Carissa Véliz

"Naked" is a worthwhile read for anyone interested in shame and its role in morality. The book is particularly timely given how common public shaming has become in online settings. Krista K. Thomason argues that, even though shame is a negative emotion with potentially damaging consequences, its dark side is outweighed by its moral benefits insofar as shame is constitutive of desirable moral commitments. According to the author, being liable to shame is constitutive of respecting other people’s points of view, acknowledging others’ moral standing, and accepting that our identities are not only set by what we think of ourselves, but also by factors outside of our control that include our personal histories and other people’s opinions of us.

Increasing evidence suggests that it is not only the case that brain-based cognitive and emotional processes affect decision-making, but also that decision-making, actions and habits influence in turn the very structure and function of the brain by way of neural plasticity. This indicates that the interplay between brain and agency is made up of a complex feedback loop of reciprocal causality. The assumption that the causal relationship is one way –brain to behavior– results in unsatisfactory neuroscientific analyses of agency. I contend that taking into account reciprocal causality for the purposes of human enhancement is not only a matter of theoretical consistency, but also carries with it important practical implications. Top-down cognitive enhancement –through mind training techniques such as meditation– may have advantages over biomedical enhancement.

The proposal of moral enhancement as a valuable means to face the environmental, technological and social challenges that threaten the future of humanity has been criticized by a number of authors. One of the main criticisms has been that moral enhancement would diminish our freedom. It has been said that moral enhancement would lead enhanced people to lose their ‘freedom to fall’, that is, it would prevent them from being able to decide to carry out some morally bad actions, and the possibility to desire and carry out these bad actions is an essential ingredient of free will, which would thus be limited or destroyed—or so the argument goes. In this paper we offer an answer to this criticism. We contend that a morally enhanced agent could lose the ‘freedom to fall’ without losing her freedom for two reasons. First, because we do not consider that a morally well-educated person, for whom the ‘freedom to fall’ is a remote option, is less free than an evildoer, and there is no reason to suppose that bioenhancement introduces a significant difference here. Second, because richness in the amount of alternative possibilities of action may be restored if the stated loss is compensated with an improvement in sensitivity and lucidity that can lead to seeing new options and nuances in the remaining possible actions.

In this issue of the Report, James L. Bernat proposes an innovative and sophisticated distinction to justify the introduction of permanent cessation as a valid substitute standard for irreversible cessation in death determination. He differentiates two approaches to conceptualizing and determining death: the biological concept and the prevailing medical practice standard. While irreversibility is required by the biological concept, the weaker criterion of permanence, he claims, has always sufficed in the accepted standard medical practice to declare death. Bernat argues that the medical practice standard may be acceptable on the ground that proving circulatory or brain permanence is sufficient to assure complete accuracy for death diagnosis. The topic requires public deliberation: processes to survey people's opinions and mechanisms to channel their opinions into policy-making. What is at stake is the nature of our society. Do we want an expertocracy, in which an enlightened few design policies for the greater good of the majority and exploit the lack of public knowledge to achieve compliance?