Abstract
The disease-centered goals of medicine and its ethos appear to be endangered by the emergence of new possibilities to use medical techniques “beyond therapy” — that is, to improve the appearance, capacities, or longevity of healthy persons. This paper discusses some normative aspects of such “enhancement”. First, it questions the possibility of a clear-cut “therapy-enhancement distinction”; secondly, it argues that even genuine enhancement, does not necessarily fall under the verdict of traditional physicians’ role and ethics; and third, should some enhancement procedures turn out to be effective and safe, people will still need professionals, physicians, or others to guarantee quality standards, risk monitoring, and individual information about the application of such procedures. Finally, whether or not enhancement is to be viewed as ethically acceptable will have to be decided by its consequences for individual and social flourishing and fairness.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Barondes, Samuel H. (2003): Better than Prozac: Creating the Next Generation of Psychotic Drugs. London, Oxford: University Press.
Bayertz, Kurt (Hrsg.) (2004): Die Menschliche Natur. Welchen und wieviel Wert hat sie? Paderborn: mentis.
Bothe, Hans-Werner und Michael Engel (1999): Neurobionik: Zukunftsmedizin mit mikroelektronischen Implantaten. Berlin: Umschau-Verlag.
Buchanan, Allen, Dan W. Brock, Norman Daniels und Daniel Wikler (2000): From Chance to Choice. Genetics and Justice. Cambridge/New York/Melbourne: Cambridge University Press.
Cole-Turner, Ronald (1998): Do Means Matter? In: Parens E. (1998): 151–161.
Daniels, Norman (2000): Normal Functioning and the Treatment-Enhancement Distinction. In: Cambridge Quarterly of Healthcare Ethics, 9: 309–322.
Davis, Kathy (1995): Reshaping the Female Body: The Dilemma of Cosmetic Surgery. New York: Routledge.
DeGrandpre, Richard (1999): Ritalin Nation. New York/London: Norton & Company.
DeGrazia, David (2000): Prozac, Enhancement, and Self-Creation. In: Hastings Center Report, 30: 34–40.
Diller, Larry H. (1998): The Run on Ritalin. Attention Deficit Order and Stimulant Treatment in the 1990s. In: Hastings Center Report, 26: 12–18.
Elliott, Carl (1998): The Tyranny of Happiness: Ethics and Cosmetic Psychopharmacology. In: Parens (1998): 177–188.
Elliott, Carl, Todd Chambers (Hrsg.) (2004): Prozac as a Way of Life. Chapel Hill/London: University of North Carolina Press.
Faden, Ruth, Beauchamp, Tom L. (1986): A History and Theory of Informed Consent. New York/Oxford: Oxford University Press.
Feinberg Joel (1986): Harm to Self. The Moral Limits of the Criminal Law. Band 3. New York/Oxford: Oxford University Press, Kapitel 18–19.
Fuchs, Michael, Dirk Lanzerath, Ingo Hillebrand, Thomas Runkel, Magdalena Balcerak und Barbara Schmitz (2002): Enhancement: Die ethische Diskussion über biomedizinische Verbesserungen des Menschen. DRZE-Sachstandsbericht. Bonn: Deutsches Referenzzentrum für Ethik in den Biowissenschaften.
Gilman, Sander L. (1999): Making the Body Beautiful. A Cultural History of Aesthetic Surgery. Princeton: Princeton.University Press.
Glover, Jonathan (1984): What Sort of People Should There Be? Harmondsworth: Pelican Books.
Harris, John (1993): Wonderwoman and Superman. The Ethics of Human Biotechnology. Oxford/New York: Oxford University Press.
Habermas, Jürgen (2002): Die Zukunft der menschlichen Natur. Auf dem Weg zu einer liberalen Eugenik? Frankfurt: Suhrkamp-Verlag.
Juengst, Eric T. (1997) Can Enhancement be Distinguished from Prevention in Genetic Medicine? Journal of Medicine and Philosophy, 22: 125–142.
Juengst, Eric T. (1998): What does Enhancement Mean? In: Parens (1998): 29–47.
Juengst, Eric T., Robert H. Binstock, Maxwell Mehlman, Stephen G. Post und Peter Whitehouse (2003): Biogerontology, Anti-aging Medicine, and the Challenges of Human Enhancement. In: Hastings Center Report, 33 (4): 21–30.
Kandel, Eric R., C. Pittenger (1999): The Past, the Future and the Biology of Memory Storage. In: Philosophical Transactions [of the Royal Society] B, 354 (1392): 2027–2052.
