A blog from the Centre for Research Ethics & Bioethics (CRB)

Tag: neuroscience (Page 2 of 5)

The hard problem of consciousness: please handle with care!

We face challenges every day. Some are more demanding than others, but it seems that there is not a day without some problem to handle. Unless they are too big to manage, problems are like the engines of our lives. They push us to always go beyond wherever we are and whatever we do, to look for new possibilities, to build new opportunities. In other words: problems make us stay alive.

The same is true for science and philosophy. There is a constant need to face new challenges. Consciousness research is no exception. There are, of course, several problems in the investigation of consciousness. However, one problem has emerged as the big problem, which the Australian philosopher David Chalmers baptised “the hard problem of consciousness.” This classical problem (discussed even before Chalmers coined this expression, actually since the early days of neuropsychology, notably by Alexander Luria and collaborators) refers to the enigma of subjective experience. To adapt a formulation by the philosopher Thomas Nagel, the basic question is: why do we have experiences of what it is like to be conscious, for example, why do we experience that pain and hunger feel the way they do?

The hard problem has a double nature. On the one hand, it refers to what Joseph Levine had qualified as an explanatory gap. The strategy to identify psychological experiences with physical features of the brain is in the end unable to explain why experiences are related to physical phenomena at all. On the other hand, the hard problem also refers to the question if subjective experience can be explained causally or if it is intrinsic to the world, that is to say: fundamentally there, from the beginning, rather than caused by something more primary.

This double nature of the problem has been a stumbling block in the attempt to explain consciousness. Yet in recent years, the hardness of the problem has been increasingly questioned. Among the arguments that appear relevant in order to soften the problem, there is one that I think merits specific attention. This argument describes consciousness as a cultural concept, meaning that both the way we conceive it and the way we experience it depend on our culture. There are different versions of this argument: some reduce consciousness as such to a cultural construction, while other, less radical arguments stress that consciousness has a neurological substrate that is importantly shaped by culture. The relevant point is that by characterising consciousness as a cultural construction, with reference both to how we conceptualise it and how we are conscious, this argument ultimately questions the hardness of the hard problem.

To illustrate, consider anthropological and neuroscientific arguments that appear to go in the direction of explaining away the hard problem of consciousness. Anthropological explanations give a crucial role to culture and its relationship with consciousness. Humans have an arguably unique capacity of symbolisation, which enables us to create an immaterial world both through the symbolisation of the actual world and through the construction of immaterial realities that are not experienced through the senses. This human symbolic capacity can be applied not only to the external world, but also to brain activity, resulting in the conceptual construction of notions like consciousness. We symbolise our brain activity, hypostatise our conscious activities, and infer supposedly immaterial causes behind them.

There are also neuroscientific and neuropsychological attempts to explain how consciousness and our understanding of it evolved, which ultimately appear to potentially explain away the hard problem. Attention Schema Theory, for instance, assumes that people tend to “attribute a mysterious consciousness to themselves and to others because of an inherently inaccurate model of mind, and especially a model of attention.” The origin of the attribution of this mysterious consciousness is in culture and in folk-psychological beliefs, for instance, ideas about “an energy-like substance inhabiting the body.” In other words, culturally based mistaken beliefs derived from implicit social-cognitive models affect and eventually distort our view of consciousness. Ultimately, consciousness does not really exist as a distinct property, and its appearance as a non-physical property is a kind of illusion. Thus, the hard problem does not originate from real objective features of the world, but rather from implicit subjective beliefs derived from internalised socio-cultural models, specifically from the intuition that mind is an invisible essence generated within an agent.

While I do not want to conceptually challenge the arguments above, I here only suggest potential ethical issues that might arise if we assume the validity of those arguments. What are the potential neuroethical implications of these ideas of consciousness as culturally constructed? Since the concept of consciousness traditionally played an important role in ethical reasoning, for example, in the notion of a person, questioning the objective status of conscious experience may have important ethical implications that should be adequately investigated. For instance, if consciousness depends on culture, then any definition of altered states of consciousness is culturally relative and context-dependent. This might have an impact on, for example, the ethical evaluation of the use of psychotropic substances, which for some cultures, as history tells us, can be considered legitimate and positive. Why should we limit the range of states of consciousness that are allowed to be experienced? What makes it legitimate for a culture to assert its own behavioural standards? To what extent can individuals justify their behaviour by appealing to their culture? 

