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Artificial Intelligence in Health                                               Machine consciousness



            system could literally possess a mind – in other words, that   aside the notoriously difficult task of pinning down an
            executing the right algorithms might generate genuine   exact definition of consciousness and instead agreeing
            understanding and cognitive states indistinguishable   on practical operational criteria. Levy argues that
            from those of humans.  This perspective implies that,   insisting on a rigid definition may be counterproductive;
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            at  some  level,  the functional  organization of  a  machine   rather, if the community can settle on a shared intuitive
            could support conscious in the same sense a brain does. In   understanding of what consciousness functionally entails,
            contrast, the weak AI position holds that machines, at best,   researchers could “simply use the word and get on with it”
            simulate consciousness without any real inner experience   in developing systems that meet those criteria. 78(p210)  This
            or awareness.  From this viewpoint, even the most   approach reflects a practical  mindset: Even if  we lack a
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            advanced AI today (for example, sophisticated language   perfect definition of consciousness, we might still engineer
            models or robotic assistants) lack subjective sentience or   systems that everyone agrees exhibit key properties of
            genuine understanding; they merely manipulate symbols   consciousness (such as complex adaptivity, learning, and
            and exhibit behaviors that mimic consciousness without   self-report), thereby moving the field forward without
            actually experiencing the world.                   becoming mired in semantics.
              The  clash between these perspectives  highlights a   Other researchers emphasize specific features thought
            core conceptual challenge: Explaining how subjective   to be indispensable for consciousness. Chatila et al.
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            experience (the essence of consciousness) might emerge   focus on self-awareness as the cornerstone of machine
            from purely physical or computational processes. This is   consciousness, proposing a framework for self-aware
            essentially the classic “hard problem of consciousness”   robots grounded in several cognitive abilities. They outline
            applied to machines: The difficulty of explaining how and   fundamental principles by which a robot could be designed
            why a physical system  could produce  the felt quality of   to understand its environment and its own role within it,
            experience. Even in humans, consciousness defies simple   to be cognizant of its actions, and to respond appropriately
            explanation; present scientific understanding of brain   in real time to changes. Crucially, a self-aware robot
            function has yet to fully bridge the gap between neural   should also be able to learn from its own experiences and
            circuitry and subjective feeling.                  mistakes and to explicitly demonstrate that it has learned
              When  considering  artificial agents, we  are further   – for instance, by documenting or communicating its
            constrained by our human-centric intuitions: Our   acquired knowledge. These capabilities mirror aspects of
            understanding  of  consciousness is  largely  shaped  by   human consciousness: Humans continuously monitor
            the first-person experience of our own mind, making it   their surroundings and their own internal states, adjust
            challenging to objectively evaluate whether a machine –   behavior on the fly, learn from feedback, and can report on
            accessible only from an external, third-person perspective   what they have learned. Chatila’s framework thus attempts
            – could possess anything akin to a conscious mind.  to imbue machines with a form of reflective cognition
                                                               analogous to that of humans, on the premise that such
              In summary, the strong AI versus weak AI dichotomy
            sets the stage for discussing machine consciousness by   reflection (knowing what one knows, and knowing what
                                                               one does) is a pre-requisite for any genuine consciousness.
            asking whether replicating intelligent behavior is sufficient
            for authentic consciousness (strong AI) or whether   A complementary perspective is offered by Kinouchi
            subjective awareness is a qualitatively distinct property   and Mackin,  who propose that consciousness serves a
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            that machines inherently lack (weak AI). This foundational   functional role as an integrative system-level adaptation
            debate provides a context for interpreting the progress in   mechanism  in complex agents. In their  architecture, a
            neuroscience-inspired AI frameworks and guides our   multitude of lower-level processing units (analogous to
            skepticism or optimism regarding artificial consciousness.  distributed modules in the brain or in a large AI system)
                                                               operate  in  parallel,  each  handling  specific  tasks  or
            4.2. Neuroscience-inspired functional frameworks   sensory inputs. Machine consciousness, in this view, is
            for artificial consciousness                       the higher-level function that coordinates and organizes
            Amid these philosophical debates, researchers have   the outputs of these parallel processes, synthesizing them
            proposed various frameworks for building or recognizing   into a coherent state that can guide the agent’s overall
            consciousness-like properties in machines. Often drawing   behavior adaptively. This coordinating role is likened to
            inspiration from neuroscience and cognitive science, these   the way human consciousness creates a unified experience
            frameworks focus on replicating functional attributes   and decision-making process out of the brain’s many
            of human consciousness in an artificial medium. One   simultaneous unconscious computations. Kinouchi and
            pragmatic stance, advocated by Levy,  suggests setting   Mackin  and Hildt  explicitly draw an analogy to the
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            Volume 2 Issue 3 (2025)                         28                               doi: 10.36922/aih.5690
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