Mental integrity, autonomy, and fundamental interests

Journal of Medical Ethics 50 (10):676-683 (2024)
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Abstract

Many technology ethicists hold that the time has come to articulate _neurorights_: our normative claims vis-à-vis our brains and minds. One such claim is the right to _mental integrity_ (‘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 _overbroad_ 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 _non-autonomous_. 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 _affect_, _cognition_, and _volition_. 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.

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Author's Profile

Peter Zuk
Center for Bioethics, Harvard Medical School

References found in this work

The Role of Consciousness in Grasping and Understanding.David Bourget - 2017 - Philosophy and Phenomenological Research 95 (2):285-318.
The Value of Consciousness.Uriah Kriegel - 2019 - Analysis 79 (3):503-520.
Is the Attention Economy Noxious?Clinton Castro & Adam Pham - 2020 - Philosophers' Imprint 20 (17):1-13.

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