Skip to main content

Leveling the Playing Field: Fairness in the Cognitive Enhancement Debate

  • Chapter
  • First Online:
Cognitive Enhancement

Part of the book series: Trends in Augmentation of Human Performance ((TAHP,volume 1))

Abstract

One controversy within bioethics regards whether the use of potential cognitive enhancements would decrease fairness in society by giving advantages to the already privileged or increase fairness by enabling the worst off to compete with others. Both positions are based on a notion of society as competitive, in which fairness is the purpose of a certain degree of institutional intervention. In the context of cognitive enhancement, this intervention would be the regulation or deregulation of the use of certain drugs by schools, universities, employers or legislators with the goal to protect competition. In the context of neo-liberalism the state intervenes in the market to protect competition. In both contexts, the aim is to level the playing field and to provide equal opportunities to compete. Within the framework of Michel Foucault’s terminology, I will argue that the bioethical debate on fairness forms part of a neoliberal governmentality.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    In the US, the life-time prevalence of non-medical prescription stimulant use in 2004 was 6.9 %, according to McCabe et al. (2005). In Germany a recent study from the University of Mainz surveyed a lifetime prevalence non-medical prescription stimulant use of 0.78 % (Franke et al. 2011).

  2. 2.

    To further explore the fantasies and underlying normative assumptions on cognitive enhancement, I conducted focus group discussions in Germany and the US with students who do not necessarily take medication themselves. Results are not published yet.

  3. 3.

    Foundation of the “Neuroethics Society” (2006), Foundation of the “European Neuroscience and Society Network” (2007). Two neuroethical journals: Neuroethics (2008) and American Journal of Bioethics – Neuroscience (2010).

  4. 4.

    Bruno Latour who explores the dualistic distinctions made by modernists between nature and society, between humans and non-humans, asks (Latour 1993, 124): “Are not most ethicists busy with those two opposite but symmetrical tasks: defending the purity of science and rationality from the polluting influence of passions and interests; defending the unique values and rights of human subjects against the domination of scientific and technical objectivity?”.

  5. 5.

    Two of the co-authors of the memorandum, Jan Christoph Bublitz and Dimitris Repantis, are also contributors to this book.

  6. 6.

    Positional goods are goods that are valued for their scarcity alone (cf. Hirsch 1977).

  7. 7.

    Ian Hacking points out, that although Habermas put “Human Nature” into the title of his book it is not human nature’s integrity itself that forms the basis of his argument, but human dignity. Fukuyama, instead, uses this phrase in itself as the basis of his entire argument (cf. Hacking 2009, 16).

  8. 8.

    This doesn’t mean that today’s psychiatric neuro-interventions are not coercive any more.

References

  • Amable B (2010) Morals and politics in the ideology of neo-liberalism. Socio-Econ Rev 8:1–28. doi:10.1093/ser/mwq015

    Article  Google Scholar 

  • Bröckling U, Krasmann S, Lemke T (2000) Gouvernementalität der Gegenwart. Studien zur Ökonomiserung des Sozialen. Suhrkamp, Frankfurt am Main

    Google Scholar 

  • Burchell G (1996) Liberal government and techniques of the self. In: Barry A, Osborne T, Rose N (eds) Foucault and political reason. The University of Chicago Press, Chicago

    Google Scholar 

  • Caplan AL (2003) Is better best? A noted ethicist argues in favor of brain enhancement. Sci Am 289:104–105

    Article  PubMed  Google Scholar 

  • De Jongh R, Bolt I, Schermer M, Olivier B (2008) Botox for the brain: enhancement of cognition, mood and pro-social behavior and blunting of unwanted memories. Neurosci Biobehav Rev 32:760–776. doi:10.1016/j.neubiorev.2007.12.001

    Article  PubMed  Google Scholar 

  • Farah M, Wolpe P (2004) Monitoring and manipulating brain function. New neuroscience technologies and their ethical implications. Hastings Cent Rep 34:35–45. doi:10.2307/3528418

    PubMed  Google Scholar 

  • Farah M, Illes J, Cook-Deegan R, Gardner H, Kandel E, King P, Parens E, Sahakian B, Wolpe P (2004) Neurocognitive enhancement: what can we do and what should we do? Nat Rev Neurosci 5:421–425. doi:10.1038/nrn1390

    Article  PubMed  CAS  Google Scholar 

  • Forlini C, Racine E (2009) Disagreements with implications: diverging discourses on the ethics of non-medical use of methylphenidate for performance enhancement. BMC Med Ethics 10:9. doi:10.1186/1472-6939-10-9

    Article  PubMed  Google Scholar 

  • Foucault M (1986) The care of the self. Pantheon, New York

    Google Scholar 

  • Foucault M (1988) Technologies of the self. In: Martin LH, Gutman H, Hutton PH (eds) Technologies of the self. University of Massachusetts Press, Amherst

    Google Scholar 

  • Foucault M (2008) The birth of biopolitics: lectures at the collège de France, 1978–1979. Palgrave Macmillan, Basingstoke

    Book  Google Scholar 

  • Franke AG, Bonertz C, Christmann M, Huss M, Fellgiebel A, Hildt E, Lieb K (2011) Non-medical use of prescription stimulants and illicit use of stimulants for cognitive enhancement in pupils and students in Germany. Pharmacopsychiatry 44:60–66. doi:10.1055/s-0030-1268417

    Article  PubMed  CAS  Google Scholar 

  • Galert T, Bublitz C, Heuser I, Merkel R, Repantis D, Schöne-Seifert B, Talbot D (2009) Das optimierte Gehirn. Gehirn und Geist 11:40–48

