Genetic modifications for personal enhancement: a defence.

Abstract:

:Bioconservative commentators argue that parents should not take steps to modify the genetics of their children even in the name of enhancement because of the damage they predict for values, identities and relationships. Some commentators have even said that adults should not modify themselves through genetic interventions. One commentator worries that genetic modifications chosen by adults for themselves will undermine moral agency, lead to less valuable experiences and fracture people's sense of self. These worries are not justified, however, since the effects of modification will not undo moral agency as such. Adults can still have valuable experiences, even if some prior choices no longer seem meaningful. Changes at the genetic level will not always, either, alienate people from their own sense of self. On the contrary, genetic modifications can help amplify choice, enrich lives and consolidate identities. Ultimately, there is no moral requirement that people value their contingent genetic endowment to the exclusion of changes important to them in their future genetic identities. Through weighing risks and benefits, adults also have the power to consent to, and assume the risks of, genetic modifications for themselves in a way not possible in prenatal genetic interventions.

journal_name

J Med Ethics

authors

Murphy TF

doi

10.1136/medethics-2012-101026

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

242-5

issue

4

eissn

0306-6800

issn

1473-4257

pii

medethics-2012-101026

journal_volume

40

pub_type

杂志文章
  • Medicine as an essentially contested concept.

    abstract::W B Gallie's notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.29.4.261

    authors: McKnight C

    更新日期:2003-08-01 00:00:00

  • Medical mismanagement or patient vacillation?

    abstract::One theme of London University lawyer Ian Kennedy's 1980 Reith Lectures on medical ethics was the need to change the emphasis in physician patient relations from paternalism on the part of doctors to self determination on the part of patients. Bamford, a specialist in obstetrics and gynecology, demonstrates how reali...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.7.4.179

    authors: Bamford PN

    更新日期:1981-12-01 00:00:00

  • Sturdy for common things: cultivating moral sensemaking on the front lines of practice.

    abstract::This essay argues that the field of bioethics should concern itself especially with the process of making moral sense that unfolds among clinicians, patients and family members during common but high-stakes conversations occurring on the front lines of practice. The essay outlines the parameters of a bioethics grounde...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100084

    authors: Browning DM

    更新日期:2012-04-01 00:00:00

  • Developing ethics guidance for HIV prevention research: the HIV Prevention Trials Network approach.

    abstract::More than 25 years into the HIV epidemic, in excess of 2 million new infections continue to occur each year. HIV prevention research is crucial for groups at heightened risk for HIV, but the design and conduct of HIV prevention research with vulnerable populations worldwide raises considerable ethical challenge...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2010.035444

    authors: Rennie S,Sugarman J

    更新日期:2010-12-01 00:00:00

  • Implementation of a consent for chart review and contact and its impact in one clinical centre.

    abstract:OBJECTIVE:Informed consent and protection of patient confidentiality are central to the conduction of clinical research. Consent for chart review and contact (CCRC) allows a patient chart to be screened for research by persons outside the direct circle-of-care and for the patient to be contacted regarding potential stu...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101765

    authors: Druce I,Ooi TC,McGuire D,Sorisky A,Malcolm J

    更新日期:2015-05-01 00:00:00

  • Lifetime QALY prioritarianism in priority setting.

    abstract::Two principles form the basis for much priority setting in health. According to the greater benefit principle, resources should be directed toward the intervention with the greater health benefit. According to the worse off principle, resources should be directed toward the intervention benefiting those initially wors...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100740

    authors: Ottersen T

    更新日期:2013-03-01 00:00:00

  • Good and not so good medical ethics.

    abstract::In this paper, I provide a brief sketch of the purposes that medical ethics serves and what makes for good medical ethics. Medical ethics can guide clinical practice and biomedical research, contribute to the education of clinicians, advance thinking in the field, and direct healthcare policy. Although these are disti...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2014-102312

    authors: Rhodes R

    更新日期:2015-01-01 00:00:00

  • Comments on an obstructed death -- a case conference revisited: commentary 1.

    abstract::The paper comments on Scott Dunbar's "An obstructed death and medical ethics," arguing contra Dunbar that we should not view truth-telling to the terminally ill as primarily governed by principles of veracity and respect for autonomy. All such rules are of limited value in medical ethics. We should instead turn to a...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.16.2.88

    authors: Byrne P

    更新日期:1990-06-01 00:00:00

  • Medical futility, treatment withdrawal and the persistent vegetative state.

