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Education and the Ethics of Neuro-enhancement

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Shaping Children

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Abstract

The potential and factual use of pharmacological neuro-enhancement in the educational system has raised pedagogical, political, juridical, and ethical controversies. In this paper, I will address some of the systematic theoretical questions that permeate these debates. Since advocates of the educational use of neuro-enhancement often do not theoretically clarify what they mean by “education,” I am first going to analyze different conceptions of education (e.g., value-based vs. technological conceptions) to develop a more complex theoretical picture of the “educational status” of neuro-enhancement (Sect. 9.2). Second, I am going to discuss two central problems of an ethics of the educational use of pharmacological neuro-enhancement (Sect. 9.3). Beginning with an analysis of the limits of consent-based and autonomy-oriented forms of justification of cognitive neuro-enhancement in education (Sect. 9.3.1), I am going to provide a theoretical reconstruction of (potential) ethical implications of the use of pharmacological neuro-enhancement for central educational categories and practices (achievement, responsibility, and authenticity) (Sect. 9.3.2). My major argumentative aim is to clarify and question fallible empirical and conceptual assumptions that are used to frame rationales for and against the introduction of neuro-enhancement in the domain of education.

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Notes

  1. 1.

    This orientation is one structural core element of paternalist rationales that are used as justificatory frames for regulations in different societal domains: e.g., the educational system (Giesinger 2007), the health care system (Nys 2008), and a variety of other fields (Sunstein 2016). Kalle Grill has distinguished four core elements which are characteristic of most conceptions of paternalism:

    “1.  An interference condition which delimits the kind of action that may be paternalistic, most often excluding nonintrusive actions such as greeting someone in the street (when this is not a sign to fellow paternalists to capture the person and force her to be more prudent)

    2. A consent condition which limits paternalistic actions to such actions as have not been consented to—excluding actions that are performed in response to explicit consent, and possibly also tacit and inferred consent

    3. A benevolence condition which limits paternalistic actions to such actions as are motivated, and perhaps also justified, by the good of the person(s) interfered with

    Very often, there is also:

    4. A superiority condition which restricts paternalism to such actions as are performed by an agent who considers herself in some way superior to the person(s) interfered with” (Grill 2012: 4f).

  2. 2.

    This position, criticized by Luhmann and Schorr (1982), is part of the argumentative toolbox of the old German tradition of “Geisteswissenschaftliche Pädagogik” (“Geisteswissenschaft” is the German translation of “moral science” (Mill)). The position is also adopted by contemporary philosophers of education who criticize technological ambitions currently influential in educational science (e.g., Biesta 2010). Both claims (technology deficit/technology verdict) are subject of an ongoing discussion in the humanities (cf. Tenorth 2002).

  3. 3.

    “(…) I contend that the normativity of education is not ethical or moral but has to be understood as an educational normativity because teachers who engage with their students in an ethical way do not automatically act in a way that is educationally significant” (Biesta 2015: 674).

  4. 4.

    In his insightful discussion of problems concerning the use of NE in the context of university education, Danaher (2016) divides human activities in two general types—practice-oriented activities (practices which are combined with particular performances and which are associated with internal goods) and goal-directed activities (practices which are associated with particular kinds of outcomes and external goods). A man rollerblading up a sprint track of 100 m would certainly reach the end of the track but subvert the practical sense and the internal goods of this practice-oriented activity. Danaher argues that the potential subversion of internal goods associated with educational practices may provide good reasons for regulatory interventions targeting the use of NE in the field of university education (ibid.: 570).

  5. 5.

    Of course allegedly clear-cut dichotomies between “traditional education” and NE understood as “popping pills” are misplaced. NE might form a part of very different educational methods and arrangements that may have a different intensity and scope.

  6. 6.

    Since there is considerable disagreement in the academic debate concerning the moral status of children and childhood and concerning constitutive elements of what it means to be a child, I use the notion of children in a broad sense, referring to all persons under the age of 18 (cf. The UN Convention on the Rights of the Child). Thus, the scope of my argument is limited to this age group.

  7. 7.

    It should be noted that my arguments against consent-based justifications of NE could also be applied to the case of the justification of education. I am generally skeptical concerning consent-based justifications because I believe that education cannot be justified without reference to perfectionist conceptions of well-being and the good life. My arguments against consent-based justifications of NE are based on the (debatable) premise that—given the lack of evidence concerning alleged beneficial long-term effects of NE—the justificatory burden should be much higher in the case of NE compared to the case of an established social practice like education.

  8. 8.

    The title “Adderall for All: A Defence of Pediatric Neuro-enhancement” Flanigan adopted for her paper sounds like a slogan for an advertising campaign to promote the access to these stimulants as “not only permissible” but sometimes as “morally praiseworthy” (Flanigan 2013: 326). According to Flanigan’s approach, NE promises to deliver ready-made remedies against failing schools, failing parents, failing children. Her recommendations ignore the (certainly relevant) current lack of evidence about efficacy and safety of NE and instead accentuate the dangers of limits on access to nonmedical stimulant use: “Critics of pediatric neuro-enhancement have emphasized the dangers of providing medication to healthy children but overlooked the dangers of denying healthy patients a legitimate path to access for neuro-enhancement” (ibid.: 333).

  9. 9.

    Postulates of “ethical and epistemic abstinence” or “liberal neutrality” concerning value judgments about particular conceptions of the good usually ignore that fundamental decisions about values are already embedded in the structure and order of liberal societies (Jaeggi 2014: 40).

  10. 10.

    There is a lot of controversy about valid statistical data concerning the current extent as well as past and future trends of the usage of NE among teenagers, children, and students (cf. Flanigan 2013; Danaher 2016). Quednow (2010) gives a short critical review of currently available forms of NE and of the empirical evidence provided by studies about the use of neuro-enhancers in modern societies since the last century.

  11. 11.

    It should be noted that since the ethical debate about NE is primarily hypothetical, also the following reflections are (necessarily) primarily hypothetical.

  12. 12.

    Quednow (2010) criticizes these assumptions. These “pharmacological and epidemiological premises are unrealistic” (ibid.: 153). “(T)here is no genuine cognitive enhancer available to date” (p. 154). Therefore, a lot of the present ethical discussion is based on “dubious assumptions” about new technologies “before they are fully developed. At least this one time, ethics could be ahead of technology. However, do we really need a debate on a technology that will probably never materialize” (p. 155f)?

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Drerup, J. (2019). Education and the Ethics of Neuro-enhancement. In: Nagel, S. (eds) Shaping Children. Advances in Neuroethics. Springer, Cham. https://doi.org/10.1007/978-3-030-10677-5_9

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