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Don’t touch my stuff: historicising resistance to AI and algorithmic computer technologies in medicine
Interdisciplinary Science Reviews ( IF 1.1 ) Pub Date : 2021-03-07 , DOI: 10.1080/03080188.2020.1840222
Ariane Hanemaayer 1
Affiliation  

ABSTRACT

This paper historicises the criticisms and backlash from within medicine against new computer technologies in the clinic. Physicians' reactions to proposals for the implementation of algorithmic technologies in the clinic ranged from enthusiastic to cautionary to critical from as early as the 1960s. Clinicians were suspicious of these technologies as they threatened their professional expertise. I argue that these discontent reactions from doctors demonstrate an implicit struggle for authority over clinical spaces and with regards to medicine's place within society more generally. Drawing on Foucault's concept of discursive rules and their function within a closed community, I recover the forgotten debate to include or reject AI and its predecessor technologies of expert systems and neural networks. This paper explains how and why justifications for and against the applicability of AI to the clinic are underpinned by questions of medical authority. I conclude with an inquiry into the transformative possibilities of partisanship.



中文翻译:

不要碰我的东西:对医学界对AI和算法计算机技术的抵制具有历史意义

摘要

本文将医学界对临床新计算机技术的批评和强烈反对归纳为历史。早在1960年代,医生对在诊所实施算法技术的建议的反应就从热情到警惕,再到关键。临床医生对这些技术表示怀疑,因为它们威胁到他们的专业知识。我认为,医生的这些不满反应表明了对临床空间以及医学在社会中的地位方面的权威的暗含的争夺。借助福柯的话语规则概念及其在封闭社区中的功能,我恢复了被遗忘的辩论,以包含或拒绝AI及其专家系统和神经网络的前身技术。本文解释了如何以及为什么以医学权威问题为基础来支持和反对AI在临床上的适用性和合理性。最后,我将探讨党派关系的变革可能性。

更新日期:2021-03-08
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