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Mental integrity, autonomy, and fundamental interests
  1. Peter Zuk
  1. Center for Bioethics, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Peter Zuk, Center for Bioethics, Harvard Medical School, Boston, Massachusetts, USA; Peter_Zuk{at}hms.harvard.edu

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.

  • Ethics
  • Human Rights
  • Personal Autonomy
  • Philosophy
  • Consciousness

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Footnotes

  • Contributors All contributions are by PZ, the sole author, except where others have been thanked for their comments and suggestions.

  • Funding Research reported in this publication was supported by the National Institute of Neurological Disorders and Stroke (NINDS) of the National Institutes of Health (NIH) as part of the NIH BRAIN Initiative under Award Number F32MH127776, administered by the National Institute of Mental Health (NIMH). The content is solely the responsibility of the author and does not necessarily represent the official views of the NIH, BRAIN Initiative, NINDS, NIMH, or Harvard Medical School.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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