Background The ethical governance of Artificial Intelligence (AI) in health care and public health continues to be an urgent issue for attention in policy, research, and practice. In this paper we report on central themes related to challenges and strategies for promoting ethics in research involving AI in global health, arising from the Global Forum on Bioethics in Research (GFBR), held in Cape Town, South Africa in November 2022. Methods The GFBR is an annual meeting organized by the World Health (...) Organization and supported by the Wellcome Trust, the US National Institutes of Health, the UK Medical Research Council (MRC) and the South African MRC. The forum aims to bring together ethicists, researchers, policymakers, research ethics committee members and other actors to engage with challenges and opportunities specifically related to research ethics. In 2022 the focus of the GFBR was “Ethics of AI in Global Health Research”. The forum consisted of 6 case study presentations, 16 governance presentations, and a series of small group and large group discussions. A total of 87 participants attended the forum from 31 countries around the world, representing disciplines of bioethics, AI, health policy, health professional practice, research funding, and bioinformatics. In this paper, we highlight central insights arising from GFBR 2022. Results We describe the significance of four thematic insights arising from the forum: (1) Appropriateness of building AI, (2) Transferability of AI systems, (3) Accountability for AI decision-making and outcomes, and (4) Individual consent. We then describe eight recommendations for governance leaders to enhance the ethical governance of AI in global health research, addressing issues such as AI impact assessments, environmental values, and fair partnerships. Conclusions The 2022 Global Forum on Bioethics in Research illustrated several innovations in ethical governance of AI for global health research, as well as several areas in need of urgent attention internationally. This summary is intended to inform international and domestic efforts to strengthen research ethics and support the evolution of governance leadership to meet the demands of AI in global health research. (shrink)

Though the rise of social media has provided countless advantages and possibilities, both within and without the domain of sports, recent years have also seen some more detrimental aspects of these technologies come to light. In particular, the widespread social media culture surrounding fitness – ‘fitspiration’ – warrants attention for the way it encourages self-sexualization and -objectification, thereby epitomizing a wider issue with photo-based social media in general. Though the negative impact of fitspiration has been well documented, what is less (...) understood are the ways it potentially impacts and molds moral psychology, and how these same aspects may come to influence digital sports subcultures more broadly. In this theoretical paper, I rely on the insights of Friedrich Nietzsche to analyze the moral significance of a culture like fitspiration becoming normalized and influential in structuring and informing self-understanding, notions of value, and how to flourish in life. Using two doctrines central to Nietzsche’s philosophy—The Last Man and his conception of the ’higher self’ – I argue that fitspiration involves a form of hedonism that is potentially harmful to the pursuit and achievement of human flourishing. Through fitspiration, desire is elevated to a central moral principle, underlying the way users both consume and produce its content, catering simultaneously to their desires for external validation and instant gratification. It thereby creates conditions which foster a culture in adherence to the ethos of The Last Man. In doing so, I argue it impedes the cultivation of the virtues and higher values which define the higher individual, regarded by Nietzsche as essential for human flourishing. However, drawing on the ethical framework of the higher individual provides the philosophical and psychological resources with which resisting and overcoming the more harmful temptations of these trends may be possible. (shrink)

Female empowerment has long been a prominent social concern in Western culture. With the rise of social media, the quest for female empowerment has become embodied in self-presentational practices, occurring conspicuously throughout the Instagram fitness subculture: ‘fitspiration’. Here, female empowerment is merged with the body-centrality inherent to fitness, and the self-sexualization that has become characteristic of both photo-based social media in general, and fitspiration in particular. Meanwhile, an extensive body of research highlights numerous detrimental effects of self-sexualization on women. Evidently, (...) something seems awry with the implied proposition ‘sexualization as empowerment’. Drawing on Friedrich Nietzsche’s philosophy of power and its relationship to human flourishing, this article aims to critically examine the conception of female empowerment expressed in fitspiration and to conceptualize a philosophically compelling reformulation of universal human empowerment. I argue that what is commonly conceived of as female empowerment in trends like fitspiration—delineated in its explicit relationship to sexualization—may be seriously flawed. Rejecting this understanding in favor of a Nietzschean universal alternative may prove beneficial to individuals both within and without the contemporary fitness culture. (shrink)

Epitomized in the bodily exhibitions of ‘fitspiration’, photo-based social media is biased toward self-beautification and glorification of reality. Meanwhile, evidence is growing of psychological side effects connected to this ‘pictorial turn’ in our communication. In The Birth of Tragedy, Nietzsche poses the question how ugliness and discord can produce aesthetic pleasure. This paper proceeds from an inverse relationship and examines why glorification of appearances and conspicuous beauty fails to do the same, and even compounds suffering. Drawing on the Apollo-Dionysus dualism (...) undergirding Nietzsche’s aesthetic philosophy, I posit a deeper relation between the saturation of visual self-exhibitionism typified in fitspiration and its empirical effects. Concentrating on the medium and self-representational photograph, I argue that Instagram is primarily an instrument of Apolline artifice and that the pictorial turn which defines the present centers Apolline mediation to the detrimental exclusion of meaningful communion with its Dionysiac antithesis. For users immersed in this Apolline sphere of visual self-representation, a fractured existence beholden to conditions of the image ensues—comprising surface-level appearances, deification of the moment, and loss of existential sustenance through myth. By positioning fitspiration not as an aberration but as the logical conclusion of the medium’s intrinsic Apolline property, it becomes a litmus test of the entire visual landscape and illustrative of the implications that uncritical participation in it may bring. (shrink)

A testimony to what I perceive to be the accomplishments of Dahlbeck’s (2021) Spinoza: Fiction and Manipulation in Civic Education is that, as I turn the over the last page, contemplating the total...