Amelia Fiske

Technical University of Munich · Institute for History and Ethics of Medicine

Advanced technologies, such as artificial intelligence (AI) and robotics, are increasingly common, but often come with significant tradeoffs and effects which may elude initial observations. Among these, the term “soft impacts” has come to signify the qualitative implications of a technological device or intervention. How can these sorts of effects...

The recent imperative by the National Institutes of Health to share scientific data publicly underscores a significant shift in academic research. Effective as of January 2023, it emphasizes that transparency in data collection and dedicated efforts towards data sharing are prerequisites for translational research, from the lab to the bedside. Give...

Digital health is increasingly promoting open health data. Although this open approach promises a number of benefits, it also leads to tensions with Indigenous data sovereignty movements led by Indigenous peoples around the world who are asserting control over the use of health data as a part of self-determination. Digital health has a role in impr...

The focus of this compilation revolves around solidarity: how people cultivated, practiced or simply reactivated it during the pandemic in Latin America. The book results from a research project designed by an international team of academics from Latin American and European universities. Case studies based on eight Latin American countries (Boliv...

Objectives To explore the views of intensive care professionals in high-income countries (HICs) and lower-to-middle-income countries (LMICs) regarding the use and implementation of artificial intelligence (AI) technologies in intensive care units (ICUs). Methods Individual semi-structured qualitative interviews were conducted between December 2021...

Background: Health research that significantly impacts global clinical practice and policy is often published in high-impact factor (IF) medical journals. These outlets play a pivotal role in the worldwide dissemination of novel medical knowledge. However, researchers identifying as women and those affiliated with institutions in low- and middle-in...

The recent imperative by the National Institutes of Health to share scientific data publicly underscores a significant shift in academic research. Effective as of January 2023, it emphasizes that transparency in data collection and dedicated efforts towards data sharing are prerequisites for translational research, from the lab to the bedside. Give...

Research about science and publics in the COVID-19 pandemic often focuses on public trust and on identifying and correcting public attitudes. Drawing on qualitative interviews with 209 residents in six countries—Austria, Bolivia, Germany, Italy, Mexico, and Portugal—this article uses the concept of performativity to explore how participants underst...

Artificial intelligence (AI) and machine learning are central components of today’s medical environment. The fairness of AI, i.e. the ability of AI to be free from bias, has repeatedly come into question. This study investigates the diversity of members of academia whose scholarship poses questions about the fairness of AI. The articles that combin...

The study provides a comprehensive review of OpenAI’s Generative Pre-trained Transformer 4 (GPT-4) technical report, with an emphasis on applications in high-risk settings like healthcare. A diverse team, including experts in artificial intelligence (AI), natural language processing, public health, law, policy, social science, healthcare research,...

The COVID-19 pandemic sparked radical changes in the way life was lived around the globe. With the rapid reduction in human mobility, short-term environmental improvements were seen across the world. Work and social routines were altered, and political action to reduce case numbers seemed to open a window of opportunity for socio-environmental chan...

Background While solidarity practices were important in mitigating the Coronavirus Disease 2019 (COVID-19) pandemic, their limits became evident as the pandemic progressed. Taking a longitudinal approach, this study analyses German residents’ changing perceptions of solidarity practices during the COVID-19 pandemic and examines potential reasons fo...

Throughout the COVID-19 pandemic, the concept of solidarity has been invoked frequently. Much interest has centred around how citizens and communities support one another during times of uncertainty. Yet, empirical research which accounts and understands citizen’s views on pandemic solidarity, or their actual practices has remained limited. Drawing...

The 2019 novel coronavirus (COVID-19) pandemic has created unprecedented challenges for policymakers and scientific experts charged with preventing the spread of the virus. In upending the usual mechanisms for political deliberation, the pandemic offers a window into the co-production of governmental policy decisions and scientific evidence. Taking...

Calls for solidarity have been an ubiquitous feature in the response to the COVID-19 pandemic. However, we know little about how people have thought of and practised solidarity in their everyday lives since the beginning of the pandemic. What role does solidarity play in people’s lives, how does it relate to COVID-19 public health measures and how...

OBJECTIVE Artificial intelligence (AI) and machine learning are central components of today's medical environment. The fairness of AI, i.e. the ability of AI to be free from bias, has repeatedly come into question. This study investigates the diversity of the members of academia whose scholarship poses questions about the fairness of AI. METHODS Th...

