianism-integrating both medical and business ethics perspectives. Methods: A cross-sectional study was conducted with 277 participants (medical doctors and students). Two validated instruments were used: the Attitudes Toward Business Ethics Questionnaire (ATBEQ) to assess moral orientations and the Clinical Ethical Dilemmas Questionnaire (Richeux & Duquéroy) to evaluate ethical decision patterns. Data were analyzed using correlation, multiple regression, and k-means cluster analyses. Results: Among the five orientations, Legalism negatively predicted “It depends” responses (i.e., higher Legalism scores were associated with fewer indecisive responses), indicating greater decisiveness in ethically ambiguous situations. Unexpected positive correlations were also found between traditionally opposing constructs-such as Ethical Relativism and Moral Objectivism-suggesting moral pluralism. The overall regression model was not statistically significant (R² = 0.04, p = 0.08). Cluster analysis identified four distinct ethical reasoning profiles: High Machiavellian Idealists, Pragmatic Relativists, Context-Sensitive Objectivists, and Ethical Purists. Conclusions: Abstract philosophical orientations showed limited predictive power for contextual ethical decision-making, highlighting the complex and multidimensional nature of moral reasoning in healthcare. Findings inform the design of context-sensitive ethics education programs that integrate philosophical reflection with case-based learning to strengthen ethical competence among medical professionals. Full article

Background: While extensive research has examined the antecedents of utilitarian moral judgment, its subsequent social consequences remain less explored. Drawing on the moral reciprocal partner selection model and the moral intuition modular myopia hypothesis, this study investigates the impact of utilitarian moral judgment on bystander cooperation behavior and the moderating role of personal force. Objectives: This research aims to determine whether utilitarian moral judgments, compared to non-utilitarian ones, decrease bystander cooperation (Hypothesis 1), and whether this effect is more pronounced when the utilitarian judgment involves personal force (Hypothesis 2). Methods: Two progressive between-subjects experiments were conducted. Experiment 1 (N = 159) employed a single-factor design (utilitarian vs. non-utilitarian judgment) using a footbridge dilemma scenario and a trust task to measure cooperation. Experiment 2 (N = 346) utilized a 2 (judgment: utilitarian vs. non-utilitarian) × 2 (personal force: personal force vs. no personal force) factorial design, employing the same trust task. Results: In Experiment 1, bystanders invested significantly fewer tokens in the trust task after observing a utilitarian judgment compared to a non-utilitarian one. Experiment 2 revealed a significant main effect of moral judgment and a significant interaction between moral judgment and personal force. Simple effects analysis confirmed that the negative effect of utilitarian judgments on cooperation was stronger when personal force was involved. Conclusions: Utilitarian moral judgments reduce bystander cooperation compared to non-utilitarian judgments, and this reduction is more substantial when the judgment involves personal force. These findings highlight the interpersonal costs of utilitarian decision-making and underscore the importance of contextual features like personal force in understanding its social reception. Full article

