Personal Health Monitoring (PHM) uses electronic devices which monitor and record health-related data outside a hospital, usually within the home. This paper examines the ethical issues raised by PHM. Eight themes describing the ethical implications of PHM are identified through a review of 68 academic articles concerning PHM. The identified themes include privacy, autonomy, obtrusiveness and visibility, stigma and identity, medicalisation, social isolation, delivery of care, and safety and technological need. The issues around each of these are discussed. The system (...) / lifeworld perspective of Habermas is applied to develop an understanding of the role of PHMs as mediators of communication between the institutional and the domestic environment. Furthermore, links are established between the ethical issues to demonstrate that the ethics of PHM involves a complex network of ethical interactions. The paper extends the discussion of the critical effect PHMs have on the patient’s identity and concludes that a holistic understanding of the ethical issues surrounding PHMs will help both researchers and practitioners in developing effective PHM implementations. (shrink)

Background Personal Health Monitoring (PHM) has the potential to enhance soldier health outcomes. To promote morally responsible development, implementation, and use of PHM in the armed forces, it is important to be aware of the inherent ethical dimension of PHM. In order to improve the understanding of the ethical dimension, a scoping review of the existing academic literature on the ethical dimension of PHM was conducted. Methods Four bibliographical databases (Ovid/Medline, Embase.com, Clarivate Analytics/Web of Science Core Collection, and Elsevier/SCOPUS) were (...) searched for relevant literature from their inception to June 1, 2023. Studies were included if they sufficiently addressed the ethical dimension of PHM and were related to or claimed relevance for the military. After selection and extraction, the data was analysed using a qualitative thematic approach. Results A total of 9,071 references were screened. After eligibility screening, 19 articles were included for this review. The review identifies and describes three categories reflecting the ethical dimension of PHM in the military: (1) utilitarian considerations, (2) value-based considerations, and (3) regulatory responsibilities. The four main values that have been identified as being of concern are those of privacy, security, trust, and autonomy. Conclusions This review demonstrates that PHM in the armed forces is primarily approached from a utilitarian perspective, with a focus on its benefits, without explicit critical deliberation on PHM’s potential moral downsides. Also, the review highlights a significant research gap with a specific lack of empirical studies focussing specifically on the ethical dimension of PHM. Awareness of the inherent ethical dimension of PHM in the military, including value conflicts and how to balance them, can help to contribute to a morally responsible development, implementation, and use of PHM in the armed forces. (shrink)

Background The field of personal health monitoring (PHM) develops rapidly in different contexts, including the armed forces. Understanding the ethical dimension of this type of monitoring is key to a morally responsible development, implementation and usage of PHM within the armed forces. Research on the ethics of PHM has primarily been carried out in civilian settings, while the ethical dimension of PHM in the armed forces remains understudied. Yet, PHM of military personnel by design takes place in a different setting (...) than PHM of civilians, because of their tasks and the context in which they operate. This case study therefore focusses on obtaining insights into the experiences and related values of different stakeholders regarding an existing form of PHM, the Covid-19 Radar app, in the Netherlands Armed Forces. Methods We carried out an exploratory qualitative study, using semi-structured interviews with twelve stakeholders in the Netherlands Armed Forces. We focussed on participation in the use of PHM, reflections on the practical use and use of data, moral dilemmas and the need for ethics support, all in regard to PHM. The data was analysed using an inductive thematic approach. Results Three interlinking categories reflecting ethical dimensions of PHM emerged: (1) values, (2) moral dilemmas, and (3) external norms. The main values identified were: security (in relation to data), trust and hierarchy. Multiple related values were found. Some, but no broadly shared, moral dilemmas were identified and no strong need for ethics support was expressed. Conclusion This study shed light on key values, provide insights in the experienced and presumed moral dilemmas and bring to mind ethics support considerations when looking at PHM in the armed forces. Some values bring a certain vulnerability to military users when personal and organisational interests are not aligned. Furthermore, some identified values may hinder a careful consideration of PHM because they potentially conceal parts of ethical dimensions of PHM. Ethics support can assist in uncovering and addressing these concealed parts. The findings highlight a moral responsibility for the armed forces to devote attention to the ethical dimensions of PHM. (shrink)

Aging populations have become a major concern in the developed world and are expected to require novel care strategies. Public policies, health-care regimes and technology developers alike stress the need for a more individualized care to meet the increased demand for care services in response to demographic change. Increasingly, care services are offered to individuals with diseases and or disabilities in their homes by means of Personalized Health-Monitoring (PHM) technologies. PHM-based home care is typically portrayed as the key to a (...) cost-effective future care that better can accommodate the needs of an aging population and promote care recipients’ independence. In light of the emerging technology-based home care, this article sets forth to investigate the significance and implications of a strong emphasis on independence in relation to this novel care form. Notions of independence as used by care planners, care providers and technology developers are examined in relation to ICT-based home care and the reasonableness of independence as an aim for future health-care is critically discussed. In conclusion, the need for a shift from a strong emphasis on independence to a right to healthy dependence is advocated. (shrink)

Espino, Santamaria, and Garcia-Madruga (2000) report three results on the time taken to respond to a probe word occurring as end term in the premises of a syllogistic argument. They argue that these results can only be predicted by the theory of mental models. It is argued that two of these results, on differential reaction times to end-terms occurring in different premises and in different figures, are consistent with Chater and Oaksford's (1999) probability heuristics model (PHM). It is argued that (...) the third finding, on different reaction times between figures, does not address the issue of processing difficulty where PHM predicts no differences between figures. It is concluded that Espino et al.'s results do not discriminate between theories of syllogistic reasoning as effectively as they propose. (shrink)

Oaksford (2001) considers that the findings of Espino, Santamaria, and GarciaMadruga (2000a) could be explained by the Probability Heuristics Model (PHM) proposed by Chater and Oaksford (1999). He specifically voices three objections, the two main ones being based on the fact that PHM is not a theory about syllogism representation. If this is the case, we consider that PHM cannot explain our data, because most of them were registered before the participants evaluated the conclusion. We argue that only a theory (...) at the representational level can property explain these data. (shrink)

Résumé: Les pensées de Marx sur l’histoire du monde est un élément essentiel du matérialisme historique qui se concentre sur les caractéristiques de l’époque. Elle unifie la théorie et la pratique et s’empare correctement de la situation de l’existence humaine et du développement historique. L’approfondissement de la mondialisation a rendu l’environnement du développement mondial plus complexe et a conduit à l’intensification des contradictions sociales. Afin de comprendre en profondeur la loi du développement de l’histoire du monde et de mieux faire (...) face aux problèmes et aux défis posés par la mondialisation, cet article a étudié efficacement la méthodologie de Marx sur les pensées de l’histoire du monde (PHM). Après une analyse approfondie du contenu fondamental, des enjeux principales et des caractéristiques idéologiques des PHM, cet article explore leurs principes méthodologiques et leurs significations. Il accorde une attention particulière à la révélation pratique de la méthodologie des PHM de Marx du point de vue du développement et de la coopération avec l’étranger, du niveau scientifique et technologique, et du choix de la voie de développement. Dans le processus de développement naturel de la réponse à la mondialisation, suivre fermement sa voie de développement joue un rôle et une valeur importants dans le renforcement du développement et de la coopération avec l’étranger, l’avancement des capacités technologiques et l’adoption d’une approche dialectique à l’égard du développement de la mondialisation. (shrink)

We apply three state‐of‐the‐art models for syllogistic reasoning to data from experiments where participants received feedback for their conclusions in order to demonstrate the use of model parameters to derive new hypotheses and present possible explanations for the feedback effect.