Davis Nick J
Department of Psychology, Manchester Metropolitan University Manchester, UK.
Front Hum Neurosci. 2017 Feb 14;11:63. doi: 10.3389/fnhum.2017.00063. eCollection 2017.
Advances in neuroscience and pharmacology have led to improvements in the cognitive performance of people with neurological disease and other forms of cognitive decline. These same methods may also afford cognitive enhancement in people of otherwise normal cognitive abilities. "Cosmetic", or supranormal, cognitive enhancement offers opportunities to enrich our social or financial status, our interactions with others, and the common wealth of our community. It is common to focus on the potential benefits of cognitive enhancement, while being less than clear about the possible drawbacks. Here I examine the harms or side-effects associated with a range of cognitive enhancement interventions. I propose a taxonomy of harms in cognitive enhancement, with harms classified as (neuro)biological, ethical, or societal. Biological harms are those that directly affect the person's biological functioning, such as when a drug affects a person's mood or autonomic function. Ethical harms are those that touch on issues such as fairness and cheating, or on erosion of autonomy and coercion. Societal harms are harms that affect whole populations, and which are normally the province of governments, such as the use of enhancement in military contexts. This taxonomy of harms will help to focus the debate around the use and regulation of cognitive enhancement. In particular it will help to clarify the appropriate network of stakeholders who should take an interest in each potential harm, and in minimizing the impact of these harms.
神经科学和药理学的进展已使神经疾病患者及其他认知能力衰退形式的人群的认知表现得到改善。同样的方法或许也能提升认知能力原本正常的人的认知水平。“美容性”或超常的认知增强为丰富我们的社会或经济地位、我们与他人的互动以及我们社区的共同财富提供了机会。人们通常关注认知增强的潜在益处,却对可能存在的弊端认识不足。在此,我探讨了一系列认知增强干预措施所带来的危害或副作用。我提出了认知增强危害的分类法,将危害分为(神经)生物学、伦理或社会层面。生物学危害是那些直接影响人的生物功能的危害,比如药物影响人的情绪或自主功能时。伦理危害是那些涉及公平与作弊等问题,或涉及自主性的侵蚀和强制的危害。社会危害是影响整个人口的危害,通常属于政府范畴,比如在军事环境中使用增强手段。这种危害分类法将有助于聚焦围绕认知增强的使用和监管的辩论。特别是,它将有助于厘清对每种潜在危害应予以关注并尽量减少这些危害影响的适当利益相关者网络。