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Related Experiment Video

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Embodiment and Estrangement: Results from a First-in-Human "Intelligent BCI" Trial.

F Gilbert1,2,3, M Cook4,5, T O'Brien4

  • 1Centre for Sensorimotor Neural Engineering, Department of Philosophy, University of Washington, Seattle, WA, USA. fredericgilbertt@gmail.com.

Science and Engineering Ethics
|November 13, 2017
PubMed
Summary

New brain computer interface (BCI) devices offer enhanced control but may also cause distress and identity issues. Preparedness protocols are crucial for mitigating potential harms from these intelligent-predictive technologies.

Keywords:
Advisory systemAgencyArtificial IntelligenceAssistive systemAutonomyBrain computer interfacesBrain implant, brain device, capacitiesBrain machine interfacesControlEmbodimentEstrangementIdentityImplantable devicePhenomenologyPredictive brain devicesPredictive deviceQualitative interviewsSelf

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Area of Science:

  • Neuroscience
  • Human-Computer Interaction
  • Medical Technology

Background:

  • The development of implantable brain computer interface (BCI) devices is advancing rapidly.
  • There is a lack of literature on the patient experience with these new BCI technologies.

Purpose of the Study:

  • To explore patient perceptions of self-change with implantable, artificially intelligent BCI devices.
  • To address the knowledge gap regarding the impact of BCI on the patient experience.

Main Methods:

  • Qualitative methodology grounded in phenomenology.
  • In-depth, semi-structured interviews with six patients from a first-in-human clinical trial.
  • Analysis of patient data from implanted BCI advisory devices.

Main Results:

  • BCIs can enhance a patient's sense of self and control.
  • BCIs may also lead to distress, loss of control, and a rupture of patient identity.
  • Patient experiences with intelligent-predictive BCI devices are complex and multifaceted.

Conclusions:

  • BCI technologies present a dual potential for positive and negative psychological impacts.
  • Proactive preparedness protocols are essential for intelligent-predictive and advisory-BCI technologies.
  • Preventing iatrogenic harms requires specific protocols tailored to advanced BCI systems.