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Artificial Intelligence in Health                                               Machine consciousness



            networks (a form of meta-learning), effectively creating an   “AI consciousness” (in the access sense). Such frameworks
            internal observer module. If successful, this could result   would help move the discussion from abstract possibility
            in an AI that possesses a form of introspective access to   to concrete progress: Researchers could then compete or
            its internal representations – a step toward the machine   collaborate on advancing AI along this spectrum, much as
            knowing something of its own “mind.” In addition,   they do with benchmarks for intelligence.
            generative models  that  create narratives or  explanations   Finally, ethical foresight must evolve in tandem with
            for the agent’s behavior might serve as a rudimentary form   technical progress. As we inch closer to machines with
            of inner narrative (a component some theories consider   human-like capabilities, even if still not conscious, we
            important for consciousness). For instance, a future AI   must continuously revisit our policies and perceptions. If
            might be able to generate a verbal report like “I chose action   an AI claims to be conscious or behaves in a way that is
            X because I noticed Y, and that made me uncertain” – a   indistinguishable from a conscious agent, at what point
            capability that blurs the line between simple programmed   do we err on the side of caution and consider granting
            response and genuine self-reflection.              it moral consideration? Some have suggested adopting a
              Interdisciplinary research will be essential in guiding   principle of “reasonable doubt”: If we cannot be certain
            these efforts. Cognitive neuroscience will continue to   that a machine is not conscious, we should treat it gently
            identify the neural signatures and mechanisms associated   – just in case. While we are not yet at that point, these
            with consciousness in the brain (e.g., specific brain   discussions must begin now, so that society is not caught
            rhythms, network dynamics, or anatomical circuits critical   unprepared by the eventual emergence of machines with
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            for awareness). These findings can inform computational   mind-like attributes.  Conversely, we also need to manage
            models: If certain patterns of network connectivity or   public  expectations  and  prevent  misconceptions.  For
            dynamics are necessary for consciousness in biological   example, consumers  might  assume  a  clever  chatbot  is a
            systems, mimicking those in silico could be a step in the   sentient companion when it is not, potentially leading to
            right  direction.  For  example,  if  research  confirms  that   confusion or emotional harm. Clear communication about
            recurrent looping between frontal and sensory cortices is   the  capabilities  and  limitations  of  AI  consciousness  will
            crucial for sustained conscious perception, AI architects   thus remain the responsibility of experts in the field.
            might incorporate similar feedback loops in neural network   The present state of research suggests that artificial
            designs for vision or language. Similarly, philosophical   consciousness, in the rich sense of the term, is still more
            analysis remains crucial to clarify concepts and highlight   of a theoretical construct than a realized technology.
            potential pitfalls. Ongoing debates, such as whether   Contemporary AI aligns with weak AI: Extraordinarily
            consciousness requires a particular substrate (biological   capable in narrow domains, but devoid of inner experience.
            neurons vs. silicon) or whether it might be an emergent   However, the field is steadily laying the groundwork that
            property of any sufficiently complex information system,   may  1  day  support  at  least  the  functional  attributes  of
            will  shape  how  we  interpret  advanced  AI  in  the  future.   consciousness. By drawing on neuroscience to inform
            Some philosophers argue we might need entirely new   AI design (e.g., global workspaces and self-monitoring
            paradigms (for instance, panpsychism or illusionism) to   loops) and by deepening our theoretical understanding
            make sense of consciousness, which could radically affect   of consciousness (e.g., access vs. phenomenal, functional
            how we attempt to implement or recognize it in machines.  correlates of experience), we are inching toward the
              In  terms  of practical  milestones, a  near-term  goal  is   longstanding goal of a conscious machine. Whether that
            likely to be to develop empirical tests or benchmarks   machine will feel anything, or whether we would recognize
            for consciousness-like attributes in AI. These would not   its feelings if it did, remains uncertain. What is clear is that
            claim to detect subjective experience directly (which   this line of inquiry will continue to challenge our scientific
            may be impossible) but rather assess abilities associated   ingenuity  and  our  philosophical openness. The  coming
            with consciousness. For example, tests could evaluate an   years will likely bring machines that blur the line between
            AI’s degree of self-awareness, its flexibility in adapting   programmed behavior and adaptive, self-directed cognition
            global knowledge to novel problems, or its capacity for   even further. How we choose to interpret and interact with
            reporting on internal states. One proposed avenue is a   those machines will be a test of our wisdom, calling for a
            sort of “AI consciousness spectrum” – a set of cognitive   balanced approach that is at once scientifically rigorous,
            competencies (e.g., theory of mind, understanding of self   philosophically informed, and ethically attuned to both the
            versus others, temporal awareness of self) that could be   possibilities and the limits of machine consciousness.
            measured. An AI that scores highly across many of these   Each step forward forces us to refine our understanding
            dimensions could be considered to have a higher degree of   of our own minds, as much as that of machines, reinforcing


            Volume 2 Issue 3 (2025)                         33                               doi: 10.36922/aih.5690
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