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Sunday, March 31, 2024

Transcranial magnetic stimulation

From Wikipedia, the free encyclopedia
 
Transcranial magnetic stimulation
Transcranial magnetic stimulation (schematic diagram)

Transcranial magnetic stimulation (TMS) is a noninvasive form of brain stimulation in which a changing magnetic field is used to induce an electric current at a specific area of the brain through electromagnetic induction. An electric pulse generator, or stimulator, is connected to a magnetic coil connected to the scalp. The stimulator generates a changing electric current within the coil which creates a varying magnetic field, inducing a current within a region in the brain itself.

TMS has shown diagnostic and therapeutic potential in the central nervous system with a wide variety of disease states in neurology and mental health, with research still evolving.

Adverse effects of TMS appear rare and include fainting and seizure. Other potential issues include discomfort, pain, hypomania, cognitive change, hearing loss, and inadvertent current induction in implanted devices such as pacemakers or defibrillators.

Medical uses

A magnetic coil is positioned on the patient's head.

TMS does not require surgery or electrode implantation.

Its use can be diagnostic and/or therapeutic. Effects vary based on frequency and intensity of the magnetic pulses as well as the length of treatment, which dictates the total number of pulses given. TMS treatments are approved by the FDA in the US and by NICE in the UK for the treatment of depression and are predominantly provided by private clinics. TMS stimulates cortical tissue without the pain sensations produced in transcranial electrical stimulation.

Diagnosis

TMS can be used clinically to measure activity and function of specific brain circuits in humans, most commonly with single or paired magnetic pulses. The most widely accepted use is in measuring the connection between the primary motor cortex of the central nervous system and the peripheral nervous system to evaluate damage related to past or progressive neurologic insult. TMS has utility as a diagnostic instrument for myelopathy, amyotrophic lateral sclerosis, and multiple sclerosis.

Treatment

Repetitive high frequency TMS (rTMS) has been investigated as a possible treatment option with various degrees of success in conditions including

Adverse effects

Although TMS is generally regarded as safe, risks are increased for therapeutic rTMS compared to single or paired diagnostic TMS. Adverse effects generally increase with higher frequency stimulation.

The greatest immediate risk from TMS is fainting, though this is uncommon. Seizures have been reported, but are rare. Other adverse effects include short term discomfort, pain, brief episodes of hypomania, cognitive change, hearing loss, impaired working memory, and the induction of electrical currents in implanted devices such as cardiac pacemakers.

Procedure

During the procedure, a magnetic coil is positioned at the head of the person receiving the treatment using anatomical landmarks on the skull, in particular the inion and nasion. The coil is then connected to a pulse generator, or stimulator, that delivers electric current to the coil.

Physics

TMS – butterfly coils

TMS uses electromagnetic induction to generate an electric current across the scalp and skull. A plastic-enclosed coil of wire is held next to the skull and when activated, produces a varying magnetic field oriented orthogonally to the plane of the coil. The changing magnetic field then induces an electric current in the brain that activates nearby nerve cells in a manner similar to a current applied superficially at the cortical surface.

The magnetic field is about the same strength as magnetic resonance imaging (MRI), and the pulse generally reaches no more than 5 centimeters into the brain unless using a modified coil and technique for deeper stimulation.

Transcranial magnetic stimulation is achieved by quickly discharging current from a large capacitor into a coil to produce pulsed magnetic fields between 2 and 3 teslas in strength. Directing the magnetic field pulse at a targeted area in the brain causes a localized electrical current which can then either depolarize or hyperpolarize neurons at that site. The induced electric field inside the brain tissue causes a change in transmembrane potentials resulting in depolarization or hyperpolarization of neurons, causing them to be more or less excitable, respectively.

TMS usually stimulates to a depth from 2 to 4 cm below the surface, depending on the coil and intensity used. Consequently, only superficial brain areas can be affected. Deep TMS can reach up to 6 cm into the brain to stimulate deeper layers of the motor cortex, such as that which controls leg motion. The path of this current can be difficult to model because the brain is irregularly shaped with variable internal density and water content, leading to a nonuniform magnetic field strength and conduction throughout its tissues.

Frequency and duration

The effects of TMS can be divided based on frequency, duration and intensity (amplitude) of stimulation:

  • Single or paired pulse TMS causes neurons in the neocortex under the site of stimulation to depolarize and discharge an action potential. If used in the primary motor cortex, it produces muscle activity referred to as a motor evoked potential (MEP) which can be recorded on electromyography. If used on the occipital cortex, 'phosphenes' (flashes of light) might be perceived by the subject. In most other areas of the cortex, there is no conscious effect, but behaviour may be altered (e.g., slower reaction time on a cognitive task), or changes in brain activity may be detected using diagnostic equipment.
  • Repetitive TMS produces longer-lasting effects which persist past the period of stimulation. rTMS can increase or decrease the excitability of the corticospinal tract depending on the intensity of stimulation, coil orientation, and frequency. Low frequency rTMS with a stimulus frequency less than 1 Hz is believed to inhibit cortical firing while a stimulus frequency greater than 1 Hz, or high frequency, is believed to provoke it. Though its mechanism is not clear, it has been suggested as being due to a change in synaptic efficacy related to long-term potentiation (LTP) and long-term depression like plasticity (LTD-like plasticity).

Coil types

Most devices use a coil shaped like a figure-eight to deliver a shallow magnetic field that affects more superficial neurons in the brain. Differences in magnetic coil design are considered when comparing results, with important elements including the type of material, geometry and specific characteristics of the associated magnetic pulse.

The core material may be either a magnetically inert substrate ('air core'), or a solid, ferromagnetically active material ('solid core'). Solid cores result in more efficient transfer of electrical energy to a magnetic field and reduce energy loss to heat, and so can be operated with the higher volume of therapy protocols without interruption due to overheating. Varying the geometric shape of the coil itself can cause variations in focality, shape, and depth of penetration. Differences in coil material and its power supply also affect magnetic pulse width and duration.

A number of different types of coils exist, each of which produce different magnetic fields. The round coil is the original used in TMS. Later, the figure-eight (butterfly) coil was developed to provide a more focal pattern of activation in the brain, and the four-leaf coil for focal stimulation of peripheral nerves. The double-cone coil conforms more to the shape of the head. The Hesed (H-core), circular crown and double cone coils allow more widespread activation and a deeper magnetic penetration. They are supposed to impact deeper areas in the motor cortex and cerebellum controlling the legs and pelvic floor, for example, though the increased depth comes at the cost of a less focused magnetic pulse.

History

Luigi Galvani (1737–1798) undertook research on the effects of electricity on the body in the late-eighteenth century and laid the foundations for the field of electrophysiology. In the 1830s Michael Faraday (1791–1867) discovered that an electrical current had a corresponding magnetic field, and that changing one could induce its counterpart.

