Grex Agora47 Conference

Item 176: Is altruism dead?

Entered by eprom on Mon Nov 17 02:08:16 2003:

I scare myself in my feeling of contempt for some people in society, I'm 
sure it shows in my attitude, and I don't even realize it. for example. 

I thought to myself, 'if there were a fire in my place what would be the 
few items i'd choose to try to save?' (being that I live alone) my digital
camera, laptop and legal documents (SS card, birth cert, etc). I guess that 
gives you an indication of what you find in life to be important. 

That's not such a hard choice, really. But hypothetically lets say you had 
your most prized (material) possession in room A and an unknown stranger in
room B, and you only have time to rescue one of them. I hate to say it, but
I'd really have to think a long time about it. I would probably rescue the 
stranger, but only because it would make me look bad if I didn't (not to 
mention good samaritan laws). yeah that's me being brutally honest with 
myself.

I'm betting there are alot of people thinking, "well thats not me, people 
are waaaay more important than material possessions". Well, probably a more
realistic senario would be a car broken down on the freeway, how many people
stop on a regular bases to help them out? 

I'm sure everyone has passed them on the road. Lets say its an old lady in
her late 70's (actually should it even matter their gender and age). Most 
who don't stop, probably justify their actions by thinking "well, i'm sure
they have a cellphone and AAA" or "I'm sure a state trooper will be along
here soon anyways" or "They might me a roadside serial killer that i've 
heard about; it would be foolish to risk my life", but aren't you putting 
you life at risk in the 'room A or B' senerio too?

Back in sept 2001, when the WTC was struck, I was almost totally glued to 
my TV for the next few day to see how the events were going to play out. My
memory is fuzzy but I think I remember seeing an AP picture of some guy that 
was playing golf as the towers burned in the distance background a few miles
away.  Looking back i'm not sure if I feel that's such a bad thing. (Even 
though I'm a somewhat agnostic person), it reminds me of the prayer:

God, grant me the serenity, To accept the things I cannot change, the courage 
to change the things I can, and the wisdom to know the difference.

Most people would probably be horrified, saying that I have no compassion to 
think that way. But isn't a paradox, that people are more concerned with 
people who have no chance of escaping vs helping someone brokedown on the 
freeway, or even some thing as mundame as volunteering at a soup kitchen, 
donating blood, giving money to a poor person living on the streets.

Is that a defeatist additude? Where does one draw the line? Is altruism dead?
46 responses total.

#1 of 46 by other on Mon Nov 17 02:44:46 2003:

Altruism is a fiction.  When we do things for others or for society 
at large, it is because doing so satisfies a need or a drive within 
us.  Even when we risk our lives or our safety, on impulse, to 
protect others, it is largely because we are instinctively wired 
that way.  That this is true in no way negates the social value of 
doing these things, though.

Your hypothetical scenario is instructive.  What it teaches is that 
you should back up your important data in such a way that it is 
moderately protected, and insure your computer, so that you can 
indulge the impulse to save a person rather than a computer without 
feeling conflicted about it.

The person playing golf while the towers burned did exactly what 
your little prayer asks.  He accepted what he could not change, at 
least in the short term.

Many reactions to 9-11 were that "I" or "We" had been attacked, not 
that "the people in the towers" had been attacked.  People imagined 
themselves the victim of that attack, even if we were really only 
victimized by the aftermath.  This was a vast and dramatic image of 
the sort that produces an emotional reaction which is fairly 
consistent across different people, but what we do in response to 
our emotions is what distinguishes us from one another. 

So, no, there is no paradox there.  The people who are wired to give 
will give, those who are wired to take will take (and by wired I 
refer to the result of both nature and nurture) and those who are 
wired to feel guilty will feel guilty.


#2 of 46 by keesan on Mon Nov 17 02:55:49 2003:

I cannot imagine saving a computer rather than a person.
We once rescued a biker on the highway.  She zoomed past three of us on her
skinny tire bike, trying to do 100 miles in one day.  A medical student.  We
were carrying tent and sleeping bags, etc.  Ten minutes later we caught up
and changed her flat tire as she was not burdening herself with tools.
We have been pulled out of a snowbank in Colorado by a passing car driven by
people originally from Ypsilanti, and out of mud in Ypsilanti by a very polite
young black man who probably has to deal with people being afraid of him.
And given a ride when we were biking in Ann Arbor and it started raining hard.
(It helped to have a 2 year old along).  We have also picked up interesting
hitchhikers.  One of them was surprised to find out I spoke his language
(Czech) and decided to continue with us for three days.  

If I were to rescue possessions it would be photographs.


