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Published online by Cambridge University Press: 15 June 2005
Technologies are being developed for significantly altering the traits of existing persons (or fetuses or embryos) and of future persons via germ line modification. The availability of such technologies may affect our philosophical, legal, and everyday understandings of several important concepts, including that of personal identity. I consider whether the idea of personal identity requires reconstruction, revision or abandonment in the face of such possibilities of technological intervention into the nature and form of an individual's attributes. This requires an account of the work done by the concept of personal identity, and an explanation of what “conceptual impacts of technology” and “conceptual reconstruction” might mean.
Our existing notions of personal identity and related ideas such as personhood and autonomy may seem unable to comfortably accommodate the possibilities of technologically directed trait formation and development. This is a matter of moral and legal importance because the idea of personal identity embeds major values and reflects value-laden beliefs and attitudes. The assumed endurance of identity underlies interpersonal relationships, the assignment of rewards and punishments, and the very idea of what constitutes an autonomous person. Perhaps radical restructuring or even abandonment of concepts are sometimes called for when the world changes drastically, but I suggest that conceptual modification is not “compelled” for personal identity except under extreme circumstances—the remote possibility of rapid human “shape shifting” where physical and mentational attributes can be transformed quickly and continuously.
Efforts to enhance human traits, including merit attributes and other resource-attractive characteristics (e.g., intellectual and athletic aptitudes, physical size and appearance), may generate legal problems wherever the persistence of identity is presupposed. Some advance speculation is thus warranted on how trait change generally will be managed within our legal and socioeconomic systems, and more particularly on rights of access to trait-altering technologies. I mention the possible distributive effects of enhancing highly-resource attractive traits, including the strengthening individual powers to acquire still more increments in such traits in a self-reinforcing cycle. A brief review of some constitutional issues bearing on trait change completes the discussion.
I conclude that existing and projected technologies do not impel the abandonment or remodeling of the idea of personal identity. We may, however, have to reconsider some uses of this concept in different settings, to rethink our understandings of ideas of merit and desert, and to deal with the distribution of resources that may enlarge and entrench the “distances” between social and economic groups.
Changes in the world, arranged by us or not, sometimes drive us to reexamine the conceptual structures we use to describe and evaluate that world. In this essay, I review the ideas of personal identity, and certain related abstractions, that might be affected by technological developments in the life sciences. In particular, I consider whether the concept of identity might require revision under the impact of certain biotechnological developments—those that increasingly enable relatively precise modifications of the genetic development of traits and of their ultimate expression. I deal both with control of the traits of existing beings (including fetuses and developed embryos, whose germ lines, unlike those of early embryos and of gametes, can no longer be altered) and with germ-line interventions. I will, of course, try to explain what I mean by “conceptual reexaminations” that are “driven” by changes in the world—technological developments in particular.
If technology confuses us about identity, it will also, and necessarily, confuse us about the moral, legal, and political roles of merit and desert. And in turn, if merit and desert ascriptions are made more uncertain than they already are, then equality, fairness, and justice constraints also become, to that extent, more muddled. For many, keying the size of rewards to degree of merit (at least in some senses of “merit”) does not violate standards of equality or fairness, and may indeed promote them. But if we cannot say who has true merit, or even who has won the race, our assignment of merit-based rewards cannot be fully justified.1
For a discussion of trait change from an equality perspective, see Michael H. Shapiro, “Does Technological Enhancement of Human Traits Threaten Human Equality and Democracy?” San Diego Law Review 39, no. 3 (2002): 769–842.
Some aspects of this essay reflect legal frameworks of analysis.2
The idea of a “legal framework” is especially complex, but I have to rely on exposition and readers' schooled intuitions in clarifying it. For more extended remarks, see generally Michael H. Shapiro, “Lawyers, Judges, and Bioethics,” Southern California Interdisciplinary Law Journal 5, no. 2 (1997): 113–92.
Riggins v. Nevada, 504 U.S. 127 (1992) (ruling that on the record before the Court, the accused should not have been given antipsychotic medication over his objection to render him competent to stand trial); Sell v. United States, 539 U.S. 166 (2003) (ruling in another competence-to-stand-trial case that the conditions for forced medication had not been shown to be satisfied).
This essay considers the possibility that what we think we know about personal identity should be reconsidered in light of technological capacities to (1) significantly alter traits of existing beings (persons, fetuses, some early embryos) through technological intervention without altering the germ line; or to (2) specify the traits of possible persons (loosely, those who do not exist but whose existence, in one form or another, is planned)4
David Heyd, Genethics: Moral Issues in the Creation of People (Berkeley and Los Angeles: University of California Press, 1992). I use the term “being” to include human adults, children, fetuses, and embryos.
This has been done in some nonhuman embryos, e.g., mice whose genomes have been altered so that they grow larger than they otherwise would; and mice altered so as to delay senescence and thus slow the degradation of mouse aptitudes. For brief descriptions, see Michael H. Shapiro, Roy G. Spece, Jr., Rebecca Dresser, and Ellen Wright Clayton, eds., Bioethics and Law: Cases, Materials, and Problems, 2d ed. (St. Paul, MN: Thomson/West, 2003), 270–97. See also The President's Council on Bioethics, Beyond Therapy: Biotechnology and the Pursuit of Happiness (Washington, DC: President's Council on Bioethics, October 2003); available online at http://www.bioethics.gov/reports/beyondtherapy/.
The President's Council notes the anticipation of the general topic of enhancement in René Descartes, Discourse on the Method of Conducting One's Reason Well and Seeking Truth in the Sciences, part VI, paragraph 2, quoting, among other things, the passage stating: “[I]f it is possible to find some means that generally renders men more wise and more capable than they have been up to now, I believe that we must seek for it in medicine… .”
These prospects represent a partial displacement of our relative inability to control the expression of a trait and its genetic underpinnings. Of course, training, practice, and effort may yield significant improvements in performance capacities,6
“Performance” as used here may refer to a variety of subjects—e.g., bare outcomes such as winning or losing, or completing a task in a given time; satisfying some evaluative standards for the manner in which a task is pursued; and achieving specified goals, however described (doing Nobel-quality work, actually winning the Nobel Prize, becoming a great scientist, etc.). It may thus have either descriptive or evaluative (including moral) meanings, or both, and may refer both to processes and outcomes.
“Traditional” does not mean “devoid of technology”—itself an unclear term. “Scientifically” selected diets, for example, are not technological “fixes,” but they are not entirely “natural” either.
See generally Allen Buchanan, Dan W. Brock, Norman Daniels, and Daniel Wikler, From Chance to Choice: Genetics and Justice (New York: Cambridge University Press, 2000).
I do not mean “constitutive” in a strictly reductive sense. The term is meant simply to note that there is a connection between our separate identities and our respective traits.
The germ-line/non-germ-line distinction is crucial in identity studies for several reasons. The most obvious is that altering the germ line does not involve the modification of an existing person's traits. Becoming more intelligent through ingesting certain substances is far afield from having been born with that higher intelligence after germ-line “enhancement.” The distinction also bears, in complex ways, on one's personal sense of identity. A person whose traits were augmented in utero, or in infancy, or even in early childhood, may have no recollection of any transformative events, and is likely, though not certain, to take her traits as intrinsic and possibly—for better or worse—central to her identity.
The distinction also suggests the idea of an alternative counterfactual (“default”; “natural”; “real”) identity.10
This is meant to designate the set of traits that a person would have developed without germ-line intervention. They are, of course, often impossible to specify because of the complex interaction of the workings of genes and of environmental influences. See generally Heyd, Genethics, 170: “[W]e have to consider any genetic ‘manipulation’ against the background of the set of traits which the ‘person’ already possesses or that he or she will inevitably turn out to possess. This is the person-affecting principle in the context of identity formation.” Counterfactual identity might also extend to identities that could have been but were not implemented by genomic change, as well as to the default or natural identity.
See generally Joel Feinberg, “Wrongful Life and the Counterfactual Element in Harming,” Social Philosophy and Policy 4, no. 1 (1986): 145–78, at 158.
Anger may not always be irrational in such circumstances; parents and participating genetic engineers may have had plans that were defective or ill-informed in some ways, and may have been improperly executed. The “wrongful life” and “wrongful birth” cases are instructive here. See, e.g., Turpin v. Sortini, 643 P.2d 954 (Cal. 1982) (“rejecting” a wrongful-life claim and denying general damages, but—inconsistently—awarding special damages nevertheless); and Joel Feinberg, “Wrongful Life and the Counterfactual Element in Harming,” 158.
The idea of a baseline incorporated into an evaluation system from which changes are judged is important in many disparate fields—engineering, defining legal standards of care, everyday practical decision making, and so on. In some situations, it serves to “grandfather” or immunize certain practices from legal or other attack. In many fields, it serves as the content of a somewhat conservative presumption of rectitude for customary practices.
See generally Shapiro et al., eds., Bioethics and Law, 625, 647.
Our vocabulary for describing and evaluating trait changes may well expand with new techniques for technological transformations. We already have an abundance of “change” terms, however; their differences loosely mark variations in the kinds and dimensions of change they address and in the causal variables underlying the modifications. We speak of transformation, transfiguration, transmogrification, transmutation, transition, conversion, modification, amendment, and so on. Variables include the rate of change; the role of the trait in both basic species functioning and in the surrounding culture (e.g., the perceived moral importance or socioeconomic utility of the trait generally); the degree and breadth of trait change; the level of personal effort, technological input, and expense needed to effect a given change; the benefits and risks of both the process of change and its short- and long-term effects; the impact of the modification on personal identity, as perceived by others and as perceived by oneself; and the impact of the change on other traits—a “globalness of effect” notion involving the role of the cascading results of a given trait change.15
I do not consider, except in passing, the identity problems associated with “beaming” mishaps (as when Commander Riker was duplicated by a malfunctioning transporter in an episode of Star Trek: The Next Generation), nor do I consider problems associated with “mosaic”-like persons resulting from transplanting hemispheres or other brain structures. See generally Derek Parfit, Reasons and Persons (Oxford: Clarendon Press, 1984); and Robert Nozick, Philosophical Explanations (Cambridge: Belknap Press of Harvard University Press, 1981).
Among the various senses of “identity,” our main interest is in personal identity (“The problem is that of what makes the identity of the single person at a time or through time”), rather than numerical identity or the causal theory of identity (and so on).16
On the impressive variety of identity-related concepts, see Simon Blackburn, ed., The Oxford Dictionary of Philosophy (Oxford: Oxford University Press, 1996). Oxford Reference Online: http://www.oxfordreference.com/views/ENTRY.html?subview=Main&entry=t98.e1172 (accessed October 7, 2004). I do not consider any “unified field” theories to unite all versions of identity and of related concepts. For discussion of “the concept of identity as a life narrative,” see generally Gaia Bernstein, “Accommodating Technological Innovation: Identity, Genetic Testing, and the Internet,” Vanderbilt Law Review 57, no. 3 (2004): 965–1039, p. 973.
The idea of responsibility for the effects of our decisions is not exactly new, but some of its aspects are highlighted when we encounter new arenas of choice. Here, the field of choice concerns important human “traits” that, without technological assists, are only marginally improvable or are adjustable only in incremental, relatively “unintrusive” ways.17
I use the term “intrusive” to emphasize the more “discontinuous” aspects of technological change of traits. Despite its pejorative connotations, the term is meant to be descriptive and morally neutral for present purposes. See generally Shapiro et al., eds., Bioethics and Law, 389–96.
The analogy is to “wrongful life” claims brought on behalf of children whose lives, from their viewpoints, are dispreferred to nonexistence. (Parents or guardians would, of course, bring such actions.) “Wrongful birth” claims of various sorts are separate causes of action brought by parents on their own behalf, complaining of injury to their interests because of the birth of the impaired child.
These are the considerations that underlie the idea of “too much choice”19
See Gerald Dworkin, “Is More Choice Better Than Less?” Midwest Studies in Philosophy 7 (1982): 47–62; and Michael H. Shapiro, “Illicit Reasons and Means for Reproduction: On Excessive Choice and Categorical and Technological Imperatives,” Hastings Law Journal 47, no. 4 (1996): 1081–1221. See also Barry Schwartz, The Paradox of Choice: Why More Is Less (New York: ECCO, 2004).
This is not far-fetched. See, e.g., Larry Rohter, “Tracking the Sale of a Kidney on a Path of Poverty and Hope,” New York Times, May 23, 2004, available online at http://www.nytimes.com/2004/05/23/international/americas/23BRAZ.html?hp=&pagewanted=print&position (“‘As of today, there is no law in Israel that forbids trafficking in human organs,’ Meir Broder, a legal adviser to the Health Ministry, explained in an interview in Jerusalem. ‘There is no criminal aspect at all.’ ”).
The very idea of planned technological modification of traits entails an intensified focus on discrete traits, amplifying the attention we historically have paid to individual traits and their varying presentations, both in ourselves and in others. We do not, for the most part, view each other as indistinguishable or fungible, and we do not mate with or befriend traitless wraiths. What, then, is the nature and significance of this enhanced attention to particular attributes?
Consider illustrations concerning control of the genetic processes underlying reproduction. Our moral ideals generally call for noncontingent bonding to our children: we are to love and care for them without question or reservation, apart from any trait or traits they bear—whether they are male or female, physically and mentally sound or not, cute or repellent, colicky or peaceful. The ideal is regularly breached (some people abandon or abuse their children), but the ideal stands nonetheless and is widely (if not universally) respected. In procreation, then, we are to accept and cherish what we receive, as well as to make the best of it.
With the advent of population and pregnancy screening in the 1960s and 1970s, this situation changed sharply. For many unwanted conditions—Tay-Sachs disease, Down syndrome, sickle-cell anemia and other hemoglobinopathies, etc.—we can avoid the very existence of an afflicted child. Those who do not take advantage of such possibilities—including elective abortion—may be criticized by some as behaving immorally for burdening the community, themselves as parents, and possibly, if illogically, the afflicted offspring.21
The resulting child is not harmed unless its very existence constitutes a harm to it, from its viewpoint.
There is, of course, far more to trait-control than screening out unwanted characteristics. As trait-modification technology develops, highly valued merit attributes—which are often strongly resource-attractive—may be subject to significant enhancement efforts, and ordinarily disfavored traits (e.g., a disposition toward impulsive violence) might be attenuated, or even deleted or replaced. The possibility of planning such maneuvers, of course, does not create our attention to traits and how they vary from person to person. But the very perception of traits and trait differences across persons (and cultures) suggests the likelihood that greater control over what some call the “genetic lottery” will, as suggested, sharpen our attention to interpersonal differences. (Enlarging these differences might indeed be the very object of greater control.) In turn, this might well affect our valuations of the traits in question and of the persons who have them. It may even influence what we recognize or identify as a trait.
One possible historical example of re-valuations or recharacterizations of traits following technological developments is the expansion of concepts of disorder and treatment to match new capabilities, say, to alter mental states. In such cases, “treatment” precedes “disorder”22
See generally Elmer A. Gardner, “Implications of Psychoactive Drug Therapy,” New England Journal of Medicine 290, no. 14 (1974): 800–802.
The nature and value of “attention deficit disorder” ascriptions has been controversial for decades. See, e.g., Lawrence H. Diller, “The Run on Ritalin: Attention Deficit Disorder and Stimulant Treatment in the 1990s,” Hastings Center Report 26, no. 2 (1996): 12–18 (Westlaw: 1996 WL 10189234).
Thus, if we do not always have to take what comes but can either screen out possible persons with unwanted traits, or adjust the nature and strength of the traits of a possible person who is to be born, our perceptions and valuations of persons may rest even more strongly than they do now on particular personal attributes and the extent to which these attributes fulfill our reproductive plans. A key moral concern is that failure of the plans inspiring the effort to change traits may spur devaluation24
This and allied terms (e.g., “reduction”) are both complex and important. I do not present extended definitions, but try to clarify what I mean as I move along.
Technological adjustment of traits—and thus possibly of identities—thus compounds the risk of human reduction or objectification, and raises the likelihood that persons will be used as mere means. Hence the phrase “the descent from person to object.” I note in advance, however, that I think these reductive risks have often been significantly exaggerated in the discussions of “assisted reproduction.”