Work to directly stimulate the human brain with electricity started in the late 1800s, and by the 1930s the Italian physicians Cerletti and Bini had developed electroconvulsive therapy (ECT).[37] ECT became widely used to treat mental illness, and ultimately overused, as it began to be seen as a panacea. This led to a backlash in the 1970s.

In 1980 Merton and Morton successfully used transcranial electrical stimulation (TES) to stimulate the motor cortex. However, this process was very uncomfortable, and subsequently Anthony T. Barker began to search for an alternative to TES. He began exploring the use of magnetic fields to alter electrical signaling within the brain, and the first stable TMS devices were developed in 1985. They were originally intended as diagnostic and research devices, with evaluation of their therapeutic potential being a later development. The United States' FDA first approved TMS devices in October 2008.

Research

TMS has shown potential therapeutic effect on neurologic conditions such as mild to moderate Alzheimer's disease, amyotrophic lateral sclerosis, persistent vegetative states, epilepsy, stroke related  tinnitus, multilple sclerosis, schizophrenia, and traumatic brain injury.

With Parkinson's disease, early results suggest that low frequency stimulation may have an effect on medication associated dyskinesia, and that high frequency stimulation improves motor function. The most effective treatment protocols appear to involve high frequency stimulation of the motor cortex, particularly on the dominant side, but with more variable results for treatment of the dorsolateral prefrontal cortex. It is less effective than electroconvulsive therapy for motor symptoms, though both appear to have utility. Cerebellar stimulation has also shown potential for the treatment of levodopa associated dyskinesia.

In psychiatry, it has shown potential with anxiety disorders, including panic disorder and obsessive–compulsive disorder (OCD). The most promising areas to target for OCD appear to be the orbitofrontal cortex and the supplementary motor area. Older protocols that targeted the prefrontal dorsal cortex were less successful. It has also been studied with autism, substance abuse, addiction, and post-traumatic stress disorder (PTSD). For treatment-resistant major depressive disorder, high-frequency (HF) rTMS of the left dorsolateral prefrontal cortex (DLPFC) appears effective and low-frequency (LF) rTMS of the right DLPFC has probable efficacy. Research on the efficacy of rTMS in non-treatment-resistant depression is limited.

TMS can also be used to map functional connectivity between the cerebellum and other areas of the brain.

A study on alternative Alzheimer's treatments at the Wahrendorff Clinic in Germany in 2021 reported that 84% of participants in the study have experienced positive effects after using the treatment.

Under the supervision of Professor Marc Ziegenbein, a psychiatry and psychotherapy specialist, the study of 77 subjects with mild to moderate Alzheimer's disease received frequent transcranial magnetic stimulation applications and observed over a period of time.

Improvements were mainly found in the areas of orientation in the environment, concentration, general well-being and satisfaction.

Study blinding

Mimicking the physical discomfort of TMS with placebo to discern its true effect is a challenging issue in research. It is difficult to establish a convincing placebo for TMS during controlled trials in conscious individuals due to the neck pain, headache and twitching in the scalp or upper face associated with the intervention. In addition, placebo manipulations can affect brain sugar metabolism and MEPs, which may confound results. This problem is exacerbated when using subjective measures of improvement. Placebo responses in trials of rTMS in major depression are negatively associated with refractoriness to treatment.

A 2011 review found that most studies did not report unblinding. In the minority that did, participants in real and sham rTMS groups were not significantly different in their ability to correctly guess their therapy, though there was a trend for participants in the real group to more often guess correctly.

Animal model limitations

TMS research in animal studies is limited due to its early US Food and Drug Administration approval for treatment-resistant depression, limiting development of animal specific magnetic coils.

Treatments for the general public

Regulatory approvals

Neurosurgery planning

Nexstim obtained United States Federal Food, Drug, and Cosmetic Act§Section 510(k) clearance for the assessment of the primary motor cortex for pre-procedural planning in December 2009 and for neurosurgical planning in June 2011.

Depression

The National Institutes of Health estimates depression medications work for 60 percent to 70 percent of people who take them. TMS is approved as a Class II medical device under the "de novo pathway". In addition, the World Health Organization reports that the number of people living with depression has increased nearly 20 percent since 2005. In a 2012 study, TMS was found to improve depression significantly in 58 percent of patients and provide complete remission of symptoms in 37 percent of patients. In 2002, Cochrane Library reviewed randomized controlled trials using TMS to treat depression. The review did not find a difference between rTMS and sham TMS, except for a period 2 weeks after treatment. In 2018, Cochrane Library stated a plan to contact authors about updating the review of rTMS for depression.

Obsessive–compulsive disorder (OCD)

In August 2018, the US Food and Drug Administration (US FDA) authorized the use of TMS developed by the Israeli company Brainsway in the treatment of obsessive–compulsive disorder (OCD).

In 2020, US FDA authorized the use of TMS developed by the U.S. company MagVenture Inc. in the treatment of OCD.

In 2023, US FDA authorized the use of TMS developed by the U.S. company Neuronetics Inc. in the treatment of OCD.

Other neurological areas

In the European Economic Area, various versions of Deep TMS H-coils have CE marking for Alzheimer's disease, autism, bipolar disorder, epilepsy, chronic pain, major depressive disorder, Parkinson's disease, post-traumatic stress disorder (PTSD), schizophrenia (negative symptoms) and to aid smoking cessation. One review found tentative benefit for cognitive enhancement in healthy people.

Coverage by health services and insurers

United Kingdom

The United Kingdom's National Institute for Health and Care Excellence (NICE) issues guidance to the National Health Service (NHS) in England, Wales, Scotland and Northern Ireland (UK). NICE guidance does not cover whether or not the NHS should fund a procedure. Local NHS bodies (primary care trusts and hospital trusts) make decisions about funding after considering the clinical effectiveness of the procedure and whether the procedure represents value for money for the NHS.

NICE evaluated TMS for severe depression (IPG 242) in 2007, and subsequently considered TMS for reassessment in January 2011 but did not change its evaluation. The Institute found that TMS is safe, but there is insufficient evidence for its efficacy.

In January 2014, NICE reported the results of an evaluation of TMS for treating and preventing migraine (IPG 477). NICE found that short-term TMS is safe but there is insufficient evidence to evaluate safety for long-term and frequent uses. It found that evidence on the efficacy of TMS for the treatment of migraine is limited in quantity, that evidence for the prevention of migraine is limited in both quality and quantity.

Subsequently, in 2015, NICE approved the use of TMS for the treatment of depression in the UK and IPG542 replaced IPG242. NICE said "The evidence on repetitive transcranial magnetic stimulation for depression shows no major safety concerns. The evidence on its efficacy in the short-term is adequate, although the clinical response is variable. Repetitive transcranial magnetic stimulation for depression may be used with normal arrangements for clinical governance and audit."

