Therapy, Enhancement and the Augmented Society
Jamais Cascio
2005-02-18 00:00:00
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This
is certainly encouraging news for the millions of people
around the world who have lost the use of hands, arms or
legs due to disease, accident or conflict. Sophisticated
cybernetic limbs will undoubtedly be initially very
expensive, but advances in microprocessor, software and
material sciences will over time drive down the costs of
everything but the surgery; those who receive these
artificial limbs later will also benefit from the years of
"beta testing" by the early recipients. It may be a decade
or two before who have lost limbs due to land mines could
gain the benefit of this technology, but the University of
Pittsburgh research suggests that such a day will
come.


This is also another step forward in the ongoing process
of figuring out how to use digital technology to augment
human abilities.

This is not the only research on how to make machines
"listen" to nerve signals
. And while the point of the
research is (quite appropriately) figuring out ways to
assist the disabled, the history of adaptive technology
shows that

augmentation for therapy usually leads to augmentation for
enhancement
.


For now, most complex augmentations remain external.
Internal augmentations have largely been limited to
therapeutic fixes for serious problems: pacemakers, pins in
the hip, cochlear implants, etc.. Internal augmentations for
enhancement are usually for social reasons (cosmetic
surgeries) or art, and these nearly always have a visible
external manifestation. The advent of successful
neural-digital technologies suggests the day is near when
internal augmentations for enhancement may not be visible on
the outside. There's a reason why much of this

research is funded by DARPA
; this technology could be
useful to people seeking not just to repair what they've
lost, but to enhance what they already have.


Augmentation for enhancement is not new, even if this
particular form has so far only appeared in science fiction.
We use enhancement technology all the time: PDAs and mobile
phone address books to enhance our memories, letting us
remember thousands of names and numbers; bicycles and
automobiles to enhance our mobility, letting us travel far
faster than anyone on foot; the Internet to enhance what we
know, letting us access in an instant abundant knowledge and
myriad discoveries; television to enhance the distance at
which we can see, letting us witness changes half a planet
away; and on and on. We usually don't think of these as
augmentation technologies, but that's what they are. They
make it possible for people to do things which would
otherwise not be possible for an individual not so
augmented. We don't think of them as augmentations because
"everyone" has them, and we're on more or less even footing.


MIT Architecture and Media professor William Mitchell, in


Me++
, even argues that the city, as a human
construct, is itself a kind of cybernetic enhancement:



So I am not Vitruvian man, enclosed
within a single perfect circle, looking out at the world
from my personal perspective coordinates and,
simultaneously, providing the measure of all things. Nor
am I, as architectural phenomenologists would have it,
an autonomous, self-sufficient, biologically embodied
subject encountering, objectifying, and responding to my
immediate environment. I construct, and I am
constructed, in a mutually recursive process that
continually engages my fluid, permeable boundaries and
my endlessly ramifying networks. I am a spatially
extended cyborg. (p. 39)

I'd take this even further. The city is an augmentation
not just of individuals, but of society: it is a construct
which allows groups of people to do things which simply not
be possible as gatherer-hunter nomads. Cities allowed more
people to work together, to differentiate labor and amass
never before seen levels of power (and knowledge, and
wealth, and religion, and social dislocation, and
stratification, and centralization...). Urbanization was
humankind's first Singularity.


Augmentation and enhancements of our abilities, then, is
in reality a fundamental part of who we are, and as old as
urban society itself. As we develop new technological
augmentations for therapeutic use, then, we should be clear
that they will be used, to whatever degree possible,
as augmentations for enhancement, as well. We will soon live
in a world which will include the possibility of digital
augmentations of the body (and, eventually, of the brain).
What might such a world look like?


Several scenarios come to mind:



  • Gentle Touch of Metal: Technology for
    controlling artificial limbs progresses faster than
    technology for interacting with computers. Few people
    actively seek out digital-neural augmentations, and they
    spread slowly into the non-disabled populace, mostly via
    military recipients. Being able to control vehicles and
    equipment as if they were extensions of the body proves
    useful, but not revolutionary. Nobody wants to go
    through brain surgery any more than they have to, so
    actual physical augmentations tend to be for interfaces
    rather than computing hardware itself, which is still
    changing quickly. As the jobs which can take advantage
    of the interfaces tend to be "physical" (albeit
    well-paid), there isn't strong competitive pressure to
    undergo augmentation.

    One result of this world is that the physically
    disabled come to be well-represented in professions
    (such as dock workers or construction) where the
    machine-control augmentation is most advantageous.


     


  • Behind the Curve: Technology for interacting
    with computers advances as fast or faster than that for
    controlling artificial limbs. Augmentation spreads
    slowly into society at large at first; as the
    ex-military types with "head jacks" increasingly
    demonstrate uncanny abilities to manipulate information,
    more cutting-edge business types look into getting
    interfaces installed, too. Different societies react to
    the practice in different ways, and in countries where
    there is a general taboo against augmentation there is
    also great anxiety over being competitive
    internationally with less-restrained nations. The
    enhancements are initially interfaces, as in Gentle
    Touch, but as the bandwidth potential of a system
    implanted directly into the brain could exceed that of
    an external device on a cable, the more adventurous (or
    desperate) go under the knife again and again as new
    generations of computers come out.

    One result of this world is that research into
    computer viruses leading to cognitive impairment becomes
    commonplace in the espionage services and the less
    ethical companies; such viruses escape into the wild
    all-too-often, leading to periodic clampdowns on the
    technology.


     


  • Squishy Bits: Advances in digital-neural
    augmentation come more slowly than initially hoped for
    given the early successes. Getting the brain to do more
    than move a mouse pointer on screen or robotic arm
    around in a jerky, drunken fashion proves a terrific
    challenge. As a result, advances in other fields --
    biotechnology and nanotechnology, especially -- catch up
    with and exceed the capabilities of machine
    augmentation.

    Meat-jet-printed
    limbs grown to spec and made of the
    recipient's own DNA are far more natural than robotic
    arms, and nanomedicine allows delicate brain surgery to
    fix neurological disorders, instead of using computer
    interfaces as clumsy compensation.

    One result of this world is that the augmentation and
    enhancement question turns to making humans far
    healthier than normal -- longer-lived, stronger, more
    fit... this is the world James Hughes expects to see.



  • Of these three, the last feels the most likely. As much
    as the University of Pittsburgh announcement (as well as the
    Cyberkinetics work, and others) demonstrates that
    digital-neural augmentation has promise, the brain is a far
    too complex organ to make more sophisticated results in any
    way easy. I would expect research along these lines to move
    more slowly with each advance. The biotechnological path --
    growing healthy or replacement parts -- seems like an
    outcome more likely to succeed (and be broadly acceptable)
    in a shorter period of time.


    Human society is augmented society. Commonplace forms of
    augmentation and enhancement would have seemed just as
    bizarre to our great-great grandparents as brain-controlled
    robotic arms do to many of us. The question isn't whether we
    will use new augmentation technologies for enhancement. The
    question is whether we will use them ethically, safely and
    responsibly.