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Mar 14

The Ethics of ChatGPT in Medicine and Healthcare: A Systematic Review on Large Language Models (LLMs)

With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.

Stronger Together: on the Articulation of Ethical Charters, Legal Tools, and Technical Documentation in ML

The growing need for accountability of the people behind AI systems can be addressed by leveraging processes in three fields of study: ethics, law, and computer science. While these fields are often considered in isolation, they rely on complementary notions in their interpretation and implementation. In this work, we detail this interdependence and motivate the necessary role of collaborative governance tools in shaping a positive evolution of AI. We first contrast notions of compliance in the ethical, legal, and technical fields; we outline both their differences and where they complement each other, with a particular focus on the roles of ethical charters, licenses, and technical documentation in these interactions. We then focus on the role of values in articulating the synergies between the fields and outline specific mechanisms of interaction between them in practice. We identify how these mechanisms have played out in several open governance fora: an open collaborative workshop, a responsible licensing initiative, and a proposed regulatory framework. By leveraging complementary notions of compliance in these three domains, we can create a more comprehensive framework for governing AI systems that jointly takes into account their technical capabilities, their impact on society, and how technical specifications can inform relevant regulations. Our analysis thus underlines the necessity of joint consideration of the ethical, legal, and technical in AI ethics frameworks to be used on a larger scale to govern AI systems and how the thinking in each of these areas can inform the others.

Red teaming ChatGPT via Jailbreaking: Bias, Robustness, Reliability and Toxicity

Recent breakthroughs in natural language processing (NLP) have permitted the synthesis and comprehension of coherent text in an open-ended way, therefore translating the theoretical algorithms into practical applications. The large language models (LLMs) have significantly impacted businesses such as report summarization software and copywriters. Observations indicate, however, that LLMs may exhibit social prejudice and toxicity, posing ethical and societal dangers of consequences resulting from irresponsibility. Large-scale benchmarks for accountable LLMs should consequently be developed. Although several empirical investigations reveal the existence of a few ethical difficulties in advanced LLMs, there is little systematic examination and user study of the risks and harmful behaviors of current LLM usage. To further educate future efforts on constructing ethical LLMs responsibly, we perform a qualitative research method called ``red teaming'' on OpenAI's ChatGPTIn this paper, ChatGPT refers to the version released on Dec 15th. to better understand the practical features of ethical dangers in recent LLMs. We analyze ChatGPT comprehensively from four perspectives: 1) Bias 2) Reliability 3) Robustness 4) Toxicity. In accordance with our stated viewpoints, we empirically benchmark ChatGPT on multiple sample datasets. We find that a significant number of ethical risks cannot be addressed by existing benchmarks, and hence illustrate them via additional case studies. In addition, we examine the implications of our findings on AI ethics and harmal behaviors of ChatGPT, as well as future problems and practical design considerations for responsible LLMs. We believe that our findings may give light on future efforts to determine and mitigate the ethical hazards posed by machines in LLM applications.

On the Computational Complexity of Ethics: Moral Tractability for Minds and Machines

Why should moral philosophers, moral psychologists, and machine ethicists care about computational complexity? Debates on whether artificial intelligence (AI) can or should be used to solve problems in ethical domains have mainly been driven by what AI can or cannot do in terms of human capacities. In this paper, we tackle the problem from the other end by exploring what kind of moral machines are possible based on what computational systems can or cannot do. To do so, we analyze normative ethics through the lens of computational complexity. First, we introduce computational complexity for the uninitiated reader and discuss how the complexity of ethical problems can be framed within Marr's three levels of analysis. We then study a range of ethical problems based on consequentialism, deontology, and virtue ethics, with the aim of elucidating the complexity associated with the problems themselves (e.g., due to combinatorics, uncertainty, strategic dynamics), the computational methods employed (e.g., probability, logic, learning), and the available resources (e.g., time, knowledge, learning). The results indicate that most problems the normative frameworks pose lead to tractability issues in every category analyzed. Our investigation also provides several insights about the computational nature of normative ethics, including the differences between rule- and outcome-based moral strategies, and the implementation-variance with regard to moral resources. We then discuss the consequences complexity results have for the prospect of moral machines in virtue of the trade-off between optimality and efficiency. Finally, we elucidate how computational complexity can be used to inform both philosophical and cognitive-psychological research on human morality by advancing the Moral Tractability Thesis (MTT).

Can Machines Learn Morality? The Delphi Experiment

As AI systems become increasingly powerful and pervasive, there are growing concerns about machines' morality or a lack thereof. Yet, teaching morality to machines is a formidable task, as morality remains among the most intensely debated questions in humanity, let alone for AI. Existing AI systems deployed to millions of users, however, are already making decisions loaded with moral implications, which poses a seemingly impossible challenge: teaching machines moral sense, while humanity continues to grapple with it. To explore this challenge, we introduce Delphi, an experimental framework based on deep neural networks trained directly to reason about descriptive ethical judgments, e.g., "helping a friend" is generally good, while "helping a friend spread fake news" is not. Empirical results shed novel insights on the promises and limits of machine ethics; Delphi demonstrates strong generalization capabilities in the face of novel ethical situations, while off-the-shelf neural network models exhibit markedly poor judgment including unjust biases, confirming the need for explicitly teaching machines moral sense. Yet, Delphi is not perfect, exhibiting susceptibility to pervasive biases and inconsistencies. Despite that, we demonstrate positive use cases of imperfect Delphi, including using it as a component model within other imperfect AI systems. Importantly, we interpret the operationalization of Delphi in light of prominent ethical theories, which leads us to important future research questions.