United States: commercial health insurance

In 2013, several commercial health insurance plans in the United States, including Anthem, Health Net, and Blue Cross Blue Shield of Nebraska and of Rhode Island, covered TMS for the treatment of depression for the first time. In contrast, UnitedHealthcare issued a medical policy for TMS in 2013 that stated there is insufficient evidence that the procedure is beneficial for health outcomes in patients with depression. UnitedHealthcare noted that methodological concerns raised about the scientific evidence studying TMS for depression include small sample size, lack of a validated sham comparison in randomized controlled studies, and variable uses of outcome measures. Other commercial insurance plans whose 2013 medical coverage policies stated that the role of TMS in the treatment of depression and other disorders had not been clearly established or remained investigational included Aetna, Cigna and Regence.

United States: Medicare

Policies for Medicare coverage vary among local jurisdictions within the Medicare system, and Medicare coverage for TMS has varied among jurisdictions and with time. For example:

  • In early 2012 in New England, Medicare covered TMS for the first time in the United States. However, that jurisdiction later decided to end coverage after October, 2013.
  • In August 2012, the jurisdiction covering Arkansas, Louisiana, Mississippi, Colorado, Texas, Oklahoma, and New Mexico determined that there was insufficient evidence to cover the treatment, but the same jurisdiction subsequently determined that Medicare would cover TMS for the treatment of depression after December 2013.
  • Subsequently, some other Medicare jurisdictions added Medicare coverage for depression.

Saturday, March 30, 2024

Turing test

From Wikipedia, the free encyclopedia
The "standard interpretation" of the Turing test, in which player C, the interrogator, is given the task of trying to determine which player – A or B – is a computer and which is a human. The interrogator is limited to using the responses to written questions to make the determination.

The Turing test, originally called the imitation game by Alan Turing in 1950, is a test of a machine's ability to exhibit intelligent behaviour equivalent to, or indistinguishable from, that of a human. Turing proposed that a human evaluator would judge natural language conversations between a human and a machine designed to generate human-like responses. The evaluator would be aware that one of the two partners in conversation was a machine, and all participants would be separated from one another. The conversation would be limited to a text-only channel, such as a computer keyboard and screen, so the result would not depend on the machine's ability to render words as speech. If the evaluator could not reliably tell the machine from the human, the machine would be said to have passed the test. The test results would not depend on the machine's ability to give correct answers to questions, only on how closely its answers resembled those a human would give. Since the Turing test is a test of indistinguishability in performance capacity, the verbal version generalizes naturally to all of human performance capacity, verbal as well as nonverbal (robotic).

The test was introduced by Turing in his 1950 paper "Computing Machinery and Intelligence" while working at the University of Manchester. It opens with the words: "I propose to consider the question, 'Can machines think?'" Because "thinking" is difficult to define, Turing chooses to "replace the question by another, which is closely related to it and is expressed in relatively unambiguous words." Turing describes the new form of the problem in terms of a three-person game called the "imitation game", in which an interrogator asks questions of a man and a woman in another room in order to determine the correct sex of the two players. Turing's new question is: "Are there imaginable digital computers which would do well in the imitation game?" This question, Turing believed, was one that could actually be answered. In the remainder of the paper, he argued against all the major objections to the proposition that "machines can think".

Since Turing introduced his test, it has been both highly influential and widely criticized, and has become an important concept in the philosophy of artificial intelligence. Philosopher John Searle would comment on the Turing test in his Chinese room argument, a thought experiment that stipulates that a machine cannot have a "mind", "understanding", or "consciousness", regardless of how intelligently or human-like the program may make the computer behave. Searle criticizes Turing's test and claims it is insufficient to detect the presence of consciousness. Searle goes on to dispute the notion that the mind (mental cognition) can exist outside of the body, a belief known as Cartesian dualism.

History

Philosophical background

The question of whether it is possible for machines to think has a long history, which is firmly entrenched in the distinction between dualist and materialist views of the mind. René Descartes prefigures aspects of the Turing test in his 1637 Discourse on the Method when he writes:

[H]ow many different automata or moving machines could be made by the industry of man ... For we can easily understand a machine's being constituted so that it can utter words, and even emit some responses to action on it of a corporeal kind, which brings about a change in its organs; for instance, if touched in a particular part it may ask what we wish to say to it; if in another part it may exclaim that it is being hurt, and so on. But it never happens that it arranges its speech in various ways, in order to reply appropriately to everything that may be said in its presence, as even the lowest type of man can do.

Here Descartes notes that automata are capable of responding to human interactions but argues that such automata cannot respond appropriately to things said in their presence in the way that any human can. Descartes therefore prefigures the Turing test by defining the insufficiency of appropriate linguistic response as that which separates the human from the automaton. Descartes fails to consider the possibility that future automata might be able to overcome such insufficiency, and so does not propose the Turing test as such, even if he prefigures its conceptual framework and criterion.

Denis Diderot formulates in his 1746 book Pensées philosophiques a Turing-test criterion, though with the important implicit limiting assumption maintained, of the participants being natural living beings, rather than considering created artifacts:

If they find a parrot who could answer to everything, I would claim it to be an intelligent being without hesitation.

This does not mean he agrees with this, but that it was already a common argument of materialists at that time.

According to dualism, the mind is non-physical (or, at the very least, has non-physical properties) and, therefore, cannot be explained in purely physical terms. According to materialism, the mind can be explained physically, which leaves open the possibility of minds that are produced artificially.

In 1936, philosopher Alfred Ayer considered the standard philosophical question of other minds: how do we know that other people have the same conscious experiences that we do? In his book, Language, Truth and Logic, Ayer suggested a protocol to distinguish between a conscious man and an unconscious machine: "The only ground I can have for asserting that an object which appears to be conscious is not really a conscious being, but only a dummy or a machine, is that it fails to satisfy one of the empirical tests by which the presence or absence of consciousness is determined." (This suggestion is very similar to the Turing test, but it is not certain that Ayer's popular philosophical classic was familiar to Turing.) In other words, a thing is not conscious if it fails the consciousness test.

Cultural background

Tests where a human judges whether a computer or an alien is intelligent were an established convention in science fiction by the 1940s, and it is likely that Turing would have been aware of these. Stanley G. Weinbaum's "A Martian Odyssey" (1934) provides an example of how nuanced such tests could be.

Earlier examples of machines or automatons attempting to pass as human include the Ancient Greek myth of Pygmalion who creates a sculpture of a woman that is animated by Aphrodite, Carlo Collodi's novel The Adventures of Pinocchio, about a puppet who wants to become a real boy, and E. T. A. Hoffmann's 1816 story "The Sandman", where the protagonist falls in love with an automaton. In all these examples, people are fooled by artificial beings that - up to a point - pass as human.

