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Health Technologies and Impermissible Delays: The Case of Digital Breast Tomosynthesis. 健康技术和不允许的延迟:数字乳房断层合成的案例。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-05-07 DOI: 10.1007/s11948-025-00535-2
Simon Rosenqvist, Magnus Dustler, Johan Brännmark

This paper argues that we have a moral obligation to implement certain health technologies even if we have limited or incomplete evidence of their effectiveness. The focus is on technologies used in non-emergency settings, as opposed to "exceptional cases" such as compassionate use and emergency approvals during public health emergencies. A broadly plausible moral principle - the Ecumenical Principle - is introduced and applied to a test case: the use of Digital Breast Tomosynthesis in mammographic screening. The paper concludes by exploring the implications of the Ecumenical Principle for the adoption of other new health technologies.

本文认为,我们有道德义务实施某些卫生技术,即使我们对其有效性的证据有限或不完整。重点是在非紧急情况下使用的技术,而不是在公共卫生紧急情况下的“特殊情况”,如同情使用和紧急批准。一个广泛可信的道德原则——普世原则——被引入并应用于一个测试案例:在乳房x线摄影筛查中使用数字乳房断层合成技术。论文最后探讨了统一原则对采用其他新的卫生技术的影响。
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引用次数: 0
Threads and Needles: A Value-Sensitive Design Approach to Online Toxicity. 线和针:在线毒性的价值敏感设计方法。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-04-22 DOI: 10.1007/s11948-025-00533-4
Ryan Jenkins

This paper engages with the problem of toxic speech online and suggests remedies inspired by the value-sensitive design literature (VSD), suggesting that the designers of online platforms should explore methods of adding friction to online conversations. Second, this paper examines a historical case of designing a communications platform to offer methods to users to inculcate norms of acceptable behavior by introducing friction into synchronous conversations. This is the case of America Online (AOL) Instant Messenger, also known as AIM, which included a feature whereby users could "warn" other users, attaching a cost to, and thus disincentivizing, certain kinds of speech. The nuances of the design of this feature make it especially well-suited as a subject of study in value-sensitive design as it seems to be the product of significant reflection and foresight by its designers. In the course of examining this case, this paper proposes two novel and generalizable processes of integrating values into the design of technology, inspired by the approach of value-sensitive design: a "method of decomposition," reconstructing a user journey in order to identify possible moments of intervention; and an iterative "Innovation-Abuse-Innovation" branching diagram, which systematizes the process of anticipating abuse cases and designing responses to them. These methods build upon recent work in the literature on operationalizing ethical values in the design process. I close by illustrating the flexibility and generalizability of these methods and speculating on how they might be applied to contemporary platforms.

本文探讨了网络有毒言论的问题,并在价值敏感设计文献(VSD)的启发下提出了补救措施,建议在线平台的设计师应该探索在在线对话中增加摩擦的方法。其次,本文考察了一个设计通信平台的历史案例,该平台通过在同步对话中引入摩擦,为用户提供灌输可接受行为规范的方法。美国在线(AOL)的即时通讯(也被称为AIM)就是一个例子,它包含了一项功能,用户可以“警告”其他用户,从而增加成本,从而抑制某些类型的言论。该功能设计的细微差别使其特别适合作为价值敏感设计的研究主题,因为它似乎是其设计师的重要反思和远见的产物。在研究这一案例的过程中,受价值敏感设计方法的启发,本文提出了两种将价值整合到技术设计中的新颖且可推广的过程:一种“分解方法”,重构用户旅程,以确定可能的干预时刻;以及一个迭代的“创新-滥用-创新”分支图,该分支图将预测滥用案例和设计应对措施的过程系统化。这些方法建立在最近关于在设计过程中实施伦理价值的文献工作的基础上。最后,我将说明这些方法的灵活性和通用性,并推测如何将它们应用于当代平台。
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引用次数: 0
A Comparative Study on the Construction of Research Integrity in Public Medical Universities/Colleges in China: 2020-2024. 2020-2024年中国公立医学院校科研诚信建设比较研究
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-04-09 DOI: 10.1007/s11948-025-00538-z
Fei Wang, Yuanbao Hou, Lingling Zhang

The medical field is highly susceptible to research misconduct, making research integrity in medical universities and colleges crucial for its prevention and management. While both Chinese and international researchers have conducted extensive studies on fostering research integrity in higher education institutions, comparative analyses focusing specifically on medical universities and colleges in China remain insufficient. To address this gap, this study examines the state of research integrity construction in 83 Chinese public medical universities/colleges during 2020 and 2024, exploring the underlying factors influencing this development. The findings indicate that research integrity initiatives in Chinese medical universities and colleges are predominantly reactive, driven by compliance with government regulations and mandated tasks, rather than proactive, guided by intrinsic awareness and moral commitment. These results underscore the need to go beyond addressing Two-Points to emphasize Key-Points, advocating for a greater role of scientific autonomy in shaping research integrity, as opposed to reliance on government oversight.