    Google Scholar 

  • Greely H, Sahakian B, Harris J, Kessler RC, Gazzaniga M, Campbell P, Farah M (2008) Towards responsible use of cognitive enhancing drugs by the healthy. Nature 456:18–25. doi:10.1038/456702a

    Article  Google Scholar 

  • Hacking I (2009) The abolition of man. Behemoth J Civil 3:5–23. doi:10.1524/behe.2009.0017

    Article  Google Scholar 

  • Hayek FA (1978) The results of human action but not of human design. In: Hayek FA (ed) New studies in philosophy, politics, economics, and the history of ideas. Routledge & Kegan Paul, London/Henley

    Chapter  Google Scholar 

  • Hirsch F (1977) The social limits to growth. Routledge & Kegan Paul, London

    Google Scholar 

  • Hughes J (2010) TechnoProgressive biopolitics and human enhancement. In: Moreno J, Berger S (eds) Progress in bioethics. MIT Press, Cambridge

    Google Scholar 

  • Klerman GL (1972) Psychotropic hedonism vs. pharmacological calvinism. Hastings Cent Rep 2:1–3. doi:10.2307/3561398

    PubMed  CAS  Google Scholar 

  • Langlitz N (2010) Das Gehirn ist kein Muskel. Frankfurter Allgemeine Sonntagszeitung. http://www.faz.net/aktuell/wissen/medizin/neuro-enhancement-das-gehirn-ist-kein-muskel-1912020.html

  • Latour B (1993) We have never been modern. Harvard University Press, Cambridge

    Google Scholar 

  • Lemke T (2001) The birth of bio-politics: Michael Foucault’s lectures at the College de France on neo-liberal governmentality. Econ Soc 30:190–207. doi:10.1080/713766674

    Google Scholar 

  • McCabe SE, Knight JR, Teter CJ, Wechsler H (2005) Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national survey. Addiction 100:96–106. doi:10.1111/j.1360-0443.2005.00944.x

    Article  PubMed  Google Scholar 

  • Partridge BJ, Bell SK, Lucke JC, Yeates S, Hall WD (2011) Smart drugs: “as common as coffee”: media hype about neuroenhancement. PLoS One 6(11):doi:10.1371/journal.pone.0028416

    Article  Google Scholar 

  • Quednow BB (2010) Ethics of neuroenhancement: a phantom debate. BioSocieties 5:153–156. doi:10.1057/biosoc.2009.13

    Article  Google Scholar 

  • Rawls J (1971) A theory of justice. Harvard University Press, Cambridge

    Google Scholar 

  • Rose N (2003) Neurochemical selves. Society 41:46–59. doi:10.1007/BF02688204

    Article  Google Scholar 

  • Rose N (2004) Becoming neurochemical selves. In: Stehr N (ed) Biotechnology, commerce and civil society. Transaction Publishers, New Brunswick

    Google Scholar 

  • Sabin J, Daniels N (1994) Determining “medical necessity” in mental health practice: a study of clinical reasoning and a proposal for insurance policy. Hastings Cent Rep 24:5–13. doi:10.2307/3563458

    PubMed  CAS  Google Scholar 

  • Savulescu J (2006) Justice, fairness and enhancement. In: Sims Bainbridge W, Roco MC (eds) Special issue: progress in convergence: technologies for human wellbeing. Ann N Y Acad Sci 1093:321–338. doi:10.1196/annals.1382.021

  • Schaper-Rinkel P (2007) Die neurowissenschaftliche Gouvernementalität. Re-Konfigurationen von Geschlecht zwischen Formbarkeit, Abschaffung und Re-Essentialisierung. In: Dölling I, Dornhof D, Esders K, Genschel C, Hark S (eds) Transformationen von Wissen, Mensch und Geschlecht. Transdiziplinäre Interventionen. Ulrike Helmer Verlag, Königstein/Taunus

    Google Scholar 

  • The President’s Council on Bioethics (2003) Beyond therapy: biotechnology and the pursuit of happiness. Dana Press, Washington, DC

    Google Scholar 

  • Vanberg VJ (2006) Marktwirtschaft und Gerechtigkeit. Zu F.A. Hayeks Kritik am Konzept der “sozialen Gerechtigkeit”. In: Held M, Kubon-Gilke G, Sturn R (eds) Jahrbuch Normative und institutionelle Grundfragen der Ökonomik, Bd. 5, Soziale Sicherung in Marktgesellschaften. Metropolis-Verlag, Marburg

    Google Scholar 

  • Vidal F (2009) Brainhood, anthropological figure of modernity. Hist Hum Sci 22:5–36. doi:10.1177/0952695108099133

    Article  Google Scholar 

  • Weber M, The agrarian sociology of ancient civilizations (trans: Frank RI, 1976). Verso Classics, London

    Google Scholar 

  • Weber M (2001) The protestant ethic and the spirit of capitalism. Routledge, London

    Google Scholar 

Download references

Acknowledgements

I would like to thank Nicolas Langlitz for many very inspiring discussions that have enriched this chapter and Thomas Biebricher, Georg Fischer and Isabell Trommer for valuable editing and comments.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Greta Wagner .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Wagner, G. (2013). Leveling the Playing Field: Fairness in the Cognitive Enhancement Debate. In: Hildt, E., Franke, A. (eds) Cognitive Enhancement. Trends in Augmentation of Human Performance, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6253-4_18

Download citation

Publish with us

Policies and ethics