Taking Turing by Surprise? Designing Digital Computers for morally-loaded contexts

There is much to learn from what Turing hastily dismissed as Lady Lovelace s objection. Digital computers can indeed surprise us. Just like a piece of art, algorithms can be designed in such a way as to lead us to question our understanding of the world, or our place within it. Some humans do lose the capacity to be surprised in that way. It might be fear, or it might be the comfort of ideological certainties. As lazy normative animals, we do need to be able to rely on authorities to simplify our reasoning: that is ok. Yet the growing sophistication of systems designed to free us from the constraints of normative engagement may take us past a point of no-return. What if, through lack of normative exercise, our moral muscles became so atrophied as to leave us unable to question our social practices? This paper makes two distinct normative claims: 1. Decision-support systems should be designed with a view to regularly jolting us out of our moral torpor. 2. Without the depth of habit to somatically anchor model certainty, a computer s experience of something new is very different from that which in humans gives rise to non-trivial surprises. This asymmetry has key repercussions when it comes to the shape of ethical agency in artificial moral agents. The worry is not just that they would be likely to leap morally ahead of us, unencumbered by habits. The main reason to doubt that the moral trajectories of humans v. autonomous systems might remain compatible stems from the asymmetry in the mechanisms underlying moral change. Whereas in humans surprises will continue to play an important role in waking us to the need for moral change, cognitive processes will rule when it comes to machines. This asymmetry will translate into increasingly different moral outlooks, to the point of likely unintelligibility. The latter prospect is enough to doubt the desirability of autonomous moral agents

Professional responsibility:conceptual rescue and plea for reform

For as long as knowledge asymmetry continues to be deemed the defining characteristic of the lay-professional relationship, the courts’ delineation of obligations meant to address lay vulnerability will too frequently end up compounding the layperson’s non-epistemic, ‘sense of self’ vulnerability. The proposed re-conceptualisation of professional responsibility calls for reform on several fronts: among these, an expanded ‘duty to consult’ (beyond do-not-resuscitate-orders) is uniquely placed as a justiciable criterion capable of addressing such a situational, ‘sense of self’ vulnerability

Pervasive Data Profiling, Moral equality and Civic Responsibility

So far neither regulatory frameworks nor endeavours to develop bottom-up approaches to data protection have had much success in mitigating the moral hazard inherent in pervasive use of seemingly innocuous, “leaked data”. This paper focuses on two aspects of those risks that are too rarely discussed. They relate to the possibility of civic responsibility (1) and moral equality (2). (1) Ethical agency (and the responsibility it entails) presupposes the possibility of change: when our practices are wanting, someone needs to be able to stand up and question them. Change, in turn, presupposes the ability to break from habitual frames of thought. To what extent is the profilebased tailoring of the environmental architecture that shapes our choices and attitudes hampering the possibility of civic responsibility? The question at stake here is different from the betterknown “right to be forgotten” issue: the latter focuses on the impact of recorded data on others’ perception of oneself. This paper, by contrast, focuses on what may be called the “anchoring effect”: the impact of recorded data on our ability to see the world -and, most importantly, our role in it- differently. The ability to acknowledge a discrepancy between one’s present ethical stand and the person one seeks to be is essential to making sense of any notion of civic responsibility. The danger is that such discrepancy will simply cease to arise in an environment that has been systematically “optimized” in accordance to one’s profile. (2) The second section of this paper explores the extent to which ubiquitous, proactive computing gives rise to a very particular type of vulnerability, one that potentially threatens the moral equality of data-subjects. This vulnerability cannot be addressed by correcting epistemic imbalances. The current regulatory focus on information disclosure has obscured what mere disclosure cannot achieve: empowering data subjects to maintain and develop their sense of self. This may sound overly ambitious. I argue that it is no more so than a commitment to retain a meaningful, practice-relevant concept of civic responsibility

Habitual Ethics?

