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Stream of Consciousness: Some Propositions and Reflections 意识流:一些命题和思考
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-04-11 DOI: 10.1007/s12152-024-09555-4
Nicholas Royle

This short communication explores the idea of “stream of consciousness” and considers some of the ways in which scientific writing relies – even or perhaps especially insofar as it does not signal this fact – on the resources of literary language and literary thinking. Particular attention is given to notions of literal and figurative or metaphorical language, including “hydrological” and “ontic” metaphor. A crucial figure is simile (the “like”), discussed here in relation to the Thomas Nagel’s “What is it Like to Be a Bat?”, Todd Feinberg and Jon Mallatt’s Consciousness Demystified, and Anil Seth’s Being You: A New Science of Consciousness. Neuroethics cannot restrict itself to the domain of technology and the human. The deconstruction of anthropocentrism, already underway in literary modernism, calls for responsibility in relation to non-human as well as human life-forms. Virginia Woolf’s Mrs Dalloway provides rich and multifarious resources for exploring these issues. Woolf’s novel is considered as a kind of literary water music, in which sense and feeling is not limited to the human, and distinctions between consciousness and the environment are susceptible to dissolution. Woolf’s work is concerned with a conception of stream of consciousness as telepathic fluidity, as “merging minds” but without restitution of the individual or collective.

这篇短文探讨了 "意识流 "这一概念,并探讨了科学写作依赖文学语言和文学思维资源的一些方式--即使或特别是在它没有表明这一事实的情况下。我们特别关注字面语言和形象或隐喻语言的概念,包括 "水文 "和 "本体 "隐喻。其中一个重要的比喻("像")在此结合托马斯-纳格尔的《做一只蝙蝠是什么样子》、托德-费恩伯格和乔恩-马拉特的《意识解密》以及阿尼尔-塞思的《做你自己》进行讨论:意识新科学》。神经伦理学不能局限于技术和人类领域。人类中心主义的解构已经在文学现代主义中展开,要求我们对非人类和人类生命形式负责。弗吉尼亚-伍尔夫的《达洛维夫人》为探讨这些问题提供了丰富多样的资源。伍尔夫的小说被认为是一种文学的水上音乐,其中的感官和感觉并不局限于人类,意识与环境之间的区别很容易被消解。伍尔夫的作品关注的是意识流的概念,即心灵感应的流动性、"思想的融合",但个人或集体并没有恢复原状。
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引用次数: 0
“You shall have the thought”: habeas cogitationem as a New Legal Remedy to Enforce Freedom of Thinking and Neurorights "你应拥有思想":作为实施思维自由和神经权利的新法律补救措施的思考人身保护令
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-04-04 DOI: 10.1007/s12152-024-09551-8
José M. Muñoz, José Ángel Marinaro

Despite its obvious advantages, the disruptive development of neurotechnology can pose risks to fundamental freedoms. In the context of such concerns, proposals have emerged in recent years either to design human rights de novo or to update the existing ones. These new rights in the age of neurotechnology are now widely referred to as “neurorights.” In parallel, there is a considerable amount of ongoing academic work related to updating the right to freedom of thought in order to include the protection of “freedom of thinking” (i.e., freedom of thought itself) and not only its social manifestations. Neurorights such as cognitive liberty, free will, mental freedom, and mental self-determination come into play here. Importantly, freedom of thought has often been considered a prerequisite for all the other fundamental freedoms and rights. In any case, just as other rights require additional legal instruments to guarantee their compliance, substantial neurorights will probably require specific complementary developments in procedural law. In relation to this, there is a long tradition of habeas corpus as an emergency remedy to enforce the rights of a citizen against illegal or arbitrary detention. More recently, the habeas data writ has been proposed and admitted in certain countries to guarantee a person’s ownership of their personal data. In this article, we propose to expand this procedural apparatus by incorporating a third habeas, which we call habeas cogitationem: a writ aimed primarily at enforcing the right to freedom of thinking (and, subsidiarily, the rest of neurorights) against direct, harmful interferences in a person’s thought process by both public and private perpetrators.

