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SYMPOSIUM
ENHANCING LOVE?
� 2020 – Philosophy and Public Issues (New Series), Vol. 10, No. 3 (2020): 93-151
Luiss University Press
E-ISSN 2240-7987 | P-ISSN 1591-0660
WHAT IS LOVE? CAN IT BE CHEMICALLY
MODIFIED? SHOULD IT BE?
REPLY TO COMMENTARIES
BY
BRIAN D. EARP AND JULIAN SAVULESCU

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ENHANCING LOVE?
� 2020 – Philosophy and Public Issues (New Series), Vol. 10, No. 3 (2020): 93-151
Luiss University Press
E-ISSN 2240-7987 | P-ISSN 1591-0660
What is love?
Can it be chemically modified? Should it be?
Reply to commentaries
Brian D. Earp and Julian Savulescu
e are grateful to Robbie Arrell, Lotte
Spreeuwenberg, Katrien Schaubroeck, Allen
Buchanan, and Mirko D. Garasic for their
commentaries on our recent book, Love Drugs: The
Chemical Future of Relationships.1 To keep our reply
focused, we will address just some of the main points from each
paper. We will also try to keep the conversation going by pushing
back on certain claims or elaborating on valuable insights raised by
our colleagues. We begin by exploring what love is and whether it
can be chemically modified. We then focus on questions about the
ethics of attempting such modification, both at the level of the
individual or couple and at the level of society. We conclude with
some summary observations and big-picture reflections about the
future of this debate.
1 See Earp and Savulescu 2020a. The UK version is Love Is the Drug: The Chemical
Future of Our Relationships, published by Manchester University Press. For a short
pr�cis of the book see Earp and Savulescu 2020b. Thank you to Sven Nyholm,
Joan Ongchoco, Josh Knobe, Robbie Arrell, Elena Grewal, Mario Attie Picker,
David Yaden, Margaret Clark, and Moya Mapps for valuable feedback on an
earlier draft of this paper. Please note that we will mostly be using the singular
‘they’ construction throughout, for reasons discussed in Earp 2021.
W

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I
What is love and can it – even in principle – be affected by
chemicals? Reply to Arrell
We will start with the piece by Arrell,2 since it focuses on
foundational questions about the metaphysics of love and the
concept of ‘love-altering’ drugs. Arrell accepts that many currently
existing drugs – chemical substances often used as medications –
can have important effects on romantic relationships broadly
construed. Arrell denies, however, that such drugs affect love. To
evaluate this claim, we will need an account of love that both Arrell
and we can agree on, so as to avoid talking past each other (if we
claim that drugs can affect love and take ‘love’ to mean X, whereas
Arrell denies this but takes ‘love’ to mean Y, we might well have a
dispute, but it would semantic not substantive).3
Helpfully then, Arrell proposes an account that is compatible
with our view; we will adopt it for the sake of argument. An
important feature of this account is that love requires care in a sense
that needs some teasing out. We will start by saying what we mean
by care before turning to Arrell’s account and critically comparing
the two.
The role of care in love
Here is what we said about care in our book. We asked readers
to consider the view that true love, whatever else it may require,
“requires genuinely caring about (and trying to promote) the other
person’s well-being as an end in itself.”4 In order to care about
someone in this way we suggested that a person would have to be,
2 See Arrell 2020.
3 For a recent discussion of substantive versus semantic disagreements about
the ordinary concept of true love, see Earp, Do, and Knobe 2021.
4 From Earp and Savulescu 2020a, 59.

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at a minimum, “seriously invested” in the other’s feelings and
desires, fundamental preferences, wishes and dreams, and so on.
Finally, we proposed that if a drug made it so that your “very
capacity” to be moved by your partner’s feelings (etc.) was
“sufficiently degraded … over a long enough period of time” – so
that you were not, in fact, disposed to try to promote their overall
well-being – then the drug would have meaningfully changed your
love for your partner, “potentially to the point that it no longer
counts as love at all.”5
We argued that there may in fact be such a drug – or class of
drugs – namely selective serotonin reuptake inhibitors or SSRIs,
which have been documented to have effects along these lines
(importantly, we also called for further research into these effects
so as to better understand them).6 Our thinking was as follows:
since SSRIs are the most commonly used drugs to treat depression,
which is itself quite common, if they are capable of affecting love
in such a meaningful way, we should be alert to this possibility and
study it carefully.
Now we get to the potential disagreement. Arrell accepts that
the effects of SSRIs on romantic relationships might indeed be bad
or even devastating,7 and he acknowledges that this prospect is
worthy of sustained ethical analysis of the kind we try to offer in
5 Ibid., 60.
6 See, for example: Opbroek et al. 2002; Bolling and Kohlenberg 2004; Fisher
and Thomson, Jr. 2007.
7 As we explore in the book, they can also be good for some relationships, for
example, when they effectively cure the symptoms of depression in one or more
partners, where the depression itself was making the relationship worse off. One
and the same drug can have very different effects on different individuals and
couples depending on what they are dealing with, the dose of the drug, whether
it is effective along the intended dimensions, what the side-effects are, and so
on.

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our book. What he denies is something more abstract and
conceptual: he denies that SSRIs can affect love – as it were, ‘itself.’
To get a handle on what is at stake in this distinction, we will now
sketch out the account of love adopted by Arrell, paying close
attention to the role of ‘care’ as he conceives it.
Arrell’s counterfactualist account: love as robustly demanding
Arrell draws on Philip Pettit’s view of love as a robustly
demanding good.8 A robustly demanding good – or ‘rich’ good, to
use Pettit’s shorthand – involves a disposition (i.e., of a person) to
reliably provide certain ‘thin’ goods (roughly, benefits or resources)
to another person across a range of scenarios, including some that
may not actually materialize. Care, on this account, is one such
‘thin’ good. As Arrell puts it: in order for you to enjoy the rich
good of my love, it is not enough that I provide you with the thin
good of my care in the actual world, as things stand. Rather, it must
also be the case that I am so disposed that I would continue to
provide you with such care, among other thin goods, “even were
you/I/our circumstances somewhat altered.”9
The motivating idea here is something like Shakespeare’s
admonition that “love is not love which alters when it alteration
finds.”10 In other words, true love is not just a feeling, which may
be fleeting, but is rather something more like a trait or orientation
toward the other that is rooted in something much more stable.
So, for example, if I profess to love you, but I would in fact
abandon our relationship were you to lose your wealth or beauty,
say, then it seems right to conclude that I do not really love you
after all. More likely, I am only superficially into you, chasing after
8 As described in Pettit 2012; for a critique see Nyholm 2018.
9 From Arrell 2020, 48-49.
10 From Sonnet 116.

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your money or good looks. So, on this view, for something to
count as love, even in the here and now, it must be the case that it
would persist despite various potential changes in the beloved – or
the lover, the state of the world, etc. – whether or not those
changes actually happen.
We’ll assume this basic picture is correct. However, when
determining whether I truly love you, it is one thing to ask if I
would leave you for superficial reasons, like those we have just
considered; it is another thing to ask if I would leave you because,
for example, you became abusive toward me or you constantly
violated my trust. So, let’s assume that although my love for you
must not alter when it finds certain kinds of alterations, there are at
least some ways in which things might be different that could
justify my ceasing to provide you with care, without this nullifying
the current reality of my love.11
The challenge, then, is to identify the range of possible scenarios
– or ways in which you/I/our circumstances might be altered –
across which I would, hypothetically, have to continue to provide
you with the thin good of care for my ‘rich’ disposition toward you
to count as truly loving.
We are okay with this general framework. But even within the
framework, there is one point on which we and Arrell seem to
differ, and that is on the concept of care. Notice that Arrell
describes care as a ‘thin’ good: that is, as a kind of benefit – a thing
or resource I might ‘provide’ you with (as he often puts it). Let’s
call such resource-care ‘caring behavior’ to keep things straight.
Importantly, that is not how we conceived of care in our book.
11 As Amelie Rorty has written, “even a true historical love might end in
dissolution and separation. That it did end would not prove that it had not
existed” (Rorty 1987, 404).

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Rather than describing care as a resource or behavior, we wrote of
‘caring about’ one’s partner and being ‘invested’ in their needs and
desires so as to try to promote their well-being non-contingently:
that is, for its own sake rather than to get some benefit in return.12
You can think of ‘caring about’ someone in this sense as having
a caring disposition toward them – from which, of course, caring
behavior will often flow. (On this view, just to be clear, having a
caring disposition toward someone is a necessary, if insufficient,
condition for love. Romantic love, at least, might also require other
things: for instance, a disposition to be sexually attracted to one’s
partner across a relevant range of circumstances.)13
Our suggestion, then, was this: if one’s very capacity to care
about one’s partner, in our dispositional sense, were sufficiently
weakened by a drug, one’s love, being at least partly constituted by
this capacity, will by definition have been affected in some way (note:
a relatively weak claim). We also proposed that if this capacity were
weakened enough, and for a long enough period of time, it could
potentially become the case that your disposition toward your
partner no longer counted as love (a relatively strong claim).
To summarize, when we invoked the concept of care it was
precisely the disposition to be “appropriately motivated”14 to
further the beloved’s fundamental interests (including by providing
caring behavior when suitable) to which we were intending to refer.
And if a drug can dampen that, as it appears that SSRIs at least
sometimes can, we think this should be enough for the weak claim
(i.e., that drugs can affect love, if not perhaps extinguish it
altogether). Later, we’ll see if we can get to the strong claim, too.
12 Similar to the use of ‘care’ in Clark, Earp, and Crockett 2020; Earp et al. 2020.
13 For a related clarification, see Chappell 2018.
14 From Earp and Savulescu 2020a, 59.

