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Neuroethics. 2013;6:483-497. doi: 10.1007/s12152-011-9115-7. Epub 2011 May 12.

Me, Myself and My Brain Implant: Deep Brain Stimulation Raises Questions of Personal Authenticity and Alienation.

Neuroethics

Felicitas Kraemer

Affiliations

  1. Philosophy & Ethics, Eindhoven University of Technology, IPO 1.01, PO Box 513, 5600 MB Eindhoven, The Netherlands.

PMID: 24273619 PMCID: PMC3825521 DOI: 10.1007/s12152-011-9115-7

Abstract

In this article, I explore select case studies of Parkinson patients treated with deep brain stimulation (DBS) in light of the notions of alienation and authenticity. While the literature on DBS has so far neglected the issues of authenticity and alienation, I argue that interpreting these cases in terms of these concepts raises new issues for not only the philosophical discussion of neuro-ethics of DBS, but also for the psychological and medical approach to patients under DBS. In particular, I suggest that the experience of alienation and authenticity varies from patient to patient with DBS. For some, alienation can be brought about by neurointerventions because patients no longer feel like themselves. But, on the other hand, it seems alienation can also be cured by DBS as other patients experience their state of mind as authentic under treatment and retrospectively regard their former lives without stimulation as alienated. I argue that we must do further research on the relevance of authenticity and alienation to patients treated with DBS in order to gain a deeper philosophical understanding, and to develop the best evaluative criterion for the behavior of DBS patients.

Keywords: Alienation; Authenticity; Autonomy; Brain pacemaker; Deep brain stimulation; Implant ethics

References

  1. J Sex Med. 2009 Apr;6(4):1177-1180 - PubMed
  2. J Clin Ethics. 2010 Summer;21(2):133-9 - PubMed
  3. Bioethics. 2009 Jul;23(6):360-74 - PubMed
  4. Brain Stimul. 2011 Jan;4(1):7-16 - PubMed
  5. Ned Tijdschr Geneeskd. 2004 Jul 10;148(28):1394-8 - PubMed
  6. Hastings Cent Rep. 2000 Mar-Apr;30(2):34-40 - PubMed
  7. Clin Child Psychol Psychiatry. 2007 Apr;12(2):167-82 - PubMed
  8. Biotechnol J. 2008 Dec;3(12):1511-20 - PubMed
  9. JAMA. 2010 Feb 24;303(8):775-6 - PubMed
  10. Theor Med Bioeth. 2007;28(4):285-300 - PubMed
  11. Med Health Care Philos. 2009 Jun;12(2):169-78 - PubMed
  12. Arch Neurol. 2005 Apr;62(4):533-6 - PubMed
  13. Neurology. 2006 Jun 27;66(12):1811-6 - PubMed
  14. Neuroethics. 2013;6:435-445 - PubMed
  15. J Neural Eng. 2009 Oct;6(5):050201 - PubMed
  16. Neuroethics. 2011 Apr;4(1):51-64 - PubMed
  17. Neuroethics. 2013;6:527-539 - PubMed
  18. Hastings Cent Rep. 2005 May-Jun;35(3):34-41 - PubMed
  19. Ned Tijdschr Geneeskd. 2004 Jul 10;148(28):1373-5 - PubMed
  20. Brain Nerve. 2009 Jan;61(1):33-40 - PubMed
  21. Brain Cogn. 2000 Apr;42(3):417-34 - PubMed

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