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February 11, 2026Journal of Medical Ethics0 citations

From AI SIM to AI twinning: a spectrum of digital representations of persons

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MFMark FenwickDLDaryl LimTMTimo Minssen

Key Points

  • The aim is to explore the terminology and concepts surrounding digital representations of individuals.
  • Proposes a spectrum from imitation to replication for digital representations.
  • Discusses conceptual and ethical implications of AI systems imitating individuals.
  • Emphasizes the necessity for adaptive governance in AI and data.
  • Defines AI Simulation of an Individual Mind (AI SIM) for clarity.
  • Highlights the dynamic nature of digital technologies and their ethical considerations.
  • Calls for a nuanced approach to governing digital representations.

Abstract

Voinea, Porsdam Mann and Earp’s article, ‘Digital Twins or AI SIMs?’, clarifies the terminology surrounding generative artificial intelligence (AI) systems that imitate individuals, proposing the concept of AI Simulation of an Individual Mind (AI SIM) to provide conceptual and ethical clarity. Building on this contribution, this commentary frames digital representations of individuals along a dynamic spectrum—from imitation, simulation, emulation to replication—that captures increasing technological sophistication and ethical complexity. Rather than offering a static taxonomy, this spectrum emphasises contextual nuance and adaptive, human-centric data and AI governance. While AI SIMs describe what these systems are, a spectrum-oriented approach helps illuminate what they may become and how they should be governed.

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Cite This Study

Fenwick et al. (2026) studied this question.

synapsesocial.com/papers/698c1c8e267fb587c655f162https://doi.org/10.1136/jme-2026-111733
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