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  1. Asking questions that matter – Question prompt lists as tools for improving the consent process for neurotechnology clinical trials.Andreas Schönau, Sara Goering, Erika Versalovic, Natalia Montes, Tim Brown, Ishan Dasgupta & Eran Klein - 2022 - Frontiers in Human Neuroscience 16.
    Implantable neurotechnology devices such as Brain Computer Interfaces and Deep Brain Stimulators are an increasing part of treating or exploring potential treatments for neurological and psychiatric disorders. While only a few devices are approved, many promising prospects for future devices are under investigation. The decision to participate in a clinical trial can be challenging, given a variety of risks to be taken into consideration. During the consent process, prospective participants might lack the language to consider those risks, feel unprepared, or (...)
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  • Neuromedia, Cognitive Offloading, and Intellectual Perseverance.Cody Turner - 2022 - Synthese 200 (1):1-26.
    This paper engages in what might be called anticipatory virtue epistemology, as it anticipates some virtue epistemological risks related to a near-future version of brain-computer interface technology that Michael Lynch (2014) calls 'neuromedia.' I analyze how neuromedia is poised to negatively affect the intellectual character of agents, focusing specifically on the virtue of intellectual perseverance, which involves a disposition to mentally persist in the face of challenges towards the realization of one’s intellectual goals. First, I present and motivate what I (...)
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  • Neurotechnology ethics and relational agency.Sara Goering, Timothy Brown & Eran Klein - 2021 - Philosophy Compass 16 (4):e12734.
    Novel neurotechnologies, like deep brain stimulation and brain‐computer interface, offer great hope for treating, curing, and preventing disease, but raise important questions about effects these devices may have on human identity, authenticity, and autonomy. After briefly assessing recent narrative work in these areas, we show that agency is a phenomenon key to all three goods and highlight the ways in which neural devices can help to draw attention to the relational nature of our agency. Drawing on insights from disability theory, (...)
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  • Wired Emotions: Ethical Issues of Affective Brain–Computer Interfaces.Steffen Steinert & Orsolya Friedrich - 2020 - Science and Engineering Ethics 26 (1):351-367.
    Ethical issues concerning brain–computer interfaces have already received a considerable amount of attention. However, one particular form of BCI has not received the attention that it deserves: Affective BCIs that allow for the detection and stimulation of affective states. This paper brings the ethical issues of affective BCIs in sharper focus. The paper briefly reviews recent applications of affective BCIs and considers ethical issues that arise from these applications. Ethical issues that affective BCIs share with other neurotechnologies are presented and (...)
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  • Committing Crimes with BCIs: How Brain-Computer Interface Users can Satisfy Actus Reus and be Criminally Responsible.Kramer Thompson - 2021 - Neuroethics 14 (S3):311-322.
    Brain-computer interfaces allow agents to control computers without moving their bodies. The agents imagine certain things and the brain-computer interfaces read the concomitant neural activity and operate the computer accordingly. But the use of brain-computer interfaces is problematic for criminal law, which requires that someone can only be found criminally responsible if they have satisfied the actus reus requirement: that the agent has performed some (suitably specified) conduct. Agents who affect the world using brain-computer interfaces do not obviously perform any (...)
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  • Why Won’t You Listen To Me? Predictive Neurotechnology and Epistemic Authority.Alessio Tacca & Frederic Gilbert - 2023 - Neuroethics 16 (3):1-12.
    From epileptic seizures to depressive symptoms, predictive neurotechnologies are used for a large range of applications. In this article we focus on advisory devices; namely, predictive neurotechnology programmed to detect specific neural events (e.g., epileptic seizure) and advise users to take necessary steps to reduce or avoid the impact of the forecasted neuroevent. Receiving advise from a predictive device is not without ethical concerns. The problem with predictive neural devices, in particular advisory ones, is the risk of seeing one’s autonomous (...)
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  • Might artificial intelligence become part of the person, and what are the key ethical and legal implications?Jan Christoph Bublitz - forthcoming - AI and Society:1-12.
    This paper explores and ultimately affirms the surprising claim that artificial intelligence (AI) can become part of the person, in a robust sense, and examines three ethical and legal implications. The argument is based on a rich, legally inspired conception of persons as free and independent rightholders and objects of heightened protection, but it is construed so broadly that it should also apply to mainstream philosophical conceptions of personhood. The claim is exemplified by a specific technology, devices that connect human (...)
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  • Researchers’ Ethical Concerns About Using Adaptive Deep Brain Stimulation for Enhancement.Kristin Kostick-Quenet, Lavina Kalwani, Barbara Koenig, Laura Torgerson, Clarissa Sanchez, Katrina Munoz, Rebecca L. Hsu, Demetrio Sierra-Mercado, Jill Oliver Robinson, Simon Outram, Stacey Pereira, Amy McGuire, Peter Zuk & Gabriel Lazaro-Munoz - 2022 - Frontiers in Human Neuroscience 16.