These risks are among the asserted perils of expanded choice, a notion introduced earlier. There are more such perils, however, including those involving personal moral and legal accountability and one's internal sense of culpability and regret. To the extent that trait changes are significant—perhaps enough to suggest identity shifts—we will be presumptively responsible for aspects of our own identities and those of our offspring.25
This seems far more straightforward than the familiar moral position held by some that we are at least partially responsible for our individual characters, and thus for the expression of particular character traits.
Lucy is a character in the late Charles Schulz's comic strip Peanuts. However, she was talking about happiness, not autonomy: “Happiness isn't everything, you know. It'll never bring you peace of mind!” Robert L. Short, The Gospel According to Peanuts (Louisville, KY: Westminster John Knox Press, 1999), 112 (referring to the strip and quoting the remark).
See Yury Verlinsky et al., “Preimplantation Diagnosis for Early-Onset Alzheimer Disease Caused by V717L Mutation,” Journal of the American Medical Association 287, no. 8 (2002): 1018–21.
Trait alteration is not entirely a new field of regret: bodybuilders may complain of enhancing the wrong muscles or overenhancing the right ones; patients may lament the results of plastic surgery; and so on. Serious and prolonged regret is not necessarily pathological, though it is a kind of harm, and it is a standard risk of free choice. Moreover, it may be instrumentally valuable in encouraging greater care in making choices. The remarks of the late British philosopher Bernard Williams, though in a quite different context, capture the issue well: “It seems to me a fundamental criticism of many ethical theories that their accounts of moral conflict and its resolution do not do justice to the facts of regret and related considerations: basically because they eliminate from the scene the ‘ought’ that is not acted upon.”28
Bernard Williams, “Ethical Consistency,” in Geoffrey Sayre-McCord, ed., Essays on Moral Realism (Ithaca, NY: Cornell University Press, 1988), 41, 49.
This account of moral endangerment is of course consistent with saying that, overall, we may be normatively better off in the new technological regime; I am simply describing vectors in tension, not calculating the resultant.
What is the “conceptual impact” of an idea? If we can speak of such an impact, what impact does the known availability or prospect of technological modification of traits have on the concept of personal identity?29
Perhaps this is a question about “the identity of identity,” assuming it makes sense to refer to the “identity” of concepts.
An adequate response requires at least (i) an explanation of the meaning(s) of “conceptual impact”; and (ii) a description of the current “baseline” understanding of the idea of identity, or at least of the central contests concerning its meaning: without knowing this, one could not tell what features of identity, if any, were under “revisionist” pressure. Of course, it would also require (iii) an explanation of why it is important to take account of such impacts. In this section, I illustrate, without exactly defining, what a conceptual impact is.
Using terms such as “conceptual impact” and “conceptual change, reconstruction, revision, reinterpretation, modification, amendment, etc.”30
These terms are far from interchangeable, and in an extended work would have to be differentiated.
In other writings, I have suggested that some biological technologies are particularly hard to confront because their workings do not “fit” within the conceptual systems we rely on to describe and evaluate actions, events, and situations.31
See generally Michael H. Shapiro, “Fragmenting and Reassembling the World: Of Flying Squirrels, Augmented Persons, and Other Monsters,” Ohio State Law Journal 51, no. 2 (1990): 331–74.
I am not trying to describe necessary and/or sufficient conditions for being a “basic” life process.
Note Heyd's description of one aspect of his project, in Genethics, 69–70 (“in the same way as the issues of brain death and euthanasia, abortion and in vitro fertilization force on us a reconsideration of the metaphysical criteria of ‘life,’ so do the issues of genetic engineering and wrongful life urge us to reformulate the metaphysics of personal identity”). See also ibid., 163 (“The particular genethical problems of identity formation call for a new approach to personal identity in its dynamic change”). Later, however, Heyd obliquely suggests considerations cutting against reformulation. He explains why he discusses various fictitious examples in which identities are engineered: it is “both because [these examples] are theoretically significant and because they have the same structure as the much more common practical problems of standard identity” (ibid., 173).
What follows is not a complete list of possible examples of conceptual reconstruction or replacement. If other examples were to be included, one of the first would be the idea of “brain death” (which seems to involve no change of meaning for “death”) and “permanent unconsciousness” as death (which would entail a serious shift in meaning). See generally Michael H. Shapiro, “Law, Culpability, and the Neural Sciences,” in Roger D. Masters and Michael T. McGuire, eds., The Neurotransmitter Revolution: Serotonin, Social Behavior, and the Law (Carbondale: Southern Illinois University Press, 1993).
So far, the clearest examples available for the ostensive definition of “conceptual impact” come from areas not directly concerned with identity, though identity issues may arise in some form.
Think first of gestational surrogacy, where gametes from a man and a woman are united to form a fertilized ovum in vitro, which is then implanted in a second woman who is to gestate and give birth to the child, and then to deliver it to the genetic parents (or, perhaps, to other intended custodial parents, whoever they are). Assume that before the project is completed, the gestator threatens to withhold delivery unless she receives greater compensation. More profoundly, she claims the child as “her own” because she was the gestator—the birth mother—and that this outweighs the lack of a genetic link.
In such reproductive transactions, the gestational and genetic “components” of motherhood have been “split” or “unbundled”; the reproductive process, both physiologically and socially, has been fragmented and reassembled. There is no clear, dominating conceptual answer to the question, Who is the “true” or “natural” mother?—although some may believe that, given their particular evaluation of the physiological and social roles of gestation and genetics in identity formation, there is a clear answer.
Identifying the “natural mother” within the meaning of California's version of the Uniform Parentage Act was precisely the question in Johnson v. Calvert:35
Johnson v. Calvert, 851 P.2d 776 (Cal. 1993), discussed below. In this case, the California Supreme Court awarded custody of a child to its genetic parents, rather than to the gestational surrogate, because the genetic parents were, by the terms of the agreement, intended to be the custodial parents. The court took that intent to be determinative of who was to be recognized as the child's “natural parents” under California's Uniform Parentage Act.
Martin Heidegger, Being and Time, ed. and trans. John Macquarrie and Edward Robinson (New York: Harper, 1962), 102–3.
The problem reflected in the Johnson case is, in a plausible sense, a question about the “conceptual identity” of parenthood generally and motherhood in particular (is Mrs. Calvert or Ms. Johnson the real mother?), and about whether “motherhood” has to be “reconstructed” or “revised.” I do not have a rigorous account of what “conceptual reconstruction” means, but it seems unnecessary for present purposes. Perhaps “reconstruction” is in some cases too fancy a term: we may simply be “interpreting,” or clarifying what is implicit, or applying a given concept to new—but in this case very surprising—situations. In any case, when concepts are pressed beyond their apparent limits, their innards are exposed, revealing more of their strengths and weaknesses. This is an important payoff, however we describe our conceptual explorations.
The California Supreme Court did not resolve the matter by comparative genetic and physiological analysis of the workings of genes and gestation, or by inquiring into the possible exploitation of impoverished women of color (Anna Johnson was African American),37
The race of the parties is formally irrelevant under the court's rule of decision, and questions of disproportionate burdens on minority groups are also irrelevant under federal constitutional doctrine, unless there is independent evidence of purposeful discrimination, or the disproportion is sufficiently extreme to warrant burdening the government with establishing acceptable purposes. But gestational surrogacy, unlike “traditional surrogacy” (where the gestating mother is also the ovum source), makes possible a reproductive practice in which women in minority groups—on the average, less wealthy than white persons—would “rent their wombs” in disproportionate numbers. This might influence a legislature to ban or heavily regulate the practice, although differential treatment of surrogacy agreements based on the race of any of the parties would be constitutionally suspect. A court might also craft a rule in which determining the intentions of the parties to a surrogacy agreement is subject to rigorous examination in order to rule out “undue influence” or “exploitation,” particularly of women of color. This presupposes that in some situations, members of minority groups are more vulnerable to the enticement or “coercive power” of financial or other rewards. (I neither endorse nor reject such regimes.)
On that view, Mrs. Calvert, who was the genetic mother, was deemed to be the “natural mother” within the governing statutory meaning in that case, because that was how the transaction was set up: it was the Calverts' idea to create a family consisting of them and their genetic offspring, in close companionship.
If, on the other hand, the intention had been to assist the gestator in creating her own nuclear family, then, on the intention-is-determinative rationale, custody would have been awarded to her rather than to the genetic mother. This is not entirely unrealistic, especially if the gestator is a close relative or friend of the child's genetic sources.
The extent to which procreation is viewed as the intentional creation of a nuclear family as presently understood is a contingent social fact, though this view seems all but universal. To see this, compare human procreation as we know it with that in Plato's Republic,38
Plato, The Republic and Other Works, ed. and trans. B. Jowett (Garden City, NY: Doubleday, 1960), book V, 151.
This illustration of conceptual reconstruction or respecification emphasizes both the descriptive and evaluative features of this process: we are not just redefining abstractions, but making moral decisions on how to deal with novel situations. This is a very tricky business, since we are reviewing and revising some of the very tools needed for moral analysis in the first place.
Human reproductive cloning produces a separate new person, as does traditional sexual reproduction. On that limited description, there is nothing new: the human population has increased by one. With sexual reproduction, however, we have conceptually (and morally and legally) clear ways to say who shall be the “default” custodial parents—that is, the parties automatically designated by law as custodial parents in the absence of evidence of a prior agreement on custody or judicial decree. The woman who brings a child to term is at least one of two default biological mothers. The sperm source is the biological father, period. But who would be the clearly required default biological parent(s) of the cloned offspring? Not the nuclear source, who is simply a previously born genetic twin. Not the woman who is the source of the enucleated ovum: she makes no genetic contribution (except for mitochondria, carried in the cytoplasm).39
We cannot say, however, that the genetic impact of the enucleated ovum is nil. For example, offspring might have serious mitochondria-related disorders. The case for assigning default parenthood to the source of the enucleated ovum seems thin, nevertheless. See generally Shapiro et al., eds., Bioethics and Law, 744–45.
See generally Michael H. Shapiro, “How (Not) to Think about Surrogacy and Other Reproductive Innovations,” University of San Francisco Law Review 28, no. 3 (1994): 647–80, 675–78 (discussing how to assess gestational effects on developing embryos and fetuses).
The “offspring” of a nuclear source is not the “genetic child” of that source in the sexual recombination sense: in a sense, she is too closely related genetically; her genome and her source's genome are identical (subject to mitochondrial variation and transcription errors). Sexual recombination assigns only one-half of any parent's genome to the offspring. Thus, the notion of “genetic offspring” and, more generally, “offspring” itself would seem to require respecification when one discusses human reproductive cloning.
An example closer to our topic of trait change and identity reflects the increasing ability to control mental processes and to understand their neurophysiological substrates. Compare the four responses to the following question: “Why are you so energized and enthused—so inappropriately cheerful—all the time?” (a) “That's just the way I am; it's an aspect of my character; it's who I am as well as the way I am (which are, of course, connected).” (b) “I have naturally high serotonin levels.” (c) “I have naturally high serotonin levels, which largely accounts for that ‘up’ aspect of my personality—indeed, of my character—and helps makes me who I am.” (d) “I have naturally low serotonin levels, so I take a selective serotonin reuptake inhibitor, and now my serotonin is way up; I will remain on the drug indefinitely. It's the new me. Or, better, it's the real me that was previously suppressed by my inadequate serotonin chemistry.”
Are these descriptions and characterizations relevant to matters of personal identity? Are they relevant to assessment of character and actions? To the assignment of praise or blame? To freedom and responsibility generally? Does the example indicate the need for any conceptual reconstructions, whether concerning identity or any cognate concepts?
As for personal identity, no revisions are occasioned by modest degrees of coherent, continuous change,42
I refer to (in)coherence and (dis)continuity again below. I am not referring to immediate striking changes worked by, say, plastic surgery or surgical decoration. The emphasis is on personality and character traits, mental and behavioral dispositions, and skills.
However, the situation is less clear with the prospect of serious and rapid trait-malleability. Whether or not this impels revisions in our conceptual frameworks, it will change our expectations; our perceptions of someone's identity may become more tentative, driving us to distinguish between “real” or “former” identity and “induced” identity. Of course, the salience of new facts that erode our assumptions does not always require revision or abandonment of ideas (“identity and personal responsibility as we knew them no longer make sense”), but it may stimulate new conceptual and normative structures that adjust how we see and order things (“perhaps we should take more seriously the idea of diminished capacity”). Clearly, it is hard to distinguish between (on the one hand) the various overlapping ideas of conceptual modification, and (on the other hand) perceptual changes that involve revaluing or reordering aspects of what we see or adding “new” aspects. In any case, something is likely to change how we assess ourselves and our places in a world where nothing is nailed down, including our identities.
I use the term “shape-shifting” loosely to cover all significant changes in whatever we view as an attribute, physical or mental/behavioral. Some uses of the term are thus analogical—as in altering the contours of mental functioning rather than specific physical shapes as such. The term “shape-shifting” is familiar in studies of mythology.
We do not generally think of discontinuous breaks in identity when maturity and aging take their usual courses; or when alertness is enhanced by caffeine; or even when steroids seem to generate visible results in appearance and performance. Still, even if we do not see breaks in identity, we might see “merit breaks” of sorts: Barry Bonds remains Barry Bonds, the baseball slugger, but those who believe he used steroids may downgrade the credit they assign to his otherwise impressive accomplishments (especially his setting the record for most home runs in a single season).44
Barry Bonds plays for the San Francisco Giants, and is one of several candidates regularly mentioned for “greatest baseball player ever.”
Nevertheless, it seems perfectly reasonable to posit far more radical changes—changes so salient within our customary45
To some extent, ideas of enduring/ruptured identity are functions of cultural variables.
“The Hulk is guided by [David Banner's] personality, dealing with whatever distresses David. But unfortunately, David has no control over the creature's actions. Nor can he remember what he had done during his Hulkish states.” “The Incredible Hulk,” http://www.scifi.com/hulk/lowdown/ (accessed May 11, 2004).
To see this, simply recall H. L. A. Hart's “philosophical fantasy,” as he put it, in which he asked readers to consider the fact that
[t]he world in which we live, and we who live in it, may one day change in many different ways; and if this change were radical enough not only would certain statements of fact now true be false and vice versa, but whole ways of thinking and talking which constitute our present conceptual apparatus, through which we see the world and each other, would lapse. We have only to consider how the whole of our social, moral, and legal life, as we understand it now, depends on the contingent fact that though our bodies do change in shape, size, and other physical properties they do not do this drastically nor with such quicksilver rapidity and irregularity that we cannot identify each other as the same persistent individual over considerable spans of time. Though this is but a contingent fact which may one day be different, on it at present rest huge structures of our thought and principles of action and social life.47
H. L. A. Hart, “Positivism and the Separation of Law and Morals,” Harvard Law Review 71, no. 4 (1958): 593–629, 622. Hart introduced this “philosophical fantasy,” as he called it, to “show what could intelligibly be meant by the claim that certain provisions in a legal system are ‘necessary.’ ”
Such “drastic” and “quicksilver” shifts in personal characteristics—which I take here to include changes in mental and behavioral dispositions as well as physical structure—would indeed seem to render “personal identity” irrelevant, unless perhaps we can identify some significant continuing invariant link across changes. But it is hard to believe we will soon, or ever, be faced with such a situation or its possibility—although I say this from our present perspective. And from that perspective, the role of “identity” in a Hartian world may seem compromised simply because it is no longer necessary or useful, or is much enfeebled.
Even in situations less chaotic than Hart's world, however, we might still be reduced to viewing identity (if we think of it at all), as a placeholder for, say, interpersonal and legal coordination—a sort of template or flywheel to maintain some stability through change. If Fx means x has the property F, we might view x as some continuing, ill-defined subject of change across all changes in properties (whatever F is); x is a continuing “repository” of (possibly) transient individuality—possibly a set of “successive selves”—although this still sounds too identity-oriented. We might also see F as a placeholder for the shifting properties that complicate our identity attributions. This two-placeholder conceptual concoction is, however, a rather thin template for our ideas of personal identity.
One might question the novelty of any of these Hartian or other imagined shape-shifting developments, and so question the need for conceptual retooling; the idea that there is nothing new under the sun serves to remind us that few developments have no “antecedents” whatever; at some level of abstract description, nothing is without precedent (except, of course, The First Thing). This is, however, a trivial point about the nature of abstract description. In any case, the illustrations suggest that some technological maneuvers will simply be too different to be comfortably subsumed within customary categories and practices.
