This book engages in a critical discussion on how to respect and promote patients’ autonomy in difficult cases such as palliative care and end-of-life decisions. These cases pose specific epistemic, normative, and practical problems, and the book elucidates the connection between the practical implications of the theoretical debate on respecting autonomy, on the one hand, and specific questions and challenges that arise in medical practice, on the other hand. Given that the idea of personal autonomy includes the notion of authenticity (...) as one of its core components, the book explicitly includes discussions on underlying theories of the self. In doing so, it brings together original contributions and novel insights for “applied” scenarios based on interdisciplinary collaboration between German and Serbian scholars from philosophy, sociology, and law. It is of benefit to anyone cherishing autonomy in medical ethics and medical practice. (shrink)

This text tries to shed some light on the origin of the idea of moral enhancement, on its epistemic and moral foundations. This requires a comparative analysis of similar ideas present in various trends of bioethics today - the analysis of the very roots of Poter?s global bioethics, the idea of moral enhancement, as well as the break between advocates of moral enhancement and John Harris, their transhumanist colleague, with whom they used to share the same perspective. In this article (...) we identify some basic starting points, similarities and differences between global bioethics and moral enhancement, and draw lines of demarcation between transhumanism and moral enhancement. (shrink)

The social and institutional background of this research can be summarized as the relation between public and governmental policies on the one hand, and the experience of patients and IVF experts on the other. Namely, one third of all pregnancies achieved in state-funded in vitro fertilizations obscure some ethical and health issues, especially among patients who abandon the state-funded IVF programme in Serbia. The goal of the current research is to identify, describe and understand ethical and social issues that parents (...) encounter in attempts to fulfil their idea of a sovereign life through IVF. The method comprised a tri-level analysis based on semi-structured interviews with participants who exhibit personal experiences of basic ethical principles and social and health needs within IVF. The results obtained indicate that all three explored levels of patients' experience build a picture of Assisted Reproductive Technology as a means of a sovereign or good life. However, the cultural image of the fulfilment of expected parental social roles resulted in a denial of autonomy and led to self-abnegation through silent acceptance of unethical practices. There is an overlap of the margins of secular ideas and roles on the one hand, and religiosity on the other, making such consent socially acceptable and more easily explainable. Finally, the conclusion reached is that apparently a decrease in sovereignty of parental decisions causes a loss of trust in state clinics and medical procedures, reduces solidarity and establishes norms and patterns of social injustice and inequality. (shrink)

Whatever we speak about enhancement as the, just, one array of the wide range of the bioethical fields, or as the kind of ideological and theoretical field, it is necessary to emphasize relevant ideological and theoretical distinctions between different approaches. Trying to give some fundamental shape to debate among them, as well within themselves, I specified three possible streams with more or less arbitrary boundaries. First one is transhumanistic stream , whose representatives openly promote the practice of genetic, prosthetic and (...) cognitive enhancement of human kind - transition from human to a post human society; bioconservative, whose representatives perceive a threat in the violation of human dignity, meddling in “God’s business” ( playing God ), and in changes to the nature of human beings; representatives of the “middle standpoint” consider that danger lies within the dialectic relation of “capitalism and medicine.” I present the tree ideological standpoints trying to building consistency through different ethical arguments. Discussing the relevant theoretical/ideological distinction between standpoints and their claims, I will argue that ideological distinction among standpoints is less relevant than contingency within their arguments. Such mutual contingence creates some similarity regarding epistemological and social issues. (shrink)

This text tries to shed some light on the origin of the idea of moral enhancement, on its epistemic and moral foundations. This requires a comparative analysis of similar ideas present in various trends of bioethics today - the analysis of the very roots of Poter?s global bioethics, the idea of moral enhancement, as well as the break between advocates of moral enhancement and John Harris, their transhumanist colleague, with whom they used to share the same perspective. In this article (...) we identify some basic starting points, similarities and differences between global bioethics and moral enhancement, and draw lines of demarcation between transhumanism and moral enhancement. (shrink)