    The capacity of next-generation closed-loop or adaptive deep brain stimulation devices to read and write shows great potential to effectively manage movement, seizure, and psychiatric disorders, and also raises the possibility of using aDBS to electively modulate mood, cognition, and prosociality. What separates aDBS from most neurotechnologies currently used for enhancement is that aDBS remains an invasive, surgically-implanted technology with a risk-benefit ratio significantly different when applied to diseased versus non-diseased individuals. Despite a large discourse about the ethics of enhancement, (...)
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  • Gadamer in a Wired Brain: Philosophical Hermeneutics and Neuralink.Matthew S. Lindia - 2022 - Philosophy and Technology 35 (2):1-17.
    In the spirit of Slavoj Žižek’s book, Hegel in a Wired Brain, this article asks how the questions central to Hans-Georg Gadamer’s philosophical hermeneutics are changed and complicated by the possibility of brain-to-brain communication and the datafication of thought made potential through brain-computer interfaces. By taking a phenomenological approach to understanding the nature of communication through a technology that does not require language for the transmission of ideas, this article explores how BCI communication confronts the ontological character of interpretation as (...)
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  • Mapping the Dimensions of Agency.Andreas Schönau, Ishan Dasgupta, Timothy Brown, Erika Versalovic, Eran Klein & Sara Goering - 2021 - American Journal of Bioethics Neuroscience 12 (2):172-186.
    Neural devices have the capacity to enable users to regain abilities lost due to disease or injury – for instance, a deep brain stimulator (DBS) that allows a person with Parkinson’s disease to regain the ability to fluently perform movements or a Brain Computer Interface (BCI) that enables a person with spinal cord injury to control a robotic arm. While users recognize and appreciate the technologies’ capacity to maintain or restore their capabilities, the neuroethics literature is replete with examples of (...)
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  • Brain-Computer Interfaces and the Translation of Thought into Action.Tom Buller - 2020 - Neuroethics 14 (2):155-165.
    A brain-computer interface designed to restore motor function detects neural activity related to intended movement and thereby enables a person to control an external device, for example, a robotic limb, or even their own body. It would seem legitimate, therefore, to describe a BCI as a system that translates thought into action. This paper argues that present BCI-mediated behavior fails to meet the conditions of intentional physical action as proposed by causal and non-causal theories of action. First, according to the (...)
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  • What is it like to use a BCI? – insights from an interview study with brain-computer interface users.Johannes Kögel, Ralf J. Jox & Orsolya Friedrich - 2020 - BMC Medical Ethics 21 (1):1-14.
    BackgroundThe neurotechnology behind brain-computer interfaces (BCIs) raises various ethical questions. The ethical literature has pinpointed several issues concerning safety, autonomy, responsibility and accountability, psychosocial identity, consent, privacy and data security. This study aims to assess BCI users’ experiences, self-observations and attitudes in their own right and looks for social and ethical implications.MethodsWe conducted nine semi-structured interviews with BCI users, who used the technology for medical reasons. The transcribed interviews were analyzed according to the Grounded Theory coding method.ResultsBCI users perceive themselves (...)
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  • An Instrument to Capture the Phenomenology of Implantable Brain Device Use.Frederic Gilbert, Brown, Dasgupta, Martens, Klein & Goering - 2019 - Neuroethics 14 (3):333-340.
    One important concern regarding implantable Brain Computer Interfaces is the fear that the intervention will negatively change a patient’s sense of identity or agency. In particular, there is concern that the user will be psychologically worse-off following treatment despite postoperative functional improvements. Clinical observations from similar implantable brain technologies, such as deep brain stimulation, show a small but significant proportion of patients report feelings of strangeness or difficulty adjusting to a new concept of themselves characterized by a maladaptive je ne (...)
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  • Control and Ownership of Neuroprosthetic Speech.Hannah Maslen & Stephen Rainey - 2020 - Philosophy and Technology 34 (3):425-445.
    Implantable brain-computer interfaces are being developed to restore speech capacity for those who are unable to speak. Patients with locked-in syndrome or amyotrophic lateral sclerosis could be able to use covert speech – vividly imagining saying something without actual vocalisation – to trigger neural controlled systems capable of synthesising speech. User control has been identified as particularly pressing for this type of BCI. The incorporation of machine learning and statistical language models into the decoding process introduces a contribution to the (...)
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  • Brain–Computer Interfaces, Completely Locked-In State in Neurodegenerative Diseases, and End-of-Life Decisions.Christopher Poppe & Bernice S. Elger - 2024 - Journal of Bioethical Inquiry 21 (1):19-27.
    In the future, policies surrounding end-of-life decisions will be faced with the question of whether competent people in a completely locked-in state should be enabled to make end-of-life decisions via brain-computer interfaces (BCI). This article raises ethical issues with acting through BCIs in the context of these decisions, specifically self-administration requirements within assisted suicide policies. We argue that enabling patients to end their life even once they have entered completely locked-in state might, paradoxically, prolong and uphold their quality of life.
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  • Neuroadaptive Technology and the Self: a Postphenomenological Perspective.Stephen Fairclough - 2023 - Philosophy and Technology 36 (2):1-17.
