Institute of Biomedical Ethics, Faculty of Medicine, University of Basel, Basel, Basel, Switzerland.
Institute of Applied Ethics, Faculty of Philosophy, Faculty of Medicine, University Laval, Quebec, QC, Canada.
Med Health Care Philos. 2022 Mar;25(1):99-110. doi: 10.1007/s11019-021-10054-z. Epub 2021 Nov 25.
With robots being introduced into caregiving, particularly for older persons, various ethical concerns are raised. Among them is the fear of replacing human caregiving. While ethical concepts like well-being, autonomy, and capabilities are often used to discuss these concerns, this paper brings forth the concept of social dignity to further develop guidelines concerning the use of robots in caregiving. By social dignity, we mean that a person's perceived dignity changes in response to certain interactions and experiences with other persons. In this paper, we will first present the concept of social dignity, and then identify a niche where robots can be used in caregiving in an ethical manner. Specifically, we will argue that, because some activities of daily living are performed in solitude to maintain dignity, a care recipient will usually prefer robotic assistance instead of human assistance for these activities. Secondly, we will describe how other philosophical concepts, which have been commonly used to judge robotic assistance in caregiving for the elderly so far, such as well-being, autonomy, and capabilities, are less useful in determining whether robotic assistance in caregiving is ethically problematic or not. To conclude, we will argue that social dignity offers an advantage to the other concepts, as it allows to ask the most pressing questions in caregiving.
随着机器人被引入到护理工作中,尤其是为老年人提供护理,各种伦理问题也随之产生。其中一个担忧是担心机器人会取代人类护理。虽然福祉、自主性和能力等伦理概念经常被用来讨论这些问题,但本文提出了社会尊严的概念,以进一步制定有关在护理中使用机器人的准则。通过社会尊严,我们是指一个人的感知尊严会随着与他人的某些互动和经历而发生变化。在本文中,我们将首先介绍社会尊严的概念,然后确定机器人在护理中可以以伦理方式使用的一个领域。具体来说,我们将认为,由于一些日常生活活动是为了维护尊严而独自进行的,因此对于这些活动,护理接受者通常更愿意接受机器人的帮助而不是人类的帮助。其次,我们将描述迄今为止,已经被广泛用于判断老年人护理中的机器人辅助的其他哲学概念,如福祉、自主性和能力,在确定护理中的机器人辅助是否存在伦理问题方面的作用较小。最后,我们将认为,社会尊严为其他概念提供了优势,因为它允许在护理中提出最紧迫的问题。