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Updated: Jun 4, 2026

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Published on: September 26, 2025
[Human enhancement in iatrogenic times]
Izabela Amaral Caixeta1, Rudhra Gallina1
1Programa de Pós-Graduação em Bioética, Universidade de Brasília. Campus Universitário Darcy Ribeiro, Asa Norte. 70910-900 Brasília DF Brasil. izacamal18@gmail.com.
This study examines iatrogenesis, or harm caused by medical intervention, and its connection to modern ideas of human enhancement. It reveals how concepts of a "perfect" body perpetuate harmful, colonial standards of humanity.
Area of Science:
- Bioethics
- Public Health
- Social Sciences
Background:
- Critically examines iatrogenesis, drawing on Ivan Illich's work.
- Explores the intersection of bodily iatrogenesis with contemporary discourse on human enhancement.
- Focuses on the North-situated transhumanist and bioliberal perspectives.
Purpose of the Study:
- To analyze how iatrogenic expressions relate to the concept of human enhancement.
- To deconstruct the hegemonic glossary surrounding human enhancement.
- To critique the modern/colonial underpinnings of idealized body standards.
Main Methods:
- Qualitative literature review.
- Critical analysis of bioethical and public health concepts.
- Exploration of philosophical contributions from Ivan Illich.
Main Results:
- The pursuit of a "perfect" or "improved" body reinforces a narrow, exclusionary standard of humanity (white, heteronormative, masculine, self-sufficient).
- This pursuit reflects a modern/colonial moral imperialism.
- Coloniality of life is identified as a structural element of iatrogenesis within the social body.
Conclusions:
- A critical bioethical approach is essential to challenge Western-centric notions of humanity.
- The concept of "improvement" in enhancement discourse is intertwined with coloniality and social harm.
- Rethinking iatrogenesis is crucial for a more inclusive and equitable understanding of health and humanity.
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