Background and Objectives: Clinical ethical judgments are often elicited through scenario-based (vignette-based) dilemmas that guide interpretation, reasoning, and moral judgment. Despite its importance, little is known about how healthcare professionals and students respond to such scenario-based dilemmas in Eastern European settings. This study explored differences in ethical decision-making between senior medical/dental students and practicing clinicians in Romania, focusing on how scenarios-based dilemmas influence conditional versus categorical responses. Materials and Methods: A cross-sectional survey was conducted with 244 participants (51 senior students; 193 practitioners). Respondents completed a validated 35-item questionnaire presenting hypothetical ethical scenarios across seven domains: informed consent, confidentiality, medical errors, public health duties, end-of-life decisions, professional boundaries, and crisis ethics. Each scenario used a Yes/No/It depends response structure. Group comparisons were analyzed using chi-square and non-parametric tests (α = 0.05). Results: Scenario-based dilemmas elicited frequent conditional reasoning, with “It depends” emerging as the most common response (47.8%). Strong consensus appeared in rejecting concealment of harmful errors and in treating unvaccinated families, reflecting robust professional norms. Divergences arose in areas where scenario-based dilemmas emphasized system-level duties: students more often supported annual influenza vaccination (52.9% vs. 32.6%, p = 0.028) and organ purchase authorization (76.47% vs. 62. 18%, p = 0.043), while practitioners more frequently endorsed higher insurance contributions for unhealthy lifestyles (48.7% vs. 23.5%, p = 0.003). Conclusions: Scenario-based dilemmas strongly shape moral decision-making in healthcare. While students tended toward principle-driven transparency, practitioners showed pragmatic orientations linked to experience and system stewardship. To promote high-quality clinical work and align decision-making with best practice and health policy, our findings support institutional protocols for transparent error disclosure, continuing professional development in ethical communication, the possible adoption of annual influenza vaccination policies for healthcare personnel as policy options rather than categorical imperatives, and structured triage frameworks during crisis situations. These proposals highlight how scenario-based ethics training can strengthen both individual reasoning and systemic resilience. Full article

This study examines the relationship between perceived stress and society-wide moral judgment by integrating two influential frameworks: the neo-Kohlbergian approach and the CNI model of utilitarian-deontological decision-making. The neo-Kohlbergian approach to moral judgment proposes three moral schemas: (1) Personal Interest (PI), where decisions are self-focused; (2) Maintaining Norms (MN), which emphasizes adherence to social rules and norms; and (3) Postconventional (PC), where universal ethical principles are prioritized. The CNI model for Utilitarian-Deontological judgment features three psychological processes in decision-making: Sensitivity to Consequence, Sensitivity to Norm, and Inaction Preference. A survey study was conducted to measure perceived stress, neo-Kohlbergian moral judgment (using the behavioral Defining Issues Test [DIT]), and the psychological processes underlying utilitarian-deontological decision-making (CNI). The results indicate that higher perceived stress is linked to greater PI schema endorsement, reduced Norm Sensitivity, and increased Consequence Sensitivity. Furthermore, the PI schema mediated the relationship between perceived stress and Norm Sensitivity. These findings provide insights into how stress shapes moral reasoning and decision-making, with implications for psychological and ethical studies. Full article

Decision-making in economic and moral contexts involves complex affective processes that shape judgments of fairness, responsibility, and conflict resolution. While previous studies have primarily examined behavioral choices in economic games and moral dilemmas, less is known about the underlying affective structure of these decisions. This study investigated how individuals emotionally represent economic (ultimatum game) and moral (trolley dilemma) decision-making scenarios using multidimensional scaling (MDS) and classification. Participants rated their emotional responses, including positive (pleased, calm, happy, peaceful) and negative (irritated, angry, gloomy, sad, fearful, anxious) affective states, to 16 scenarios varying by game type, the presence or absence of conflict, and intensity. MDS revealed two primary affective dimensions of distinguishing conflict from no-conflict and economic from moral scenarios. No-conflict–economic scenarios were strongly associated with positive affective responses, while the no-conflict–moral scenarios elicited heightened fear and anxiety rather than positive emotions. Increasing unfairness in the ultimatum game affected affective representation, while variations in the number of lives at stake in the trolley dilemma did not. Cross-participant classification analyses demonstrated that game type and conflict conditions could be reliably predicted from affective ratings, indicating systematic and shared emotional representations across participants. These findings suggest that economic and moral decisions evoke distinct affective structures, with fairness modulating conflict perception in economic contexts, while moral decisions remain affectively stable despite changes in intensity. Full article

