人类增强技术的伦理考量

人类增强技术作为利用高新技术提高人类机体功能或能力的一种技术干预手段,是对人类身体进行的一种技术上的改变,这必然在“人是什么”、社会公平、安全与自主权等方面引发一定的社会伦理问题。而这正是对“人是目的,而不仅仅是手段”这一绝对律令的违背。由此需要对人类增强技术进行全面的评估,从坚守“增强底线原则”、相关法规的制定和加强伦理审查等方面采取有效对策,预防或减少不良后果的产生。这样才能保证人类增强技术的发展做到有效性与合理性、真理性与价值性、安全性与效益性的完美统一。     

Determining Risk in Pediatric Research with No Prospect of Direct Benefit: Time for a National Consensus on the Interpretation of Federal Regulations

United States federal regulations for pediatric research with no prospect of direct benefit restrict institutional review board (IRB) approval to procedures presenting: 1) no more than “minimal risk” (§ 45CFR46.404); or 2) no more than a “minor increase over minimal risk” if the research is commensurate with the subjects' previous or expected experiences and intended to gain vitally important information about the child's disorder or condition (§ 45CFR46.406) (DHHS 2001). During the 25 years since their adoption, these regulations have helped IRBs balance subject protections with the pursuit of scientific knowledge to advance children's welfare. At the same time, inconsistency in IRB application of these regulations to pediatric protocols has been widespread, in part because of the ambiguity of the regulatory language. During the past decade, three federally-charged committees have addressed these ambiguities: 1) the National Human Research Protections Advisory Committee (NHRPAC) (Washington, DC), 2) the Institute of Medicine (IOM) Committee on the Ethical Conduct of Clinical Research Involving Children (Washington, DC); and 3) the United States Department of Health and Human Services Secretary's Advisory Committee for Human Research Protections (SACHRP) (Washington, DC). The committees have reached similar conclusions on interpretation of language within regulations § § 45CFR46.404 and 406; these conclusions are remarkably consistent with recent international recommendations and those of the original National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1977) National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. 1977. Report and recommendations: Research involving children, Washington, DC: U.S. Government Printing Office.  [Google Scholar] report from which current regulations are based. Drawing on the committees' public reports, this article identifies the ethical issues posed by ambiguities in regulatory language, summarizes the committees' deliberations, and calls for a national consensus on recommended criteria.     

From Therapy and Enhancement to Assistive Technologies: An Attempt to Clarify the Role of the Sports Physician

Sports physicians are continuously confronted with new biotechnological innovations. This applies not only to doping in sports, but to all kinds of so-called enhancement methods. One fundamental problem regarding the sports physician's self-image consists in a blurred distinction between therapeutic treatment and non-therapeutic performance enhancement. After a brief inventory of the sports physician's work environment I reject as insufficient the attempts to resolve the conflict of the sports physician by making it a classificatory problem. Followed by a critical assessment of some ideas from the US President's Council on Bioethics, the formulation of ethical codes and attempts regarding a moral topography, it is argued that the sports physician's conflict cannot be resolved by the distinction between therapy and enhancement. Instead, we also have to consider the possibility that the therapy-based paradigm of medicine cannot do justice to the challenges of the continuously increasing technical manipulability of the human body and even our cognitive functions as well. At the same time we should not adhere to transhumanist ideas, because non-therapeutic interventions require clear criteria. Based on assistive technologies an alternative framework can be sketched that allows for the integration of therapeutic and non-therapeutic purposes. After a thorough definition of standards and criteria, the role of the sports physician might be defined as that of an assistant for enhancement. Yet the process of defining such an alternative framework is a societal and political task that cannot be accomplished by the sports physicians themselves. Until these questions are answered sports physicians continue to find themselves in a structural dilemma that they partially can come to terms with through personal integrity.     

THE LIMITS TO PARTICIPATION IN DIS‐EQUILIBRIUM ECOLOGY: Maori involvement in habitat restoration within Te Urewera National Park

In this paper, we explore conceptualizations of ‘ordinary’ citizens common in public engagement forums on emerging technologies and assumptions from deliberative theory that ordinary people are more likely to be appropriately ‘changed’ through deliberative processes facilitated by experts. Looking at a large US public forum event [the National Citizens Technology Forum (NCTF)], we asked: What were the goals for this exercise and how did they shape conceptualizations of ordinariness and representativeness? Whose goals and conceptualizations were they? Were the engaged citizens ordinary and representative—and were they changed by the exercise? Our exploration revealed that exercise organizers conceived of ordinary citizens as people lacking science and technology backgrounds, without advocacy or business connections to the technologies at hand, and demographically reflecting the US population. Exercise materials also implied that ideal ordinary participants would lack strong opinions and emotions about these technologies. Actual NCTF participants, however, tended to be more educated, have higher incomes, and to be more liberal than the US public, and participants from all backgrounds had a range of relevant knowledge, experiences and opinions about science and technology. They were changed by the exercise in complex and conflicting ways—based as much on their own knowledge and reflections on relational dynamics as on exercise processes, interactions with experts, and information provided in the exercise. We argue that inadequately explored ideas about ordinary citizens are highly problematic. Further, invisible assumptions about what is ‘normal’ among experts and status quo institutions serve to reify the lay–expert divide that engagement exercises are intended to counteract.     