There are connections—hard to specify—between identity and other concepts critically important for description and evaluation. Personhood is a leading example. In a world of extreme trait-malleability, one would rightly wonder whether the concept of personhood itself can function in any coherent way. On the one hand, if the idea of personhood cannot function, there seems to be limited scope for the concept of personal identity. On the other hand, if there is limited scope for the idea of personal identity, it is hard to see how the concept of personhood can function. Each seems to presuppose the other.
To complicate matters still further, one might think that a defining characteristic of (at least human) personhood is the capacity to reflect on whether to change one's characteristics—and possibly one's identity—and to try to do so if desired. Here, perhaps, we have reached the limits of a concept's being bent but not broken. Identity and personhood seem too hard to use, and there are no concepts “more basic” that might assist us. “Autonomy” and, more particularly, “rational self-direction” may add insights, but they seem to presuppose personhood and identity, and we are again enmeshed in conceptual cycling; nothing stands as central and decisive, everything is mutually interactive or “entangled,” and identity claims are indefinite. In H. L. A. Hart's world of continuing shifts in the properties of the (possibly) “continuing” entities around us, one might, as we saw, trace some faint and possibly arbitrary constancies, but it might (depending on the situation) be pointless. Mere physical shape shifters might retain identity, even after global reconstruction or partial merger with other entities. But in cases involving a sequence of huge shifts in mentational and behavioral characteristics, personal identity would be a shard, even if not wholly obliterated. Hart's image of continuously roiling properties represents a sort of limit: before reaching it, there may be a reason to retain the concept of personal identity. Beyond it, there might not be, although much depends on the exact nature of the setting.
Something now needs to be said about the baseline conceptual components of the idea of identity, particularly that of personal identity. The baseline is rich and complex, and its contents are contested, but the discussion to follow can only shadow the field. The literature is of course very extensive. After this overview of personal identity (in Section VIII), I will review (in Section IX, subsection C.2.c) some technological suppositions that return us to considering the conceptual reconstruction of identity's identity.
The term is taken from the science fiction novel by Philip José Farmer, Timestop! (London: Quartet, 1973), but the concept there differs from the one used here.
The Oxford Dictionary of Philosophy refers to personal identity as “what makes the identity of the single person at a time or through time.”49
Blackburn, ed., The Oxford Dictionary of Philosophy (italics added).
However, there are entities existing within our frozen universe, so ideas of identity would apply in some ways, although they are not among the principal ones relevant for analyzing personal identity. The issues might even be viewed as problems of other—though related—kinds. Thus, we might want to know whether what we see is one thing or several, and in what sense, and how properties differ from one entity to another. This raises familiar philosophical issues about individuation, number, predication, and the specification of sets and their respective memberships. We might want to know more particularly what an entity's distinguishing attributes are—an inquiry related to determining what that one thing is. Timestop or not, things might be characterized by necessary and/or sufficient conditions—“defining characteristics”—and these are identity-related notions.
When time is restarted (we plug the universe back in), there are two broad groups of questions. Timestart means that something is going on—events and processes. What answers would we now give to the questions asked earlier about what we see? We are likely to say that whatever we have identified as a single thing remains the same, at least for a while. What we see as important groupings may change. The chief thing about timestart for our purposes, however, is that not only do locations, positions, orientations, and so on, change, but so might anything we would refer to as a characteristic of anything.
What exactly are the identity problems in timestart—particularly those involving personal identity? The task at this point is to identify identity problems that are likely to be pressing in the face of biotechnologies that divide and recombine life processes. As we saw, this unbundling and rebundling process can sorely test the basic abstractions we use to describe and judge actions, events, and situations. It can directly create “new” entities in the form of new processes (e.g., asexual reproduction), new things (extracorporeal enduring embryos), new life forms (organisms whose genomes contain artificially inserted DNA), and, indirectly, new relationships, new or reconstituted concepts and frameworks, and perhaps new social worlds. Whatever is “new” may be new because it has traits it did not have before, or has traits in greater or lesser strength than it did before (this may be hard to distinguish from having “new” traits), or has certain traits arising from a “genesis” involving genomic or early-life alteration.50
Events that determine whether persons are to exist at all and what nature they will take are referred to as “genesis” events by Heyd, Genethics, 2, 4.
Some identity problems are ordinarily peripheral to the personal identity issues discussed here: numerical identity, individuation, and existence itself. Under more unusual circumstances—including technological alteration of traits—these facets of identity may become more important, as when we are faced with morphing entities that merge with each other, split into new forms, merge again, and so on. Our personal identity problems concern how to view a continuing entity whose characteristics have changed (and may be continuously changing), or an entity that has fragmented and recombined itself, possibly with other entities.
Although the “unit of identity” for present purposes is the human individual, we should understand that there are other plausible units. A germ-line alteration, for example, changes not only a possible person, but the set of genomes of all her descendants, and, writ large, germ-line alterations may change species identity.
Explorers of the idea of personal identity sooner or later must ask about possible links and overlaps among the following:51
I do not mean these to be definitive or exhaustive. They are, however, among the most important.
In an era of substantial technological governance over traits, however, I suggest one more consideration: when we move along any of these standard identity variables, we should take extra note of counterfactual identity—that is, supposed outcomes of transformative options not taken, including the option not to transform. Choosing among these options can occur at any life stage: the gametic, embryonic, fetal, and neonatal stages, infancy, and early childhood through adulthood. Such “alternative” identities might seem to some to constitute “real” identity, and may also affect perceptions of one's identity, by oneself and by others. Alternative identities may thus bear on what we view as an actual identity.
In reviewing some of these aspects and issues of identity, we can use as an occasional reference point the situation in Poul Anderson's science fiction novel Brain Wave:52
Poul Anderson, Brain Wave (New York: Ballantine Books, 1954). See also Daniel Keyes, Flowers for Algernon (New York: Harcourt Brace and World, 1966), involving a mentally impaired person who becomes exceptionally intelligent after brain surgery intended to enhance his abilities. The story was made into the film Charly, starring Cliff Robertson (ABC Pictures, 1968).
A connected thought experiment (for future reference) involves somewhat different issues: deliberately induced memory loss targeted toward specific troubling memories,53
See generally Liz Else, “We Hold These Freedoms to Be Self-Evident,” New Scientist 182, no. 2444 (April 2004), 46 (quoting Richard Glen Boire, cofounder of the Center for Cognitive Liberty and Ethics in California, referring to “memory management drugs” in the offing, some of which he states are “designed to help dim or to erase the memories that haunt people suffering post-traumatic stress disorder”). There are, of course, many different forms of amnesia. See generally Andrew M. Colman, ed., A Dictionary of Psychology (Oxford: Oxford University Press, 2001), s.v. “amnesia.” Oxford Reference Online, http://www.oxfordreference.com/views/ENTRY.html?subview=Main&entry=t87.e364 (August 13, 2004).
It is now time to identify some important working assumptions in this essay: first, that a number of genes with “outsize” effects on intelligence and other major traits may be identified, and second, that it may be possible to work with them so as to significantly enhance the measures of those traits in the persons who will develop from an early embryo or from selected gametes.54
Broad skepticism about such technological possibilities is ill-advised if it is based simply on the complexity of human mental functioning and the fact that it takes a lot of genes and a lot of neurochemistry to generate mental functions of any sort, never mind the most complex. A single gene or set of genes may have immense influence on the development of memory and reasoning capacities. See generally Shapiro et al., eds., Bioethics and Law, part VIII. There are, after all, only a relatively few genes that separate us from chimpanzees. See Sharon Begley, “What Distinguishes Us from the Chimps? Actually, Not Much,” Wall Street Journal, April 12, 2002, A13 (Westlaw: 2002 WL-WSJ 3391541). Of course, one can still doubt on other grounds that we will ever discover and master the techniques required for enhancement.
This investigation of inter-conceptual links was mentioned earlier. Ideas such as identity, personhood, and autonomy are conceptually joined in complex ways; perhaps they are each other in certain aspects. To say that one concept is an aspect of another concept, however, is not to say that there is really only one concept to identify; it is to link them logically. A distinctive feature of such mutually defining concepts is that they may refer to each other in an unending cycle. For example, whether a given trait change is thought to bear on identity may depend on the importance of the trait, but its importance may rest on ideas of personhood—say, on some attribute of cognitive understanding or perception. Are we dealing with separate concepts, extensionally equivalent concepts, or different ideas locked in conceptual ping pong?
The concepts designated by “identity” and its cognates are embedded in everything we do, but we rarely think about this (this includes philosophers and lawyers) because it is usually pointless to do so. For the most part, the presence of a concept (or anything else) is noticed only when the concept is in some sense challenged. Raising some pointed questions from a variety of contexts may help clarify some issues about the “identity” of the idea of personal identity, and, more generally, may reveal additional aspects of the conceptual impacts of technological control of traits.
1. What is the work done by the concept of identity in any given sphere—and specifically, what work does it do that is not done by other concepts, separately or in any combination?
2. What is the connection between one's identity and any given set of one's attributes or traits? To what extent is this dictated by species characteristics, and to what extent by cultural variables? Ted Williams is said by many to have been the greatest hitter in baseball history. Perhaps one could say that his exceptional ability to hit small, fast-moving objects with a stick was a defining characteristic of “what it means to be Ted Williams,” as it might be put in everyday language. Perhaps this holds true from both his perspective and that of others.
3. Does the proper use of “identity” in formulas such as “X has undergone an identity change” require an all-or-nothing ascription such as “X has changed her identity; she is no longer the same person she was before, although her physical embodiment as the selfsame entity continues uninterrupted”? Or should the proper default usage be “X has undergone an identity change with respect to μ,” rather than the more global ascription of flat-out identity change? If the ascription is not global, wouldn't it be misleading to refer to partial or limited-respect change of identity?
4. If it is technologically open to us to change personal attributes in ourselves and others, and to alter the default traits of possible persons via alteration of their genomes, what traits should we change, or allow to be changed? Are there standards, principles, and rules that serve as moral channels, allowing us to distinguish among trait changes that are impermissible, permissible, desirable, or mandatory?
Note that leaving matters to the “genetic supermarket”55
Robert Nozick, Anarchy, State, and Utopia (New York: Basic Books, 1974), 315 n. *. See generally Jonathan Glover, What Sort of People Should There Be? (New York: Penguin Books, 1984).
5. If choosing basic traits and/or their measures is possible, what responsibilities would the “designers” and “engineers” and the altered persons themselves bear for flawed outcomes and other adverse consequences? And what is a “flawed outcome” or “adverse consequence”?
6. Does the capacity to choose or alter traits entail the risk (or is it a benefit?) of human reduction, understood in part as the perception that a person, or persons generally, are “nothing but” (their capacities to bear children) (their intellectual abilities), and so on? And might such reductive perceptions be accompanied by the view that a person is an “object,” subject to mere use by others?
7. What sorts of boundaries or limitations, if any, exist for this expanding field of choice? Is this a matter of moral concern? What reasons are there for using or avoiding authorizing/limiting concepts such as—
—disorder models56
For present purposes, a model is an abstract guide for pursuing certain tasks, such as description and evaluation, and justification or limitation of various kinds of action. A disorder model, for example, might authorize certain interventions into someone's physiological processes upon diagnosis of certain disorders (say, growth hormone for pituitary disorders), and might authorize withholding interventions when not justified by confirmation of disorder (no growth hormone for short but non-disordered persons). A social handicap model would use a criterion for intervention based on excessive difficulty in pursuing standard human activities (e.g., operating a motor vehicle). Under such a model, extremely short (but not necessarily disordered) persons might qualify for growth hormone. Tall persons who simply want to be taller would probably not qualify under either model; being not quite tall enough for the National Basketball Association would probably not evidence either a disorder or a social handicap. An enhancement model would be extremely broad-based—authorizing interventions to augment traits, but not to diminish them. (The unenhanced or less-enhanced might, depending on the circumstances, also invoke a social handicap model.) An identity model might be incorporated within an enhancement model to limit enhancements to those that do not threaten the integrity of personal identity. The concurrent applicability of all these models in given cases might reinforce or diminish arguments for intervention. What the moral and legal foundations for these models might be is not discussed here.
—identity models (or identity-preservation models) as limiting and authorizing tools for uses of technology—as in “No technological changes are permitted if they would compromise the endurance of personal identity.”
—the idea of nature (and its links to identity and disorder).
—the continuity and coherence of change (integrity?).
—the preservation of traditional notions of merit and blame.
—coordinating matters of ownership, entitlement, and the like.
These are conceptual standards meant to tell us when we may, must, shouldn't, and mustn't exercise a power in order to avoid its getting out of control. But why would limits on trait change be necessary? What does “out of control” mean anyway? The most obvious background idea here is using disorder models—to the exclusion of enhancement models—to implement ideas of human nature as normative, to be restored when impaired but not otherwise tampered with;57
See Shapiro, “Fragmenting and Reassembling the World,” 343.
8. What is the moral significance, if any, of the lost possibility of an alternative or default identity that would have come into existence, or would have continued to exist or develop, had the technological intervention not occurred? If the felt notion of a default, “would have been” identity bears any moral significance, does it derive from anything other than psychological burdens? Is the default identity in any sense a person's “true identity” whose integrity was breached?
9. Are there special—or any—problems of identity associated with cloning?
10. The problem of “Who merits merit?” Would enhancements of merit attributes such as intelligence and physical strength be self-reinforcing because they step up the basis for still more expansion of powers to attract wealth and other rewards? Would facing such questions, bearing on central aspects of equality, fairness, and other basic values, be so troubling that we should not enter this region of technological resources at all?58
See generally Michael H. Shapiro, “Who Merits Merit? Problems in Distributive Justice and Utility Posed by the New Biology,” Southern California Law Review 48, no. 2 (1974): 318–70; and Michael H. Shapiro, “The Technology of Perfection: Performance Enhancement and the Control of Attributes,” Southern California Law Review 65, no. 1 (1991): 11–113.
11. Do affirmations or denials of change in identity embed moral as well as empirical/conceptual claims? For example, would a significant shift in someone's moral attitudes be a better case for ascribing identity change than a significant shift in intelligence, unaccompanied by such attitude changes?59
Such changes are hard to view as discrete changes, allowing for a ceteris paribus assumption; they will all have cascading, polycentric effects.
Personal identity has a complex and uncertain connection with a person's traits. At its simplest, it is a functional link of sorts—as in “x is a (partial) function of y.” But when and why should we be concerned with the connection between trait change and identity—with determining when the nature and degree of trait change bears on personal identity?
Finding an answer to this question (if there is one) will require attention to an obvious but sometimes overlooked fact: sometimes we stress interpersonal differences and sometimes we suppress or at least ignore or downplay them. Indeed, in many contexts whether we suppress or highlight such differences may be viewed as required by basic values. Differences in characteristics among persons often rightly dominate decision making in forming personal relationships, or in accomplishing major social, political, and economic tasks; this is such a global point that extended discussion is unnecessary. In other contexts, however, interpersonal differences may not only make no difference, but relying on them would be thought morally and legally unacceptable, on now-standard accounts of equality, fairness, and justice. In distributing rights to vote, for example, we are interested in only the simple, intuitive notion of whether we are dealing with the qualified voter Jane Smith or some imposter—an “identity” issue in a very simple sense—and her personal attributes are largely irrelevant for any purpose beyond serving as identity markers.60
Of course there may be (dis)qualifications required by law—a minimum age, no felony convictions, residence, etc.
Such political equality is not an objectionable move toward interpersonal fungibility, but the point is unimportant for present purposes.
Here I draw briefly on an earlier work discussing the idea of trait change in persons.62
Shapiro, “The Technology of Perfection,” 45–46.
“Trait” is close to primitive. It is thus hard to respond clearly to the questions, “What is a trait? How do we recognize something as a trait?” For our purposes, a trait is best understood as an aspect or feature of someone,63
It is “[a] particular feature of mind or character; a distinguishing quality; a characteristic….” Oxford English Dictionary, 2d ed. (Oxford: Oxford University Press, 2004); http://dictionary.oed.com/cgi/entry/00255902?query_type=word&queryword=trait&edition=2e&first=1&max_to_show=10&sort_type=alpha&result_place=1&search_id=UQxP-mYET7B-599&hilite=00255902 (accessed August 1, 2004). This is ambiguous because (among other things) it does not specify the subject of the quality, which could be an individual, a set, or any entity. Also, I use the term “trait” to apply even to qualities that do not distinguish an entity as an individual rather than as a member of a set.