#3 of 46 by eprom on Mon Nov 17 03:42:47 2003:

hmm...contempt is much to strong a word, I meant ambivalence
which isn't a whole lot better.

re#1
I've read Ayn rands work....I'd like to think we do things
out of compassion for others, but I think you're are right
in regards to your statement in your first paragraph.

re#2
I do help people out, just not as much as I think I could,
which I think is the same for alot of people. I admire
people who are more selfless than myself.

I could give to other people and help them out in time of
need, that's not the problem, it's the feeling inside that
doesn't always align itself to my actions. I'm not sure if
I can really explain it.



#4 of 46 by other on Mon Nov 17 03:45:52 2003:

I'm not as cynical as Rand.  I still think it is ok to aspire to 
altruism, even if it is a harmless self-delusion.


#5 of 46 by gelinas on Mon Nov 17 04:24:19 2003:

The last paragraph of #3:  "That which I would, I do not; that which I would
not, that I do" (Paul, in his letter to the Romans).

I've stopped to help a car stopped on the side of the road, and I've changed
lanes to give the stopped vehicle more room.  Any more, I make my decision
to stop based on the entire situation at the time.  I'm not inclined to try
to go from seventy to zero in heavy traffic.


#6 of 46 by jep on Mon Nov 17 04:58:39 2003:

Everything we do is because it satisfies a need inside us.  The only 
alternative you have to agreeing with that statement is to state we do 
things at random, without any contributing cause.

"Altruism" doesn't mean you don't feel good or get some other benefit; 
it means you are trying to help others rather than yourself.  It's 
okay to feel good or be happy when you do things for others, and still 
call it "altruism".  You'd be a very strange person -- you'd have to 
be insane -- if you really didn't derive any benefit at all from doing 
things for others.

It seems kind of pointless, to me, to define words to mean something 
that can't ever exist or happen.  The Ayn Rand definition of altruism 
is as useless in communicating as is talking of "dry water" 
or "descending upward" or "happy despair".  It seems to me she 
strained the word out of shape and then pointed out it didn't mean 
anything any more.  I don't agree with her on that.  If I hand a bum 
on the street $20, it's altruism.  He's not going to do anything for 
me.  If it makes me happy, that doesn't invalidate that I was nice to 
the person.


#7 of 46 by twenex on Mon Nov 17 05:20:10 2003:

In the UK there are adverts for charity saying "please give just 2 pounds a
month to save X", where X varies according to whether the charity is the Royal
Society for the Prevention of Cruelty to Animals, the National Society for
the Prevention of Cruelty to Children, charities for Africa, etc.

Giving just two pounds a month (about $2.70) is all well and good, but how
can one family afford to give "just two pounds a month" to all these
charities? How do you choose between them?


#8 of 46 by mary on Mon Nov 17 11:48:35 2003:

More and more they are finding that a lack of empathy is hard wired brain
chemistry.  Experts found the differences most striking when looking at
the brains of serial killers.  But it can also be picked up in children
with specific disorders, like mild autism.  

A child can be taught to initiate appropriate social responses.
Don't know if they've had much success with adults.


#9 of 46 by gelinas on Mon Nov 17 11:54:42 2003:

"Initiate" or "imitate"?


#10 of 46 by twenex on Mon Nov 17 15:47:48 2003:

It's not lack of empathy. It's lack of enough resources to feed oneself and
all the charities that are asking for money.


#11 of 46 by gull on Mon Nov 17 16:22:41 2003:

Whether I stop to help depends on where I am.

In this part of Michigan, help is rarely more than a short walk away,
and stopping is dangerous due to heavy traffic and the risk of crime.  I
generally don't stop to help if I see someone broken down.

If I'm out in the boonies somewhere, though, I will stop to help.


#12 of 46 by mynxcat on Mon Nov 17 18:10:59 2003:

If it were just me, and the stalled car had three very big men, I 
wouldn't stop to help. True, I'm making an assumption which could be 
very wrong, but it's called self preservation.

As for eprom's example, I don't know what I'd save. I'd like to say 
the stranger in the next room, but I know it really depends on what 
my "prized" possessions are at that time. For eg, I'd save my cat 
before a total stranger. Sad, but true.


#13 of 46 by rcurl on Mon Nov 17 19:00:03 2003:

I feel negatively toward someone stopping to help if my car is disabled.
But then, I am prepared with a cell phone, two-way radio, and an AAA
membership, which can call professional help in most places. I'd prefer 
for a police car to stop to offer assistance. Just another driver stopping
might offer some help, but it could also be trouble, such as incompetent
attempts to "fix" something. 


#14 of 46 by mynxcat on Mon Nov 17 19:29:33 2003:

My, you are the appreciative one.


#15 of 46 by gull on Mon Nov 17 19:42:51 2003:

Rane's response is natural for someone who has lived mostly in urban areas. 
A fair bit of my driving has been in places where cell phones don't work and
AAA is likely to take hours to arrive, if they don't just tell you to bug
off.


