Schaub 4:00 L03 THE ETHICAL BOUNDRIES OF THE HUMAN EXPERIENCE Aaron Acierno (ama195@pitt.edu) THE STUFF OF SCIENCE FICTION As humans, we are truly blessed to live in a time such as this. Elements of science fiction seem to have silently crept its way into some of our most basic daily experiences. If you don’t believe me, look around at some of the simplest miracles of science like aviation, infrastructure and energy. What truly makes engineering unique and respectable profession, however, is that no matter how far the boundaries of science has been pushed, engineers believe that innovations can always be more efficient and better structured. The future looks incredibly bright considering the wondrous strides engineers have made. I consider it a personal obligation as a future engineer to do whatever it takes it work towards a brighter, more advanced future. As someone who suffers from severe depression and generalized anxiety, I find it extremely reassuring knowing that engineers have innovated new ways in order to fight the overwhelming grasp of mental illness. One such treatment is Synchronized Transcranial Magnetic Stimulation (sTMS), a technique that utilizes pulses of magnetic energy to re-sync neural activity in the brain and ultimately begin to cure mental disabilities, a topic I described in my previous essay. I consider this to be an absolutely wonderful innovation because for perhaps one day my illness can be tackled at the source once and for all. Hearing stories like this gives me hope, and it was one of the reasons that I wanted to be an engineer in the first place. However, what about when engineers push the boundaries of science too far? Ethical conditions are especially important in psychological studies because they involve both humans and the “human experience”. The human experience is what is described as the psychological framework or mindset that a human being uses in everyday and essentially, what makes us a unique species. sTMS treatment is wonderful in the sense that it provides very limited alterations to human cognition and experience, but what about more invasive treatments, where do you draw the line? This is a very difficult threshold to gauge, as ethics is often a collaboration of several different points of views and opinions. Though the line that separates science from philosophy is vague, but most often University of Pittsburgh, Swanson School of Engineering 1 2014-09-30 there are signs of dishonesty that can be seen when engineers are in obvious violation of ethical code. In this respect, I find it important to consider two distinct scenarios. One in which the engineer or engineers are specifically and most likely knowingly in violation of a Code of Ethics, and other where the findings make the decision more difficult. First, consider an engineer that is doing research on a relatively new technology in psychological engineering, computer-brain interfacing (CBI). While the engineer works with a soldier who lost his arm in battle, the engineer starts asking the patient to perform tasks that were not originally part of the study. Tasks include using additional technologies such as an electrode to perform tasks on a computer program. Though the technologies are in essentially the same, it is not explicitly defined in the patient’s treatment program. Would this engineer in violation of a nationally recognized Engineering Code of Ethics? In the second scenario, a group of engineers are approved to work on the development of CBI. Using these technologies, these engineers successfully discover a way to implement a device in the human brain that allows a remote source to control certain cognitive functions, such as body movement and sense perception. In fear, they withhold the information from their supervisors. Is this act of withholding information unethical in any way? Using accredited and verified Codes of Ethics from the disciplines of engineering and psychology alike, it is possible to determine if what the researchers did in these two situations were ethical or not. CONSIDER THE CIRCUMSTANCES Before diving into any official documents regarding the ethical guidelines as approved by national boards of engineering, I believe it is important to adequately describe the technology that is presented in these situations. Over the past decade, psychological engineering is best described as a rapidly growing field, gaining steam due to the wealth of knowledge and innovation. The primary goal is to create a “harmony” between the human brain and machine in order to produce a more Aaron Acierno controlled and user-friendly mental environment [1]. With the customizability of computers, we are able to create miracles such as virtual reality, which combine technology and human cognition. Using the most recent technologies, an electroencephalograph (EEG) machine is able to monitor where electrical pulses occur in the brain. As mentioned