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Well-Being and Enhancement

In Julian Savulescu, Ruud ter Meulen & Guy Kahane (eds.), Enhancing Human Capacities. Blackwell. pp. 3--18 (2011)

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  1. The ethics of biomedical military research: Therapy, prevention, enhancement, and risk.Alexandre Erler & Vincent C. Müller - 2021 - In Daniel Messelken & David Winkler (eds.), Health Care in Contexts of Risk, Uncertainty, and Hybridity. Springer. pp. 235-252.
    What proper role should considerations of risk, particularly to research subjects, play when it comes to conducting research on human enhancement in the military context? We introduce the currently visible military enhancement techniques (1) and the standard discussion of risk for these (2), in particular what we refer to as the ‘Assumption’, which states that the demands for risk-avoidance are higher for enhancement than for therapy. We challenge the Assumption through the introduction of three categories of enhancements (3): therapeutic, preventive, (...)
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  • Enhancement, disability and the riddle of the relevant circumstances.Hazem Zohny - 2016 - Journal of Medical Ethics 42 (9).
    The welfarist account of enhancement and disability holds enhanced and disabled states on a spectrum: the former are biological or psychological states that increase the chances of a person leading a good life in the relevant set of circumstances, while the latter decrease those chances. Here, I focus on a particular issue raised by this account: what should we count as part of an individual’s relevant set of circumstances when thinking about enhanced and disabled states? Specifically, is social prejudice relevant (...)
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  • Enhancing Gender.Hazem Zohny, Brian D. Earp & Julian Savulescu - 2022 - Journal of Bioethical Inquiry 19 (2):225-237.
    Transgender healthcare faces a dilemma. On the one hand, access to certain medical interventions, including hormone treatments or surgeries, where desired, may be beneficial or even vital for some gender dysphoric trans people. But on the other hand, access to medical interventions typically requires a diagnosis, which, in turn, seems to imply the existence of a pathological state—something that many transgender people reject as a false and stigmatizing characterization of their experience or identity. In this paper we argue that developments (...)
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  • Moral enhancement and the good life.Hazem Zohny - 2019 - Medicine, Health Care and Philosophy 22 (2):267-274.
    One approach to defining enhancement is in the form of bodily or mental changes that tend to improve a person’s well-being. Such a “welfarist account”, however, seems to conflict with moral enhancement: consider an intervention that improves someone’s moral motives but which ultimately diminishes their well-being. According to the welfarist account, this would not be an instance of enhancement—in fact, as I argue, it would count as a disability. This seems to pose a serious limitation for the account. Here, I (...)
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  • Melhoramentos humanos, no plural: pela qualificação de um importante debate filosófico.Murilo Mariano Vilaça - 2014 - Kriterion: Journal of Philosophy 55 (129):331-347.
    No artigo, abordo a ideia de melhoramento humano (MH), visando a contestar três frustrantes tendências dos seus críticos, a saber, as ideias de: (1) que a natureza humana será artificializada, sugerindo que estaremos diante de algo novo e incomparavelmente perigoso, bem como que ainda seja possível preservar uma separação radical entre natureza e técnica; (2) que é possível abordar e criticar o MH a partir de uma singularidade semântica; e, diretamente relacionada à anterior, (3) que há univocidade entre os defensores (...)
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  • Will There Ever Be a Drug with No or Negligible Side Effects? Evidence from Neuroscience.Sylvia Terbeck & Laurence Paul Chesterman - 2013 - Neuroethics 7 (2):189-194.
    Arguments in the neuroenhancement debate are sometimes based upon idealistic scenarios involving the assumption of using a drug that has no or negligible side effects. At least it is often implicitly assumed – as technology and scientific knowledge advances - that there soon will be a drug with no or negligible side effects. We will review evidence from neuroscience, complex network research and evolution theory and demonstrate that - at least in terms of psychopharmacological intervention – on the basis of (...)
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  • Does Amphetamine Enhance Your Health? On the Distinction between Health and “Health-like” Enhancements.Per-Anders Tengland - 2015 - Journal of Medicine and Philosophy 40 (5):484-510.