Alan Turing and the Imitation Game

Researchers in the United Kingdom had been exploring "machine intelligence" for up to ten years prior to the founding of the field of artificial intelligence (AI) research in 1956. It was a common topic among the members of the Ratio Club, an informal group of British cybernetics and electronics researchers that included Alan Turing.

Turing, in particular, had been running the notion of machine intelligence since at least 1941 and one of the earliest-known mentions of "computer intelligence" was made by him in 1947. In Turing's report, "Intelligent Machinery", he investigated "the question of whether or not it is possible for machinery to show intelligent behaviour" and, as part of that investigation, proposed what may be considered the forerunner to his later tests:

It is not difficult to devise a paper machine which will play a not very bad game of chess. Now get three men A, B and C as subjects for the experiment. A and C are to be rather poor chess players, B is the operator who works the paper machine. ... Two rooms are used with some arrangement for communicating moves, and a game is played between C and either A or the paper machine. C may find it quite difficult to tell which he is playing.

"Computing Machinery and Intelligence" (1950) was the first published paper by Turing to focus exclusively on machine intelligence. Turing begins the 1950 paper with the claim, "I propose to consider the question 'Can machines think?'" As he highlights, the traditional approach to such a question is to start with definitions, defining both the terms "machine" and "think". Turing chooses not to do so; instead he replaces the question with a new one, "which is closely related to it and is expressed in relatively unambiguous words." In essence he proposes to change the question from "Can machines think?" to "Can machines do what we (as thinking entities) can do?" The advantage of the new question, Turing argues, is that it draws "a fairly sharp line between the physical and intellectual capacities of a man."

To demonstrate this approach Turing proposes a test inspired by a party game, known as the "imitation game", in which a man and a woman go into separate rooms and guests try to tell them apart by writing a series of questions and reading the typewritten answers sent back. In this game, both the man and the woman aim to convince the guests that they are the other. (Huma Shah argues that this two-human version of the game was presented by Turing only to introduce the reader to the machine-human question-answer test.) Turing described his new version of the game as follows:

We now ask the question, "What will happen when a machine takes the part of A in this game?" Will the interrogator decide wrongly as often when the game is played like this as he does when the game is played between a man and a woman? These questions replace our original, "Can machines think?"

Later in the paper, Turing suggests an "equivalent" alternative formulation involving a judge conversing only with a computer and a man. While neither of these formulations precisely matches the version of the Turing test that is more generally known today, he proposed a third in 1952. In this version, which Turing discussed in a BBC radio broadcast, a jury asks questions of a computer and the role of the computer is to make a significant proportion of the jury believe that it is really a man.

Turing's paper considered nine putative objections, which include some of the major arguments against artificial intelligence that have been raised in the years since the paper was published (see "Computing Machinery and Intelligence").

ELIZA and PARRY

In 1966, Joseph Weizenbaum created a program which appeared to pass the Turing test. The program, known as ELIZA, worked by examining a user's typed comments for keywords. If a keyword is found, a rule that transforms the user's comments is applied, and the resulting sentence is returned. If a keyword is not found, ELIZA responds either with a generic riposte or by repeating one of the earlier comments. In addition, Weizenbaum developed ELIZA to replicate the behaviour of a Rogerian psychotherapist, allowing ELIZA to be "free to assume the pose of knowing almost nothing of the real world." With these techniques, Weizenbaum's program was able to fool some people into believing that they were talking to a real person, with some subjects being "very hard to convince that ELIZA [...] is not human." Thus, ELIZA is claimed by some to be one of the programs (perhaps the first) able to pass the Turing test, even though this view is highly contentious (see Naïveté of interrogators below).

Kenneth Colby created PARRY in 1972, a program described as "ELIZA with attitude". It attempted to model the behaviour of a paranoid schizophrenic, using a similar (if more advanced) approach to that employed by Weizenbaum. To validate the work, PARRY was tested in the early 1970s using a variation of the Turing test. A group of experienced psychiatrists analysed a combination of real patients and computers running PARRY through teleprinters. Another group of 33 psychiatrists were shown transcripts of the conversations. The two groups were then asked to identify which of the "patients" were human and which were computer programs. The psychiatrists were able to make the correct identification only 52 percent of the time – a figure consistent with random guessing.

In the 21st century, versions of these programs (now known as "chatbots") continue to fool people. "CyberLover", a malware program, preys on Internet users by convincing them to "reveal information about their identities or to lead them to visit a web site that will deliver malicious content to their computers". The program has emerged as a "Valentine-risk" flirting with people "seeking relationships online in order to collect their personal data".

The Chinese room

John Searle's 1980 paper Minds, Brains, and Programs proposed the "Chinese room" thought experiment and argued that the Turing test could not be used to determine if a machine could think. Searle noted that software (such as ELIZA) could pass the Turing test simply by manipulating symbols of which they had no understanding. Without understanding, they could not be described as "thinking" in the same sense people did. Therefore, Searle concluded, the Turing test could not prove that machines could think. Much like the Turing test itself, Searle's argument has been both widely criticised and endorsed.

Arguments such as Searle's and others working on the philosophy of mind sparked off a more intense debate about the nature of intelligence, the possibility of machines with a conscious mind and the value of the Turing test that continued through the 1980s and 1990s.

Loebner Prize

The Loebner Prize provides an annual platform for practical Turing tests with the first competition held in November 1991. It is underwritten by Hugh Loebner. The Cambridge Center for Behavioral Studies in Massachusetts, United States, organised the prizes up to and including the 2003 contest. As Loebner described it, one reason the competition was created is to advance the state of AI research, at least in part, because no one had taken steps to implement the Turing test despite 40 years of discussing it.

The first Loebner Prize competition in 1991 led to a renewed discussion of the viability of the Turing test and the value of pursuing it, in both the popular press and academia. The first contest was won by a mindless program with no identifiable intelligence that managed to fool naïve interrogators into making the wrong identification. This highlighted several of the shortcomings of the Turing test (discussed below): The winner won, at least in part, because it was able to "imitate human typing errors"; the unsophisticated interrogators were easily fooled; and some researchers in AI have been led to feel that the test is merely a distraction from more fruitful research.

The silver (text only) and gold (audio and visual) prizes have never been won. However, the competition has awarded the bronze medal every year for the computer system that, in the judges' opinions, demonstrates the "most human" conversational behaviour among that year's entries. Artificial Linguistic Internet Computer Entity (A.L.I.C.E.) has won the bronze award on three occasions in recent times (2000, 2001, 2004). Learning AI Jabberwacky won in 2005 and 2006.