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The chemical modification of care, part one: care as ‘caring behavior’
Having now clarified that it was this dispositional account of
care we had in mind for the book – and given the live possibility
that this disposition could be affected by drugs – it seems to us that
some of Arrell’s intended counterexamples to our account,
although admittedly humorous, nevertheless fall a little flat.
Consider this one, as a warm-up:
The Nap. Your partner: “Would you still give me the same quality
of care that you do now, if you were not awake (as you are
actually), but sleeping?” You: “Errrr, no!?” Your partner: “I knew
it! You awful swine! You don’t love me at all!”15
Arrell’s point, as we understand it, is that it simply wouldn’t be
reasonable to expect me to provide you with high-quality caring
behavior (to use our proposed terminology) if I happened to be
unconscious because I was, for instance, taking a nap. In other
words, being unconscious, on Arrell’s view, is clearly at least one
of the scenarios, possible worlds, or ways in which “you/I/our
circumstances might be altered” across which a person does not
need to provide care – in the sense of caring behavior, a ‘thin’ good
– for that person’s ‘rich’ disposition toward the beloved to count
as love.
We do not disagree. But again, we were thinking of care as a
relational disposition and a key ingredient of the ‘rich’ good of love,
rather than as a ‘thin’ good or resource that might itself be provided
(or ‘given’ in the language of The Nap). As we see it, the logic of
care in the dispositional sense operates over at least three variables
– namely need, ability, and responsibility, as we will explain in a
moment – and we propose that understanding this logic can help
15 From Arrell 2020, 54.

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us make sense of exactly why it is unreasonable for your partner in
The Nap to conclude that you don’t really love them.
Imagine two lovers who care about each other, in our sense,
very much. If the care is genuine, it should reflect or respond to:
(1) the type and magnitude of the other’s needs, where a need is
simply anything that is instrumentally necessary to secure the
person’s well-being, (2) the strength of one’s ability to meet the
other’s needs without too severely compromising one’s own well-
being in the process,16 and (3) the degree of responsibility one has
– or has taken on – to try to secure the person’s well-being (i.e., by
meeting their needs). In short, to have a caring disposition toward
someone, on this view, is to be disposed to try to meet their needs
to the best of your ability (without expecting specific benefits in
return), in proportion to the degree of responsibility you have for
promoting their overall well-being.17
Now, suppose that your partner has a need for care in Arrell’s
sense – that is, a need for caring attention or behavior – and you
just so happen to be taking a nap. Well, given that you are asleep,
you obviously are not able to ‘provide care’ right now, and so you
do not violate the logic of a caring disposition, as per (2). On the
other hand, if you had an inexcusable, lazy habit of napping all day
16 Think, perhaps, of The Giving Tree by Shel Silverstein, which has been criticized
for positively portraying a supposedly ‘selfless’ love that should really be seen as
a – troublingly gendered – abusive relationship in which one party exploits the
other. See, e.g., Manne 2017.
17 Note, this account is indifferent as to whether the responsibility has come
about by choice/commitment or by circumstance. For a more formal
description of the account, see Earp et al. 2020. There, ‘care’ is described as a
relational function which helps solve certain recurring coordination problems of
human social life, where these problems are ultimately posed by interpersonal
dilemmas related to survival and reproduction. This sense of care is based on
Bugental 2000; Clark and Mills 1993; and Clark, Earp, and Crockett 2020.

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long, even when you knew your partner was relying on you for
help, and as a consequence of this, you failed to meet your
responsibility to address your partner’s needs, your partner likely
would have a legitimate complaint, as per (3). Given that, on the
view under consideration, a disposition of care is necessary for
love, it follows that a sufficiently serious breakdown in this
disposition corresponds to a breakdown in love.18 Accordingly, we
think that your partner in this scenario would be justified in saying
something like the following: “If you truly loved me, you would
make a point of being awake long enough to actually be there for
me when I need you.” Arrell, we assume, would agree.
Now consider a harder case:
Depression. Your partner: “Would you still give me the same quality
of care you give me now, if you were not in good mental health
(as you are actually), but clinically depressed and under the
influence of SSRI medication that made it so you couldn’t give me
the same quality of care you give me now? You: “Errrr, no!?” Your
partner: “I knew it! You awful swine! You don’t love me at all!”19
Again, Arrell’s point is that it just isn’t reasonable to expect your
partner to provide you with high-quality caring behavior if your
partner is clinically depressed, is taking medication to treat the
depression, and, on account of the medication or its side-effects,
is not able to do so. In other words, Arrell seems committed to an
‘ought implies can’ constraint on the robust demands entailed by
love. That seems right to us. Indeed, such a constraint follows also
from the logic of care, which, likewise, has an ‘ability’ condition.
So, let us go ahead and assume that, despite not being able to
provide you with caring behavior due to the side-effects of their
18 A similar view has been defended by hooks 2000 among others.
19 From Arrell 2020, 55.

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medication, your partner’s caring disposition toward you is still
maintained under these conditions. In other words, all else being
equal, it could still be right to say that they love you.
Even so, we suggest, the situation described in Depression is
nothing short of tragic. Let us embellish. We have stipulated that
your partner in this case does indeed maintain their caring
disposition – they are, in some deep sense, motivated to at least try
to meet your needs – but because of a drug they must take in order
to ward off their depression, they cannot, as it were, follow through
on this motivation. For example, when you come to them for
emotional support because a friend of yours has fallen seriously ill,
your partner can see that you are worried, and as a consequence,
they desire and intend to comfort you. But because their
medication has so dulled their emotional responsiveness (a known
side-effect or risk of SSRIs), their attempts at consolation fail.
Perhaps their words seem hollow, almost forced – like they’re
reading from a script. Far from helping, their robotic performance
of sympathy only seems to make things worse.
You know your partner is trying their best. You appreciate the
effort. And they feel awful about their inability to respond to your
emotions in a way that makes things better. Before they started on
the medication, as you both remember, they could cheer you up
without a problem. But without the medication – which we will
suppose they must now take indefinitely – your partner is unable
to function in most other areas of life. So, you adapt. When you
need comforting, you turn to others. You no longer rely on your
partner for emotional support. You wish things were different, but
it is what it is.
To reiterate, along with Arrell, we think that in such a case you
could reasonably believe that your partner still loves you but is
simply unable to express or manifest that love by providing you with
caring behavior. It is tempting here to think of such expressions

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as: “Deep down, they still love you; they just can’t show it very well
because of their condition.” It is a heartrending situation.
Nevertheless, we are prepared to agree that, although the drug has
diminished an important aspect of your romantic relationship, it
has not in fact diminished your partner’s love.
The chemical modification of care, part two: care as ‘caring disposition’
But now suppose that the effects of the drug are – or could
reasonably be conceptualized as – somewhat different. Suppose
that the drug doesn’t just block your partner’s ability to provide
you with high-quality caring behavior (as in Depression). Suppose
instead that the drug has a more direct effect on your partner’s
caring disposition. In particular, suppose that it undermines your
partner’s ability to ‘care about’ your feelings, in our sense, in the
first place. Suppose it saps their motivation even to try to promote
your well-being. Suppose they become indifferent to your needs.
We can imagine that Arrell would still reject this case as an
instance of a drug affecting love. If it were not for the drug, Arrell
might say, your partner would still have a caring disposition, and
that counterfactual is all that is needed.
Perhaps. But try to put yourself in this situation.
Suppose you decide to continue in the relationship with your
partner for as long as you can. Although it is almost completely
one-sided now, you attend to their needs to the best of your ability.
You love them, after all, and you have taken on a significant
amount of responsibility to promote their well-being (through
thick and thin). Perhaps you know, or fervently hope, that if it were
not for the medication, your partner would at least be motivated to
do the same for you. But you can’t live on counterfactuals forever.
Day after day, not only does your partner fail to engage in caring
behavior, however ineffectually; they also seem to have lost their

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caring spirit. When you are sad, for example, it is not that they try
and fail to comfort you; it is that they don’t even seem to try. For
all that you can see, your sadness doesn’t move them.
Suppose it gets to the point where you say to yourself:
“Although it’s nobody’s fault, and I understand it’s likely due to
the medication they’re taking, I just no longer feel that my partner
actually loves me.” Our point is, even if your partner would,
hypothetically, be concerned about your emotions if not for the
medication, this doesn’t invalidate your belief that – in the actual
world – their love for you has in fact faded. Or suppose that your
partner says: “I truly believe it’s ultimately because of my
medication, which I wish I didn’t have to take – but I’m sorry, I
just don’t love you anymore.” We don’t think your partner would
be making a conceptual error or a mistake about ontology.
To summarize, we can compare two cases. In one case, you ask
your partner if they would continue to provide you with high-quality
caring behavior if, tragically, they had to take a drug indefinitely that
disabled them from providing such behavior. With Arrell, we think
that if your partner said “No,” this would not mean that they don’t
really love you. Moreover, we think that, if this situation were to
materialize, it could still be reasonable to conclude that your
partner loves you, but is simply unable to express or manifest that
love in a particular (albeit significant) way.
In the other case, you ask your partner if they would continue
to have a caring disposition toward you – that is, be invested in your
feelings and desires, motivated to promote your well-being, and so
forth – if, tragically, they had to take a drug indefinitely that
disabled them from ‘caring about’ you in the sense we have
discussed. If your partner says “No,” we don’t think this means
that they don’t really love you now. But, if this situation were to
materialize, we do think it could be reasonable to conclude that,