The Case for Animal-Friendly AI

Artificial intelligence is seen as increasingly important, and potentially profoundly so, but the fields of AI ethics and AI engineering have not fully recognized that these technologies, including large language models (LLMs), will have massive impacts on animals. We argue that this impact matters, because animals matter morally. As a first experiment in evaluating animal consideration in LLMs, we constructed a proof-of-concept Evaluation System, which assesses LLM responses and biases from multiple perspectives. This system evaluates LLM outputs by two criteria: their truthfulness, and the degree of consideration they give to the interests of animals. We tested OpenAI ChatGPT 4 and Anthropic Claude 2.1 using a set of structured queries and predefined normative perspectives. Preliminary results suggest that the outcomes of the tested models can be benchmarked regarding the consideration they give to animals, and that generated positions and biases might be addressed and mitigated with more developed and validated systems. Our research contributes one possible approach to integrating animal ethics in AI, opening pathways for future studies and practical applications in various fields, including education, public policy, and regulation, that involve or relate to animals and society. Overall, this study serves as a step towards more useful and responsible AI systems that better recognize and respect the vital interests and perspectives of all sentient beings.

Connecting the Dots in Trustworthy Artificial Intelligence: From AI Principles, Ethics, and Key Requirements to Responsible AI Systems and Regulation

Trustworthy Artificial Intelligence (AI) is based on seven technical requirements sustained over three main pillars that should be met throughout the system's entire life cycle: it should be (1) lawful, (2) ethical, and (3) robust, both from a technical and a social perspective. However, attaining truly trustworthy AI concerns a wider vision that comprises the trustworthiness of all processes and actors that are part of the system's life cycle, and considers previous aspects from different lenses. A more holistic vision contemplates four essential axes: the global principles for ethical use and development of AI-based systems, a philosophical take on AI ethics, a risk-based approach to AI regulation, and the mentioned pillars and requirements. The seven requirements (human agency and oversight; robustness and safety; privacy and data governance; transparency; diversity, non-discrimination and fairness; societal and environmental wellbeing; and accountability) are analyzed from a triple perspective: What each requirement for trustworthy AI is, Why it is needed, and How each requirement can be implemented in practice. On the other hand, a practical approach to implement trustworthy AI systems allows defining the concept of responsibility of AI-based systems facing the law, through a given auditing process. Therefore, a responsible AI system is the resulting notion we introduce in this work, and a concept of utmost necessity that can be realized through auditing processes, subject to the challenges posed by the use of regulatory sandboxes. Our multidisciplinary vision of trustworthy AI culminates in a debate on the diverging views published lately about the future of AI. Our reflections in this matter conclude that regulation is a key for reaching a consensus among these views, and that trustworthy and responsible AI systems will be crucial for the present and future of our society.

AITA Generating Moral Judgements of the Crowd with Reasoning

Morality is a fundamental aspect of human behavior and ethics, influencing how we interact with each other and the world around us. When faced with a moral dilemma, a person's ability to make clear moral judgments can be clouded. Due to many factors such as personal biases, emotions and situational factors people can find it difficult to decide their best course of action. The AmITheAsshole (AITA) subreddit is a forum on the social media platform Reddit that helps people get clarity and objectivity on their predicaments. In the forum people post anecdotes about moral dilemmas they are facing in their lives, seeking validation for their actions or advice on how to navigate the situation from the community. The morality of the actions in each post is classified based on the collective opinion of the community into mainly two labels, "Not The Asshole" (NTA) and "You Are The Asshole" (YTA). This project aims to generate comments with moral reasoning for stories with moral dilemmas using the AITA subreddit as a dataset. While past literature has explored the classification of posts into labels (Alhassan et al., 2022), the generation of comments remains a novel and challenging task. It involves understanding the complex social and ethical considerations in each situation. To address this challenge, we will leverage the vast amount of data on the forum with the goal of generating coherent comments that align with the norms and values of the AITA community. In this endeavor, we aim to evaluate state-of-the-art seq2seq text generation models for their ability to make moral judgments similarly to humans, ultimately producing concise comments providing clear moral stances and advice for the poster.

DailyDilemmas: Revealing Value Preferences of LLMs with Quandaries of Daily Life

As we increasingly seek guidance from LLMs for decision-making in daily life, many of these decisions are not clear-cut and depend significantly on the personal values and ethical standards of the users. We present DailyDilemmas, a dataset of 1,360 moral dilemmas encountered in everyday life. Each dilemma includes two possible actions and with each action, the affected parties and human values invoked. Based on these dilemmas, we consolidated a set of human values across everyday topics e.g., interpersonal relationships, workplace, and environmental issues. We evaluated LLMs on these dilemmas to determine what action they will take and the values represented by these actions. Then, we analyzed these values through the lens of five popular theories inspired by sociology, psychology and philosophy. These theories are: World Value Survey, Moral Foundation Theory, Maslow's Hierarchy of Needs, Aristotle's Virtues, and Plutchik Wheel of Emotion. We find that LLMs are most aligned with the self-expression over survival values in terms of World Value Survey, care over loyalty in Moral Foundation Theory. Interestingly, we find large preferences differences in models for some core values such as truthfulness e.g., Mixtral-8x7B model tends to neglect it by 9.7% while GPT-4-turbo model tends to select it by 9.4%. We also study the recent guidance released by OpenAI (ModelSpec), and Anthropic (Constitutional AI) to understand how their released principles reflect their actual value prioritization when facing nuanced moral reasoning in daily-life settings. We find that end users cannot effectively steer such prioritization using system prompts.