Skip to main content
Log in

Revisiting Moral Bioenhancement and Autonomy

  • Original Paper
  • Published:
Neuroethics Aims and scope Submit manuscript

Abstract

Some have claimed that moral bioenhancement undermines freedom and authenticity – thereby making moral bioenhancement problematic or undesirable – whereas others have said that moral bioenhancement does not undermine freedom and authenticity – thereby salvaging its ethical permissibility. These debates are characterized by a couple of features. First, a positive relationship is assumed to hold between these agency-related concepts and the ethical permissibility of moral bioenhancement. Second, these debates are centered around individualistic conceptions of agency, like free choice and authenticity, which hail from an atomistic tradition of autonomy. My view is that emphasizing individualistic conceptions of autonomy do not provide particularly strong foundations on which to argue about the issue of the permissibility of moral bioenhancement. This is because individualistic autonomy is not the kind of agency-related consideration we ought to value. Instead, I propose that we investigate the relationship between moral bioenhancement and a more relational kind of autonomy. Focusing on this latter relationship, on my view, clarifies the potential for moral bioenhancement to support or enhance people’s autonomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. I use ‘autonomy’ in a very broad sense here – autonomy might otherwise be referred to as the relevant freedom and agency concepts on which the permissibility of MBE hinges.

References

  1. Douglas, Thomas. 2008. Moral Enhancement. Journal of Applied Philosophy 25 (3): 228–245.

    Article  Google Scholar 

  2. Shook, John R., and James J. Giordano. 2017. Moral Bioenhancement for Social Welfare: Are Civic Institutions Ready? Frontiers in Sociology 2 (21): 1–5.

    Google Scholar 

  3. Shook, J.R. 2016. My Brain Made Me Moral: Moral Performance Enhancement for Realists. Neuroethics 9: 199–211.

    Article  Google Scholar 

  4. Persson, Ingmar, and Savulescu, Julian. 2012. Unfit for the Future: The Need for Moral Enhancement. Oxford: Oxford University Press.

  5. Specker, J., F. Focquaert, K. Raus, et al. 2014. The ethical desirability of moral bioenhancement: a review of reasons. BMC Medical Ethics 15: 67.

    Article  Google Scholar 

  6. Specker, J., M.H.N. Schermer, and P.B. Reiner. 2017. Public Attitudes Towards Moral Enhancement: Evidence that Means Matter Morally. Neuroethics 10: 405–417.

    Article  Google Scholar 

  7. Ahlskog, R. 2017. Moral Enhancement Should Target Self-Interest and Cognitive Capacity. Neuroethics 10: 363–373.

    Article  Google Scholar 

  8. Huang, P., and P. Tsu. 2018. Biomedical Moral Enhancement in the Face of Moral Particularism. Royal Institute of Philosophy Supplement 83: 189–208.

    Article  Google Scholar 

  9. Schaefer, G.O., and J. Savulescu. 2019. Procedural Moral Enhancement. Neuroethics 12: 73–84.

    Article  Google Scholar 

  10. Gibson, R.B. 2020. The epidemiology of moral bioenhancement. Medicine, Health Care, and Philosophy 1–10.

  11. Zarpentine, C. 2013. The Thorny and Arduous Path of Moral Progress: Moral Psychology and Moral Enhancement. Neuroethics 6: 141–153.

    Article  Google Scholar 

  12. Focquaert, F., and M. Schermer. 2015. Moral Enhancement: Do Means Matter Morally? Neuroethics 8: 139–151.

    Article  Google Scholar 

  13. Harris, John. 2011. Moral Enhancement and Freedom. Bioethics 25 (2): 102–111.

    Article  Google Scholar 

  14. Persson, I., and J. Savulescu. 2016a. Enharrisment: A Reply to John Harris about Moral Enhancement. Neuroethics 9: 275–277.

    Article  Google Scholar 

  15. Persson, I., and J. Savulescu. 2016b. Moral Bioenhancement, Freedom and Reason. Neuroethics 9: 263–268.

    Article  Google Scholar 

  16. Lavazza, A., and M. Reichlin. 2019. Introduction: Moral Enhancement. Topoi 38: 1–5.

    Article  Google Scholar 

  17. DeGrazia, David. 2014. Moral enhancement, freedom, and what we (should) value in moral behaviour. Journal of Medical Ethics 40: 361–368.

    Article  Google Scholar 

  18. Lewis, Jonathan. 2020. Autonomy and the limits of cognitive enhancement. Bioethics 1–8.

  19. Dworkin, Gerald. 2015. The nature of autonomy Nordic Journal of Studies in Educational Policy 2.

  20. Frankfurt, Harry. 1971. Freedom of the Will and the Concept of a Person. The Journal of Philosophy 68: 5–20.

    Article  Google Scholar 

  21. Watson, Gary. 2004. “Free Agency” In Agency and Answerability: Selected Essays. Oxford: Oxford University Press.

    Book  Google Scholar 

  22. Hauskeller, Michael. 2017. Is It Desirable to Be Able to Do the Undesirable? Moral Bioenhancement and the Little Alex Problem. Cambridge Quarterly of Healthcare Ethics 26 (3): 365–376.

    Article  Google Scholar 

  23. Sparrow, R. 2014. Better living through chemistry? A reply to Savulescu and Persson on ‘moral enhancement.’ Journal of Applied Philosophy 31: 23–32.

    Article  Google Scholar 

  24. Reichlin, Massimo. 2019. The moral agency argument against moral bioenhancement. Topoi 38: 53–62.

    Article  Google Scholar 

  25. Persson, Ingmar, and Julian Savulescu. 2015. The Art of Misunderstanding Moral Bioenhancement Two Cases. Cambridge Quarterly of Healthcare Ethics 24 (1): 48–57.

