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

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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Publication Details

Journal
Journal of Medical Ethics
Published
2026-02-09
DOI
https://doi.org/10.1136/jme-2026-111733
Primary Topic
Ethics and Social Impacts of AI
Type
article
Field-Weighted Citation Impact
0.00
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article

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

Mark Fenwick, Timo Minssen
Journal of Medical Ethics
Ethics and Social Impacts of AI
article

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

Mark Fenwick, Timo Minssen
article en

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.

Journal of Medical Ethics
University of Copenhagen (DK), Kyushu University (JP), Vilnius University (LT), University of California, San Francisco (US), Vilnius University of Applied Sciences (LT), Capital Region of Denmark (DK), Fukuoka Prefecture Education Center (JP), University of San Francisco (US)
Openalex Percentile: Top 64%
Ethics and Social Impacts of AI
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