The Loebner Prize tests conversational intelligence; winners are typically chatterbot programs, or Artificial Conversational Entities (ACE)s. Early Loebner Prize rules restricted conversations: Each entry and hidden-human conversed on a single topic, thus the interrogators were restricted to one line of questioning per entity interaction. The restricted conversation rule was lifted for the 1995 Loebner Prize. Interaction duration between judge and entity has varied in Loebner Prizes. In Loebner 2003, at the University of Surrey, each interrogator was allowed five minutes to interact with an entity, machine or hidden-human. Between 2004 and 2007, the interaction time allowed in Loebner Prizes was more than twenty minutes.

Google LaMDA chatbot

In June 2022 the Google LaMDA (Language Model for Dialog Applications) chatbot received widespread coverage regarding claims about it having achieved sentience. Initially in an article in The Economist Google Research Fellow Blaise Agüera y Arcas said the chatbot had demonstrated a degree of understanding of social relationships. Several days later, Google engineer Blake Lemoine claimed in an interview with the Washington Post that LaMDA had achieved sentience. Lemoine had been placed on leave by Google for internal assertions to this effect. Agüera y Arcas (a Google Vice President) and Jen Gennai (head of Responsible Innovation) had investigated the claims but dismissed them. Lemoine's assertion was roundly rejected by other experts in the field, pointing out that a language model appearing to mimic human conversation does not indicate that any intelligence is present behind it, despite seeming to pass the Turing test. Widespread discussion from proponents for and against the claim that LaMDA has reached sentience has sparked discussion across social-media platforms, to include defining the meaning of sentience as well as what it means to be human.

ChatGPT

OpenAI's chatbot, ChatGPT, released in November 2022, is based on GPT-3.5 and GPT-4 large language models. Celeste Biever wrote in a Nature article that "ChatGPT broke the Turing test". Stanford researchers reported that ChatGPT passes the test; they found that ChatGPT-4 "passes a rigorous Turing test, diverging from average human behavior chiefly to be more cooperative."

Versions

The imitation game, as described by Alan Turing in "Computing Machinery and Intelligence". Player C, through a series of written questions, attempts to determine which of the other two players is a man, and which of the two is the woman. Player A, the man, tries to trick player C into making the wrong decision, while player B tries to help player C. Figure adapted from Saygin, 2000.

Saul Traiger argues that there are at least three primary versions of the Turing test, two of which are offered in "Computing Machinery and Intelligence" and one that he describes as the "Standard Interpretation". While there is some debate regarding whether the "Standard Interpretation" is that described by Turing or, instead, based on a misreading of his paper, these three versions are not regarded as equivalent, and their strengths and weaknesses are distinct.

Turing's original article describes a simple party game involving three players. Player A is a man, player B is a woman and player C (who plays the role of the interrogator) is of either gender. In the imitation game, player C is unable to see either player A or player B, and can communicate with them only through written notes. By asking questions of player A and player B, player C tries to determine which of the two is the man and which is the woman. Player A's role is to trick the interrogator into making the wrong decision, while player B attempts to assist the interrogator in making the right one.

Turing then asks:

"What will happen when a machine takes the part of A in this game? Will the interrogator decide wrongly as often when the game is played like this as he does when the game is played between a man and a woman?" These questions replace our original, "Can machines think?"

The original imitation game test, in which the player A is replaced with a computer. The computer is now charged with the role of the man, while player B continues to attempt to assist the interrogator. Figure adapted from Saygin, 2000.

The second version appeared later in Turing's 1950 paper. Similar to the original imitation game test, the role of player A is performed by a computer. However, the role of player B is performed by a man rather than a woman.

Let us fix our attention on one particular digital computer C. Is it true that by modifying this computer to have an adequate storage, suitably increasing its speed of action, and providing it with an appropriate programme, C can be made to play satisfactorily the part of A in the imitation game, the part of B being taken by a man?

In this version, both player A (the computer) and player B are trying to trick the interrogator into making an incorrect decision.

The standard interpretation is not included in the original paper, but is both accepted and debated. Common understanding has it that the purpose of the Turing test is not specifically to determine whether a computer is able to fool an interrogator into believing that it is a human, but rather whether a computer could imitate a human. While there is some dispute whether this interpretation was intended by Turing, Sterrett believes that it was and thus conflates the second version with this one, while others, such as Traiger, do not – this has nevertheless led to what can be viewed as the "standard interpretation". In this version, player A is a computer and player B a person of either sex. The role of the interrogator is not to determine which is male and which is female, but which is a computer and which is a human. The fundamental issue with the standard interpretation is that the interrogator cannot differentiate which responder is human, and which is machine. There are issues about duration, but the standard interpretation generally considers this limitation as something that should be reasonable.

Interpretations

Controversy has arisen over which of the alternative formulations of the test Turing intended. Sterrett argues that two distinct tests can be extracted from his 1950 paper and that, pace Turing's remark, they are not equivalent. The test that employs the party game and compares frequencies of success is referred to as the "Original Imitation Game Test", whereas the test consisting of a human judge conversing with a human and a machine is referred to as the "Standard Turing Test", noting that Sterrett equates this with the "standard interpretation" rather than the second version of the imitation game. Sterrett agrees that the standard Turing test (STT) has the problems that its critics cite but feels that, in contrast, the original imitation game test (OIG test) so defined is immune to many of them, due to a crucial difference: Unlike the STT, it does not make similarity to human performance the criterion, even though it employs human performance in setting a criterion for machine intelligence. A man can fail the OIG test, but it is argued that it is a virtue of a test of intelligence that failure indicates a lack of resourcefulness: The OIG test requires the resourcefulness associated with intelligence and not merely "simulation of human conversational behaviour". The general structure of the OIG test could even be used with non-verbal versions of imitation games.

According to Huma Shah, Turing himself was concerned with whether a machine could think and was providing a simple method to examine this: through human-machine question-answer sessions. Shah argues the imitation game which Turing described could be practicalized in two different ways: a) one-to-one interrogator-machine test, and b) simultaneous comparison of a machine with a human, both questioned in parallel by an interrogator.

Still other writers have interpreted Turing as proposing that the imitation game itself is the test, without specifying how to take into account Turing's statement that the test that he proposed using the party version of the imitation game is based upon a criterion of comparative frequency of success in that imitation game, rather than a capacity to succeed at one round of the game.

Some writers argue that the imitation game is best understood by its social aspects. In his 1948 paper, Turing refers to intelligence as an "emotional concept", and notes that

The extent to which we regard something as behaving in an intelligent manner is determined as much by our own state of mind and training as by the properties of the object under consideration. If we are able to explain and predict its behaviour or if there seems to be little underlying plan, we have little temptation to imagine intelligence. With the same object therefore it is possible that one man would consider it as intelligent and another would not; the second man would have found out the rules of its behaviour.