The uptake ofCOVID-19 vaccines has varied considerably across European countries. This study investigates people's decision-making process regarding vaccination by analyzing qualitative interviews (n = 214) with residents from five European countries: Austria, Germany, Italy, Portugal, and Switzerland. We identify three factors that shape vaccinati...

The COVID-19 pandemic highlighted global interdependencies, accompanied by widespread calls for worldwide cooperation against a virus that knows no borders, but responses were led largely separately by national governments. In this tension between aspiration and reality, people began to grapple with how their own lives were affected by the global n...

Background: Bioethics can play an important role in addressing diversity both in and outside of academia, setting precedents for meaningful contributions to public discourse, research, teaching, training, and policy development. However, in order to do so, these conversations also need to reflect on the issue of diversity within the field of bioet...

Indigenous psychedelic uses have long been imbricated with colonialism and its afterlives. Amidst tensions from accelerating investor interest in psychedelics and calls to decolonize research and practices, we argue that the study of psychedelics is troubled by dualisms used in both colonial and decolonial thought: subject and object, self and othe...

The sudden and dramatic advent of the COVID-19 pandemic led to urgent demands for timely, relevant, yet rigorous research. This paper discusses the origin, design, and execution of the [PROJECT NAME] research commons, a large-scale, international, comparative, qualitative research project that sought to respond to the need for knowledge among resea...

BACKGROUND The COVID-19 pandemic is a threat to global health and requires collaborative health research efforts across organizations and countries to address it. Although routinely collected digital health data is a valuable source of information for researchers, benefiting from this data requires accessing and sharing the data. Health care organi...

Background: The COVID-19 pandemic is a threat to global health and requires collaborative health research efforts across organizations and countries to address it. Although routinely collected digital health data is a valuable source of information for researchers, benefiting from this data requires accessing and sharing the data. Health care orga...

It has become a trope to speak of the increasing value of health data in our societies. Such rhetoric is highly performative: it creates expectations, channels and justifies investments in data technologies and infrastructures, and portrays deliberations on political and legal issues as obstacles to the flow of data. Yet, important epistemic and po...

Public perceptions of COVID-19 vaccines are critical in reaching protective levels of herd immunity. Vaccine skepticism has always been relatively high in Germany, and surveys suggest that over the course of the pandemic, enthusiasm for the COVID-19 vaccine has dropped. Looking at the period just prior to the approval of the Pfizer/BioNTech and Mod...

Politicians, policymakers, and mass media alike have emphasized the importance of solidarity during the COVID-19 pandemic, calling for the need of social cohesion in society to protect risk groups and national healthcare systems. In this study, which is part of an international Consortium, we analyzed 77 qualitative interviews with members of the g...

The nexus of “western” and “indigenous” knowledge, toxicity, and biodiversity has transformed biomedical fields ranging from drug development to microbial resistance, yet it has not been marked by just research practices. This chapter delineates the intersections of indigenous and Western knowledge practices in relation to toxic organisms, in order...

The emergence of ethical concerns surrounding artificial intelligence (AI) has led to an explosion of high-level ethical principles being published by a wide range of public and private organizations. However, there is a need to consider how AI developers can be practically assisted to anticipate, identify and address ethical issues regarding AI te...

Vaccine uptake is essential to managing the ongoing COVID-19 pandemic, and vaccine hesitancy is a persistent concern. At the same time, both decision-makers and the general population have high hopes for COVID-19 vaccination. Drawing from qualitative interview data collected in October 2020 as part of the pan-European SolPan study, this study explo...

While everyone has been impacted directly or indirectly by the COVID-19 pandemic and the measures to contain it, not everyone has been impacted in the same way and certainly not to the same degree. Media coverage in early 2020 emphasized the “unprecedented” nature of the pandemic, and some even predicted that the virus could be a global “equalizer....

The COVID-19-pandemic has brought many ethical issues of public healthcare systems to public attention in a new, urgent light. Despite a significant body of literature available on ethical concerns in pandemics, these insights have so far not been broadly integrated into health system preparedness, leading to a variety of serious ethical problems o...

AI-enabled virtual and robot therapy is increasingly being integrated into psychotherapeutic practice, supporting a host of emotional, cognitive, and social processes in the therapeutic encounter. Given the speed of research and development trajectories of AI-enabled applications in psychotherapy and the practice of mental healthcare, it is likely...

Objective This study aimed to examine German patients’: (1) self-estimation of the impact of the pandemic on their health and healthcare; and (2) use of digital self-care practices during the pandemic. Design Cross-sectional mixed-methods survey. Setting and participants General practice patients from four physicians’ offices located in urban and...

