Brain-computer interfaces, disability, and the stigma of refusal: A factorial vignette study

Public Underst Sci. 2023 May;32(4):522-542. doi: 10.1177/09636625221141663. Epub 2023 Jan 12.

Abstract

As brain-computer interfaces are promoted as assistive devices, some researchers worry that this promise to "restore" individuals worsens stigma toward disabled people and fosters unrealistic expectations. In three web-based survey experiments with vignettes, we tested how refusing a brain-computer interface in the context of disability affects cognitive (blame), emotional (anger), and behavioral (coercion) stigmatizing attitudes (Experiment 1, N = 222) and whether the effect of a refusal is affected by the level of brain-computer interface functioning (Experiment 2, N = 620) or the risk of malfunctioning (Experiment 3, N = 620). We found that refusing a brain-computer interface increased blame and anger, while brain-computer interface functioning did change the effect of a refusal. Higher risks of device malfunctioning partially reduced stigmatizing attitudes and moderated the effect of refusal. This suggests that information about disabled people who refuse a technology can increase stigma toward them. This finding has serious implications for brain-computer interface regulation, media coverage, and the prevention of ableism.

Keywords: brain-computer interfaces; disability; factorial survey experiment; public attitudes; stigma.

MeSH terms

  • Attitude
  • Brain-Computer Interfaces*
  • Emotions
  • Humans
  • Social Stigma
  • Technology