Following this remark and similar ones scattered throughout Turing's publications, Diane Proudfoot claims that Turing held a response-dependence approach to intelligence, according to which an intelligent (or thinking) entity is one that appears intelligent to an average interrogator. Bernardo Gonçalves shows that although Turing used the rhetoric of introducing his test as a sort of crucial experiment to decide whether machines can be said to think, the actual presentation of his test satisfies well-known properties of thought experiments in the modern scientific tradition of Galileo. Shlomo Danziger promotes a socio-technological interpretation, according to which Turing saw the imitation game not as an intelligence test but as a technological aspiration - one whose realization would likely involve a change in society's attitude toward machines. According to this reading, Turing's celebrated 50-year prediction - that by the end of the 20th century his test will be passed by some machine - actually consists of two distinguishable predictions. The first is a technological prediction:

I believe that in about fifty years' time it will be possible to programme computers ... to make them play the imitation game so well that an average interrogator will not have more than 70% chance of making the right identification after five minutes of questioning.

The second prediction Turing makes is a sociological one:

I believe that at the end of the century the use of words and general educated opinion will have altered so much that one will be able to speak of machines thinking without expecting to be contradicted.

Danziger claims further that for Turing, alteration of society's attitude towards machinery is a prerequisite for the existence of intelligent machines: Only when the term "intelligent machine" is no longer seen as an oxymoron the existence of intelligent machines would become logically possible.

Saygin has suggested that maybe the original game is a way of proposing a less biased experimental design as it hides the participation of the computer. The imitation game also includes a "social hack" not found in the standard interpretation, as in the game both computer and male human are required to play as pretending to be someone they are not.

Should the interrogator know about the computer?

A crucial piece of any laboratory test is that there should be a control. Turing never makes clear whether the interrogator in his tests is aware that one of the participants is a computer. He states only that player A is to be replaced with a machine, not that player C is to be made aware of this replacement. When Colby, FD Hilf, S Weber and AD Kramer tested PARRY, they did so by assuming that the interrogators did not need to know that one or more of those being interviewed was a computer during the interrogation. As Ayse Saygin, Peter Swirski, and others have highlighted, this makes a big difference to the implementation and outcome of the test. An experimental study looking at Gricean maxim violations using transcripts of Loebner's one-to-one (interrogator-hidden interlocutor) Prize for AI contests between 1994 and 1999, Ayse Saygin found significant differences between the responses of participants who knew and did not know about computers being involved.

Strengths

Tractability and simplicity

The power and appeal of the Turing test derives from its simplicity. The philosophy of mind, psychology, and modern neuroscience have been unable to provide definitions of "intelligence" and "thinking" that are sufficiently precise and general to be applied to machines. Without such definitions, the central questions of the philosophy of artificial intelligence cannot be answered. The Turing test, even if imperfect, at least provides something that can actually be measured. As such, it is a pragmatic attempt to answer a difficult philosophical question.

Breadth of subject matter

The format of the test allows the interrogator to give the machine a wide variety of intellectual tasks. Turing wrote that "the question and answer method seems to be suitable for introducing almost any one of the fields of human endeavour that we wish to include." John Haugeland adds that "understanding the words is not enough; you have to understand the topic as well."

To pass a well-designed Turing test, the machine must use natural language, reason, have knowledge and learn. The test can be extended to include video input, as well as a "hatch" through which objects can be passed: this would force the machine to demonstrate skilled use of well designed vision and robotics as well. Together, these represent almost all of the major problems that artificial intelligence research would like to solve.

The Feigenbaum test is designed to take advantage of the broad range of topics available to a Turing test. It is a limited form of Turing's question-answer game which compares the machine against the abilities of experts in specific fields such as literature or chemistry.

Emphasis on emotional and aesthetic intelligence

As a Cambridge honours graduate in mathematics, Turing might have been expected to propose a test of computer intelligence requiring expert knowledge in some highly technical field, and thus anticipating a more recent approach to the subject. Instead, as already noted, the test which he described in his seminal 1950 paper requires the computer to be able to compete successfully in a common party game, and this by performing as well as the typical man in answering a series of questions so as to pretend convincingly to be the woman contestant.

Given the status of human sexual dimorphism as one of the most ancient of subjects, it is thus implicit in the above scenario that the questions to be answered will involve neither specialised factual knowledge nor information processing technique. The challenge for the computer, rather, will be to demonstrate empathy for the role of the female, and to demonstrate as well a characteristic aesthetic sensibility—both of which qualities are on display in this snippet of dialogue which Turing has imagined:

Interrogator: Will X please tell me the length of his or her hair?
Contestant: My hair is shingled, and the longest strands are about nine inches long.

When Turing does introduce some specialised knowledge into one of his imagined dialogues, the subject is not maths or electronics, but poetry:

Interrogator: In the first line of your sonnet which reads, "Shall I compare thee to a summer's day," would not "a spring day" do as well or better?
Witness: It wouldn't scan.
Interrogator: How about "a winter's day." That would scan all right.
Witness: Yes, but nobody wants to be compared to a winter's day.

Turing thus once again demonstrates his interest in empathy and aesthetic sensitivity as components of an artificial intelligence; and in light of an increasing awareness of the threat from an AI run amok, it has been suggested that this focus perhaps represents a critical intuition on Turing's part, i.e., that emotional and aesthetic intelligence will play a key role in the creation of a "friendly AI". It is further noted, however, that whatever inspiration Turing might be able to lend in this direction depends upon the preservation of his original vision, which is to say, further, that the promulgation of a "standard interpretation" of the Turing test—i.e., one which focuses on a discursive intelligence only—must be regarded with some caution.

Weaknesses

Turing did not explicitly state that the Turing test could be used as a measure of "intelligence", or any other human quality. He wanted to provide a clear and understandable alternative to the word "think", which he could then use to reply to criticisms of the possibility of "thinking machines" and to suggest ways that research might move forward.

Nevertheless, the Turing test has been proposed as a measure of a machine's "ability to think" or its "intelligence". This proposal has received criticism from both philosophers and computer scientists. The interpretation makes the assumption that an interrogator can determine if a machine is "thinking" by comparing its behaviour with human behaviour. Every element of this assumption has been questioned: the reliability of the interrogator's judgement, the value of comparing the machine with a human, and the value of comparing only behaviour. Because of these and other considerations, some AI researchers have questioned the relevance of the test to their field.

Naïveté of interrogators

In practice, the test's results can easily be dominated not by the computer's intelligence, but by the attitudes, skill, or naïveté of the questioner. Numerous experts in the field, including cognitive scientist Gary Marcus, insist that the Turing test only shows how easy it is to fool humans and is not an indication of machine intelligence.

Turing doesn't specify the precise skills and knowledge required by the interrogator in his description of the test, but he did use the term "average interrogator": "[the] average interrogator would not have more than 70 per cent chance of making the right identification after five minutes of questioning".

Chatterbot programs such as ELIZA have repeatedly fooled unsuspecting people into believing that they are communicating with human beings. In these cases, the "interrogators" are not even aware of the possibility that they are interacting with computers. To successfully appear human, there is no need for the machine to have any intelligence whatsoever and only a superficial resemblance to human behaviour is required.