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tragedy of tragedies, your partner’s love for you has in fact been
caused to fade.
Concluding thoughts
So this is what we’d like to suggest. If it turns out that SSRIs, or
any other class of drug, can in fact bring about such an effect – if
they can modify not just your caring behavior, but also your caring
disposition – we think we would be entitled to the ‘strong’ claim too.
That is, we think it would be conceptually defensible to conclude
that drugs can not only ‘affect’ love (in a weak sense – in terms of
the quality of its expression, for instance) but also in some cases
alter its very existence.
What are the implications of this discussion? If research into
the interpersonal effects of common medications or other drugs is
expanded, as we call for in the book, we hope this exchange with
Arrell will be of some use. What it shows is that studying the effects
of drugs on high-level aspects of relationships is only part of the
puzzle. These effects also need to be mapped onto various
philosophical models of love. In other words, we will need to
clarify not only what is ethically at stake for the flourishing of
different kinds of relationships when drugs are added into the mix,
but also what is conceptually at stake for our understanding of love.
II
Love, authenticity, and context:
Reply to Spreeuwenberg and Schaubroeck
Like Arrell, Spreeuwenberg and Schaubroeck raise conceptual
questions about the nature of love. As a part of this, they too put
pressure on our claim that – depending on how one conceives of
love – certain effects of SSRIs or other drugs could be interpreted

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as love-diminishing. For example, they ask: “What if someone
would insist that he still loves his child or partner, but is too
depressed to show it? Arguably some will think it is harsh to deny
the depressed father the capacity to love.”20
We interpret Spreeuwenberg and Schaubroeck here as offering
a similar argument to that of Arrell, which we addressed in the
previous section. However, they also raise an alternative
interpretation which seems consistent with our view: namely, that
it could still be reasonable to deny the existence of love in certain
cases even if – in the absence of a drug or medication – the alleged
lover would have maintained a caring disposition toward the beloved
and/or engaged in caring behavior.
To see this, consider the case of a child whose depressed father
does not show him any care. Let us now suppose that the lack of
care is due to the depression or associated medications, rather than
to negligence. Even so, Spreeuwenberg and Schaubroeck claim,
one could argue that it is unfair or misleading “to console the child
that his father still loves him when there is no evidence of it.”21 In
our modified Depression case, above, we made a similar point. What
these examples highlight (among other things) is the need to
consider the perspective not only of the alleged lover, but also of
the one they claim to love, when deciding whether a drug has
affected love.22 We will return to this point a little later on.
Another thing to consider is how a drug might affect love. So
far, we have explored the idea that SSRIs can affect love by
sometimes causing it to fade. But what about the use of drugs to
bolster love, as in the case of MDMA-assisted couples therapy?
20 From Spreeuwenberg and Schaubroeck 2020, 71.
21 Ibid.
22 See Pettit 1997 for a description of the way in which partners in love may
(need to) have a ‘shared awareness’ of both loving and being loved by the other.

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That was the focus of Chapter 6 of our book, and it raises classic
concerns about authenticity. To address these concerns, we will start
by reviewing what we wrote about authenticity in the book before
turning to a counterargument given by Spreeuwenberg and
Schaubroeck.
Love, drugs, and authenticity
In writing our chapter on MDMA-assisted couples therapy, we
anticipated that some readers might doubt the authenticity of a
romantic connection whose causal history includes a drug-
mediated experience. In fact, when we hold workshops or give
lectures on this topic, this is the number one response that we hear.
“If you have to take a drug to feel love for your partner, how can
that love be real? Isn’t it just an illusion – some kind of pseudo-
love that’s coming from the drug, not you?”
To show our sympathy for this position in the book, we began
by acknowledging that MDMA-inspired ‘love’ can indeed be
inauthentic (as can ‘love’ inspired by other factors, like lust or a
desire to be famous). We then proposed that initial research into
the matter should focus, not on sparking new ‘love’ between
relative strangers, but on maintaining or restoring “an existing
bond – one that is already founded on an authentic connection
between partners.”23 After all, we reasoned, if you are currently “in
a relationship with someone, and you have had time to consider
your shared values, the strengths and weaknesses of your
partnership, and the pros and cons of trying to improve your
relationship with or without drug-assisted psychotherapy, then
there would be less risk of making unrealistic or inauthentic
23 From Earp and Savulescu 2020a, 95.

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decisions.”24 We argued that under such conditions, any apparent
insights into yourself or your relationship that might be facilitated
by an MDMA-assisted therapy session would have a better chance
of being genuine, rather than illusory.
To see how this might work, imagine that you decide to go to
therapy – albeit traditional ‘talk’ therapy without the use of any
drugs. Your goal is to become a better partner within your
romantic relationship. Suppose that, by working through various
hang-ups, confronting childhood traumas, disarming unhelpful
defense mechanisms, and learning to take your partner’s
perspective more seriously, your relationship undergoes a positive
transformation. Now suppose that your friends say, approvingly,
“You seem like a completely different person!”25
In such a case, we argued, although major changes would have
occurred, both to yourself and to the relationship, these changes
wouldn’t necessarily be inauthentic.26 In fact, if anything, you might
come to believe that your defense mechanisms, childhood traumas,
and so on, were impediments to authenticity, and that the therapy
24 Ibid. As we go on to say, however, “Even if a relationship starts with an
inauthentic falling-in-love, an authentic love may still develop over time as
shared interactions, conversations, and experiences combine to build a unique
foundation.”
25 There is an analogous phenomenon in some cases of deep-brain stimulation,
where a person may undergo major, albeit positive, changes, and see themselves
as having ‘finally grown into their true self’ rather than as occupying a
technologically-mediated (hence) inauthentic identity (Nyholm and O’Neill
2016; Tobia 2016).
26 We were drawing on some other work of ours in which we found that positive
changes to a person’s moral character were less likely to be seen as disruptive to
their identity than negative changes, whether or not a drug or medication was
involved (Earp et al. 2019).

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helped you get in touch with your true self.27 Likewise, we
suggested, “if you started feeling and acting more loving toward
your partner”28 as a result of the same therapeutic experience, these
feelings and behaviors should not be dismissed as inauthentic
simply because they are different from what you felt or expressed
before.
As a final step – based on the extensive research we reviewed
in the chapter – we argued that MDMA, when administered by a
trained professional in an appropriately supportive context, seems
to facilitate the typical aims and intended outcomes of classical ‘talk’
therapy. In other words, rather than inducing inauthentic thoughts
or behaviors, it seems to enhance the therapeutic process as it is
traditionally conceived. For example, by temporarily disabling hair-
trigger fear responses to traumatic memories which a person would
otherwise avoid, or be unwilling to verbalize, MDMA can help a
person finally deal with the trauma rather than indefinitely suppress
it. So, we proposed, if ‘traditional’ therapy can induce changes in a
person or relationship that are not necessarily inauthentic, and if
MDMA-assisted psychotherapy can help to facilitate those very
same sorts of changes, the latter should not be assumed to be
inauthentic, simply because a drug was involved.
Referring to this argument, Spreeuwenberg and Schaubroeck
raise what they describe as a “counterargument to the idea that
drug induced loving behavior should be seen as authentic.”29 They
ask us to suppose that a drunk person at a bar is flirting with
27 For present purposes, we are not committing ourselves to any particular view
of what a person’s ‘true self’ might be, or whether there is such a thing. For
recent work on the concept of a true self in ordinary language, see De Freitas et
al. 2018; Newman, Bloom, and Knobe 2014; Newman, De Freitas, and Knobe
2015; Strohminger, Knobe, and Newman 2017.
28 From Earp and Savulescu 2020a, 97.
29 From Spreeuwenberg and Schaubroeck 2020, 71.

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someone, so that, in the moment, the flirter starts to feel and act
“more lovingly” towards the object of their flirtation. One could
argue, they say, that the drug in this example – namely, alcohol –
“has helped to reveal the flirter’s authentic love.” But they caution
that the momentary “lovely behavior” of the flirter is not in fact
enough to prove this. Rather, other factors would also need to be
taken into consideration, such as: “Is the supposedly authentic love
of the flirter reliable? Is the flirter really focusing on you or are you
just another passerby on [whom] the flirter can focus their feelings
and behavior? And how do the two of you relate to each other?
What is socially expected of the both of you in this moment? How
do the social groups to which you belong relate to each other?”30
These are all good questions, at least some of which, we agree,
would need to be asked and answered in order to meaningfully
evaluate the flirter’s supposed love. In fact, we made a similar point
in the book. As we noted in our own discussion of alcohol-fueled
flirting, which we framed as a mutual interaction, it might well turn
out that the parties “have nothing in common and this becomes
obvious” once they are sober. “Context matters,” we stressed. For
example, “your mind-set, the setting, the other people involved,
and a whole lot else have to coincide and interact in the right
way.”31
In any case, the drunk flirter scenario raised by
Spreeuwenberg and Schaubroeck is not a “counterargument” to
our example of MDMA-assisted therapy for already-established
couples – i.e., couples who, as we wrote, will have had time to
consider their shared values, reflect on their goals, and so on.
Perhaps the scenario was meant to support a different point,
then? Although Spreeuwenberg and Schaubroeck do not make the
connection explicit, they seem to be thinking of the drunk flirter
when they make the following claim: “When one wants to know
30 Ibid.
31 From Earp and Savulescu 2020a, 63.

