ethical decision-making craig p. dunn, phdfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf ·...

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Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness www.dunn.cc Ethical Decisionmaking The Centre for Organiza0on Effec0veness Assump&ons… People want to do the right thing… …but good people some&mes do bad things People have good moral intui&on… …but this doesn’t lead to solid moral discourse People don’t have ra&onal ethics training… …no one system of ethical reasoning is sufficient Ethical Decisionmaking Ethics isnt about ethics…but rather about trust

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Page 1: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì Ethical  Decision-­‐making          The  Centre  for  Organiza0on  Effec0veness  

Assump&ons…            -­‐  People  want  to  do  the  right  thing…        …but  good  people  some&mes  do  bad  things      -­‐  People  have  good  moral  intui&on…        …but  this  doesn’t  lead  to  solid  moral  discourse          -­‐  People  don’t  have  ra&onal  ethics  training…        …no  one  system  of  ethical  reasoning  is  

sufficient  

   Ethical  Decision-­‐making  

Ethics  isn’t  about  ethics…  

…but  rather  about  trust  

Page 2: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

OPPORTUNISM AND ITS CRITICS

 

…When  we  say  we  trust  someone  or  that  someone  is  trustworthy,  we  implicitly  mean  that  the  probability  that  he  will  perform  an  ac&on  that  is  beneficial  or  at  least  not  detrimental  to  us  is  high  enough  for  us  to  consider  engaging  in  some  form  of  coopera&on  with  him.  

Recognize  Moral  Issue  

Engage  in  Moral  

Behavior  

Model  of  Moral  Decision-­‐making  

   Ethical  Decision-­‐making  

ì  The  prac0ce  or  act  of  inten0onal  and  blatant  avoidance,  disregard  or  disagreement  with  facts,  empirical  evidence  and  well-­‐founded  arguments  because  they  oppose  or  contradict  your  own  exis0ng  personal  beliefs.    

ì  www.urbandic&onary.com    

Willful  Ignorance  

Page 3: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  The  prac0ce  or  act  of  inten0onal  and  blatant  avoidance,  disregard  or  disagreement  with  facts,  empirical  evidence  and  well-­‐founded  arguments  because  they  oppose  or  contradict  your  own  exis0ng  personal  beliefs.    

     …their  recogni0on  would  impose  an  ethical  obliga0on  to  act  against  your  self-­‐interest.  

Willful  Ignorance  

Recognize  Moral  Issue  

Engage  in  Moral  

Behavior  

Model  of  Moral  Decision-­‐making  

Moral  Uncertainty  

   Ethical  Decision-­‐making  

Recognize  Moral  Issue  

Make  Moral  Judgment  

Engage  in  Moral  

Behavior  

Model  of  Moral  Decision-­‐making  

Moral  Uncertainty  

Moral  Dilemma  

   Ethical  Decision-­‐making  

Page 4: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì   Ethical  dilemmas  “are  situa&ons  arising  when  equally  compelling  ethical  reasons  both  for  and  against  a  par&cular  course  of  ac&on  are  recognized  and  a  decision  must  be  made…”    

ì  (CNA,  2002,  p.  5).    

ì  Ethical  distress,  on  the  other  hand,  occurs  when  a  decision  is  made  regarding  what  one  believes  to  be  the  right  course  of  ac&on,  but  barriers  prevent  the  nurse  from  carrying  out  or  comple&ng  the  ac&on.  

   Ethical  Decision-­‐making  

ì   There  is  a  dis&nct  difference  between  an  ethical  dilemma  and  ethical  distress…  

ì   Ethical  or  moral  distress  arises  when  one  is  unable  to  act  on  one’s  ethical  choices,  when  constraints  interfere  with  ac&ng  in  the  way  one  believes  to  be  right.  