Keenan, James F., Societas Jesu (1999): Whose Perfection Is It Anyway? A Virtuous Consideration of Enhancement. In: Christian Bioethics, 5: 104–120.
Kramer, Peter D. (1993): Listening to Prozac: A Psychiatrist Explores Antidepressant Drugs and the Remaking of the Self. New York: Penguin Books.
Lenk, Christian (2002): Therapie und Enhancement Ziele und Grenzen der modernen Medizin. Münster: LIT-Verlag.
Maguire, Gerald Q., Ellen M. McGee (1999): Implantable Brain Chips? Time for Debate. In: Hastings Center Report, 29: 7–13.
Maio, Giovanni (2002): Die ästhetische Chirurgie und das ärztliche Selbstverständnis — Eine medizinethische Betrachtung. In: Wolff et al. (2002): 139–147.
McGee, Glenn (2000): Ethical Issues in Enhancement: An Introduction. In: Cambridge Quarterly of Health Care Ethics, 9: 299–303.
Miller, Franklin G., Howard Brody und, Kevin C. Chung (2000): Cosmetic Surgery and the Internal Morality of Medicine. In: Cambridge Quarterly of Health Care Ethics, 9: 353–364.
Morgan, Kathryn (1991): Women and the Knife: Cosmetic Surgery and the Colonization of Women’s Bodies. In: Hypatia, 6: 25–53.
Parens, Erik (Hrsg.) (1998): Enhancing Human Traits. Ethical and Social Implications. Washington D.C.: Georgetown University Press.
Parens, Erik (1998a): Is Better Always Good? The Enhancement Project. In: Parens (1998): 1–28.
Quante, Michael (2002): Personales Leben und menschlicher Tod. Personale Identität als Prinzip der biomedizinischen Ethik. Frankfurt am Main: Suhrkamp.
von Randow, Gero (Hrsg.) (2001): Wieviel Körper braucht der Mensch? Hamburg: edition Körber Stiftung.
Resnik, David B. (2000): The Moral Significance of the Therapy-Enhancement Distinction in Human Genetics. In: Cambridge Quarterly of Health Care Ethics, 9: 365–377.
Richter-Kuhlmann, Eva. A. (2004): Schönheitswahn: Gegenoffensive gestartet. In: Deutsches Ärzteblatt, 101 (45): A2988.
Rothman Sheila M., David J. Rothman (2003): The Pursuit of Perfection: The Promise and Perils of Medical Enhancement. New York: Pantheon Books.
Schlich, Thomas (2001): Eine kurze Geschichte der Körperverbesserung. In: von Randow (2001): 131–144.
Turner, Danielle C., Trevor W. Robbins, Luke Clark, Adam R. Aron, Jonathan Dowson und Barbara J. Sahakian (2003): Cognitive Enhancing Effects of Modafinil in Healthy Volunteers. In: Psychopharmacology, 165: 260–269.
US-President’s Council on Bioethics (Hrsg.) (2004): Beyond Therapy: Biotechnology and the Pursuit of Happiness. Washington, DC: Dana Press.
Wijsbek, Henry (2000): The pursuit of beauty: the enforcement of aesthetics or a freely adopted lifestyle? In: Journal of Medical Ethics, 26: 454–458.
Wolff, Helmut H., Julia Welzel, Dietrich v. Engelhardt (Hrsg.) (2002): Ethik in der Dermato-Venerologie. Lübeck: Hansisches Verlagskontor.
Zintzen, Clemens (2000): Vom Menschenbild der Renaissance. München, Leipzig: K. G. Saur Verlag.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 VS Verlag für Sozialwissenschaften/GWV Fachverlage GmbH, Wiesbaden
About this chapter
Cite this chapter
Schöne-Seifert, B. (2005). Von der Medizin zur Humantechnologie? Ärztliches Handeln zwischen medizinischer Indikation und Patientenwunsch. In: van den Daele, W. (eds) Biopolitik. Leviathan, vol 23. VS Verlag für Sozialwissenschaften. https://doi.org/10.1007/978-3-322-80772-4_7
Download citation
DOI: https://doi.org/10.1007/978-3-322-80772-4_7
Publisher Name: VS Verlag für Sozialwissenschaften
Print ISBN: 978-3-531-14720-8
Online ISBN: 978-3-322-80772-4
eBook Packages: Humanities, Social Science (German Language)