Eldar Sarajlic
Borough of Manhattan Community College (CUNY)
The development of predictive brain implant (PBI) technology that is able to forecast specific neuronal events and advise and/or automatically administer appropriate therapy for diseases of the brain raises a number of ethical issues. Provided that this technology satisfies basic safety and functionality conditions, one of the most pressing questions to address is its relation to the autonomy of patients. As Frederic Gilbert in his article asks, if autonomy implies a certain idea of freedom, or self-government, how can an individual be considered to decide freely if the implanted device stands at the inception of the causal chain producing his decisions? He claims that PBIs threaten persons’ autonomy by diminishing their post-operative experience of self-control. In this commentary, I wish to discuss this claim. Contrary to Gilbert, I will suggest that PBIs do not pose a significant threat to patient’s autonomy, as self-control, but rather to his/her sense of authenticity. My claim is that the language of authenticity, already introduced in the recent bioethical literature, may offer a better way to voice some of the concerns with PBIs that Gilbert recognized.
Keywords authenticity  brain implants  autonomy
Categories (categorize this paper)
DOI 10.1080/21507740.2015.1094538
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

 PhilArchive page | Other versions
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

A Threat to Autonomy? The Intrusion of Predictive Brain Implants.Frederic Gilbert - 2015 - American Journal of Bioethics Neuroscience 6 (4):4-11.

View all 9 references / Add more references

Citations of this work BETA

Commentary on "Neurotechnologies, Relational Autonomy, and Authenticity".Anna Gotlib - 2020 - International Journal of Feminist Approaches to Bioethics 13 (1):120-128.

Add more citations

Similar books and articles

Authenticity and Autonomy in Deep-Brain Stimulation.Alistair Wardrope - 2014 - Journal of Medical Ethics 40 (8):563-566.
Agency and Authenticity: Which Value Grounds Patient Choice?Daniel Brudney & John Lantos - 2011 - Theoretical Medicine and Bioethics 32 (4):217-227.
Individual Autonomy and Authenticity.Insoo Hyun - 1999 - Dissertation, Brown University
Protecting Autonomy as Authenticity Using Ulysses Contracts.Theo Van Willigenburg & Patrick Delaere - 2005 - Journal of Medicine and Philosophy 30 (4):395 – 409.
Respect for Autonomy and Authenticity.Guus Timmerman - 2010 - Ethical Perspectives 17 (2):309-341.
Authenticity Naturalized.Bruce N. Waller - 1995 - Behavior and Philosophy 23 (1):21 - 28.
Paternalism in the Name of Autonomy.Manne Sjöstrand, Stefan Eriksson, Niklas Juth & Gert Helgesson - 2013 - Journal of Medicine and Philosophy 38 (6):jht049.


Added to PP index

Total views
342 ( #30,817 of 2,519,667 )

Recent downloads (6 months)
29 ( #30,308 of 2,519,667 )

How can I increase my downloads?


My notes