Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients

IntroductionWith the rapid advancement of AI replication, virtual memorials, and affective computing technologies, digital mourning has emerged as a prevalent mode of psychological reconstruction for families coping with the loss of terminally ill patients. For family members of cancer patients, who...

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Main Authors: Kun Fu, Chenxi Ye, Zeyu Wang, Miaohui Wu, Zhen Liu, Yuan Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1618169/full
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author Kun Fu
Chenxi Ye
Zeyu Wang
Miaohui Wu
Zhen Liu
Yuan Yuan
author_facet Kun Fu
Chenxi Ye
Zeyu Wang
Miaohui Wu
Zhen Liu
Yuan Yuan
author_sort Kun Fu
collection DOAJ
description IntroductionWith the rapid advancement of AI replication, virtual memorials, and affective computing technologies, digital mourning has emerged as a prevalent mode of psychological reconstruction for families coping with the loss of terminally ill patients. For family members of cancer patients, who often shoulder prolonged caregiving and complex ethical decisions, this process entails not only emotional trauma but also profound ethical dilemmas.MethodsThis study adopts the Unified Theory of Acceptance and Use of Technology (UTAUT) as its analytical framework, further integrating Foucauldian subjectivation theory and emotional-cognitive models. A structural path model was constructed to examine how ethical identification and grief perception influence the acceptance of AI-based digital mourning technologies. A total of 129 valid survey responses were collected and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM).ResultsThe findings indicate that performance expectancy, effort expectancy, social influence, and ethical concern significantly predict users' intention to adopt digital mourning technologies. Additionally, grief perception not only influences adoption intention but also directly affects actual usage behavior.DiscussionThis study highlights that the acceptance of AI-based digital mourning technologies extends beyond instrumental rationality. It is shaped by the interplay of emotional vulnerability and moral tension. The results contribute to a deeper understanding of the ethical and psychological dimensions of posthumous AI applications and provide valuable insights for future human-AI interaction design, digital commemoration systems, and the governance of end-of-life technologies.
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spelling doaj-art-e914985c20de4d639568f7edd8def5f02025-08-20T03:28:58ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-07-01710.3389/fdgth.2025.16181691618169Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patientsKun Fu0Chenxi Ye1Zeyu Wang2Miaohui Wu3Zhen Liu4Yuan Yuan5School of Culture and Creativity, Beijing Normal-Hong Kong Baptist University, Zhuhai, Guangdong, ChinaSchool of Culture and Creativity, Beijing Normal-Hong Kong Baptist University, Zhuhai, Guangdong, ChinaSchool of Culture and Creativity, Beijing Normal-Hong Kong Baptist University, Zhuhai, Guangdong, ChinaFaculty of Philosophy, Zhengzhou University, Zhengzhou, Henan, ChinaSchool of Digital Art and Design, Chengdu Neusoft University, Chengdu, Sichuan, ChinaSchool of Culture and Creativity, Beijing Normal-Hong Kong Baptist University, Zhuhai, Guangdong, ChinaIntroductionWith the rapid advancement of AI replication, virtual memorials, and affective computing technologies, digital mourning has emerged as a prevalent mode of psychological reconstruction for families coping with the loss of terminally ill patients. For family members of cancer patients, who often shoulder prolonged caregiving and complex ethical decisions, this process entails not only emotional trauma but also profound ethical dilemmas.MethodsThis study adopts the Unified Theory of Acceptance and Use of Technology (UTAUT) as its analytical framework, further integrating Foucauldian subjectivation theory and emotional-cognitive models. A structural path model was constructed to examine how ethical identification and grief perception influence the acceptance of AI-based digital mourning technologies. A total of 129 valid survey responses were collected and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM).ResultsThe findings indicate that performance expectancy, effort expectancy, social influence, and ethical concern significantly predict users' intention to adopt digital mourning technologies. Additionally, grief perception not only influences adoption intention but also directly affects actual usage behavior.DiscussionThis study highlights that the acceptance of AI-based digital mourning technologies extends beyond instrumental rationality. It is shaped by the interplay of emotional vulnerability and moral tension. The results contribute to a deeper understanding of the ethical and psychological dimensions of posthumous AI applications and provide valuable insights for future human-AI interaction design, digital commemoration systems, and the governance of end-of-life technologies.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1618169/fullAI digital mourningUTAUT modelethical concerns in AIperception of griefemprical study
spellingShingle Kun Fu
Chenxi Ye
Zeyu Wang
Miaohui Wu
Zhen Liu
Yuan Yuan
Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients
Frontiers in Digital Health
AI digital mourning
UTAUT model
ethical concerns in AI
perception of grief
emprical study
title Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients
title_full Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients
title_fullStr Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients
title_full_unstemmed Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients
title_short Ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of AI: an empirical study on the acceptance intentions of bereaved family members of cancer patients
title_sort ethical dilemmas and the reconstruction of subjectivity in digital mourning in the age of ai an empirical study on the acceptance intentions of bereaved family members of cancer patients
topic AI digital mourning
UTAUT model
ethical concerns in AI
perception of grief
emprical study
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1618169/full
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