In addition, if consciousness (i.e., the way we are conscious, what we are conscious of, and our understanding of consciousness) is dependent on culture, then some conscious experiences might be considered more or less valuable in different cultural contexts, which could affect, for example, end-of-life decisions. If the concept of consciousness, and thus its ethical relevance and value, depends on culture, then consciousness no longer offers a solid foundation for ethical deliberation. Softening the hard problem of consciousness might also soften the foundation of what I defined elsewhere as the consciousness-centred ethics of disorders of consciousness (vegetative states, unresponsive wakefulness states, minimally conscious states, and cognitive-motor dissociation).

Although a cultural approach to consciousness can soften the hard problem conceptually, it creates hard ethical problems that require specific attention. It seems that any attempt to challenge the hard problem of consciousness results in a situation similar to that of having a blanket that is too short: if you pull it to one side (in the direction of the conceptual problem), you leave the other side uncovered (ethical issues based on the notion of consciousness). It seems that we cannot soften the hard problem of consciousness without the risk of relativizing ethics.

Written by…

Michele Farisco, Postdoc Researcher at Centre for Research Ethics & Bioethics, working in the EU Flagship Human Brain Project.

We like challenging questions

Are you conscious? Looking for reliable indicators

How can we be sure that a person in front of us is conscious? This might seem like a naïve question, but it actually resulted in one of the trickiest and most intriguing philosophical problems, classically known as “the other minds problem.”

Yet this is more than just a philosophical game: reliable detection of conscious activity is among the main neuroscientific and technological enterprises today. Moreover, it is a problem that touches our daily lives. Think, for instance, of animals: we are (at least today) inclined to attribute a certain level of consciousness to animals, depending on the behavioural complexity they exhibit. Or think of Artificial Intelligence, which exhibits astonishing practical abilities, even superior to humans in some specific contexts.

Both examples above raise a fundamental question: can we rely on behaviour alone in order to attribute consciousness? Is that sufficient?

It is now clear that it is not. The case of patients with devastating neurological impairments, like disorders of consciousness (unresponsive wakefulness syndrome, minimally conscious state, and cognitive-motor dissociation) is highly illustrative. A number of these patients might retain residual conscious abilities although they are unable to show them behaviourally. In addition, subjects with locked-in syndrome have a fully conscious mind even if they do not exhibit any behaviours other than blinking.

We can conclude that absence of behavioural evidence for consciousness is not evidence for the absence of consciousness. If so, what other indicators can we rely on in order to attribute consciousness?

The identification of indicators of consciousness is necessarily a conceptual and an empirical task: we need a clear idea of what to look for in order to define appropriate empirical strategies. Accordingly, we (a group of two philosophers and one neuroscientist) conducted joint research eventually publishing a list of six indicators of consciousness.  These indicators do not rely only on behaviour, but can be assessed also through technological and clinical approaches:

  1. Goal directed behaviour (GDB) and model-based learning. In GDB I am driven by expected consequences of my action, and I know that my action is causal for obtaining a desirable outcome. Model-based learning depends on my ability to have an explicit model of myself and the world surrounding me.
  2. Brain anatomy and physiology. Since the consciousness of mammals depends on the integrity of particular cerebral systems (i.e., thalamocortical systems), it is reasonable to think that similar structures indicate the presence of consciousness.
  3. Psychometrics and meta-cognitive judgement. If I can detect and discriminate stimuli, and can make some meta-cognitive judgements about perceived stimuli, I am probably conscious.
  4. Episodic memory. If I can remember events (“what”) I experienced at a particular place (“where”) and time (“when”), I am probably conscious.
  5. Acting out one’s subjective, situational survey: illusion and multistable perception. If I am susceptible to illusions and perceptual ambiguity, I am probably conscious.
  6. Acting out one’s subjective, situational survey: visuospatial behaviour. Our last proposed indicator of consciousness is the ability to perceive objects as stably positioned, even when I move in my environment and scan it with my eyes.

This list is conceived to be provisional and heuristic but also operational: it is not a definitive answer to the problem, but it is sufficiently concrete to help identify consciousness in others.

The second step in our task is to explore the clinical relevance of the indicators and their ethical implications. For this reason, we selected disorders of consciousness as a case study. We are now working together with cognitive and clinical neuroscientists, as well as computer scientists and modellers, in order to explore the potential of the indicators to quantify to what extent consciousness is present in affected patients, and eventually improve diagnostic and prognostic accuracy. The results of this research will be published in what the Human Brain Project Simulation Platform defines as a “live paper,” which is an interactive paper that allows readers to download, visualize or simulate the presented results.

