‘Cosmetic Neurology’ and the Moral Complicity Argument
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Over the past decades, mood enhancement effects of various drugs and neuromodulation technologies have been proclaimed. If one day highly effective methods for significantly altering and elevating one’s mood are available, it is conceivable that the demand for them will be considerable. One urgent concern will then be what role physicians should play in providing such services. The concern can be extended from literature on controversial demands for aesthetic surgery. According to Margaret Little, physicians should be aware that certain aesthetic enhancement requests reflect immoral social norms and ideals. By granting such requests, she argues, doctors render themselves complicit to a collective ‘evil’. In this paper, we wish to question the extent to which physicians, psychiatrists and/or neurosurgeons should play a role as ‘moral gatekeepers’ in dealing with suspect demands and norms underlying potential desires to alter one’s mood or character. We investigate and discuss the nature and limits of physician responsibilities in reference to various hypothetical and intuitively problematic mood enhancement requests.
KeywordsNeuroenhancement Mood Doctors Moral responsibility Cosmetic surgery
This study was made possible thanks to the support of the Brocher Foundation and the Research Foundation Flanders. The authors also wish to thank Barbro Björkman and two anonymous reviewers for their helpful comments and suggestions on an earlier draft.
- 1.British Medical Association. 2007. Boosting your brainpower: ethical aspects of cognitive enhancements. Available from: http://www.bma.org.uk/ap.nsf/content/CognitiveEnhancement2007.
- 4.Rose, S. 2006. Brain gain. In Better humans? The politics of human enhancement and life extension, ed. P. Miller, and J. Wilsdon, 69–79. London: Demos.Google Scholar
- 6.Little, M.O. 1998. Cosmetic surgery, suspect norms, and the ethics of complicity. In Enhancing human traits: ethical and social implications, ed. E. Parens, 162–177. Washington, D.C.: Georgetown University Press.Google Scholar
- 7.Chatterjee, A. 2004. Cosmetic neurology: the controversy over enhancing movement, mentation, and mood. Neurology 63(6): 968–974.Google Scholar
- 10.Tindall B. 2004. Better playing through chemistry. The New York Times, Oct 17, 2004. Available from: http://www.nytimes.com/2004/10/17/arts/music/17tind.html?pagewanted=all&position=.
- 12.Kramer, P. 1993. Listening to Prozac. New York: Penguin.Google Scholar
- 16.George, M.S., E.M. Wassermann, and R.M. Post. 1996. Transcranial magnetic stimulation: a neuropsychiatric tool for the 21st century. Journal of Neuropsychiatry and Clinical Neurosciences 8(4): 373–382.Google Scholar
- 19.Pascual-Leone, A., M.D. Catalá, and P.A. Pascual-Leone. 1996. Lateralized effect of rapid-rate transcranial magnetic stimulation of the prefrontal cortex on mood. Neurology 46(2): 499–502.Google Scholar
- 21.Delgado, J. 1969. Toward a psychocivilized society. New York: Harper and Row.Google Scholar
- 27.Lind, G., G. Schechtmann, and B. Linderoth. 2007. Drug-enhanced spinal stimulation for pain: a new strategy. Acta Neurochirurgica. Supplementum 97(Pt 1): 57–63.Google Scholar
- 30.Elliott C. Date unknown. Medicate your dissent. Available from: http://www.tc.umn.edu/~ellio023/medicate.htm (cited 2008 April 10).
- 31.Anonymous. 2006. Testosterone offers women benefits, risks. Iconocast [serial on the Internet]. Available from: http://www.iconocast.com/News_Files/HNews6_27_06/Health9A.htm (cited 2008 Febr 27).
- 32.Anonymous. Date unknown. Editorial review: O’Neill BE. The testosterone edge: The breakthrough plan to boost energy, fight disease, improve mood, and increase sexual vitality. Available from: http://www.amazon.com/Testosterone-Edge-Breakthrough-Increase-Vitality/dp/1578261961 (cited 2008 Febr 27).
- 34.Ontorio Consultants on Religious Tolerance. Date unknown. Reparative and similar therapies: Introduction. Available from: http://www.religioustolerance.org/hom_exod.htm (cited 2008 Febr 27).
- 36.Gupta, S. 2003. Ethnic makeover. Time 162(14): 88.Google Scholar
- 43.International Society of Aesthetic Plastic Surgery. ISAPS Ethics [homepage on the Internet]. Available from: http://www.isaps.org/ethics.php (cited 2008 March 21).
- 44.Glannon, W. 2007. Bioethics and the brain. New York: Oxford University Press.Google Scholar
- 45.President’s Council on Bioethics. 2003. Beyond therapy: Biotechnology and the pursuit of happiness [monograph on the internet]. Available from: http://www.bioethics.gov/reports/beyondtherapy/beyond_therapy_final_webcorrected.pdf (cited 2008 March 10).
- 48.American Medical Association. 2000. Declaration of professional responsibility. Appendix in: Council on ethical and judicial affairs. Code of medical ethics -current opinions, 2000–2001 Edition, xiv. Chicago: American Medical Association.Google Scholar
- 50.Kutz, C. 2000. Complicity: ethics and law for a collective age. Cambridge: Cambridge University Press.Google Scholar
- 53.Veatch, R. 2005. Disrupted dialogue: medical ethics and the collapse of physician-humanist communication. New York: Oxford University Press.Google Scholar
- 59.Lexchin, J. 2001. Lifestyle drugs: issues for debate. Canadian Medical Association Journal 164: 1449–1451.Google Scholar