I use “trait,” “attribute,” and “characteristic” interchangeably here.
We are, of course, talking about traits in contexts where sharp technological alteration of our physiological structures and processes—and hence of our behavioral and mental dispositions—is increasingly possible. We thus need to understand clearly that, whatever we think a trait is, there is no assurance that any technology at any time will precisely target “it” for desired modification. For one thing, the conceptual uncertainty may prevent us from designating a “trait” that could be fixed as a target. For another, the physics and chemistry of life do not necessarily “track” our designations of traits. Even if we had a clear idea of the trait we wished to address, there may be no way to control and alter it because it may rest on physiological conditions too complex and diffuse—possibly not even subject to clear specification—to be manageable.
As for changes in these traits, they can occur in various ways, under various circumstances, whether “by chance or choice.” For now, I simply say that, for various reasons, we generally applaud alterations authorized by disorder, trauma, defect, and handicap models; they are likely to be viewed as curing or repairing rather than as “trait changes.” Our views of technological alterations outside these models of justification are less favorable—for example, use of stimulants for entertainment purposes; perhaps using memory-enhancing substances to increase current abilities not impaired by disorder; or creating capacities that did not exist before, either in a given person (e.g., the ability to run one hundred meters in less than ten seconds, which a few persons have) or in humans generally (running that distance in five seconds).
This discussion has parallels to that of “centrality” of traits, as discussed in Amélie Oksenberg Rorty and David Wong, “Aspects of Identity and Agency,” in Owen Flanagan and Amélie Oksenberg Rorty, eds., Identity, Character, and Morality (Cambridge, MA: MIT Press, 1990), 19–21.
The traits that matter most include merit attributes and/or resource attractors.66
The resources attracted are not restricted to pure economic resources—e.g., they might include mates, friends, and business associates. Of course, for certain purposes, economic values can be estimated and placed on such resources.
To some extent, “coherence” and “continuity” in individual lives and in personal interactions are needed if we want some degree of stability and predictability, and indeed they are required for many common social and political goals of human society. In turn, such stability depends on the relative constancy of the respective identities of individual persons. To close the loop, “incoherent” and “discontinuous” trait changes might be thought to compromise identity, and thus the stability of individual life paths and social interactions.
We invoke ideas of coherence in many contexts: judging scientific hypotheses, formulating theories of meaning, interpreting texts, evaluating developments in decisional law, and, more broadly, in assessing social relationships, societal goals, and personal life-plans. Like identity itself, coherence is an explicit or implicit constant or consideration across everything we think and do.
Analysts who rely on ideas of coherence often state that it is not a matter of simple consistency—as in requiring that a set of propositions not lead to both x and not-x. There is no reason to try to settle this. I observe only that it is at least arguable that whenever a conceptual system is said to be incoherent, that system—conceived of as a set of formulas or propositions—must at some point, however complex the path, lead to an inconsistency. However, demonstrating the inconsistency may be difficult or contested: a showing of contradiction presupposes interpretation, to put it loosely, and if there is no agreement on the meaning of the propositions whose consistency inter se is challenged, there is no closure on the issue of coherence. This is likely to be so with attributions of “incoherent” or even “discontinuous” trait changes: what seems to be a sharp change in behavior may be coherent, even smooth, in light of considerations that are not readily apparent. Coherence may be indeterminate because it rests in part on matters of perception and valuation, which in many cases must precede any search for formal inconsistency.
Ideas of (in)coherence may be important in distinguishing trait changes that are identity-relevant from those that are not. If any trait changes are indeed identity-relevant, they probably involve merit and resource-attractive attributes. In turn, this is relevant because, for better or worse, the ideas of merit and desert are broadly used to distribute the rewards of life generally. This holds to some extent in market systems: one's ability to compete for goods and services in such systems is often viewed as a (very) rough proxy for underlying merit.67
I do not probe the concept of merit here. See generally George Sher, Desert (Princeton, NJ: Princeton University Press, 1989).
Goods and services can be distributed through many different mechanisms. I note simply that outcomes of market transactions may be taken as rough proxies for merit of certain sorts, although the bare ability to command and bid resources for goods and services within a market can stand alone as a functioning (if not entirely sound) distributional criterion and does not require reference to “merit” at all.68
The idea of merit is particularly tricky in some commercial contexts. However, I cannot fully investigate the extent to which any particular distribution system—market, kinship, centralized administration—reflects or departs from merit. Much depends on what “merit” is thought to include. Some find it odd that attractive thin females can earn substantial sums modeling clothes, but their particular traits are culturally defined merit attributes. Perhaps the ability to find prime numbers or return tennis serves reflects greater merit, but within each domain, differences in income may at least loosely correlate with skills and talent, even given the substantial effects of “luck,” “chance,” or sheer persistence (the capacity for which may itself reflect a merit attribute). To be sure, simply having money in itself has no necessary connection to merit. Nevertheless, if someone outbids a competitor at an honest auction, it would be considered unfair to deny her the commodity she seeks, in part because of the reasonable expectations and reliance generated by the market institution she entered. Her legal action, if any, would be “meritorious” in that restricted sense. She merits the commodity within the “game” as defined. One could go on to say, in addition, that in a market system, possessing resource-attractive traits is a form of merit within the market culture. “Merit,” it seems, is quite protean.
Of course, markets and explicitly merit-based systems are not the only ways to distribute commodities. Some are distributed by, say, kinship relationships, conquest, theft, or competition within something akin to localized states of nature. However, at least in much of contemporary civilization, Western or Eastern, there is a rough correlation between characteristics viewed as morally praiseworthy merit attributes and those that can be described more neutrally as resource-attractors: intelligence and abilities of certain sorts; virtues such as reliability and loyalty; diligence and the capacity to exert effort. In this respect, markets are far more merit-related than, say, kinship systems.69
To be sure, kinship relations—by “bloodlines,” marriage, etc.—might be seen as constituting merit within some normative/conceptual systems. (“Blood is everything.”)
These merit attributes and resource-attractors are historic targets for improvement and upgrading in traditional ways—e.g., “practice,” as the historic directions to Carnegie Hall go. They will certainly be prime targets for technological enhancement. Increases in the strength of one's resource-attractive traits may bring ever-increasing and ever-accelerating enlargements in one's economic, political, and personal powers. Increments in the very resource-attractors that brought in earlier resources continuingly expand one's “merit base” and thus one's bidding powers to command resources of all kinds in an accelerating positive feedback cycle. The distributional issues for merit-enhancing traits thus take on an importance lacking in other commodities that do not, by their very consumption, significantly raise the power of the distributee to make future merit claims for “merit-enhancing” (or any) resources—the very resource-attractors that allowed accumulation to begin in the first place.70
There are clear analogues to this that do not involve technological elite-creating resources. Consumption of educational resources, for example, elevates one's starting claims for still more education services, and so on. Similarly, accumulating money increases one's “commercial merit” for securing still more money.
Elsewhere, I refer to this as the problem of “Who merits merit?”71
See note 58.
The merit ascription can apply both to the process of enhancement (including its pre-planning) and its outcome.
“For unto every one that hath shall be given, and he shall have abundance: But from him that hath not shall be taken away even that which he hath.” Matthew 25:29. The phrase “Matthew Effect” was coined by Robert K. Merton, “The Matthew Effect in Science,” Science 159, no. 3810 (1968): 56–63.
There may be limited exceptions, but most contemporary civilizations seem, in varying ways and degrees, to have absorbed the idea of progress, both for groups and for individuals: progress, in some sense, has become part of the canon of desirable, possibly morally mandatory human goals.
But personal progress has generally (if not exclusively) been understood to require effort, and perhaps luck. Advancement is expected to be incremental and gradual, and to require struggle, even for the natively endowed elite, at least when they are at the outer limits of their abilities.74
The degree of “struggle” required to master a given task is roughly inverse to one's baseline abilities. There is some tension between the relative merit-status of native endowments and of effort. Some people have difficulty in deciding whether it is the less-talented but determined competitor who is more praiseworthy, or, instead, the more-talented, less resolute party. Of course, the analysis is even more complex because the capacity to mount efforts is also a function of native endowment.
Consider next the possibility of (partially) bypassing effort and using technological routes to higher attribute measures and skill levels. Popular commentary aside, there is an enormous difference between what present technologies of performance enhancement can do and what some people think they can do (or may do in the future). The public discussion of the use of various forms of steroids is an obvious example. Some people seem to think that ingesting them enhances strength or endurance with little or no effort, and the athlete becomes something that he or she “really” isn't. For that audience—especially the young and presumably more impressionable—the use of steroids may reinforce objectionable visions of free rides and bigger bangs for the buck. It seems far more accurate to say that ingesting steroids may have effects on physical (and possibly mentational) attributes at the margin, which may improve performance in small, if telling, increments. Small increments in performance may of course mark the difference between winning and losing, and require ever greater inputs of effort, with or without steroids. Although the time needed for any given degree of enhancement may be reduced compared with traditional efforts, one still doesn't just swell up with muscular bulk all at once.75
But cf. David Cohen, “Cheating Is Easier Than You Think: Steroids Boost Performance in Just Three Weeks,” New Scientist, no. 2460 (August 2004): 6–7; available online at http://www.newscientist.com/ (stating that “[e]ven a low dose of testosterone can give athletes a big performance boost—and in a fraction of the time thought necessary, a study initiated by New Scientist has found”).
Inflated beliefs or not, few think that anyone's identity is seriously compromised by using steroids. If Marsha wins Wimbledon and is found to have taken steroids, we don't say: “It wasn't Marsha who won, it was someone else, someone she turned into, like Billy Batson saying ‘Shazam’ and turning into Captain Marvel.” We say instead: “Marsha—our Marsha—seems to have won, but she really didn't win, not because someone else won (she-who-had-been-Marsha-but-isn't-anymore), but because she cheated.”76
The concept of cheating bears analytical difficulties that I leave undiscussed.
If we assume that steroid use had been “decriminalized” and proved harmless,77
Steroid use clearly bears serious risks. See Shapiro et al., eds., Bioethics and Law, 1438–43. I do not address the possibility of unfair coercive incentives for athletes to take risks they would prefer not to take. I note only that the existence of “traditional” risks inherent in the game and in training does not suggest that just any new incremental risks required to maintain competitiveness must also be acceptable.
Of course, comparing records over time would be difficult if the baseline keeps changing.
Next, given the technological and nontechnological (or less technological) routes to similar results,79
“Result,” “end-state,” and “outcome” are ambiguous, but the ambiguities are of little consequence for present purposes. They may be important in more detailed studies of performance enhancement and identity.
I am using “perfectionism” loosely. The term has several varying (though linked) meanings. See generally Will Kymlicka, Liberalism, Community, and Culture (Oxford: Clarendon Press; New York: Oxford University Press, 1989), 33 (“A perfectionist theory includes a particular view, or range of views, about what dispositions and attributes define human perfection, and it views the development of these as our essential interest”). For a critical analysis of perfectionist theories, see Tom Regan, The Case for Animal Rights (Berkeley: University of California Press, 1983), 233–35. See also Ronald R. Garet, “Self-Transformability,” Southern California Law Review 65, no. 1 (1991): 121–203.
This is how the “paradox” is structured: Consider the personal characteristics a society values the most at a given time—for example, intellectual abilities of certain sorts, physical strength and aptitude, and diligence in pursuing goals requiring strong efforts. These are the prime traits for improvement via traditional “upgrading” methods: study, training, and practice. Yet they seem to be the most untouchable with respect to technological alteration—a kind of tampering with the inviolable. Why inviolable? Perhaps because these traits are ordained by Nature or by God, or because the uncertain effects of rearranging basic life processes render it intrinsically (and at least instrumentally) immoral, or because of some vague precautionary principle that privileges nature and tradition as the presumptively safest routes. I have to leave this line of inquiry open, however.
The traits that we most want to develop, then, are also the traits that are to be the most insulated from artificial, unnatural, externally generated, and thus (possibly) identity-threatening augmentation. On this view, such augmentation would not be praiseworthy, would not result in enhanced merit, and might be affirmatively wrong. It may increase the resource-attractiveness of one's merit traits, but such an increase in resource-attractiveness does not, standing alone, really increase one's true moral merit; it only increases one's moral entitlements given compliance with the rules of the distribution system in place. (And perhaps whatever reward or credit is due must be shared with parents and bioengineers.) There is nothing intrinsically praiseworthy about merely enhancing such traits; the outcome is praiseworthy only if it is the terminus of the right paths. Improving ourselves in morally unsuitable ways thus does not perfect us; even worse, it seems to lessen us. In this sense, more is less. Or so one could argue.
The supposed paradox, then, is that (a) the merit traits most favored for enhancement are those for which technological means—the most efficient road to enhancement—are the most suspect; but (b) if they are indeed the most favored, they are probably the most resource-attractive and thus the most socially/economically useful; and (c) if so, we should want to enhance the measures of these most-valued traits in the most efficient way we can, so everyone can be better off through greater productivity, innovation, and economic advancement. There is thus a tension between maximizing (true) merit and maximizing socioeconomic utility, and in some cases, doing the latter defeats the former. The claim that technologized enhancement of merit attributes does not enhance or reflect merit constitutes one “arm” of the paradox, the other arm being our continuing interest in both merit and utility maximization.81
These are not fully disjointed. A given utility function may include preferences concerning the moral values associated with true merit.
We can now say, tentatively, that technological augmentation at least suggests breaches of the integrity of personal identity—without altogether obliterating it—and leaves us confused when it is time to assign credit or blame and bestow awards or penalties. The process of technologized trait development may present results that seem incoherent or discontinuous with customary modes of self-improvement.82
See, e.g., Nozick, Philosophical Explanations, 65–66 (“For us to understand why identity matters, we must understand why the closest continuer, when it exists, gets special caring…. ‘… [W]hy do I especially care about my future self if it is simply (merely?) my current self's closest continuer?’”).
Moreover, to the extent that assignments of merit become dubious or even vacuous when we face technological enhancement, equality criteria in judging distributional schemes are also confused. On some theories of equality, the accumulation of greater rewards to the more meritorious not only does not violate equality standards, it is required by them. If we cannot tell who really won without cheating, how would we assign the reward? Who would be admitted to what educational institutions or awarded what positions? Should we just drop consideration of the person's prior trait profile and start dealing with the new one, however it was developed? Or, on the contrary, should we ignore the new configuration of traits and use the previous (now a counterfactual) one as the distributional guide? After all, we are, under current conditions, still dealing with the same person: despite the possible developmental incoherences and gaps between the before-and-after profiles, there remains a clear line of continuance that preserves overall identity.
For an exploration of the nature and limits of disorder and other models, see Norman Daniels, Just Health Care (Cambridge and New York: Cambridge University Press, 1985).
One of the moral claims embedded in a disorder model is that various nontrivial interventions84
“Intervention” is something of a weasel word. Talk therapy, for example, is a kind of intervention into one's dispositions, as are sound waves impinging on one's eardrum. In this essay, however, the term refers primarily to intrusive physical interventions directly into the body.
Many think it obvious that use of enhancement modalities “outside” a disorder model is wrong. It may be wrong, but this is not obvious. Consider the claim that “it wasn't really Jack doing the memory work—it was the medicine.” Medicine for disorder restores you to yourself by releasing your real self from captivity. Medicine for enhancement, however, takes you away from yourself and establishes a new, artificial plane of being and performance—or so it might be put. The moral monopoly of the disorder model is thus reinforced by these comparative accounts of causal attribution: in the one account, the self maintains its integrity while being restored by treatment—a process that is absorbed into an intact identity; in the other account, the self is transmuted into a new one by a process that remains “external” to the original self, however well integrated into the new.
Perhaps, then, there are realms of trait change in which there is a pathology that is identifiable, relatively discrete, and substantially removable without serious side-effects. In those cases, the removal of the pathology does not result in anything like global identity change. No one will say, “This isn't Sally”; they'll say, “This is Sally, flourishing, the new Sally who has the same identity as the old Sally but is better equipped for life because both her depression and her obsessive-compulsive disorder (OCD) have been controlled.” For such cases, it seems off the mark to apply psychiatrist Peter Kramer's phrase “better than well”85
Peter D. Kramer, Listening to Prozac (New York: Viking, 1993), xv (stating that although patients occasionally are “remarkably restored,” Prozac made many patients “better than well”).