   Ethical  Decision-­‐making  

Recognize  Moral  Issue  

Make  Moral  Judgment  

Establish  Moral  Intent  

Engage  in  Moral  

Behavior  

Model  of  Moral  Decision-­‐making  

Moral  Uncertainty  

Moral  Dilemma  

Moral  Distress  

   Ethical  Decision-­‐making  

Page 5: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

Model  of  Moral  Decision-­‐making  

Moral  Uncertainty  

Moral  Dilemma  

Moral  Distress  

Recognize  Moral  Issue  

Make  Moral  Judgment  

Establish  Moral  Intent  

Engage  in  Moral  

Behavior  

   Ethical  Decision-­‐making  

ì Ethics  is  concerned  with  the  following:  ì Good  vs  Bad  ì Right  vs  Wrong  ì Fair  vs  Unfair  ì Praise  vs  Blame  

What factors allow formaking these behavioral distinctions?

Ø  Universalism:  ì  An  ethical  theory  that  holds  that  ac&ons  are  right  or  wrong  

independent  of  their  consequences  

   Ethical  Decision-­‐making  

Page 6: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  

   Ethical  Decision-­‐making  

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

Ø  U&litarianism:  ì  An  ethical  theory  that  holds  that  ac&ons  are  right  if  they  

produce,  or  tend  to  produce,  the  greatest  amount  of  good  for  the  greatest  number  of  persons  

   Ethical  Decision-­‐making  The  ends  jus&fy  

the  means  

Page 7: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  

   Ethical  Decision-­‐making  

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

ì  What  are  the  core  ethical  cri&cisms  of  u&litarianism?    

ì  How  might  these  best  be  remedied?  

   Ethical  Decision-­‐making  

Page 8: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

Ø  U&litarianism:  ì  An  ethical  theory  that  holds  that  ac&ons  are  right  if  they  

produce,  or  tend  to  produce,  the  greatest  amount  of  good  for  the  greatest  number  of  persons  

Economic  

shareholders  profit  

Ford  Pinto  

Ø  U&litarianism:  ì  An  ethical  theory  that  holds  that  ac&ons  are  right  if  they  

produce,  or  tend  to  produce,  the  greatest  amount  of  good  for  the  greatest  number  of  persons  

Page 9: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

Ø  U&litarianism:  ì  An  ethical  theory  that  holds  that  ac&ons  are  right  if  they  

produce,  or  tend  to  produce,  the  greatest  amount  of  good  for  the  greatest  number  of  persons  

Rule  

rules  should  be  cra`ed  in  such  a  way  that  

Ø  Jus&ce:  ì  Consists  in  giving  each  person  his  or  her  due,  trea&ng  equals  

equally  and  unequals  unequally  

   Ethical  Decision-­‐making  

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  ì  Lead  to  fair  outcomes?  

   Ethical  Decision-­‐making  

Page 10: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

Ø  Ethic  of  Care:  ì  Asks  us  to  recognize  and  take  seriously  the  moral  worth  of  

rela&onships,  par&cularly  those  characterized  by  caring  

   Ethical  Decision-­‐making  

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  ì  Lead  to  fair  outcomes?  ì  Promote  caring  rela&onships?  

   Ethical  Decision-­‐making  

Page 11: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

Ø  Libertarianism:  ì  Suggest  right  ac&on  consists  in  maximizing  the  capacity  for  free,  

informed  personal  choice  

   Ethical  Decision-­‐making  

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  ì  Lead  to  fair  outcomes?  ì  Promote  caring  rela&onships?  ì  Support  personal  choice?  

   Ethical  Decision-­‐making  

Page 12: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

Ø  Virtue  theory:  ì  Focus  is  on  achieving  our  personal  ethical  ideal–a  mafer  of  who  

we  are,  not  what  we  do  

   Ethical  Decision-­‐making  

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  ì  Lead  to  fair  outcomes?  ì  Promote  caring  rela&onships?  ì  Support  personal  choice?  ì  Encourage  virtuous  character?  

   Ethical  Decision-­‐making  

Page 13: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

Ø  Land  Ethic:  ì  A  thing  is  right  when  it  tends  to  preserve  the  beauty,  stability,  

and  integrity  of  the  bio&c  community.    It  is  wrong  when  it  tends  otherwise.  

   Ethical  Decision-­‐making  

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  ì  Lead  to  fair  outcomes?  ì  Promote  caring  rela&onships?  ì  Support  personal  choice?  ì  Encourage  virtuous  character?  ì  Contribute  to  sustainability?  

