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Mental integrity, autonomy, and fundamental interests.

Peter Zuk1

  • 1Center for Bioethics, Harvard Medical School, Boston, Massachusetts, USA Peter_Zuk@hms.harvard.edu.

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Summary

Technology ethicists propose neurorights, including mental integrity (MI). A new theory grounds MI in basic capacities like affect, cognition, and volition, protecting both autonomous and non-autonomous individuals.

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ConsciousnessEthicsHuman RightsPersonal AutonomyPhilosophy

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Area of Science:

  • Neuroscience
  • Ethics
  • Philosophy of Mind

Background:

  • The concept of neurorights is emerging in response to technological advancements affecting the brain and mind.
  • Mental integrity (MI) is a key proposed neuroright, but its definition and scope are debated.
  • Existing autonomy-based conceptions of MI face challenges, particularly concerning non-autonomous individuals.

Purpose of the Study:

  • To critically examine the dominant autonomy-based conception (ABC) of mental integrity (MI).
  • To address limitations of the ABC, including overbreadth and its inability to account for the MI of non-autonomous individuals.
  • To develop a comprehensive and general theory of MI applicable to all individuals, autonomous or not.

Main Methods:

  • Conceptual analysis of existing theories of mental integrity.
  • Identification and critique of objections to the autonomy-based conception.
  • Development of an alternative conception of MI grounded in basic affective, cognitive, and volitional capacities.

Main Results:

  • The autonomy-based conception of MI is found to be both overbroad and inadequate for non-autonomous individuals.
  • A revised autonomy-based conception still fails to fully address the MI of non-autonomous persons.
  • A new theory of MI is proposed, based on fundamental interests in affect, cognition, and volition.

Conclusions:

  • Mental integrity is a fundamental right that extends beyond autonomy.
  • A pluralistic foundation of basic capacities (affect, cognition, volition) provides a robust basis for mental integrity.
  • This new framework offers a fully general theory of MI, safeguarding vulnerable populations.