Written by…

Michele Farisco, Postdoc Researcher at Centre for Research Ethics & Bioethics, working in the EU Flagship Human Brain Project.

Pennartz CMA, Farisco M and Evers K (2019) Indicators and Criteria of Consciousness in Animals and Intelligent Machines: An Inside-Out Approach. Front. Syst. Neurosci. 13:25. doi: 10.3389/fnsys.2019.00025

We transcend disciplinary borders

Ethically responsible robot development

Development of new technologies sometimes draws inspiration from nature. How do plants and animals solve the problem? An example is robotics, where one wants to develop better robots based on what neuroscience knows about the brain. How does the brain solve the problem?

Neuroscience, in turn, sees new opportunities to test hypotheses about the brain by simulating them in robots. Perhaps one can simulate how areas of the brain interact in patients with Parkinson’s disease, to understand how their tremor and other difficulties are caused.

Neuroscience-inspired robotics, so-called neurorobotics, is still at an early stage. This makes neurorobotics an excellent area for being ethically and socially more proactive than we have been in previous technological developments. That is, we can already begin to identify possible ethical and social problems surrounding technological development and counteract them before they arise. For example, we cannot close our eyes to gender and equality issues, but must continuously reflect on how our own social and cultural patterns are reflected in the technology we develop. We need to open our eyes to our own blind spots!

You can read more about this ethical shift in technology development in an article in Science and Engineering Ethics (with Manuel Guerrero from CRB as one of the authors). The shift is called Responsible Research and Innovation, and is exemplified in the article by ongoing work in the European research project, Human Brain Project.

Not only neuroscientists and technology experts are collaborating in this project to develop neurorobotics. Scholars from the humanities and social sciences are also involved in the work. The article itself is an example of this broad collaboration. However, the implementation of responsible research and development is also at an early stage. It still needs to find more concrete forms of work that make it possible not only to anticipate ethical and social problems and reflect on them, but also to act and intervene to influence scientific and technological development.

From being a framework built around research and development, ethics is increasingly integrated into research and development. Read the article if you want to think about this transition to a more reflective and responsible technological development.

Pär Segerdahl

Written by…

Pär Segerdahl, Associate Professor at the Centre for Research Ethics & Bioethics and editor of the Ethics Blog.

Aicardi, C., Akintoye, S., Fothergill, B.T. et al. Ethical and Social Aspects of Neurorobotics. Sci Eng Ethics 26, 2533–2546 (2020). https://doi.org/10.1007/s11948-020-00248-8

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Approaching future issues

We shape the societies that shape us: our responsibility for human nature

Visionary academic texts are rare – texts that shed light on how research can contribute to the perennial human issues. In an article in the philosophical journal Theoria, however, Kathinka Evers opens up a novel visionary perspective on neuroscience and tragic aspects of the human condition.

For millennia, sensitive thinkers have been concerned about human nature. Undoubtedly, we humans create prosperity and security for ourselves. However, like no other animal, we also have an unfortunate tendency to create misery for ourselves (and other life forms). The 20th century was extreme in both directions. What is the mechanism behind our peculiar, large-scale, self-injurious behavior as a species? Can it be illuminated and changed?

As I read her, Kathinka Evers asks essentially this big human question. She does so based on the current neuroscientific view of the brain, which she argues motivates a new way of understanding and approaching the mechanism of our species’ self-injurious behavior. An essential feature of the neuroscientific view is that the human brain is designed to never be fully completed. Just as we have a unique self-injurious tendency as a species, we are born with uniquely incomplete brains. These brains are under construction for decades and need good care throughout this time. They are not formed passively, but actively, by finding more or less felicitous ways of functioning in the societies to which we expose ourselves.

Since our brains shape our societies, one could say that we build the societies that build us, in a continual cycle. The brain is right in the middle of this sensitive interaction between humans and their societies. With its creative variability, the human brain makes many deterministic claims on genetics and our “innate” nature problematic. Why are we humans the way we are? Partly because we create the societies that create us as we are. For millennia, we have generated ourselves through the societies that we have built, ignorant of the hyper-interactive organ in the middle of the process. It is always behind our eyes.

Kathinka Evers’ point is that our current understanding of the brain as inherently active, dynamic and variable, gives us a new responsibility for human nature. She expresses the situation technically as follows: neuroscientific knowledge gives us a naturalistic responsibility to be epigenetically proactive. If we know that our active and variable brains support a cultural evolution beyond our genetic heritage, then we have a responsibility to influence evolution by adapting our societies to what we know about the strengths and weaknesses of our brains.