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whether X loves Y, it is important but not enough to ask X. Nor
does it suffice to observe (the absence of) X’s behavior. One needs
to pay attention to the interactions between X and Y, as well as to
the social norms that guide that interaction.”32
As we alluded to earlier, we do not disagree with any of this.
However, Spreeuwenberg and Schaubroeck seem to suggest that
we do in fact hold those very views. In other words, they seem to
suggest that, according to us, judgments about whether love exists
in a given case can be made by simply asking one of the parties
involved and/or observing their behavior, without needing to take
into account the interpersonal dynamics or the background social
norms. Unfortunately, this is a serious misrepresentation of our
view. Accordingly, we have prepared a separate Appendix at the
end of the article to explain in detail what Spreeuwenberg and
Schaubroeck get wrong about our concept of love, so that we can
use this part of the reply to address more substantive philosophical
issues.
Love as attention?
One such issue concerns the view of love put forward by
Spreeuwenberg and Schaubroeck, framed as an alternative to our
own. Drawing on some of their own past work, Spreeuwenberg
and Schaubroeck argue that love should be seen, not as a
psychological condition or set of behaviors (a view they wrongly
attribute to us), but rather as a socially situated practice (a view we
endorse and emphasize throughout the book). In particular, they
adopt an Iris Murdoch-inspired account, according to which love
is fundamentally about how one opens up to the world and focuses
one’s attention on others in a loving way.
32 Spreeuwenberg and Schaubroeck 2020, 72-73.

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This is not the sense of love-as-practice we explore in the book,
on which more below, but we appreciate Murdoch’s writings and
are happy to entertain this perspective. However, we wondered if
there might be a tension between this Murdoch-inspired account
of love and the argument of Spreeuwenberg and Schaubroeck that
love cannot be identified solely with reference to the perspective
of a single individual. To see this, consider what they say about
love as attention: “Looking, attending, and focusing one’s attention
all takes place in the inner life. Hence [we] can love someone from
afar, we can love someone without them knowing, and we can even
love the dead.”33 We found these claims difficult to reconcile with
the rest of their argument. If I can love someone from afar, without
them knowing, then it seems that love does not depend on the
interactions between two or more people and that it can be
analyzed from the perspective of a single individual: it is a matter
of how the individual uses their attention.
As we wrote in the book, we are open to a range of theoretical
accounts of the metaphysics of love, so long as they are compatible
with the idea that love has at least two dimensions: one biological
and one psychosocial/historical (see Appendix). As far as we can
tell, there is nothing about this Murdoch-style account of love as
attention that is inconsistent with that basic insight. Presumably,
our attention, as well as our ability to attend to certain things in
certain ways, is influenced both by biological and psychosocial
factors. One potential way of harmonizing our account with that
of Spreeuwenberg and Schaubroeck, then, would be to explore
some of the ways in which chemical substances might affect our
loving attention, both in desirable and undesirable ways. However,
Spreeuwenberg and Schaubroeck do not engage in such
exploration. Instead, they write that “Love is getting to know an
33 Ibid., 77.

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individual” (including from afar? without them knowing?) and
conclude that this process is “not something that can easily be
fixed by merely looking at the ‘chemicals between us.’”34
This last part is ostensibly a reference to us. However we did
not argue, nor suggest, that the challenge of getting to know a
person – or indeed any other complex interpersonal project or
phenomenon – can “easily be fixed” by “merely” looking at
romantic neurochemistry. In fact, we were at pains to argue for the
exact opposite position throughout the book, starting with the first
chapter: “at no point do we advocate the use of biotechnology as
a quick fix for relationship troubles.” Instead, we make clear that
“we consider the voluntary use of biochemical agents in conjunction
with psychotherapy, social support, and other established strategies
as a way to help people achieve their relationship goals.”35
Situating the ethics of love drugs and anti-love drugs
Now we can talk a bit about the ethics. As Spreeuwenberg and
Schaubroeck point out, in order to evaluate whether the use of a
biotechnology really is sufficiently ‘voluntary’ to avoid certain
concerns about coercion, it is important not to rely on a “fantasy
of autonomy that many do not experience.” As they correctly note,
autonomy “is not a moral good that is equally available for every
person in real life. Choices are always made in a social context.”36
We agree. In fact, we made that same point in our book. We
wrote that the “cool-headed rationality” that is widely thought to
34 Ibid.
35 From Earp and Savulescu 2020a, 12-13, emphasis added.
36 From Spreeuwenberg and Schaubroeck 2020, 83.

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be required for a choice to be meaningfully voluntary37 may not be
“all that common in real-life medical decision-making, and may
even be a myth.” In real life, we wrote, “people make their
decisions about therapy or other healthcare in a fog of desperation,
confusion, and stress, while balancing all sorts of competing
interests, from their own pain, discomfort, and fears to those of
others.” We go on to state: “Romantic relationships may involve
all of these pressures and more. Adding drugs to the mix will only
make things more complicated. It will be crucial to get a handle on
actual power dynamics and shifting contextual factors when
bringing drugs into romantic relationships.”38
For example, when evaluating a wife’s decision to take an anti-
love drug to help her leave a bad relationship, Spreeuwenberg and
Schaubroeck suggest that we should ask whether she has
alternatives, what her exit options are, and if she could be
financially independent. Those are great questions. In fact, we
raised those very same questions in the book: “many people who
are in abusive relationships seem to believe they cannot leave them,
not because they have some kind of emotional attachment to their
abuser but because they are financially or otherwise economically
dependent on their partner. They may also be afraid of putting
their children in danger by leaving.”39
Finally, Spreeuwenberg and Schaubroeck stress that women
and men, on average, have an “unequal division of moral-cum-
social goods.”40 We agree with this, and we stressed this point as
37 In other work, we explore assisted decision-making for people whose
autonomy may not fit the rational stereotype implied by this language (e.g. Earp
and Grunt-Mejer 2021; Earp 2019).
38 From Earp and Savulescu 2020a, 120.
39 Ibid., 141.
40 From Spreeuwenberg and Schaubroeck 2020, 83.

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well. For example, when considering arguments about whether a
couple should stay together for the sake of their children, we noted
that “women are usually expected to do the lion’s share of
childcare, typically without compensation or even decent social
assistance. This means that ‘do it for the children’-type arguments
tend to have asymmetrical implications for mothers versus fathers,
assuming a heterosexual couple.”41
Love as practice redux
Earlier we alluded to the fact that, like Spreeuwenberg and
Schaubroeck, we agree that love should be seen as a practice. We
also noted that, in the book, we don’t officially come down in favor
of any single normative account of love (although we do explore
various accounts, such as the care-based one we described in our
response to Arrell). That being said, we come pretty close to
endorsing the view of Erich Fromm, whom we quote in our
epigraph.42 According to Fromm, love is an art – or practice –
which requires agency, discipline, and effort. It is not something
that just happens to one, but is rather something one must work
on, in collaboration with one’s partner or partners, so as to actively
maintain or improve it. Near the end of the book, we ask: “What
if to love is to practice an art, as Fromm argued, which requires
conscious effort and discipline, as well as knowledge and therefore
understanding? What if knowing how love works, in other words,
right down to [i.e., including] the chemicals between us, could help
us be better at being in love?”43
Given the context, these questions translate as follows: What if
we could use a richer understanding of love that includes not only
41 From Earp and Savulescu 2020a, 79.
42 See Fromm 1956.
43 From Earp and Savulescu 2020a, 188.

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its psychosocial dimensions, as we discuss in the book, but also its
biological dimensions – only recently beginning to be revealed – to
make more fully-informed decisions about how best to ‘practice’
love with our partners?
Importantly, we stress that this will always be a context-
sensitive, couple-specific decision, and that neurochemical
interventions into love will often not be prudent or even ethical all
things considered. To explore these ethical issues further, we turn
now to the commentary by Allen Buchanan.
III
Regulating love drugs: Reply to Buchanan
Buchanan writes that he finds himself in a “difficult (and
unaccustomed) position: I agree with almost everything in a book
upon which I have been asked to comment.”44 As tempted as we
are to embrace this endorsement from one of our most
distinguished colleagues – and move right on – for the sake a
continued dialogue, we will instead home in on his one point of
substantive criticism. In a nutshell, Buchanan argues that we are
too cautious and conservative in drawing ethical boundaries
around the use of drugs in romantic relationships.
Buchanan begins by noting that, throughout the book, we
emphasize the limits of our proposal. We are not suggesting that
couples should run out and start experimenting with MDMA or
‘magic’ mushrooms, even if it becomes legal to do so; instead, we
call for research into MDMA and psychedelic-assisted
psychotherapy for couples in a controlled environment, building
on the research that has been done so far in individuals.
44 From Buchanan 2020, 61.

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Further, even assuming that the proposed couples-based
research yields promising results, we maintain that it would be
prudent to use MDMA or psychedelics for purposes of
relationship enhancement only under the guidance of an
appropriately trained therapist. In this way, risks would be
minimized, benefits maximized, and any drug-inspired insights
more likely to be properly integrated into ordinary waking
consciousness, as well as implemented in the couple’s habits and
plans. However, according to Buchanan, nothing in the actual
argumentation of our book “warrants this blanket constraint.”45
He continues:
It might be plausible to argue that in the case of chemical
interventions whose efficacy and safety are not well-confirmed,
there is a strong presumption that their use should be a last
resort, to be undertaken only after various more traditional
interventions have proved unsuccessful. But if a chemical
intervention has been shown to be effective and safe and if a
competent individual consents to its use under conditions of
informed consent, using it without any accompanying
nonchemical treatment will sometimes not only be permissible,
but even morally mandatory.46
Some clarifying remarks may be in order. First, a word about
the state of the evidence. As we were writing this response to the
commentaries, the very first study on MDMA-assisted ‘conjoint’
therapy for couples, in which one of the partners has been
diagnosed with PTSD, was published in a peer-reviewed journal.47
It was an open-label, unblinded, uncontrolled trial with only six
45 Ibid., 62.
46 Ibid.
47 See Monson et al. 2020.

