Becoming more oneself? Changes in personality following DBS treatment for psychiatric disorders: Experiences of OCD patients and general considerations
PLoS ONE 12 (4):1-27 (2017)
AbstractDoes DBS change a patient’s personality? This is one of the central questions in the debate on the ethics of treatment with Deep Brain Stimulation (DBS). At the moment, however, this important debate is hampered by the fact that there is relatively little data available concerning what patients actually experience following DBS treatment. There are a few qualitative studies with patients with Parkinson’s disease and Primary Dystonia and some case reports, but there has been no qualitative study yet with patients suffering from psychiatric disorders. In this paper, we present the experiences of 18 patients with Obsessive-Compulsive Disorder (OCD) who are undergoing treatment with DBS. We will also discuss the inherent difficulties of how to define and assess changes in personality, in particular for patients with psychiatric disorders. We end with a discussion of the data and how these shed new light on the conceptual debate about how to define personality.
Similar books and articles
Effects of Deep Brain Stimulation on the Lived Experience of Obsessive-Compulsive Disorder Patients.Sanneke de Haan, Erik Rietveld, Martin Stokhof & Damiaan Denys - 2015 - PLoS ONE 10 (8):1-29.
The Phenomenology of Deep Brain Stimulation-Induced Changes in Obsessive-Compulsive Disorder Patients: An Enactive Affordance-Based Model.Sanneke de Haan, Erik Rietveld, Martin Stokhof & Damiaan Denys - 2013 - Frontiers in Human Neuroscience 7:1-14.
Stimulating Good Practice - What an Embodied Cognition Approach Could Mean for Deep Brain Stimulation Practice.Sanneke de Haan, Erik Rietveld & Damiaan Denys - 2014 - American Journal of Bioethics Neuroscience 5 (4).
Social Affordances in Context: What is It That We Are Bodily Responsive To.Erik Rietveld, Sanneke de Haan & Damiaan Denys - 2013 - Behavioral and Brain Sciences 36 (4):436-436.
Obsessionality & Compulsivity: A Phenomenology of Obsessive-Compulsive Disorder.Damiaan Denys - 2011 - Philosophy, Ethics, and Humanities in Medicine 6:3-.
Ethical Concerns Regarding Commercialization of Deep Brain Stimulation for Obsessive Compulsive Disorder.Cordelia Erickson-Davis - 2012 - Bioethics 26 (8):440-446.
Deep Brain Stimulation in Children: Parental Authority Versus Shared Decision-Making.Farah Focquaert - 2011 - Neuroethics 6 (3):447-455.
Broader Role for Antipsychotics in the Treatment of Obsessive Compulsive Disorder and Schizophrenia—A Malaysian Case Series.Benedict Francis - 2014 - OJPsych 4 (4):289-294.
“Personality Disorder” and Capacity to Make Treatment Decisions.G. Szmukler - 2009 - Journal of Medical Ethics 35 (10):647-650.
Is Borderline Personality Disorder a Moral or Clinical Condition? Assessing Charland’s Argument From Treatment.Greg Horne - 2013 - Neuroethics 7 (2):215-226.
Health, Happiness and Human Enhancement—Dealing with Unexpected Effects of Deep Brain Stimulation.Maartje Schermer - 2011 - Neuroethics 6 (3):435-445.
Did My Brain Implant Make Me Do It? Questions Raised by DBS Regarding Psychological Continuity, Responsibility for Action and Mental Competence.Laura Klaming & Pim Haselager - 2010 - Neuroethics 6 (3):527-539.
On the Nature of Obsessions and Compulsions.Sanneke de Haan, Erik Rietveld & Damiaan Denys - 2013 - In David S. Baldwin & Brian E. Leonard (eds.), Modern trends in pharmacopsychiatry - Anxiety Disorders. Karger. pp. 1-15.
The Application of tDCS in Psychiatric Disorders: A Brain Imaging View.Chris Baeken, Jerome Brunelin, Romain Duprat & Marie-Anne Vanderhasselt - 2016 - Socioaffective Neuroscience and Psychology 6.
Added to PP
Historical graph of downloads
Citations of this work
Dynamical Relations in the Self-Pattern.Shaun Gallagher & Anya Daly - 2018 - Frontiers in Psychology 9.
Evidence-Based Neuroethics, Deep Brain Stimulation and Personality - Deflating, but not Bursting, the Bubble.Jonathan Pugh, Laurie Pycroft, Hannah Maslen, Tipu Aziz & Julian Savulescu - 2018 - Neuroethics 14 (1):27-38.
Clarifying the Normative Significance of ‘Personality Changes’ Following Deep Brain Stimulation.Jonathan Pugh - 2020 - Science and Engineering Ethics 26 (3):1655-1680.
What we (Should) Talk about when we Talk about Deep Brain Stimulation and Personal Identity.Robyn Bluhm, Laura Cabrera & Rachel McKenzie - 2019 - Neuroethics 13 (3):289-301.
Deep Brain Stimulation, Self and Relational Autonomy.Shaun Gallagher - 2018 - Neuroethics 14 (1):31-43.
References found in this work
Freedom of the Will and the Concept of a Person.Harry Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
Subjectivity and Selfhood: Investigating the First-Person Perspective.Dan Zahavi - 2005 - Cambridge MA: Bradford Book/MIT Press.
Freedom of the Will and the Concept of a Person.Harry Frankfurt - 2004 - In Tim Crane & Katalin Farkas (eds.), Metaphysics: A Guide and Anthology. Oxford University Press.
Subjectivity and Selfhood: Investigating the First-Person Perspective.Dan Zahavi - 2005 - Human Studies 30 (3):269-273.
Me, Myself and My Brain Implant: Deep Brain Stimulation Raises Questions of Personal Authenticity and Alienation.Felicitas Kraemer - 2011 - Neuroethics 6 (3):483-497.