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Digitizing Dignity

Analyzing Digital Twins Through the Lens of Multidimensional Human Dignity

Bibliographic Data

ID21504239
AuthorsAndrew J Barnhart (0000-0002-7935-253X, Department of Social Ethics University of Bonn Bonn North Rhine‐Westphalia Germany, corresponding author)
Year2026
Volume40
Issue5
Pages491-498
Publication date2026-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.70045
PMID41174931
OpenAlexW4415760814
LanguageEN
References cited27

In precision medicine, digital twins—virtual models of patients created using personalized data and advanced machine learning—are potentially changing healthcare by predicting health outcomes and guiding medical decisions. However, their use raises complex ethical questions, particularly concerning their relationship to human dignity. Patients often regard dignity as central to their healthcare experience, and failing to incorporate this principle into the design and application of digital twins risks undermining personal autonomy, misusing sensitive data, eroding patient–provider trust, and creating broader ethical challenges. This paper argues that digital twins are not mere data sets or predictive tools, but symbolic extensions of the dignity of the individuals they represent. Using David Kirchhoffer's multidimensional framework of human dignity, this study examines how digital twins engage with both absolute (inherent) and contingent (socially constructed) dimensions of dignity. The analysis begins by exploring the multidimensional concept of human dignity, followed by a discussion of how digital twins embody these dimensions, illustrated through examples such as digital brain twins, posthumous digital representations, and disability contexts. Finally, the paper addresses the ethical implications of these findings, emphasizing the moral responsibilities of researchers, developers, and clinicians to treat digital twins as representations of patient dignity, thereby ensuring these technologies advance healthcare without compromising the fundamental respect owed to every individual

Bioethics · Digital health · Dignity · Health care · Medical ethics · Medical law · Through-the-lens metering · Artificial Intelligence in Healthcare and Education · Ethics and Social Impacts of AI · Patient Dignity and Privacy

  • Dignity is a useless concept

    Open Access•Ruth Macklin•BMJ•2003

  • Characterising the Digital Twin

    Open Access•David Jones, Chris Snider et al.•CIRP Journal of Manufacturing…•2020

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    Open Access•Paul Formosa, Catriona Mackenzie•Ethical Theory and Moral Practice•2014

  • Ethics of digital twins

    Matthias Braun•Journal of Medical Ethics•2022

  • Represent me

    Open Access•Matthias Braun•Journal of Medical Ethics•2021

  • Near-term ethical challenges of digital twins

    Brent Mittelstadt•Journal of Medical Ethics•2021

  • Four Responsibility Gaps with Artificial Intelligence

    Open Access•Filippo Santoni de Sio, Giulio Mecacci•Philosophy & Technology•2021

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    Open Access•Carl Öhman, Luciano Floridi•Nature Human Behaviour•2018

Citation velocityhistorical
Highly citedNo

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