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couples, with both partners in each couple administered MDMA
in two therapeutic sessions.
Moreover, as of writing, there have been no scientific studies,
controlled or otherwise, on couples in which neither partner has a
diagnosable mental problem, which is a further step that would
need to be taken before drug-assisted couples therapy for
enhancement purposes – as opposed to treatment-only purposes –
would start to have a direct-evidence base.
Nevertheless, we are glad to see this recent research. We think
it is incredibly important work, and it is exactly the sort of
relationship-oriented science we call for in our book. The results
seem auspicious, too: “there were significant improvements in
clinician-assessed, patient-rated, and partner-rated PTSD
symptoms … as well as patient depression, sleep, emotion
regulation, and trauma-related beliefs.” In addition, and here’s the
highlight for us, “there were significant improvements in patient
and partner-related relationship adjustment and happiness.”48
So, good. More of this. But in the meantime, the antecedent of
Buchanan’s conditional claim – “if a chemical intervention has
been shown to be effective and safe” – has not yet been fulfilled in
the case of drug-assisted interventions into relationships, especially
not for purposes of enhancement.
Now, Buchanan might object that we are splitting hairs. For
individuals, at least, as we review in detail in the book, both
MDMA and psychedelics have already been shown49 to be safe and
effective (or at least efficacious), both in people dealing with PTSD
among other conditions, as well as in so-called ‘healthy normals’ –
48 From Monson et al. 2020, 1.
49 We hesitate to use the word ‘shown’ in a definitive way, for Popperian reasons
we discuss elsewhere (Earp 2020). All the usual caveats apply.

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certainly when compared to many existing medications that are
regularly prescribed within psychiatry.50 Why should it be any
different for couples? In other words, why is further evidence of
safety and/or effectiveness required to fulfill Buchanan’s
antecedent premise?
We have two responses. First, we would qualify the above
assertions regarding safety and effectiveness for individuals, rather
heavily, as follows: “both MDMA and psychedelics [administered
at the right dose, by a trained therapist, in an enclosed, peaceful
setting, in the context of a well-established therapeutic protocol,
drug purity having been assured, with medical staff on hand to
monitor vital signs and be alert to any potential problems] have
been shown [physiologically] safe and effective [or rather,
efficacious, at reducing the symptoms of some well-defined
psychiatric disorders and/or increasing certain positive traits and
behaviors, such as resilience and psychological flexibility], in
[appropriately pre-screened and adequately prepared] individuals
[over the course of the study period, in some but not all cases with
long-term follow-up].”
Second, when it comes to effectiveness – in the case of couples
seeking to improve their relationship – we have to ask ourselves,
effective at what? The recent conjoint therapy study used
something called the Couples Satisfaction Index (CSI),51
a
reasonably well-validated measure of relational well-being. So,
‘increasing CSI scores’ is one plausible answer. But robustly
assessing interpersonal outcomes of these and other drugs is the
exception rather than the rule. More work, both empirical and
conceptual, is needed to assess the effects of the drugs along other
relational dimensions, as we argued in our response to Arrell.
50 See, for example: Feduccia et al. 2019; Romeo et al. 2020.
51 See Funk and Rogge 2007.

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Okay, Buchanan might say, suppose we get some high-quality
evidence that MDMA and psychedelics – ingested outside of a
therapeutic context, with greater uncertainty around dosing and
drug purity, less control over the environment, no medical staff on
hand to step in if there are problems, etc. – are safe and effective
(along relevant dimensions). Then if a competent individual or
couple consents to use these drugs without any accompanying
nonchemical treatments, might this then be permissible and even
desirable?
Perhaps. But now the argument starts to look a little strange.
First, we don’t have that kind evidence right now, and it isn’t clear
exactly how we could get it.52 After all, the less controlled the
setting of a study, the messier the variables become, and the harder
it is to interpret the evidence. Moreover, in the case of MDMA and
psychedelics in particular, ‘set and setting’ are absolutely central to
the outcomes, whether positive or negative.53 Loss of control over
the therapeutic parameters, therefore, both in preparing the user
for the experience (set) and ensuring an appropriate environment
(setting), means sacrificing a major part of what allows us to say,
insofar as we can, that these drugs are ‘safe and effective’ in the
first place.
Second, if the moral permissibility of using MDMA or
psychedelics turns on a competent individual giving informed
consent, it is not clear why the drugs would need to have been
shown safe and effective, whether in a clinical-like setting or out in
the wild. After all, in a liberal moral regime, competent individuals
are entitled to do all sorts of potentially (or actually) unsafe things,
52 One possibility is that observational studies could be pursued in semi-
controlled environments, such as retreat centers in jurisdictions where the drugs
have already been decriminalized.
53 See Yaden and Griffiths 2020.

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from smoking cigarettes to playing extreme sports, so long as they
don’t harm anyone else or violate others’ rights. So, there is
perhaps a libertarian argument to be made here for something like
“pharmaceutical freedom,”54
but that doesn’t appear to be
Buchanan’s position.
In other recent work, we – actually, all three of us, Buchanan
included – have called for the immediate decriminalization and
subsequent staged legal regulation of so-called ‘recreational’ drugs,
that is, all drugs currently deemed to be illicit for personal use or
possession.55 In effect, we call for an end to the War on Drugs. But
although there is now a wide consensus that decriminalization
should be pursued alongside increased healthcare access and
concomitant harm-reduction measures (the so-called Portugal
model), the legalization of drugs for personal use is much more
controversial. Moreover, even among those who support
legalization in one form or another, there is ample disagreement
about complex policy questions concerning which regulatory
levers should be pulled in which ways for which drugs under which
conditions. We decided against opening that can of worms in the
book.
But suppose these drugs are legally regulated in the reasonably
near future,56 so that couples can access them without too much
difficulty, and without worrying about breaking the law. We are
fine with saying that, so long as the participants are competent
adults making a sufficiently well-informed decision, it would be
54 See, for example, Flanigan 2017.
55 See Earp et al. 2021.
56 As of writing, the U.S. state of Oregon has in fact begun the process of
legalizing MDMA and psychedelics for therapeutic use as well as ‘personal
development’ in controlled, clinic-like settings, under the supervision of a
properly trained guide (Acker 2020). This is the sort of model we are currently
prepared to endorse.

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permissible for them to use the drugs. On that point, we agree with
Buchanan. Whether it would be prudent for them to do so, however,
is an open question, and it will depend on the details of their
situation. That is, it will depend on such factors as: what is going
on in their relationship, what do they hope to accomplish, how well
have they educated themselves about the drugs and their potential
effects, what setting have they chosen for the experience, how
much mental and emotional ‘prep work’ have they done,
individually and together, and so on.
Nevertheless, we see Buchanan’s commentary as opening the
door to an important conversation: the next frontier of the love
drugs debate. We won’t be stuck in clinical trials forever. At some
point, these drugs are going to leave the lab. The question now is,
who should have access to the drugs, with which restrictions, and
how is all this going to be managed – from a public policy and
public health perspective – so that the prospective benefits not just
at the level of the individual or couple, but also at the level of the
whole society, outweigh the potential harms.57
57 In his thought-provoking commentary, Buchanan also raises the issue of using
MDMA and psychedelics for purposes of moral enhancement, to deal with such
things as political polarization and toxic tribalism. Although we do not have
space to respond to this interesting proposal here, we are sympathetic to
Buchanan’s perspective. Indeed, we have explored the prospect of ‘psychedelic
moral enhancement’ in other work (Earp 2018; Earp, Douglas, and Savulescu
2017).

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IV
Individual benefits and social harms:
Will love drugs lead to incest? Reply to Garasic
We turn at last to the commentary by Garasic. Garasic starts by
quoting the end of our first chapter, where we state that the goal
of the book is to “arm you [the reader] with the latest knowledge
and a set of ethical tools you can use to decide for yourself whether
love drugs – or anti-love drugs – should be a part of our society.”58
To Garasic, this quote implies that we think the ethics of love-
altering drugs starts and ends with each individual deciding for
themselves what is good or bad, permissible or impermissible, and
acting accordingly. By contrast, Garasic argues, “relying too much
on autonomous, individual choices might not be the best way to
go for both individuals and society.”59 To illustrate this risk,
Garasic notes that the apparently individually rational use of a
biotechnology may, in the aggregate, have disturbing society-wide
implications (a point we highlight and discuss at length in Chapter
11). For example, he suggests that the rational use of love drugs by
individuals may, at the level of society, result in such troubling
outcomes as a weakening of the taboo against incest between adult
siblings.
We found the incest argument hard to follow. Nevertheless, we
will try to reconstruct it in the following sub-section and reply to it
at least in part. Here, however, we would like to express our
agreement with Garasic that relying “too much” on autonomous,
individual choices – in whatever domain – is by definition not ideal.
It is similarly not ideal to rely “too much” on collectivist, group
58 From Earp and Savulescu 2020a, 15.
59 From Garasic 2020, 30.

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choices, or on too much of anything. It depends on the context,
who is involved, what is at stake, and additional factors.
That is why we gave a lengthy argument, in Chapter 5, for
autonomy as one ethical value among others, stressing that it
should be paramount in some circumstances (for example, when a
person decides to leave a toxic relationship, even if this may
conflict with perceived social obligations), but limited in others (for
example, when concerns about justice or community survival are
at stake). We also drew on the work of feminist philosophers such
as Carol Gilligan and Eva Feder Kittay, stating that “ethics is not
just about me, me, me.” Instead, we wrote, “we are all dependent
on others, to a greater or lesser extent, at different phases of our
lives and in different situations. Our ability to be autonomous at
all presumes that we have been cared for in a social environment
and provided with opportunities to develop our capacities.”60
In saying, therefore, that we wanted to equip readers with the
tools to think through the ethics of romantic biotechnology for
themselves, we were not thereby suggesting that the analysis could
be reduced to whatever each individual concluded. Far from it. We
were saying something much more mundane and almost entirely
unrelated. Something like this: “We, the authors, do not have all
the answers, and it is not our job to tell you what to think. Instead,
we are going to present some arguments for different views so that
you can evaluate the reasons and evidence in favor of one
perspective versus another. Ultimately, our goal is to empower you
to engage in bioethical reasoning of your own.”
Then, throughout the book, we refer to diverse stakeholders –
beyond individual readers – who will need to be involved in this
unfolding discussion. Indeed, our project is framed as a call to
public conversation. For example, in our chapter on anti-love
60 From Earp and Savulescu 2020a, 78.

