Jackie Leach Scully, Georgia van Toorn, Sandra Gendera
{"title":"Automating Misrecognition: The Case of Disability.","authors":"Jackie Leach Scully, Georgia van Toorn, Sandra Gendera","doi":"10.1007/s11673-025-10462-3","DOIUrl":"https://doi.org/10.1007/s11673-025-10462-3","url":null,"abstract":"<p><p>Over the last decade, bioethics has begun to address the ethical issues emerging as artificial intelligence (AI) and associated technological processes such as automated decision-making (ADM) become part of healthcare and research. Recent work on justice in AI demonstrates that supposedly neutral AI systems can perpetuate the marginalization of various communities. But so far, there has been little exploration of the interaction of AI and disability. In this empirically based project, we have explored the implications of ADM in the lives of people with disability in Australia. This paper focuses on a point that was consistently raised in discussion by disabled participants but is rarely encountered in the AI ethics literature, especially in relation to disability: the problem of automated systems' failures of recognition.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Response to: \"Justice Before Pluriversality-A Response to Jecker et al.\"","authors":"Paul A Komesaroff","doi":"10.1007/s11673-025-10468-x","DOIUrl":"https://doi.org/10.1007/s11673-025-10468-x","url":null,"abstract":"","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delegating Responsibilities to Intelligent Autonomous Systems: Challenges and Benefits.","authors":"Gordana Dodig-Crnkovic, Gianfranco Basti, Tobias Holstein","doi":"10.1007/s11673-025-10428-5","DOIUrl":"https://doi.org/10.1007/s11673-025-10428-5","url":null,"abstract":"<p><p>As AI systems increasingly operate with autonomy and adaptability, the traditional boundaries of moral responsibility in techno-social systems are being challenged. This paper explores the evolving discourse on the delegation of responsibilities to intelligent autonomous agents and the ethical implications of such practices. Synthesizing recent developments in AI ethics, including concepts of distributed responsibility and ethical AI by design, the paper proposes a functionalist perspective as a framework. This perspective views moral responsibility not as an individual trait but as a role within a socio-technical system, distributed among human and artificial agents. As an example of \"AI ethical by design,\" we present Basti and Vitiello's implementation. They suggest that AI can act as artificial moral agents by learning ethical guidelines and using Deontic Higher-Order Logic to assess decisions ethically. Motivated by the possible speed and scale beyond human supervision and ethical implications, the paper argues for \"AI ethical by design,\" while acknowledging the distributed, shared, and dynamic nature of responsibility. This functionalist approach offers a practical framework for navigating the complexities of AI ethics in a rapidly evolving technological landscape.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shaken Baby Syndrome/Abusive Head Injury: The Role of Expert Witness Testimony and a Recent Case Development.","authors":"James Tibballs, Neera Bhatia","doi":"10.1007/s11673-025-10422-x","DOIUrl":"https://doi.org/10.1007/s11673-025-10422-x","url":null,"abstract":"<p><p>The triad of clinical signs, (extensive bilateral retinal haemorrhages, subdural haematoma, and encephalopathy) is regarded by some expert witnesses as pathognomonic proof that an infant was deliberately shaken and head injured (shaken baby syndrome / abusive head injury). However, that view is controversial since scientific evidence does not support the diagnostic accuracy of the triad. In contrast to previous cases, a Victorian Supreme Court jury found an accused not guilty of homicide of a one-month-old infant afflicted with the triad. Prosecution witnesses were heavily criticized for failing to provide impartial testimony and to abide by Supreme Court expert evidence rules. We argue that there is a need to reassess the manner in which expert witness testimony is considered by the courts in shaken baby cases where injury has caused the death of the infant.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Ethics of Speaking (of) AIs Through the Lens of Natural Language.","authors":"Marcelo El Khouri Buzato","doi":"10.1007/s11673-025-10426-7","DOIUrl":"https://doi.org/10.1007/s11673-025-10426-7","url":null,"abstract":"<p><p>This theoretical essay offers a critical exploration of the ethics involved in interacting with and talking about large language models (LLMs) of artificial intelligence (AI). The discussion is framed within philosophical post-humanist conceptualizations of the ethical agent, which is understood as a sociocognitive assemblage of human-machine interactions at various scales. The central argument asserts that the morality of texts generated by AI cannot be determined by extracting moral properties from the natural language used in the training corpus. There are inherent limits to how much analysing moral language can contribute to establishing a moral theory or a \"language of mores\" among humans. The essay also examines the ethical implications of current public discourse surrounding the capabilities of LLMs, as well as the ways in which LLM outputs personify the AI model itself. It is proposed that the ethics of LLMs should be approached as an ethics of translating informational patterns of linguistic symbols into multi-layered cultural meanings and vice versa. This includes addressing the opacity of the inner workings of these translations in the model, as well as the public relations practices of the creators. Ultimately, the discussion encourages rethinking the ethical agent as a human-machine sociocognitive hybrid, suggesting the need for a reassessment of what it means to be human and ethical in current AI ethics debates.