Ethical Problems Research Articles

Our resolutions and their causes: Twardowski on free will in ethical and legal contexts

AbstractThe paper aimed to reconstruct Twardowski's approach to the problem of free will and his analyses of the consequences of various solutions to this problem in ethics and criminal law. According to Twardowski, if we understand ‘free will’ as the possibility of making resolutions other than actually made, then (most probably) nobody has free will. Our resolutions are determined by a set of mental dispositions (character) and incentives that activate these dispositions. However, the existence of freedom of will such understood is not a necessary condition for the correct functioning of ethical systems or criminal law. On the contrary, ethical systems and criminal law seem to assume that at least some of our resolutions are determined by our relatively stable dispositions. Only then can these resolutions and the actions that follow them be ascribed to certain agents. Twardowski's views on free will are presented here in the context of the metaphilosophical positions of the Lvov–Warsaw School, the central European branch of analytic philosophy. His position is also juxtaposed with Brentano's view of free will and Łukasiewicz's approach to the determinism/indeterminism debate. This juxtaposition illustrates the variety of philosophical positions and the diversity of the metaphilosophical toolkit applied in early analytic philosophy.

AI-Assisted News Content Creation: Enhancing Journalistic Efficiency and Content Quality Through Automated Summarization and Headline Generation

Abstract. Nowadays, Artificial Intelligence (AI) is a buzzword which appears on tech headlines and guides constantly. In a nutshell, AI has been widely implemented in news content generation process, which helped journalists to develop more efficient, diverse and qualitative news production workflows. In this paper, we discuss the applications of AI in automated summarisation, headline generation and content optimisation in newsroom-wide workflow. We analyse this process by looking at how AI tools could potentially reduce human efforts and help humans to produce more concise and accurate summaries and fascinating headlines by also enhancing the engagement of the audience. However, we also argue about the increasing dependency on AI which potentially causes more ethical problems such as algorithmic bias, lack of transparency, and the loss of journalistic integrity. By examining the current AI-driven tools and strategies to avoid the bias produced by machines, we explore both the opportunities and the challenges of AI in journalism. Our findings imply that, although AI substantially improved the production efficiency and content relevance, it requires proper management to prevent the problem such as ignorance of bias and ethical failure. Eventually, humans would still play a part in the story by complementing AIs capabilities.

CIPP Evaluation of Counseling Guidance Programs

Moral problems become student problems that occur as part of the impact of globalization. This research aimed to evaluate guidance and counseling services at MAN 1 Bengkulu Utara as supporting students in solving their problems and developing their potential. The evaluation model used is the CIPP (Context, Input, Process, Product) evaluation model to get a more comprehensive and in-depth picture of the guidance and counseling program. This research used a descriptive method with a qualitative approach. Data was obtained from guidance and counseling coordinators, guidance and counseling teachers and students using interview techniques, document study, and observation. The results of the research showed that in the Context aspect, achievement is in the high category, as well as in the program Input aspect which is also in the high category. Meanwhile, the Process program aspect is also in the high category, but the Product aspect is in the medium category. The conclusion is that the guidance and counseling program can be said to be well implemented. Only moderate product categories still need to be improved. Furthermore, to improve program implementation, there are several recommendations, including the preparation of special documents for guidance and counseling profiles; documents detailing special funds for guidance and counseling programs; and additional guidance and counseling teachers.

A queer feminist posthuman framework for bioethics: on vulnerability, antimicrobial resistance, and justice.

In this paper, I discuss the bioethical principle of justice and the bioethical key concept of vulnerability, in a queer feminist posthuman framework. I situate these contemplations, philosophical by nature, in the context of antimicrobial resistance (AMR), one the most vicious moral problems of our time. Further, I discuss how gender and sexual variance, vulnerability and justice manifest in AMR. I conclude by considering my queer feminist posthuman framework for vulnerability and justice in relation to the notion of antibiotic vulnerabilities, suggesting a lacuna for further AMR research.

