Filed under: government, morality, philosophy, science | Tags: autonomy, biotechnology, dignity, personhood, President's Committee on Bioethics, relativism, Ross Douthat, Ruth Macklin, sex, Steven Pinker, theoconservatives, Yuval Levin
Ross Douthat and Yuval Levin [UPDATE: Alan Jacobs and now James Poulos, too] have, I think, said much of what needs to be said about that Stephen Pinker screed about the new volume from the President’s Committee on Bioethics. But let me bring out a few laughers that they didn’t touch on. (Full disclosure: I haven’t read the book he’s “reviewing”.)
The first has to do with this:
The problem is that “dignity” is a squishy, subjective notion, hardly up to the heavyweight moral demands assigned to it. The bioethicist Ruth Macklin, who had been fed up with loose talk about dignity intended to squelch research and therapy, threw down the gauntlet in a 2003 editorial, “Dignity Is a Useless Concept.” Macklin argued that bioethics has done just fine with the principle of personal autonomy–the idea that, because all humans have the same minimum capacity to suffer, prosper, reason, and choose, no human has the right to impinge on the life, body, or freedom of another. This is why informed consent serves as the bedrock of ethical research and practice, and it clearly rules out the kinds of abuses that led to the birth of bioethics in the first place, such as Mengele’s sadistic pseudoexperiments in Nazi Germany and the withholding of treatment to indigent black patients in the infamous Tuskegee syphilis study. Once you recognize the principle of autonomy, Macklin argued, “dignity” adds nothing.
Now I, for what it’s worth, think that the notion of autonomy is every bit as mythical as Pinker takes that of dignity to be. But even if there is such a thing, then it ought to be as clear as day that the mental capacities that underlie it - the capacities to “suffer, prosper, reason, and choose”, and so forth - are clearly not had to “the same minimum degree” by all human beings. And so how, one wonders, is an appeal to personal autonomy supposed to help us when the “impingements” in question involve the lives of such human beings as embryos, small children, the severely mentally handicapped, and persons in vegetative states who haven’t signed living wills? Does, e.g., a modification of the DNA - or, for that matter, the killing - of a fetus, who is surely in no position to offer “informed consent” to such a procedure, count as something that is ruled out on such an ethic? How about the decision to vaccinate - or, while we’re in controversial territory anyway, not to vaccinate - a newborn infant or small child? Why is it that some such practices are acceptable or even mandated, while others, presumably, are not? Whether the concept is “bedrock” or not, and even if it does rule out the especially demeaning and horrific abuses that Pinker lists, obviously we are not going to “do just fine” by appeals to personal autonomy alone.
But fear not. For as we dig ever more deeply beneath the “squishy, subjective” mess provided by the Council, we come to the notion of a person:
Dignity is skin-deep: it’s the sizzle, not the steak; the cover, not the book. What ultimately matters is respect for the person, not the perceptual signals that typically trigger it. Indeed, the gap between perception and reality makes us vulnerable to dignity illusions. We may be impressed by signs of dignity without underlying merit, as in the tin-pot dictator, and fail to recognize merit in a person who has been stripped of the signs of dignity, such as a pauper or refugee.
Ahh, yes. Here, of course, we have a notion that is not “relative” at all, notwithstanding the considerable amount of research (e.g.) that has argued for its cross-cultural variability, and the fact that bioethicists have argued (e.g.) that it is unequipped to do the kind of heavy lifting that Pinker is demanding of it here. For what could be less controversial than, say, the issue of whether women, fetuses, and slaves are persons, let alone the question of what it is to respect such a being? Personhood, respect, and autonomy. I sure am glad we’ve got a leading member of the “world’s scientific powerhouse”, and not merely some “institutionally affiliated” theoconservative Jew, lecturing us on how to love one another.
Up next, Pinker’s, umm, argument for dignity’s “relativity” (people disagree about it, so Q.E.D.!) needs no more comment than is given to the Philosophy 101 freshman who reasons spouts off in much the same way, nor does his slide, a few paragraphs later, from the incontestable observation that “certain features in another human being trigger ascriptions of worth” to the claim that the properties thereby ascribed are therefore “a phenomenon of human perception”, nothing but “an attribution [triggered] in the mind of a perceiver”. (That Pinker illustrates this claim by reference to depth and position cues, the smell of baking bread, and the sight of a child’s face should be our first clue that something has gone badly wrong.) The same ought to go, I suppose, for the alleged indignities of sexual intercourse. (I confess that I have no knowledge of what goes on in Prof. Pinker’s bedroom.) But in the same vein as that last remark, and to round things off in grand fashion, there is a spectacularly flat-footed confusion pretense at confusion that is really just an attempt to make his audience think ill of the authors being reviewed that is worth exposing as such:
We read that slavery and degradation are morally wrong because they take someone’s dignity away. But we also read that nothing you can do to a person, including enslaving or degrading him, can take his dignity away. We read that dignity reflects excellence, striving, and conscience, so that only some people achieve it by dint of effort and character. We also read that everyone, no matter how lazy, evil, or mentally impaired, has dignity in full measure.
One would expect a professional linguist to be able to do better than this. The idea that the same word can be used in multiple distinct but ultimately interrelated ways - “health”, “integrity”, “property”, “autonomy”, and “respect”, anyone? - is apparently lost on Harvard’s Johnstone Professor of Psychology, to whom attempts to think carefully about “soothsay” the likely outcomes of biotechnological intervention and carry on a discussion about issues of great import “stage-manage social change” are signs of “overweening hubris” and - worse! - “callousness” toward non-geriatric persons. Thank goodness he isn’t a “pro-death, anti-freedom” wingnut like the ice cream cone-despising Leon Kass - we almost succumbed to a miasma of scientific illiteracy.
sm as the main force for every form of progress in our age. We live amidst its fruits — technology, culture, philanthropy, human well being — and have yet to appreciate the source. Indeed, among the most passionate opponents of the free market are those who have benefitted most enormously from it. Here we have a profound failure of understanding at work.


