This volume explores the ethical and social issues raised by the recent proliferation of surgical techniques aimed at making children appear more normal. Using three cases -- involving surgeries to correct ambiguous genitalia of children who are intersexed, surgeries to lengthen the limbs of children who are dwarfs, and surgeries to eliminate craniofacial abnormalities such as cleft lip and palate -- Eric Parens deepens our understanding of the debate surrounding surgical interventions in children.

Patrick, Nichola Rumsey, Emily Sullivan Sanford, Tari D. Topolski

When bioethicists debate the ethics of using technologies like surgery and pharmacology to shape our selves, they are debating what it means for human beings to flourish. They are debating what makes animals like us truly happy, and whether the technologies at issue will bring us closer to or farther from such happiness. The positions that participants adopt in debates regarding such ancient and fundamental questions are often polarized, and cannot help but be deeply personal. It is no wonder that these debates are sometimes acrimonious. How can critics of and enthusiasts about technological self- transformation move forward in the midst of polarizing arguments? Based on his experience as a scholar at The Hastings Center, the oldest free-standing bioethics research institute in the world, Erik Parens proposes a habit of thinking, which he calls Binocular thinking lets us benefit from the insights that are visible from the stance of the enthusiast, who emphasizes that using technology to creatively transform our selves will make us happier, and to benefit from the insights that are visible from the stance of the critic, who emphasizes that learning to let ourselves be will make us happier. Because these debates ultimately entail critics and enthusiasts giving justifications for their own ways of being in the world, they entail the exchange of more than just impartial reasons. In the throes of our passion to make our case, we exaggerate our insights and all-too-often fall into the conceptual traps that our languages constantly set for us: Are human beings by nature creators or creatures? Are technologies morally neutral or value- laden? Is disability a medical or a social phenomenon? Indeed, are we free or determined? Parens explains how participating in these debates helped him articulate a habit of thinking, which is better at benefiting from the insights embedded in both poles of those binaries than was the habit of thinking he broug

The volume offers a unique collection of articles on pediatric neuroenhancement from an international and multidisciplinary perspective. In recent years, the topic of “neuroenhancement” has become increasingly relevant in academia and practice, as well as among the public. While autonomous adults are free to choose neuroenhancement, in children it presents its own ethical, social, legal, and developmental issues. A plethora of potential (neurotechnological) enhancement agents are on the market. While the manifold issues surrounding the topic have been extensively discussed, there is little work on the specific questions that arise in children and adolescents. This book addresses this gap in the literature: Next to conceptual and normative work on autonomy and self-control, the collection explores the implications for parenting and schooling, and provides input for a discussion of public attitudes. It is a valuable resource for the different academic communities confronted with questions of how to evaluate and approach enhancement in children and is of interest to neuroethicists, scholars in applied ethics and neurology, psychiatrists and psychologists as well as scientists developing enhancement interventions for children.

This book provides a multidisciplinary analysis of the potential conflict between a government’s duty to protect children and a parent(s)’ right to raise children in a manner they see fit. Using philosophical, bioethical, and legal analysis, the author engages with key scholars in pediatric decision-making and individual and religious rights theory. Going beyond the parent-child dyad, the author is deeply concerned both with the inteests of the broader society and with the appropriate limits of government interference in the private sphere. The text offers a balance of individual and population interests, maximizing liberty but safeguarding against harm. Bioethics and law professors will therefore be able to use this text for both a foundational overview as well as specific, subject-level analysis. Clinicians such as pediatricians and gynecologists, as well as policy-makers can use this text to achieve balance between these often competing claims. The book is written by a physician with practical and theoretical knowledge of the subject, and deep sympathy for the parental and family perspectives. As such, the book proposes a new way of evaluating parental and state interventions in children's’ healthcare: a refreshing approach and a useful addition to the literature.

Through the analysis of forty ethical dilemmas drawn from real-life situations, Ethics in Action guides the reader through a process of moral deliberation that leads to the resolution of a variety of moral dilemmas. Fosters critical thinking by evaluating the reasons people give to support their choices and actions Challenges the paradigm of moral relativism that often impedes efforts to resolve moral dilemmas Incorporates international perspectives often lacking in texts published for a U.S. audience

Topical and compelling, this volume provides an excellent re-evaluation of the ‘best interests’ test in the healthcare arena; the ways in which it has developed, the inherent difficulties in its use and its interpretation in legal cases concerning the medical care of children. Comprehensively covering both the English and Scottish position within the context of the European Convention of human Rights and the UN Convention on the Rights of the Child, the author examines a wide range of healthcare situations, from the commonly occurring to the unusual, offering a detailed analysis of legislation, case law, cases and their implications. It includes discussions on: the extent to which a child’s body can be examined, operated on and affected by medicines, devices or procedures intended to bring about medical change the appropriate scope of parental choice and authority and at what stage of their development children should be allowed to make their own decisions the response to situations where the interests of children may be in conflict – the cases of conjoined twins or the donation of organs to siblings. This work is a key resource for postgraduates and researchers working and studying in the fields of law, healthcare and medicine.