As for the role of identity: In Sally's case, perhaps the idea of identity, while instructive in many ways, does no significant obvious work. Still, our account seems to take place “in the shadow” of identity as an abstract descriptive and evaluative criterion:86
This roughly parallels the jurisprudential phrase “bargaining in the shadow of the law.” In the context of such bargaining, the point is that private parties may reach accommodation among themselves in ways that would not be generated by formal adjudication—but the threat or possibility of formal adjudication affects the bargaining process and specific outcomes.
In part, we perceive persons as persons—and as particular persons—by recognizing (perhaps not fully consciously) particular traits from the chaos of our sensorium. The nature of this process is contested both by scientists and by philosophers. But in whatever way it is accomplished, we see that this person is huge, that that one is rotund, and that the one over there is playing the piano. In many cases, we resist—for good reason—focusing on any given characteristic; we try to see the person as (very roughly speaking) an “entirety” (a gestalt perception of sorts), though with obvious emphases here and there. It is also clear that, at the same time, we often view persons as one thing or another, in varying respects. For example, here is Donovan the quarterback (or, sometimes, Donovan the black quarterback), and yonder is Martha the pianist. Most of the time, these are not viewed as reductive descriptions, and the people described would rarely protest them; the descriptions affirm their value as persons of strong talent and accomplishment.
Persons may not want to be described solely in these ways, however. They may fear that some forms of person-perception might be vehicles for reduction of a person's overall value to the value of a specific trait or group of traits (however “value” is understood in context). Donovan would surely insist that he has a life beyond quarterbacking, and Martha is not simply a pianist—and neither of them wishes to be viewed as a commodity.
Thus, we have another paradox (or irony), this time in person-perception: What seems to be one and the same perceptual process is intrinsically both part of an affirmative valuation of a person because of her favorable traits, say, Y and Z, and also part of her reduction to a merely useful entity because she bears those very traits, Y and Z.87
See generally Robert A. Stewart et al., Person Perception and Stereotyping (Farnborough, England: Saxon House, 1979), 14–15.
“Reduction,” in this context, of course does not refer to claims that, say, all talk about mental entities is “reducible” to talk about physical entities and processes, or that, ontologically, one sort of thing (say, mental stuff) is really nothing but another sort of thing (material stuff). It is about human reduction—a psychological, perceptual, and evaluative matter. Full human reduction is the process or the product of viewing persons as having little or no intrinsic moral value; their worth, at least to persons other than themselves, is instrumental only. This instrumental value lies exclusively in a discrete trait or set of traits. I suppose the most obvious and total form of human reduction is slavery in its various forms, although one could argue whether the reduction was “complete” in any given setting.
In other forms of human reduction, however, persons are at least sometimes reduced to specific traits, in the eyes of particular persons or groups. To a customer, a prostitute might be “nothing but” her sexual attractiveness, sexual prowess, and her willingness to make them available commercially. To the owner of a professional sports team, perhaps the team members are viewed simply as mechanisms for assuring profit through the exploitation of their athletic traits.88
Cf. Sharon E. Rush, “Touchdowns, Toddlers, and Taboos: On Paying College Athletes and Surrogate Contract Mothers,” Arizona Law Review 31, no. 3 (1989): 549–614, 573–74.
The connection between this relational concept of human reduction and the often used term “objectification” is obvious.89
“Commodification” is mainly the commercial form of objectification.
These are hyperbolic descriptions; prostitutes, professional athletes, artists, etc., are not usually viewed as devoid of all intrinsic value, although this may vary across settings.
If persons with certain traits—dwarfism, for example—become valued for purposes of, say, space travel in cramped quarters, then “breeding” them and impressing them into such service would be a paradigm of reduction of persons to nothing but (i.e., to being fully identified with) the value of a particular trait. Many refer to such reproductive “manufacturing” processes as “genetic diminishment,” but of course, relative to the tasks involved, the users of these persons—and perhaps the persons themselves—may view their traits as enhancements, not diminishments, at least when they are compared with others who wish to travel in space. It nevertheless seems clear that reduction and objectification are bound up with the notion of mere use, in the sense of the second formulation of Kant's categorical imperative, which enjoins us to treat persons as ends in themselves, and never as mere means.91
“Act in such a way that you always treat humanity, whether in your own person or in the person of any other, never simply as a means but always at the same time as an end.” Thomas E. Hill, Jr., Dignity and Practical Reason in Kant's Moral Theory (Ithaca, NY: Cornell University Press, 1992), 38–39.
How do reduction, objectification, and mere use bear on personal identity, if at all? They would seem to affect identity as perceived by others and by oneself, and in some extreme situations the reduced/objectified/merely-used party may operate functionally as an object, from all viewpoints, including his own. To display the link to the idea of identity more specifically: Saying that “X has been reduced in value to her capacity to serve as a procreative vessel (e.g., a surrogate mother)” is saying, still more loosely, that she is “identified with” her reproductive capacities and her willingness to rent them out.
The very idea of directed trait change requires us to focus on the trait(s) in question: whatever drives this focus—self-improvement, enhancing the value of our slaves, ruling the world—is a matter of planning. If, for example, we have a reproductive plan at a fairly specific level of generality (compare “We want to have a child” with “We want to have a girl” with “We want to have a child with a genome identical to Meryl Streep's”), we are necessarily centering our attention on a subset of attributes (variously described) to the exclusion (at least temporarily) of others.
If technological intervention into personal attributes were serious or striking enough to raise identity questions, then the risk of reduction would probably be elevated, although not necessarily at a maximum. This is not part of an argument on my part against human enhancement; I think the risk of reduction/objectification/mere use is greatly overblown. It is not zero, however, and it seems likely that there will be instances in which directed trait change effects a reduction of one's perceived identity, and an elevation of one's perceived objecthood, both defined by the deliberately selected and altered traits.
I note one more perspective on trait change and its connection to reduction, objectification, and mere use of persons. Compare technological alteration of traits with the modifications of machines. If we are doing the same sort of thing to persons as we do to machines (compare adjusting the toaster from “toast” to “bagel” with switching Donovan the quarterback from “pass” to “run”), perhaps we are objectifying persons by assimilating—reducing—them to things.92
On the breakdown of the “discontinuities” between the realms of persons, animals, things, and machines, see Bruce Mazlish, The Fourth Discontinuity: The Co-evolution of Humans and Machines (New Haven, CT: Yale University Press, 1993).
When one makes comparisons, however, one is identifying differences as well as similarities. Upgrading a computer by installing more memory may bear an analogy to human memory improvement, but it bears fairly strong disanalogies also.93
For more on objectification, see generally Michael H. Shapiro, “I Want a Girl (Boy) Just Like the Girl (Boy) That Married Dear Old Dad (Mom): Cloning Lives,” Southern California Interdisciplinary Law Journal 9, no. 1 (2000): 1–294, 120–21 (and see part VI generally).
Aspects of this “impact analysis” are discussed in Rorty and Wong, “Aspects of Identity and Agency,” 19–21.
A trait change—particularly a sharp one—cannot be adequately analyzed without considering the relationships between that trait and others, and the complex network of effects deriving from the alteration. A significant change in appearance, for example (whether through plastic surgery, accident, disease, or aging), will have multiple, interacting, polycentric, and cycling effects that may be impossible to predict. And even the most effective and nonintrusive “magic bullet” treatments cannot just “subtract” or “delete” a disorder. When a patient's clinical depression departs, many things may change in complex ways. Moreover, with both enhancement and treatment, risks of error—however “error” is defined—are enormous. This is part of the reason why critics of enhancement technology tend to invoke “neophobic” preferences or “precautionary principles.”95
Although I do not deal with “the precautionary principle,” or risk aversion/preference, or neophobia (fear of new things), these ideas require attention to the sharply varying kinds of moral risk attending the development of technologies for altering human traits. See generally Frank B. Cross, “Paradoxical Perils of the Precautionary Principle,” Washington and Lee Law Review 53, no. 3 (1996): 851–925; and Cass R. Sunstein, Risk and Reason: Safety, Law, and the Environment (New York: Cambridge University Press, 2002), 102–5, 182–183.
For a more extensive treatment of cloning issues, see generally Shapiro, “I Want a Girl.” I use the terms “clone” and “offspring” to refer to the person generated from the use of a somatic nucleus.
There are plenty of serious issues about whether we should engage in human cloning. Philosophical analysis of the idea of personal identity, however, is of no special importance within that discussion. The cloned offspring's traits are not altered from some previous form: the cloning process does not transform her any more than coming into existence transforms anyone. She is not an appendage of the nuclear source, does not share a consciousness with her, received no physical material from her beyond the molecules containing genomic instructions, and is not a “continuation” of her. She is genomically a delayed identical twin of the nuclear source. Nor has the cloned offspring appropriated or been forced to accept the source's identity as an individuated person. To deny this would entail an extreme form of genetic reductionism that few hold to: a person is not just her genome. There are, however, pragmatic issues about identity formation and person-perception in cloned offspring. Anyone who knows the story of James Mill's highly focused and rigorous training of his son, John Stuart Mill,97
See, e.g., Bruce Mazlish, James and John Stuart Mill: Father and Son in the Nineteenth Century (New York: Basic Books, 1975), 169–72 (discussing the idea that John Stuart “seems never to have been a child, or to have had a childhood”).
There are more general issues of “genetic planning” that I cannot go into here. Some reproductive transactions that have already occurred foreshadow, to a limited extent, problems of nurture that one can expect from cloning. For example, some children were conceived for the specific purpose of providing bone marrow for transplantation into a sibling. See Shapiro et al., eds., Bioethics and Law, 1276–80. I have no clear examples replicating the Millian childrearing example, but Richard Williams, father of tennis stars Venus and Serena, has been described as having decided, “before they were conceived,” that “his daughters were going to be tennis champions.” See “Hardball Is the Only Game She Knows,” The London Times (Sunday), July 9, 2000, p. 19; http://www.timesonline.co.uk/. Perhaps this isn't much different from having children to carry on the family business or tradition.
Still, cloning “magnifies” certain aspects of regular sexual reproduction, creating some puzzles for some senses of “identity.” Striking physical resemblance to the nuclear source is all but guaranteed. Genetically, a clone and her nuclear source are time-separated twins.99
This is fully correct when a woman is cloned, using her own ovum. In other cases, there will be genetic differences because mitochondria remain in the cytoplasm of the enucleated ovum. If cloning did not involve use of ova, including mitochondria, the genetic identity would hold across the board, errors aside.
Kenneth Gergen, “The Social Construction of Self-Knowledge,” in Daniel Kolak and Raymond Martin, eds., Self and Identity: Contemporary Philosophical Issues (New York: Macmillan, 1991), 372, 375.
Given both the technological risks of producing gravely impaired persons and the risks of intrusive nurturing, some may believe that the prospect of harm to the clone renders the cloning enterprise immoral. But whether a clone is harmed turns on whether her life is, from her viewpoint,101
However, there are objective “reasonableness” constraints on the impact of one's subjective evaluation of the worth of one's life vis-à-vis nonexistence. For example, a suicidal cloned offspring who believes her life not to be worth living would not, because of that view alone, be living a life so terrible that nonexistence would be objectively preferable from her viewpoint.
Although the risks to the clones are not best seen as affecting identity, the ills suffered may be serious nonetheless. Philosopher Joel Feinberg's notion of a child's right to an open future is a good talking point for assessing such harms.102
Joel Feinberg, “The Child's Right to an Open Future,” in Freedom and Fulfillment: Philosophical Essays (Princeton, NJ: Princeton University Press, 1992), 76.
If Mozart were cloned, however, one would expect the child to be at least introduced to music, and not left solely with the options of learning golf or studying philosophy. Indeed, trying to match a child's interests to her revealed or projected aptitudes is something that parents presumptively ought to do: such link-ups between interests and abilities promote the individual's opportunities, and thus, pro tanto, her autonomy, her chances for “success,” and her prospects for personal satisfaction in life.
If the concept of identity is a tool, what are the tasks, moral and legal, for which it is—or is thought to be—a tool? What descriptive and moral freight do our present notions of identity bear?
In a rough sense, the term “identity” seems to carry with it the gravitas of Nature, Fate, and God.103
Recall also the idea of our creation imago Dei: if we are made in God's “image,” can we change it? Does enhancement conflict with this image—or vindicate it, on the theory that if an aspect of God is life-creation, it is also rightly viewed as an aspect of humanity? But creativity with respect to what? See generally Garet, “Self-Transformability,” 127 (arguing that “we are most human when we transform aspects of our self that are usually taken for granted or regarded as given”). See also ibid., 159–62 (discussing the “imago Dei argument for human nature as self-creation or self-transformability”). And see Heyd, Genethics, 2–7 (discussing image-of-God arguments).
But just what are the underpinnings of this maxim? There is a link between what-is-natural-to-our-species (possibly including a self-improvement vector) and the idea of identity; it was not “unnatural” for us to come to the ideas of progress and perfection. Of course, determining why nature is a morally preferred standard of thought and action is yet another unbounded project. For our purposes, let us rest on this consideration: Nature may, in many cases, be the default or presumptive guide to what courses of action will “work” with reasonable efficiency, given our goals, and will produce a net benefit, all risks considered. This, however, is simply a loose “precautionary maxim,” not a deep moral principle.104
See generally Albert R. Jonsen and Stephen Toulmin, The Abuse of Casuistry: A History of Moral Reasoning (Berkeley: University of California Press, 1988).
Consider next the possibility of identity-challenging transfigurations. A working assumption bears restating: We presuppose continuity of personal identity through the inevitable changes of aging and experience, through the effects of traditional self-improvement, and through medical maneuvers accepted as treatments of disorders or repairs of defects or injuries.
But there are treatments and treatments: “I know Tommy had to have a new arm—but did they have to give him Koufax's?”105
Pete Rose, quoted in Jim Murray, “They Rebuilt Her Knees, She Rebuilt Her Game,” Los Angeles Times, March 5, 1991, C1 (the title refers to Martina Navratilova).
John M. Hoberman, “Sport and the Technological Image of Man,” in William Morgan and Klaus Meier, eds., Philosophic Inquiry in Sport (Champaign, IL: Human Kinetics Publishers, 1988), 319, 322.
Earlier, I described the view that technological “improvement” might not enhance one's merit (although the project might be morally creditworthy for other reasons).107
Enhancements designed to enable air traffic controllers to handle ever-greater loads might be one example.
It may also take courage to cheat or break the law. However, I am not suggesting that all acts of courage are morally praiseworthy.
Finally, can ascriptions of identity be understood, at least in some cases, as moral claims? Think of these competing assertions: “The person (or creature) formed from the joining of brain structures from Marshall Artz and Tai Kwando is [more Marshall than Tai]; [more Tai than Marshall]; [both in equal parts]; [none of the above—we have a new person with certain memories and dispositions linked to the two earlier persons (have they ceased to exist?) and that's all we can say].”
Selecting the best of these claims is not a purely descriptive issue—but then, what sort of claim is it? What turns on it, and what does it turn on? If Artz was scheduled to inherit something from a recently deceased parent, a formal distribution must say whether the resulting creature is to take the inheritance because he is Artz, or is “the closest continuer” of Artz (or is this the same thing, exactly, as “being Artz”?). This is a question about the best description within a given social distributive system, and “best” clearly has morally evaluative components.
Again, see the discussion of centrality of traits in Oksenberg and Wong, “Aspects of Identity and Agency,” 19–21. See also Nozick, Philosophical Explanations, 105 (“When people disagree about some of the problem cases of personal identity, for example, transfer of self from one body to another, this may stem from their different views of which dimensions, with what relative weights, constitute the metric of closeness. What is the correct measure of persons, then, and upon what does its being the correct one depend?”). See also Heyd, Genethics, 163–64.
When transformations—technological or otherwise—occur, how are they to be dealt with by the persons transformed and by others, within the framework of the reigning normative system? How are they characteristically dealt with now? (We do, from time to time, catch people having epiphanies.) The answers to these questions rest partly on the nature of the transformed trait—its “centrality” or importance for given purposes—but in whose view and on what standards? The views of the transformee, of the persons she interacts with, and of others who observe or know of her may all differ inter se.