prior, one of the newest and most exciting innovations on the scene in engineer the human brain is called computer-brain interfacing. CBI is a technique where a device can be used to simulate or manipulate patterns of neural activity in the brain to alter cognition and emotion. Through research, engineers have been able to recognize patterns of brain activity when certain functions are performed or senses activated. When this was first discovered, it was truly an important step because for the first time in human history, a bridge could be made from the material world and the mental realm. Now, using new techniques such as CBI, that bridge could become a pathway to a humanized regulation of the human experience. Initially, small scale projects were conducted in order to gauge the potential of CBI. These projects included moving a mouse on a computer or changing the channel on a television. After much experimentation, the future of CBI seems extremely bright. By analyzing individual’s neural activity to certain cognition, pulses can be administered to someone in a way such that a certain sense or emotion can be felt. In a similar way, by seeing which neurons are activated, a computer can respond in a certain way. For example, this gives people a second chance to regain a part of their body through mechanical prosthetics. In this respect, there is almost no end to the possibilities of CBI. [3] What this means is that one day in the future, complicated systems of computerized information could be controlled and processed by a single thought. CONFLICT OF INTEREST At this point, I would like to revisit the first scenario as previously described, which analyzes how an engineer might be in a breach of ethics during the procedure of an experiment. In this first scenario, a soldier that has returned from battle but was required to have an arm amputation due to a traumatic injury on the battlefield. Using the latest technologies in CBI, an engineer is working with this man so that he might regain his ability to use a working arm once again. Following a procedure to mentally implant a device in the grey matter of the patient’s brain and a mechanical arm surgically attached in place of his amputated one, he is told he will be seen on regular appointments in order to practice using his new device. During one of his appointments during a meeting with the engineer as part of his rehabilitation, however, the engineer asks the patient to do tasks that the patient is usually required. These include trying to control a point of a screen to using brain activity and monitoring brain activity during a series of games. When the patient asks the engineer for the reason behind the abrupt change in plans, the engineer says that the reason is because he wants to “further examine the patient’s neuronal activity patterns.” Later, it is discovered that he did this in order to gain an edge. He wished to obtain more information regarding the application of CBI and used his opportunity with a patient to do this. So, by doing this, did the engineer violate a nationally recognized Code of Ethics? The Beautiful Brain Sound simple? Not at all. In the adult human body there are about 100 billion neural cells. These cells are unlike the familiar spherical cells that are present in other bodily organs. Rather, neurons branch out like a tree and create a vast network inside the human body. Neurons relate information in a way akin to computers: binary succession. When a neuron “fires”, it sends an electrical impulse to its axion (the sending portion of a neuron cell), which travels towards a neighboring neuron’s dendrite (the receiving portion of a neuron cell). These two portions are separated by a synapse, a tiny gap between the two regions. When the electric impulse reaches the synapse, neurotransmitters are released from the axion towards the neighboring dendrite through the synapse. Neurotransmitters are proteins which give instructions on what the next neuron should do, which is either to “fire” or “don’t fire”. This means that all cognition, mental processes, and brain functions are controlled by each individual neuron cell doing one of two actions. [2] Such a dynamic network of cells makes the challenge of developing a reliable framework for CBI even more difficult. In fact, currently, one of the biggest issues with CBI is even finding The Potential of CBI The Duties of an Engineer 2 Aaron Acierno In this scenario, it isn’t entirely clear why the engineer made the patient do the additional tasks, but if we analyze a set of officially licensed engineering Code of Ethics, we can see if what he did was right or wrong. Examining the National Society of Professional Engineers Code of Ethics, we know for a fact that his initial work with the patient was quite important. According to the Fundamental Canons of the NSPE Code of Ethics, engineers must “Hold paramount the safety, health, and welfare of the