   Ethical  Decision-­‐making  

Page 14: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

principles  

outcomes  

fairness  

caring  

liberty  

character  

sustainability  

1   2   3   4   5   6  

   Ethical  Decision-­‐making  

ì  1)  Iden&fy  Ethical  Issues:  

*  ___________________________  *  ___________________________  *  ___________________________  *  ___________________________  *  ___________________________  *  ___________________________  

Ethical  Decision-­‐Making  Worksheet  

ì  2)  Select  one  issue:  

*  ___________________________  

Ethical  Decision-­‐Making  Worksheet  

Page 15: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  3)  Decide  which  ethical  frameworks  are  most  relevant  to  this  par&cular  issue  (you  will  only  include  checked  frameworks  in  your  further  analysis):  

 Universalism    U&litarianism      Jus&ce      Ethic  of  Care      Liberty      Virtue      Land  Ethic  

Ethical  Decision-­‐Making  Worksheet  

ì  4)  Develop  alterna&ves  to  resolve  this  issue:  (a)  ___________________________  (b)  ___________________________  (c)  ___________________________  (d)  ___________________________  (e)  ___________________________  (f)  ___________________________  

Ethical  Decision-­‐Making  Worksheet  

ì  5)  Analyze  these  alterna&ves:  (only  include  checked  frameworks  from  step  3)  above)  

 

(a)  Principles:  Does  the  alterna&ve  conform  to  fixed  rules  of  conduct?  

(b)  Outcomes:  Does  the  alterna&ve  create  more  good  than  harm?  

(c)  Fairness:  Does  the  alterna&ve  lead  to  fair  outcomes?  

(d)  Caring:  Does  the  alterna&ve  support  caring  rela&onships?  

(e)  Liberty:  Does  the  alterna&ve  promote  personal  choice?  

(f)  Character:  Does  the  alterna&ve  advance  personal  ideals?  

(g)  Sustainability:  Does  the  alterna&ve  respect  the  natural  environment?  

Ethical  Decision-­‐Making  Worksheet  

Page 16: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  5)  Analyze  these  alterna&ves:  (only  include  checked  frameworks  from  step  3)  above)  

 

(a)  Principles:  Does  the  alterna&ve  conform  to  fixed  rules  of  conduct?  

(b)  Outcomes:  Does  the  alterna&ve  create  more  good  than  harm?  

(c)  Fairness:  Does  the  alterna&ve  lead  to  fair  outcomes?  

(d)  Caring:  Does  the  alterna&ve  support  caring  rela&onships?  

(e)  Liberty:  Does  the  alterna&ve  promote  personal  choice?  

(f)  Character:  Does  the  alterna&ve  advance  personal  ideals?  

(g)  Sustainability:  Does  the  alterna&ve  respect  the  natural  environment?  

Ethical  Decision-­‐Making  Worksheet  

(a) (b) (c)

ì  5)  Analyze  these  alterna&ves:  (only  include  checked  frameworks  from  step  3)  above)  

 

(a)  Principles:  Does  the  alterna&ve  conform  to  fixed  rules  of  conduct?  

(b)  Outcomes:  Does  the  alterna&ve  create  more  good  than  harm?  

(c)  Fairness:  Does  the  alterna&ve  lead  to  fair  outcomes?  

(d)  Caring:  Does  the  alterna&ve  support  caring  rela&onships?  

(e)  Liberty:  Does  the  alterna&ve  promote  personal  choice?  

(f)  Character:  Does  the  alterna&ve  advance  personal  ideals?  

(g)  Sustainability:  Does  the  alterna&ve  respect  the  natural  environment?  

Ethical  Decision-­‐Making  Worksheet  

(a) (b) (c)

ì  6)  Select  the  op&mal  alterna&ve:  

*  ___________________________  

Ethical  Decision-­‐Making  Worksheet  

Page 17: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  7)  Is  the  op&mal  alterna&ve…  

 ì  financially  viable?  (if  not,  is  the  second-­‐best  

financially  viable?    the  third-­‐best?)  

-­‐  Yes      -­‐  No  

ì  poli&cally  viable?  (if  not,  is  the  second-­‐best  poli0cally  viable?    the  third-­‐best?)  