    abstract::Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.19.2.71

    authors: Mitchell KR,Kerridge IH,Lovat TJ

    更新日期:1993-06-01 00:00:00

  • The authority of a moral claim: Ian Ramsey and the practice of medicine.

    abstract::This essay is the text of the first Ian Ramsey Memorial Lecture delivered by the author at Oxford University in December 1986. Ramsey, Bishop of Durham from 1966 until his death in 1972, was a philosopher whose interests were contemporary ethical issues created by the interaction of law, medicine, and religion. Duns...

    journal_title:Journal of medical ethics

    pub_type: 传,历史文章,杂志文章

    doi:10.1136/jme.13.4.189

    authors: Dunstan GR

    更新日期:1987-12-01 00:00:00

  • Literature and medicine.

    abstract::There are various ways in which medicine and literature interact, but this paper concentrates on the contribution which literature can make to 'whole person understanding'. Scientific understanding is concerned with seeing events and actions in terms of patterns or similarities. But 'whole person understanding' is con...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.17.2.93

    authors: Downie RS

    更新日期:1991-06-01 00:00:00

  • Why we should not seek individual informed consent for participation in health services research.

    abstract::Ethics committees now require that individuals give informed consent to much health services research, in the same way as for clinical research. This is misguided. Existing ethical guidelines do not help us decide how to seek consent in these cases, and have allowed managerial experimentation to remain largely uncheck...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章,评审

    doi:10.1136/jme.28.5.313

    authors: Cassell J,Young A

    更新日期:2002-10-01 00:00:00

  • Legislation on euthanasia: recent developments in The Netherlands.

    abstract::Recently, new developments took place in the Dutch debate on the legislation of euthanasia. After a brief account of that debate, the article discusses a new government proposal for legislation in this field, which was submitted to the Dutch parliament in November 1991. This proposal relates not only to euthanasia but...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.18.3.138

    authors: Gevers JK

    更新日期:1992-09-01 00:00:00

  • Perimortem gamete retrieval: should we worry about consent?

    abstract::Perimortem gamete retrieval has been a possibility for several decades. It involves the surgical extraction of gametes which can then be cryo-preserved and stored for future use. Usually, the request for perimortem gamete retrieval is made by the patient's partner after the patient himself, or herself, has lost the ca...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101727

    authors: Smajdor A

    更新日期:2015-06-01 00:00:00

  • Community care--same problems, different epithet?

    abstract::A negative image of community care prevails. This method of care is perceived to be a relatively novel phenomenon and has received mixed media coverage. The negative image of community care has led to the growing belief that this care method has failed. This failure has largely been ascribed to the lack of powers avai...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.24.5.336

    authors: Glover N

    更新日期:1998-10-01 00:00:00

  • Approaches to suffering at the end of life: the use of sedation in the USA and Netherlands.

    abstract:BACKGROUND:Studies describing physicians' experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-100561

    authors: Rietjens JA,Voorhees JR,van der Heide A,Drickamer MA

    更新日期:2014-04-01 00:00:00

  • Stem cells, embryos, and the environment: a context for both science and ethics.

    abstract::Debate on the potential and uses of human stem cells tends to be conducted by two constituencies-ethicists and scientists. On many occasions there is little communication between the two, with the result that ethical debate is not informed as well as it might be by scientific insights. The aim of this paper is to high...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2003.002386

    authors: Towns CR,Jones DG

    更新日期:2004-08-01 00:00:00

  • Response to: What counts as success in genetic counselling?

    abstract::Clinical genetics encompasses a wider range of activities than discussion of reproductive risks and options. Hence, it is possible for a clinical geneticist to reduce suffering associated with genetic disease without aiming to reduce the birth incidence of such diseases. Simple cost-benefit analyses of genetic-screeni...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.19.1.47

    authors: Clarke A

    更新日期:1993-03-01 00:00:00

  • Genetic privacy: orthodoxy or oxymoron?

    abstract::In this paper we question whether the concept of "genetic privacy" is a contradiction in terms. And, if so, whether the implications of such a conclusion, inevitably impact on how society comes to perceive privacy and responsibility generally. Current law and ethical discourse place a high value on self-determination ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.25.2.144

    authors: Sommerville A,English V

    更新日期:1999-04-01 00:00:00

  • Moral duties and euthanasia: why to kill is not necessarily the same as to let die.

    abstract::David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2011.044966

    authors: McLachlan H

    更新日期:2011-12-01 00:00:00

  • Let's keep metaphysics out of medical ethics: a critique of Poplawski and Gillett.