医学领域极易发生科研不端行为,因此医学院校的科研诚信对于预防和管理科研不端行为至关重要。虽然中国和国际研究人员都对促进高等教育机构的研究诚信进行了广泛的研究,但专门针对中国医科大学和学院的比较分析仍然不足。为了解决这一差距,本研究对中国83所公立医学院校2020年和2024年的科研诚信建设状况进行了调查,探讨了影响这一发展的潜在因素。研究结果表明,中国医学院校的科研诚信举措主要是被动的,受政府法规和授权任务的驱动,而不是主动的,受内在意识和道德承诺的指导。这些结果强调需要超越两点,强调关键点,倡导科学自主在塑造研究诚信方面发挥更大的作用,而不是依赖政府监督。
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引用次数: 0
Towards a Psychologically Realist, Culturally Responsive Approach to Engineering Ethics in Global Contexts. 走向心理现实主义,在全球背景下对工程伦理的文化响应方法。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-04-01 DOI: 10.1007/s11948-025-00536-1
Rockwell F Clancy, Qin Zhu, Scott Streiner, Andrea Gammon, Ryan Thorpe

This paper describes the motivations and some directions for bringing insights and methods from moral and cultural psychology to bear on how engineering ethics is conceived, taught, and assessed. Therefore, the audience for this paper is not only engineering ethics educators and researchers but also administrators and organizations concerned with ethical behaviors. Engineering ethics has typically been conceived and taught as a branch of professional and applied ethics with pedagogical aims, where students and practitioners learn about professional codes and/or Western ethical theories and then apply these resources to address issues presented in case studies about engineering and/or technology. As a result, accreditation and professional bodies have generally adopted ethical reasoning skills and/or moral knowledge as learning outcomes. However, this paper argues that such frameworks are psychologically "irrealist" and culturally biased: it is not clear that ethical judgments or behaviors are primarily the result of applying principles, or that ethical concerns captured in professional codes or Western ethical theories do or should reflect the engineering ethical concerns of global populations. Individuals from Western educated industrialized rich democratic cultures are outliers on various psychological and social constructs, including self-concepts, thought styles, and ethical concerns. However, engineering is more cross cultural and international than ever before, with engineers and technologies spanning multiple cultures and countries. For instance, different national regulations and cultural values can come into conflict while performing engineering work. Additionally, ethical judgments may also result from intuitions, closer to emotions than reflective thought, and behaviors can be affected by unconscious, social, and environmental factors. To address these issues, this paper surveys work in engineering ethics education and assessment to date, shortcomings within these approaches, and how insights and methods from moral and cultural psychology could be used to improve engineering ethics education and assessment, making them more culturally responsive and psychologically realist at the same time.

本文阐述了将道德和文化心理学的见解和方法应用于工程伦理学的构思、教学和评估 的动机和一些方向。因此,本文的读者不仅包括工程伦理教育者和研究者,还包括与伦理行为相关的管理者和组织。工程伦理学通常被认为是专业伦理学和应用伦理学的一个分支,其教学目的是让 学生和从业人员学习专业规范和/或西方伦理学理论,然后运用这些资源解决工程和/或 技术案例研究中提出的问题。因此,认证和专业机构普遍将伦理推理技能和/或道德知识作为学习成果。然而,本文认为这些框架在心理学上是 "非现实主义 "的,在文化上是有偏见的:不清楚伦理判断或行为主要是应用原则的结果,也不清楚专业规范或西方伦理理论中的伦理问题是否反映或应该反映全球人口的工程伦理问题。受过西方教育的工业化富裕民主文化背景下的人在各种心理和社会建构方面,包括自 我观念、思维方式和伦理关注方面,都是离群索居的。然而,工程学比以往任何时候都更加跨文化和国际化,工程师和技术跨越多种文化和国家。例如,在开展工程工作时,不同国家的法规和文化价值观可能会发生冲突。此外,道德判断也可能源于直觉,更接近于情感而非反思,而且行为可能受到无意识、社会和环境因素的影响。针对这些问题,本文概述了迄今为止在工程伦理教育和评估方面所做的工作、这些方法的不足之处,以及如何利用道德和文化心理学的见解和方法来改进工程伦理教育和评估,使其同时更具文化响应性和心理学现实主义。
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引用次数: 0
Artefacts of Change: The Disruptive Nature of Humanoid Robots Beyond Classificatory Concerns. 变化的人工制品:超越分类关注的类人机器人的破坏性本质。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-03-28 DOI: 10.1007/s11948-025-00532-5
Cindy Friedman

