How Can Ethics Support Innovative Health Care for an Aging Population?

The rapidly expanding aging population presents an urgent global challenge cutting through just about every dimension of worldly life, including the social, political, cultural, and economic. Developing innovations in health and assistive technology (AT) are poised to support effective and sustainable health care in the face of this challenge, yet there is scant (but growing) discussion of the ethical issues surrounding AT for older persons with dementia. Demands for ethical frameworks that can respond to frontline dilemmas regarding AT development and provision, and how the needs of aging persons themselves are defined throughout this development process, are increasing. This article suggests that fulfilling the promises of AT to provide effective and ethically informed solutions may demand shifting away from standard bioethical analyses that centralize the principle of respect for autonomy. An autonomy-centric paradigm is dubiously equipped to theorize the foundational ethical issues in dementia care and to effectively guide AT development and implementation. An agency-centered approach to dementia care, which could engage more adaptively with the perspectives and choices of older persons themselves while offering strong support to AT research and stakeholders, may offer an attractive alternative.     

The End of Dependence? Ethical Issues in the Adoption of Assistive Technologies: An Introduction

This special issue explores the evolving role of assistive technology in health and medicine, with 3 original articles and 5 commentaries. The following introduction provides an overview of the issue’s unifying themes and the articles’ aims and concerns, as well as reflection on some critical points for discussion raised in the commentaries. Assistive technology finds itself at a pivotal point of development and integration into current systems, where sound and innovative ethical guidance is crucial. With this issue we hope to build capacity for realizing the potential of assistive technology—effectively, sustainably, and ethically.     

Personality variables and problem‐construction activities: An exploratory investigation

Problem‐construction and problem‐finding activities have been shown to have a marked impact on creative achievement. Although cognitive operations play an important role in problem construction, there is reason to suspect that personality variables might influence effective process application. In the present study we constructed measures of personality characteristics that might influence adaption to novel, ill‐defined tasks. These measures were administered to 250 undergraduates who were also asked to complete a problem‐construction task. A series of discriminant analyses indicated that personality variables could be used to identify individuals who generated high‐quality, original problems. The implications of our findings for understanding exactly how personality variables interact with cognitive operations in the problem‐construction process are discussed.