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Altruistic decisions are influenced by the allocation of monetary incentives in a pain-sharing game

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  • Ye-Seul Lee
  • Hyun-Seo Song
  • Hackjin Kim
  • Younbyoung Chae

Abstract

Background: Altruistic behavior is essential to the sustainability of society, but our current understanding of its underlying motivation is limited. In addition to the intrinsic motives to help others, based on empathy, extrinsic motives such as monetary incentives and social reputation influence prosociality. The purpose of this study was to examine the underlying motivations of prosocial behavior under constant or increasing extrinsic motivation settings. Methods: An experimental task, Altruistic Pain Sharing, was developed in which the participants were asked to share the other participants’ pain. In the session with monetary incentives, the incentives were given either constantly (CONSTANT condition) or proportionally (INCREASING condition), to the amount of shared pain. In addition, monetary incentives were not provided in the NO session. The participants experienced different amounts of mechanical pain at the beginning of the task and chose the number of pain stimulations to share, based on their experiences. Results: Compared to the NO session, the INCREASING session exhibited a rise in the mean of shared pain, but not the CONSTANT session. Furthermore, there was a distinct tendency to receive less pain than the other participant in the CONSTANT session, and a tendency to receive more pain than the other participant in the INCREASING session. Conclusion: Prosocial behavior was influenced by the presence, as well as the form, of the extrinsic monetary incentives. Our study shows that rewards incentivize individuals to demonstrate a higher level of prosocial behavior, implying that prosocial behavior is itself a mixture of intrinsic and extrinsic motivations, and that an effectively designed rewards system may function to enhance prosocial behavior.

Suggested Citation

  • Ye-Seul Lee & Hyun-Seo Song & Hackjin Kim & Younbyoung Chae, 2019. "Altruistic decisions are influenced by the allocation of monetary incentives in a pain-sharing game," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-16, March.
    • Handle: RePEc:plo:pone00:0213104
    DOI: 10.1371/journal.pone.0213104
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    References listed on IDEAS

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    1. Moritz Hetzer & Didier Sornette, 2013. "An Evolutionary Model of Cooperation, Fairness and Altruistic Punishment in Public Good Games," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-13, November.
    2. Ernst Fehr & Klaus M. Schmidt, 2004. "Fairness and Incentives in a Multi‐task Principal–Agent Model," Scandinavian Journal of Economics, Wiley Blackwell, vol. 106(3), pages 453-474, October.
    3. Rene Bekkers, 2007. "Measuring altruistic behavior in surveys: The all-or-nothing dictator game," Artefactual Field Experiments 00102, The Field Experiments Website.
    4. Brañas-Garza, Pablo & Capraro, Valerio & Rascón-Ramírez, Ericka, 2018. "Gender differences in altruism on Mechanical Turk: Expectations and actual behaviour," Economics Letters, Elsevier, vol. 170(C), pages 19-23.
    5. Jeffrey Clemens & Joshua D. Gottlieb, 2014. "Do Physicians' Financial Incentives Affect Medical Treatment and Patient Health?," American Economic Review, American Economic Association, vol. 104(4), pages 1320-1349, April.
    6. Ezequiel Gleichgerrcht & Jean Decety, 2013. "Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-12, April.
    7. repec:feb:natura:0059 is not listed on IDEAS
    8. Aviva Aron-Dine & Liran Einav & Amy Finkelstein & Mark Cullen, 2015. "Moral Hazard in Health Insurance: Do Dynamic Incentives Matter?," The Review of Economics and Statistics, MIT Press, vol. 97(4), pages 725-741, October.
    9. Li, Jing & Dow, William H & Kariv, Shachar, 2017. "Social preferences of future physicians," Department of Economics, Working Paper Series qt5vw9g5tj, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    10. Hennig-Schmidt, Heike & Wiesen, Daniel, 2014. "Other-regarding behavior and motivation in health care provision: An experiment with medical and non-medical students," Social Science & Medicine, Elsevier, vol. 108(C), pages 156-165.
    11. Allard, Marie & Jelovac, Izabela & Léger, Pierre Thomas, 2011. "Treatment and referral decisions under different physician payment mechanisms," Journal of Health Economics, Elsevier, vol. 30(5), pages 880-893.
    12. Nicholas D Wright & Mkael Symmonds & Laurel S Morris & Raymond J Dolan, 2013. "Dissociable Influences of Skewness and Valence on Economic Choice and Neural Activity," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-8, December.
    13. repec:cup:judgdm:v:13:y:2018:i:1:p:99-111 is not listed on IDEAS
    14. Melissa Bateson & Daniel Nettle & Gilbert Roberts, 2006. "Cues of being watched enhance cooperation in a real-world setting," Natural Field Experiments 00214, The Field Experiments Website.
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    Cited by:

    1. François Cochard & Alexandre Flage, 2023. "Sharing Losses in Dictator and Ultimatum Games: A Meta-Analysis," Working Papers 2023-09, CRESE.
    2. Ye-Seul Lee & Song-Yi Kim & Younbyoung Chae, 2019. "Distribution of monetary incentives in health insurance scheme influences acupuncture treatment choices: An experimental study," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-12, June.

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