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drugs, we write that such drugs could bring both benefits and
harms. We state that, although we have tried to think through some
of the main ethical factors involved, both at the individual and
social-structural levels, “this is only the beginning of the
conversation.”61 We then quote a colleague who notes that
“policymakers, doctors, and individuals will all have to make
judgments about the value of such drugs in various kinds of real-
world situations.”62
Elsewhere, we stress that ethical dilemmas concerning emerging
biotechnologies “cannot be resolved in an academic vacuum.” To
the contrary, we state, “a much wider debate is taking place in
society over what sorts of values we should hold in the first place
with respect to things like love, sex, and relationships.” We write
that “this broader conversation – between the insights of
progressivism and the insights of conservatism, as well as between
the forces of secularism and the forces of religion – will continue
to shape the moral ends toward which human beings collectively
and individually strive.” At the most fundamental level, we say, the
question for society is “how can we use new technologies for good
rather than ill, while simultaneously trying to reach a functional
consensus on what sorts of things actually are good or ill in the
first place?”63
Later, we state that “societies, through their policymakers
[should] consider medical interventions as complements to social
and political change, rather than as replacements … individual-
biological and social-structural factors interact with each other in
important ways.”64 We could go on, but the point has been made.
We do not suggest, and in fact repeatedly argue against the view,
61 Ibid., 147.
62 Ibid. Quoting McArthur 2013, 24.
63 All quotes in this paragraph from Earp and Savulescu 2020a, 170.
64 Ibid., 186.

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that the ethics of love drugs and anti-love drugs can be exhausted
by appeals to individual autonomy.
We turn now to Garasic’s argument about incest.
Will love drugs lead to incest?
The first thing to say about Garasic’s commentary, entitled
“Love in the Posthuman World,”65 is that it does not specifically
engage with the arguments we made in the book. Instead, it seems
to use the hypothetical idea of a ‘love drug’ that works nothing like
the substances we discuss, used in ways we explicitly reject, to
speculate about a ‘posthuman’ future that falls outside the scope
of our analysis. Nevertheless, we will try to convey the gist of his
argument and respond to it in part, mostly to show how his
discussion is either unrelated to, or expressly incompatible with,
the proposals we defend in the book.
Garasic puts forward the following thesis: “embracing love
drugs that could help us choose to love anyone, combined with the
possibility [of using] other advancements in medicine such as
Preimplantation Genetic Diagnosis (PGD) [could] ‘tempt’ us to
break one of the most shared global taboos: incest.”66 Noting that
we do not discuss PGD in the book and that we argue against the
idea that love drugs, as we conceive them, either could67 or should68
65 The subtitle is: “How Neurointerventions Could Impact on Our Societal
Values.”
66 From Garasic 2020, 30.
67 See Chapter 4 of the book for an in-depth discussion.
68 For example, in our chapter on MDMA, we argue that the drug should
preferably be used with already-established couples with an authentic
connection who have determined that their relationship is worth maintaining,
all things considered (see our response to Spreeuwenberg and Schaubroeck,
above).

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be used to help individuals “choose to love anyone,” let us now try
to reproduce the ‘incest’ argument. It seems to proceed as follows:
(1) Exceptionally wealthy (‘rich’) people tend to be highly
motivated to preserve and consolidate their status and power in
society, as well as that of their offspring. In any case, it is
individually rational for rich people to try to do this.69 Let’s call
this their ‘goal’ for short.
(2) In order for rich people to maximize their goal, they must
only marry – and reproduce with – other similarly-rich people,
while trying to keep their wealth, as it were, ‘all in the family.’70
(3) The existing taboo against incest, even for (apparently)
consenting adults, presents a barrier to rich people maximizing
their goal. For example, it is currently considered a taboo for a rich
brother and sister to marry and reproduce with each other, thereby
limiting their romantic prospects and making it harder to keep
their wealth ‘all in the family.’ From now on, we will consider only
incest between consenting adult siblings.71
(4) Suppose that some sort of advanced medical technology
could be used to eliminate the genetic risks associated with
reproductive incest between siblings.72 In that case, the only73
remaining variables stopping rich siblings from marrying and
reproducing with each other (i.e., doing what Garasic suggests is
69 From Garasic 2020, 34.
70 Paraphrasing Garasic 2020, 34.
71 Garasic uses the example of the brother-sister pair ‘Mark’ and ‘Julie’ from
Jonathan Haidt’s well-known studies on moral dumbfounding (Haidt 2001).
72 From Garasic 2020, 36-38.
73 We are assuming Garasic has something like this constraint in mind, otherwise
we don’t see how his argument goes through. After all, one might think that
there are many factors apart from the Westermarck effect and the incest taboo
preventing rich siblings from (wanting to) marry and reproduce with one
another. But if that’s true, the ‘slippery slope’ from research into ‘love drugs’ to
weakening or abandoning the incest taboo gets a lot less slippery.

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individually rational for them to do) would be (a) the taboo against
incest, and (b) the fact that siblings – especially if raised together
– rarely experience sexual feelings for one another or view each
other as potential romantic partners. This is due to something
called the Westermarck effect (described below).
(5) Suppose that rich individuals could use some kind of ‘love
drug’ to reverse the Westermarck effect, thereby enabling or even
causing them to have sexual feelings for, or fall romantically in love
with, their siblings. In that case, only the existing taboo against
incest would prevent them from maximizing their goal. This, in
turn, would incentivize rich people to weaken the taboo against
incest, so that nothing else stood in their way.
(6) Holding everything else in this argument constant, the
availability of a ‘love drug’ that allowed us to “switch on and off
our predisposition to love a certain someone that we would
rationally choose a priori”74 (which for rich people we are
assuming includes their own siblings) would incentivize rich
people to weaken the taboo against incest, in order to maximize
their goal.
(7) Therefore, research into ‘love drugs’ may “lead us to accept
one of the most globally accepted taboos in human history –
incest.”75
We do not find this argument plausible. Before we say why,
however, we will first try to identify some point of connection
between this argument and anything we wrote in our book.
Implying that there may be such a link, Garasic quotes us as
follows: “If we want a society where everyone, or even just most
people, can really flourish in their romantic lives, we should push
for a dominant social script that recognizes and allows for a range
74 From Garasic 2020, 39.
75 Ibid., 33.

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of relationship norms, so long as these are based on mutual
consent and respect for others.”76
Garasic correctly assumes that “respect for others” does not
mean, as he puts it, simply “sticking to old fashioned (often
religious based) norms in the sexual sphere,”77 since we are
supportive of same-sex relationships. Well then, Garasic
concludes, it must logically follow from the rest of the quoted
material that mutually consensual incest between siblings should
be among the relationship norms that are tolerated within the
dominant social script.
That is not correct. The quote in question comes from a section
of the book in which we discuss ethical non-monogamy or
polyamory as a relationship norm for which there is growing
support in Western societies. We proposed that if this norm were
more widely tolerated, it would allow those who are strongly
disposed to desire physical and emotional intimacy with more than
one partner at a time to pursue this desire in a socially supported
way. We suggested that this, in turn, would likely increase their
ability to flourish without harming or disrespecting others, while
also avoiding any perceived need for heavy-handed suppression of
their seemingly deep-rooted preferences or desires.
To make this point, we drew an analogy with the benefits of
greater social acceptance of gay relationships for those who have a
same-sex sexual orientation: “If homosexuality is natural for some
people – that is, most consistent with their unchosen, innermost,
most stable, hard-to-ignore preferences and desires – then
polyamory is probably natural for some people, too, just as
76 From Earp and Savulescu 2020a, 43.
77 From Garasic 2020, 25.

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heterosexuality or monogamy may be for others.”78 Although we
acknowledged that something’s being ‘natural’ in this sense is not
sufficient to show it is good or desirable, we gave an extended
argument for why, if various other conditions are met (e.g., no one
is harmed by the concomitant behaviors), societies should adopt
social norms that are compatible with people’s ‘natural’ sexual
orientations.79
How does this map on to incest between siblings? It doesn’t.
First, sibling incest is not ‘natural’ in the above sense; and even if it
were natural, it is not obvious that the other conditions of our
extended argument (regarding lack of harm, etc.) would be met.
Due to the Westermarck effect, virtually nobody has a strong or
innate desire to have sex with their brother or sister, certainly not
one that is analogous to the desire that many people have for
multiple sexual partners or for partners of the same sex. Moreover,
it is implausible that there would ever be a large contingent of ‘rich
siblings’ who were so hell-bent on maximizing their wealth and
privilege – despite all countervailing considerations – that they
would want to use a technology to conjure up such a desire, even
assuming this were scientifically possible (which it isn’t).80
As we wrote in the book, in the late 1800s, the Finnish
anthropologist Edvard Westermarck “observed that people living
in close proximity during the first years of their lives – brothers
and sisters, cousins raised together for arranged marriages,
genetically unrelated kids growing up in tight quarters on Israeli
78 From Earp and Savulescu 2020a, 42. However, see Earp and Vierra 2018;
Savulescu, Earp, and Sch�klenk 2021.
79 Based on Earp, Sandberg, and Savulescu 2012.
80 Also assuming, implausibly, that society were arranged in such a way that
sibling incest actually would be the best way, all things considered, for them to
achieve such a monomaniacal goal.