-­‐  Yes      -­‐  No  

Ethical  Decision-­‐Making  Worksheet  

ì  8)  Develop  a  plan  for  implementa&on:  

___________________________  ___________________________  ___________________________  ___________________________  ___________________________  

Ethical  Decision-­‐Making  Worksheet  

ì  Gather  the  facts  

ì  Does  the  contemplated  ac&on:  ì  Conform  to  important  principles?  ì  Create  more  good  than  harm?  ì  Lead  to  fair  outcomes?  ì  Promote  caring  rela&onships?  ì  Support  personal  choice?  ì  Encourage  virtuous  character?  ì  Contribute  to  sustainability?  

ì  Think  crea&vely  about  poten&al  ac&ons  

Page 18: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì What  might  a  principle-­‐based  approach  ‘look  like’?  

   Ethical  Decision-­‐making  

ì Avoid  all  appearance  of  impropriety  

   Ethical  Decision-­‐making  

ì Do  not  sacrifice  the  public  good  for  private  gain  

   Ethical  Decision-­‐making  

Page 19: Ethical Decision-making Craig P. Dunn, PhDfaculty.wwu.edu/dunnc3/pp-sampleethicstraining.pdf · Ethical Decision-making Craig P. Dunn, PhD The CENTRE for Organization Effectiveness

Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì Daedelus  and  Icarus  

   Ethical  Decision-­‐making  

ì Operate  at  all  &mes  with  humility,  never  underes&ma&ng  your  capacity  for  self-­‐decep&on  

ì

BRAINA JOURNAL OF NEUROLOGY

OCCASIONAL PAPER

Hubris syndrome: An acquired personalitydisorder? A study of US Presidents andUK Prime Ministers over the last 100 yearsDavid Owen1 and Jonathan Davidson2

1 House of Lords, London, UK2 Department of Psychiatry and Behavioural Sciences, Duke University Medical Center, Durham, USA

Correspondence to: Lord David Owen,House of Lords,SW1A 0PW London, UKE-mail: [email protected]

‘The history of madness is the history of power. Because

it imagines power, madness is both impotence and omni-

potence. It requires power to control it. Threatening the

normal structures of authority, insanity is engaged in an

endless dialogue—a monomaniacal monologue sometimes—

about power’.

Roy Porter

A Social History of Madness: Stories of the Insane, Weidenfeld

& Nicolson, 1987 p. 39

IntroductionCharisma, charm, the ability to inspire, persuasiveness, breadth of

vision, willingness to take risks, grandiose aspirations and bold

self-confidence—these qualities are often associated with success-

ful leadership. Yet there is another side to this profile, for these

very same qualities can be marked by impetuosity, a refusal to

listen to or take advice and a particular form of incompetence

when impulsivity, recklessness and frequent inattention to detail

predominate. This can result in disastrous leadership and cause

damage on a large scale. The attendant loss of capacity to make

rational decisions is perceived by the general public to be more

than ‘just making a mistake’. While they may use discarded

medical or colloquial terms, such as ‘madness’ or ‘he’s lost it’,

to describe such behaviour, they instinctively sense a change

of behaviour although their words do not adequately capture

its essence.

A common thread tying these elements together is hubris, or

exaggerated pride, overwhelming self-confidence and contempt

for others (Owen, 2006). How may we usefully think about a

leader who hubristically abuses power, damaging the lives of

others? Some see it as nothing more than the extreme mani-

festation of normal behaviour along a spectrum of narcissism.

Others simply dismiss hubris as an occupational hazard of pow-

erful leaders, politicians or leaders in business, the military and

academia; an unattractive but understandable aspect of those

who crave power.

But the matter can be formulated differently so that it becomes

appropriate to think of hubris in medical terms. It then becomes

necessary first to rule out conditions such as bipolar (manic-

depressive) disorder, in which grandiosity may be a prominent

feature. From the medical perspective, a number of questions

other than the practicalities of treatment can be raised. For

example can physicians and psychiatrists help in identifying

features of hubris and contribute to designing legislation, codes

of practice and democratic processes to constrain some of its

features? Can neuroscientists go further and discover through

brain imaging and other techniques more about the presenta-

tions of abnormal personality? (Goodman et al., 2007).

