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  1. Sanneke de Haan, Erik Rietveld, Martin Stokhof & Damiaan Denys (2015). Effects of Deep Brain Stimulation on the Lived Experience of Obsessive-Compulsive Disorder Patients. PLoS ONE 10 (8):1-29.
    Deep Brain Stimulation (DBS) is a relatively new, experimental treatment for patients suffering from treatment-refractory Obsessive Compulsive Disorder (OCD). The effects of treatment are typically assessed with psychopathological scales that measure the amount of symptoms. However, clinical experience indicates that the effects of DBS are not limited to symptoms only: patients for instance report changes in perception, feeling stronger and more confident, and doing things unreflectively. Our aim is to get a better overview of the whole variety of changes that (...)
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  2. Erik Rietveld, Sanneke De Haan & Damiaan Denys (2013). Social Affordances in Context: What is It That We Are Bodily Responsive To? Behavioral and Brain Sciences 36 (4):436-436.
    We propose to understand social affordances in the broader context of responsiveness to a field of relevant affordances in general. This perspective clarifies our everyday ability to unreflectively switch between social and other affordances. Moreover, based on our experience with Deep Brain Stimulation for treating obsessive-compulsive disorder (OCD) patients, we suggest that psychiatric disorders may affect skilled intentionality, including responsiveness to social affordances.
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  3.  59
    Sanneke de Haan, Erik Rietveld, Martin Stokhof & Damiaan Denys (2013). The Phenomenology of Deep Brain Stimulation-Induced Changes in Obsessive-Compulsive Disorder Patients: An Enactive Affordance-Based Model. Frontiers in Human Neuroscience 7:1-14.
    People suffering from Obsessive-Compulsive Disorder (OCD) do things they do not want to do, and/or they think things they do not want to think. In about 10 percent of OCD patients, none of the available treatment options is effective. A small group of these patients is currently being treated with deep brain stimulation (DBS). Deep brain stimulation involves the implantation of electrodes in the brain. These electrodes give a continuous electrical pulse to the brain area in which they are implanted. (...)
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  4.  37
    Sanneke de Haan, Erik Rietveld & Damiaan Denys (2014). Stimulating Good Practice - What an Embodied Cognition Approach Could Mean for Deep Brain Stimulation Practice. American Journal of Bioethics Neuroscience 5 (4).
    We whole-heartedly agree with Mecacci and Haselager(2014) on the need to investigate the psychosocial effects of deep brain stimulation (DBS), and particularly to find out how to prevent adverse psychosocial effects. We also agree with the authors on the value of an embodied, embedded, enactive approach (EEC) to the self and the mind–brain problem. However, we do not think this value primarily lies in dissolving a so-called “maladaptation” of patients to their DBS device. In this comment, we challenge three (...)
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  5. Sanneke de Haan, Erik Rietveld & Damiaan Denys (forthcoming). Being Free by Losing Control: What Obsessive-Compulsive Disorder Can Tell Us About Free Will. In Walter Glannon (ed.), Free Will and the Brain: Neuroscientific, Philosophical, and Legal Perspectives on Free Will.
    According to the traditional Western concept of freedom, the ability to exercise free will depends on the availability of options and the possibility to consciously decide which one to choose. Since neuroscientific research increasingly shows the limits of what we in fact consciously control, it seems that our belief in free will and hence in personal autonomy is in trouble. -/- A closer look at the phenomenology of Obsessive-Compulsive Disorder (OCD) gives us reason to doubt the traditional concept of freedom (...)
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  6. Sanneke de Haan, Erik Rietveld & Damiaan Denys (2013). On the Nature of Obsessions and Compulsions. In David S. Baldwin & Brian E. Leonard (eds.), Modern trends in pharmacopsychiatry - Anxiety Disorders. Karger 1-15.
    In this chapter we give an overview of current and historical conceptions of the nature of obsessions and compulsions. We discuss some open questions pertaining to the primacy of the affective, volitional or affective nature of obsessive-compulsive disorder (OCD). Furthermore, we add some phenomenological suggestions of our own. In particular, we point to the patients’ need for absolute certainty and the lack of trust underlying this need. Building on insights from Wittgenstein, we argue that the kind of certainty the patients (...)
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  7.  8
    Damiaan Denys (2007). Philosophy, Ethics, and Humanities in Medicine. Philosophy, Ethics, and Humanities in Medicine 2:22.
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  8.  46
    Damiaan Denys (2011). Obsessionality & Compulsivity: A Phenomenology of Obsessive-Compulsive Disorder. Philosophy, Ethics, and Humanities in Medicine 6 (1):3-.
    Progress in psychiatry depends on accurate definitions of disorders. As long as there are no known biologic markers available that are highly specific for a particular psychiatric disorder, clinical practice as well as scientific research is forced to appeal to clinical symptoms. Currently, the nosology of obsessive-compulsive disorder is being reconsidered in view of the publication of DSM-V. Since our diagnostic entities are often simplifications of the complicated clinical profile of patients, definitions of psychiatric disorders are imprecise and always indeterminate. (...)
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    Damiaan Denys (2007). How New is the New Philosophy of Psychiatry? Philosophy, Ethics, and Humanities in Medicine 2 (1):22.
    In their recent paper, Natalie Banner and Tim Thornton evaluate seven volumes of the Oxford University Press series “International Perspectives in Philosophy and Psychiatry,” an international book series begun in 2003 focusing on the emerging interdisciplinary field at the interface of philosophy and psychiatry. According to Natalie Banner and Tim Thornton, the series represents a clear indication that the interdisciplinary field of philosophy of psychiatry has been flourishing lately. Philosophers and psychiatrists face a “new philosophy of psychiatry”. However, the optimism (...)
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