The Trickster archetype: education to stupefy

Abstract Contra the teleological paradigm of the Hero, this paper argues that incorporating an ethic of the Trickster archetype may facilitate greater critical thinking and metacognition within contemporary neoliberal Education Studies learning environments in UK Higher Education. Echoing Lewis’ call for an education to stupefy, as well as Bojesen’s argument for treating Education Studies as a labour of the negative, I present the Trickster archetype as a valuable mode of educational engagement (an endeavour which itself must be done in a paradoxical fashion, for the Trickster ethic cannot be neatly prescribed). In this manner, the ethos of Trickster practices is, I suggest, one of generativity and what Greene calls ‘releasing the imagination’. As opposed to fixing us to any supposed Archimedean standpoint, Trickster practices encourage us to consider radical alternative possibilities from within normative discourse through immanent critique. I argue that the Trickster ethic foregrounds contingency over apparent necessity. I also explore how the Trickster may, paradoxically, be given a concomitant atelic aspiration in association with both Perry’s linear stages of contextual reasoning and metacognition. I conclude by elucidating the ethical and practical problems that accompany attempts to instantiate a Trickster ethic, given that it threatens, and faces possible repudiation from, those with vested interest in upholding dominant mores.

Advancements in the treatment of autoimmune diseases: Integrating artificial intelligence for personalized medicine

The incorporation of artificial intelligence (AI) into medical practice has considerably improved the treatment of autoimmune disorders, opening new avenues for personalized therapy. This study examines advances in AI-driven therapeutic options for autoimmune illnesses, including both current and developing treatments. Traditional therapies for autoimmune illnesses, such as immunosuppressive therapy and biologics, attempt to alleviate symptoms but frequently fall short of offering personalized care. Emerging approaches, such as precision medicine and artificial intelligence, are altering the landscape by harnessing massive volumes of patient data to better customize therapies. AI holds the ability to transform autoimmune disease therapy by enhancing diagnosis, discovering biomarkers, optimizing drug development, and personalized treatment procedures. Real-world applications and case studies are examined to demonstrate how machine learning algorithms have improved treatment tactics for rheumatoid arthritis, systemic lupus erythematosus, and multiple sclerosis. While AI has many advantages, like enhanced diagnosis accuracy and personalized therapy, it also has drawbacks, such as data privacy, the requirement for vast datasets, algorithmic bias, and a lack of explain ability. This study emphasizes the advantages of AI, such as improved patient stratification and predictive modelling, while also discussing its drawbacks, such as ethical problems and the possibility of data exploitation. AI presents intriguing prospects for treating autoimmune diseases, but more research and cooperation are required to overcome current difficulties and completely integrate AI into clinical practice.

RESUMO Introdução: Os transtornos mentais são definidos como sendo síndromes caracterizadas por uma perturbação clinicamente expressiva na cognição, na regulação emocional ou no comportamento de um indivíduo, que refletem uma disfunção nos processos psicológicos, biológicos ou de desenvolvimento subjacentes ao funcionamento mental. Estes estão frequentemente associados ao sofrimento ou às incapacidades. Sabe-se que uma das características marcantes de determinados transtornos