The notion of ​​a neuroscientific responsibility to design societies that shape human nature in desired ways may sound like a call for a new form of social engineering. However, Kathinka Evers develops the notion of ​​this responsibility in the context of a conscientious review of similar tendencies in our history, tendencies that have often revolved around genetics. The aim of epigenetic proaction is not to support ideologies that have already decided what a human being should be like. Rather, it is about allowing knowledge about the brain to inspire social change, where we would otherwise ignorantly risk recreating human misery. Of course, such knowledge presupposes collaboration between the natural, social and human sciences, in conjunction with free philosophical inquiry.

The article mentions juvenile violence as an example. In some countries, there is a political will to convict juvenile delinquents as if they were adults and even place them in adult prisons. Today, we know that during puberty, the brain is in a developmental crisis where important neural circuits change dramatically. Young brains in crisis need special care. However, in these cases they risk ending up in just the kind of social environments that we can predict will create more misery.

Knowledge about the brain can thus motivate social changes that reduce the peculiar self-injuring behavior of humanity, a behavior that has worried sensitive thinkers for millennia. Neuroscientific self-awareness gives us a key to the mechanism behind the behavior and a responsibility to use it.

Pär Segerdahl

Written by…

Pär Segerdahl, Associate Professor at the Centre for Research Ethics & Bioethics and editor of the Ethics Blog.

Kathinka Evers. 2020. The Culture‐Bound Brain: Epigenetic Proaction Revisited. Theoria. doi:10.1111/theo.12264

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We like challenging questions

Ethical frameworks for research

The word ethical framework evokes the idea of ​​something rigid and separating, like the fence around the garden. The research that emerges within the framework is dynamic and constantly new. However, to ensure safety, it is placed in an ethical framework that sets clear boundaries for what researchers are allowed to do in their work.

That this is an oversimplified picture is clear after reading an inventive discussion of ethical frameworks in neuroscientific research projects, such as the Human Brain Project. The article is written by Arleen Salles and Michele Farisco at CRB and is published in AJOB Neuroscience.

The article questions not only the image of ethical frameworks as static boundaries for dynamic research activities. Inspired by ideas within so-called responsible research and innovation (RRI), the image that research can be separated from ethics and society is also questioned.

Researchers tend to regard research as their own concern. However, there are tendencies towards increasing collaboration not only across disciplinary boundaries, but also with stakeholders such as patients, industry and various forms of extra-scientific expertise. These tendencies make research an increasingly dispersed, common concern. Not only in retrospect in the form of applications, which presupposes that the research effort can be separated, but already when research is initiated, planned and carried out.

This could sound threatening, as if foreign powers were influencing the free search for truth. Nevertheless, there may also be something hopeful in the development. To see the hopeful aspect, however, we need to free ourselves from the image of ethical frameworks as static boundaries, separate from dynamic research.

With examples from the Human Brain Project, Arleen Salles and Michele Farisco try to show how ethical challenges in neuroscience projects cannot always be controlled in advance, through declared principles, values ​​and guidelines. Even ethical work is dynamic and requires living intelligent attention. The authors also try to show how ethical attention reaches all he way into the neuroscientific issues, concepts and working conditions.

When research on the human brain is not aware of its own cultural and societal conditions, but takes them for granted, it may mean that relevant questions are not asked and that research results do not always have the validity that one assumes they have.

We thus have good reasons to see ethical and societal reflections as living parts of neuroscience, rather than as rigid frameworks around it.

Pär Segerdahl

Written by…

Pär Segerdahl, Associate Professor at the Centre for Research Ethics & Bioethics and editor of the Ethics Blog.

Arleen Salles & Michele Farisco (2020) Of Ethical Frameworks and Neuroethics in Big Neuroscience Projects: A View from the HBP, AJOB Neuroscience, 11:3, 167-175, DOI: 10.1080/21507740.2020.1778116

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We like real-life ethics

Diversity in research: why do we need it? (by Karin Grasenick & Julia Trattnig)

Scientific discovery is based on the novelty of the questions you ask. This means that if you want to discover something new, you probably have to ask a different question. And since different people have different preconceptions and experiences than you, they are likely to formulate their questions differently. This makes a case for diversity in research, If we want to make new discoveries that concern diverse groups, diversity in research becomes even more important.

The Human Brain Project participated in the FENS 2020 Virtual Forum this summer, an international virtual neuroscience conference that explores all domains in modern brain research. For the Human Brain Project (HBP), committed to responsible research and innovation, this includes diversity. Which is why Karin Grasenick, Coordinator for Gender and Diversity in the HBP, explored the relationship between diversity and new discovery in the session “Of mice, men and machines” at the FENS 2020.  