    It is an imperative within health care, medicine, and public health to restore, preserve, and enhance health. Therefore, it is important to determine what kinds of enhancement are increases in health and what kinds are not. Taking as its point of departure two conceptions of health, namely, “manifest health” and “fundamental health,” the paper discusses various means used to enhance ability and well-being, and if those means, such as wheelchairs, implants, medicines, stimulants, or narcotics, enhance health. The fact that some (...)
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  • Queerin’ the PGD Clinic: Human Enhancement and the Future of Bodily Diversity.Robert Sparrow - 2013 - Journal of Medical Humanities 34 (2):177-196.
    Disability activists influenced by queer theory and advocates of “human enhancement” have each disputed the idea that what is “normal” is normatively significant, which currently plays a key role in the regulation of pre-implantation genetic diagnosis (PGD). Previously, I have argued that the only way to avoid the implication that parents have strong reasons to select children of one sex (most plausibly, female) over the other is to affirm the moral significance of sexually dimorphic human biological norms. After outlining the (...)
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  • Gender Eugenics? The Ethics of PGD for Intersex Conditions.Robert Sparrow - 2013 - American Journal of Bioethics 13 (10):29 - 38.
    This article discusses the ethics of the use of preimplantation genetic diagnosis to prevent the birth of children with intersex conditions/disorders of sex development , such as congenital adrenal hyperplasia and androgen insensitivity syndrome . While pediatric surgeries performed on children with ambiguous genitalia have been the topic of intense bioethical controversy, there has been almost no discussion to date of the ethics of the use of PGD to reduce the prevalence of these conditions. I suggest that PGD for those (...)
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  • Autonomy and Enhancement.G. Owen Schaefer, Guy Kahane & Julian Savulescu - 2013 - Neuroethics 7 (2):123-136.
    Some have objected to human enhancement on the grounds that it violates the autonomy of the enhanced. These objections, however, overlook the interesting possibility that autonomy itself could be enhanced. How, exactly, to enhance autonomy is a difficult problem due to the numerous and diverse accounts of autonomy in the literature. Existing accounts of autonomy enhancement rely on narrow and controversial conceptions of autonomy. However, we identify one feature of autonomy common to many mainstream accounts: reasoning ability. Autonomy can then (...)
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  • Human Enhancement: Deontological Arguments.Markus Rüther & Jan-Hendrik Heinrichs - 2019 - Zeitschrift Für Ethik Und Moralphilosophie 2 (2):161-178.
    This is the second paper in a three-part series on the state of the enhancement debate. We report current trends and give an overview of established positions in the field of neuroenhancement. Unlike a number of articles on the bioethics of enhancement, we try to highlight connections between the contemporary debate and established positions in philosophical ethics. This specific perspective inspired the breakdown of our three-part series into consequentialist, deontological and virtue-ethical arguments.
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  • Political Minimalism and Social Debates: The Case of Human-Enhancement Technologies.Javier Rodríguez-Alcázar - 2017 - Journal of Bioethical Inquiry 14 (3):347-357.
    A faulty understanding of the relationship between morality and politics encumbers many contemporary debates on human enhancement. As a result, some ethical reflections on enhancement undervalue its social dimensions, while some social approaches to the topic lack normative import. In this essay, I use my own conception of the relationship between ethics and politics, which I call “political minimalism,” in order to support and strengthen the existing social perspectives on human-enhancement technologies.
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  • Not Just “Study Drugs” for the Rich: Stimulants as Moral Tools for Creating Opportunities for Socially Disadvantaged Students.Keisha Shantel Ray - 2016 - American Journal of Bioethics 16 (6):29-38.
    An argument in the cognitive enhancement literature is that using stimulants in populations of healthy but socially disadvantaged individuals mistakenly attributes pathology to nonpathological individuals who experience social inequalities. As the argument goes, using stimulants as cognitive-enhancing drugs to solve the social problem of poorly educated students in inadequate schools misattributes the problem as an individual medical problem, when it is really a collective sociopolitical problem. I challenge this argument on the grounds that not all types of enhancement have to (...)