In order to combat the COVID-19 pandemic, policymakers around the globe have increasingly invested in digital health technologies to support the 'test, track and trace' approach of containing the spread of the novel coronavirus. These technologies include mobile 'contact tracing' applications (apps), which can trace individuals likely to have come...

Background: In contrast to neighboring countries, German and Swiss authorities refrained from general curfews during the first pandemic wave in spring 2020, calling for solidarity and personal responsibility instead. Using a qualitative methodology, this study aims to explore why people in Germany and Switzerland were motivated to comply with poli...

Objective: This paper provides an overview of a range of ethical aspects involved in the use of autonomous, virtual or embodied artificial intelligence (AI) in the care of people with mental health issues. Methodology: The overview is based on a thematic literature review. It is guided by the principles of biomedical ethics together with the con...

BACKGROUND The main German-speaking countries (Germany, Austria, and Switzerland) have implemented digital contact tracing apps to assist the authorities with COVID-19 containment strategies. Low user rates for these apps can affect contact tracing and, thus, its usefulness in controlling the spread of the novel coronavirus. OBJECTIVE This study a...

Background The main German-speaking countries (Germany, Austria, and Switzerland) have implemented digital contact tracing apps to assist the authorities with COVID-19 containment strategies. Low user rates for these apps can affect contact tracing and, thus, its usefulness in controlling the spread of the novel coronavirus. Objective This study a...

Graphic article based on ethnographic research available at: https://thenib.com/toxic-inheritance/

Embodied artificial intelligence (AI) has increasing clinical relevance for therapeutic applications in mental health services. Artificially intelligent virtual and robotic agents are progressively conducting more high-level therapeutic interventions that used to be offered solely by highly trained, skilled health professionals. Such interventions,...

Increasingly, patients are expected to take initiative and care for themselves through practices of digital self-care: by generating data, by looking for people who can help them make sense of the information, and by being the main actors in disease prevention. Equipped with smart phones and other tools to collect data on various aspects of their b...

There is a need to consider how AI developers can be practically assisted in identifying and addressing ethical issues. In this Comment, a group of AI engineers, ethicists and social scientists suggest embedding ethicists into the development team as one way of improving the consideration of ethical issues during AI development.

While chemicals are often described and acted upon in technoscientific forums as isolated, discrete entities, vernacular experience points to possibilities of experiencing, speaking about, and imagining chemical exposures that have otherwise been rendered politically obsolete. Drawing from ethnographic fieldwork in the Ecuadorian Amazon, this artic...

In its expansion to genomic, epidemiological and biomedical research, citizen science has been promoted as contributing to the democratisation of medical research and healthcare. At the same time, it has been criticised for reinforcing patterns of exclusion in health and biomedicine, and sometimes even creating new ones. Although citizen science ha...

In the era of data-rich medicine, an increasing number of domains of people’s lives are datafied and rendered usable for health care purposes. Yet, deriving insights for clinical practice and individual life choices and deciding what data or information should be used for this purpose pose difficult challenges that require tremendous time, resource...

Background: Research in embodied artificial intelligence (AI) has increasing clinical relevance for therapeutic applications in mental health services. With innovations ranging from 'virtual psychotherapists' to social robots in dementia care and autism disorder, to robots for sexual disorders, artificially intelligent virtual and robotic agents a...

Patients and healthy citizens are taking part in biomedical research in unprecedented numbers and ways. While the lion’s share of participation occurs in a ‘traditional’ manner where individuals volunteer to be researched, people without professional training are also increasingly contributing to scientific knowledge production as so-called citizen...

Health care is increasingly data-driven. Concurrently, there are growing concerns that health professionals lack the time and training to guide patients through the growing medical "data jungle." In the age of big data, ever wider domains of people's lives are "datafied," which renders ever more information-at least in principle-usable for health c...

In September 2013, President Correa balanced himself on a felled log over an oil waste pit in the Ecuadorian Amazon. Extending a bare hand dripping with crude, he launched La Mano Sucia de Chevron campaign, demanding accountability for decades of contamination. This article explores the role of bodily knowledge in witnessing industrial contaminatio...

In 2013, Ecuadorian President Rafael Correa announced the end of the Yasuní-ITT initiative. The initiative had proposed to combat climate change by not exploiting oil reserves in one section of the Yasuní National Park. Anticipating outcry, Correa promised that operations would affect less than one thousandth of the park, or “menos del uno por mil....