So why is diversity in research crucial to make new discoveries? Research depends on the questions asked, the models used, and the details considered. For this reason, it is important to reflect on why certain variables are analysed, or which aspects might play a role. An example is Parkinson’s disease, where patients are affected differently depending on both age and gender. Being a (biological) man or woman, old or young is important for both diagnosis and treatment. If we know that diversity matters in research on Parkinson’s disease, it probably should do so in most neuroscience. Apart from gender and age, we also need to consider other aspects of diversity, like race, ethnicity, education or social background. Because depending on who you are, biologically, culturally and socially, you are likely to need different things.

A quite recent example for this is Covid-19, which does not only display gender differences (as it affects more men than women), but also racial differences: Black and Latino people in the US have been disproportionately affected, regardless of their living area (rural or urban) or their age (old or young). Again, the reasons for this are not simply biologically essentialist (e.g. hormones or chromosomes), but also linked to social aspects such as gendered lifestyles (men are more often smokers than women), inequities in the health system or certain jobs which cannot be done remotely (see for example this BBC Future text on why Covid-19 is different for men and women or this one on the racial inequity of coronavirus in The New York Times).

Another example is Machine Learning. If we train AI on data that is not representative of the population, we introduce bias in the algorithm. For example, applications to diagnose skin cancer in medicine more often fail to recognize tumours in darker skin correctly because they are trained using pictures of fair skin. There are several reasons for not training AI properly, it could be a cost issue, lack of material to train the AI on, but it is not unlikely that people with dark skin are discriminated because scientists and engineers simply did not think about diversity when picking material for the AI to train on. In the case of skin cancer, it is clear that diversity could indeed save lives.

But where to start? When you do research, there are two questions that must be asked: First, what is the focus of your research? And second, who are the beneficiaries of your research?

Whenever your research focus includes tissues, cells, animals or humans, you should consider diversity factors like gender, age, race, ethnicity, and environmental influences. Moreover, any responsible scientist should consider who has access to their research and profits from it, as well as the consequences their research might have for end users or the broader public.

However, as a researcher you need to consider not only the research subjects and the people your results benefit. The diversity of the research team also matters, because different people perceive problems in different ways and use different methods and processes to solve them. Which is why a diverse team is more innovative.

If you want to find out more about the role of diversity in research, check out the presentation “Of mice, men and machines” or read the blogpost on Common Challenges in Neuroscience, AI, Medical Informatics, Robotics and New Insights with Diversity & Ethics.

Written by…

Karin Grasenick, founder and managing partner of convelop, coordinates all issues related to Diversity and Equal Opportunities in the Human Brain Project and works as a process facilitator, coach and lecturer.

&

Julia Trattnig, consultant and scientific staff member at convelop, supports the Human Brain Project concerning all measures and activities for gender mainstreaming and diversity management.

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This is a guest blog post from the Human Brain Project (HBP). The HBP as received funding from the European Union’s Horizon 2020 Framework Programme for Research and Innovation under the Specific Grant Agreement No. 945539 (Human Brain Project SGA3).

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Anthropomorphism in AI can limit scientific and technological development

Anthropomorphism almost seems inscribed in research on artificial intelligence (AI). Ever since the beginning of the field, machines have been portrayed in terms that normally describe human abilities, such as understanding and learning. The emphasis is on similarities between humans and machines, while differences are downplayed. Like when it is claimed that machines can perform the same psychological tasks that humans perform, such as making decisions and solving problems, with the supposedly insignificant difference that machines do it “automated.”

You can read more about this in an enlightening discussion of anthropomorphism in and around AI, written by Arleen Salles, Kathinka Evers and Michele Farisco, all at CRB and the Human Brain Project. The article is published in AJOB Neuroscience.

The article draws particular attention to so-called brain-inspired AI research, where technology development draws inspiration from what we know about the functioning of the brain. Here, close relationships are emphasized between AI and neuroscience: bonds that are considered to be decisive for developments in both fields of research. Neuroscience needs inspiration from AI research it is claimed, just as AI research needs inspiration from brain research.

The article warns that this idea of ​​a close relationship between the two fields presupposes an anthropomorphic interpretation of AI. In fact, brain-inspired AI multiplies the conceptual double exposures by projecting not only psychological but also neuroscientific concepts onto machines. AI researchers talk about artificial neurons, synapses and neural networks in computers, as if they incorporated artificial brain tissue into the machines.