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  • Moral Bioenhancement, Social Biases, and the Regulation of Empathy.Keisha Ray & Lori Gallegos de Castillo - 2019 - Topoi 38 (1):125-133.
    Some proponents of moral bioenhancement propose that people should utilize biomedical practices to enhance the faculties and traits that are associated with moral agency, such as empathy and a sense of justice. The hope is that doing so will improve our ability to meet the moral challenges that have emerged in our contemporary, globalized world. In this paper, we caution against this view by arguing that biomedically inducing more empathy may, in fact, diminish moral agency. We argue that this type (...)
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  • Enhancing Autonomy by Reducing Impulsivity: The Case of ADHD.Jonathan Pugh - 2014 - Neuroethics 7 (3):373-375.
    In a recent article in this journal, Schaefer et al. argue that it might be possible to enhance autonomy through the use of cognitive enhancements. In this article, I highlight an example that Schaefer et al. do not acknowledge of a way in which we already seem to be using pharmacological agents in a manner that can be understood as enhancing an agent’s autonomy. To make this argument, I begin by following other theorists in the philosophical literature in claiming that (...)
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  • From assistive to enhancing technology: should the treatment-enhancement distinction apply to future assistive and augmenting technologies?Francesca Minerva & Alberto Giubilini - 2017 - Journal of Medical Ethics:medethics-2016-104014.
    The treatment-enhancement distinction is often used to delineate acceptable and unacceptable medical interventions. It is likely that future assistive and augmenting technologies will also soon develop to a level that they might be considered to provide users, in particular those with disabilities, with abilities that go beyond natural human limits, and become in effect an enhancing technology. In this paper, we describe how this process might take place, and discuss the moral implications of such developments. We argue that such developments (...)
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  • Pharmacological cognitive enhancement : how neuroscientific research could advance ethical debate.Hannah Maslen, Nadira Faulmüller & Julian Savulescu - unknown
    There are numerous ways people can improve their cognitive capacities: good nutrition and regular exercise can produce long-term improvements across many cognitive domains, whilst commonplace stimulants such as coffee temporarily boost levels of alertness and concentration. Effects like these have been well-documented in the medical literature and they raise few ethical issues. More recently, however, clinical research has shown that the off-label use of some pharmaceuticals can, under certain conditions, have modest cognition-improving effects. Substances such as methylphenidate and modafinil can (...)
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  • Continuidad de las innovaciones tecnológicas: el reto de las intervenciones biomédicas de mejora humana.Francisco Javier López Frías - 2013 - Isegoría 48:213-228.
    Uno de los debates más recientes referentes a la innovación tecnológica entre los especialistas en ética es aquel sobre la mejora humana, el cual ha surgido a raíz de la posibilidad de modificar los límites de la naturaleza humana usando el poder de la ciencia. Muchos filósofos nos han avisado del peligro de modificar técnicamente nuestra naturaleza humana. Otros, por contra, defienden que no existe diferencia moral relevante alguna entre las nuevas técnicas biomédicas de mejora y las tecnologías aceptadas como (...)
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  • Technological unemployment and human disenhancement.Michele Loi - 2015 - Ethics and Information Technology 17 (3):201-210.
    This paper discusses the concept of “human disenhancement”, i.e. the worsening of human individual abilities and expectations through technology. The goal is provoking ethical reflection on technological innovation outside the biomedical realm, in particular the substitution of human work with computer-driven automation. According to some widely accepted economic theories, automatization and computerization are responsible for the disappearance of many middle-class jobs. I argue that, if that is the case, a technological innovation can be a cause of “human disenhancement”, globally, and (...)
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  • Is human enhancement intrinsically bad?Karolina Kudlek - 2021 - Medicine, Health Care and Philosophy 24 (2):269-279.
