19 found
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  1. 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.
    People suffering from Obsessive-Compulsive Disorder (OCD) do things they do not want to do, and/or they think things they do not want to think. In about 10 percent of OCD patients, none of the available treatment options is effective. A small group of these patients is currently being treated with deep brain stimulation (DBS). Deep brain stimulation involves the implantation of electrodes in the brain. These electrodes give a continuous electrical pulse to the brain area in which they are implanted. (...)
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  2. 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.
    Deep Brain Stimulation (DBS) is a relatively new, experimental treatment for patients suffering from treatment-refractory Obsessive Compulsive Disorder (OCD). The effects of treatment are typically assessed with psychopathological scales that measure the amount of symptoms. However, clinical experience indicates that the effects of DBS are not limited to symptoms only: patients for instance report changes in perception, feeling stronger and more confident, and doing things unreflectively. Our aim is to get a better overview of the whole variety of changes that (...)
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  3. Becoming More Oneself? Changes in Personality Following DBS Treatment for Psychiatric Disorders: Experiences of OCD Patients and General Considerations.Sanneke De Haan, Erik Rietveld, Martin Stokhof & Damiaan Denys - 2017 - PLoS ONE 12 (4):1-27.
    Does 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 (...)
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  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.
    We propose to understand social affordances in the broader context of responsiveness to a field of relevant affordances in general. This perspective clarifies our everyday ability to unreflectively switch between social and other affordances. Moreover, based on our experience with Deep Brain Stimulation for treating obsessive-compulsive disorder (OCD) patients, we suggest that psychiatric disorders may affect skilled intentionality, including responsiveness to social affordances.
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  5. 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.
    In this chapter we give an overview of current and historical conceptions of the nature of obsessions and compulsions. We discuss some open questions pertaining to the primacy of the affective, volitional or affective nature of obsessive-compulsive disorder (OCD). Furthermore, we add some phenomenological suggestions of our own. In particular, we point to the patients’ need for absolute certainty and the lack of trust underlying this need. Building on insights from Wittgenstein, we argue that the kind of certainty the patients (...)
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  6.  27
    Obsessive Compulsive Disorder: A Pathology of Self-Confidence?Julian Kiverstein, Erik Rietveld, Heleen A. Slagter & Damiaan Denys - 2019 - Trends in Cognitive Sciences 23 (5):369-372.
  7. Being Free by Losing Control: What Obsessive-Compulsive Disorder Can Tell Us About Free Will.Sanneke de Haan, Erik Rietveld & Damiaan Denys - forthcoming - In Walter Glannon (ed.), Free Will and the Brain: Neuroscientific, Philosophical, and Legal Perspectives on Free Will.
    According to the traditional Western concept of freedom, the ability to exercise free will depends on the availability of options and the possibility to consciously decide which one to choose. Since neuroscientific research increasingly shows the limits of what we in fact consciously control, it seems that our belief in free will and hence in personal autonomy is in trouble. -/- A closer look at the phenomenology of Obsessive-Compulsive Disorder (OCD) gives us reason to doubt the traditional concept of freedom (...)
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  8.  13
    Mind Reading and Writing: The Future of Neurotechnology.Pieter R. Roelfsema, Damiaan Denys & P. Christiaan Klink - 2018 - Trends in Cognitive Sciences 22 (7):598-610.
  9.  14
    Autonomy in Predictive Brain Implants: The Importance of Embodiment and Dialogue.Guy A. M. Widdershoven, Gerben Meynen & Damiaan Denys - 2015 - American Journal of Bioethics Neuroscience 6 (4):16-18.
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  10.  15
    Ethical Dilemmas in the Practice of DBS.Guy Widdershoven, Gerben Meynen, Laura Hartman & Damiaan Denys - 2014 - American Journal of Bioethics Neuroscience 5 (4):83-85.
