VP142 Assessing Human Enhancements: Exposing And Elucidating Ethical Issues

2017 ◽  
Vol 33 (S1) ◽  
pp. 214-215
Author(s):  
Bjørn Hofmann

INTRODUCTION:Human enhancement technologies need assessments, but they differ from other health technologies. Therefore we may need other methods for their assessment, also with regard to addressing its ethical issues. The objective of this paper is to describe the elaboration of a method for exposing and elucidating ethical issues with human cognitive enhancement. The approach is elaborated in order to support and facilitate open and transparent deliberation and decision making with an emerging type of technology with great potential and formative implications for individuals and society.METHODS:The literature search identified relevant approaches. Conventional content analysis of the identified papers and methods revealed their suitability for assessing human cognitive enhancement. Four selection criteria were applied and followed by method development. Pilot testing on smart-glasses (1) resulted in amendments.RESULTS:A method for exposing and elucidating ethical issues in the assessment of human cognitive enhancement technologies was developed based on three existing approaches in Health Technology Assessment (HTA) (2). The method consists of six steps and a guiding list of forty-three questions. An overview of the approach will be presented.CONCLUSIONS:A method for exposing and elucidating ethical issues in the assessment of human cognitive enhancement has been developed. The method paves the way for context specific ethical assessment and analysis of a new and emerging type of technology.

Philosophies ◽  
2020 ◽  
Vol 5 (3) ◽  
pp. 20
Author(s):  
Marcelo de Araujo

Recent research with human embryos, in different parts of the world, has sparked a new debate on the ethics of genetic human enhancement. This debate, however, has mainly focused on gene-editing technologies, especially CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats). Less attention has been given to the prospect of pursuing genetic human enhancement by means of IVF (In Vitro Fertilisation) in conjunction with in vitro gametogenesis, genome-wide association studies, and embryo selection. This article examines the different ethical implications of the quest for cognitive enhancement by means of gene-editing on the one hand, and embryo selection on the other. The article focuses on the ethics of cognitive enhancement by means of embryo selection, as this technology is more likely to become commercially available before cognitive enhancement by means of gene-editing. This article argues that the philosophical debate on the ethics of enhancement should take into consideration public attitudes to research on human genomics and human enhancement technologies. The article discusses, then, some of the recent findings of the SIENNA Project, which in 2019 conducted a survey on public attitudes to human genomics and human enhancement technologies in 11 countries (France, Germany, Greece, the Netherlands, Poland, Spain, Sweden, Brazil, South Africa, South Korea, and United States).


2016 ◽  
Vol 1 (1) ◽  
pp. 118
Author(s):  
Alexander Gerner

This article hinges on a complex and interdisciplinary field of study named “Philosophy of Human Technology” in which a first non-exhaustive map of ethical, legal and social, technological issues is presented: Technologies constitute, magnify, amplify human experiences, but can also enslave or put human experience and life at risk for example what concerns the right to a “private Life”. The second part of this paper proposes to think three possible interfaces of the topic of Human Cognitive Enhancement. Firstly the Body-electronic interface such as in the organ-on a chip simulation of an externalized human organ function, secondly the optogenetic and general genetic “editing” interface in which new technologies such as CRISPR/Cas9 open up questions for the future of human beings and our self-determination. Third -and more explicitly- the virtual-immersive interface, exemplified by cognitive enhancement by Avatar schizophrenia therapy and uncanny valley effects of digital body doubles will be introduced. The classic rubber-hand illusion had brought new insights into the plasticity of the body- image and the embodiment of the self, by underlining the strong influence of exteroception for the transformation of the bodily self. We will follow these thoughts on Avatar enhancements in schizophrenia therapy and scrutinize as well research ethical issues. Finally a short outlook on the question of two different types of technological detachment in tension in a Philosophy of Human Technology in which Cognitive Enhancement technologies are subjected to two types of technological detachments a) material/somatic substitution and b) detachment as a topos of independence and autonomy is hinted on.


Author(s):  
James M. DuBois ◽  
Beth Prusaczyk

This chapter focuses primarily on the protection of human participants in D&I studies. It begins by reviewing the Belmont principles that undergird US research regulations and considering the ethical case for D&I research. It then proceeds to examine some ethical issues that might arise during the course of a public health, D&I research agenda in middle schools. It covers the ethical case for D&I research and common ethical challenges. The chapter also discusses strategies for ethical decision-making. While these strategies may be beneficial to all researchers, the authors believe they are of particular value to dissemination and implementation researchers because the nature of their work—context specific, complex, and unfamiliar to many peers, collaborators, and reviewers—means they will deal with uncertainty and conflict on a regular basis, and solutions to the problems they face will rarely be found through simple reference principles, rules, or regulations.


