This paper argues for an inflationary and capacity-relative understanding of human enhancement technology. In doing so it echoes the approach followed by Buchanan. Particular emphasis is placed on the point that capacities themselves are relative to demands placed on the organism by its environment. In the case of human beings, this environment is to a very large extent institutionally structured. On the basis of the inflationary and capacity-relative concept of enhancement, I argue that the subject of enhancement must be understood (...) in terms of a bundle of capacities that is both extended and ecological. This consequence of the inflationary enhancement concept has some surprising upshots, namely that the subject itself must be considered as a technological enhancement and not a ‘platform’ or subjectum upon which the enhancement enterprise builds. This conclusion clashes, I argue, with some of the presuppositions of liberal philosophy, which starts by assuming a reflective subje.. (shrink)

It usually falls to an introduction such as this to explain the what and the why of the volume: what is contained in the contributions and why it is important. In this instance the two are more or less the same. What distinguishes “continental” approaches to bioethics and philosophy of medicine is precisely the reason why there is value in highlighting such approaches. Before elaborating on that rather vague contention, I would first like to say something briefly about how this (...) volume came about. In 2012 I organized, together with Havi Carel, a series of public seminars on the rather broad theme of “Medicine and Society.” These took place in Bristol (UK), with the generous financial support of the Royal Institute of Philosophy and an Early Career Researcher grant that I had received from the University of the West of England. Some of the contributions in this volume stem directly from those seminars, others are the result of conversations that began in those seminars and continued together with both the initial participants and colleagues whose perspectives I invited specifically for this volume. I am extremely grateful to all the contributors. (shrink)

Some ten years ago I read for the first time the passage from which this contribution draws its title. It marks, for me, something like the beginning of an obsession–but one that only takes me in circles, back to those lines, where I find comfort alongside a certain sense of futility in a passage that I know I will never fully unravel. In this futile return there is a feeling of coming home, but also of a continuous departure which most (...) often leads down familiar paths–all of them leading back to where I started–but also sometimes yielding a new route to travel both vainly, in the hope of a new discovery, and of course in vain, as these new paths always seem to take me back home; if I’m lucky a home that is somewhat altered, not necessarily rendered more or less clear to me but somehow deepened, given an added depth or dimension. But each departure is nonetheless accompanied by a marvelous sensation of quickening, a nervousness or jitteriness that pushes me to literally move, to get up from my desk and pace nervously, a sort of push that must be redirected back into the text from which it emerged. (shrink)