Previous research has extensively examined the impact of money on morality, yet limited attention has been given to how the mere contemplation of money influences moral reasoning and decision-making. The present study aims to address this gap by exploring how both the concept of money and the love of money shape deontological and utilitarian inclinations in moral judgments. In Study 1 (N = 102), we investigated the effect of money concept priming on moral thinking. Participants were primed with either the concept of money or a neutral concept through a scrambled-sentences task, and subsequently made moral decisions in 20 dilemmas adapted from Conway and Gawronski. These dilemmas required participants to decide whether to harm others in order to achieve a greater outcome. To assess participants’ utilitarian and deontological tendencies, we employed the process-dissociation procedure. In Study 2 (N = 488), we further examined the relationship between the love of money—a long-term trait—and moral judgments. Specifically, we investigated whether four moral orientations (deliberation, rule, sentiment, and integration) mediate the relationship between the love of money and deontological/utilitarian inclinations. Participants completed the love of money scale and the moral orientation scale before reading the same 20 dilemmas from Study 1. Our findings revealed that priming the concept of money enhanced utilitarian tendencies but did not significantly affect deontological tendencies. Furthermore, the love of money was negatively correlated with deontological tendencies and positively correlated with utilitarian tendencies. Deliberation fully mediated the effect of the love of money on utilitarian tendencies and partially mediated its effect on deontological tendencies. Full article

This study aimed to investigate the impact of cognitive load on moral judgments while incorporating action propensities and collective interests as variables. Study 1 (N = 102) used the dot matrix memory task to manipulate cognitive load, and participants made moral choices in action dilemmas and omission dilemmas. The findings revealed that when confronted with action moral dilemmas, participants in the high-cognitive load group exhibited a greater inclination towards utilitarian responses compared to those in the low-load group. However, cognitive load did not affect utilitarian choices in omission moral dilemmas. Study 2 (N = 100) further introduced the identities of protagonists in dilemmas involving conflicts between collective and individual interests. When facing a collective–individual interest conflict, participants under high cognitive load were more inclined to prioritize collective interests over individual interests compared to those under low load. Additionally, participants were more likely to choose collective interests in omission moral dilemmas than in action dilemmas. The impact of cognitive load on moral judgments was also influenced by the identities of the protagonists. Full article

This paper examines a recent shift in Catholic moral teaching, characterized by the emergence of a ‘new moral absolutism’, in which certain acts traditionally subject to prudential judgment—such as the death penalty, ecological harm, and restrictive migration policies—are increasingly portrayed as universally and gravely wrong in our age. Simultaneously, traditional moral absolutes, especially in sexual and life ethics, have experienced cautious relativization. Drawing on the framework of Veritatis Splendor (1993), the paper critiques the approach of this new moral absolutism, arguing that it undermines the proper role of individual conscience and situational discernment while failing to provide coherent guidance on complex moral dilemmas. It links its emergence to proportionalist ethics: when traditional moral absolutes are relativized, new types of wrongs take their place. The paper proposes a return to the principles of Veritatis Splendor, advocating for a nuanced approach that preserves the constant and limited set of absolute negative norms and encourages the formation and use of conscience for all other matters. Full article

Item response theory (IRT) is a modern psychometric framework for estimating respondents’ latent traits (e.g., ability, attitude, and personality) based on their responses to a set of questions in psychological tests. The current study adopted an item response tree (IRTree) method, which combines the tree model with IRT models for handling the sequential process of responding to a test item, to score individual moral inclination for the CNI test—a broadly adopted model for examining humans’ moral decision-making with three parameters generated: sensitivity to moral norms, sensitivity to consequences, and inaction preference. Compared to previous models for the CNI test, the resulting EIRTree-CNI Model is able to generate individual scores without increasing the number of items (thus, less subject fatigue or compromised response quality) or employing a post hoc approach that is deemed statistically suboptimal. The model fits the data well, and the subsequent test also supported the concurrent validity and the predictive validity of the model. Limitations are discussed further. Full article