One characteristic of socially disruptive technologies is that they have the potential to cause uncertainty about the application conditions of a concept i.e., they are conceptually disruptive. Humanoid robots have done just this, as evidenced by discussions about whether, and under what conditions, humanoid robots could be classified as, for example, moral agents, moral patients, or legal and/or moral persons. This paper frames the disruptive effect of humanoid robots differently by taking the discussion beyond that of classificatory concerns. It does so by showing that humanoid robots are socially disruptive because they also transform how we experience and understand the world. Through inviting us to relate to a technological artefact as if it is human, humanoid robots have a profound impact upon the way in which we relate to different elements of our world. Specifically, I focus on three types of human relational experiences, and how the norms that surround them may be transformed by humanoid robots: (1) human-technology relations; (2) human-human relations; and (3) human-self relations. Anticipating the ways in which humanoid robots may change society is important given that once a technology is entrenched, it is difficult to counteract negative impacts. Therefore, we should try to anticipate them while we can still do something to prevent them. Since humanoid robots are currently relatively rudimentary, yet there is incentive to invest more in their development, it is now a good time to think carefully about how this technology may impact us.

社会颠覆性技术的一个特征是,它们有可能导致概念应用条件的不确定性,即它们在概念上具有颠覆性。人形机器人已经做到了这一点,关于人形机器人是否以及在什么条件下可以被分类为道德行为者、道德病人或合法和/或道德的人的讨论证明了这一点。本文通过超越分类问题的讨论,以不同的方式构建了人形机器人的破坏性影响。它通过展示人形机器人具有社会破坏性,因为它们也改变了我们体验和理解世界的方式来做到这一点。人形机器人通过邀请我们像对待人类一样对待技术人工制品,对我们与世界不同元素的联系方式产生了深远的影响。具体而言,我将重点关注三种类型的人类关系体验,以及围绕它们的规范如何被人形机器人所改变:(1)人与技术关系;(2)人际关系;(3)人际关系。预测人形机器人可能改变社会的方式很重要,因为一旦一项技术根深蒂固,就很难抵消其负面影响。因此,在我们还能做些什么来预防它们的时候,我们应该试着预测它们。由于人形机器人目前相对初级,但有动力在其开发上投入更多资金,现在是仔细思考这项技术可能对我们产生何种影响的好时机。
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引用次数: 0
Correction: Discussions on Human Enhancement Meet Science: A Quantitative Analysis. 修正:关于人类增强与科学的讨论:一种定量分析。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-03-18 DOI: 10.1007/s11948-025-00537-0
Tomasz Żuradzki, Piotr Bystranowski, Vilius Dranseika
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引用次数: 0
AI Ethics beyond Principles: Strengthening the Life-world Perspective. 超越原则的人工智能伦理:强化生命世界视角。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-02-10 DOI: 10.1007/s11948-025-00530-7
Stefan Heuser, Jochen Steil, Sabine Salloch

The search for ethical guidance in the development of artificial intelligence (AI) systems, especially in healthcare and decision support, remains a crucial effort. So far, principles usually serve as the main reference points to achieve ethically correct implementations. Based on reviewing classical criticism of principle-based ethics and taking into account the severity and potentially life-changing relevance of decisions assisted by AI-driven systems, we argue for strengthening a complementary perspective that focuses on the life-world as ensembles of practices which shape people's lives. This perspective focuses on the notion of ethical judgment sensitive to life forms, arguing that principles alone do not guarantee ethicality in a moral world that is rather a joint construction of reality than a matter of mere control. We conclude that it is essential to support and supplement the implementation of moral principles in the development of AI systems for decision-making in healthcare by recognizing the normative relevance of life forms and practices in ethical judgment.

在人工智能(AI)系统的发展中寻找伦理指导,特别是在医疗保健和决策支持方面,仍然是一项至关重要的工作。到目前为止,原则通常作为实现道德正确执行的主要参考点。在回顾对基于原则的伦理学的经典批评的基础上,考虑到人工智能驱动系统辅助决策的严重性和潜在的改变生活的相关性,我们主张加强一个互补的视角,将生活世界作为塑造人们生活的实践的集合。这种观点关注的是对生命形式敏感的伦理判断的概念,认为在一个道德世界中,原则本身并不能保证伦理性,而道德世界是现实的共同建构,而不仅仅是控制问题。我们得出的结论是,通过认识生命形式和伦理判断实践的规范性相关性,在医疗保健决策人工智能系统的发展中支持和补充道德原则的实施是至关重要的。
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引用次数: 0
Discussions on Human Enhancement Meet Science: A Quantitative Analysis. 人的增强与科学的讨论:定量分析。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-02-05 DOI: 10.1007/s11948-025-00531-6
Tomasz Żuradzki, Piotr Bystranowski, Vilius Dranseika

