Philosophical Explorations 25 (3):367-385 (2022)
AbstractDeep brain stimulation (DBS) uses electrodes implanted in the brain to modulate dysregulated brain activity related to a variety of neurological and psychiatric conditions. A number of people who use DBS have reported changes that affect their sense of self. In the neuroethics literature, there has been significant debate over the exact nature of these changes. More recently, there have been suggestions that this debate is overblown and detracts from clinically-relevant ways of understanding these effects of DBS. In this paper, we offer an alternative approach to understanding the effects of DBS on the self, drawing on John Sadler’s work on self-illness ambiguity. We argue that self-illness ambiguity is a complex concept, with at least three different aspects, and that each of the three aspects we identify also characterizes one kind of DBS-related change. Our analysis also suggests ways of helping patients to adjust to life as a DBS user.
Similar books and articles
Self-implant ambiguity? Understanding self-related changes in deep brain stimulation.Robyn Bluhm & Laura Y. Cabrera - 2022 - Tandf: Philosophical Explorations:1-19.
Electrodes in the brain: Some anthropological and ethical aspects of deep brain stimulation.Elisabeth Hildt - 2006 - International Review of Information Ethics 5 (9):33-39.
Me, Myself and My Brain Implant: Deep Brain Stimulation Raises Questions of Personal Authenticity and Alienation.Felicitas Kraemer - 2011 - Neuroethics 6 (3):483-497.
Deep Brain Stimulation in Children: Parental Authority Versus Shared Decision-Making.Farah Focquaert - 2011 - Neuroethics 6 (3):447-455.
Deep brain stimulation and revising the Mental Health Act: the case for intervention-specific safeguards.Jonathan Pugh, Tipu Aziz, Jonathan Herring & Julian Savulescu - forthcoming - British Journal of Psychiatry.
Deep brain stimulation for prolonged disorders of consciousness.Gilberto K. K. Leung - 2016 - Clinical Ethics 11 (4):105-111.
Situating the self: understanding the effects of deep brain stimulation.Roy Dings & Leon de Bruin - 2016 - Phenomenology and the Cognitive Sciences 15 (2):151-165.
Dimensions of the Threat to the Self Posed by Deep Brain Stimulation: Personal Identity, Authenticity, and Autonomy.Przemysław Zawadzki - 2020 - Diametros 18 (69):71-98.
Building Intricate Partnerships with Neurotechnology: Deep Brain Stimulation and Relational Agency.Timothy Brown - 2020 - International Journal of Feminist Approaches to Bioethics 13 (1):134-154.
Deep Brain Stimulation and Relational Agency: Negotiating Relationships.Robyn Bluhm & Laura Cabrera - 2020 - International Journal of Feminist Approaches to Bioethics 13 (1):155-161.
Interpreting Patients’ Beliefs About Deep Brain Stimulation for Treatment-Resistant Depression: The Need for Caution and for Context.Laura Y. Cabrera & Robyn Bluhm - 2018 - American Journal of Bioethics Neuroscience 9 (4):230-232.
The Gold-Plated Leucotomy Standard and Deep Brain Stimulation.Grant Gillett - 2011 - Journal of Bioethical Inquiry 8 (1):35-44.
The Need for Further Fine-Grained Distinctions in Discussions of Authenticity and Deep Brain Stimulation.Jonathan Pugh, Hannah Maslen & Julian Savulescu - 2017 - American Journal of Bioethics Neuroscience 8 (3):W1-W3.
Situating the self: understanding the effects of deep brain stimulation.Roy Dings & Leon Bruin - 2016 - Phenomenology and the Cognitive Sciences 15 (2):151-165.
Added to PP
Historical graph of downloads