Much depends on the relative importance of the trait for normal species functioning and for various culture-relative tasks and expectations; the nature, degree, and scope of trait change; the suddenness of change; its continuity or coherence with the trait as it was, and with coexisting traits; its cascading, and perhaps chaotic, personal and interpersonal effects; and so on.110
Glover puts one aspect of this nicely, in What Sort of People Should There Be? 109–10: “In asking these questions [about identity], [people] are using the word ‘identity’ in a way philosophers usually do not. [This doesn't seem to be so with personal identity.] They are not asking where they stop and where the rest of the world begins, or which of several people they are. Rather, they are thinking about what they are like: about the characteristics that make them distinctive, the things that make friendship with them different from friendship with someone else.”
Finally, I offer one more illustrative question about how to sort and rank traits and trait changes by assessing their impacts on personal identity: How are we to view “gender transformation” procedures? Defining what this means is difficult: the idea of genomic changes in existing persons seems far-fetched, and not everyone views the results of the surgical/hormonal procedures involved as gender changes. Still, for those who view gender largely as a matter of social/legal “construction” or perception, the continuation of certain unchanging genetic or other physical variables does not block acceptance of gender transformation. In any case, gender transformations as now understood obviously involve trait changes of various sorts, and the personal identity issues that arise are obvious: gender seems universally of central importance to identity as resting on self-perception and perception by others. For those whose interior vision compels them to view themselves as “a woman in a man's body” or the reverse, gender transformation might be viewed as an “enhancement”—or perhaps as “relief of a handicap,” or even “amelioration of a gender-dysmorphic disorder.” Whether the physical interventions should be seen as generating a “biological” sex change or a “perceived-sex” change or any other sort of change is a hard conceptual problem that I do not address. Whatever form the intervention takes in particular cases, however, it may not be clear whether we should say, or deny, that a person is still whoever he was even after his gender has in some sense been transformed.111
See generally Garet, “Self-Transformability,” 123 (discussing “human nature as self-transformability,” which he explores “by considering the experiences, choices, and identities of transsexuals”).
At a high level of generality, the abstract logic of an identity-preservation model is identical to that of disorder and enhancement models: to establish authorizations and limitations on what we may, must, shouldn't, and mustn't do in modifying our traits.
Here is a very simplified account of what might be intended as a disorder model,112
One might say that there is just one overarching disorder model of which all others are submodels based on contextual variations. “Disorder,” as used here, is meant to embrace notions of disease, sickness, illness, affliction, ailment, infirmity, injury, trauma, and—possibly—defect, disability, and handicap. Perhaps not all of the notions are rightly listed within a disorder model; they are clearly not synonymous. But I avoid efforts at a “unified field” concept that is more precise than “something is distinctively wrong here that merits correction.”
There are, of course, cosmetic alterations occasioned by traumatic injuries or by disease—rebuilding faces, dealing with scar tissue, etc. On cosmetic alteration in the dramatic arts and its bearing on identity, see Thomas Morawetz, Making Faces, Playing God: Identity and the Art of Transformational Makeup (Austin: University of Texas Press, 2001).
A disorder model is thus a set of rules, principles, and standards for sorting the conditions we observe (and infer) into disorders, diseases, injuries, defects, etc.; for making specific diagnoses; and for authorizing and limiting certain forms of action (treatment, dealing with persons in certain ways when they are “ill”—i.e., installing the “sick role”—and so on). The key conceptual ingredients of such a model are highly contested in various situations. There is, for example, the view that specific disorders are often “constructed” in response to available technological fixes—or, more pointedly, that disorders are simply invented so that certain medical/surgical procedures can be used.114
This is often said about the use of Ritalin (methylphenidate) and other stimulant drugs for the family of conditions thought to involve an attention deficit. See generally Gina Kolata, “Boom in Ritalin Sales Raises Ethical Issues,” New York Times, May 15, 1996, C8; Gardner, “Implications of Psychoactive Drug Therapy.” This position may be overstated, but the issue is theoretically and practically important.
The idea of “intrusiveness” has been used in various technological contexts, one of the more prominent being the field of behavior control through use of “biological” or “organic” therapies. More specifically, it is used as an authorizing and limiting tool in the process of justifying (or not) the use of certain treatments. For a more extended account of intrusiveness, see generally Shapiro et al., eds., Bioethics and Law, 389–96. The concept seems useful in considering what might trigger use of an identity model, as well as a disorder model.
What is “intrusive” is not a matter of pure empirical and conceptual analysis: it is heavily influenced by custom and other situational variables, and it is in many cases, at bottom, a moral characterization. Compulsory education throughout the years of one's childhood and adolescence has massive effects on one's development, but is not generally compared in “intrusiveness” to brain surgery used to reduce maladaptive behavior.
Handicap models are structurally isomorphic to disorder models but have quite different contents. For example, in the absence of pituitary or other disorders that impede normal growth, some physicians will not prescribe human growth hormone: its use is not authorized—and is implicitly banned—within a disorder model because it is pure augmentation.116
Some physicians may believe that such lack of authorization entails that no treatment risks are justifiable. In the absence of risks, they might endorse the treatment. Their operating disorder model rests heavily on the risks of intervention.
“Handicap” models may straddle both disorder and enhancement. Thus, short stature resulting from disorder and “normal variation” short stature may be equally “handicapping.” See generally David B. Allen and Norman C. Fost, “Growth Hormone Therapy for Short Stature: Panacea or Pandora's Box?” Journal of Pediatrics 117, no. 1 (1990): 16–21, 18–20.
As an action-evaluation tool, an identity model implements the claim that “doing X (to) (for) (on) person W is justified for enhancement (or other) purposes only if it does not risk changing his identity (or his identity with respect to trait μ).”118
“Identity with respect to μ” is an awkward formulation that I do not discuss, except to say that it reflects the tension between recognizing really big changes in someone, on the one hand, and the fact that such changes may be consistent with remaining the same someone, on the other.
I leave out constraints concerning the role of risk of injury or other adverse effects. Whether running such risks is justified within an enhancement model depends in part on how the prospects of enhancement are valued.
All of these justificatory models require their own justifications. Attempting to provide them often involves use of a family of morally freighted categories for determining the proper occasions and limits for modifying ourselves, temporarily or permanently. There may be overlapping appeals to what is natural; to what is internally rather than externally generated; and to what is authentically “of or from” the person—an aspect of causal attribution distinguishing “self”-agency from outside determinants. Some of these concepts are taken as bases for pejorative (if hyperbolic) ascriptions (“It wasn't you, it was the steroids that won”) or for excusing conditions (“It wasn't you, it was the [booze] [depression] talking”—or even “It wasn't you, it was your medicine that committed the murder”).120
The idea that selective serotonin reuptake inhibitors (SSRIs) have (paradoxically?) been responsible for suicides and murders has been suggested, but the current weight of medical opinion is against this view. As to murder, see Wade C. Myers and Monica A. Vondruska, “Murder, Minors, Selective Serotonin Reuptake Inhibitors, and the Involuntary Intoxication Defense,” Journal of the American Academy of Psychiatry and Law 26, no. 3 (1998): 487–96. On suicide, see Simon Wessely and Robert Kerwin, “Suicide Risk and the SSRIs,” Journal of the American Medical Association 292, no. 3 (2004): 379–81.
See generally John McGinnis, “Attention Deficit Disaster,” Wall Street Journal, September 18, 1997, A14 (Westlaw: 1997 WL-WSJ 14166812) (“… if Tim is behaving, his parents and teachers believe his Ritalin's working; if he's not behaving, the ADD is at work. Either way, the medication for the ‘disorder’ is responsible; Tim's just along for the ride. [¶] That's a corrosive lesson for a little boy to learn…. ADD kids are learning an early lesson in the mores of 1990s America: Don't take responsibility for your own conduct; instead, declare that you're in the grip of uncontrollable impulses, seek professional help, and start making excuses”). I am not endorsing such arguments, but they reflect serious moral and legal issues.
Legal issues of “synthetic sanity,” mentioned earlier (at the end of Section I), roughly illustrate some of these problems in moral ascriptions relevant to questions of personal identity. As we saw, it is possible that an insanity defense in a criminal trial would be weakened if the accused is medicated in order to render her competent to be tried: if her symptoms indeed remit with treatment, she will not seem to be crazy. Instructing juries to disregard her “induced sanity” at trial in judging her insanity when the act was committed—and thus her culpability—is unlikely to be an adequate corrective.122
See Riggins v. Nevada, 504 U.S. 127 (1992), and Sell v. United States, 539 U.S. 166 (2003), described in note 3 above. See generally Shapiro et al., eds., Bioethics and Law, 368–70 (discussing synthetic sanity).
In State of Louisiana v. Boulmay, 498 So.2d 213 (La.App. 1986), the appellate court reversed a trial court's judgment denying an inmate's release from a state forensic facility; the trial court had found the inmate “only ‘chemically sane’.”
In many ways, then, these jurisprudential problems are identity (or identity-connected) arguments: to recognize a person as having a particular identity is to establish a template for determining what she, as opposed to someone or something else, has done or avoided. The insanity defense itself, for example, is implicitly bound up with notions of identity as one's “true self”—a true self that is overwhelmed by an “external,” “non-self-related,” identity-alien sickness. Identity, moral agency, and causal attribution are thus logically linked, at least in this respect.124
Some issues involved in “multiple personality syndrome” overlap identity problems. See generally Elyn R. Saks, with Stephen H. Behnke, Jekyll on Trial: Multiple Personality Disorder and Criminal Law (New York: New York University Press, 1997).
There thus seem to be important intersections among identity, disorder, and enhancement models, beyond their obvious links as rough gauges for judging interventions into body and mind. In many situations, the models reinforce each other; indeed, perhaps they are connected elements of a larger model, or are aspects of each other. For example, some interventions not justified by disorder because they “go beyond” the applicable therapeutic logic (Tommy John's new pitching arm?) may also fail within an identity-preservation model because the induced changes are too discontinuous and radical.125
See generally Joshua Rosenkranz, “Custom Kids and the Moral Duty to Genetically Engineer Our Children,” High Technology Law Journal 2, no. 1 (1987): 3–53, 26 (“The seldom-acknowledged focus of the noninterventionists' argument must be on whether the changes suffice to turn one person into another different person”).
Identity and disorder models are generally (though not inevitably) arrayed against enhancement models, which purport to justify serious intrusions at least when they are exercises of the subjects' or their parents' (or proxies') autonomous choices, or because of the expected gains from modification. Suppose, for example, a substance that provides one with eidetic perceptual powers for an extended period carries serious risks—say, subsequent memory impairments, blood-pressure spikes, and purulent acne. The reasons for declining this trait-change might not rest exclusively, if at all, on memory enhancement as an outcome; the main reason might be to avoid the risks in accord with a maxim telling us not to ingest dangerous substances unless there is a disorder-based reason for it. In contrast, an enhancement model might specify that a significant improvement in an important trait might be a strong reason to run the posited risks. And embedded in these considerations is the possibility that the acquisition of the powers of eidetic imagery might have transformative effects on one's capacities, behavior, and self-image. For some, this may either weigh against the intervention (an identity-preservation model) or pull for it (an identity-seeking model).
Identity, disorder, and enhancement models may thus enjoy an uneasy coexistence in which they may reinforce or limit (or have no effect on) each other. Each model helps call attention to the strengths and vulnerabilities of the others. Disorder and identity models may form pragmatic standards for limiting what might be unchecked distributional pressures generated by enhancement models—or autonomy models ungoverned by notions of disorder, identity, or enhancement. They may also be simultaneously invoked or challenged when particular interventions are in question (e.g., “gender transformation”). Here, issues of treatment of disorder, remediation of handicap, gender identity and its bearing on personal identity, and enhancement (should gender transformation be withheld from persons not suffering from a “transsexual disorder”?) are all immediately present. Of course, all of the models are embedded in complex regions of general moral and political philosophy from which we can raise still deeper issues: on what moral theory should disorder or identity-preservation ever limit autonomous self-change?
Finally, for some observers, disorder and identity models, insofar as they limit enhancement models, are valuable primarily to vindicate principles derived from the moral force of nature. Although nature's moral standing does not rest exclusively on religious premises, it holds a rather higher station within many theological systems than it does in secular thought. To be sure, some views of nature, secular or religious, may support enhancement models, but this does not seem to reflect currently dominant views.
What is the significance of counterfactual or, more particularly, default natural identity? First, knowing of it may affect a person's self-image, both with respect to identity and with respect to his sense of autonomy, individuality, and uniqueness. Second, knowing of it may affect the views of others who know of the now nonexistent but once possible identity.126
These first two considerations interact.
To illustrate some of these risks, consider this remark from the President's Council on Bioethics, referring “to the question of what it might mean for a child to live with a chosen genotype: he may feel grateful to his parents for having gone to such trouble to spare him the burden of various genetic defects; but he might also have to deal with the sense that he is not just a gift born of his parents' love but also, in some degree, a product of their will.”127
The President's Council on Bioethics, Beyond Therapy: Biotechnology and the Pursuit of Happiness (Washington, DC: President's Council on Bioethics, October 2003); http://www.bioethics.gov/reports/beyondtherapy/.
On the surface, at least, the problem described does not seem to raise issues of personal identity. It suggests risks of overly aggressive parenting in fulfillment of the plans of the reproductive enterprise, and risks to the child's sense of autonomous individuality—his belief that he is someone whose preferences are authentically his, rather than his parents'. It may also inspire fears that his parents' bonds to him were and are contingent on their reproductive/enhancement plan's favorable outcome.
But shifting the genome of an early embryo or a gamete from what its basic developmental fate might otherwise be may indeed bear on perceived identity, at least from the viewpoint of the parents and other external observers. What would be the point of intervening if not to generate benefits from it—for the child, for the parents, and possibly beyond? And how would one promote these goals without careful implementation that may heavily affect the child's development and ultimate “identity”? Planning drives realization.
It remains, however, that such programs are unlikely to generate lives not worth living from the viewpoint of the offspring, despite the emotional impact of learning of one's not-fully-natural origins and of one's abandoned default identity, and despite the risks of excessive constraints being imposed on the offspring's lifestyle and life path.
I do not try to define “reconstruction.” Carnap's idea of rational reconstruction may have some purchase here. See generally Rudolf Carnap, Logical Foundations of Probability (Chicago: University of Chicago Press, 1962), 576–77. For our purposes, the term refers to the difficulties of applying certain concepts under radically changed circumstances, and to the decision maker's responsive handling of the concepts. Johnson v. Calvert illustrates the process. I can only note without elaboration that reconstruction or respecification may occur with respect to varying aspects and levels of generality of a concept. Thus, the “double helix” theory of DNA newly specified both its molecular structure and its function in reproduction. But cf. Heyd, Genethics, 12, arguing that “genesis problems” are “unique, not in being new, or in requiring novel adaptation of ethical principles, but in the fact that they resist any kind of ethical treatment.” One might view this as a hyperbolic way (any kind of ethical treatment is resisted?) of describing the sort of conceptual fragmentation or disintegration discussed in this essay. However, I don't think it applies to any of the main concepts used as examples in this essay, including identity.
If identity did not do any useful work (at least in particular contexts), there would not be much point in “reconstructing” it (in those contexts). Indeed, even for those who reject disorder-model limits on trait change, identity-preservation may be looked to as a desirable limitation on such transformations; on that view, the idea of identity-preservation should be reinforced as an ideal, largely as it is. This stance is fortified by the possibility that attaining the power to create and shape traits in relatively precise ways will affect how we deal with human attributes generally, and thus how we deal with human reproduction. This will inevitably highlight the properties of identity and the possible need, at least in some eyes, to hold fast to it as a constraint on human modification.
In any case, reconstructing the idea of identity does not seem required where truly drastic “shape-shifting” alterations are not involved. The extent to which the concept is revised or respecified depends, as I said, on the need to vet the underpinnings of basic concepts in order to reach moral and legal conclusions in strikingly new situations. Think back to Johnson v. Calvert, the gestational surrogacy case. There, the concepts of genetics and gestation were not reinterpreted, never mind reconstructed, although many observers were moved to think harder about matters of “nature and nurture” generally. The situational pressure on “motherhood,” however, did seem to require a reconstruction or respecification of sorts—one that required investigating the very purposes of speaking of motherhood, and more generally, of parenthood, within our cultural systems of family formation.