public.” By working with the soldier, he was able to give him a chance to regain a sense of normalcy in his life. In a larger sense, as the field of psychological engineering begins to grow, it is more important than ever to begin building a solid base in CBI technology. As a reader, the field of psychological engineering may seem like a foreign concept. Essentially, psychological engineering began as a hybrid between the two fields of medical psychology and engineering. The title of “Engineering Psychologist” was recently acknowledged by the American Psychological Association (APA), and consequently does not currently have a specific organization or Code of Ethics, so in order to examine this specific situation, it would be best to consider both the NSPE’s Code of Ethics and the APA’s Code of Ethics. This ensures that any situation that arises would satisfy a hybrid of both disciplines. Revisiting the topic at hand, the engineer seemed to be performing tasks that did not coincide with the original treatment plan for the soldier. From the APA standpoint, the use of deception, or giving the patient false information regarding treatment or experimentation, is not necessarily a violation in itself. According to the APA’s Code of Ethics, Code 6.15, “Psychologists do not conduct a study involving deception unless they have determined that the use of deceptive techniques is justified by the study's prospective scientific, educational, or applied value and that equally effective alternative procedures that do not use deception are not feasible.” [4] From this perspective, it appears that the use of deception to gain additional information with the CBI device does not appear to have any increase in experimental value. There really is no reason to deceive the patient, and therefore this engineer would most likely be in violation of the APA’s Code of Ethics. In another examination, considering the NSPE’s Code of Ethics, the use of deceptive acts is outlined in the Fundamental Canons. According to the 5th Fundamental Canon of the NSPE’s Code of Ethics, “Deceptive acts shall be avoided.” [5] In this situation, the engineer was not truthful towards the soldier he was treating and therefore he would be in violation of the code. POWER BEYOND OUR CONTROL? It might be difficult to imagine, but within the next ten years, it could be entirely possible that human emotions and cognition could be able to be processed by CBI. If human neural patterns can be analyzed, they can be replicated and manipulated by these devices. What troubles certain people is that until very recently in human history, machine and mind were two completely separate domains in human civilization. In many religions and societies, the human consciousness is sacred. The human experience is unique because no other living creature in the known universe has the brain capacity or abilities humans have. [6] Not surprisingly, many people are opposed to the idea of using CBI as a method of treatment, as it overrides the natural progression of human thought. Despite the fact that it provides a wonderful opportunity to people who have lost limbs due to accidents, war, or disease, when the order is reversed, it can be a scary violation of natural human rights. Though it is far from a national accredited Code of Ethics, the United Nations “Universal Declaration of Human Rights” defines in Article 18 that all people are entitled to the freedom of though and opinion. It reads, “Everyone has the right to freedom of thought, conscience and religion; this right includes freedom to change his religion or belief, and freedom.” Considering the wording, it would appear that the use of CBI to influence human behavior would be in clear violation of the UN’s Declaration of Human Rights. [7] Though it is quite far from any recognized Engineering Code of Ethics, the reason that I referred to this document over anything from the APA’s or NSPE’s Code of Ethics is this specific instance is nowhere outlined. In the case, that this becomes a utilized technology worldwide, it appears most likely that a world government association will take a stand, since such an elementary human right is being jeopardized [8]. In my own personal opinion, this could become an issue much like that of atomic weapons or chemical warfare. When such a powerful tool can be used on humans, it reaches a point where specific rules must be made in order to control it. That is why I chose to examine two examples, one of them which consider this particular perspective. 