Emergent Neurotechnologies and Challenges to Responsibility Frameworks

Akron Law Review, May 2021

This article examines the emerging medical technology of deep brain stimulation (DBS), a type of brain implant, to determine its ethical and legal ramifications. Lawyers, philosophers, and ethicists have labored to define the conditions under which individuals are to be judged legally and morally responsible for their actions. But where does responsibility lie if a person acts under the influence of her brain implant? Do we hold the individual solely responsible for her actions? Can we attribute any blame to the device? What about the engineers who designed it, or the manufacturer? The neurosurgeon who implanted it, or the neurologist who programmed the device parameters? Do these causes of action lie in traditional actions of medical malpractice and products liability, or do we hold physicians and device developers to direct criminal or tort liability for the individual's actions? If multiple actors share responsibility, the question regarding how to distribute responsibility among multiple actors must also be considered. Adding an additional layer is the potential for malicious interference with these implants by criminals. Finally, all these legal and ethical issues exist within a regulatory landscape wherein medical devices must have approval to be sold. How do we define the criteria for approval to limit these issues? And how do those regulations impact the liabilities for the various parties in up and down the chain of development and use?

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Emergent Neurotechnologies and Challenges to Responsibility Frameworks

Akron Law Review Volume 54 Issue 1 Article 1 Emergent Neurotechnologies and Challenges to Responsibility Frameworks Laura Cabrera Jennifer Carter-Johnson Follow this and additional works at: https://ideaexchange.uakron.edu/akronlawreview Part of the Criminal Law Commons, and the Legal Ethics and Professional Responsibility Commons Please take a moment to share how this work helps you through this survey. Your feedback will be important as we plan further development of our repository. Recommended Citation Cabrera, Laura and Carter-Johnson, Jennifer () "Emergent Neurotechnologies and Challenges to Responsibility Frameworks," Akron Law Review: Vol. 54 : Iss. 1 , Article 1. Available at: https://ideaexchange.uakron.edu/akronlawreview/vol54/iss1/1 This Article is brought to you for free and open access by Akron Law Journals at IdeaExchange@UAkron, the institutional repository of The University of Akron in Akron, Ohio, USA. It has been accepted for inclusion in Akron Law Review by an authorized administrator of IdeaExchange@UAkron. For more information, please contact , . Cabrera and Carter-Johnson: Emergent Neurotechnologies EMERGENT NEUROTECHNOLOGIES AND CHALLENGES TO RESPONSIBILITY FRAMEWORKS Laura Cabrera* and Jennifer Carter-Johnson** 1 I. II. III. IV. Introduction ................................................................... 2 DBS challenges responsibility frameworks ................... 4 A. DBS Changes .......................................................... 4 B. DBS Situational Possibilities .................................. 6 1. Unexpected personality change, Scenario 1 ...... 6 2. Unexpected personality change, Scenario 2 ...... 6 3. Malfunction Scenario ........................................ 7 4. Closed-loop AI system ...................................... 7 5. Brain hacking..................................................... 8 Ethical framework ....................................................... 10 A. Moral responsibility .............................................. 10 1. Causal contribution .......................................... 11 2. Considering the consequences ......................... 13 3. Freedom to act ................................................. 13 B. Shared responsibility............................................. 15 C. Agency ................................................................. 16 D. Revisiting the concept of moral responsibility ..... 18 E. Can brain implants be moral agents? .................... 18 F. Is responsibility distributed among humans and technologies?......................................................... 22 Legal Considerations ................................................... 23 A. Criminal Law ........................................................ 23 * Laura Cabrera is an Associate Professor of Neuroethics at the Center for Neural Engineering, Department of Engineering Science and Mechanics at The Pennsylvania State University. ** Jennifer Carter-Johnson is the Associate Dean for Academic Affairs, Associate Professor of Law, Director of the Intellectual Property and Entrepreneurship Clinic, and the Co-Associate Director of the Intellectual Property, Information and Communication Law Center at Michigan State University College of Law. 1. This article has benefitted from comments from the participants at the Wiet Life Science Law Scholars Workshop hosted by Loyola University Chicago. All errors are the authors’. 1 Published by IdeaExchange@UAkron, 1 Akron Law Review, Vol. 54 [], Iss. 1, Art. 1 2 V. AKRON LAW REVIEW [54:1 1. Actus Reus—A Voluntary Act ........................ 24 2. Mens Rea ......................................................... 27 B. Civil Liability ........................................................ 31 1. Product Liability (Strict Liability) ................... 31 2. Professional Negligence .................................. 34 3. Patient Tort Liability ....................................... 35 Conclusion ................................................................... 37 I. INTRODUCTION “It is not my fault; it is my brain implant which made me do it.” Some scholars have argued that this could become a common strategy: defendants might argue that as the result of a defective brain implant, an autonomous brain implant, or someone hacking into their implant, they should not be held responsible, or at least not fully responsible. In the past few years, a neuroscientific revolution has been underway. Neuroscience has rapidly increased our knowledge of the functioning of the human brain, providing us with an insight into the mental processes underpinning human behavior. This explosion of interest in neuroscience has resulted in the development of many neurofields: from neuroaesthetics to neuroeconomics and neuromarketing. But as we learn more about the brain, we also learn more about human thought and motivations. These new understandings and knowledge about the functioning of the human brain are of great relevance to ethics and law, given that these are disciplines primarily concerned with the normative dimension of human behavior. That is why ethicists and legal scholars have been interested in the impact of neuroscientific advances, resulting in the rapid development of neuroethics2 and neurolaw. 3 Neuroethics deals with the ethical issues in the design and conduct of neuroscientific studies and includes topics already known in bioethics, such as informed consent, privacy, and risk assessment, but there are other 2. See generally NEIL LEVY, NEURO ETHICS (2007); Martha J. Farah, Neuroethics: The Ethical, Legal, and Societal Impact of Neuroscience, 63 ANN. REV. PSYCHOL. 571 (2012); NEUROETHICS (Martha J. Farah ed., 2010); Judy Illes & Stephanie J Bird, Neuroethics: A Modern Context for Ethics in Neuroscience, 29 TRENDS NEUROSCIENCE 511 (2006). 3. See generally Nicole A. Vincent, Neurolaw and Direct Brain Interventions, 8 CRIM. L. & PHIL. 43 (2012); Gerben Meynen, Neurolaw: Neuroscience, Ethics, and Law. Review Essay, 17 ETHICAL THEORY MORAL PRAC. 819 (2014); F. X. Shen, Law and Neuroscience 2.0, 48 ARIZ. ST. L.J. 1043 (2016). https://ideaexchange.uakron.edu/akronlawreview/vol54/iss1/1 2 Cabrera and Carter-Johnson: Emergent Neurotechnologies 2020] EMERGENT NEUROTECHNOLOGIES 3 topics that are more specific to the field of neuroscience. 4 In this regard, neuroethics is truly novel as it attempts to investigate the impact that our growing understanding of brain function, and novel technologies to manipulate brain function, may have on our ethical, social, and philosophical conceptions. Neuroethics includes issues like personal identity, freedom and responsibility, consciousness, and the mind body problem. 5 Neurolaw attempts to explore the influence that neuroscience’s discoveries may have on legal rules and court decisions, in particular the use of evidence resulting from neurotechnologies. 6 As neurotechnology advances and opens novel (...truncated)


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Laura Cabrera, Jennifer Carter-Johnson. Emergent Neurotechnologies and Challenges to Responsibility Frameworks, Akron Law Review, 2021, pp. 1, Volume 54, Issue 1,