David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Neuroethics 6 (3):447-455 (2013)
This paper discusses the use of deep brain stimulation for the treatment of neurological and psychiatric disorders in children. At present, deep brain stimulation is used to treat movement disorders in children and a few cases of deep brain stimulation for psychiatric disorders in adolescents have been reported. Ethical guidelines on the use of deep brain stimulation in children are therefore urgently needed. This paper focuses on the decision-making process, and provides an ethical framework for (future) treatment decisions in pediatric deep brain stimulation. I defend a shared decision-making model in case of deep brain stimulation for neurological and psychiatric disorders in children. To protect the vulnerable child patient, a dual consent process is needed where parents or parental guardians give their consent, and the child gives his/her assent
|Keywords||Deep brain stimulation Shared decision-making Informed consent Assent Dissent Psychiatric disorders Children|
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References found in this work BETA
Priscilla Alderson, Katy Sutcliffe & Katherine Curtis (2006). Children's Competence to Consent to Medical Treatment. Hastings Center Report 36 (6):25-34.
David Archard, Children's Rights. Stanford Encyclopedia of Philosophy.
Allen E. Buchanan (1989). Deciding for Others: The Ethics of Surrogate Decisionmaking. Cambridge University Press.
Lainie Friedman Ross (2009). Arguments Against Respecting a Minor's Refusal of Efficacious Life-Saving Treatment Redux, Part II. Cambridge Quarterly of Healthcare Ethics 18 (04):432-.
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