Mental integrity, autonomy, and fundamental interests
Many technology ethicists hold that the time has come to articulate <i>neurorights</i>: our normative claims vis-à-vis our brains and minds. One such claim is the right to <i>mental integrity</i> ('MI'). I begin by considering some paradigmatic threats to MI (§1) and how the dominant autonomy-based conception ('ABC') of MI attempts to make sense of them (§2). I next consider the objection that the ABC is <i>overbroad</i> in its understanding of what threatens MI and suggest a friendly revision to the ABC that addresses the objection (§3). I then consider a second objection: that the ABC cannot make sense of the MI of the <i>non-autonomous</i> This objection appears fatal even to the revised ABC (§4). On that basis, I develop an alternative conception on which MI is grounded in a plurality of simpler capacities, namely, those for <i>affect</i>, <i>cognition</i>, and <i>volition</i> Each of these more basic capacities grounds a set of fundamental interests, and they are for that reason worthy of protection even when they do not rise to the level of complexity necessary for autonomy (§5). This yields a fully general theory of MI that accounts for its manifestations in both the autonomous and the non-autonomous.
Authors
- Peter Zuk (ORCID: https://orcid.org/0000-0003-1265-0791)
Institutions
- Harvard University (US)
Publication Details
- Journal
- Journal of Medical Ethics
- Published
- 2024-08-13
- DOI
- https://doi.org/10.1136/jme-2023-109732
- Citations
- 3
- Primary Topic
- Neuroethics, Human Enhancement, Biomedical Innovations
- Type
- article
- Field-Weighted Citation Impact
- 1.03
Funders
- Massachusetts General Hospital
- Louisiana State University
- East Carolina University
- University of Texas at Arlington
- National Institutes of Health
- National Institute of Mental Health
- National Institute of Neurological Disorders and Stroke