Early Loebner Prize competitions used "unsophisticated" interrogators who were easily fooled by the machines. Since 2004, the Loebner Prize organisers have deployed philosophers, computer scientists, and journalists among the interrogators. Nonetheless, some of these experts have been deceived by the machines.

One interesting feature of the Turing test is the frequency of the confederate effect, when the confederate (tested) humans are misidentified by the interrogators as machines. It has been suggested that what interrogators expect as human responses is not necessarily typical of humans. As a result, some individuals can be categorised as machines. This can therefore work in favour of a competing machine. The humans are instructed to "act themselves", but sometimes their answers are more like what the interrogator expects a machine to say. This raises the question of how to ensure that the humans are motivated to "act human".

Human intelligence vs. intelligence in general

The Turing test does not directly test whether the computer behaves intelligently. It tests only whether the computer behaves like a human being. Since human behaviour and intelligent behaviour are not exactly the same thing, the test can fail to accurately measure intelligence in two ways:

Some human behaviour is unintelligent
The Turing test requires that the machine be able to execute all human behaviours, regardless of whether they are intelligent. It even tests for behaviours that may not be considered intelligent at all, such as the susceptibility to insults, the temptation to lie or, simply, a high frequency of typing mistakes. If a machine cannot imitate these unintelligent behaviours in detail it fails the test.
This objection was raised by The Economist, in an article entitled "artificial stupidity" published shortly after the first Loebner Prize competition in 1992. The article noted that the first Loebner winner's victory was due, at least in part, to its ability to "imitate human typing errors." Turing himself had suggested that programs add errors into their output, so as to be better "players" of the game.
Some intelligent behaviour is inhuman
The Turing test does not test for highly intelligent behaviours, such as the ability to solve difficult problems or come up with original insights. In fact, it specifically requires deception on the part of the machine: if the machine is more intelligent than a human being it must deliberately avoid appearing too intelligent. If it were to solve a computational problem that is practically impossible for a human to solve, then the interrogator would know the program is not human, and the machine would fail the test.
Because it cannot measure intelligence that is beyond the ability of humans, the test cannot be used to build or evaluate systems that are more intelligent than humans. Because of this, several test alternatives that would be able to evaluate super-intelligent systems have been proposed.

Consciousness vs. the simulation of consciousness

The Turing test is concerned strictly with how the subject acts – the external behaviour of the machine. In this regard, it takes a behaviourist or functionalist approach to the study of the mind. The example of ELIZA suggests that a machine passing the test may be able to simulate human conversational behaviour by following a simple (but large) list of mechanical rules, without thinking or having a mind at all.

John Searle has argued that external behaviour cannot be used to determine if a machine is "actually" thinking or merely "simulating thinking." His Chinese room argument is intended to show that, even if the Turing test is a good operational definition of intelligence, it may not indicate that the machine has a mind, consciousness, or intentionality. (Intentionality is a philosophical term for the power of thoughts to be "about" something.)

Turing anticipated this line of criticism in his original paper, writing:

I do not wish to give the impression that I think there is no mystery about consciousness. There is, for instance, something of a paradox connected with any attempt to localise it. But I do not think these mysteries necessarily need to be solved before we can answer the question with which we are concerned in this paper.

Impracticality and irrelevance: the Turing test and AI research

GPT-3 talkbot attempt

Mainstream AI researchers argue that trying to pass the Turing test is merely a distraction from more fruitful research. Indeed, the Turing test is not an active focus of much academic or commercial effort—as Stuart Russell and Peter Norvig write: "AI researchers have devoted little attention to passing the Turing test." There are several reasons.

First, there are easier ways to test their programs. Most current research in AI-related fields is aimed at modest and specific goals, such as object recognition or logistics. To test the intelligence of the programs that solve these problems, AI researchers simply give them the task directly. Stuart Russell and Peter Norvig suggest an analogy with the history of flight: Planes are tested by how well they fly, not by comparing them to birds. "Aeronautical engineering texts," they write, "do not define the goal of their field as 'making machines that fly so exactly like pigeons that they can fool other pigeons.'"

Second, creating lifelike simulations of human beings is a difficult problem on its own that does not need to be solved to achieve the basic goals of AI research. Believable human characters may be interesting in a work of art, a game, or a sophisticated user interface, but they are not part of the science of creating intelligent machines, that is, machines that solve problems using intelligence.

Turing did not intend for his idea to be used to test the intelligence of programs—he wanted to provide a clear and understandable example to aid in the discussion of the philosophy of artificial intelligence. John McCarthy argues that we should not be surprised that a philosophical idea turns out to be useless for practical applications. He observes that the philosophy of AI is "unlikely to have any more effect on the practice of AI research than philosophy of science generally has on the practice of science."

The Language-centric Objection

Another well known objection raised towards the Turing Test concerns its exclusive focus on the linguistic behaviour (i.e. it is only a "language-based" experiment, while all the other cognitive faculties are not tested). This drawback downsizes the role of other modality-specific "intelligent abilities" concerning human beings that the psychologist Howard Gardner, in his "multiple intelligence theory", proposes to consider (verbal-linguistic abilities are only one of those).

Silence

A critical aspect of the Turing test is that a machine must give itself away as being a machine by its utterances. An interrogator must then make the "right identification" by correctly identifying the machine as being just that. If however a machine remains silent during a conversation, then it is not possible for an interrogator to accurately identify the machine other than by means of a calculated guess. Even taking into account a parallel/hidden human as part of the test may not help the situation as humans can often be misidentified as being a machine.

The Turing Trap

By focusing on imitating humans, rather than augmenting or extending human capabilities, the Turing Test risks directing research and implementation toward technologies that substitute for humans and thereby drive down wages and income for workers. As they lose economic power, these workers may also lose political power, making it more difficult for them to change the allocation of wealth and income. This can trap them in a bad equilibrium. Erik Brynjolfsson has called this "The Turing Trap" and argued that there are currently excess incentives for creating machines that imitate rather than augment humans.

Variations

Numerous other versions of the Turing test, including those expounded above, have been raised through the years.

Reverse Turing test and CAPTCHA

A modification of the Turing test wherein the objective of one or more of the roles have been reversed between machines and humans is termed a reverse Turing test. An example is implied in the work of psychoanalyst Wilfred Bion, who was particularly fascinated by the "storm" that resulted from the encounter of one mind by another. In his 2000 book, among several other original points with regard to the Turing test, literary scholar Peter Swirski discussed in detail the idea of what he termed the Swirski test—essentially the reverse Turing test. He pointed out that it overcomes most if not all standard objections levelled at the standard version.

