Granny and the robots: ethical issues in robot care for the elderly

Abstract

The growing proportion of elderly people in society, together with recent advances in robotics, makes the use of robots in elder care increasingly likely. We outline developments in the areas of robot applications for assisting the elderly and their carers, for monitoring their health and safety, and for providing them with companionship. Despite the possible benefits, we raise and discuss six main ethical concerns associated with: (1) the potential reduction in the amount of human contact; (2) an increase in the feelings of objectification and loss of control; (3) a loss of privacy; (4) a loss of personal liberty; (5) deception and infantilisation; (6) the circumstances in which elderly people should be allowed to control robots. We conclude by balancing the care benefits against the ethical costs. If introduced with foresight and careful guidelines, robots and robotic technology could improve the lives of the elderly, reducing their dependence, and creating more opportunities for social interaction

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Notes

  1. 1.

    http://www.reuters.com/news/globalcoverage/agingjapan.

  2. 2.

    http://www.google.com/hostednews/afp/article/ALeqM5juSqhZryHpsVuY6mf93nr92g1qdA.

References

  1. Allen, C., Wallach, W., & Smit, I. (2006). Why machine ethics? IEEE Intelligent Systems, 21(4), 12–17.

    Article  Google Scholar 

  2. Anderson, M., & Anderson, S. (2008) “EthEl: Toward a principled ethical eldercare robot”. In Proceedings of the AAAI Fall 2008 Symposium on AI in Eldercare: New solutions to old problems. Arlington, VA, November.

  3. Anderson, M., Anderson, S. L., & Armen, C. (2006). An approach to computing ethics. IEEE Intelligent Systems, 21(4), 56–63.

    Article  Google Scholar 

  4. Banks, M. R., & Banks, W. A. (2002). The effects of animal-assisted therapy on loneliness in an elderly population in long-term care facilities. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 57A, M428–M432.

    Article  Google Scholar 

  5. Banks, M. R., & Banks, W. A. (2005). The effects of group and individual animal assisted therapy on loneliness in residents of long-term care facilities. Anthrozoos, 18, 396–408.

    Article  Google Scholar 

  6. Banks, M. R., Willoughby, L. M., & Banks, W. A. (2008). Animal-assisted therapy and loneliness in nursing homes: Use of robotic versus living dogs. Journal of the American Medical Directors Association, 9, 173–177.

    Article  Google Scholar 

  7. Cayton, H. (2006). From childhood to childhood? Autonomy and dependence through the ages of life. In J. C. Hughes, S. J. Louw, & S. R. Sabat (Eds.), Dementia: Mind, meaning, and the person (pp. 277–286). Oxford, UK: Oxford University Press.

    Google Scholar 

  8. Clark, A., & Chalmers, D. J. (1998). The extended mind. Analysis, 58, 10–23.

    Article  Google Scholar 

  9. Coleridge, S.T. (1817) Biographia Literaria, chapter 14 (p. 314).

  10. Deegan, P., Grupen, R., Hanson, A., Horrell, E., Ou, S., Riseman, E., Sen, S., Thibodeau, B., Williams, A., & Xie, D. (2007). Mobile Manipulators for Assisted Living in Residential Settings, Autonomous Robots, Special Issue on Socially Assistive Robotics. 24(2).

  11. Doshi, F., & Roy, N. (2008). Spoken language interaction with model uncertainity: An adaptive human-robot interaction system. Connection Science, 20(4), 299–318.

    Article  Google Scholar 

  12. Forlizzi, J., DiSalvo, C., & Gemperle, F. (2004). Assistive robotics and an ecology of elders living independently in their homes. Human-Computer Interaction, 19, 25–59.

    Article  Google Scholar 

  13. Fratiglioni, L., Wang, H.-X., Ericsson, K., et al. (2000). Influence of social network on occurrence of dementia: A community-based longitudinal study. Lancet, 355, 1315–1319.

    Article  Google Scholar 

  14. Friedman, B., & Kahn, P. H., Jr. (2003). Human values, ethics, and design. In J. A. Jacko & A. Sears (Eds.), The human–computer interaction handbook (pp. 1177–1201). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  15. Friedman, B., Kahn, P. H., Jr., & Borning, A. (2006). Value sensitive design and information systems. In P. Zhang & D. Galletta (Eds.), Human–computer interaction in management information systems: Foundations (pp. 348–372). Armonk, NY; London, England: M.E. Sharpe. Reprinted (2008) in K. E. Himma & H. T. Tavani (Eds.), The Handbook of Information and Computer Ethics (pp. 69–101). Hoboken, NJ: John Wiley & Sons, Inc.