Introduction: Mental disorders are defined as syndromes characterized by a clinically significant disturbance in an individual's cognition, emotional regulation or behavior, which reflect a dysfunction in the psychological, biological or developmental processes underlying mental functioning. These are often associated with suffering or disabilities. It is known that one of the striking characteristics of certain disorders is related to their chronicity, which reduces the possibility of a cure and raises the discussion about controlling their symptoms to maintain the quality of life of individuals who suffer from them. A little associated but relevant intervention, if the state of chronic users in mental health is analyzed, is palliative care and its palliative actions that do not seek a cure, but to offer the maximum possible comfort to the user from diagnosis until their last day of life. Objective: Gather and analyze information regarding palliative psychiatry and its benefits for patients with mental disorders. Methodology: Articles published in indexed journals in the Scientific Electronic Library Online (SCIELO), National Library of Medicine/NLM (MEDLINE), and National Library of Medicine/NLM (PUBMED) databases were evaluated, in addition to official sites such as the Ministry of Health of Brazil and the World Health Organization, covering the period from 2014 to 2024. Results and Discussion: After completing the data collection phase, 33 relevant articles were identified for analysis of the proposed theme. It has been noted that palliative psychiatry encompasses a wide range of issues, including widely known mental health conditions such as anxiety or depression, severe mental illnesses refractory to treatment, neuropalliative care, and symptom burden at various levels. Furthermore, it addresses ethical and psychosocial problems, psychological suffering, personality, desire and desire to die, dignity, loneliness, social isolation, as well as psychopharmacology. And that this care would be advantageous and of fundamental importance to patients with serious mental illnesses. Conclusion: Given the new perspectives for mental health care in an increasingly humanized way, the articles highlighted the benefits of palliative psychiatry and its importance in improving the quality of life of patients with serious mental disorders. However, it was also observed that many barriers need to be overcome to guarantee quality care for the group in question.

RESUMO Introdução: Os transtornos mentais são definidos como sendo síndromes caracterizadas por uma perturbação clinicamente expressiva na cognição, na regulação emocional ou no comportamento de um indivíduo, que refletem uma disfunção nos processos psicológicos, biológicos ou de desenvolvimento subjacentes ao funcionamento mental. Estes estão frequentemente associados ao sofrimento ou às incapacidades. Sabe-se que uma das características marcantes de determinados transtornos

Introduction: Mental disorders are defined as syndromes characterized by a clinically significant disturbance in an individual's cognition, emotional regulation or behavior, which reflect a dysfunction in the psychological, biological or developmental processes underlying mental functioning. These are often associated with suffering or disabilities. It is known that one of the striking characteristics of certain disorders is related to their chronicity, which reduces the possibility of a cure and raises the discussion about controlling their symptoms to maintain the quality of life of individuals who suffer from them. A little associated but relevant intervention, if the state of chronic users in mental health is analyzed, is palliative care and its palliative actions that do not seek a cure, but to offer the maximum possible comfort to the user from diagnosis until their last day of life. Objective: Gather and analyze information regarding palliative psychiatry and its benefits for patients with mental disorders. Methodology: Articles published in indexed journals in the Scientific Electronic Library Online (SCIELO), National Library of Medicine/NLM (MEDLINE), and National Library of Medicine/NLM (PUBMED) databases were evaluated, in addition to official sites such as the Ministry of Health of Brazil and the World Health Organization, covering the period from 2014 to 2024. Results and Discussion: After completing the data collection phase, 33 relevant articles were identified for analysis of the proposed theme. It has been noted that palliative psychiatry encompasses a wide range of issues, including widely known mental health conditions such as anxiety or depression, severe mental illnesses refractory to treatment, neuropalliative care, and symptom burden at various levels. Furthermore, it addresses ethical and psychosocial problems, psychological suffering, personality, desire and desire to die, dignity, loneliness, social isolation, as well as psychopharmacology. And that this care would be advantageous and of fundamental importance to patients with serious mental illnesses. Conclusion: Given the new perspectives for mental health care in an increasingly humanized way, the articles highlighted the benefits of palliative psychiatry and its importance in improving the quality of life of patients with serious mental disorders. However, it was also observed that many barriers need to be overcome to guarantee quality care for the group in question.

