2014
DOI: 10.1111/acer.12245
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Impaired Decoding of Fear and Disgust Predicts Utilitarian Moral Judgment in Alcohol-Dependent Individuals

Abstract: Background: Recent studies of moral reasoning in patients with alcohol use disorders have indicated a "utilitarian" bias, whereby patients are more likely to endorse emotionally aversive actions in favor of aggregate welfare (e.g., throwing a dying person into the sea to keep a lifeboat of survivors afloat). Here, we investigate the underlying psychological and neuropsychological processes.Methods: Alcohol-dependent individuals (n = 31) and healthy comparison participants (n = 34) completed a validated moral j… Show more

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Cited by 33 publications
(37 citation statements)
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“…As hypothesized, we identified an alcohol‐related deficit in accuracy on a 2‐choice emotion discrimination. Also consistent with predictions and published work (e.g., Carmona‐Perera et al., ; Frigerio et al., ; Kornreich et al., ; Quaglino et al., ; Salloum et al., but see Maurage et al., ,; Kornreich et al., ,), we found some support for the prediction that negative emotions are more sensitive to alcohol effects than are positive emotions. Interestingly, we observed an effect largely limited to anger processing, a finding consistent with outcomes of a recent meta‐analysis (Bora and Zorlu, ).…”
Section: Discussionsupporting
confidence: 92%
“…As hypothesized, we identified an alcohol‐related deficit in accuracy on a 2‐choice emotion discrimination. Also consistent with predictions and published work (e.g., Carmona‐Perera et al., ; Frigerio et al., ; Kornreich et al., ; Quaglino et al., ; Salloum et al., but see Maurage et al., ,; Kornreich et al., ,), we found some support for the prediction that negative emotions are more sensitive to alcohol effects than are positive emotions. Interestingly, we observed an effect largely limited to anger processing, a finding consistent with outcomes of a recent meta‐analysis (Bora and Zorlu, ).…”
Section: Discussionsupporting
confidence: 92%
“…In agreement with previous findings, we showed that decision-making in healthy populations is sensitive to the impact of moral vs. non-moral content scenarios (Moll et al, 2001; Harenski and Hamann, 2006; Tassy et al, 2013; Van Bavel et al, 2013), and to the impact of personal vs. impersonal involvement within these moral scenarios (Greene et al, 2001, 2004; Moretto et al, 2010; Koenigs et al, 2007; Carmona-Perera et al, 2013a). Difficulty of judgment may also contribute to describe the emotional weight attached to these choices.…”
Section: Discussionsupporting
confidence: 92%
“…By contrast, deontological choices are preferentially supported by aversive emotional processing (Greene et al, 2001, 2004; Koenigs et al, 2007; Moretto et al, 2010; Carmona-Perera et al, 2013a,b). Recent studies have demonstrated that transient manipulation of specific emotions can bias moral decision-making toward utilitarian or deontological choices in response to moral dilemmas.…”
Section: Introductionmentioning
confidence: 96%
“…Furthermore, sometimes utilitarianism is operationalized with a non-standardized set of dilemmas which are only used once in a single study (e.g. refs 9 , 41 and 50 ), making it challenging to compare results produced by different studies.…”
Section: Discussionmentioning
confidence: 99%