The first systematic study investigating the effects of caffeine on human performance – sponsored by Coca-Cola – has been published about 100 years ago. Since then, thousands of other studies have been looking at if and in which ways caffeine improves cognitive performance. This question is still debated in science, but there is general consensus that caffeine can be seen as an enhancer for specific functions like mood, attention, concentration and reaction time. These enhancement effects have been shown in studies with the general set-up that participants first took caffeine and then did a performance task. This matches our everyday representation of “wise” caffeine use: if I wanted to enhance my performance with caffeine, I’d take it immediately before the “critical situation”, for example an exam.
Announcement: “Brave New Love” – peer commentaries due October 7
Dear Practical Ethics readers,
The paper, “Brave new love: the threat of high-tech ‘conversion’ therapy and the bio-oppression of sexual minorities” by Brian D. Earp, Anders Sandberg, and Julian Savulescu has been accepted for publication in the American Journal of Bioethics: Neuroscience. Proposals for open peer commentaries are due this Monday October 7th.
The article may be accessed here, or at the following link: http://editorial.bioethics.net. Be sure to select AJOB:Neuroscience from the drop-down menu of journals. Here is an abstract of the argument:
Abstract: Our understanding of the neurochemical bases of human love and attachment, as well as of the genetic, epigenetic, hormonal, and experiential factors that conspire to shape an individual’s sexual orientation, is increasing exponentially. This research raises the vexing possibility that we may one day be equipped to modify such variables directly, allowing for the creation of “high-tech” conversion therapies or other suspect interventions. In this paper, we discuss the ethics surrounding such a possibility, and call for the development of legal and procedural safeguards for protecting vulnerable children from the application of such technology. We also consider the more difficult case of voluntary, adult “conversion” and argue that in rare cases, such attempts might be permissible under strict conditions.
Open Peer Commentary articles are typically between 500-1500 words and contain no more than 10 references. A guide to writing an Open Peer Commentary is available under the Resources section “Instructions and Forms” at http://editorial.bioethics.net. AJOB:Neuroscience asks that by Monday, October 7, 2013 you submit a short summary of your proposed Open Peer Commentary (no more than 1-2 paragraphs). Please submit your proposal online via the AJOB:Neuroscience Editorial site, following the instructions provided there. They ask that you do not prepare a full commentary yet. Once they have evaluated your proposal, they will contact you via email to let you know whether or not they were able to include you on the final list of those to be asked to submit an Open Peer Commentary.
You will then have until Friday, October 25, 2013 to submit your full Open Peer Commentary.
This is a brief note to alert the readers of Practical Ethics that research by myself, Anders Sandberg, and Julian Savulescu on the potential therapeutic uses of “love drugs” and “anti-love drugs” has recently been featured in an interview for the national Canadian broadcast program, “Q” with Jian Ghomeshi (airing on National Public Radio in the United States).
Readers may also be interested in checking out a new website, “Love in the Age of Enhancement” which collects the various academic essays, magazine articles, and media coverage of these arguments concerning the neuroenhancement of human relationships.
Last week, shockwaves went through the sporting media as Nike officially cut ties with Lance Armstrong and Armstrong stood down as chairman of his Livestrong charity in the light of a massive swathe of damning evidence released by USADA, the USA’s anti-doping agency. Lost in the waves were the ripples of another doping story: little-known US runner Christian Hesch admitted to two years of EPO (erythropoietin; hormone controlling red blood cell production) use. Little needs to be said about the achievements of Armstrong, the most celebrated cyclist in modern sporting history. A ‘road warrior’, Hesch is a member of a sub-elite class of athletes who earn their living travelling from road race (running) to road race picking up small winnings, sometimes with a little travel/equipment support from racing teams. With a 3:58 mile best, he has never and will never make the Olympics; he is unknown outside of the USA’s running community where he made himself visible with flamboyant racing outfits and finish-line stunts.
In 2010, Hesch was hit by a car, picking up minor injuries and putting him ‘out of business’ for 5 months. With no workman’s comp, he turned to EPO to speed his return to racing fitness. While Armstrong was retiring from competitive cycling, Hesch was making trips down to Tijuana, Mexico, and smuggling EPO vials back into the USA, stuffed into his pockets. Armstrong was part of what USADA has referred to as “the most sophisticated, professionalised and successful doping programme that the sport has ever seen”; Hesch was architect of his own doping programme, injecting himself 54 times over the course of two years. He was rarely tested; eventually team-mates from Nike Team Run LA found evidence of drug use in his possession and presented him with an own-up-or-we’ll-tell ultimatum. They contacted USADA on September 6th and Hesch promptly confessed. While breaking the news himself on popular running forum http://www.letsrun.com, he posted “I want to make it clear that I don’t blame anyone for any & all feelings against me, it’s my bed that I’ve made and I will sleep in it… hopefully, someday I can earn your respect back.”
When it comes to the very top level endurance sport athletes, where the bar is set in terms of legal vs. illegal enhancements appears largely irrelevant. The current legal list currently includes altitude tents for the ‘natural’ EPO effect, high doses of caffeine, medication to correct previously undiagnosed asthmatic and thyroid conditions and a lot more. The USADA evidence suggests that in many cases where illegal doping is happening in combination with these legal supplements, it is being very closely monitored by medical teams. The argument for saying “make everything legal and be damned with it” is clear.