An overlooked risk of anthropomorphism in AI, according to the authors, is that it can conceal essential characteristics of the technology that make it fundamentally different from human intelligence. In fact, anthropomorphism risks limiting scientific and technological development in AI, since it binds AI to the human brain as privileged source of inspiration. Anthropomorphism can also entice brain research to uncritically use AI as a model for how the brain works.

Of course, the authors do not deny that AI and neuroscience mutually support each other and should cooperate. However, in order for cooperation to work well, and not limit scientific and technological development, philosophical thinking is also needed. We need to clarify conceptual differences between humans and machines, brains and computers. We need to free ourselves from the tendency to exaggerate similarities, which can be more verbal than real. We also need to pay attention to deep-rooted differences between humans and machines, and learn from the differences.

Anthropomorphism in AI risks encouraging irresponsible research communication, the authors further write. This is because exaggerated hopes (hype) seem intrinsic to the anthropomorphic language. By talking about computers in psychological and neurological terms, it sounds as if these machines already essentially functioned as human brains. The authors speak of an anthropomorphic hype around neural network algorithms.

Philosophy can thus also contribute to responsible research communication about artificial intelligence. Such communication draws attention to exaggerated claims and hopes inscribed in the anthropomorphic language of the field. It counteracts the tendency to exaggerate similarities between humans and machines, which rarely go as deep as the projected words make it sound.

In short, differences can be as important and instructive as similarities. Not only in philosophy, but also in science, technology and responsible research communication.

Pär Segerdahl

Written by…

Pär Segerdahl, Associate Professor at the Centre for Research Ethics & Bioethics and editor of the Ethics Blog.

Arleen Salles, Kathinka Evers & Michele Farisco (2020) Anthropomorphism in AI, AJOB Neuroscience, 11:2, 88-95, DOI: 10.1080/21507740.2020.1740350

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Neuroethics as foundational

As neuroscience expands, the need for ethical reflection also expands. A new field has emerged, neuroethics, which celebrated its 15th anniversary last year. This was noted in the journal AJOB Neuroscience through an article about the area’s current and future challenges.

In one of the published comments, three researchers from the Human Brain Project and CRB emphasize the importance of basic conceptual analysis in neuroethics. The new field of neuroethics is more than just a kind of ethical mediator between neuroscience and society. Neuroethics can and should contribute to the conceptual self-understanding of neuroscience, according to Arleen Salles, Kathinka Evers and Michele Farisco. Without such self-understanding, the ethical challenges become unclear, sometimes even imaginary.

Foundational conceptual analysis can sound stiff. However, if I understand the authors, it is just the opposite. Conceptual analysis is needed to make concepts agile, when habitual thinking made them stiff. One example is the habitual thinking that facts about the brain can be connected with moral concepts, so that, for example, brain research can explain to us what it “really” means to be morally responsible for our actions. Such habitual thinking about the role of the brain in human life may suggest purely imaginary ethical concerns about the expansion of neuroscience.

Another example the authors give is the external perspective on consciousness in neuroscience. Neuroscience does not approach consciousness from a first-person perspective, but from a third-person perspective. Neuroscience may need to be reminded of this and similar conceptual limitations, to better understand the models that one develops of the brain and human consciousness, and the conclusions that can be drawn from the models.

Conceptual neuroethics is needed to free concepts from intellectual deadlocks arising with the expansion of neuroscience. Thus, neuroethics can contribute to deepening the self-understanding of neuroscience as a science with both theoretical and practical dimensions. At least that is how I understand the spirit of the authors’ comment in AJOB Neuroscience.

Pär Segerdahl

Written by…

Pär Segerdahl, Associate Professor at the Centre for Research Ethics & Bioethics and editor of the Ethics Blog.

Emerging Issues Task Force, International Neuroethics Society (2019) Neuroethics at 15: The Current and Future Environment for Neuroethics, AJOB Neuroscience, 10:3, 104-110, DOI: 10.1080/21507740.2019.1632958

Arleen Salles, Kathinka Evers & Michele Farisco (2019) The Need for a Conceptual Expansion of Neuroethics, AJOB Neuroscience, 10:3, 126-128, DOI: 10.1080/21507740.2019.1632972

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An extended concept of consciousness and an ethics of the whole brain

Pär SegerdahlWhen we visit a newly operated patient, we probably wonder: Has she regained consciousness? The question is important to us. If the answer is yes then she is among us, we can socialize. If the answer is negative then she is absent, it is not possible to socialize. We can only wait and hope that she returns to us.

Michele Farisco at CRB proposes in a new dissertation a more extensive concept of consciousness. According to this concept, we are conscious without interruption, basically, as long as the brain lives. This sounds controversial. It appears insensitive to the enormous importance it has for us in everyday life whether someone is conscious or not.

Maybe I should explain right away that it is not about changing our usual ways of speaking of consciousness. Rather, Michele Farisco suggests a new neuroscientific concept of consciousness. Science sometimes needs to use familiar words in unfamiliar ways. For example, biology cannot speak of humans and animals as an opposition, as we usually do. For biology, the human is one of the animals. Just as biology extends the concept of an animal to us humans, Michele Farisco extends the concept of consciousness to the entire living brain.

Why can an extended concept of consciousness be reasonable in neuroscience? A simple answer is that the brain continues to be active, even when in the ordinary sense we lose consciousness and the ability to socialize. The brain continues to interact with the signals from the body and from the environment. Neural processes that keep us alive continue, albeit in modified forms. The seemingly lifeless body in the hospital bed is a poor picture of the unconscious brain. It may be very active. In fact, some types of brain processes are extra prominent at rest, when the brain does not respond to external stimuli.

Additional factors support an extended neuroscientific concept of consciousness. One is that even when we are conscious in the usual sense, many brain processes happen unconsciously. These processes often do the same work that conscious processes do, or support conscious processes, or are shaped by conscious processes. When we look neuroscientifically at the brain, our black and white opposition between conscious and unconscious becomes difficult to discern. It may be more reasonable to speak of continuities, of levels of the same consciousness, which always is inherent in the living brain.

In short, neuroscience may gain from not adopting our ordinary concept of consciousness, which makes such an opposition between conscious and unconscious. The difference that is absolute when we visit a newly operated patient – is she conscious or not? – is not as black and white when we study the brain.

Does Michele Farisco propose that neuroscience should make no difference whatsoever between what we commonly call conscious and unconscious, between being present and absent? No, of course not. Neuroscience must continue to explore that difference. However, we can understand the difference as a modification of the same basic consciousness, of the same basic brain activity. Neuroscience needs to study differences without falling victim to a black and white opposition. Much like biology needs to study differences between humans and other animals, even when it extends the concept of an animal to the human.

The point, then, is that neuroscience needs to be open to both difference and continuity. Michele Farisco proposes a neuroscientific distinction between aware and unaware consciousness. It captures both aspects, the difference and the continuity.

Michele Farisco’s extended concept of consciousness also has ethical consequences. It can motivate an ethics of the whole brain, not just of the conscious brain, in the usual sense. The question is no longer, merely, whether the patient is conscious or not. The question is at what level the patient is conscious. We may need to consider ethically even unconscious brains and brain processes, in the ordinary sense. For example, by talking calmly near the patient, even though she does not seem to hear, or by playing music that the patient usually appreciates.

Perhaps we should not settle for waiting and hoping that the patient will return to us. The brain is already here. At several levels, this brain may continue to socialize, even though the patient does not seem to respond.

If you want to know more about Michele Farisco’s extended concept of consciousness and his ethics of the whole brain, read the dissertation that he recently defended. You can also read about new technological opportunities to communicate with patients suffering from severe disorders of consciousness, and about new opportunities to diagnose such disorders.

Pär Segerdahl

Farisco, Michele. 2019. Brain, consciousness and disorders of consciousness at the intersection of neuroscience and philosophy. (Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1597.) Uppsala: Acta Universitatis Upsaliensis.

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We challenge habits of thought : the Ethics Blog

Neuroethical reflection in the Human Brain Project

Arleen SallesThe emergence of several national level brain initiatives and the priority given to neuroscientific research make it important to examine the values underpinning the research, and to address the ethical, social, legal, philosophical, and regulatory issues that it raises.

Neuroscientific insights allow us to understand more about the human brain: about its dynamic nature and about its disorders. These insights also provide the basis for potentially manipulating the brain through neurotechnology and pharmacotherapy. Research in neuroscience thus raises multiple concerns: From questions about the ethical significance of natural and engineered neural circuitry, to the issue of how a biological model or a neuroscientific account of brain disease might impact individuals, communities, and societies at large. From how to protect human brain data to how to determine and guard against possible misuses of neuroscientific findings.

Furthermore, the development and applications of neuro-technology to alleviate symptoms or even enhance the human brain raise further concerns, such as their potential impact on the personality, agency, and autonomy of some users. Indeed, some empirical findings appear to even challenge long held conceptions about who we are, the capacity to choose freely, consciousness, and moral responsibility.

