Beyond Blind Optimism and Unfounded Fears: Deep Brain Stimulation for Treatment Resistant Depression
Veronica Johansson, Martin Garwicz, Martin Kanje, Helena Röcklinsberg, Jens Schouenborg, Anders Tingström & Ulf Görman
Neuroethics 6 (3):457-471 (2011)
AbstractThe introduction of new medical treatments based on invasive technologies has often been surrounded by both hopes and fears. Hope, since a new intervention can create new opportunities either in terms of providing a cure for the disease or impairment at hand; or as alleviation of symptoms. Fear, since an invasive treatment involving implanting a medical device can result in unknown complications such as hardware failure and undesirable medical consequences. However, hopes and fears may also arise due to the cultural embeddedness of technology, where a therapy due to ethical, social, political and religious concerns could be perceived as either a blessing or a threat. While Deep Brain Stimulation (DBS) for treatment resistant depression (TRD) is still in its cradle, it is important to be proactive and try to scrutinize both surfacing hopes and fears. Patients will not benefit if a promising treatment is banned or avoided due to unfounded fears, nor will they benefit if DBS is used without scrutinizing the arguments which call for caution. Hence blind optimism is equally troublesome. We suggest that specificity, both in terms of a detailed account of relevant scientific concerns as well as ethical considerations, could be a way to analyse expressed concerns regarding DBS for TRD. This approach is particularly fruitful when applied to hopes and fears evoked by DBS for TRD, since it can reveal if our comprehension of DBS for TRD suffer from various biases which may remain unnoticed at first glance. We suggest that such biases exist, albeit a further analysis is needed to explore this issue in full
Similar books and articles
Deep Brain Stimulation for Treatment Resistant Depression: Postoperative Feelings of Self-Estrangement, Suicide Attempt and Impulsive–Aggressive Behaviours.Frederic Gilbert - 2013 - Neuroethics 6 (3):473-481.
Me, Myself and My Brain Implant: Deep Brain Stimulation Raises Questions of Personal Authenticity and Alienation.Felicitas Kraemer - 2011 - Neuroethics 6 (3):483-497.
The Burden of Normality: From 'Chronically Ill' to 'Symptom Free'. New Ethical Challenges for Deep Brain Stimulation Postoperative Treatment.Frederic Gilbert - 2012 - Journal of Medical Ethics 38 (7):408-412.
Ethical Issues Raised by Proposals to Treat Addiction Using Deep Brain Stimulation.Adrian Carter, Emily Bell, Eric Racine & Wayne Hall - 2010 - Neuroethics 4 (2):129-142.
Health, Happiness and Human Enhancement—Dealing with Unexpected Effects of Deep Brain Stimulation.Maartje Schermer - 2011 - Neuroethics 6 (3):435-445.
Brain, Mind and Machine: What Are the Implications of Deep Brain Stimulation for Perceptions of Personal Identity, Agency and Free Will?Nir Lipsman & Walter Glannon - 2013 - Bioethics 27 (9):465-470.
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 the Media: Over-Optimistic Media Portrayals Calls for a New Strategy Involving Journalists and Scientifics in the Ethical Debate.Frederic Gilbert & Ovadia Daniela - 2011 - Journal of Integrative in Neuroscience 5 (16).
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.
Deep Brain Stimulation in Children: Parental Authority Versus Shared Decision-Making.Farah Focquaert - 2011 - Neuroethics 6 (3):447-455.
“I Am Who I Am”: On the Perceived Threats to Personal Identity From Deep Brain Stimulation. [REVIEW]Françoise Baylis - 2011 - Neuroethics 6 (3):513-526.
The Third World and Globalization.Deepak Lal - 2000 - Critical Review: A Journal of Politics and Society 14 (1):35-46.
Deep Brain Stimulation and the Search for Identity.Karsten Witt, Jens Kuhn, Lars Timmermann, Mateusz Zurowski & Christiane Woopen - 2011 - Neuroethics 6 (3):499-511.
Repetitive Transcranial Magnetic Stimulation (rTMS) in Depression.Thomas E. Schlaepfer, Markus Kosel & Hans-Ulrich Fisch - 2006 - Poiesis and Praxis 4 (2):111-127.
Added to PP
Historical graph of downloads
Citations of this work
Thinking Ahead on Deep Brain Stimulation: An Analysis of the Ethical Implications of a Developing Technology.Veronica Johansson, Martin Garwicz, Martin Kanje, Lena Halldenius & Jens Schouenborg - 2014 - American Journal of Bioethics Neuroscience 5 (1):24-33.
The Ethics of Deep Brain Stimulation.Marcus Unterrainer & Fuat S. Oduncu - 2015 - Medicine, Health Care and Philosophy 18 (4):475-485.
Bonding Brains to Machines: Ethical Implications of Electroceuticals for the Human Brain.Jens Clausen - 2013 - Neuroethics 6 (3):429-434.
Locked Out.Veronica Johansson, Surjo R. Soekadar & Jens Clausen - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (4):555-576.
DBS for Depression? Lessons From Patients’ Beliefs for Research, Treatment, and Noninvasive Brain Modulation.Dorothee Horstkötter & David E. J. Linden - 2018 - American Journal of Bioethics Neuroscience 9 (4):232-234.
References found in this work
“Currents of Hope”: Neurostimulation Techniques in U.S. And U.K. Print Media.Eric Racine, Sarah Waldman, Nicole Palmour, David Risse & Judy Illes - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (3):312-316.
Medicine and Philosophy: A Twenty-First Century Introduction.Ingvar Johansson & Niels Lynøe - 2008 - Ontos Verlag.