Neurorights, Neurotechnologies and Personal Data: Review of the Challenges of Mental Autonomy

Objective: to present the results of a systematic review of research on the impact of neurotechnology on legal concepts and regulatory frameworks, addressing ethical and social issues related to the protection of individual rights, privacy and mental autonomy.Methods: The systematic literature review was based on the methodology proposed by a renowned British scholar, a professor emerita of computer science at Keele University Barbara Kitchenham, chosen for its flexibility and effectiveness in obtaining results for publication. Thorough searches were carried out with the search terms “neurotechnology”, “personal data”, “mental privacy”, “neuro-rights”, “neurotechnological interventions”, and “neurotechnological discrimination” on both English and Spanish sites, using search engines like Google Scholar and Redib as well as databases including Scielo, Dialnet, Redalyc, Lilacs, Scopus, Medline, and Pubmed. The focus of this research is bibliometric data and its design is non-experimental with a cross-sectional and descriptive, using content analysis based on PRISMA model.Results: the study emphasizes the need to establish clear ethical principles to protect individual rights and promote responsible use of neurotechnologies; a number of problems of mental autonomy were identified, such as improper handling of information, lack of legal security guarantees, violation of rights and freedoms in the medical sphere. The author shows the need to adapt the existing regulatory legal framework to address the ethical and social problems arising from the new neurotechnologies. It is noted that a broad study of neurotechnology issues will contribute to the protection of human rights.Scientific novelty: an expanded understanding of the five neurorights within the Universal Declaration of Human Rights is proposed; neurorights are viewed as a new category of rights aimed at protecting mental integrity against the misuse of neurotechnologies. The author justifies the adoption of such technocratic principles as personal identity, free will, mental privacy, equal access and protection against bias.Practical significance: the obtained results are relevant for understanding modern legal concepts related to neurorights and for adapting the existing normative legal acts to solve ethical and social problems arising from the emergence of new technologies, protection of human neurorights and liability for their violation. The study of these issues is key for provision of further responsible development and use of neurotechnologies.

Auctioning Long-Term Projects under Financial Constraints

Abstract We consider a procurement auction for the provision of a basic service to which an add-on must later be appended. Potential providers are symmetric, have private information on their cost for the basic service and the winning firm must also implement the add-on. To finance value-enhancing activities related to the add-on, this firm may need extra funding by outside financiers. Non-verifiable effort related to these activities creates a moral hazard problem which makes the firm’s payoff function for the second period concave in returns over the relevant range. Concavity has two effects. First, it makes it more attractive to backload payments to facilitate information revelation. Second, uncertainty on the cost of the add-on introduces a background risk which requires a risk premium. In this context, we characterize the optimal intertemporal structure of payments to the winning firm, equilibrium bidding behavior and reserve prices for a first-price auction.

An introduction to the ethical and social problems of bodybuilding

since the 20th century bodybuilding has been an object of study that interests and challenges researchers in the sociology of sport (see Conquet, 2014; Tajrobehkar, 2016; Wellman, 2020) and, recently, in the philosophy of sport (see Aranyosi, 2017; Madej, 2021; Worthen, 2016). However, many of its problems are little known in the orthodox philosophical literature. Therefore, the aim of this paper is to contribute from STS studies to the posing and discussion of the central ethical and social problems of bodybuilding by contributing to the philosophy of sport or the philosophy of body techniques. Therefore, I will plant the following problems in relation to bodybuilding: gender and sexism; racism, ableism and eugenics; and lastly, fatphobia. Finally, I propose that many of these problems are generated from the indiscriminate use of anabolic androgenic steroids (AAS) within this sport subculture. In this sense, a precautionary framework (epistemic values, moral values, hormonal benefit principle and sports precautionary principle) is proposed from STS studies with the aim of regulating their use, avoiding adverse effects in individuals who are not professional bodybuilders.