    A pertinent concern in the human enhancement debate is that human enhancement technologies (HET) are intrinsically bad and, hence, morally impermissible. This article evaluates the related claims about the intrinsic badness of HET by looking into philosophical theories of intrinsic value. It investigates how well-established conceptions of intrinsic value map onto typical bioconservative arguments about HET's intrinsic badness. Three predominant variants of these arguments are explored and found wanting: (i) HET are intrinsically bad owing to their unnaturalness; (ii) the pursuit (...)
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  • Regulating the Use of Cognitive Enhancement: an Analytic Framework.Anita S. Jwa - 2019 - Neuroethics 12 (3):293-309.
    Recent developments in neuroscience have enabled technological advances to modulate cognitive functions of the brain. Despite ethical concerns about cognitive enhancement, both individuals and society as a whole can benefit greatly from these technologies, depending on how we regulate their use. To date, regulatory analyses of neuromodulation technologies have focused on a technology itself – for instance, the U.S. Food and Drug Administration regulation of a brain stimulation device – rather than the use of a technology, such as the use (...)
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  • Enhancement and Civic Virtue.Will Jefferson, Thomas Douglas, Guy Kahane & Julian Savulescu - 2014 - Social Theory and Practice 40 (3):499-527.
    Opponents of biomedical enhancement frequently adopt what Allen Buchanan has called the “Personal Goods Assumption.” On this assumption, the benefits of biomedical enhancement will accrue primarily to those individuals who undergo enhancements, not to wider society. Buchanan has argued that biomedical enhancements might in fact have substantial social benefits by increasing productivity. We outline another way in which enhancements might benefit wider society: by augmenting civic virtue and thus improving the functioning of our political communities. We thus directly confront critics (...)
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  • The Philosopher as the Therapist: A Lesson from the Past.Grzegorz Hołub - 2020 - Roczniki Filozoficzne 68 (1):33-48.
    This article is about the philosopher as a potential therapist. It starts from tendencies exhibited by a group of contemporary philosophers involved in a so-called human enhancement. Drawing on the newest discoveries of genetics, genetic engineering and pharmacology, they offer a set of therapies aimed at the extensive ‘improvement’ of the human condition. In the second part of the paper, selected ideas concerning philosophical therapy by the Ancient philosophers are presented. They basically employed personal contact, conversation, and wise counselling. Then (...)
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  • Human Enhancement: Enhancing Health or Harnessing Happiness?Bjørn Hofmann - 2019 - Journal of Bioethical Inquiry 16 (1):87-98.
    Human enhancement is ontologically, epistemologically, and ethically challenging and has stirred a wide range of scholarly and public debates. This article focuses on some conceptual issues with HE that have important ethical implications. In particular it scrutinizes how the concept of human enhancement relates to and challenges the concept of health. In order to do so, it addresses three specific questions: Q1. What do conceptions of HE say about health? Q2. Does HE challenge traditional conceptions of health? Q3. Do concepts (...)
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  • Enhancements 2.0: Self-Creation Might not be as Lovely as Some Think.Mirko D. Garasic - 2019 - Topoi 38 (1):135-140.
    Recent developments in the study of our brain and neurochemical maps have sparked much enthusiasm in some scholars, making room for speculations over the possibility to shape our morality from within ourselves rather than through [failed] socio-political projects. This paper aims at criticising the prospected scenario put forward by some scholars supporting a specific version of Moral Enhancement as an overly optimistically described manipulative tools. To do so, I will focus on a specific version of Moral Enhancers, namely Emotional Enhancers. (...)
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  • A Thomistic appraisal of human enhancement technologies.Jason T. Eberl - 2014 - Theoretical Medicine and Bioethics 35 (4):289-310.
    Debate concerning human enhancement often revolves around the question of whether there is a common “nature” that all human beings share and which is unwarrantedly violated by enhancing one’s capabilities beyond the “species-typical” norm. I explicate Thomas Aquinas’s influential theory of human nature, noting certain key traits commonly shared among human beings that define each as a “person” who possesses inviolable moral status. Understanding the specific qualities that define the nature of human persons, which includes self-conscious awareness, capacity for intellective (...)