Neuroethics is the field of study devoted to examining these critical issues. Unfortunately, it has sometimes been reduced to a subfield of applied ethics understood as a merely procedural approach. However, in our understanding, neuroethics is methodologically much richer. It is concerned not just with using ethical theory to address normative issues about right and wrong, but notably with providing needed conceptual clarification of the relevant neuroscientific and philosophical notions. Only by having conceptual clarity about the challenges presented will we be able to address and adequately manage them.

So understood, neuroethics plays a key role in the Human Brain Project (HBP). The HBP is a European Community Flagship Project of Information and Computing Technologies (ICT). It proposes that to achieve a fuller understanding of the brain, it is necessary to integrate the massive volumes of both already available data and new data coming from labs around the world. Expected outcomes include the creation and operation of an ICT infrastructure for neuroscience and brain related research in medicine and computing. The goal is to achieve a multilevel understanding of the brain (from genes to cognition), its diseases and the effects of drugs (allowing early diagnoses and personalised treatments), and to capture the brain’s computational capabilities.

The HBP is funded by the European Commission in the framework of the EU’s Horizon 2020 research-funding programme. The programme promotes responsible research and innovation (RRI). RRI is generally understood as an interactive process that engages social actors, researchers, and innovators who must be mutually responsive and work towards the ethical permissibility of the relevant research and its products. The goal is to ensure that scientific progress and innovation are responsible and sustainable: that they increase individual and societal flourishing and maximize the common good.

To develop, broaden, and enhance RRI within the project, the HBP established the Ethics and Society subproject. Ethics and Society  is structured around a number of RRI activities such as foresight analysis (to identify at an early stage ethical and social concerns), citizens’ engagement (to promote involvement with different points of view and to strengthen public dialogue), and ethics support (to carry out research in applied ethics and to develop principles and mechanisms that ensure that ethical issues raised by research subprojects are communicated and managed and that HBP researchers comply with ethical codes and legal norms).

Neuroethical reflection plays a key role in this integration of social, scientific, and ethical inquiry. Notably, in the HBP such reflection includes conceptual and philosophical analysis. Insofar as it does, neuroethics aims to offer more than assistance to neuroscientists and social scientists in identifying the social, political, and cultural components of the research. Via conceptual analysis, neuroethics attempts to open a productive space within the HBP for examining the relevant issues, carrying out self-critical analysis, and providing the necessary background to examine potential impacts and issues raised. Neuroethical reflection in the HBP does not exclusively focus on ethical applications and normative guidance. Rather, it takes as a starting point the view that the full range of issues raised by neuroscience cannot be adequately dealt with without also focusing on the construction of knowledge, the meaning of the relevant notions, and the legitimacy of the various interpretations of relevant scientific findings.

At present, the importance of neuroethics is not in question. It is a key concern of the International Brain Initiative, and the different international brain projects are trying to integrate neuroethics into their research in different ways. What continues to be unique to neuroethics in the HBP, however, is its commitment to the idea that making progress in addressing the host of ethical, social, legal, regulatory and philosophical issues raised by brain research to a great extent depends on a conceptual neuroethical approach. It enables constructive critical alertness and a thought-out methodology that can achieve both substantial scientific ground and conceptual clarity.

If you want to read more, see below a list of publications on which this post is based.

Arleen Salles

Delegates eaGNS. Neuroethics Questions to Guide Ethical Research in the International Brain Initiatives. Neuron. 2018.

Evers K, Salles A, Farisco M. Theoretical Framing for Neuroethics: The Need for a Conceptual Aproach. In: Racine E, Aspler, J., editor. Debates About Neuroethics: Springer; 2017.

Salles A, Evers K. Social Neuroscience and Neuroethics: A Fruitful Synergy. In: Ibanez A, Sedeno, L., Garcia, A., editor. Social Neuroscience and Social Science: The Missing Link: Springer; 2017. p. 531-46.

Farisco M, Salles A, Evers K. Neuroethics: A Conceptual Approach. Camb Q Healthc Ethics. 2018;27(4):717-27.

Salles A, Evers K, Farisco M. Neuroethics and Philosophy in Responsible Research and Innovation: The Case of the Human Brain Project. Neuroethics. 2018.

Salles A, Bjaalie JG, Evers K, Farisco M, Fothergill BT, Guerrero M, et al. The Human Brain Project: Responsible Brain Research for the Benefit of Society. Neuron. 2019;101(3):380-4.

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