  16. Heinrichs, M., Baumgartner, T., Kirschbaum, C., & Ehlert, U. (2003). Social support and oxytocin interact to suppress cortisol and subjective responses to psychosocial stress. Biological Psychiatry, 54, 1389–1398.

    Article  Google Scholar 

  17. Heinrichs, M., von Dawan, s B., & Domes, G. (2009). Oxytocin, vasopressin, and human social behavior. Front. Neuroendocrinol. doi:10.1016/j.yfrne.2009.05.005.

  18. Holtzman, R. E., Rebok, G. W., Saczynski, J. S., et al. (2004). Social network characteristics and cognition in middle-aged and older adults. Journals of Gerontology Series B Psychological Sciences and Social Sciences, 59, P278–P284.

    Article  Google Scholar 

  19. House of Lords, House of Commons Joint Committee on Human Rights (2006–2007). The human rights of elder people in health care. London: The Stationary Office Ltd.

  20. Kahn, P. H., Jr., Friedman, B., Perez-Granados, D., & Freier, N. G. (2006). Robotic pets in the lives of preschool children. Interaction Studies, 7(3), 405–436.

    Article  Google Scholar 

  21. Kanamori, M., Suzuki, M., & Tanaka, M. (2002). Maintenance and improvement of quality of life among elderly patients using a pet-type robot. Japanese Journal of Geriatrics, 39, 214–218.

    Article  Google Scholar 

  22. Kikusui, T., Winslow, J. T., & Mori, Y. (2006). Social buffering: Relief from stress and anxiety. Philosophical Transactions of the Royal Society of London Series B Biological Sciences, 361(1476), 2215–2228.

    Article  Google Scholar 

  23. Kitwood, T. (1997). Dementia reconsidered: The person comes first. Buckingham: Open University Press.

    Google Scholar 

  24. Langer, E. J., & Rodin, J. (1976). The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting. Journal of Personality and Social Psychology, 34(2), 191–198.

    Article  Google Scholar 

  25. Lopes, M. M., Koenig, N. P., Chernova, S. H., Jones, C. V., & Jenkins, O. C. (2009). Mobile human-robot teaming with environmental tolerance. In Proceedings of the 4th ACM/IEEE International Conference on Human Robot Interaction (La Jolla, California, USA, March 09–13, 2009). HRI ‘09. ACM, New York, NY, 157–164.

  26. Melson, G. F., Kahn, P. H., Jr., Beck, A. M., Friedman, B., Roberts, T., Garrett, E., & Gill, B. T. (2010). Robots as dogs?—Children’s interactions with the robotic dog AIBO and a live Australian shepherd. Journal of Applied Developmental Psychology (in press b).

  27. New Scientist online (2008) http://www.newscientist.com/blogs/shortsharpscience/2008/11/honda-helps-you-walk.html.

  28. Nguyen, H., Anderson, C., Trevor, A., Jain, A., Xu, Z., & Kemp, C.C. (2008). El-E: An assistive robot that fetches objects from flat surfaces. In HRI Workshop on Robotic Helpers: User Interaction Interfaces and Companions in Assistive and Therapy Robots.

  29. Nissenbaum, H. (1998). Protecting privacy in an information age: The problem of privacy in public. Law and Philosophy, 17, 559–596.

    Google Scholar 

  30. Older people and human rights: Research and Mapping Report. 2009-11-03 Age Concern England and British Institute of Human Rights.

  31. Orpwood, R., Adlam, T., Evans, N., & Chadd, J. (2008). Evaluation of an assisted-living smart home for someone with dementia. Journal of Assistive Technologies, 2(2), 13–21.

    Article  Google Scholar 

  32. Pollack, M. E., Engberg, S., Matthews, J. T., Thrun, S., Brown, L., Colbry, D., Orosz, C., Peintner, B., Ramakrishnan, S., Dunbar-Jacob, J., McCarthy, C., Montemerlo, M., Pineau, J., & Roy, N. (2002) Pearl: A mobile robotic assistant for the elderly. In AAAI Workshop on Automation as Eldercare, Aug 2002.

  33. Saczynskil, J. S., Pfeifer, L. A., Masaki, K., Korf, E. S. C., Laurin, D., White, L., et al. (2006). The effect of social engagement on incident dementia: The Honolulu-Asia Aging Study. American Journal of Epidemiology, 163(5), 433–440.

    Article  Google Scholar 

  34. Schacter, O. (1983). Human dignity as a normative concept. The American Journal of International Law, 77(4), 848–854.

