Science and Engineering Ethics 24 (4):1119-1142 (2018)
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Abstract |
Deep brain stimulation, a surgical procedure involving the implantation of electrodes in the brain, has rekindled the medical community’s interest in psychosurgery. Whereas many researchers argue DBS is substantially different from psychosurgery, we argue psychiatric DBS—though a much more precise and refined treatment than its predecessors—is nevertheless a form of psychosurgery, which raises both old and new ethical and legal concerns that have not been given proper attention. Learning from the ethical and regulatory failures of older forms of psychosurgery can help shed light on how to address the regulatory gaps that exist currently in DBS research. To show why it is important to address the current regulatory gaps within psychiatric DBS, we draw on the motivations underlying the regulation of earlier forms of psychosurgery in the US. We begin by providing a brief history of psychosurgery and electrical brain stimulation in the US. Against this backdrop, we introduce psychiatric DBS, exploring current research and ongoing clinical trials. We then draw out the ethical and regulatory similarities between earlier forms of psychosurgery and psychiatric DBS. As we will show, the factors that motivated strict regulation of earlier psychosurgical procedures mirror concerns with psychiatric DBS today. We offer three recommendations for psychiatric DBS regulation, which echo earlier motivations for regulating psychosurgery, along with new considerations that reflect the novel technologies used in DBS.
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DOI | 10.1007/s11948-017-9934-y |
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References found in this work BETA
“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.
Consent to Deep Brain Stimulation for Neurological and Psychiatric Disorders.Walter Glannon - 2010 - Journal of Clinical Ethics 21 (2):104-111.
Hope and Patients' Expectations in Deep Brain Stimulation: Healthcare Providers' Perspectives and Approaches.Emily Bell, Bruce Maxwell, Mary Pat McAndrews, Abbas Sadikot & Eric Racine - 2010 - Journal of Clinical Ethics 21 (2):112.
Ethical Concerns Regarding Commercialization of Deep Brain Stimulation for Obsessive Compulsive Disorder.Cordelia Erickson-Davis - 2012 - Bioethics 26 (8):440-446.
Neurosurgery and Deep Brain Stimulation for Psychiatric Disease: Historical Context and Future Prospects.Nir Lipsman & Andres M. Lozano - 2012 - American Journal of Bioethics Neuroscience 3 (1):9-12.
View all 7 references / Add more references
Citations of this work BETA
No Going Back? Reversibility and Why It Matters for Deep Brain Stimulation.Jonathan Pugh - 2019 - Journal of Medical Ethics 45 (4):225-230.
Ethical Examination of Deep Brain Stimulation’s ‘Last Resort’ Status.Ian Stevens & Frederic Gilbert - forthcoming - Journal of Medical Ethics:medethics-2020-106609.
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