What if data-intensive technologies’ ability to mould habits with unprecedented precision is also capable of triggering some mass disability of profound consequences? What if we become incapable of modifying the deeply-rooted habits that stem from our increased technological dependence? On an impoverished understanding of habit, the above questions are easily shrugged off. Habits are deemed rigid by definition: ‘as long as our deliberative selves remain capable of steering the design of data-intensive technologies, we’ll be fine’. To question this assumption, this open access book first articulates the way in which the habitual stretches all the way from unconscious tics to purposive, intentionally acquired habits. It also highlights the extent to which our habit-reliant, pre-reflective intelligence normally supports our deliberative selves. It is when habit rigidification sets in that this complementarity breaks down. The book moves from a philosophical inquiry into the ‘double edge’ of habit — its empowering and compromising sides — to consideration of individual and collective strategies to keep habits at the service of our ethical life. Allowing the norms that structure our forms of life to be cotton-wooled in abstract reasoning is but one of the factors that can compromise ongoing social and moral transformations. Systems designed to simplify our practical reasoning can also make us ‘sheep-like’. Drawing a parallel between the moral risk inherent in both legal and algorithmic systems, the book concludes with concrete interventions designed to revive the scope for normative experimentation. It will appeal to any reader concerned with our retaining an ability to trigger change within the practices that shape our ethical sensibility. The eBook editions of this book are available open access under a CC BY-NC-ND 4.0 licence on bloomsburycollections.com. Open access was funded by the Mozilla Foundation

Habitual Ethics?

What if data-intensive technologies’ ability to mould habits with unprecedented precision is also capable of triggering some mass disability of profound consequences? What if we become incapable of modifying the deeply-rooted habits that stem from our increased technological dependence? On an impoverished understanding of habit, the above questions are easily shrugged off. Habits are deemed rigid by definition: ‘as long as our deliberative selves remain capable of steering the design of data-intensive technologies, we’ll be fine’. To question this assumption, this open access book first articulates the way in which the habitual stretches all the way from unconscious tics to purposive, intentionally acquired habits. It also highlights the extent to which our habit-reliant, pre-reflective intelligence normally supports our deliberative selves. It is when habit rigidification sets in that this complementarity breaks down. The book moves from a philosophical inquiry into the ‘double edge’ of habit — its empowering and compromising sides — to consideration of individual and collective strategies to keep habits at the service of our ethical life. Allowing the norms that structure our forms of life to be cotton-wooled in abstract reasoning is but one of the factors that can compromise ongoing social and moral transformations. Systems designed to simplify our practical reasoning can also make us ‘sheep-like’. Drawing a parallel between the moral risk inherent in both legal and algorithmic systems, the book concludes with concrete interventions designed to revive the scope for normative experimentation. It will appeal to any reader concerned with our retaining an ability to trigger change within the practices that shape our ethical sensibility. The eBook editions of this book are available open access under a CC BY-NC-ND 4.0 licence on bloomsburycollections.com. Open access was funded by the Mozilla Foundation

A Discussion of the Use of Virtual Reality for Training Healthcare Practitioners to Recognize Child Protection Issues

Background: Virtual reality technology is a rapidly developing tool which has been shown to have exciting prospects in the field of medical education. In a recent, subsequent study, Pan et al. consider the potential of the same technology in the realm of child protection training and safeguarding issues. To build upon the Pan et al. study, a panel discussion was held at The Centre for Behavior Change Annual Conference 2018 to discuss the question "Can a virtual reality communication scenario be used to teach General Practitioners and trainees how to recognize and manage child protection issues?" Methodology: The above study comprised an immersive virtual reality consultation, in which the ability of 63 doctors to pick up covert safeguarding cues was tested in the context of a consultation with an adult patient, where the patient's child happened to be present as well. The study and its findings were discussed at the Centre for Behavior Change 4th Annual Conference, and this paper summarizes the opinions of both the panel and the audience. Viewpoint: Safeguarding is a challenging area of practice where we must listen to the child, and tackle difficult conversations with parents. Within medical training, role play is the gold standard for teaching how to communicate in difficult scenarios. Given the ethical questions surrounding children being asked to role play such abuse, the use of virtual reality characters could have a key role in upgrading current practices in medical education on safeguarding

A Discussion of Virtual Reality As a New Tool for Training Healthcare Professionals

