Linda Johansson

Background Dementia care involves ethically complex situations across diverse clinical, social care, and policy contexts, yet practice-oriented ethical guidance remains limited. Existing ethical frameworks rarely capture the full complexity of practice across European contexts. This article presents the development and pilot external validation of an Ethical Framework for Decision-Making in Dementia Care, designed for professional caregivers. Methods Within COST Action CA21137 (Ethics in Dementia – EDEM), a multidisciplinary European consortium developed the framework through an iterative, deliberative, and consensus-seeking process involving workshops, online meetings, and adaptation of international bioethical norms. An exploratory and preliminary Content Validity Index (CVI) study with external experts assessed the framework’s relevance, clarity, simplicity, and applicability. Results The resulting principle-based framework provides non-prescriptive ethical guidance across domains including dignity, autonomy, consent, justice, solidarity, privacy, and public responsibility. The CVI assessment indicated adequate overall content validity (S-CVI/Ave = 0.85), with highest agreement for relevance (0.96) and lowest for applicability (0.75). Conclusions The EDEM-Framework offers a structured, exploratory, and practice-oriented contribution to clinical ethics in dementia care. It may strengthen ethical decision-making when supported by appropriate implementation strategies and ethics infrastructures.

The overall aim of this thesis is to look at some philosophical issues surrounding autonomous systems in society and war. These issues can be divided into three main categories. The first, discussed in papers I and II, concerns ethical issues surrounding the use of autonomous systems – where the focus in this thesis is on military robots. The second issue, discussed in paper III, concerns how to make sure that advanced robots behave ethically adequate. The third issue, discussed in papers IV and V, has to do with agency and responsibility. Another issue, somewhat aside from the philosophical, has to do with coping with future technologies, and developing methods for dealing with potentially disruptive technologies. This is discussed in papers VI and VII. Paper I systemizes some ethical issues surrounding the use of UAVs in war, with the laws of war as a backdrop. It is suggested that the laws of war are too wide and might be interpreted differently depending on which normative moral theory is used. Paper II is about future, more advanced autonomous robots, and whether the use of such robots can undermine the justification for killing in war. The suggestion is that this justification is substantially undermined if robots are used to replace humans to a high extent. Papers I and II both suggest revisions or additions to the laws or war. Paper III provides a discussion on one normative moral theory – ethics of care – connected to care robots. The aim is twofold: first, to provide a plausible and ethically relevant interpretation of the key term care in ethics of care, and second, to discuss whether ethics of care may be a suitable theory to implement in care robots. Paper IV discusses robots connected to agency and responsibility, with a focus on consciousness. The paper has a functionalistic approach, and it is suggested that robots should be considered agents if they can behave as if they are, in a moral Turing test. Paper V is also about robots and agency, but with a focus on free will. The main question is whether robots can have free will in the same sense as we consider humans to have free will when holding them responsible for their actions in a court of law. It is argued that autonomy with respect to norms is crucial for the agency of robots. Paper VI investigates the assessment of socially disruptive technological change. The coevolution of society and potentially disruptive technolgies makes decision-guidance on such technologies difficult. Four basic principles are proposed for such decision guidance, involving interdisciplinary and participatory elements. Paper VII applies the results from paper VI – and a workshop – to autonomous systems, a potentially disruptive technology. A method for dealing with potentially disruptive technolgies is developed in the paper.

Machine ethics is a field of applied ethics that has grown rapidly in the last decade. Increasingly advanced autonomous robots have expanded the focus of machine ethics from issues regarding the ethical development and use of technology by humans to a focus on ethical dimensions of the machines themselves. This thesis contains two essays, both about robots in some sense, representing these different perspectives of machine ethics. The first essay, “Is it Morally Right to use UAVs in War?” concerns an example of robots today, namely the unmanned aerial vehicles used in war, and the ethics surrounding the use of such robots. In this essay it is argued that UAVs might affect how the laws of war are interpreted, and that there might be need for additional rules surrounding the use of UAVs. This represents the more traditional approach of machine ethics, focusing on the decisions of humans regarding the use of such robots. The second essay, “The Functional Morality of Robots”, concerns the robots of the future – the potential moral agency of robots. The suggestion in this essay is that robots should be considered moral agents if they can pass a moral version of the Turing Test. This represents the new focus of machine ethics: machine morality, or more precisely, machine agency.

ABSTRACTTwo categories of ethical questions surrounding military autonomous systems are discussed in this article. The first category concerns ethical issues regarding the use of military autonomous systems in the air and in the water. These issues are systematized with the Laws of Armed Conflict as a backdrop. The second category concerns whether autonomous systems may affect the ethical interpretation of LOAC. It is argued that some terms in LOAC are vague and can be interpreted differently depending on which ethical normative theory is used, which may increase with autonomous systems. The impact of Unmanned Aerial Vehicles on the laws of war will be discussed and compared to Maritime Autonomous Systems. The conclusion is that there is need for revisions of LOAC regarding autonomous systems, and that the greatest ethically relevant difference between UAVs and MAS has to do with issues connected to jus ad bellum – particularly lowering the threshold for starting war – but also the sen...

Several robotic automation systems, such as unmanned aerial vehicles (UAVs), are being used in combat today. This evokes ethical questions. In this paper, it is argued that UAVs, more than any other weapon, may determine which normative theory the interpretation of the laws of war (LOW) will be based on. UAVs have advantages in terms of reducing casualties for the UAV possessor, but they may at the same time make war seem more like a risk-free enterprise, much like a computer game, lowering the threshold for starting a war. This indicates the importance of revising the LOW, or adding some rules that focus specifically on UAVs

Can artifacts be agents in the same sense as humans? This paper endorses a pragmatic stance to that issue. The crucial question is whether artifacts can have free will in the same pragmatic sense as we consider humans to have a free will when holding them responsible for their actions. The origin of actions is important. Can an action originate inside an artifact, considering that it is, at least today, programmed by a human? In this paper it is argued that autonomy with respect to norms is crucial for artificial agency