Did My Brain Implant Make Me Do It? Questions Raised by DBS Regarding Psychological Continuity, Responsibility for Action and Mental Competence
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Neuroethics 6 (3):527-539 (2013)
Deep brain stimulation (DBS) is a well-accepted treatment for movement disorders and is currently explored as a treatment option for various neurological and psychiatric disorders. Several case studies suggest that DBS may, in some patients, influence mental states critical to personality to such an extent that it affects an individual’s personal identity, i.e. the experience of psychological continuity, of persisting through time as the same person. Without questioning the usefulness of DBS as a treatment option for various serious and treatment refractory conditions, the potential of disruptions of psychological continuity raises a number of ethical and legal questions. An important question is that of legal responsibility if DBS induced changes in a patient’s personality result in damage caused by undesirable or even deviant behavior. Disruptions in psychological continuity can in some cases also have an effect on an individual’s mental competence. This capacity is necessary in order to obtain informed consent to start, continue or stop treatment, and it is therefore not only important from an ethical point of view but also has legal consequences. Taking the existing literature and the Dutch legal system as a starting point, the present paper discusses the implications of DBS induced disruptions in psychological continuity for a patient’s responsibility for action and competence of decision and raises a number of questions that need further research.
|Keywords||Deep brain stimulation Personal identity Psychological continuity Responsibility for action Mental competence|
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References found in this work BETA
John Locke (2008/1995). An Essay Concerning Human Understanding. Oxford University Press.
Derek Parfit (1984). Reasons and Persons. Oxford University Press.
A. Macintyre (1984). After Virtue. Tijdschrift Voor Filosofie 46 (1):169-171.
David DeGrazia (2005). Human Identity and Bioethics. Cambridge University Press.
Sydney Shoemaker (1996). The First-Person Perspective and Other Essays. Cambridge University Press.
Citations of this work BETA
Farah Focquaert & Maartje Schermer (2015). Moral Enhancement: Do Means Matter Morally? Neuroethics 8 (2):139-151.
F. Kraemer (2013). Authenticity or Autonomy? When Deep Brain Stimulation Causes a Dilemma. Journal of Medical Ethics 39 (12):757-760.
Jens Clausen (2013). Bonding Brains to Machines: Ethical Implications of Electroceuticals for the Human Brain. Neuroethics 6 (3):429-434.
Roy Dings & Leon de Bruin (forthcoming). Situating the Self: Understanding the Effects of Deep Brain Stimulation. Phenomenology and the Cognitive Sciences:1-15.
Rowan P. Sommers, Roy Dings, Koen I. Neijenhuijs, Hannah Andringa, Sebastian Arts, Daphne van de Bult, Laura Klockenbusch, Emiel Wanningen, Leon C. De Bruin & Pim F. G. Haselager (2015). A Young Scientists’ Perspective on DBS: A Plea for an International DBS Organization. Neuroethics 8 (2):187-190.
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