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  • When is diminishment a form of enhancement? : rethinking the enhancement debate in biomedical ethics.Brian D. Earp, Anders Sandberg, Guy Kahane & Julian Savulescu - unknown
    The enhancement debate in neuroscience and biomedical ethics tends to focus on the augmentation of certain capacities or functions: memory, learning, attention, and the like. Typically, the point of contention is whether these augmentative enhancements should be considered permissible for individuals with no particular “medical” disadvantage along any of the dimensions of interest. Less frequently addressed in the literature, however, is the fact that sometimes the _diminishment_ of a capacity or function, under the right set of circumstances, could plausibly contribute (...)
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  • The Medicalization of Love.Brian D. Earp, Anders Sandberg & Julian Savulescu - 2015 - Cambridge Quarterly of Healthcare Ethics 24 (3):323-336.
    Pharmaceuticals or other emerging technologies could be used to enhance (or diminish) feelings of lust, attraction, and attachment in adult romantic partnerships. While such interventions could conceivably be used to promote individual (and couple) well-being, their widespread development and/or adoption might lead to “medicalization” of human love and heartache—for some, a source of serious concern. In this essay, we argue that the “medicalization of love” need not necessarily be problematic, on balance, but could plausibly be expected to have either good (...)
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  • In Service to Others: A New Evolutionary Perspective on Human Enhancement.Hugh Desmond - 2021 - Hastings Center Report 51 (6):33-43.
    In enhancement ethics, evolutionary theory has been largely perceived as supporting liberal views on enhancement, where decisions to enhance are predominantly regulated by the principle of individual autonomy. In this paper I critique this perception in light of recent scientific developments. Cultural evolutionary theory suggests a picture where individual interests are entangled with community interests, and this undermines the applicability of the principle of autonomy. This is particularly relevant for enhancement ethics, given how – I argue – decisions to enhance (...)
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  • Why Internal Moral Enhancement Might Be politically Better than External Moral Enhancement.John Danaher - 2016 - Neuroethics 12 (1):39-54.
    Technology could be used to improve morality but it could do so in different ways. Some technologies could augment and enhance moral behaviour externally by using external cues and signals to push and pull us towards morally appropriate behaviours. Other technologies could enhance moral behaviour internally by directly altering the way in which the brain captures and processes morally salient information or initiates moral action. The question is whether there is any reason to prefer one method over the other? In (...)
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  • An evaluative conservative case for biomedical enhancement.John Danaher - 2016 - Journal of Medical Ethics 42 (9):611-618.
    It is widely believed that a conservative moral outlook is opposed to biomedical forms of human enhancement. In this paper, I argue that this widespread belief is incorrect. Using Cohen’s evaluative conservatism as my starting point, I argue that there are strong conservative reasons to prioritise the development of biomedical enhancements. In particular, I suggest that biomedical enhancement may be essential if we are to maintain our current evaluative equilibrium (i.e. the set of values that undergird and permeate our current (...)
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  • Human Transgenesis: Definitions, Technical Possibilities and Moral Challenges. [REVIEW]Flávio Guimarães da Fonseca, Daniel Mendes Ribeiro, Nara Pereira Carvalho, Mariana Alves Lara, Antonio Cota Marçal & Brunello Stancioli - 2012 - Philosophy and Technology 25 (4):513-524.
    In this article, we examine the ethical implications of human transgenesis by considering the phenomenon in its larger evolutionary context. After clarifying the concept of transgenesis, we show that rather than unprecedented or unnatural, transgenesis is a common aspect of the evolutionary process that has likely affected all extant living animals, humans included. Additionally, we demonstrate that human transgenesis is technically feasible and that the moral barriers to it are mostly based on irrational fears premised on distorted and unrealistic views (...)
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  • Sex Reassignment Surgery and Enhancement.Tomislav Bracanović - 2017 - Journal of Medicine and Philosophy 42 (1):86-102.