3 Aaron Acierno The first scenario was an example of impulse impacted “from” the brain to control external devices, but the second scenario considers external control to impart impulses on the brain. Recall that in the second scenario, a group of engineers perfected the use of external control on electrodes inside of a patient’s brain to control thoughts, feelings, and cognition. For example, by imputing a command on a prompt, it stimulates the brain in such a way that the patient is “hypnotized” to perform a task. The engineers who worked with this project considered this discovery too frightening and refused to tell their superiors of the progress they made. Is this action a violation of the NSPE’s Code of Ethics? The answer is yes. When referring to the NSPE’s Code of Ethics, Rules of Practice Article 4 states, “Engineers shall disclose all known or potential conflicts of interest that could influence or appear to influence their judgment or the quality of their services.” [5]In this case it is extremely important that the engineers report the information to an authority to gauge how future action will be taken regarding the discoveries made. Though the implications of the discovery might be great, it is vital that the information be disclosure to the “correct” personnel. Giving information to a third party would violate The NSPE’s Code of Ethics Professional Obligations Article 4, which states, “Engineers shall not disclose, without consent, confidential information concerning the business affairs or technical processes of any present or former client or employer, or public body on which they serve.” Though they might believe it could be beneficial to the general public to either not disclose this revolutionary information or disclose it to a third party, there is a process which must occur with this kind of profession. brain. It really is a touchy subject when you are considering the absolute separate between the two domains of mind and machine. It is my hope that one day a boundary can be firmly established so incidents like that in scenario 2 will never actually happen. It really is an exciting time in human history. Using such new and innovative technologies to impact the very basis of human experience is truly thrilling. The reason I chose this topic in particular was due to how close of a connection I feel to the topic. Having suffered from depression every day for the last 5 years, I see innovations like these and see how exciting the future can be. However, it is also imperative to understand that engineers must act in a certain way to maintain a sense of “right” and “wrong” in their practice. That way, we know for a fact that these incredible innovations are being created with a peace of mind that no sacrifices are being made. REFERENCES [1] G. Edlinger. (2011). “Brain Computer Interface.” Springer Handbook of Medical Technology. (Encyclopedia Entry). http://link.springer.com/chapter/10.1007%2F978-3540-74658-4_52 [2] “How do neurons work?” University of Bristol. (Website). [3] E. Grabianowski. “How Brain-computer Interfaces Work”. How Stuff Works. (Website). http://computer.howstuffworks.com/braincomputerinterface.html.http://www.bris.ac.uk/synaptic/basic s/basics-2.html [4] “Ethical Principles and Psychologists and Code of Conduct.” American Psychological Association. (Document). www.apa.org/ethics/code/index.aspx [5] “NSPE Code of Ethics for Engineers.” National Society of Professional Engineers. (Document). www.nspe.org/resources/ethics/code-ethics [6] B. Beyer. (August 18, 2011). “The Human Element.” Wordpress.com. (Essay). http://bigb97.wordpress.com/2011/08/18/mind-vsmachine-essay/ [7] “The Universal Declaration of Human Rights.” United Nations. (Document). http://www.un.org/en/documents/udhr/ [8] Philosophy of Cognitive Science. (August 16 th, 2013) “26. Cognitive Science, Philosophy in Artificial Intelligence: Human Mind vs. Turing machine.” Youtube.com. (Video). https://www.youtube.com/watch?v=VmJky99S82w ARE WE READY FOR THE FUTURE? It is unfortunate that I was unable to elaborate further on the discussion of testing the practical limits of CBI technology. Until the technology has been further tested, perfected, and commercialized, it appears as if it is not going to be an issue for quite some time. In my own personal opinion, I believe that within the next five years, a Psychological Engineering will be universally recognized occupation by the United States Department of Labor, and as a result a Code of Ethics will be formed. Once we reach that point, then we will have some sort of idea where to go regarding the future of engineering the human 4 Aaron Acierno ADDITIONAL RESOURCES “Broadening the Applicability of Clinical Research” Online Ethics Center for Engineering. (Ethics Case Study). http://www.onlineethics.org/Resources/Cases/Clini calResearch.aspx “Case Study 2: The Milikan Case – Discrimination Versus Manipulation of Data.” Online Ethics Center for Engineering. (Ethics Case Study). http://www.onlineethics.org/Education/precollege/s cienceclass/sectone/chapt4/cs2.aspx “Reporting your Team Assignment” Stanford biodesign. (Ethics Case Study). http://biodesign.stanford.edu/bdn/ethicscases/17rep ortingteamassignment.jsp ACKNOWLEDGEMENTS I would like to thank Dave Early for giving me the motivation to work my absolute hardest. 5