The analysis of citation flow from a collection of scholarly articles might provide valuable insights into their thematic focus and the genealogy of their main concepts. In this study, we employ a topic model to delineate a subcorpus of 1,360 papers representative of bioethical discussions on enhancing human life. We subsequently conduct an analysis of almost 11,000 references cited in that subcorpus to examine quantitatively, from a bird's-eye view, the degree of openness of this part of scholarship to the specialized knowledge produced in biosciences. Although almost half of the analyzed references point to journals classified as Natural Science and Engineering (NSE), we do not find strong evidence of the intellectual influence of recent discoveries in biosciences on discussions on human enhancement. We conclude that a large part of the discourse surrounding human enhancement is inflected with "science-fictional habits of mind." Our findings point to the need for a more science-informed approach in discussions on enhancing human life.

对学术论文的引文流进行分析,可以对其主题重点和主要概念的谱系提供有价值的见解。在本研究中,我们采用主题模型来描述1,360篇关于改善人类生活的生物伦理讨论的代表论文的子语料库。随后,我们对该子语料库中引用的近11,000篇参考文献进行了分析,从鸟瞰的角度,定量地检查了这部分学术对生物科学专业知识的开放程度。虽然几乎有一半的分析参考文献指向分类为自然科学与工程(NSE)的期刊,但我们没有发现生物科学领域最近的发现对人类增强讨论的智力影响的有力证据。我们得出的结论是,围绕人类增强的大部分论述都受到了“科幻小说中的思维习惯”的影响。我们的研究结果表明,在讨论如何提高人类寿命时,需要采用一种更科学的方法。
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引用次数: 0
Moral Complexity in Traffic: Advancing the ADC Model for Automated Driving Systems. 交通中的道德复杂性:推进自动驾驶系统的ADC模型。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-01-24 DOI: 10.1007/s11948-025-00528-1
Dario Cecchini, Veljko Dubljević

The incorporation of ethical settings in Automated Driving Systems (ADSs) has been extensively discussed in recent years with the goal of enhancing potential stakeholders' trust in the new technology. However, a comprehensive ethical framework for ADS decision-making, capable of merging multiple ethical considerations and investigating their consistency is currently missing. This paper addresses this gap by providing a taxonomy of ADS decision-making based on the Agent-Deed-Consequences (ADC) model of moral judgment. Specifically, we identify three main components of traffic moral judgment: driving style, traffic rules compliance, and risk distribution. Then, we suggest distinguishable ethical settings for each traffic component.

近年来,为了提高潜在利益相关者对新技术的信任,在自动驾驶系统(ads)中加入道德设置已经得到了广泛的讨论。然而,目前缺乏一个综合的ADS决策伦理框架,能够融合多种伦理考虑并调查其一致性。本文通过提供基于道德判断的Agent-Deed-Consequences (ADC)模型的ADS决策分类来解决这一差距。具体来说,我们确定了交通道德判断的三个主要组成部分:驾驶风格、交通规则遵守和风险分配。然后,我们为每个交通组件提出了可区分的道德设置。
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引用次数: 0
LLMs, Truth, and Democracy: An Overview of Risks. 法学硕士、真相与民主:风险概述。
IF 2.7 2区 哲学 Q1 ENGINEERING, MULTIDISCIPLINARY Pub Date : 2025-01-23 DOI: 10.1007/s11948-025-00529-0
Mark Coeckelbergh

While there are many public concerns about the impact of AI on truth and knowledge, especially when it comes to the widespread use of LLMs, there is not much systematic philosophical analysis of these problems and their political implications. This paper aims to assist this effort by providing an overview of some truth-related risks in which LLMs may play a role, including risks concerning hallucination and misinformation, epistemic agency and epistemic bubbles, bullshit and relativism, and epistemic anachronism and epistemic incest, and by offering arguments for why these problems are not only epistemic issues but also raise problems for democracy since they undermine its epistemic basis- especially if we assume democracy theories that go beyond minimalist views. I end with a short reflection on what can be done about these political-epistemic risks, pointing to education as one of the sites for change.

虽然有许多公众担心人工智能对真理和知识的影响,特别是当涉及到法学硕士的广泛使用时,但对这些问题及其政治含义的系统哲学分析并不多。本文旨在通过概述法学硕士可能发挥作用的一些与真理相关的风险,包括幻觉和错误信息、认知代理和认知泡沫、胡扯和相对主义、认知时代错误和认知乱伦等风险,来协助这一努力。通过论证为什么这些问题不仅是认识论问题,而且还会给民主带来问题,因为它们破坏了民主的认识论基础,尤其是如果我们假设民主理论超越了极简主义观点。最后,我对如何应对这些政治认知风险做了一个简短的反思,指出教育是变革的场所之一。
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引用次数: 0
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Science and Engineering Ethics
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