Rethinking gaming: The ethical work of optimization in web search engines.

When measures come to matter, those measured find themselves in a precarious situation. On the one hand, they have a strong incentive to respond to measurement so as to score a favourable rating. On the other hand, too much of an adjustment runs the risk of being flagged and penalized by system operators as an attempt to 'game the system'. Measures, the story goes, are most useful when they depict those measured as they usually are and not how they intend to be. In this article, I explore the practices and politics of optimization in the case of web search engines. Drawing on materials from ethnographic fieldwork with search engine optimization (SEO) consultants in the United Kingdom, I show how maximizing a website's visibility in search results involves navigating the shifting boundaries between 'good' and 'bad' optimization. Specifically, I am interested in the ethical work performed as SEO consultants artfully arrange themselves to cope with moral ambiguities provoked and delegated by the operators of the search engine. Building on studies of ethics as a practical accomplishment, I suggest that the ethicality of optimization has itself become a site of governance and contestation. Studying such practices of 'being ethical' not only offers opportunities for rethinking popular tropes like 'gaming the system', but also draws attention to often-overlooked struggles for authority at the margins of contemporary ranking schemes.

Professional Ethics for Digital Age Psychiatry: Boundaries, Privacy, and Communication.

PURPOSE OF REVIEW: Internet and social media use continue to expand rapidly. Many patients and psychiatrists are bringing digital technologies into the treatment process, but relatively little attention has been paid to the ethical challenges in doing this. This review presents ethical guidelines for psychiatry in the digital age. RECENT FINDINGS: Surveys demonstrate that patients are eager to make digital technologies part of their treatment. Substantial numbers search for professional and personal information about their therapists. Attitudes among psychiatrists about using digital technologies with patients range from dread to enthusiastic adoption. Digital technologies create four major ethical challenges for psychiatry: managing clinical boundaries; maintaining privacy and confidentiality; establishing realistic expectations regarding digital communications; and upholding professional ideals. Traditional ethical expectations are valid for the evolving digital arena, but guidance must be adapted for actual application in practice.

Do Therapists Google Their Patients? A Survey Among Psychotherapists.

BACKGROUND: The increasing use of the Internet and its array of social networks brings new ways for psychotherapists to find out information about their patients, often referred to as patient-targeted googling (PTG). However, this topic has been subject to little empirical research; there has been hardly any attention given to it in Germany and the rest of Europe and it has not been included in ethical guidelines for psychotherapy despite the complex ethical issues it raises. OBJECTIVE: This study explored German psychotherapists' behavior and experiences related to PTG, investigated how these vary with sociodemographic factors and therapeutic background, and explored the circumstances in which psychotherapists considered PTG to be appropriate or not. METHODS: A total of 207 psychotherapists responded to a newly developed questionnaire that assessed their experience of and views on PTG. The study sample was a nonrepresentative convenience sample recruited online via several German-speaking professional therapy platforms. RESULTS: Most therapists (84.5%, 174/207) stated that they had not actively considered the topic of PTG. However, 39.6% (82/207) said that they had already looked for patient information online (eg, when they suspected a patient may have been lying) and 39.3% (81/207) knew colleagues or supervisors who had done so. Only 2.4% (5/207) of therapists had come across PTG during their education and training. CONCLUSIONS: It is essential to provide PTG as a part of therapists' education and training. Furthermore, the complex problems concerning PTG should be introduced into codes of ethics to provide explicit guidance for psychotherapists in practice. This report provides initial suggestions to open up debate on this topic.

Human Flesh Search Engine and Online Privacy.

Human flesh search engine can be a double-edged sword, bringing convenience on the one hand and leading to infringement of personal privacy on the other hand. This paper discusses the ethical problems brought about by the human flesh search engine, as well as possible solutions.