Dynamic Contract Design in the Presence of Double Moral Hazard

We consider a stylized incentive management problem over an infinite time horizon, where the principal hires an agent to provide services to customers. Customers request service in one of two ways: either via an online or a traditional offline channel. The principal does not observe the offline customers’ arrivals, nor does she observe whether the agent exerts (costly) effort that can increase the arrival rate of customers. This creates an opportunity for the agent (i) to divert cash (that is, to under-report the number of offline customers and pocket respective revenues) and also (ii) to shirk (that is, not to exert effort), thus leading to a novel and thus far unexplored double moral hazard problem. To address this problem, we formulate a constrained, continuous-time, stochastic optimal control problem and derive an optimal contract with a simple intuitive structure that includes a payment scheme and a potential termination time of the agent. We enrich the model to allow the principal to either (i) dynamically adjust the prices for the services in both channels or (ii) monitor the agent. Both tools help the principal to alleviate the double moral hazard problem. We derive respective optimal strategies for using those tools that guarantee the highest profits. We show that the worse the agent’s past performance is, the lower the prices should be set and the more the principal should monitor the agent. This paper was accepted by Ilia Tsetlin, behavioral economics and decision analysis. Funding: The work of F. Tian is financially supported by the Hong Kong RGC Funding [RGC General Research Fund 2023/24 17502023], HKU Seed Fund for Basic Research for New Staff (2022), and the HKU Business School Shenzhen Research Institute [SZRI2023-BRF-04]. Supplemental Material: The online appendix and data files are available at https://doi.org/10.1287/mnsc.2022.01169 .

Spiritual and moral education as the cornerstone of human personality formation

Introduction. Building an open cultural and civilisational space in our country requires the development of new directions and content of spiritual and moral education. It is important to consider the fact that spiritual and moral education is integrative by nature. It is directly related to all the key aspects of teaching and upbringing and the surrounding world as a whole, fulfilling a system-forming function in the process of comprehensive development of homo sapiens. Objective: to identify and characterize the directions of spiritual and moral education, present a working model for the formation of spiritualised morality fundamentals in children and young people. Materials and methods. The basis of the study were the provisions and conclusions of classical teachers K. D. Ushinsky, V. P. Vakhterov, P. F. Kapterev, V. Y. Stoyunin and others who took the first steps to comprehend the process of spiritual and moral education. Modern authors who study the problems of spirituality and morality made a significant contribution to the study through their numerous publications. The methodology was based on the principles of subjectivity, openness and nature-appropriateness, integrity and systematicity, continuity, differentiation and individualisation. The general scientific methods involved conversations, exercises, debates, the method of example and the organisation of activities. Results. The study expands and concretizes the existing knowledge about spiritual and moral education. It substantiates the conclusion that spiritual and moral education of the younger generation is not a narrow psychological and pedagogical problem, but a social problem, the problem of the future of Russia. The proposed working model is an important step in building a renewed system of spiritual and moral education of children and youth. Discussion. Many scientists studying the problem of the Human’s world focus their attention only on his/her moral side, believing that morality encompasses his/her spiritual core. Meanwhile, more and more contemporary researchers believe that spirituality is a broader concept and is determinant in the connection ‘spirituality – morality’. Spirituality is the highest substructure of human personality, while morality reflects only the norms of society and characterizes the deeds, actions and behaviour of a person. Conclusion. Spiritualised morality is the pivot that each individual needs to form in order to be able to arrange his/her life activity in a regular way, to constantly improve himself or herself, along with building a harmoniously developed society.

Dual Moral Hazard and the Tyranny of Success

I explain why current success can undermine an organization’s ability to innovate. I consider a standard bandit problem between a safe and a risky arm with two modifications. First, a principal allocates resources. Second, an agent must install the risky arm, which is not contractible. If the principal cannot commit to a resource policy, a dual moral hazard problem emerges: The agent’s pay must be tied to the risky arm’s success to encourage installation, inducing the principal to stop experimenting with the arm prematurely. This problem intensifies as the safe arm becomes more profitable, potentially leaving the organization worse off. (JEL D21, D82, D86, O31)

“Who is sexually harassed? A python code haha”: imaginaries of a post-violent AI world

