Abstract
BackgroundThe rapid expansion of research on Brain-Computer Interfaces (BCIs) is not only due to the promising solutions offered for persons with physical impairments. There is also a heightened need for understanding BCIs due to the challenges regarding ethics presented by new technology, especially in its impact on the relationship between man and machine. Here we endeavor to present a scoping review of current studies in the field to gain insight into the complexity of BCI use. By examining studies related to BCIs that employ social research methods, we seek to demonstrate the multitude of approaches and concerns from various angles in considering the social and human impact of BCI technology.MethodsFor this scoping review of research on BCIs’ social and ethical implications, we systematically analyzed six databases, encompassing the fields of medicine, psychology, and the social sciences, in order to identify empirical studies on BCIs. The search yielded 73 publications that employ quantitative, qualitative, or mixed methods.ResultsOf the 73 publications, 71 studies address the user perspective. Some studies extend to consideration of other BCI stakeholders such as medical technology experts, caregivers, or health care professionals. The majority of the studies employ quantitative methods. Recurring themes across the studies examined were general user opinion towards BCI, central technical or social issues reported, requests/demands made by users of the technology, the potential/future of BCIs, and ethical aspects of BCIs.ConclusionsOur findings indicate that while technical aspects of BCIs such as usability or feasibility are being studied extensively, comparatively little in-depth research has been done on the self-image and self-experience of the BCI user. In general there is also a lack of focus or examination of the caregiver’s perspective.
Highlights
The rapid expansion of research on Brain-Computer Interfaces (BCIs) is due to the promising solutions offered for persons with physical impairments
(2) Reactive BCIs are based on changes in brain activity which occur as a result of an individual’s voluntarily focused attention on a specific external stimulus among a multitude of irrelevant stimuli [5, 18]
Given that the body of literature available is quite extensive and heterogeneous, a scoping review of the social and human implications of BCI use helps create a comprehensible overview for future research in this area of emerging and urgent relevance
Summary
The rapid expansion of research on Brain-Computer Interfaces (BCIs) is due to the promising solutions offered for persons with physical impairments. A large area of application is in the use Relevant brain activity from BCI users can be detected either with non-invasive (mostly with electroencephalography (EEG)) or invasive methods [6, 9, 15,16,17]. (1) Passive BCIs use brain activity not voluntarily produced by the person, such as mental workload or affective states [18]. In virtually all BCI types, users receive real-time feedback on their brain activity output, through visual (most common), auditory, tactile, vestibular, or proprioceptive feedback [5]. Certain closed-loop applications of BCIs apply stimulation to the brain by using electrodes which have been implanted in the brain, for instance in the treatment of epilepsy, or psychiatric disorders [19]
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