    Article  Google Scholar 

  35. Sharkey, N. E. (2008). The ethical frontiers of robotics. Science, 322, 1800–1801.

    Article  Google Scholar 

  36. Sharkey, N. E. (2009) The robot arm of the law grows longer. IEEE Computer, 42(8), 115–116.

    Article  Google Scholar 

  37. Sharkey, N., & Sharkey, A. (2006). Artificial intelligence and natural magic. Artificial Intelligence Review, 25, 9–19.

    Article  Google Scholar 

  38. Sharkey, N., & Sharkey, A. (2010a). Living with robots: Ethical tradeoffs in eldercare. In Y. Wilks (Ed.), Close engagements with artificial companions: Key psychological, social, ethical and design issues (pp. 245–256). Amsterdam: John Benjamins.

    Google Scholar 

  39. Sharkey, N., & Sharkey, A. (2010b). The crying shame of robot nannies: An ethical appraisal. Interaction Studies, 11(2), 161–190.

    MathSciNet  Article  Google Scholar 

  40. Smith, J. (2003). Stress and aging: Theoretical and empirical challenges for interdisciplinary research. Neurobiology of Aging, Suppl 1, S77–S80; discussion S81–S82.

  41. Sparrow, R. (2002). The march of the robot dogs. Ethics and Information Technology, 4, 305–318.

    Article  Google Scholar 

  42. Sparrow, R., & Sparrow, L. (2006). In the hands of machines? The future of aged care. Mind and Machine, 16, 141–161.

    Article  Google Scholar 

  43. Takayama, L. (2010). On making robots invisible-in-use. In Proceedings of the International Symposium on New Frontiers in HumanRobot Interaction: AISB 2010, Leicester, UK.

  44. Tamura, T., Yonemitsu, S., Itoh, A., Oikawa, D., Kawakami, A., Higashi, Y., et al. (2004). Is an entertainment robot useful in the care of elderly people with severe dementia? Journals of Gerontology Series A Biological Sciences and Medical Sciences, 59(1), 83–85.

    Article  Google Scholar 

  45. Tavani, H., & Moor, J. (2001). Privacy protection, control of information, and privacy-enhancing technologies. Computers and Society, 31(1), 6–11.

    Google Scholar 

  46. Turkle, S., Breazeal, C., Dasté, O., & Scassellati, B. (2006b). First encounters with Kismet and Cog: Children respond to relational artifacts. In P. Messaris & L. Humphreys (Eds.), Digital media: Transformations in human communication. New York: Peter Lang Publishing.

  47. Turkle, S., Taggart, W., Kidd, C. D., & Dasté, O. (2006a). Relational artifacts with children and elders: The complexities of cybercompanionship. Connection Science, 18, 4, 347–362.

    Google Scholar 

  48. Wada, K., & Shibata, T. (2006) Robot therapy in a care house: Its sociopsychological and physiological effects on the residents. In Proceedings of the 2006 International Conference on Robotics and Automation, Orlando, Florida, May 2006 (pp. 3966–3971).

  49. Wallach, W., & Allen, C. (2009). Moral machines: Teaching robots right from wrong. New York: Oxford University Press.

    Google Scholar 

  50. Wang, H., Karp, A., Winblad, B., & Fratiglioni, L. (2002) Late-life engagements in social and leisure activities is associated with a decreased risk of dementia: A longitudinal study from the Kungsholmen project. American Journal of Epidemiology, 155, 12, 108101087.

    Google Scholar 

  51. Wilks, Y. (2010) Editor, Close engagements with artificial companions: Key psychological, social, ethical and design issues. Amsterdam: John Benjamins.

  52. Wilson, R. S., Krueger, K. R., Arnold, S. E., Schneider, J. A., Kelly, J. F., Barnes, L. L., et al. (2007). Loneliness and risk of Alzheimer’s disease. Archives of General Psychiatry, 64, 234–240.

    Article  Google Scholar 

  53. Winner, S. (2007). Beam me inside, Scotty! Assisted Living Consult.

  54. Zizek, S. (2002). The Zizek reader. London: Blackwell.

    Google Scholar 

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Sharkey, A., Sharkey, N. Granny and the robots: ethical issues in robot care for the elderly. Ethics Inf Technol 14, 27–40 (2012). https://doi.org/10.1007/s10676-010-9234-6

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Keywords

  • Elderly
  • Elder care
  • Robot
  • Assistive robotics
  • Surveillance
  • Companion
  • Guidelines