    Article  Google Scholar 

  26. Diéguez, Antonio, and Véliz, Carissa. 2019. "Would Moral Enhancement Limit Freedom?" Topoi 38(1): 29–36.

  27. Hirschmann, Nancy J. 1996. Toward a Feminist Theory of Freedom. Political Theory 24 (1): 46–67.

    Article  Google Scholar 

  28. Taylor, Charles. 1991. The Ethics of Authenticity. Cambridge: Harvard University Press.

    Google Scholar 

  29. Bublitz, J.C., and Merkel, Reinhard. 2009. Autonomy and Authenticity of Enhanced Personality Traits Bioethics 23(6): 360–374.

  30. Kraemer, Felicitas. 2011. Authenticity Anyone? The Enhancement of Emotions via Neuro-Psychopharmacology. Neuroethics 4: 51–64.

    Article  Google Scholar 

  31. Christman, John. 2009. The Politics of Persons: Individual Autonomy and Socio-historical Selves. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  32. Glannon, Walter. 2008. Psychopharmacological Enhancement. Neuroethics 1: 45–54.

    Article  Google Scholar 

  33. Erler, Alexandre. 2012. One man’s authenticity is another man’s betrayal: A reply to Levy. Journal of Applied Philosophy 29 (3): 257–265.

    Article  Google Scholar 

  34. Glannon, Walter. 2015. Neuroethics: Cognitive Enhancement. Oxford University Press: Oxford Handbooks Online.

    Book  Google Scholar 

  35. Bolt, L.L. 2007. True to oneself? Broad and narrow ideas on authenticity in the enhancement debate. Theoretical Medicine and Bioethics 28 (4): 285–300.

    Article  Google Scholar 

  36. Elliott, Carl. 2011. Enhancement technologies and the modern self. Journal of Medicine and Philosophy 36: 364–374.

    Article  Google Scholar 

  37. Schaefer, G.O., Kahane, Guy, and Savulescu, Julian. 2014. Autonomy and Enhancement. Neuroethics 7: 123–136.

  38. Parens, Erik. 2005. Authenticity and Ambivalence: Toward Understanding the Enhancement Debate. The Hastings Center Report 35(3): 34–41.

  39. Lavazza, Andrea. 2019. Moral Bioenhancement Through Memory-editing: A Risk for Identity and Authenticity? Topoi 38: 15–27.

    Article  Google Scholar 

  40. Walker, Mary Jean, and Mackenzie, Catriona. 2020. Neurotechnologies, Relational Autonomy, and Authenticity. IJFAB: International Journal of Feminist Approaches to Bioethics 13(1): 98–119.

  41. Ashford, Elizabeth. 2000. Utilitarianism, Integrity, and Partiality. The Journal of Philosophy 97 (8): 421–439.

    Google Scholar 

  42. Huang, Pei-Hua. 2015. Authenticity, Autonomy, and Enhancement. Dilemata 7 (19): 39–52.

    Google Scholar 

  43. Westlund, Andrea. 2009. Rethinking Relational Autonomy. Hypatia 24 (4): 26–49.

    Article  Google Scholar 

  44. Nedelsky, Jennifer. 1989. Reconceiving Autonomy: Sources, Thoughts, and Possibilities. Yale Journal of Law & Feminism 1: 7–36.

    Google Scholar 

  45. Code, Lorraine. 2000. Perversions of Autonomy and The Subjection of Women. In Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self, ed. By Catriona Mackenzie and Natalie Stoljar. Oxford: Oxford University Press.

  46. Friedman, Marilyn. 2014. Relational Autonomy and Independence. In Autonomy, Oppression, and Gender, ed. Andrea Veltman and Mark Piper. Oxford: Oxford University Press.

  47. Mackenzie, Catriona, and Stoljar, Natalie. 2000. Introduction: Autonomy refigured. In Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self, ed. By Catriona Mackenzie and Natalie Stoljar. Oxford: Oxford University Press.

  48. Wenner, Danielle M. 2020. Nondomination and the Limits of Relational Autonomy. IJFAB: International Journal of Feminist Approaches to Bioethics 13(2): 28–48.

  49. Friedman, Marilyn. 2000. Autonomy, social disruption, and women. In Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self, ed. Catriona Mackenzie and Natalie Stoljar. Oxford: Oxford University Press.

  50. Veltman, Andrea, and Piper, Mark. 2014. Introduction In Autonomy, Oppression, and Gender, ed. Andrea Veltman and Mark Piper. Oxford: Oxford University Press.

  51. Barclay, Linda. 2000. Autonomy and the social self. In Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self, ed. Catriona Mackenzie and Natalie Stoljar. Oxford: Oxford University Press.

  52. Oshana, Marina A.L. 2015. Is Social-Relational Autonomy a Plausible Ideal? In Personal Autonomy and Social Oppression: Philosophical Perspectives, ed. Marina A.L. Oshana. New York: Routledge.

  53. Mackenzie, Catriona. 2019. Feminist innovation in philosophy: Relational autonomy and social justice. Women’s Studies International Forum 72: 144–151.

    Article  Google Scholar 

  54. Person, Ingmar, and Julian Savulescu. 2019. The duty to be morally enhanced. Topoi 38: 7–14.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Y. Lee.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, J.Y. Revisiting Moral Bioenhancement and Autonomy. Neuroethics 14, 529–539 (2021). https://doi.org/10.1007/s12152-021-09470-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12152-021-09470-y

Keywords

Navigation