Carrying this idea forward, R. D. Hinshelwood described the mind as a "mind recognizing apparatus". The challenge would be for the computer to be able to determine if it were interacting with a human or another computer. This is an extension of the original question that Turing attempted to answer but would, perhaps, offer a high enough standard to define a machine that could "think" in a way that we typically define as characteristically human.

CAPTCHA is a form of reverse Turing test. Before being allowed to perform some action on a website, the user is presented with alphanumerical characters in a distorted graphic image and asked to type them out. This is intended to prevent automated systems from being used to abuse the site. The rationale is that software sufficiently sophisticated to read and reproduce the distorted image accurately does not exist (or is not available to the average user), so any system able to do so is likely to be a human.

Software that could reverse CAPTCHA with some accuracy by analysing patterns in the generating engine started being developed soon after the creation of CAPTCHA. In 2013, researchers at Vicarious announced that they had developed a system to solve CAPTCHA challenges from Google, Yahoo!, and PayPal up to 90% of the time. In 2014, Google engineers demonstrated a system that could defeat CAPTCHA challenges with 99.8% accuracy. In 2015, Shuman Ghosemajumder, former click fraud czar of Google, stated that there were cybercriminal sites that would defeat CAPTCHA challenges for a fee, to enable various forms of fraud.

Distinguishing accurate use of language from actual understanding

A further variation is motivated by the concern that modern Natural Language Processing prove to be highly successful in generating text on the basis of a huge text corpus and could eventually pass the Turing test simply by manipulating words and sentences that have been used in the initial training of the model. Since the interrogator has no precise understanding of the training data, the model might simply be returning sentences that exist in similar fashion in the enormous amount of training data. For this reason, Arthur Schwaninger proposes a variation of the Turing test that can distinguish between systems that are only capable of using language and systems that understand language. He proposes a test in which the machine is confronted with philosophical questions that do not depend on any prior knowledge and yet require self-reflection to be answered appropriately.

Subject matter expert Turing test

Another variation is described as the subject-matter expert Turing test, where a machine's response cannot be distinguished from an expert in a given field. This is also known as a "Feigenbaum test" and was proposed by Edward Feigenbaum in a 2003 paper.

"Low-level" cognition test

Robert French (1990) makes the case that an interrogator can distinguish human and non-human interlocutors by posing questions that reveal the low-level (i.e., unconscious) processes of human cognition, as studied by cognitive science. Such questions reveal the precise details of the human embodiment of thought and can unmask a computer unless it experiences the world as humans do.

Total Turing test

The "Total Turing test" variation of the Turing test, proposed by cognitive scientist Stevan Harnad, adds two further requirements to the traditional Turing test. The interrogator can also test the perceptual abilities of the subject (requiring computer vision) and the subject's ability to manipulate objects (requiring robotics).

Electronic health records

A letter published in Communications of the ACM describes the concept of generating a synthetic patient population and proposes a variation of Turing test to assess the difference between synthetic and real patients. The letter states: "In the EHR context, though a human physician can readily distinguish between synthetically generated and real live human patients, could a machine be given the intelligence to make such a determination on its own?" and further the letter states: "Before synthetic patient identities become a public health problem, the legitimate EHR market might benefit from applying Turing Test-like techniques to ensure greater data reliability and diagnostic value. Any new techniques must thus consider patients' heterogeneity and are likely to have greater complexity than the Allen eighth-grade-science-test is able to grade."

Minimum intelligent signal test

The minimum intelligent signal test was proposed by Chris McKinstry as "the maximum abstraction of the Turing test", in which only binary responses (true/false or yes/no) are permitted, to focus only on the capacity for thought. It eliminates text chat problems like anthropomorphism bias, and does not require emulation of unintelligent human behaviour, allowing for systems that exceed human intelligence. The questions must each stand on their own, however, making it more like an IQ test than an interrogation. It is typically used to gather statistical data against which the performance of artificial intelligence programs may be measured.

Hutter Prize

The organisers of the Hutter Prize believe that compressing natural language text is a hard AI problem, equivalent to passing the Turing test.

The data compression test has some advantages over most versions and variations of a Turing test, including:

  • It gives a single number that can be directly used to compare which of two machines is "more intelligent."
  • It does not require the computer to lie to the judge

The main disadvantages of using data compression as a test are:

  • It is not possible to test humans this way.
  • It is unknown what particular "score" on this test—if any—is equivalent to passing a human-level Turing test.

Other tests based on compression or Kolmogorov complexity

A related approach to Hutter's prize which appeared much earlier in the late 1990s is the inclusion of compression problems in an extended Turing test. or by tests which are completely derived from Kolmogorov complexity. Other related tests in this line are presented by Hernandez-Orallo and Dowe.

Algorithmic IQ, or AIQ for short, is an attempt to convert the theoretical Universal Intelligence Measure from Legg and Hutter (based on Solomonoff's inductive inference) into a working practical test of machine intelligence.

Two major advantages of some of these tests are their applicability to nonhuman intelligences and their absence of a requirement for human testers.

Ebert test

The Turing test inspired the Ebert test proposed in 2011 by film critic Roger Ebert which is a test whether a computer-based synthesised voice has sufficient skill in terms of intonations, inflections, timing and so forth, to make people laugh.

Social Turing Game

Taking advantage of Large Language Models, in 2023 the research company AI21 Labs created an online social experiment titled "Human or Not?". It was played more than 10 million times by more than 2 million people. It is the biggest Turing-style experiment to that date. The results showed that 32% of people couldn't distinguish between humans and machines.

Conferences

Turing Colloquium

1990 marked the fortieth anniversary of the first publication of Turing's "Computing Machinery and Intelligence" paper, and saw renewed interest in the test. Two significant events occurred in that year: the first was the Turing Colloquium, which was held at the University of Sussex in April, and brought together academics and researchers from a wide variety of disciplines to discuss the Turing test in terms of its past, present, and future; the second was the formation of the annual Loebner Prize competition.

Blay Whitby lists four major turning points in the history of the Turing test – the publication of "Computing Machinery and Intelligence" in 1950, the announcement of Joseph Weizenbaum's ELIZA in 1966, Kenneth Colby's creation of PARRY, which was first described in 1972, and the Turing Colloquium in 1990.

2008 AISB Symposium

In parallel to the 2008 Loebner Prize held at the University of Reading, the Society for the Study of Artificial Intelligence and the Simulation of Behaviour (AISB), hosted a one-day symposium to discuss the Turing test, organised by John Barnden, Mark Bishop, Huma Shah and Kevin Warwick. The speakers included the Royal Institution's Director Baroness Susan Greenfield, Selmer Bringsjord, Turing's biographer Andrew Hodges, and consciousness scientist Owen Holland. No agreement emerged for a canonical Turing test, though Bringsjord expressed that a sizeable prize would result in the Turing test being passed sooner.

Politics of Europe

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