AJOB Neurosci., 2021 · DOI: 10.1080/21507740.2021.1896599 · Published: January 1, 2021
Neural devices can restore lost abilities, but raise concerns about agency, such as control, responsibility, privacy, and trust. Examining these concerns separately misses the interconnectedness of living with a neural device. The ethical dimensions of responsibility, privacy, authenticity, and trust are intricately inter-related in an individual’s experience of agency. Questioning one’s responsibility, for instance, may lead to feelings of confusion over authenticity. This paper offers a map of the dimensions of agency and their interrelations as they are implicated in neural technology, situating this map within the context of existing neuroethics literature and reports from users of neurotechnologies.
The agency map can form the basis of a qualitative assessment tool (Q-ACT) for researchers and clinicians to assess agential issues more effectively.
A Q-ACT tool will need to be tailored to the particular features of neurotechnologies and populations targeted by these technologies.
Considering the possible interactions between the competencies and dimensions of agency will help the field anticipate issues with neurotechnologies we might otherwise overlook.