Category-specific enhancement of retrieval due to field perspective

Two memory perspectives have been distinguished: A field perspective where events are re-experienced in the first person, and an observer perspective where events are witnessed in the third person. Two experiments examined the influence of memory perspective on objective memory performance. In both experiments participants were presented with a series of verbal passages, each of which contained several different categories of information. For four of these categories (pertaining to affective reactions, physical sensations, psychological states, and associated ideas), recall was significantly higher when a field perspective was adopted than when an observer perspective was adopted, but for the five other categories (pertaining to physical actions, personal appearance, fine details, spatial relations, and peripheral details) there was no significant effect of perspective upon recall. The study is examined in the context of mental models and imagined episodic events.     

Inconsistent handedness and saccade execution benefit face memory without affecting interhemispheric interaction

Individuals who consistently use their dominant hand for most tasks exhibit poorer memory than individuals whose handedness is relatively inconsistent, but consistent-handers’ memory can be enhanced by making repetitive saccadic eye movements before attempting retrieval. One account of these effects is that inconsistent handedness and saccade execution are associated with increased interhemispheric interaction, which putatively facilitates retrieval. We tested this account by having participants classify faces as famous or novel. Faces were presented in the left and right visual fields simultaneously (bilaterally) or in one field only (unilaterally). As in prior studies, famous faces were classified more quickly and more accurately given bilateral presentation, but novel faces were not. These bilateral gain effects indicate that interhemispheric interaction specifically facilitates famous-face recognition, and therefore larger gains may reflect greater interhemispheric interaction. However, neither inconsistent handedness nor saccade execution increased the size of bilateral gain. Inconsistent handedness and saccade execution (the latter for consistent-handers only) did increase face-classification accuracy, but the increases were not specific to famous-face recognition, and, in fact, were somewhat stronger for novel-face identification. These results extend the beneficial mnemonic effects of inconsistent handedness and saccade execution to faces, but indicate that these benefits are not caused by increased interhemispheric interaction.     

Is saccade-induced retrieval enhancement a potential means of improving eyewitness evidence?

Saccade-induced retrieval enhancement (SIRE) is the effect whereby making bilateral saccades enhances the subsequent retrieval of memories. Two experiments explored SIRE's potential to improve eyewitness evidence. Participants viewed slideshows depicting crimes, and received contradictory and additive misinformation about event details either once (Experiment 1) or three times (Experiment 2). Participants then performed saccades or a fixation control task before being tested on their memory for the slideshows and making confidence judgements. Saccades increased discrimination between seen and unseen event details regardless of whether or what type of misinformation was presented. Because prior studies indicated that SIRE might be more robust for individuals who are strongly right-handed versus not, we examined SIRE as a function of handedness and found that saccades improved memory for event details regardless of participants' handedness. However, participants who were not strongly right-handed had fewer false memories than participants who were strongly right-handed, extending previous findings of superior memory among individuals who are not strongly right-handed. Saccades also increased confidence in true memories (Experiment 1) and decreased confidence in false memories (Experiment 2). The results support SIRE's potential to improve eyewitness evidence.     

The Constituent Structure of Subjective Memory Questionnaires: Evidence from Multiple Sclerosis

Making repetitive saccadic eye movements has been found to increase subsequent episodic memory retrieval and also to increase subsequent top-down attentional control. We theorise that these effects are related such that saccade-induced changes in attentional processing facilitate memory retrieval. We tested this idea by examining the effect of saccade execution on retrieval conditions that differed in relative ease of consciously accessing episodic memories. Based on recent theories of episodic retrieval, we reasoned that there is a larger role for top-down attention when memories are more difficult to access. Consequently, we expected saccade execution to have a greater facilitative effect on retrieval when memories were more difficult to access. We obtained the expected result in a recall procedure in Experiment 1 and in a recognition procedure in Experiment 2. We also examined an individual difference factor—consistency of handedness—as a possible moderator of saccade execution effects on retrieval. We discuss how our top-down attentional control hypothesis can be extended to explain beneficial effects of saccade execution on other types of cognition, as well as negative effects on retrieval in some cases.