Many experts have emphasised that chatbots are not sufficiently mature to be able to technically diagnose patient conditions or replace the judgements of health professionals. The COVID-19 pandemic, however, has significantly increased the utilisation of health-oriented chatbots, for instance, as a conversational interface to answer questions, recommend care options, check symptoms and complete tasks such as booking appointments. In this paper, we take a proactive approach and consider how the emergence of task-oriented chatbots as partially automated consulting systems can influence (...) clinical practices and expert–client relationships. We suggest the need for new approaches in professional ethics as the large-scale deployment of artificial intelligence may revolutionise professional decision-making and client–expert interaction in healthcare organisations. We argue that the implementation of chatbots amplifies the project of rationality and automation in clinical practice and alters traditional decision-making practices based on epistemic probability and prudence. This article contributes to the discussion on the ethical challenges posed by chatbots from the perspective of healthcare professional ethics. (shrink)

Deleuze put forth a description of fluid control in computerized society in his text ‘Postscript on Control Societies’. With the help of the philosophy of Gilbert Simondon, we can broaden and complexify this view and understand digital systems through the concept of modulation. These modulatory systems intervene in human individuation by controlling individuals as ‘dividuals’. In contemporary digital technologies, like blockchain platforms, the modulatory dividual control can be fierce and even total. Simondon’s concepts of pre-individual, individuation, and transindividuation present us (...) with an ontology for this contemporary mode of control and enable us to better understand the complex relations between the being of humans and technical networks. (shrink)