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Is severe alcohol use disorder really associated with increased utilitarian moral judgment? Exploration using the CNI model.
Gautier, Mado; Mange, Jessica; De Longueville, Xavier; Maurage, Pierre.
Afiliación
  • Gautier M; Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium. Electronic address: mado.gautier@uclouvain.be.
  • Mange J; Laboratoire de Psychologie de Caen Normandie (LPCN EA 7452), Université de Caen Normandie, Caen, France. Electronic address: jessica.mange@unicaen.fr.
  • De Longueville X; Psychiatric Unit, GHdC, Charleroi, Belgium. Electronic address: xavier.delongueville@ghdc.be.
  • Maurage P; Louvain Experimental Psychopathology research group (LEP), Psychological Science Research Institute, UCLouvain, Louvain-la-Neuve, Belgium. Electronic address: pierre.maurage@uclouvain.be.
Drug Alcohol Depend ; 264: 112435, 2024 Sep 12.
Article en En | MEDLINE | ID: mdl-39299009
ABSTRACT

OBJECTIVES:

The psychology of moral decision-making classically contrasts utilitarianism (based on consequences) and deontology (based on moral norms). Previous studies capitalizing on this dichotomy have suggested the presence of a utilitarian bias among patients with severe alcohol use disorder (SAUD). We aimed to further disentangle the processes involved in such bias through a more validated approach, the CNI model of moral decision-making. This model allows to go further than the classical approach by distinguishing sensitivity to consequences (C), to moral norms (N), and general preference for inaction over action (I) in response to moral dilemmas.

METHODS:

Thirty-four recently detoxified patients with SAUD and 34 matched control participants completed a battery of 48 dilemmas derived from the CNI model, as well as social cognition tasks.

RESULTS:

In contrast with the utilitarian bias suggested in previous studies based on the classical approach, patients with SAUD did not show an increased sensitivity to consequences in comparison with control participants. However, they showed a reduced sensitivity to moral norms, as well as a greater action tendency. These biases were not related to social cognition deficits.

CONCLUSIONS:

Patients with SAUD are not more utilitarian than healthy controls, this previously reported bias being artificially generated by the methodological limits of the classical approach. Instead, they present a reduced sensitivity to moral norms and an action bias, which might impact their interpersonal relations and contribute to the social isolation frequently reported in this population, thus identifying moral decision-making as a new therapeutic lever in SAUD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda