psychological continuity

Returning To Personhood: On The Ethical Significance Of Paradoxical Lucidity In Late-Stage Dementia

By David M Lyreskog

About Dementia

Dementia is a class of medical conditions which typically impair our cognitive abilities and significantly alter our emotional and personal lives. The absolute majority of dementia cases – approximately 70% – are caused by Alzheimer’s disease. Other causes include cardiovascular conditions, Lewy body disease, and Parkinson’s disease. In the UK alone, it is estimated that over 1 million people are currently living with dementia, and that care costs amount to approximately £38 billion a year. Globally, it is estimated that over 55 million people live with dementia in some form, with an expected 10 million increase per year, and the cost of care exceeds £1 trillion. As such, dementia is widely regarded as one of the main medical challenges of our time, along with cancer, and infectious diseases. As a response to this, large amounts of money have been put towards finding solutions over decades. The UK government alone spends over £75 million per year on the search for improved diagnostics, effective treatments, and cures. Yet, dementia remains a terrible enigma, and continues to elude our grasp.

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Effort, psychological continuity, human enhancement and superintelligence

One argument against human enhancement is that it is cheating. Cheating others and oneself. One may be cheating oneself for various reasons; because one took the easy path instead of actually acquiring a certain capacity, because once one enhances one is no longer oneself, because enhancements are superficial among others. I would like to try to develop further the intuition that “it is not the same person any more”. I will concentrate in forms of enhancement that involve less effort, are considered easier, or faster than conventional means because the cheating argument seems directed at them. In fact, most forms of non-conventional technological enhancements being proposed seem to be easier routes towards self-improvement. I will also explore how my considerations might mean trouble for any type of disruptive technology besides radical human enhancement, such as superintelligence or whole-brain emulation. Continue reading