Skip to main content
Log in

Analysing our qualms about “designing” future persons: Autonomy, freedom of choice, and interfering with nature

  • Scientific Contribution
  • Published:
Medicine, Health Care and Philosophy Aims and scope Submit manuscript

Abstract

Actually possible and conceivable future uses of preimplantation genetic diagnosis (PGD) and germ-line genetic intervention in assisted reproduction seem to offer increasing possibilities of choosing the kind of persons that will be brought to existence. Many are troubled by the idea of these technologies being used for enhancement purposes. How can we make sense of this worry? Why are our thoughts about therapeutic genetic interventions and non-genetic enhancement (for instance education) not accompanied by the same intuitive uneasiness? I argue that the concepts of autonomy and freedom of choice, typically invoked to delimit the morally acceptable uses of reproductive technologies, cannot fully answer these questions. Instead, I suggest that an alternative answer might begin with reflections on the notion of interfering with nature. Drawing on Martin Heidegger’s critique of modern technology and Hans Jonas’s moral philosophy, I outline an argument that attempts to capture what might be particularly troubling about the idea of “designing” future persons. At the core of the argument is the suggestion that enhancing selections and modifications on embryos might be bound up with an instrumentalising, non-responsive perspective on the future persons into which they are intended to grow.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Agar N. (2004) Liberal Eugenics: In Defence of Human Enhancement. London, Blackwell

    Google Scholar 

  • Anderson W.F. (1985) Human Gene Therapy: Scientific and Ethical Considerations. Journal of Medicine and Philosophy 10: 275–291

    CAS  PubMed  Google Scholar 

  • Barclay L. (2003) Genetic Engineering and Autonomous Agency. Journal of Applied Philosophy 20: 223–236

    Article  PubMed  Google Scholar 

  • Buchanan A., Brock D.W., Daniels N., Wilker D. (2000) From Chance to Choice: Genetics and Justice. Cambridge, Cambridge University Press

    Google Scholar 

  • Campbell, J. and G. Stock: 2000, ‘The Realities of Human Germline Engineering’ in: G. Stock, and J. Campbell (eds.), Engineering the Human Germline. New York: Oxford University Press

  • Cole-Turner R. (1998) Do Means Matter? In: Parens E. (ed.) Enhancing Human Traits: Ethical and Social Implications. Washington, Georgetown University Press

    Google Scholar 

  • Davis D.S. (2001) Genetic Dilemmas: Reproductive Technology, Parental Choices, and Children’s Futures. New York, Routledge

    Google Scholar 

  • Dennis C. (2004) Genetics: Deaf by Design. Nature 431: 894–896

    Article  CAS  PubMed  Google Scholar 

  • Dworkin G. (1988) The Theory and Practice of Autonomy. Cambridge, Cambridge University Press

    Google Scholar 

  • Faden R.R., Beauchamp T.L. (1986) A History and Theory of Informed Consent. Oxford, Oxford University Press

    Google Scholar 

  • Feinberg, J.: 1980, ‘The Child’s Right to an Open Future’ Reprinted in: J. Feinberg (ed.), 1992, Freedom and Fulfilment: Philosophical Essays. Princeton N.J.: Princeton University Press

  • Frankfurt H.G. (1971) Freedom of the Will and the Concept of a Person. Journal of Philosophy 68(1): 5–20

    Article  Google Scholar 

  • Gadamer H.-G. (1996) The Enigma of Health: The Art of Healing in a Scientific Age. Stanford, Stanford University Press

    Google Scholar 

  • Habermas J. (2003) The Future of Human Nature. Cambridge, Polity Press

    Google Scholar 

  • Harris J. (1998) Clones, Genes, and Immortality: Ethics and the Genetic Revolution. Oxford, Oxford University Press

    Google Scholar 

  • Heidegger, M.: 1977, ‘The Question Concerning Technology’ in: The Question Concerning Technology, and Other Essays. New York: Harper & Row

  • Hood, L.: 2000, ‹The Human Genome Project — Launch Pad for Human Genetic Engineering’ in: G. Stock, and J. Campbell (eds.), Engineering the Human Germline. New York: Oxford University Press

  • Jonas H. (1984) The Imperative of Responsibility. In Search of an Ethics for the Technological Age. Chicago, The University of Chicago Press

    Google Scholar 

  • Juengst E.T. (1997) Can Enhancement Be Distinguished from Prevention in Genetic Medicine? Journal of Medicine and Philosophy 22: 125–142

    CAS  PubMed  Google Scholar 

  • Kitcher P. (1996) The Lives to Come: The Genetic Revolution and Human Possibilities. London, Allen Lane The Penguin Press

    Google Scholar 

  • Norman R. (1996) Interfering with Nature. Journal of Applied Philosophy 13: 1–11

    Article  CAS  PubMed  Google Scholar 

  • Pellegrino E.D., Thomasma D.C. (1993) The Virtues in Medical Practice. New York, Oxford University Press

    Google Scholar 

  • Rawls J. (1971) A Theory of Justice. Oxford University Press, Oxford

    Google Scholar 

  • Ricoeur P. (1994) Oneself as Another. The University of Chicago Press, Chicago

    Google Scholar 

  • Robertson J.A. (2003) Extending Preimplantation Genetic Diagnosis: The Ethical Debate. Ethical Issues in New Uses of Preimplantation Genetic Diagnosis. Human Reproduction 18: 465–471

    Article  PubMed  Google Scholar 

  • Singer P. (2005) Ethics and Intuitions. The Journal of Ethics 9: 331–352

    Article  Google Scholar 

  • Svenaeus F. (2001) The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Theory of Medical Practice. Kluwer Academic Publishers, Dordrecht

    Google Scholar 

  • Wasserman D.T. (2003) My Fair Baby: What’s Wrong with Parents Genetically Enhancing Their Children? In: Gehring V.V. (ed.) Genetic Prospects: Essays on Biotechnology, Ethics, and Public Policy. Rowman and Littlefield, Lanham

    Google Scholar 

  • Westerlund K. (2002) Sammanhangets mening. En empirisk studie av livsåskådningar i föreställningar om genteknik och i berättelser om barnlöshet, assisterad befruktning och adoption. Acta Universitatis Upsaliensis, Uppsala

    Google Scholar 

  • Zeiler, K.: 2005, Chosen Children? An empirical study and a philosophical analysis of moral aspects of pre-implantation genetic diagnosis and germ-line gene therapy. Linköping: Linköping Studies in Arts and Science

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Erik Malmqvist.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Malmqvist, E. Analysing our qualms about “designing” future persons: Autonomy, freedom of choice, and interfering with nature. Med Health Care and Philos 10, 407–416 (2007). https://doi.org/10.1007/s11019-007-9052-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11019-007-9052-8

Keywords

Navigation