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Genome Editing Should Preferably Be Carried Out on Fetuses In Utero Rather Than IVF Embryos.","authors":"Alexis Heng Boon Chin, Ningyu Sun, Jiao Yang","doi":"10.1007/s11673-024-10415-2","DOIUrl":"https://doi.org/10.1007/s11673-024-10415-2","url":null,"abstract":"","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Historical Review on the Andalusian Physicians and the Treatment of Mental Health.","authors":"H Alotaibi","doi":"10.1007/s11673-024-10412-5","DOIUrl":"https://doi.org/10.1007/s11673-024-10412-5","url":null,"abstract":"<p><p>Andalusian medicine, characterized by its holistic approach to healthcare, placed a unique emphasis on the interconnectedness of physical health, emotional well-being, and spiritual harmony. Eminent scholars, including physicians like Ibn Sina, Ibn al-Nafis, and Ibn Wafid, pioneered advancements in understanding mental disorders, the complexities of the human psyche, and the intricate relationship between the body and mind. One of the most enduring legacies of Andalusian contributions to mental health was the establishment of mental health hospitals, known as \"maristanes.\" These institutions, distinguished by their compassionate and patient-centred care, profoundly influenced the development of Western medicine, and laid the groundwork for the emergence of psychology as a scientific discipline. This paper goes through the intellectual tapestry of Andalusia during the historical era of Islamic governance, commonly known as the Andalusian Renaissance. Situated in the heart of the Iberian Peninsula, this period of remarkable intellectual convergence and cultural exchange is celebrated for its profound contributions to the field of mental health.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare Professionals and Unregulated Commercial Surrogacy in China: Ethical and Legal Challenges.","authors":"Y Luo, Y Zhang","doi":"10.1007/s11673-025-10451-6","DOIUrl":"https://doi.org/10.1007/s11673-025-10451-6","url":null,"abstract":"<p><p>Recent reports from 2023 and 2024 have brought to light alarming instances of healthcare professionals in China being involved in commercial surrogacy arrangements. These cases reveal the dual roles these professionals play: active facilitation, which includes actions such as selling fraudulent birth certificates that contribute to baby trafficking, and passive involvement, where routine medical care is provided to surrogate mothers without full awareness of the surrogacy context. Current regulations in China broadly prohibit surrogacy-related medical activities but fail to differentiate between healthcare professionals who actively facilitate surrogacy arrangements and those who fulfil their professional obligations to patients. Drawing on professional ethics outlined in the revised 2021 Medical Practitioners Law of the People's Republic of China and recent developments in modern slavery scholarship that emphasize the critical role of healthcare professionals in identifying and preventing exploitation, this paper argues that China has an opportunity to clarify and broaden the role of healthcare professionals in the context of surrogacy. Healthcare professionals should not be prohibited from providing medical care to surrogate mothers, provided they are not actively facilitating surrogacy arrangements. Simultaneously, they should be empowered to act as gatekeepers against exploitation. This would be an important step toward enhancing the current regulatory framework, ensuring better protections for children and women involved in surrogacy.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitudes of Arab Family Caregivers in Israel Toward Robot-Delivered Care For ADL-Dependent (Activities of Daily Living-Dependent) Older People: Identifying Ethical and Social Issues.","authors":"Hanan AboJabel, Fareeda Abo-Rass","doi":"10.1007/s11673-024-10414-3","DOIUrl":"https://doi.org/10.1007/s11673-024-10414-3","url":null,"abstract":"<p><p>Older people are often cared for by family caregivers who may experience a variety of challenges. Robots may be helpful. Understanding the attitudes of family caregivers in this context is essential as they are a major factor in robot use. To date, most studies on family caregivers ' attitudes toward robot assistance in elder care have been conducted in East Asian or Western societies, but as such perceptions are affected by culture, in the present study, we investigated the attitudes of Arab family caregivers in Israel. Semi-structured interviews were conducted with twenty Arab family caregivers who provide care to ADL (activities of daily living)-dependent older people. All participants were Muslim and adult children of a person requiring care. The majority (75 per cent) were women, and the average age was fifty-one. Analysis of the interviews revealed two main themes: (1) Attitudes: Most participants strongly objected to the assistance of a robot in caring for older people, and perceived it as a violation of family values; and (2) Reasons for attitudes: Participants preferred human care over robot care due to concerns previously documented among other populations regarding system malfunctions, the risk of loneliness, and lack of technological literacy. We also identified a unique factor: the family 's moral obligation to care for older people. The absolute opposition of family members to the use of a robot in the care of older people requires the development of intervention programmes to increase technological literacy among family caregivers and reduce negative attitudes. These programmes need to address the opportunities and risks associated with the use of robots, and how these risks can be avoided.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}