Is the same true for athletes coming through, and athletes on the cusp of the professional ranks? Is a scenario where, to compete with the pros or even be noticed it is a requirement to be on EPO and HGH, in the best interests of athletes; especially young athletes? Become a top athlete and you have a medical team to monitor you; until then, the choice may end up being between Tijuana, a syringe and a bathroom stall, or being an also-ran. Consider also the implications for athletes in developing nations like Kenya (where reports of more widespread doping are starting to appear); drugs with significant risks attached like EPO can be fairly cheap and easy to procure, medical supervision can be less so.
Given that we cannot protect all athletes with medical monitoring, is it better to protect them with a culture in which use of these drugs is wrong, and with the knowledge that even the mightiest and best-protected of cheaters can fall?
USADA have claimed this as a victory, calling the result “a reassuring reminder that there is hope for future generations to compete on a level playing field without the use of performance-enhancing drugs”.
If Armstrong is stripped of his Tour victories, the new list of “winners” will contain many names familiar to those who have followed cycling’s infamous doping scandals: Jan Ullrich (banned for doping), Ivan Basso (banned for doping), Andreas Klöden (accused of blood doping- the case was closed when he made a 25000 Euro payment to settle the charges, without an admission of guilt. NADA, the German anti-doping agency, have recently expressed an interest in re-opening the case), and Joseba Beloki (implicated though not charged in Operacion Puerto investigations). Of the new victors, only Jaan Kirsipuu has been neither implicated nor proven to be doping. If he is the hope that USADA is banking on, it is a slim one. Along with many who have previously been banned for doping, Basso and Klöden are still riding, still performing at a competitive elite level (5th in Giro d’Italia 2012 and 11th in Tour de France 2012 respectively). The Olympic gold medal in road cycling was won by Vinokourov, another convicted doper.
FIFA want referees to be tested for drugs: delegates at FIFA’s medical congress were told by FIFA officers that referees in the future might be tested for doping. “We have to consider referees as part of the game,” said FIFA’s chief medical officer Jiri Dvorak. “We do not have an indication that this is a problem but this is something we have to look at. The referees are a neglected population.”
One might of course wonder whether this is typical extension of regulations beyond where they make sense, perhaps driven by Parkinsonian expansion of bureaucracy. If there has not been any indications of a problem, it doesn’t seem rational to try to solve it. To investigate whether there is an undetected problem in the first place and then try to solve it if there is one is rational, but starting out with banning doping in judges regardless of whether it matters sounds a bit like a “everything looks like a nail when you have a hammer” mindset from the anti-doping organisations.
Maybe some doping of referees might actually make the sport better?
An article in the Israeli newspaper Haaretz reports on the (alleged) frequent use of psychiatric drugs within the Haredi community, at the request of the religious leaders, in order to help members conform with religious norms. Haredi Judaism is the most conservative form of Orthodox Judaism. It is sometimes referred to by outsiders as ultra-Orthodox. Haredim typically live in communities that have limited contact with the outside world. Their lives revolve around Torah study, prayer and family.
In December 2011, the Israel Psychiatric Association held a symposium entitled “The Haredi Community as a Consumer of Mental-Health Services”. One of the speakers was Professor Omer Bonne, director of the psychiatry department at Hadassah University Hospital. Professor Bonne is claimed to have said that sometimes yeshiva students (yeshiva is a religious school) and married men should be given antidepressants even if they do not suffer from depression, because these drugs also suppress sex drive.
I am desperate to start a sexual relationship with an old acquaintance but his wife, who has no interest in sex, would be appalled if she knew. Does that matter?
I read this in the Guardian’s ‘Life & Style’ section. Every week, a reader can present a dilemma she/he is faced with in her/his ‘private’ life and ask other readers for advice.
The full story goes like this:
I recently reconnected with an old classmate from my teens, and we fell in love almost immediately. We are in our early 50s and both in long marriages to good people whom we love. Leaving our spouses is not an option [....] Despite our desire for each other and the fact that his wife and my husband may be asexual, my friend and I have not slept with each other. My husband has given me permission to have a lover, but my friend’s wife would be appalled if he asked for the same set-up. Shouldn’t someone with no interest in sex and minimal romantic attachment to their spouse (they are like roommates) allow that spouse to fulfil her or his needs for stimulation and affection (discreetly) elsewhere without calling it “cheating”? My friend and I are moral people, but life is short.
Some of the readers’ replies are:
Whose word do we have for it that his wife is asexual?…Oh, only his… What a surprise.
Of course it is ok! Go and fuck with everyone in sight and don’t bother!
Fortunately, other replies are more sophisticated. Most people seem to acknowledge the dilemma is real. None of the proposed options are ideal. For example, those who suggest asexual married couples should never have extramarital sexual relationships at the same time acknowledge that this solution is not ideal as sexual frustration may build up and may have devastating effects on the marriage. Those who suggest the individuals who are attracted to each other (henceforth ‘sexual’ individuals) should be honest about it to their partners, and that the ‘affair’ (consented to by all parties concerned) may be justified, realise this will make their ‘asexual’ partners unhappy, with potentially devastating effects for both marriages. Perhaps some will find it obvious that one of these alternatives is better than the other, but surely we must except that whichever option one chooses, there is some harm, or risk of harm.
Could what Savulescu and Sandberg, in their 2008 paper, have called ‘love drugs’ help resolve the dilemma?
By Brian Earp
Rick Santorum, birth control, and “playing God”
Rick Santorum thinks that birth control is immoral. Santorum, a former Senator from Pennsylvania, is one of two human beings – if the polls have it right – likeliest to become the Republication nominee for President of the United States this election cycle.