We see the relevance of hubris by virtue of it being a trait or

a propensity towards certain attitudes and behaviours. A certain

level of hubris can indicate a shift in the behavioural pattern

doi:10.1093/brain/awp008 Brain 2009: Page 1 of 11 | 1

Received September 29, 2008. Revised December 10, 2008. Accepted January 5, 2009! The Author (2009). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved.For Permissions, please email: [email protected]

Brain Advance Access published February 12, 2009

at Western W

ashington University on February 1, 2014

http://brain.oxfordjournals.org/D

ownloaded from

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ì BRAINA JOURNAL OF NEUROLOGY

OCCASIONAL PAPER

Hubris syndrome: An acquired personalitydisorder? A study of US Presidents andUK Prime Ministers over the last 100 yearsDavid Owen1 and Jonathan Davidson2

1 House of Lords, London, UK2 Department of Psychiatry and Behavioural Sciences, Duke University Medical Center, Durham, USA

Correspondence to: Lord David Owen,House of Lords,SW1A 0PW London, UKE-mail: [email protected]

‘The history of madness is the history of power. Because

it imagines power, madness is both impotence and omni-

potence. It requires power to control it. Threatening the

normal structures of authority, insanity is engaged in an

endless dialogue—a monomaniacal monologue sometimes—

about power’.

Roy Porter

A Social History of Madness: Stories of the Insane, Weidenfeld

& Nicolson, 1987 p. 39

IntroductionCharisma, charm, the ability to inspire, persuasiveness, breadth of

vision, willingness to take risks, grandiose aspirations and bold

self-confidence—these qualities are often associated with success-

ful leadership. Yet there is another side to this profile, for these

very same qualities can be marked by impetuosity, a refusal to

listen to or take advice and a particular form of incompetence

when impulsivity, recklessness and frequent inattention to detail

predominate. This can result in disastrous leadership and cause

damage on a large scale. The attendant loss of capacity to make

rational decisions is perceived by the general public to be more

than ‘just making a mistake’. While they may use discarded

medical or colloquial terms, such as ‘madness’ or ‘he’s lost it’,

to describe such behaviour, they instinctively sense a change

of behaviour although their words do not adequately capture

its essence.

A common thread tying these elements together is hubris, or

exaggerated pride, overwhelming self-confidence and contempt

for others (Owen, 2006). How may we usefully think about a

leader who hubristically abuses power, damaging the lives of

others? Some see it as nothing more than the extreme mani-

festation of normal behaviour along a spectrum of narcissism.

Others simply dismiss hubris as an occupational hazard of pow-

erful leaders, politicians or leaders in business, the military and

academia; an unattractive but understandable aspect of those

who crave power.

But the matter can be formulated differently so that it becomes

appropriate to think of hubris in medical terms. It then becomes

necessary first to rule out conditions such as bipolar (manic-

depressive) disorder, in which grandiosity may be a prominent

feature. From the medical perspective, a number of questions

other than the practicalities of treatment can be raised. For

example can physicians and psychiatrists help in identifying

features of hubris and contribute to designing legislation, codes

of practice and democratic processes to constrain some of its

features? Can neuroscientists go further and discover through

brain imaging and other techniques more about the presenta-

tions of abnormal personality? (Goodman et al., 2007).

We see the relevance of hubris by virtue of it being a trait or

a propensity towards certain attitudes and behaviours. A certain

level of hubris can indicate a shift in the behavioural pattern

doi:10.1093/brain/awp008 Brain 2009: Page 1 of 11 | 1

Received September 29, 2008. Revised December 10, 2008. Accepted January 5, 2009! The Author (2009). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved.For Permissions, please email: [email protected]

Brain Advance Access published February 12, 2009

at Western W

ashington University on February 1, 2014

http://brain.oxfordjournals.org/D

ownloaded from

Hubris syndrome is a disorder of the possession of power, particularly power which has been associated with overwhelming success, held for a period of years and with minimal constraint on the leader.

JIM  CO

LLINS  

5  STAGES  O

F  AN  

ORGA

NIZATIO

N  IN  D

ECLIN

E  

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The CENTRE for Organization Effectiveness www.dunn.cc

ì  “We  can  never  be  gods,  a`er  all—  

 but  we  can  become  something  less  than  human          with  frightening  ease.”    