Similarly, the pressure of enhancement possibilities requires probing the very purposes of ascribing identity in various contexts—which in turn requires exploring another layer of concepts concerning the foundations of praise and blame, merit and desert, and the distribution of rewards generally. But this investigation may send us looping back to identity. Does a particular accomplishment reflect true merit if it derives from the technologically enhanced traits of the actor? That depends on what we mean by “merit,” and what we mean by it has crucial links to matters of attribution, a notion that presupposes an understanding of identity: to whom or what are we to impute an action, an insight, a discovery, a writing, and so on? There is nothing new in this general question. Technological enhancement simply pushes us into familiar issues of freedom, determinism, culpability, merit, and desert. In any case, until we approach the Hartian chaos of continuous reshaping, we do not need a new foundational specification of the idea of identity as such. At this point, the analogy to the reconstruction of “motherhood” weakens.
Still, we have in store for us an array of technological interventions that seem somewhat discontinuous and incoherent—changes that are out of line with customary expectations of the progress of particular persons within their existing trait profiles. This is likely to fix our attention to the status of traits and those who bear and change them. Even when a revised baseline of expectations of sharp changes is integrated into our social norms, this new situation, by hypothesis, includes widespread planning and intensified immersion into assaying human attributes.
What, then, of the more extreme worlds, such as that in the Hartian philosophical fantasy? Does the idea of identity simply “run out”? What can it do for us? Recall the Artz/Kwando brain hemisphere exchange. This does create a situation akin to that in Johnson v. Calvert's motherhood muddle: literal sunderings and recombinations of physiological features and processes. If the result of the Artz/Kwando hemisphere exchange does not clearly reflect the “dominance” of “Artzness” or “Kwandoness,” then perhaps there is no metaphysically defined closest continuer for either one of them. “The real Artz/Kwando” then seems to have no referent. Situational variables, however, may require stipulated assignment of identities, old or new, as a matter of basic social ordering. Artz may be the sole heir of his wealthy parents, as we saw. But there is no “essence of identity” that would cogently lead to identifying one transplantee or the other as Artz, and this is rather unlike the situation with motherhood in Johnson v. Calvert: there, loosely speaking, the “essence” of motherhood in most modern societies rests on the intended familial association with one's offspring.129
With adoption, intended association is also key.
Identity does not seem to be a totally empty concept in any of these situations, however, and there may be some analogy to the reconstruction of “motherhood.” In an age of technologized “mega-enhancement,” the idea of sequential continuity of a succession of entities (whether they are thought to bear the same identity or not) could serve as a primary standard for inter-entity relations. One could see this standard, on the one hand, as a reconstruction of identity that rests on its ultimate practical rationale of stability: maintenance of relationships of some sort among entities of some sort. These are matters essential to any society's viability. On the other hand, one could view the standard as a “replacement” for identity, but I will not try to distinguish between reconstruction and replacement.
Finally, in considering technological pressures for conceptual modification, what is the relevance of increased knowledge of the neural substrates of thought, behavior, and physical structure? Does this enhanced knowledge mean we “know ourselves” better, or know better “who we are”? Does it mandate a reconsideration of our individual identities, or of “humanity's identity” as a species? Consider a familiar sort of philosophical problem (with many echoes in law): Does the concept of (say) gold—our notion of what gold is, what its “identity” is—change when we learn its molecular structure and how that molecular structure bears on the more directly observable properties of gold? In parallel, suppose we discover important neurophysiological processes that are said to “explain” or account for a variety of hot-button—if ill-defined—traits, such as intellectual assets or deficiencies of certain sorts, sexual orientation, violent dispositions, and some forms of mental disorder or of psychopathy. Do we now “know” or “see” Dick and Jane differently if we discover a specific physical causal foundation that accounts, at least in significant part, for their already known sexual orientations or other mental or behavioral dispositions? Why would we view them differently? Did we really think their dispositions and behaviors were uncaused? If we didn't think that, why would getting the causal details matter for any purpose other than more precisely controlling mental functioning and behavior—or is it that very prospect of the determinate, algorithmically governed person that fixes our attention?
So far, despite calls for the renovation of the idea of identity occasioned by assorted technological changes, a radical restructuring of the concept of identity does not seem “compelled” by any given set of developments that erode its presuppositions, except perhaps in the most extreme and remote cases. In those cases, needs for reasonable certainty in dealings among separate entities (whoever and whatever they are) may require criteria for identifying continuing “repositories” of legal and social attributes. And if we no longer even have notions of identifiable continuing entities that could constitute such repositories, the world would be so different that life would no longer be as we know it, and even basic communication would be difficult or impossible to pursue.
Still, it remains that some forms of new knowledge and capability, by their vividness, call attention to the rough foundations of both everyday and technical concepts. As philosopher Antony Flew observes, “although familiar differences [as between external compulsion and self-direction] cannot be abolished by discoveries, such discoveries may sometimes demand some revision in accepted ideas about the significance of those differences.”130
Antony Flew, Crime or Disease? (New York: Barnes & Noble, 1973), 106. The claim that revision is “demanded” may be overdone, but the general point is sound. In speaking of ordinary, nontechnical views of moral and legal accountability, Flew says: “In so far as these distinctions are rooted in familiar differences, and in so far as the words and expressions used to mark these undoubted differences carry no theoretical load, then they cannot be impugned by any discovery whatsoever, whether scientific or theological” (ibid., 105). But in our contexts, the qualification “rooted in familiar differences” does not always apply, at least in full strength. See also Norman Daniels, “The Genome Project, Individual Differences, and Just Health Care,” in Timothy F. Murphy and Mark A. Lappé, eds., Justice and the Human Genome Project (Berkeley: University of California Press, 1994), 110, 124–25, where Daniels indicates that knowledge gained through the human genome project “might make the distinction between disease (including genetic disease) and the normal distribution of capabilities seem more arbitrary.”
Joseph Dumit, Picturing Personhood: Brain Scans and Biomedical Identity (Princeton, NJ: Princeton University Press, 2004), 161.
At the very least, the law concerns disputes and conflicts among persons, groups, officials, and other entities; that is the stuff that occasions the need for such authoritative systems.132
This is meant to cover both civil disputes and crimes, and disputes between government entities or personnel and any other entities, including persons and other government entities. If a basic legal system already exists, it is likely—but not certain—that a criminal case would be styled as one between “the community” and the accused, as well as between criminal and victim. The formulation in the text is also meant to include both actual and possible disputes and conflicts. Of course, this loose description presupposes the existence of some legal or law-like system that identifies entities as “officials” and other entities as proper subjects of dispute.
The contours of interpersonal disputes track the conflicting perspectives and viewpoints of the adversaries, ranging from the most elementary—“As I see it, this is my space”—to the extremely complex: “Did Presidents Truman, Kennedy, Johnson, Reagan, Clinton, Bush1, and Bush2 commit impeachable offenses in not seeking congressional declarations of war for their military actions?” The law-personnel involved in disputes are required to identify these perspectives, and the more adept among them try to “get inside” the perspectives so as to see them from the internal viewpoint of the participants on all sides. Highlighting the perspectives is a necessary precursor to bringing them within the surrounding legal institutions so that some form of legal closure is attained.133
On the perspective-vetting missions of lawyers, judges, and legal systems, see generally Shapiro, “Lawyers, Judges, and Bioethics.” I leave terms such as “perspective” and “framework” undefined, and note only that they do not entail that the entity working within them has any conscious awareness of this, or is even conscious. Thus, embryos have perspectives connected to their interests in continued existence and development. As for “interest,” it too is left undefined. For those who do not assign value to “potential” or projected developmental lines, embryos have neither interests nor perspectives.
Why bother with this elementary (though contestable) account? If technology enables the sort of disaggregations and reformations of life processes discussed here, then every element that is “cut and pasted” and every severed and reattached aspect of a process may be reflected in someone's or some entity's “perspective” or set of interests that can be argued for by others. We can thus speak of the perspectives of a gestator, a non-gestating genetic mother, a cryopreserved embryo, a stem cell, reproductive engineers, a community, and so on. The splitting and re-lumping may raise new disputes involving the distinctive new perspectives of the disputants, and, even more fundamentally, disputes about who or what should be recognized as a disputant reflecting some sort of interest. And the disputants may be involved in relationships largely unheard of before; the link between a genetic father and a genetic surrogate—the true genetic mother of his child, to whom he is neither married nor personally affiliated—is an obvious example.
The identification and clarification of perspectives, old and new, is open to anyone, but it is one of the essential tasks of modern legal systems. Perhaps lawyers, judges, and lawmakers have no special moral expertise or access to it—assuming that there is even such a thing as moral expertise. But they do have expertise in laying the groundwork for moral analysis by identifying and searching the interiors of rival frameworks to help determine what might be morally and legally material, and for placing what they find into a legal matrix to aid resolution.134
There is a familiar circular (or cycling) paradox here. What is legally material is determined by the existing legal rule structure, but that legal structure presupposes having already identified the legally material considerations.
I now apply these considerations to some examples of actions and situations relevant to our studies of identity and then conclude this essay. With and without technology, we try to control disease, the reproductive process, the genetic profile of succeeding generations, our physical appearance and stature, our sensorium, and our behavior; and we try to cure, improve, enhance, and entertain ourselves. There are, of course, moral limits to what we can do to (or for) ourselves and others, and much of what we do is subject to external regulation, most prominently by government. Laws may impinge, deliberately or incidentally, on matters over which we might wish to exercise full control—including choices affecting our health, our characteristics, and various aspects of what we (and others) see as our identities. On the one hand, if we, as individuals, wish to do these things, we may place on government the burden of explaining why, despite our wishes, we should be stopped or regulated in some or all of these pursuits. On the other hand, if we, as “society” or “government,” wish instead to prevent, say, identity-threatening technological interventions, individuals may be required to show why they should be free to act. Deciding who rightly bears the moral and legal burdens of justification may turn on deep issues within political and moral philosophy—and it may determine the outcome of the debate.
Why is any given human behavior regulated in any given way? Why is the use of alcohol permitted (with certain limitations) and the use of marijuana prohibited (with certain contested exceptions)? Why must our medicines and medical devices be vetted by the Food and Drug Administration before we gain access to them? (And why aren't surgical procedures similarly vetted?) Why are so many medicines barred from use without physician authorization? Why are nonmedical uses of steroids prohibited by law and by nongovernment organizations such as the International Olympic Committee? What business is it of the government to interfere with such ingestive/digestive preferences? On the other hand, why should we recognize personal rights to drastically alter our individual God-given, or at least Natural, attributes?
It is particularly characteristic of the West that when government impinges on what we, as individuals, view as intensely personal matters that should be largely up to us, we invoke ideas of autonomy, privacy, choices concerning our bodily and mentational integrity and structure, and arbitrary government interference with these interests. Just how this political-moral-legal framework came to characterize many sectors of many societies I cannot investigate here.135
There is a sizable literature criticizing supposedly excessive reliance on conceptions of rights and entitlements. For some references in a bioethical context, see generally Shapiro et al., eds., Bioethics and Law, 14–17, 134.
In the United States, what we view as the most important individual interests sooner or later appear as important players within constitutional adjudication. So also do the most important countervailing societal interests.136
To be sure, the described “societal interests” may include a “collective” interest in promoting individual interests, and individual interests may prosper more in a regime where communitarian interests of various sorts are touted.
Within this constitutional universe, there may be disputes between and among governments, persons, and entities of various sorts—including disputes about technological modification of traits. These disputes have been and will continue to be reflected in legal and constitutional adjudication.137
Recall the earlier references to “synthetic sanity,” as where defendants in criminal prosecutions are forcibly medicated to render them competent to stand trial, and references to controlling behavior generally while in custody. There are also cases involving “street drugs” that peripherally illustrate this. See, e.g., People v. Werber, 97 Cal.Rptr. 150, 156 (Cal.App. 1971), where the court mentioned defendant's claim that marijuana produced “a new awareness of various unfamiliar and abstract concepts.”
The Constitution does not clearly specify argument structures well-suited for addressing issues of physical, mental, and procreational autonomy generally, or interests in enhancement and self-realization in particular.138
Not all will concur with this use of “clearly.” “Liberty” comprehends “liberty to X,” and, absent restrictions on what “X” refers to, it would seem to comprehend self-realization, the consumption of chocolate, and other instantiations of the pursuit of happiness. Clearly, this issue must be left aside.
I do not discuss possible disagreements on what are interpretive disputes and what are arguably disputes of other sorts. For an argument that what passes for interpretation is in fact “metadoctrine” that “implements” the Constitution, see Mitchell N. Berman, “Constitutional Decision Rules,” Virginia Law Review 90, no. 1 (2004): 1–168.
The U.S. Constitution does not “say” anything about a right to procreate, but such a right seems to be recognized by the Supreme Court as “implicit” in or implied by the textual references to liberty (and, in some eyes, privileges and immunities of national citizenship). The Court first announced this right in response to a suit by an incarcerated thief who objected to being sterilized, a procedure apparently inspired by a desire to further negative eugenics goals—that is, reducing the number of genetically “unfit” persons in coming generations by discouraging or preventing their birth (or survival).140
Skinner v. Oklahoma, 316 U.S. 535 (1942). “Genetic unfitness” presupposes that the supposed adverse characteristics in question have a significant genetic component. Obviously, “unfit,” standing alone, is too vague to be serviceable. See generally Shapiro et al., eds., Bioethics and Law, 807–17.
The operational effect of designating something as a fundamental right or a fundamental liberty interest is, at the outset, to burden the government with justifying what it did, rather than to require the individual to demonstrate the worth of his claim.141
Whether the proper terminology is “fundamental right” or “fundamental liberty interest” remains unclear. As is often so in constitutional law, official conceptual designations and their operational legal consequences are in flux.
This “equally effective” constraint is part of the canonical formulation of “strict constitutional scrutiny.” However, a close inspection of the cases might indicate that on some occasions less intrusive alternatives have been required even when they are likely to be less effective. See generally Roy G. Spece, Jr., “The Most Effective or Least Restrictive Alternative as the Only Intermediate and Only Means-Focused Review in Due Process and Equal Protection,” Villanova Law Review 33, no. 1 (1988): 111–74.
The point is illustrated further in Michael H. Shapiro, “Constitutional Adjudication and Standards of Review under Pressure from Biological Technologies,” Health Matrix: Journal of Law and Medicine (Case Western Reserve) 11, no. 2 (2001): 351–486, 389–92.
Outside the realm of fundamental rights,144
I am confining my remarks to matters of fundamental rights within what constitutional lawyers call “substantive due process”—a realm contained within the Fifth and Fourteenth Amendments' injunctions against depriving persons of life, liberty, or property without due process. I do not address fundamental rights that might be tied to the equal protection clause or to other clauses in the Constitution. I also do not discuss standards of review in equal protection, which in many ways parallel standards of review in substantive due process, except to note that strict scrutiny is triggered in equal protection adjudication where suspect classifications (e.g., race) are in use; and intermediate scrutiny arises with semi-suspect classifications (e.g., gender). Strict scrutiny also is required in equal protection contexts where government classifies persons, groups, legal entities, actions, viewpoints—virtually anything that marks out people or proxies for particular classes of people—in ways that burden fundamental rights or interests.
There are several key cases that do not fit this analytic scheme, particularly in equal protection jurisprudence, where “rational basis” analysis may be more than minimal. See generally Erwin Chemerinsky, Constitutional Law: Principles and Policies, 2d ed. (New York: Aspen Law and Business, 2002), 753–59.
Standards of review are (according to this writer) text-derived “meta-rules” directing courts (and others) to assign weights to competing interests and thus to establish burdens of justification on the parties. Standards of review are not optional items in constitutional law. I argue that they are mandated by any constitutional interpretation recognizing that some constitutional interests—of individuals, governments, or other entities—outweigh others. This hierarchy necessitates greater or lesser burdens of justification on government action that impinges on these interests—i.e., varying standards of review. Because these standards generally receive names—“strict scrutiny,” “intermediate scrutiny,” “minimal scrutiny”—they give the appearance of being step-functions rather than continuous ones. For more extensive analysis, see Shapiro, “Constitutional Adjudication and Standards of Review under Pressure from Biological Technologies.”
It is, of course, perennially unclear what fundamental rights are. Some individual interests are so designated (at least in part) because they are actually mentioned in the Constitution—speech, the free exercise of religion, the security of person and home against unlawful intrusions, and so on. In turn, other fundamental rights are derived from the specifically mentioned rights—as associational rights are derived from free speech rights.147
In some of these cases, one might object that what is derived is not “another” fundamental right, but a necessary aspect of the expressly mentioned right. Some might claim this for (at least) political speech and association.