    Sex reassignment surgery is a therapy for gender dysphoria standardly provided only upon a psychiatric authorization. Transgender scholars criticize this practice as unjustified medicalization and stigmatization of transsexual people. By demanding that sex reassignment surgery is not classified as therapy, they imply it should be classified as some kind of a biomedical enhancement. It is argued in this article that this reclassification is empirically and morally implausible because sex reassignment surgery is incompatible with two major views of enhancement. It is (...)
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  • Destiny and Desire.Russell Blackford - 2021 - Journal of Ethics and Emerging Technologies 31 (1):1-24.
    The prospect of radical human enhancement challenges us with how we can even think about the choice to enhance or not enhance. Whether as individuals or as citizens of liberal democracies, we already recognize the prospect of a future that is defined by technology, without being able to predict or imagine what it will be like or how we should try to influence it. We can also be sure that radical enhancement of ourselves as individuals, or of a large proportion (...)
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  • Retooling Techno-Moral Scenarios. A Revisited Technique for Exploring Alternative Regimes of Responsibility for Human Enhancement.Simone Arnaldi - 2018 - NanoEthics 12 (3):283-300.
    The techno-moral scenarios approach has been developed to explore the interplay between technology, society and morality. Focused on new and emerging sciences and technologies, techno-moral scenarios can be used to inform and enhance public deliberation on the desirability of socio-technical trajectories. The article presents an attempt to hybridise this scenario tool, complementing the focus on ethics with an explicit acknowledgement of the multiple meanings of responsibility and of the plurality of its regimes, i.e. the institutional arrangements presiding over the assumption (...)
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  • Great Minds Think Different: Preserving Cognitive Diversity in an Age of Gene Editing.Jonny Anomaly, Julian Savulescu & Christopher Gyngell - 2020 - Bioethics 34 (1):81-89.
  • Neuroenhancement.Alexandre Erler & Cynthia Forlini - 2020 - Routledge Encyclopedia of Philosophy Online.
    Entry on "Neuroenhancement" in the Routledge Encyclopedia of Philosophy Online.
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  • Moral Neuroenhancement.Brian D. Earp, Thomas Douglas & Julian Savulescu - 2017 - In L. Syd M. Johnson & Karen S. Rommelfanger (eds.), The Routledge Handbook of Neuroethics. Routledge.
    In this chapter, we introduce the notion of “moral neuroenhancement,” offering a novel definition as well as spelling out three conditions under which we expect that such neuroenhancement would be most likely to be permissible (or even desirable). Furthermore, we draw a distinction between first-order moral capacities, which we suggest are less promising targets for neurointervention, and second-order moral capacities, which we suggest are more promising. We conclude by discussing concerns that moral neuroenhancement might restrict freedom or otherwise “misfire,” and (...)
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  • Neurofeedback-Based Moral Enhancement and the Notion of Morality.Koji Tachibana - 2017 - The Annals of the University of Bucharest - Philosophy Series 66 (2):25-41.
    Some skeptics question the very possibility of moral bioenhancement by arguing that if we lack a widely acceptable notion of morality, we will not be able to accept the use of a biotechnological technique as a tool for moral bioenhancement. I will examine this skepticism and argue that the assessment of moral bioenhancement does not require such a notion of morality. In particular, I will demonstrate that this skepticism can be neutralized in the case of recent neurofeedback techniques. This goal (...)
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  • Good to die.Rainer Ebert - 2013 - Diacritica 27:139-156.
    Among those who reject the Epicurean claim that death is not bad for the one who dies, it is popularly held that death is bad for the one who dies, when it is bad for the one who dies, because it deprives the one who dies of the good things that otherwise would have fallen into her life. This view is known as the deprivation account of the value of death, and Fred Feldman is one of its most prominent defenders. (...)
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  • Enhancing human lives.Jason Charles Branford - 2021 - Dissertation, Ludwig Maximilians Universität, München
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  • Public Goods and Procreation.Jonny Anomaly - 2014 - Monash Bioethics Review 32 (3-4):172-188.