 

 

N.K. Jemisin, The Hundred Thousand Kingdoms  

ì  In order to ensure ethical behavior, one has to be able to:ì  recognize an ethical issueì  evaluate the ethical issueì  intend to follow the 'right' course of actionì  follow the 'right' course of action

ì  What organizational impediments might interfere with this process?

   Ensuring  Ethical  Behavior  

   Ensuring  Ethical  Behavior  

ì  “You  need  a  moral  corporate  culture,  and  that  is  what  is  missing  now…Codes  of  conduct  are  useless.”  

 

 ì  NORMAN  BOWIE,  the  Elmer  L.  Andersen  Chair  in  Corporate  Responsibility,  the  Carlson  School  of  

Management,  the  University  of  Minnesota  

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Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

   Ensuring  Ethical  Behavior  

ì  “Enron  had  a  corporate  code  of  conduct,  but  their  upper  management  was  so  devoid  of  ethics  that  the  code  became  an  inside  joke.  The  best  codes  of  conduct  are  worthless  unless  ethical  conduct  is  modeled  every  day  by  the  leadership.”  

 

ì  C.  WILLIAM  THOMAS,  the  J.  E.  Bush  Professor  of  AccounFng,  Baylor  University  

   Ensuring  Ethical  Behavior  

ì  “A  profession  seeks  to  demonstrate  a  certain  proficiency  and  excellence  in  prac&ce  based  on  a  systema&c  body  of  knowledge;  it  aims  at  inculca&ng  in  its  members  a  sense  of  responsibility  towards  others  and  in  establishing  a  norm  of  behaviour  and  clearly  defined  qualifica&ons  for  membership.”  

 

ì  Kanawaty,  G.    1977.    Turning  the  Management  OccupaFon  into  a  Profession.  

   Ensuring  Ethical  Behavior  

①  a  common  body  of  knowledge  res&ng  on  a  well-­‐developed,  widely  accepted  theore&cal  base;  

②  a  system  for  cer&fying  that  individuals  possess  such  knowledge  before  being  licensed  or  otherwise  allowed  to  prac&ce;  

③  a  commitment  to  use  specialized  knowledge  for  the  public  good,  and  a  renuncia&on  of  the  goal  of  profit  maximiza&on,  in  return  for  professional  autonomy  and  monopoly  power;  

④  a  code  of  ethics,  with  provisions  for  monitoring  individual  compliance  with  the  code  and  a  system  of  sanc&ons  for  enforcing  it.  

ì  Khurana,  R;  Nohria,  N.  and  Penrice,  D.  2005.  Is  Business  Management  a  Profession?  

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Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  Compliance-based Codesvs

ì  Values-based Codes

   Ensuring  Ethical  Behavior  

ì  Our Credo

ì  We believe our first responsibility is to the doctors, nurses and patients, to mothers and fathers and all others who use our products and services…

ì  We are responsible to our employees, the men and women who work with us throughout the world…

ì  We are responsible to the communities in which we live and work and to the world community as well…

ì  Our final responsibility is to our stockholders.

   Ensuring  Ethical  Behavior  

Model of Motivation (Expectancy Theory)

   Ensuring  Ethical  Behavior  

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Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

Motivation

Model of Motivation

=

   Ensuring  Ethical  Behavior  

Motivation

Expectancy

Model of Motivation

=

   Ensuring  Ethical  Behavior  

Motivation

Belief that effort will lead to behavior

Model of Motivation

=

   Ensuring  Ethical  Behavior  

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Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

Motivation

Expectancy

Model of Motivation

Instrumentality

=

X

   Ensuring  Ethical  Behavior  

Motivation

Belief that behavior will be rewarded

Model of Motivation

=

   Ensuring  Ethical  Behavior  

Motivation

Expectancy

Model of Motivation

Valence Instrumentality

=

X X

   Ensuring  Ethical  Behavior  

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Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

Motivation

Value placed on the reward

Model of Motivation

=

   Ensuring  Ethical  Behavior  

Motivation

Expectancy

Model of Motivation

Valence Instrumentality

=

X X

   Ensuring  Ethical  Behavior  

ì How does this model inform our understanding of why individuals behave unethically?