    Neuroadaptive technology (NAT) is a closed-loop neurotechnology designed to enhance human–computer interaction. NAT works by collecting neurophysiological data, which are analysed via autonomous algorithms to create actions and adaptations at the user interface. This paper concerns how interaction with NAT can mediate self-related processing (SRP), such as self-awareness, self-knowledge, and agency. We begin with a postphenomenological analysis of the NAT closed loop to highlight the built-in selectivities of machine hermeneutics, i.e., autonomous chains of algorithms that convert data into an assessment (...)
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  • Thoughts Unlocked by Technology—a Survey in Germany About Brain-Computer Interfaces.J. R. Schmid, O. Friedrich, S. Kessner & R. J. Jox - 2021 - NanoEthics 15 (3):303-313.
    A brain-computer interface is a rapidly evolving neurotechnology connecting the human brain with a computer. In its classic form, brain activity is recorded and used to control external devices like protheses or wheelchairs. Thus, BCI users act with the power of their thoughts. While the initial development has focused on medical uses of BCIs, non-medical applications have recently been gaining more attention, for example in automobiles, airplanes, and the entertainment context. However, the attitudes of the general public towards BCIs have (...)
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  • Sense of agency for mental actions: Insights from a belief-based action-effect paradigm.Edmundo Lopez-Sola, Rubén Moreno-Bote & Xerxes D. Arsiwalla - 2021 - Consciousness and Cognition 96 (C):103225.
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  • The Spectrum of Responsibility Ascription for End Users of Neurotechnologies.Andreas Schönau - 2021 - Neuroethics 14 (3):423-435.
    Invasive neural devices offer novel prospects for motor rehabilitation on different levels of agentive behavior. From a functional perspective, they interact with, support, or enable human intentional actions in such a way that movement capabilities are regained. However, when there is a technical malfunction resulting in an unintended movement, the complexity of the relationship between the end user and the device sometimes makes it difficult to determine who is responsible for the outcome – a circumstance that has been coined as (...)
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  • Brain Recording, Mind-Reading, and Neurotechnology: Ethical Issues from Consumer Devices to Brain-Based Speech Decoding.Stephen Rainey, Stéphanie Martin, Andy Christen, Pierre Mégevand & Eric Fourneret - 2020 - Science and Engineering Ethics 26 (4):2295-2311.
    Brain reading technologies are rapidly being developed in a number of neuroscience fields. These technologies can record, process, and decode neural signals. This has been described as ‘mind reading technology’ in some instances, especially in popular media. Should the public at large, be concerned about this kind of technology? Can it really read minds? Concerns about mind-reading might include the thought that, in having one’s mind open to view, the possibility for free deliberation, and for self-conception, are eroded where one (...)
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  • Neuroimages: Some Serving Suggestions.Benedict Charles Taylor-Green - 2021 - NanoEthics 15 (3):315-319.
    This art-science interaction evokes two ‘neuroimages’. However, the term ‘neuroimage’ does not refer, as usual, to images that emerge from scientific practices that seek to gain insight into the structural and functional properties of brains. Rather, it is meant that the images considered have as their theme neurotechnologies: specifically, those that concern the control of neuroprostheses, and neuroprostheses themselves. The first neuroimage appears in a biosignal sensing cap catalogue, and the second appears in the science fiction film Blade Runner 2049. (...)
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  • When Thinking is Doing: Responsibility for BCI-Mediated Action.Stephen Rainey, Hannah Maslen & Julian Savulescu - 2020 - American Journal of Bioethics Neuroscience 11 (1):46-58.
    Technologies controlled directly by the brain are being developed, evolving based on insights gained from neuroscience, and rehabilitative medicine. Besides neuro-controlled prosthetics aimed at restoring function lost somehow, technologies controlled via brain-computer interfaces (BCIs) may also extend a user’s horizon of action, freed from the need for bodily movement. Whilst BCI-mediated action ought to be, on the whole, treated as conventional action, law and policy ought to be amended to accommodate BCI action by broadening the definition of action as “willed (...)
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  • A Conceptual Framework to Safeguard the Neuroright to Personal Autonomy.José M. Muñoz, Javier Bernácer & Francisco Güell - 2023 - Neuroethics 16 (3):1-13.
    In this article, we propose a philosophical exploration on the main problems involved in two neurorights that concern autonomous action, namely free will and cognitive liberty, and sketch a possible solution to these problems by resourcing to a holistic interpretation of human actions. First, we expose the main conceptual and practical issues arising from the neuroright to “free will,” which are far from minor: the term itself is denied by some trends participating in the neurorights debate, the related concept of (...)
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  • Toward Ubimus Philosophical Frameworks.Leandro Costalonga, Marcos Célio Filho, Luzilei Aliel & Damián Keller - 2021 - Open Philosophy 4 (1):353-371.
    We tackle the philosophical implications of post-2020 music practices. To situate our discussion, we address pending issues in current definitions of music-making. Our analysis indicates that post-2020 definitions of music should feature sonic information and events, framed through social interactions and through the material grounding of the musical activity. Ubiquitous music furnishes a promising playing field for the emerging aspects of creative music-thinking. New frameworks that encompass the dynamic, multimodal and situated characteristics of music while skewing an anthropocentric perspective on (...)
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