Procreational autonomy's current constitutional status is somewhat unclear, but most commentators would agree that government cannot require licenses for reproduction tout simple or install any serious blockades to it. It does not matter whether procreation would be a good thing in a given case, or whether a given couple would be behaving immorally in seeking to reproduce under seriously adverse conditions (as where they are homeless and destitute). The exercise of a basic constitutional right does not require as a precondition that the claimant provide a rational reason for doing so.148
This claim requires some qualification. In free speech jurisprudence, for example, some reasons for exercising a right—say, to cause a riot—are logically linked to government interests (say, in protection of persons and property) that may successfully qualify the right, or take it outside the realm of First Amendment protection altogether. Where the soundness of reasons might be constitutionally material—say, a woman seeking a post-viability abortion because of a threat to her life or health rather than because of a late decision not to be a parent after all—the right itself functionally falls short of fundamentality. There is either no fundamental right or liberty interest in post-viability abortion, or, if there is, the government's interest in assuring live birth is presumptively (perhaps per se) compelling. The first formulation seems less confusing. Other formulations that more specifically circumscribe a right are of course possible—e.g., one could assert a presumptive right of noninterference with use of accepted medical and nonmedical measures to protect one's life. How to select the best of the alternative ways of framing individual and social interests in either moral or legal contexts is a very large enterprise. See generally Michael H. Shapiro, “Choosing Conceptual Systems in Constitutional Law, and Some Other Locations” (unpublished manuscript, 2003/2004, on file with the author).
We do not know exactly what “procreation” comprehends, however.149
“Procreation” and “reproduction” are used synonymously in most contexts. “Reproduction” seems somewhat broader, and may carry, for some, the pejorative connotation of “duplication” or “Xeroxing” of persons, not just genomes. Of course, reproductive cloning does not replicate anyone.
Move now to enhancement maneuvers directed at already existing persons.150
Again, this category would, in a finely calibrated analysis, be broken into age or memory-capacity segments, and possibly extended to fetuses or embryos in which global genome changes are no longer possible.
There is a recognized liberty interest in personal security, which is closely related to the most intuitive meaning of “liberty” in the Fifth and Fourteenth Amendments: freedom from physical confinement, as by imprisonment, shackles, etc. This right of personal security underlies the decision in Youngberg v. Romeo, 457 U.S. 307 (1982), which recognized a mentally retarded inmate's right to “habilitation” treatment to reduce his physical aggressiveness, which resulted in his own injuries when other inmates defended themselves against his attacks. The standard of review, however, was strongly deferential to professional judgment concerning what treatment programs to use—if any.
How could such basic questions about rights characterization remain unclear after all this time? For several reasons. For one thing, government has not yet been quite stupid enough to (say) require people to get permission before pumping iron, etc.152
But government can heavily regulate the iron pumping business in ways that might seriously impair access by restricting the supply of entrepreneurs in the field, thus elevating prices. Even more intrusively, government might require prescreening of would-be iron pumpers, and limit degrees of effort based on some appraisal of risks and benefits. One could compare this—perhaps not too closely—to regulating hours of work and safety conditions at the workplace.
Could the government restrict the intake of caffeine? On what grounds? On the grounds that artificial enhancement of alertness is intrinsically wrong? Or that the price in frayed nerves and lost tempers is too high? What is to stop the government from doing so? Irrational justifications do not necessarily make for unconstitutional justifications—unless there is a very important right at stake. What is that right? This line of argument has never worked for access to, say, marijuana, and government can generally tax the hell out of liquor sales without violating the Constitution.
Caffeine consumption might be insulated from prohibition by the existence of a long-standing tradition of noninterference with its use; such histories and customs of noninterference are sometimes relied upon to establish the existence of a fundamental right of noninterference with some enterprises—for example, refusing medical care, getting married, and so on.153
Cruzan v. Director, Missouri Department of Health, 497 U.S. 261 (1990) (acknowledging a liberty interest in refusing lifesaving and other medical treatment but declining to award relief because the permanently unconscious patient's preferences were unknown); Turner v. Safley, 482 U.S. 78 (1987) (among other things, striking down marriage restriction in prisons). The absence of such tradition does not, in practice, always foreclose such rights, as is illustrated by Roe v. Wade, 410 U.S. 113 (1973). The exact role of finding a protective tradition in establishing the existence of a strongly protected right is an actively debated issue in constitutional analysis. The problem is greatly compounded by the difficulties in settling on an acceptable description of the supposed tradition. See generally Laurence H. Tribe and Michael C. Dorf, “Levels of Generality in the Definition of Rights,” University of Chicago Law Review 57, no. 4 (1990): 1057–1108; and Chemerinsky, Constitutional Law, 764–66.
Recall the level-of-abstraction problem in describing “tradition.” Perhaps we should be talking about our access to non-food substances generally, or to ingestion of anything.
Washington v. Harper, 494 U.S. 210 (1990).
Could the government prevent the use of intellect-enhancing drugs for persons not suffering from some pathology of the mind—dementia, brain trauma, etc.? What exactly would we invoke as the constitutionally unmentioned fundamental right or interest? Would it be a right to control the contents of our minds and our mental processes generally without restraint? (All constitutional arguments for government noninterference with access to nonmedical mind-altering drugs have failed.)156
Peyote use has a special history of scattered legislative and administrative protection because of its religious use by some Native Americans. See generally Employment Div., Dept. of Human Resources v. Smith, 494 U.S. 872 (1990) (ruling that the peyote restrictions in question did not impair the free exercise of religion protected by the First Amendment).
Even when important rights are recognized, they are subject to qualification by countervailing societal interests, as framed by government. Assuming we have a presumptive right to technologically modify ourselves, at least for self-improvement, what compelling or important interests of the state suggest that the presumption is overcome? Does the government have compelling interests in avoiding the risk of medical injuries, in preventing the social chaos of runaway identity change, in avoiding the descent from person to object, in preserving existing normative systems against the observed “lesson” that we can get something for nothing—or at least for very little?
It is not even entirely clear how we would characterize our rights in easier cases—say, rights to use medically indicated intellect-enhancing substances. Assuming the constitutional soundness of traditional levels of federal and state regulation of the efficacy and safety of medicines, biologics, devices, etc., how would we formulate a claim that we should have a right against government interference with treating true disorders by way of medically indicated intellect enhancement? On the one hand, no broad right of noninterference with medical selection of therapy has been recognized.157
Cf. United States v. Rutherford, 442 U.S. 544 (1979), where the Supreme Court left the right-of-privacy issue aside, offering no encouragement for its use in securing access to experimental therapy (in that case, the drug Laetrile for cancer). States are free to recognize broader constitutional rights under their own constitutions and statutes. This has been explicitly held by California courts applying the California constitution. See, e.g., Warfield v. Peninsula Golf & Country Club, 896 P.2d 776 (Cal. 1995).
This excludes rationing and triage situations, as well as general pricing mechanisms. The move to permit medical use of marijuana in treating various disorders has been strongly resisted by the federal government. Cf. United States v. Oakland Cannabis Buyers' Cooperative, 532 U.S. 483 (2001) (no medical necessity exception to federal marijuana prohibitions).
In general, it is conceptually impossible to form a complete, coherent theory of constitutional interpretation to guide the formulation of fundamental rights (and even to tell us if these rights are “found,” “recognized,” or “created”); we will thus never have a full account of what sorts of personal interests are presumptively protected.159
This “conceptual impossibility” does not foreclose the (unlikely) prospect of complete consensus on certain matters, from interpretive theories to particular interpretations. Everyone might agree, for example, on the proper interpretation of “equality” and on the application of the particular equality conception in all cases that arise. The basic abstraction itself remains partially indeterminate.
Some cases are, to be sure, clearer than others. The right to procreate was not extensively discussed by Justice William O. Douglas in Skinner v. Oklahoma (1942), in which the Supreme Court struck down a statute authorizing involuntary sterilization of some felons,160
Skinner v. Oklahoma, 316 U.S. 535 (1942). The Oklahoma penal law permitted involuntary sterilization of persons convicted of three or more felonies involving moral turpitude, but via a scheme that made genetically senseless distinctions, such as that between larceny and embezzlement. The majority opinion recited its reliance on the equal protection clause rather than the liberty clause of the Fourteenth Amendment, but the equality argument would have collapsed without the assertion of a strong liberty to reproduce.
The history of forced sterilization cuts the other way, but its very condemnation and substantial termination suggest the strength of the overarching tradition of noninterference with procreative decisions. Still, there is a significant body of cases on preventing reproduction by incompetent persons. See, e.g., Conservatorship of Valerie N. v. Valerie N., 707 P.2d 760 (Cal. 1985). Also, there are peripheral rules that bear on reproductive choice—e.g., administrative requirements for marriage may slow matters down for some would-be reproducers, and requirements for post-birth screening of infants may intimidate some persons.
It is likely that there has always been a degree of private and largely hidden conduct in which individuals and health care providers pressure patients to accept unwanted treatment. Courts also have often deferred to professional ascriptions of incompetence to make therapeutic decisions, leaving the way open for imposed treatment. The actual behavioral “tradition” is thus fractured, and there may be a gulf between legally expressed ideals and common practice. This is an important problem in constitutional interpretation, to the extent that history, custom, and tradition are invoked for text-interpretation purposes.
See generally Tribe and Dorf, “Levels of Generality in the Definition of Rights.”
As for the most famous unstated fundamental right, abortion, all I can make out of the constitutional argument structure of the watershed case, Roe v. Wade,164
Roe v. Wade, 410 U.S. 113 (1973).
Justice Harry Blackmun purported to describe the history of abortion and its regulation over the last two-plus millennia, including the American experience. Although there were somewhat less restrictive regimes early on in the U.S., nothing resembling a clear tradition of noninterference was ever apparent, and Justice Blackmun did not claim otherwise.
Finally, I want to stress a particular analytic/interpretive point. Much of fundamental rights analysis involves matching a rights claim with a paradigm case of what is concededly protected. (Such comparison is an inevitable feature of much abstract thought.) Our procreative urges, by custom, are almost entirely up to us. Suppose that government sought to prohibit or more heavily regulate artificial insemination by donor. A woman seeking access to artificial insemination services would press the identity of the biological sexual recombination process in standard reproduction—a married couple having sex—with that in artificial insemination, arguing that the social/relational variations are unimportant (e.g., an extrafamilial genetic source and the lack of sexual intercourse). One could argue more pointedly that the variations are simply not material within the paradigm—they are not dictated by the “standard” case, even if the standard case was the most common. (This is a classic display of a dispute over specifying the proper level of abstraction for any paradigm or exemplar.) In any event, government insistence on preserving the values distinctively linked to the standard case of nuclear family formation would likely be rejected as either incoherent or too weak to override individual procreational preferences.
The comparison to the paradigm is much murkier for cloning because consensus on the core elements of the procreative paradigm itself breaks down.166
See the discussion of the constitutionality of regulating cloning in Shapiro, “I Want a Girl,” 238–92.
Nor would a change in personal (not numerical) identity constitute procreation.
Working through these difficult stages of constitutional argument structures will unearth most of the constitutional, moral, political, and policy issues that commentators both within and outside the law professions would agree are central. Constitutional argumentation as a heuristic drives colloquies such as the following: “We're not reproducing; we're duplicating people to enslave them or for other impermissible purposes.” (This is an essential question at the very threshold of argumentation, determining whether there is a constitutional interest of significance that demands recognition.) [bull ]“No, there's no ‘duplication’ in any coherent sense; and the prospect of clone slaves is too remote and speculative to worry about; in any case, slavery is already unconstitutional, forbidden to individuals as well as governments by the Thirteenth Amendment.” (This responds to the threshold attack, and anticipates a later argument stage in which government offers its justifications, if required, for its interference.) [bull ]“What about the risks to the child?” [bull ]“What risks? The technological bugs have been worked out [we assume arguendo] so that the ‘error rate’ is not much greater than that accompanying ‘regular’ reproduction.” [bull ]“We mean the sense of burden in knowing that your life has already been lived by the prior owner of the genome.” [bull ]“No one's life has already been lived; genomes don't have independent lives as persons.” [bull ]“Let me put it otherwise. If we found Beethoven's nuclear material and cloned him, the offspring's autonomy would be nil; he would be improperly pressured into being a composer of classical music.” [bull ]“He apparently will have some serious genetic endowments of musical talent. What's wrong with a little gentle channeling of preferences toward abilities, to promote greater opportunities and satisfaction?” [bull ]“Suppose he decided to be a rock star instead.” [bull ]“His choice.” [bull ]“Conditioning would deprive him of true choice. The risk of mere use and reduction is just too great. And who needs to clone anyway? What is it for?” [bull ]“Why does it have to be ‘needed’? Who needs to reproduce at all? We don't need a reason to procreate.” [bull ]“It isn't procreation.” [bull ]“It is too.” And we have a new go around. The post-threshold exchange tests justifications for government interference and also re-explains aspects of the threshold right.
With trait change not involving germ-line alteration, much of the constitutional analysis is similar, but it bears its own uncertainties. The Supreme Court has already said that there are rights to refuse treatment, including treatment with antipsychotic drugs, and presumably other forms of medicine for the mind. One would also expect recognition of a right to refuse enforced enhancement, outside disorder models altogether. The Court ruled long ago that government cannot constrain the education of children by prohibiting the learning of foreign languages, or prohibiting attendance at private parochial schools.168
Pierce v. Society of Sisters, 268 U.S. 510 (1925) (invoking an expansive idea of liberty and invalidating a requirement that children attend public rather than private schools); Meyer v. Nebraska, 262 U.S. 390 (1923) (also offering a similarly extensive view of liberty, and invalidating a law prohibiting the teaching of foreign languages to young children).
The (limited) First Amendment aspect bears mention. First, the customarily invoked rationales of a strong free speech principle include considerations of opportunities to learn, to train, and, more generally, to better oneself through communicating and receiving communications. Second, there is a conceptual connection between mental functioning and speech, so that impingements on the former—perhaps even lost opportunities for mental functioning—may have a First Amendment component. See Shapiro et al., eds., Bioethics and Law, 468–69.
With germ-line alteration, the comparison to a paradigm is also difficult because such alteration does not exist in any but primitive form. Invocations of magic and requests for miraculous intervention aside, we have never tried to alter human traits via the germ line. The nearest “tradition” is the practice within recent decades of prenatal and preconception screening, but this screens persons out without specifying characteristics of persons left in. For obvious reasons, our pre-1960s historical practice of procreational freedom lies in protecting the bare decision to procreate, not in specifying the “contents” of reproduction via screening or germ-line modification of specific characteristics. The former is likely to be considered a now-traditional aspect of reproductive choice. It is reasonable to wonder whether the latter—the affirmative intrusion into the genome—will become a common practice and be viewed as an aspect of reproductive choice, and what rank it would be accorded, when compared to screening. And, again, it is hard to say what the government's overwhelming interests might be here. Maintaining species identity? Reducing the risk of human reduction? Maintaining our normative systems—invoking, perhaps, a neophobic or precautionary principle? Political philosophers have been known to say that communities have rights to preserve themselves as themselves, within limits.170
See generally Will Kymlicka, Contemporary Political Philosophy: An Introduction, 2d ed. (Oxford: Oxford University Press, 2002), 246 (on “[d]uties to protect the cultural structure”).
Legal dispute resolution cannot settle the moral issues about rights to self-transformation and rights to adjust or revise or replace one's identity in any respect. Such resolutions achieve a limited, though possibly significant, form of closure. But the moral and political issues will emerge because the task of the law—as we now know it in many parts of the world—is to resolve the dispute in accordance with legal rules that require the search for, articulation of, and defense of all the contending perspectives.
Continuous, extreme “makeovers” of individual persons will “conceptually require,” if anything, losing the idea of identity rather than reconstructing it. Short of never-ending shape-shifting and melding of formerly separate persons, however, the idea of personal identity remains intact and serviceable. The emerging practices that create this failed conceptual challenge nevertheless involve, by hypothesis, close attention to the ordering of traits in a hierarchy of importance, and to their particular values in particular persons, before and after their respective makeovers. Technological enhancement clearly has its dark side, but that is not its only aspect.