   Ensuring  Ethical  Behavior  

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Ethical Decision-making Craig P. Dunn, PhD

The CENTRE for Organization Effectiveness www.dunn.cc

ì  Suppose that you want to ensure that employees 'do the right thing.' What steps would you take to make certain this happens?

   Ensuring  Ethical  Behavior  

ì  BOARD/MANAGEMENT/EMPLOYEE SELECTIONì  CODE OF CONDUCT

ì  DEVELOPMENT AND IMPLEMENTATION

ì  TRAININGì  SPLIT TRAINING FROM ENFORCEMENTì  RECOGNITION OF ETHICAL DILEMMASì  ETHICAL DECISION-MAKINGì  CONSENSUS BUILDING/CONFLICT RESOLUTIONì  SHAPING ORGANIZATIONAL CULTURE

ì  GROUP PROCESSESì  RISK MANAGEMENT

ì  INDUSTRY SPECIFI

   Ensuring  Ethical  Behavior  

ì  CODE OF CONDUCTì  DEVELOPMENT AND IMPLEMENTATION

ì  Tailor-make your code ì  Get employees involved ì  Consult key stakeholdersì  Outsource the job only carefully ì  Seek out good examplesì  Be clear about scopeì  Be specific about implementationì  Plan for educationì  Be clear about enforcementì  Specify a sunset date

   Ensuring  Ethical  Behavior  

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ì  THE SARBANES-OXLEY ACT:

ì  Quarterly CEO/CFO certification of periodic reports and internal controls

ì  Audit Committeeì  Independenceì  Financial expertiseì  Oversight of audit firmì  Complaint/whistleblowing proceduresì  Independent advisors authorized

   Sarbanes-­‐Oxley  406  (b)  

ì  THE SARBANES-OXLEY ACT:

ì  CEO/CFO disgorgement of bonuses and stock profits upon restatement

ì  Loans to directors/officers prohibitedì  New crimes and enhanced penaltiesì  Federal regulation of auditing firmsì  Code of ethics for senior financial officers

   Sarbanes-­‐Oxley  406  (b)  

ì  A code of ethics comprises standards reasonably necessary to promote

   Sarbanes-­‐Oxley  406  (b)  

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ì  A code of ethics comprises standards reasonably necessary to promoteì  honest and ethical conduct, including the

ethical handling of actual or apparent conflicts of interest between personal and professional relationships

   Sarbanes-­‐Oxley  406  (b)  

ì  A code of ethics comprises standards reasonably necessary to promoteì  full, fair, accurate, timely, and understandable

disclosure in the periodic reports to be filed by the issuer

   Sarbanes-­‐Oxley  406  (b)  

ì  A code of ethics comprises standards reasonably necessary to promoteì  compliance with the applicable governmental

rules and regulations

   Sarbanes-­‐Oxley  406  (b)  

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ì  A code of ethics comprises standards reasonably necessary to promoteì  the prompt internal reporting of code violations

to an “appropriate person or persons” identified in the code

   Sarbanes-­‐Oxley  406  (b)  

ì  A code of ethics comprises standards reasonably necessary to promoteì  accountability for adherence to the code

   Sarbanes-­‐Oxley  406  (b)  

ì  Code Building Exercise

   Ensuring  Ethical  Behavior  

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The CENTRE for Organization Effectiveness www.dunn.cc

   Ensuring  Ethical  Behavior  

ì  BOARD/MANAGEMENT/EMPLOYEE SELECTIONì  CODE OF CONDUCT

ì  DEVELOPMENT AND IMPLEMENTATION

ì  TRAININGì  SPLIT TRAINING FROM ENFORCEMENTì  RECOGNITION OF ETHICAL DILEMMASì  ETHICAL DECISION-MAKINGì  CONSENSUS BUILDING/CONFLICT RESOLUTIONì  SHAPING ORGANIZATIONAL CULTURE

ì  GROUP PROCESSESì  RISK MANAGEMENT

ì  INDUSTRY SPECIFIC

   Ensuring  Ethical  Behavior  

ì  TRACKING RESPONSIBILITYì  ENFORCEMENT

ì  REPORTINGì  REWARDS/SANCTIONS

ì  DISSENT

ì  COMPENSATION STRUCTURE

ì  PERFORMANCE APPRAISAL

ì  TERMINATION

   Ensuring  Ethical  Behavior