This study aims to examine how the activation of the role of nursee and professional identification as a nurse can influence moral judgments in terms of deontological and utilitarian inclinations. In Study 1, a priming technique was used to assess the impact of activating the nursing concept on moral reasoning. Participants were randomly assigned to either a nursing prime or neutral prime condition. By using a scrambled-sentence task, participants were prompted to think about nursing-related or neutral thoughts. Following the priming task, participants were asked to respond to 20 moral dilemmas. The process dissociation approach was employed to measure the degree of deontological and utilitarian tendencies in their moral reasoning. In Study 2, participants completed the nursing profession identification scale and the moral orientation scale before engaging in moral judgments similar to those in Study 1. The findings revealed that priming the concept of being a nursee resulted in an increase in deontological clinical inclinations while having no significant effect on utilitarian inclinations. Additionally, a positive correlation was observed between identification with the nursing profession and deontological clinical inclinations, whereas a negative correlation was found with utilitarian inclinations. Deliberation orientation acted as a complete mediator in the relationship between nursing professional identification and deontological tendencies and as a partial mediator for utilitarian tendencies. Full article

Lammers and Stapel reported that high power increases deontological (rule-based) moral thinking, and low power increases utilitarian (outcome-based) moral thinking. However, the dilemmas were mild and did not involve harm to life. Here, we examined whether the presence or absence of harm to life affects the moral decisions of powerholders. To help establish the replicability and validity of the effects of power on moral judgments in the absence of harm to life, we first performed an exact replication of a study conducted by Lammers and Stapel, and this experiment was followed up by a similar study in an organizational context in China (Studies 1 and 2). Studies 3 and 4 investigated whether power and the presence/absence of harm to life interacted with preferences for deontological versus utilitarian moral judgments. Power consistently triggered deontological thinking. However, power differences in moral reasoning only emerged when there was no harm to life. Harm prompted deontological responses among control and powerless individuals, which nullified differences across the power conditions. The findings demarcate the generalizability of the association between power and a moral thinking style. Full article

In the current healthcare landscape, nurses frequently encounter various ethical dilemmas, necessitating situation-specific ethical judgments. It is crucial to thoroughly understand the factors that shape the hospital ethical climate and the elements that are influenced by this climate. This study aims to identify the variables associated with the hospital ethical climate perceived by Korean nurses. A literature search was conducted using the core database, and the effect sizes of relevant variables were analyzed using a comprehensive meta-analysis. The overall effect size analysis incorporated 56 variables, and a meta-analysis was performed on 7 variables. This study found correlations between ethical sensitivity (ESr = 0.48), moral distress (ESr = −0.30), empathy (ESr = 0.27), ethical leadership (ESr = 0.72), job satisfaction (ESr = 0.64), and intention to leave (ESr = −0.34) with the hospital ethical climate. Both personal and organizational attributes were moderately related to the hospital ethical climate. Enhancing the hospital ethical climate could positively affect both individuals and the organization. The protocol for this study has been registered with PROSPERO (CRD42022379812). Full article

The role of moral intuitions and moral judgments has become increasingly prominent in educational and academic choices. The present research aims to examine if the moral judgments elicited in sacrificial trolley dilemmas have a distinct pattern for the decisions made by junior medical students, in comparison to those of senior high school students. We work with this sample because it represents the population out of which medical students are recruited in the case of Bucharest, Romania. Our findings show that moral judgments are indeed a significant predictor for a respondent’s status as medical students. This result, albeit with limitations, bears multiple practical implications, from developing empirically informed medical ethics courses in medical schools to evidence-based policy designs which consider factors such as morality alongside financial outcomes and incentives. Full article

The moral dilemma task developed by Greene et al., which comprises personal and impersonal moral dilemmas, is useful for clarifying people’s moral judgments. This study develops and validates a Japanese version of this questionnaire. Ten new questions were added to the Japanese version using back-translation, and its internal validity was tested. A second survey was conducted among the same participants one month after the first survey (n = 231). The intraclass correlation coefficient through retesting was found to be 0.781. Test-retest, internal consistency, and criterion-related validity were confirmed by retesting the Japanese version of the moral dilemma task. Moral judgments differed in gender, with women and men tending to be more utilitarian in situations where emotions were less and more likely to be involved, respectively. The association between age and deontological moral judgments was also observed. Full article