Background: Virtual reality technology is an exciting and emerging field with vast applications. Our study sets out the viewpoint that virtual reality software could be a new focus of direction in the development of training tools in medical education. We carried out a panel discussion at the Center for Behavior Change 3rd Annual Conference, prompted by the study, “The Responses of Medical General Practitioners to Unreasonable Patient Demand for Antibiotics––A Study of Medical Ethics Using Immersive Virtual Reality” (1). Methods: In Pan et al.’s study, 21 general practitioners (GPs) and GP trainees took part in a videoed, 15-min virtual reality scenario involving unnecessary patient demands for antibiotics. This paper was discussed in-depth at the Center for Behavior Change 3rd Annual Conference; the content of this paper is a culmination of findings and feedback from the panel discussion. The experts involved have backgrounds in virtual reality, general practice, medicines management, medical education and training, ethics, and philosophy. Viewpoint: Virtual reality is an unexplored methodology to instigate positive behavioral change among clinicians where other methods have been unsuccessful, such as antimicrobial stewardship. There are several arguments in favor of use of virtual reality in medical education: it can be used for “difficult to simulate” scenarios and to standardize a scenario, for example, for use in exams. However, there are limitations to its usefulness because of the cost implications and the lack of evidence that it results in demonstrable behavior change

A study of professional awareness using immersive virtual reality: the responses of general practitioners to child safeguarding concerns

The art of picking up signs that a child may be suffering from abuse at home is one of those skills that cannot easily be taught, given its dependence on a range of non-cognitive abilities. It is also difficult to study, given the number of factors that may interfere with this skill in a real-life, professional setting. An immersive virtual reality environment provides a way round these difficulties. In this study, we recruited 64 general practitioners (GPs), with different levels of experience. Would this level of experience have any impact on general practitioners’ ability to pick up child-safeguarding concerns? Would more experienced GPs find it easier to pick up subtle (rather than obvious) signs of child-safeguarding concerns? Our main measurement was the quality of the note left by the GP at the end of the virtual consultation: we had a panel of 10 (all experienced in safeguarding) rate the note according to the extent to which they were able to identify and take the necessary steps required in relation to the child safeguarding concerns. While the level of professional experience was not shown to make any difference to a GP’s ability to pick up those concerns, the parent’s level of aggressive behavior toward the child did. We also manipulated the level of cognitive load (reflected in a complex presentation of the patient’s medical condition): while cognitive load did have some impact upon GPs in the “obvious cue” condition (parent behaving particularly aggressively), this effect fell short of significance. Furthermore, our results also suggest that GPs who are less stressed, less neurotic, more agreeable and extroverted tend to be better at raising potential child abuse issues in their notes. These results not only point at the considerable potential of virtual reality as a training tool, they also highlight fruitful avenues for further research, as well as potential strategies to support GP’s in their dealing with highly sensitive, emotionally charged situations

Application of Simple Smart Logic for Waterflooding Reservoir Management

A simple smart logic for controlling inflow control valves (ICV) in waterflooding reservoir management is implemented and analyzed, with the final objective of improving the long term financial return of a petroleum reservoir. Such a control is based in a reactive simple logic that responds to the watercut measured in the ICV. Basically, when the watercut increases, the ICV is set to close proportionally. For comparison purposes, four strategies are presented: base case scenario with conventional control, the best completion configuration found by trial-and-error, the reactive control, and a deterministic optimal control based on Nonlinear Gradient Method with adjoint-gradient formulation is shown for comparison purposes. Finally, all four strategies are tested again in different reservoir realizations in order to mimic the geological uncertainties. Two different synthetic reservoir models were studied. First, a simple cube with a five-spot well configuration, in which the permeability field has a horizontal pattern defined by lognormal distributions. The second model is a benchmark proposed by the Dutch university, TU delft, with 101 channelized permeability fields representing river patterns. For the first model, no significant relative gain is found neither in the variable control nor in the optimal control. Manly because of the high homogeneity of the reservoir models. Therefore, no intelligent completion is recommended. On the other hand, for the second and more complex case, the results indicate an expressive relative gain in the use of simple reactive logic. Besides, this type of control achieves results nearly as good as the optimal control. The test in different realizations, however, shows that reservoir characterization is still a key part of any attempt to improve production. Although the variable reactive control is semi-independent, with action being taken based on measurements, some parameters need a priori model to be tuned