ABSTRACT This study examines the AI imaginaries surrounding Lee Luda 1.0, a female AI companion designed by Scatter Lab, a start-up company based in South Korea. While the company envisioned its AI companion to become everyone’s best friend, Lee Luda became a controversial figure after it was reported that a subset of male users had sexually harassed the chatbot. In response, Scatter Lab evaded questions about Lee Luda’s sexual harassment as a gender problem and many users of online male communities denied the possibility of sexual abuse against a chatbot, thus not considering it as an ethical problem. Moving beyond questions that query whether sexual harassment of AI is real, this study examines how people shape the terms of acceptance surrounding gendered AI abuse and their ethical implications. Through an examination of the discourses surrounding Lee Luda’s sexual harassment, this study argues that Scatter Lab and a subset of users advance technoliberal imaginaries, mainly imaginaries of a post-violent AI world, which perceive violence against AI as unreal and abstracted from misogynistic violence in real life. This study concludes by discussing the consequences of technoliberal imaginaries surrounding gendered AI abuse and how we can challenge them.

The Influence and Strategies of Generative Artificial Intelligence on Academia, Ethics and Society

In the context of the emerging digital environment, generative artificial intelligence (GAI) is quickly becoming implemented in different spheres of life and even begins to replace people in some professions. This means that GAI is leading a new round of technological and industrial revolution. The application and growth of artificial intelligence has improved the society as well as the economy and but has issued many ethical and social problems thus making ethical governance of artificial intelligence more relevant. To contribute to the further development of the concept GAI under the conditions of sustainable development of human society and science, industries and scholars around the world have started researches on this technology. However, as GAI is still an embryonic field, more research efforts must be directed toward this field in the future. Researched articles that compare the use of GAI to the effects on ethical and societal concerns will form the basis of this paper and the resulting discussion of the pros and cons of this technology, this paper considers and demonstrates the difficulties of students, educators, and academics facing the consequences of GAI development. Finally, it has suggestion for the governance of GAI’s next phase of growth.

Impact of Ethical Infrastructure on the Performance of Executive Power Administrative Units in Bulgaria

In the last 30 years, issues related to ethics in the public sector have become increasingly relevant in Bulgaria. Since the democratic changes, the interest in ethics in public structures has increased. A number of studies by international and national institutes and organisations have brought the state of the ethical environment in Bulgaria into the focus of research interest, and have highlighted the problems of corruption and the absence of adequate countermeasures. Corruption is the most obvious manifestation of the lack of a functioning ethical infrastructure or adequate control over administration in our country. Reactive behaviour towards cases of corruption is not an effective mechanism for curbing corruption. Rather, actions need to be based on proactive approaches. Yet, to make adequate choices, it is essential to analyse the level to which the elements of the ethical infrastructure which have an impact on organisational performance and affect the ethical climate have been developed. This research analyses the level of development of ethical infrastructure and its impact on the performance of administrative structures in Bulgaria, while also exploring the respondents’ attitudes towards these issues. It defines the applied models of ethical infrastructure and problem areas in the ethical environment of executive administrations in Bulgaria.

“The stay here is, of course, not appropriate for an old person”: the perspective of healthcare providers on older patients in the emergency department

BackgroundIn aging societies, emergency departments (ED) face an increasing number of older, geriatric patients. Research shows that older emergency patients have a greater burden of comorbidities and a higher risk of adverse events. It has been questioned whether contemporary ED structures can meet the specific needs and characteristics of older patients. Little is known about how professional health care providers perceive and experience ED care for older patients. This study aimed to get insight into the perspective of healthcare providers working with older ED patients and to explore the challenges they experience in their daily work.MethodsThe study used a qualitative research design with a social-constructivist perspective and a Grounded Theory based methodology. Data were collected through qualitative interviews with N = 25 healthcare providers from different urban EDs in Berlin, Germany, and adjacent healthcare institutions. Following the Ground Theory approach, categories and central themes were identified, analyzed, and interpreted to gain a comprehensive understanding of the healthcare provider perspective.ResultsThe interviews revealed a significant and increasing relevance of geriatric ED patients for healthcare providers. However, there was no shared definition of ‘the geriatric patient’. Most interviewees found ED structures to be inadequate for older patients. They described specific challenges, such as information gathering and safety risks in the ED, as well as an increased use of resources (both time and personnel) when caring for older patients. In addition, specific problems in the collaboration with other professions and institutions were addressed, namely nursing homes, hospital wards, consultations, and the hospital social service.ConclusionHealthcare providers experience a structural mismatch between contemporary EDs and the specific needs of geriatric patients. They are aware of the vulnerabilities of geriatric patients and try to compensate for inherent structural shortcomings. Such structures and limited resources often cause practical, organizational, and ethical problems. There is a great need to develop, implement, and evaluate systematic approaches and care concepts that address the specifics of ED care for geriatric patients.