#16 of 46 by slynne on Mon Nov 17 20:12:25 2003:

"helping" behavior has been studied a lot by psychologists and 
sociologists. A lot of interesting things about helping. For instance, 
if there are a lot of people around, there is diffused responsibility 
and thus the liklihood that help will be forthcoming is reduced. Think 
about it. Imagine your scenario where you can save your possessions or 
you can save a person but there are also a dozen other people around 
who also can save the person. Wouldnt that make you even more likely to 
dive to save your stuff?

It is the same with the road scenario. If it is a busy highway, there 
is diffused responsibility. I have passed lots of people in urban 
areas. But, if I was driving out west in the desert and there was 
nothing around for miles, I probably would stop. 


#17 of 46 by rcurl on Mon Nov 17 20:17:09 2003:

Did it "fizz" with the acid? If it did, then it was marble or even just
limestone. There are also argillaceous and arenaceous limestones/marbles
that would disintegrate in acid. 


#18 of 46 by mynxcat on Mon Nov 17 20:21:23 2003:

I think this is the wrong item Rane, but I don't remember if it fizzed 
with the acid. 


#19 of 46 by rcurl on Mon Nov 17 20:25:57 2003:

Altruism must be dead......  8^}


#20 of 46 by tod on Mon Nov 17 23:11:19 2003:

This response has been erased.



#21 of 46 by tsty on Tue Nov 18 05:37:39 2003:

until when?


#22 of 46 by clees on Tue Nov 18 09:22:29 2003:

I have notied people are more inclined to help at accidents - or at 
least check things out - compared to situations that might end them up 
in hazardous situations. That's why people don't interfere in fights.


#23 of 46 by mary on Tue Nov 18 13:08:17 2003:

I was recently recertified in both PALS and ACLS (pediatric
and adult life support).  This happens every two years and 
each and every time there are significant changes to the 
algorithms and interventions.  But this year there was a biggie.

We are no longer expected to provide mouth to mouth resuscitation on 
anyone.  If a rescue breathing mask isn't available then you go 
directly to chest compressions only.

Now, there are two reasons for this, one being they've decided that 
pushing CO2 laden air into someone's lungs wasn't all that helpful 
compared to continuing chest compressions.  But mostly it was asking 
a whole lot of a volunteer to exchange body fluids with a stranger.

I found this a fascinating snapshot of changing times.


#24 of 46 by tod on Tue Nov 18 23:19:12 2003:

This response has been erased.



#25 of 46 by other on Wed Nov 19 04:16:45 2003:

They actually collected case studies of CPR and effects and found 
that reliably better results were obtained when chest compressions 
were applied continuously (with appropriate checking to determine if 
the patient had resumed breathing and heart function) than when 
chest compressions were mixed with mouth-to-mouth.


#26 of 46 by mary on Wed Nov 19 12:28:00 2003:

Reliably better is misleading here as very few cardiac
arrest victims survived at all without defibrillation.
But they are hoping that if the pressure is off to 
do mouth to mouth on a stranger that more folks will be
inclined to stop and help and use AEDs.  That does save
lives.


#27 of 46 by slynne on Wed Nov 19 23:26:26 2003:

What are AEDs?


#28 of 46 by other on Thu Nov 20 05:26:51 2003:

auto-electro-defibrillators?

Something like that.  It is a very easy to use (requiring little 
expertise) and quite effective mini version of the device with the 
paddles that you always see people shouting "clear!" in preparation 
for the use of on tv.


#29 of 46 by mary on Thu Nov 20 11:37:04 2003:

It's an automated external defibrillator.  An AED is a little 
smaller than a shoebox and usually hangs on the wall in public
locations.  Airport terminals have 'em, high school locker 
rooms have 'em, Walmart has 'em.  You need no training to 
use them as once you turn it on with a well marked green "ON"
button, a recorded voice will tell you exactly what to do
next.  They save lives like CPR without defibrillation never
did.


#30 of 46 by gelinas on Thu Nov 20 12:38:40 2003:

(Did you mean that Walmart offers them for sale?)


#31 of 46 by bru on Thu Nov 20 14:06:32 2003:

no, they hang them in the store.  Just like they do fire extinguishers.


#32 of 46 by gull on Thu Nov 20 15:02:55 2003:

How much do they cost?  It'd be great if they eventually got cheap enough
that they could be installed as ubiquitously as fire extinguishers.


#33 of 46 by rcurl on Thu Nov 20 16:27:48 2003:

Are their any hazards with their use, say on a person that has fainted but
some "good Samaritan" thinks has had a heart attack?


#34 of 46 by gelinas on Thu Nov 20 17:11:56 2003:

That's the 'automatic' part: they trigger themselves, based on the
information they obtain from their leads.  (Machinery always seems to
find a way to fail, of course.)