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kibbutzim – become desensitized to each other as potential sexual
partners.”81 The mechanism underlying the Westermarck effect is
not known, but it has been hypothesized to involve olfactory cues.
It leads to a kind of ‘negative sexual imprinting’ whereby a given
individual is tagged as not a potential mate, thereby precluding the
possibility of “romantic feelings for an otherwise eligible
partner.”82
We raised the Westermarck effect in the context of a discussion
about ways in which it might one day be possible to eliminate sexual
feelings for someone in cases where such feelings were
problematic (e.g., pedophilia). Garasic, by contrast, seems to be
thinking of the opposite possibility: some speculative future
technology that might reverse the Westermarck effect so that
siblings – who do not desire to have sex with one another – could
at least potentially find each other sexually attractive. But the
reasons we gave for why societies should consider expanding their
‘scripts’ for acceptable romantic arrangements to accommodate
gay or polyamorous relationships (including the existence of large
groups of people who seem naturally disposed to desire such
relationships) do not apply to incestuous relationships between
adult siblings.83
We also take issue with Garasic’s characterization of a ‘love
drug’ as something that would allow us to “switch on and off our
predisposition to love a certain someone.”84 We went out of our
81 Earp and Savulescu 2020a, 128.
82 Ibid., 129.
83 Of course, even if there were a large number of people who ‘naturally’ wanted
to have sex with their siblings, this wouldn’t entail that society would have an
all-things-considered good reason to accommodate such relationships. For an
in-depth discussion of multiple reasons why moral norms and laws against adult
consensual incest are reasonable and even necessary to secure certain special
goods of family life, see McKeever forthcoming.
84 From Garasic 2020, 39.

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way to make clear that this is not how we think of love drugs, that
there are no such technologies, and that it is unlikely that there ever
will be. For example, in Chapter 4 we argued that “most real-life
biochemical interventions into love and relationships, both now
and in the future [will not work like] magic potions [that can]
instantly transform your entire inner life, making you fall out of
love in a heartbeat with your spouse of thirty years, or in love, for
that matter, with every pizza guy who shows up at your door.”85
We go on to quote the anthropologist Helen Fisher:
As you grow up, you build a conscious (and unconscious) list
of traits that you are looking for in a mate. . . . Drugs can’t change
[this] mental template. Altering brain chemistry can [influence]
your basic feelings. But it can’t direct those feelings. Mate choice
is governed by complex interactions between our myriad
experiences, as well as our biology. In short, if someone set you
up with [someone you are not ultimately compatible with], no
“slipped pharmaceutical love potion” is going to make you love
him.86
“In other words,” as we put it, “the most likely scenario for the
foreseeable future, even as neuroscience progresses, will be more
or less powerful loadings of the dice – not sorcery.”87
Final thought
As we said, we agree with Garasic that individually rational
behavior may lead to wider social harms. We make that argument
ourselves over the course of several pages, using detailed case
85 From Earp and Savulescu 2020a, 54.
86 From Fisher 2016, 318-319.
87 From Earp and Savulescu 2020a, 55.

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studies, in Chapter 11. We also agree that individual autonomy is
not the be-all and end-all of ethical analysis. We argue for that
position, too, at multiple points throughout the book. While
Garasic’s argument about incest is certainly interesting, it strikes us
as unrealistic, and it unfortunately relies on a conception of ‘love
drugs’ that bears little resemblance to the one we adopted in our
work. Nevertheless, we are grateful for the opportunity to clarify
our position on these and other matters.
Conclusion
We will conclude by going back to where we started, to the
commentary by Arrell. Arrell writes that our book, in some ways,
feels “like the culmination of a fascinating philosophical debate the
authors set in motion more than a decade ago about the prospects
of using biotechnology to enhance love.” In other ways, though,
“the book marks a new beginning, which will hopefully see their
work break new ground and bring these ideas to wider audiences
than ever before.”88
We appreciate this way of framing things, as it reflects our
mission for the book. We wanted, in the first place, not only to
summarize our arguments from the past ten years or so, but to
systematically respond to our critics, acknowledging their
important insights and updating our conclusions along the way.
Readers, then, who are only familiar with our work on love drugs
from our early published papers may be surprised to see that we
have changed our minds about certain things and expanded our
perspective in various ways.
But we also wanted to bring this conversation out of the ivory
tower and into the public domain. Love drugs are no longer
88 From Arrell 2020, 45.

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theoretical, and the mandate to develop a socially responsible,
ethical policy to handle them can no longer be delayed. In the
book, we explore some of the most pressing philosophical and
ethical questions raised by these emerging biotechnologies, but we
have still only scratched the surface. As individuals, as partners,
and as members of society, we must all work together to decide
how this story should unfold.
Appendix
Did we fail to include a socio-historical dimension in our
notion of love? Further response to
Spreeuwenberg and Schaubroeck
In the course of their commentary, Spreeuwenberg and
Schaubroeck make a surprising number of false or misleading
statements about our concept of love, ranging from apparent
logical mistakes to more substantive errors and even fundamental
mischaracterizations. An overarching theme of their critique is that
we seem to treat love, not as a socially and historically situated
practice (our actual view) but rather as an individual-level
psychological condition or set of behaviors. In this Appendix, we
will address just a few of their most problematic assertions.
Love as a set of behaviors?
Let us start with the idea that, on our view, the existence of love
can be directly inferred from the presence or absence of certain
behaviors. For example, Spreeuwenberg and Schaubroeck attribute
to us the following claim: “displaying loving behaviors (like

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wanting sex, sharing emotions) is sufficient to conclude there is
love.”89
That is incorrect. Unfortunately, Spreeuwenberg and
Schaubroeck seem to have mixed up the logical concept of a
sufficiency condition with that of a necessity condition, leading
them to seriously misrepresent our view. In the book, we made an
if-then argument about a feature of relationships that some people
regard as a necessary – not sufficient – condition for romantic love.
Specifically, we wrote that if one sees sexual desire, under certain
conditions, as a necessary feature of romantic love, then a drug that
removes such desire under the specified conditions would change
something often seen to distinguish romantic from so-called
platonic forms of love.90 It is therefore erroneous to conclude that
we “believe that if a drug makes you want sex, share emotions or
makes you want to behave in certain ways, then this is enough to
say that you love.” 91
Now consider the notion that a lack of love can be directly
inferred from the absence of certain behaviors. Here,
Spreeuwenberg and Schaubroeck not only incorrectly attribute this
claim to us, but they also suggest that we advanced the claim
without any argument: “the inference that there is no love when
there is no loving behavior needs an argument … without
argument the inference relies on an implicit normative
understanding of what love is.”92
Part of this criticism we found helpful. It suggests that, like
Arrell (see main text), Spreeuwenberg and Schaubroeck took us to
be referring to loving or caring behavior that might be diminished
89 From Spreeuwenberg and Schaubroeck 2020, 71.
90 From Earp and Savulescu 2020a, 61.
91 From Spreeuwenberg and Schaubroeck 2020, 71.
92 Ibid.

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by a drug, when what we had in mind was a caring disposition (i.e.,
something that typically results in such behavior but is not identical
to it). So, it seems that we were not as clear about that distinction
as we might have hoped, and we are glad to have the chance to set
the record straight.
Another part of the criticism we found puzzling, however. The
authors seem to imply that we failed to argue for the claim that a
drug could alter love, so that our inference to that effect must have
been based on an “implicit” premise. That is not the case. Instead,
the normative understanding of love we invoked in this passage of
the book was prominently identified and used to ground a simple
modus ponens. In reduced form, we argued as follows:
Normative premise: Assume that love requires care.93
Conditional statement: If love requires care and a drug can
alter care, then a drug can alter love.94
Empirical claim: A drug can alter care.95
Conclusion: A drug can alter love.96
Now, it is conceivable that our presentation of this argument
was simply so convoluted that Spreeuwenberg and Schaubroeck
were not able to follow it. But that seems unlikely: in his
commentary, Arrell had no trouble reproducing the argument in
just a couple of lines, complete with its normative premise:
“Assuming that ‘true love … requires genuinely caring about (and
93 From Earp and Savulescu 2020a, 59, second paragraph of the section “Love
or something lesser.”
94 Ibid., 60, third full paragraph.
95 Ibid., first paragraph.
96 Ibid., third full paragraph.

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trying to promote) the other person’s well-being’ [and] that being
on SSRIs [makes it so] that you don’t care about your partner’s
feelings, Earp and Savulescu’s argument looks about as watertight
as they come.”97 Of course, Arrell goes on to question certain
aspects of the argument, as we saw – in particular, he questions the
conditional claim – but whether we actually made an argument was
not at issue.
Love as socio-historical
Now we get to the more substantial misrepresentations.
Spreeuwenberg and Schaubroeck suggest that we failed to consider
such basic issues as the “historically contingent” social norms that
guide the interactions between lovers, or the “socially embedded”
values that shape dominant understandings of what ‘counts’ as love
in a given context.98 As Spreeuwenberg and Schaubroeck state, it is
“remarkable that [Earp and Savulescu] do not bring that social
dimension into their notion of love.”99
We agree that it would be remarkable, indeed, scandalous, if we
had failed to consider such important historical and social aspects
of love in our book. But in fact we centered those aspects in our
account of love, while also drawing out and exploring their
implications for – among other things – the very issues just
mentioned. Here are some examples:
* In Chapter 1, when first explaining how we will conceive of
love in the book, we present a ‘dual nature’ theory that we later
explicitly adopt, based on the work of Carrie Jenkins.100 We state
97 From Arrell 2020, 53.
98 From Spreeuwenberg and Schaubroeck 2020, 73. As they put it, the widely
held “correctness conditions” for applying the term ‘love’ to a relationship.
99 From Spreeuwenberg and Schaubroeck 2020, 72.
100 See Jenkins 2017.

