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Neuroessentialism, our Technological Future, and DBS Bubbles

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Abstract

Having reviewed a considerable body of scholarly work in neuroethics related to DBS, Gilbert, Viaña, and Ineichen identify a major flaw in the debate—a “bubble” in the literature—and propose new directions for research. This comment addresses the authors’ diagnosis: What exactly is the nature of this bubble? Here, I argue that there are at least two different orientations in the “DBS causes personality changes” bubble. According to a first narrative, DBS is a special technology because its direct, causal action on the brain leads to personality changes. This approach emphasizes the brain as the seat of personality, the locus of identity, or the center of agency. According to a second narrative, technology in general plays a major role in our lives and in our experiences as human subjects, and DBS is no exception. Technology matters up to the point that it reshapes, redefines, or re-determines traditional concepts such as personality, authenticity, or agency. I point out that both narratives are distinct components of the “DBS causes personality changes” bubble diagnosed by the authors of the target article and claim that the two narratives raise somehow different philosophical and empirical issues.

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References

  1. Gilbert, F., J.N.M. Viaña, and C. Ineichen. 2018. Deflating the ‘DBS causes personality changes’ bubble. Neuroethics. https://doi.org/10.1007/s12152-018-9373-8.

  2. Gisquet, E. 2008. Cerebral implants and Parkinson’s disease: A unique form of biographical disruption? Social Science & Medicine 67: 1847–1851. https://doi.org/10.1016/j.socscimed.2008.09.026.

    Article  Google Scholar 

  3. Roskies, A. 2002. Neuroethics for the new Millenium. Neuron 35 (1): 21–23. https://doi.org/10.1016/S0896-6273(02)00763-8.

    Article  Google Scholar 

  4. Marcus, S. 2002. Neuroethics: Mapping the field. San Francisco: Dana Foundation.

    Google Scholar 

  5. Levy, N. 2007. Neuroethics, challenges for the 21st century. Cambridge: Cambridge University Press.

    Book  Google Scholar 

  6. Glannon, W. 2011. Brain, body, and mind: Neuroethics with a human face. New York: Oxford University Press.

    Book  Google Scholar 

  7. Vidal F., and M. Piperberg. 2017. Born free: The theory and practice of neuroethical exceptionalism. In Debates About Neuroethics, ed. E. Racine and J. Aspler, 67–81. Cham: Springer International Publishing AG.

    Chapter  Google Scholar 

  8. Vidal, F. 2018. What makes neuroethics possible? History of the Human Sciences.: 095269511880041. https://doi.org/10.1177/0952695118800410.

  9. Bury, M. 1982. Chronic illness as biographical disruption. Sociology of Health and Illness 4 (2): 167–182. https://doi.org/10.1111/1467-9566.ep11339939.

    Article  Google Scholar 

  10. Carel, H. 2008. Illness: The cry of the flesh. Stocksfield: Acumen.

    Google Scholar 

  11. Gilbert, F., E. Goddard, J.N.M. Viaña, A. Carter, and M. Horne. 2017. I miss being me: Phenomenological effects of deep brain stimulation. AJOB Neuroscience 8 (2): 96–109. https://doi.org/10.1080/21507740.2017.1320319.

    Article  Google Scholar 

  12. Agid, Y., et al. 2006. Neurosurgery in Parkinson’s disease: The doctor is happy, the patient less so? Journal of Neural Transmission Supplement 70: 409–414. https://doi.org/10.1007/978-3-211-45295-0_61.

    Article  Google Scholar 

  13. Schüpbach, M., et al. 2006. Neurosurgery in Parkinson disease: A distressed mind in a repaired body? Neurology 66 (12): 1811–1816. https://doi.org/10.1212/01.wnl.0000234880.51322.16.

    Article  Google Scholar 

  14. Turkle, S. 2011. Alone together. Why we expect more from technology and less from each other. New York: Basic Books.

    Google Scholar 

  15. Latour, B. 1999. Pandora’s Hope. Cambridge: Harvard University Press.

    Google Scholar 

  16. Latour, B. 2002. Morality and technology. Theory Culture & Society 19 (5–6): 247–260. https://doi.org/10.1177/026327602761899246.

    Article  Google Scholar 

  17. Verbeek, P.-P. 2008. Obstetric ultrasound and the technological mediation of morality: A Postphenomenological analysis. Human Studies 31 (1): 11–26. https://doi.org/10.1007/s10746-007-9079-0.

    Article  Google Scholar 

  18. Dubiel, H. 2006. Deep in the brain. Living with Parkinson’s disease. New York: Europa editions.

    Google Scholar 

  19. Ambermoon, P., A. Carter, W.D. Hall, N.N.W. Dissanayaka, and J.D. O’Sullivan. 2011. Impulse control disorders in patients with Parkinson’s disease receiving dopamine replacement therapy: Evidence and implications for the addictions field. Addiction 106 (2): 283–293. https://doi.org/10.1111/j.1360-0443.2010.03218.x.

    Article  Google Scholar 

  20. Kim, Y., et al. 2013. Impulse control and related behaviors after bilateral subthalamic stimulation in patients with Parkinson’s disease. Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia 20 (7): 964–969. https://doi.org/10.1016/j.jocn.2012.07.020.

    Article  Google Scholar 

  21. Merola, A., A. Romagnolo, L. Rizzi, M.G. Rizzone, M. Zibetti, M. Lanotte, G. Mandybur, A.P. Duker, A.J. Espay, and L. Lopiano. 2017. Impulse control behaviors and subthalamic deep brain stimulation in Parkinson disease. Journal of Neurology 264 (1): 40–48. https://doi.org/10.1007/s00415-016-8314-x.

    Article  Google Scholar 

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Acknowledgements

I thank the organizers and participants of the panel What are the relationships between STS and empirical ethics? (4S 2018 Sydney) and Frédéric Gilbert.

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Correspondence to Maxence Gaillard.

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Gaillard, M. Neuroessentialism, our Technological Future, and DBS Bubbles. Neuroethics 14 (Suppl 1), 39–45 (2021). https://doi.org/10.1007/s12152-019-09407-6

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