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  11.  90
    Obsessionality & Compulsivity: A Phenomenology of Obsessive-Compulsive Disorder.Damiaan Denys - 2011 - Philosophy, Ethics, and Humanities in Medicine 6:3-.
    Progress in psychiatry depends on accurate definitions of disorders. As long as there are no known biologic markers available that are highly specific for a particular psychiatric disorder, clinical practice as well as scientific research is forced to appeal to clinical symptoms. Currently, the nosology of obsessive-compulsive disorder is being reconsidered in view of the publication of DSM-V. Since our diagnostic entities are often simplifications of the complicated clinical profile of patients, definitions of psychiatric disorders are imprecise and always indeterminate. (...)
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  12.  5
    Effective Deep Brain Stimulation for Obsessive-Compulsive Disorder Requires Clinical Expertise.Maarten van Westen, Erik Rietveld & Damiaan Denys - 2019 - Frontiers in Psychology 10.
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  13.  9
    Stimulating Good Practice: What an EEC Approach Could Actually Mean for DBS Practice.Sanneke de Haan, Erik Rietveld & Damiaan Denys - 2014 - American Journal of Bioethics Neuroscience 5 (4):46-48.
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  14.  12
    Could Closed-Loop DBS Enhance a Person's Feeling of Being Free?Julian Kiverstein, Erik Rietveld & Damiaan Denys - 2017 - American Journal of Bioethics Neuroscience 8 (2):86-87.
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  15.  11
    Doubt in the Insula: Risk Processing in Obsessive-Compulsive Disorder.Judy Luigjes, Martijn Figee, Philippe N. Tobler, Wim van den Brink, Bart de Kwaasteniet, Guido van Wingen & Damiaan Denys - 2016 - Frontiers in Human Neuroscience 10.
  16. 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).
    We whole-heartedly agree with Mecacci and Haselager(2014) on the need to investigate the psychosocial effects of deep brain stimulation (DBS), and particularly to find out how to prevent adverse psychosocial effects. We also agree with the authors on the value of an embodied, embedded, enactive approach (EEC) to the self and the mind–brain problem. However, we do not think this value primarily lies in dissolving a so-called “maladaptation” of patients to their DBS device. In this comment, we challenge three central (...)
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  17.  22
    How New is the New Philosophy of Psychiatry?Damiaan Denys - 2007 - Philosophy, Ethics, and Humanities in Medicine 2:22.
    In their recent paper, Natalie Banner and Tim Thornton evaluate seven volumes of the Oxford University Press series “International Perspectives in Philosophy and Psychiatry,” an international book series begun in 2003 focusing on the emerging interdisciplinary field at the interface of philosophy and psychiatry. According to Natalie Banner and Tim Thornton, the series represents a clear indication that the interdisciplinary field of philosophy of psychiatry has been flourishing lately. Philosophers and psychiatrists face a “new philosophy of psychiatry”. However, the optimism (...)
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  18.  7
    ‘Deep Brain Stimulation is No ON/OFF-Switch’: An Ethnography of Clinical Expertise in Psychiatric Practice.Maarten van Westen, Erik Rietveld, Annemarie van Hout & Damiaan Denys - forthcoming - Phenomenology and the Cognitive Sciences:1-20.
    Despite technological innovations, clinical expertise remains the cornerstone of psychiatry. A clinical expert does not only have general textbook knowledge, but is sensitive to what is demanded for the individual patient in a particular situation. A method that can do justice to the subjective and situation-specific nature of clinical expertise is ethnography. Effective deep brain stimulation for obsessive-compulsive disorder involves an interpretive, evaluative process of optimizing stimulation parameters, which makes it an interesting case to study clinical expertise. The aim of (...)
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  19.  25
    GABA Concentrations in the Anterior Cingulate Cortex Are Associated with Fear Network Function and Fear Recovery in Humans.Nina Levar, Judith M. C. van Leeuwen, Nicolaas A. J. Puts, Damiaan Denys & Guido A. van Wingen - 2017 - Frontiers in Human Neuroscience 11.