    abstract::I argue that the concept of 'longitudinal form', which Poplawski and Gillett have introduced into ethical discussions about embryos and gametes, involves too many metaphysical subtleties to be a useful aid to making moral decisions. I conclude by suggesting a criterion for relevance in medical ethics. ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.18.4.206

    authors: Leavitt FJ

    更新日期:1992-12-01 00:00:00

  • A plea for end-of-life discussions with patients suffering from Huntington's disease: the role of the physician.

    abstract::Euthanasia and physician-assisted suicide (PAS) by request and/or based on an advance directive are legal in The Netherlands under strict conditions, thus providing options for patients with Huntington's disease (HD) and other neurodegenerative diseases to stay in control and choose their end of life. HD is an inherit...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2011-100369

    authors: Booij SJ,Engberts DP,Rödig V,Tibben A,Roos RA

    更新日期:2013-10-01 00:00:00

  • Procedural safeguards cannot disentangle MAiD from organ donation decisions.

    abstract::In the past, a vast majority of medical assistance in dying (MAiD) patients were elderly patients with cancer who are not suitable for organ donation, making organ donation from such patients a rare event. However, more expansive criteria for MAiD combined with an increased participation of MAiD patients in organ dona...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2020-106456

    authors: Buturovic Z

    更新日期:2020-12-10 00:00:00

  • Embryonic life and human life.

    abstract::A new human life comes into being not when there is mere cellular life in a human embryo, but when the newly developing body organs and systems begin to function as a whole, the author argues. This is symmetrical with the dealth of an existing human life, which occurs when its organs and systems have permanently cease...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.11.4.205

    authors: Shea MC

    更新日期:1985-12-01 00:00:00

  • The ethics of surgery in the elderly demented patient with bowel obstruction.

    abstract:OBJECTIVE:Little has been written in the medical literature concerning the ethics of treatment of the elderly demented patient with bowel obstruction. It is one example of the issues with which we are becoming increasingly involved. We conducted a survey of our colleagues' opinions to determine current practice. DESIG...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.28.2.105

    authors: Gallagher P,Clark K

    更新日期:2002-04-01 00:00:00

  • Results of a self-assessment tool to assess the operational characteristics of research ethics committees in low- and middle-income countries.

    abstract:PURPOSE:Many research ethics committees (RECs) have been established in low- and middle-income countries (LMICs) in response to increased research in these countries. How well these RECs are functioning remains largely unknown. Our objective was to assess the usefulness of a self-assessment tool in obtaining benchmarki...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2013-101587

    authors: Silverman H,Sleem H,Moodley K,Kumar N,Naidoo S,Subramanian T,Jaafar R,Moni M

    更新日期:2015-04-01 00:00:00

  • Differences in medical students' attitudes to academic misconduct and reported behaviour across the years--a questionnaire study.

    abstract:OBJECTIVES:This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct. DESIGN:A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios desc...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.29.2.97

    authors: Rennie SC,Rudland JR

    更新日期:2003-04-01 00:00:00

  • Research funding and authorship: does grant winning count towards authorship credit?

    abstract::It is unclear whether or not grant winning should count towards authorship credit in the sciences. In this paper, I argue that under certain circumstances grant winning can count for credit as an author on subsequent works. It is a mistake to think that grant winning is always irrelevant to the correct attribution of ...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/medethics-2012-101315

    authors: Moffatt B

    更新日期:2014-10-01 00:00:00

  • Under what conditions do patients want to be informed about their risk of a complication? A vignette study.

    abstract:BACKGROUND:Discussing treatment risks has become increasingly important in medical communication. Still, despite regulations, physicians must decide how much and what kind of information to present. OBJECTIVE:To investigate patients' preference for information about a small risk of a complication of colonoscopy, and w...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.025031

    authors: Janssen NB,Oort FJ,Fockens P,Willems DL,de Haes HC,Smets EM

    更新日期:2009-05-01 00:00:00

  • All hail the new flesh: some thoughts on scarification, children and adults.

    abstract::Body art as expressed through non-therapeutic bodily modification is extremely popular, with techniques ranging from the commonplace such as ear piercing to the more esoteric forms such as tongue splitting. Scarification is one such body art practice that is becoming popular as an alternative to tattooing and ear pier...

    journal_title:Journal of medical ethics

    pub_type: 杂志文章

    doi:10.1136/jme.2008.027615

    authors: Oultram S

    更新日期:2009-10-01 00:00:00