2017 ◽  
Vol 41 (S1) ◽  
pp. S39-S39
Author(s):  
S. Galderisi ◽  
F. Caputo

IntroductionMobile health (m-health) technology has been growing rapidly in the last decades. The use of this technology represents an advantage, especially for reaching patients who otherwise would have no access to healthcare. However, many ethical issues arise from the use of m-health. Health equity, privacy policies, adequate informed consent and a competent, safe and high quality healthcare need to be guaranteed; professional standards and quality of doctor-patient relationship in the digital setting should not be lower than those set for in-person practice.AimsTo assess advantages and threats that may arise from the wide use of m-health technologies, in order to guarantee the application of the best medical practices, resulting in the highest quality healthcare.MethodsA literature search has been conducted to highlight the most pressing ethical issues emerging from the spreading of m-health technologies.ResultsFew ethical guidelines on the appropriate use of m-health have been developed to help clinicians adopt a professional conduct within digital settings. They focus on the need for professional associations to define ethical guidelines and for physicians to take care of their education and online behavior when using m-health technologies.ConclusionsThe rapid spreading of m-health technologies urges us to evaluate all ethical issues related to its use. It would be advisable to produce an ethical code for the use of these new technologies, to guarantee health equity, privacy protection, high quality doctor-patient relationships and to ensure that m-health is not chosen over traditional care for merely economic purposes.Disclosure of interestSG received honoraria or Advisory board/consulting fees from the following companies: Lundbeck, Janssen Pharmaceuticals, Hoffman-La Roche, Angelini-Acraf, Otsuka, Pierre Fabre and Gedeon-Richter. All other authors have declared.


2020 ◽  
Author(s):  
Marcello Ienca ◽  
Christophe Schneble ◽  
Reto Kressig ◽  
Tenzin Wangmo

Abstract BackgroundDigital health technologies are being increasingly developed with the aim of allowing older adults to maintain functional independence throughout the old age, a process known as healthy ageing. Such digital health technologies for healthy ageing are expected to mitigate the socio-economic effects of population ageing and improve the quality of life of older people. However, little is known regarding the views and needs of older people regarding these technologies. AimThe aim of this study is to explore the views, needs and perceptions of community-dwelling older adults regarding the use of digital health technologies for healthy ageing. MethodFace-to-face, in-depth qualitative interviews were conducted with community-dwelling older adults (median age 79.6 years). The interview process involved both abstract reflections and practical demonstrations. The interviews were transcribed verbatim and analyzed according to inductive content analysis. ResultsThree main themes and twelve sub-themes emerged. The three main themes revolved around the following thematic areas: favorable views and perceptions on technology-assisted living, usability evaluations and ethical considerations. ConclusionsOur study reveals a generally positive attitude towards digital health technologies as participants believed digital tools could positively contribute to improving their overall wellbeing, especially if designed in a patient-centered manner. Safety concerns and ethical issues related to privacy, empowerment and lack of human contact also emerged as key considerations.


Author(s):  
José M. Galván ◽  
Rocci Luppicini

What are the boundaries of humanity and the human body within our evolving technological society? Within the field of technoethics, inquiry into the origins of the species is both a biological and ethical question as scholars attempt to grapple with conflicting views of what it means to be human and what attributes are core to human beings within the era of human enhancement technologies. Based on a historical and conceptual analysis, this chapter uses a technoethical lens to discuss defining characteristics of the human species as homo technicus. Under this framework, both symbolic capacity and technical ability are assumed to be grounded within the free and ethical nature of human beings. Ideas derived from Modernity and Postmodernity are drawn upon to provide a more encompassing view of humans that accommodates both its technical and ethical dimensions as homo technicus.


Author(s):  
Franco Cortese

This chapter addresses concerns that the development and proliferation of Human Enhancement Technologies (HET) will be (a) dehumanizing and a threat to human dignity and (b) a threat to our autonomy and sovereignty as individuals. Contrarily, HET can be shown to constitute the most effective foreseeable means of increasing the autonomy and sovereignty of individual members of society. Furthermore, this chapter elaborates the position that the use of HET exemplifies—and indeed even intensifies—our most human capacity and faculty, namely the desire for increased self-determination (i.e., control over the determining circumstances and conditions of our own selves and lives), which is referred to as the will toward self-determination. Based upon this position, arguably, the use of HET bears fundamental ontological continuity with the human condition in general and with the historically ubiquitous will toward self-determination in particular as it is today and has been in the past. HET will not be a dehumanizing force, but will rather serve to increase the very capacity and characteristic that characterizes us as human more accurately than anything else.


Author(s):  
Elena Grebenshchikova

One of the key trends in the development of technoscience is associated with the NBIC-convergence projects, which create not only unprecedented means for transformation of society and human but also raise the risks that require integrated approaches to ethical assessment and examination. Today, the foundations of the “NBIC-tetrahedron” have ethical projections in the form of nanoethics, bioethics, ICT-ethics, and neuroethics. However, their ability to discuss and resolve complex problems is limited. Technoethics can be considered a relevant way of combining different approaches to the ethical issues of converging technologies and science to discuss and solve not only actual situations but prospects as well.


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