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that, on this view, love has two dimensions, the first of which is
biological and the second of which “is psychosocial and historical.
It speaks to the cultural norms, social pressures, and ideological
constraints that exist at a given place and time and shape how we
think about, experience, and express romantic love in our daily
lives.”101
* The second time we give a theoretical account of love, in
Chapter 2, we explain that “beliefs, norms, and expectations about
love vary from culture to culture and may change over time; these
higher-level factors [can] affect our experiences and conceptions
of love.”102
* We then use an automobile analogy to explain the importance
of including psychosocial factors in any reasonable conception of
love: “Obviously, the way a car runs, including how and where it
moves through space, is not just a matter of internal mechanical
aspects (corresponding to brains and biology in this analogy) …
It’s also shaped by external factors, [like] the presence or absence
of pedestrians, the commands of traffic signals, and arbitrary,
which-side-of-the-road conventions (sociocultural norms and
physical environment).”103
* In the same way, we state, “the course and character of love
is not just a matter of neurochemicals, genes, and so on. Instead,
what love is in a given context is constrained and informed by a
complex set of outside forces that derive from history and society
and interact with individual minds and behavior. These forces
range from prevailing cultural norms and assumptions about love
[to] the explicit categories and language people use to describe
101 From Earp and Savulescu 2020a, 11-12.
102 Ibid., 20. See also Earp, Sandberg, and Savulescu 2016.
103 From Earp and Savulescu 2020a, 21.

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love, to how people make sense of their experiences of love in
terms of those categories and norms.”104
* To illustrate this idea, we use a case study of a lesbian couple
in late-nineteenth century England. Given the historical
circumstances, we say, the lesbian couple’s “feelings for and
commitment to one another – as passionate and sincere and deeply
rooted as they are – might not be recognized as a true form of love
by members of the wider society. This lack of recognition, in turn,
could shape how they conceive of their own relationship, interpret
their own emotions, and behave even when they are alone, all of
which might [also] affect what is happening biochemically between
them.”105
* Over the ensuing pages we give two more extended analogies
– one involving the Mona Lisa and the other involving Star Trek
both of whose explicit purpose is to explore in depth the complex
relationship between the biological and psychosocial/historical
aspects of love.
* We explain the upshot of this relationship for our thesis:
“Tinkering with biology [is] not the only way to modify love. Its
psychosocial aspects can be tinkered with as well. At a societal
level, people might try to challenge existing narratives about love,
including dominant norms for how love should manifest in
different relationships. [As] these norms and narratives change, so
too will the psychosocial side of love, including what counts as love
in a given social context.”106
* Still in Chapter 2, we stress that “the important point” for
readers to grasp is that “social, psychological, and wider historical
104 Ibid.
105 Ibid., 25. The lesbian couple example originally comes from Jenkins 2017.
106 Ibid., 22.

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factors cannot be discounted.”107 We then quote Lisa Diamond,
who writes: “Calling attention to the biological substrates of love
and desire [does not] imply that biological factors are more
important than cultural factors in shaping these experiences. On
the contrary, research across many disciplines has shown that
human experiences of sexual arousal and romantic love are always
mediated by social, cultural, and interpersonal contexts, and
ignoring these contexts produces a distorted account of human
experience.”108
* At the beginning of Chapter 3, we ask how biology and social
factors might conflict in modern relationships. Noting that it
depends on the type of relationship, we ask: “What are the
surrounding cultural expectations? What are the values of the
partners?” We go on to discuss monogamy, which we describe as
taken for granted in the prevailing social script for long-term
relationships in many societies. “But is this a good script?” It
depends, we say, “on the community, the couple, their beliefs and
values, the wider context, and many other factors.” We then
explore some of those factors in detail.109
* Later in the chapter, we criticize the idea that natural equals
good: “we need to be careful. What is natural for our species can
be maddeningly hard to disentangle from deep-seated cultural
expectations and psychological training. It is quite possible to feel
that something is ‘natural’ when really it’s been drilled into our
heads through oppressive socialization from when we were
young.”110
107 From Earp and Savulescu 2020a, 22.
108 From Diamond 2003, 174.
109 From Earp and Savulescu 2020a, 36.
110 From Earp and Savulescu 2020a, 41.

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We could go on. The point is, Spreeuwenberg and
Schaubroeck are wrong to suggest that we represent love as an
individual-level “psychological condition” (that is, something that
can be meaningfully assessed without reference to interpersonal
dynamics or the background social norms). Rather, as we articulate
– and illustrate – throughout the book, we conceive of love as a
biopsychosocial phenomenon, whose psychosocial dimension
includes the very concepts and theories about love by which it is
commonly understood in a given historical context.
A striking example
Here is a striking example of the disconnect between what we
actually say about love in the book, and what Spreeuwenberg and
Schaubroeck suggest about our view. Consider their claim that
romantic love, as we think of it today, was in some sense ‘invented’
– that is, shaped by a particular set of social norms embedded in
historically contingent institutions and practices.111 Given the
preceding excerpts from the book, it should be clear that we are
sympathetic to this view. In fact, this is our view. However,
Spreeuwenberg and Schaubroeck suggest otherwise: they ascribe
to us the belief that romantic love, as that notion is currently
understood, must have always existed, having first evolved among
our distant ancestors. In this, they seem to portray us as having a
na�ve, ahistorical, bio-reductive view of love, for which their
commentary stands as a corrective. They warn us that our failure
to pay “close attention to the historical background of romantic
love as we know it, is not without risk.”112
What is going on here? If you look closely, you will see that
Spreeuwenberg and Schaubroeck have selectively cited, out of
111 From Spreeuwenberg and Schaubroeck 2020, 78.
112 Ibid., 79.

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context, a pair of sentences from our book, as follows: “Although
you may have heard that romantic love was invented in the West
in the last few hundred years, it wasn’t. It has been around … since
the dawn of our species, ingrained in our very nature.”113 On its
own, such a quotation may seem damning. But here it is in context:
the concept we are after cannot simply pick out a biological
phenomenon, as in theories that reduce love to some kind of
animalistic drive; but nor can it simply refer to a social or
psychological construct or something that exists in a disembodied
soul. Although you may have heard that romantic love was
invented in the West in the last few hundred years, it wasn’t. It has
been around (in one manifestation or another) since the dawn of
our species, ingrained in our very nature. But the particular forms
it has taken – as a result of the diverse ways people have
understood it, reacted to it, molded it, and tried to control it or set
it free – have indeed been different in different places and
throughout different periods of history.114
Right before this material, we had introduced the idea that love
has a dual nature – it is both biological and psychosocial/historical.
Here in the quote, then, we expand on what this means: it means
that a theory of romantic love that reduces it solely to a psychosocial
‘construct’ (i.e., something that could have been invented in the
West in the last few hundred years) is not going to be adequate;
but nor is a theory that reduces it solely to a biological phenomenon
(i.e., an animalistic drive as old as the species). So, when we say that
romantic love has been around “in one manifestation or another
… since the dawn of our species,” we are quite clearly referring to
its biological dimension. In the immediately following sentence,
however, we clarify that – on the psychosocial side – particular
113 From Earp and Savulescu 2020a, 19.
114 Ibid.

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practices and understandings of romantic love are, by contrast,
culturally and historically contingent.
Spreeuwenberg and Schaubroeck ignore all this. At least, they
choose not to share it with their readers. First, they strongly imply
that we hold the following absurd position: that romantic love has
existed in its current psychosocial manifestation since time immemorial.
Then, they strike a posture of confusion. Isn’t it strange that when
Earp and Savulescu go on to list some specific features of romantic
love, “they come very close to the characterization of what
[scholars have identified as] Romantic Love as invented during
modernity?” 115
For example, they ask the reader to consider the feature of
‘being made for one another’ or being a ‘good match.’ Surely,
Spreeuwenberg and Schaubroeck advise, this feature “cannot have
been a feature of the social expression of lust, attraction and
bonding during the Middle Ages, where marriages were economic
transactions and there was no room to explore individuality and
autonomy in the same way as during modernity.”116
In short, by presenting certain features of romantic love as
timeless and ahistorical that are in fact expressions of modern
culture, Spreeuwenberg and Schaubroeck suggest that we have
failed to consider the relevant social context and historicized
background assumptions that shape how we think about love.
But that is not how we presented those features of love. To the
contrary. This is where we wrote that “beliefs, norms, and
expectations about love vary from culture to culture and may
change over time; these higher-level factors can also affect our
experiences and conceptions of love.”117 Then, to illustrate this
115 From Spreeuwenberg and Schaubroeck 2020, 78-79.
116 Ibid., 79.
117 From Earp and Savulescu 2020a, 20.

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point – i.e., the very point Spreeuwenberg and Schaubroeck raise
about the cultural and historical contingency of psychosocial
understandings of love – we wrote: “In contemporary Western
society, three main clusters of beliefs about love tend to show up
on the psychosocial side. These are the concepts and
representations of love that appear in art, literature, pop culture,
and everyday discussions.”118
One of those belief-clusters – which we explicitly identified as
belonging, not to the Middle Ages, but to contemporary Western
culture – has to do with being a ‘good match.’ And in a later
chapter, we give a detailed historical account of how and why
norms for love have changed over the past 150 years. There, we
note that, until the Industrial Revolution, marriages were not
primarily ‘love matches’ but were rather economic transactions –
just as Spreeuwenberg and Schaubroeck point out.
University of Oxford
118 Ibid.

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