Last I heard, they were still around $1,000 each.  I'm hoping they'll
get cheaper; I'd like to put one in each vehicle.


#35 of 46 by rcurl on Thu Nov 20 17:42:58 2003:

First, s/their/there in #33.... 8^{

Re #34: my question concerns what can happen if they are given *bad*
information. The user might not interpret the victim's condition
correctly.  Or are you saying the machine does the diagnosing itself?  I
got the impression that it gave instructions and the user had to choose
the options. 



#36 of 46 by bru on Thu Nov 20 17:49:37 2003:

I have a freind who is afraid of just that, since his heart is backward or
something like that.


#37 of 46 by scott on Thu Nov 20 18:13:04 2003:

It seems like it should be possible for the electrodes to return a heartbeat
or fibrillation signal before the charge is released.  Would also be a ogod
check that the electrodes are properly placed.


#38 of 46 by scott on Thu Nov 20 18:15:06 2003:

Ah, here we go:
http://www.hometownconnections.com/utility/philips.html

"For added safety, the HeartStart patient analysis system will only deliver
a shock if one is needed."


#39 of 46 by rcurl on Thu Nov 20 20:14:37 2003:

It says "Plus the foolproof design of the FR2+ makes it virtually impossible
to defibrillate someone who is not SCA." Note that "virtually" escape word.
But I'd probably take the chance.


#40 of 46 by mary on Thu Nov 20 21:25:52 2003:

They run about $4,000 each and individual can purchase
them for home use with a prescription from a doctor.

They won't shock unless a shock is needed.  There is an
interesting story here about something the Ypsilanti
school system did regading AEDs.  But I'm at work right
now.  I'll enter it later, from home.


#41 of 46 by scott on Thu Nov 20 22:17:03 2003:

I could easily see a bully using one of those, if not for the autodetection
safety feature.


#42 of 46 by mary on Fri Nov 21 00:14:20 2003:

An AED works like this.  You turn it on.  It tells you to put the pads
(two large sticky leads) on the patient.  There is a picture on each lead
showing you placement.  The AED then tells you it's analyzing and not to
touch the patient.  It will come back with "shock not needed" if pulse
supporting activity is found.  If it finds fibrillation it will say "shock
indicated", "stand clear", "shock".  At the point the person taking
charge should visually check that nobody is touching the victim then push
the SHOCK button.

That's it.  No decisions need to be made. The machine does all the
evaluating.  And it's very precise in terms of recognizing fibrillation. 
One of the only mistakes that can be made is if people can't keep their
hands off the patient during the analyzing phase.  That little bit of
activity will be picked up and the AED won't recognize the fibrillation.
You can't force it to shock someone with a heart rate.  You can't fake
it into shocking.  Fibrillation is a very specific, low-voltage, fine
phase rhythm. 

For those who collapse due to cardiac arrest their chances of leaving the
hospital able to care for themselves, brain function intact, is close to
zero if fibrillation continues more than 10 minutes.  Despite CPR.  Wow. 
Forget thumping on someone's chest.  Run for the AED.  I've been certified
in this stuff for almost 30 years now, but the last couple have seen huge
changes in how to save lives.  And it's AEDs. 

So here's what happened with Ypsi schools.  The PTO got together the money
to buy one for these for the school.  Lots of school have them now.  I
think it was used just last year to save a student who collapsed on the
field in Saline.  He had been hit in the chest with a line drive during
baseball practice.  Not an unusual response to such an injury. 

Anyhow, the Ypsi school board, hearing of the gift got it into their heads
that this sounded like a technology ripe for abuse and *refused to accept
the AED*.  They couldn't have done any research into how they operate, or
of the lives they've saved.  They just knew it sounded like something they
didn't want. 

I can just imagine how many zeros will be on the check they'll be writing
when the first kid who needs this dies for lack of having it available.
This is a great example of how dangerous ignorance can be.

Wow, sorry about the length of that one.


#43 of 46 by jep on Fri Nov 21 04:20:13 2003:

Wow.  Don't apologize for the length, Mary.  I had no idea these AEDs 
were so useful or so carefully designed.  The Cub Scout camp where my 
son and I went last summer has one.  I thought it was an extraneous 
expense, unlikely to be used or to do any good.  I'll have to look 
into whether the Clinton schools have them.


#44 of 46 by gelinas on Fri Nov 21 05:35:22 2003:

http://www.aedsuperstore.com/ offers AEDs starting at $1245, but that's
still more than I can spend right now.


#45 of 46 by gull on Tue Nov 25 17:28:25 2003:

Re #42: I actually knew a guy in college who was doing research into
designing better chest protectors for kids who play baseball.  I had no
idea that it was so easy for a blow to the chest to kill someone, until
I talked to him.


#46 of 46 by willcome on Thu Nov 27 09:39:00 2003:

whore.


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