2020 Books

Love Drugs: The Chemical Future of Relationships

Earp, B. and Savulescu, J., (2020), 'Love Drugs: The Chemical Future of Relationships', (Stanford University Press) 

book cover of love drugs, the chemical future of relationships, by Brian D. Earp and Julian Savulescu

Is there a pill for love? What about an "anti-love drug", to help us get over an ex? This book argues that certain psychoactive substances, including MDMA—the active ingredient in Ecstasy—may help ordinary couples work through relationship difficulties and strengthen their connection. Others may help sever an emotional connection during a breakup. These substances already exist, and they have transformative implications for how we think about love. This book builds a case for conducting research into "love drugs" and "anti-love drugs" and explores their ethical implications for individuals and society. Scandalously, Western medicine tends to ignore the interpersonal effects of drug-based interventions. Why are we still in the dark about the effects of these drugs on romantic partnerships? And how can we overhaul scientific research norms to take relationships more fully into account?

Ethicists Brian D. Earp and Julian Savulescu say that the time to think through such questions is now. Biochemical interventions into love and relationships are not some far-off speculation. Our most intimate connections are already being influenced by drugs we ingest for other purposes. Controlled studies are underway to see whether artificial brain chemicals can enhance couples therapy. And conservative religious groups are experimenting with certain medications to quash romantic desires—and even the urge to masturbate—among children and vulnerable sexual minorities. Simply put, the horse has bolted. Where it runs is up to us. Love Drugs arms us with the latest scientific knowledge and a set of ethical tools that we can use to decide if these sorts of medications should be a part of our society. Or whether a chemical romance will be right for us.

Media, online reviews, interviews, podcasts:

Modern Wisdom Podcast | #268 Brian D. Earp - The Ethics Of Using Drugs To Fall In & Out Of Love

Engineering & Technology | Rich Wordsworth |  A break-up in a pill: it’s all about chemistry
Can drugs re-engineer the ‘chemical process of love’ in the brain to help an individual out of an unhealthy relationship?

The Guardian | Andrew Anthony | Love as a drug: can romance be medically prescribed?
Love drugs could soon be a reality and used alongside therapy to help heal broken relationships, claims a new book

Philosophical Disquisitions | John Danaher | Brian D. Earp podcast with the philosopher John Danaher
"A master class in applied bioethical reasoning" 

The Atlantic | Ashley Fetters | Your Chemical Romance
A new book lays out the case for pharmacological solutions to relationship problems.

The Philosopher | Elizabeth Robson | Sex and Drugs (and Ethics)
"there is an energy and passion in the writing here that sets it aside from 99% of the philosophy that I have read in the past year"

"This book offers a fascinating, game-changing scientific argument for the use of unconventional medicines by those struggling with matters of the heart. We all suffer; some even kill or die for love. If 'love drugs' can alleviate the pain of rejection, curb domestic abuse, and even enhance feelings of attachment in struggling partnerships, many of the important ideas here could enrich—even save—lives around the world."  — Helen Fisher, author of Anatomy of Love

"Love Drugs reports current science on the effect of drugs on love and sex, adds anecdotes and case studies, and combines that with ethics and wisdom on what is important. The result is a fascinating account of a future that is starting to unfold right now." — Peter Singer, author of Ethics in the Real World

"The psychopharmacology of love has been with us since the ancient Greeks celebrated the wine-soaked festivals of Dionysus. But not until this intoxicating, astonishing, dangerous book have we had the deep chemistry of our eroticism revealed. If you want to learn to be a better lover—and who doesn't?!—Earp and Savulescu show you how the drugs we have developed are expanding our capacities for connecting with each other." — Clancy Martin, author of Love and Lies

Autonomy, Rationality, and Contemporary Bioethics

Pugh, J., (2020), 'Autonomy, Rationality, Bioethics', (OUP)

Funded by Wellcome Trust grant WT086041 (Oxford Centre for Neuroethics). Freely available at PubMed/Europe PMC [NBK556857]

This is an open access title available under the terms of a CC BY-NC-ND 4.0 International licence. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations.

Personal autonomy is often lauded as a key value in contemporary Western bioethics. Though the claim that there is an important relationship between autonomy and rationality is often treated as uncontroversial in this sphere, there is also considerable disagreement about how we should cash out the relationship. In particular, it is unclear whether a rationalist view of autonomy can be compatible with legal judgments that enshrine a patient's right to refuse medical treatment, regardless of whether the reasons underpinning the choice are known and rational, or indeed whether they even exist. Jonathan Pugh brings recent philosophical work on the nature of rationality to bear on the question of how we should understand personal autonomy in contemporary bioethics. In doing so, he develops a new framework for thinking about the concept of autonomy, one that is grounded in an understanding of the different roles that rational beliefs and rational desires have to play in it. Pugh's account allows for a deeper understanding of d the relationship between our freedom to act and our capacity to decide autonomously. His rationalist perspective is contrasted with other prominent accounts of autonomy in bioethics, and the revisionary implications it has for practical questions in biomedicine are also outlined.


Psychiatry Reborn: Biopsychosocial Psychiatry in Modern Medicine


Psychiatry Reborn: Biopsychosocial psychiatry in modern medicine
Edited by Dr Will Davies, Professor Julian Savulescu, and Dr Rebecca Roache
Introduction by Professor J. Pierre Loebel
Published: 21 October 2020, by Oxford University Press.

Psychiatry Reborn: Biopsychosocial Psychiatry in Modern Medicine is a comprehensive collection of essays by leading experts in the field, and provides a timely reassessment of the biopsychosocial approach in psychiatry.

Spanning the sciences and philosophy of psychiatry, the essays offer complementary perspectives on the ever more urgent importance of the biopsychosocial approach to modern medicine. The collection brings together ideas from the series of Loebel Lectures by world leaders in the field of psychiatry and associated Workshops at the University of Oxford, including revised versions of the Lectures themselves, and a wide range of related commentaries and position pieces. With contributions from psychiatry, psychology, neuroscience, and philosophy, the book provides the most comprehensive account to date of the interplay between biological, psychological, and social factors in mental health and their ethical dimensions.

The 23 chapters of this multi-authored book review the history and place of the biopsychosocial model in medicine, and explore its strengths and shortcomings. In particular, it considers how understanding this interplay might lead to more effective treatments for mental health disorders, as developments in genomic and neurobiological medicine challenge traditional conceptions and approaches to the research and treatment of mental health disorders.

The book explores the challenges and rewards of developing diagnostic tools and clinical interventions that take account of the inextricably intertwined bio-psycho-social domains, and the ethical implications of the conceptualization. It concludes with chapters drawing together the book's range of expertise to propose a best conception of the model, and how it might be adopted going forward in an age of exponentially increasing technological advances and of integrated/collaborative care. The volume is intended to present the BPS model as it stands today in the academy, the lab, and the clinic, and to start to address the challenges and potential that the model has for each.

The Oxford Loebel Lectures and Research Programme: Hosted by the Oxford Uehiro Centre between 2013 and 2016, The Oxford Loebel Lectures and Research Programme (OLLRP) presented and reviewed the best evidence of causal interaction between the biological, psychological, and social factors that contribute to mental illness, and philosophically analysed the conceptual relationships between them. Through a series of six Loebel lectures held over three years, excellent research, and clinical impact, the programme aimed to lay the ground work for a unified theoretical basis for psychiatric practice. See free resources on OLLRP webpages.