Issues of social justice in the development of personalised therapy for paediatric SIRS patients

Abstract Background Systemic Inflammatory Response Syndrome (SIRS) is an often-emergent condition, which lacks specific diagnostic tools. Personalised therapy could fill this gap but as every new technology, it raises issues of social justice. Our report aims at identification and analysis of social justice implications within the bigger ERA PerMed funded project of development of tailored immunotherapy for paediatric SIRS patients (TIPS) coordinated by Prof. Catharina Schütz from Technic University Dresden. Methods Qualitative research methodology thought 10 semi-structured interviews. Systematic literature review grounded the interview questionnaire. Transcripts were subjected to thematic analysis by two independent researchers. Results Social justice was seen as equal chances of inclusion of different population groups in research. Socioeconomic differences were perceived as a challenge to ensure justice across various populations (N = 7). Two interviewees saw discrimination as inherent to precision medicine, which is focused on personalised treatment. Two experts viewed the exclusion of specific patients’ groups as an unsolvable problem, that only advocates for the inclusion of as many patients as possible. On the opinion of six experts individual and ethnocultural factors may influence outcomes in personalised treatment, especially considering the small sample size and the diverse populations. One medical expert, on the contrary, perceived no significant challenges associated with the heterogeneity of patients. Whether socioeconomic injustices should be addressed by guidelines and how these correspond to the rights of the patient were further discussed. Conclusions The issues of social justice accompany research in personalised medicine, including SIRS. In general, there is sensitivity to this issue, but current guidelines are too vague. As with other ethical problems, so with social justice we seem to have a rethinking of the concept, that needs further study. Key messages • In the context of SIRS personalised therapy research, there is a sensitivity to the issue of social justice, but no consensus how to ensure it. • Issues of social justice are often boiled down to equal chances of inclusion in research and equal access to treatment. In the case of personalised therapy, there seems to be more to it.

Can ChatGPT affect health literacy?

Abstract Background ChatGPT is a large language model based on artificial intelligence, which nowadays finds application in various fields, including medicine. Objectives To investigate the usefulness of ChatGPT related to health literacy and to highlight its potential limitations. Methods We searched PubMed/MEDLINE for published research and articles that reviewed ChatGPT in the context of health literacy, written in English over the past five years with free full text access. All original articles were screened. Results A total of 53 publications were found. Twenty-five publications met the inclusion criteria and were included in the review. Most of the works presented a positive opinion towards the use of ChatGPT. The authors of six articles believe that ChatGPT generates more readable papers, while four of them believe the opposite. In four articles authors found out possibility to simplify text. The negative sides relate to the possibly insufficient education of users, the accuracy of the information, potential bias, dependence on the outdated data, and the ethical problem of the real authors not being cited, and therefore not recognized for their work. Conclusions According to the conducted research, ChatGPT represents an opportunity to improve health literacy by generating accessible and comprehensible information about health. It has also been shown to improve the readability and accessibility of public education materials on selected health topics. Furthermore, while AI models like ChatGPT can serve as a reliable source of health information, they should be used as an addition to professional medical consultation, and not as a standalone advice service. Key messages • ChatGPT represents an opportunity to improve health literacy. • AI models like ChatGPT can serve as a reliable source of health information, but they should be used as an addition to professional medical consultation, and not as a standalone advice service.