尽管神经技术具有明显的优势,但其颠覆性的发展可能会给基本自由带来风险。鉴于这种担忧,近年来出现了重新设计人权或更新现有人权的建议。这些神经技术时代的新权利现在被广泛称为 "神经权利"。与此同时,学术界正在开展大量与更新思想自由权有关的工作,以纳入对 "思想自由"(即思想自由本身)的保护,而不仅仅是对其社会表现形式的保护。认知自由、自由意志、精神自由和精神自决等神经权利在这里都会发挥作用。重要的是,思想自由常常被认为是所有其他基本自由和权利的先决条件。无论如何,正如其他权利需要额外的法律文书来保障其实施一样,实质性神经权利也可能需要程序法的具体补充发展。在这方面,长期以来,人身保护令一直是一种紧急补救措施,用以落实公民免受非法或任意拘留的权利。最近,某些国家提出并接受了数据人身保护令,以保障个人对其个人数据的所有权。在本文中,我们建议通过纳入第三种人身保护令(我们称之为 "思考人身保护令")来扩展这一程序性机制:这一令状的主要目的是执行思考自由权(其次是其他神经权),使其免受公共和私人行为人对个人思考过程的直接、有害干扰。
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引用次数: 0
Revisiting Maher’s One-Factor Theory of Delusion, Again 再次重温马赫的单因素妄想理论
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-04-03 DOI: 10.1007/s12152-024-09553-6
Ema Sullivan-Bissett, Paul Noordhof

Chenwei Nie ([22]) argues against a Maherian one-factor approach to explaining delusion. We argue that his objections fail. They are largely based on a mistaken understanding of the approach (as committed to the claim that anomalous experience is sufficient for delusion). Where they are not so based, they instead rest on misinterpretation of recent defences of the position, and an underestimation of the resources available to the one-factor theory.

聂辰席([22])反对用马赫的单因素方法来解释妄想。我们认为他的反对是失败的。这些反对意见主要是基于对这一方法的错误理解(即认为异常经验足以导致妄想)。如果不是基于这种理解,则是基于对最近对这一立场的辩护的误读,以及对单因素理论可用资源的低估。
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引用次数: 0
Health Aspirations for Transcranial Direct Current Stimulation (tDCS) 经颅直流电刺激(tDCS)的健康愿望
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-03-28 DOI: 10.1007/s12152-024-09547-4

Abstract

Advances in neuroscience have enabled the transition of transcranial direct current stimulation (tDCS) from research and clinical settings to public use. For this primarily home-based context, tDCS has been popularized as a do-it-yourself (DIY) approach to improved cognition and wellness. The line between wellness and health is blurry, however, and little is known about how engagement with therapeutic tDCS impacts users’ interactions with other interventions such as clinical consultations, pharmacotherapy, complementary medicine, and even other neurotechnology. To close this gap, we collected data from the online content aggregator Reddit and analyzed posts pertaining to tDCS. Findings indicate that most users turn to Reddit to request information about tDCS as an adjunct, but not as a bypass, to ongoing or prior approaches. Posts suggest that mainstream medical care is viewed as necessary but not sufficient to address conditions such as depression and anxiety. Users discuss a mix of benefits and harms. This discourse provides valuable insights into the health practices, concerns and priorities of users, and new knowledge for informing applications of neurotechnology both inside and outside the therapeutic setting.

摘要 神经科学的进步使得经颅直流电刺激(tDCS)从研究和临床环境过渡到公众使用。在这种主要以家庭为基础的环境中,tDCS 已被普及为一种自己动手(DIY)改善认知和健康的方法。然而,健康与保健之间的界限并不清晰,人们对参与治疗性 tDCS 如何影响用户与其他干预措施(如临床咨询、药物治疗、辅助医疗,甚至其他神经技术)之间的互动知之甚少。为了填补这一空白,我们从在线内容聚合网站 Reddit 收集了数据,并分析了与 tDCS 相关的帖子。研究结果表明,大多数用户都会在 Reddit 上询问有关 tDCS 的信息,将其作为一种辅助手段,而不是当前或之前治疗方法的旁路。帖子表明,主流医疗被认为是必要的,但不足以解决抑郁和焦虑等问题。用户讨论了各种益处和害处。这些讨论为了解用户的健康实践、关注点和优先事项提供了宝贵的见解,也为在治疗环境内外应用神经技术提供了新的知识。
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引用次数: 0
The Psychological Process Underlying Attitudes Toward Human-Animal Chimeric Brain Research: An Empirical Investigation 对人兽嵌合脑研究态度的心理过程:实证调查
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-03-26 DOI: 10.1007/s12152-024-09552-7
Tetsushi Tanibe, Takumi Watanabe, Mineki Oguchi, Kazuki Iijima, Koji Ota

This study adopted an empirical method to investigate lay people’s attitudes toward the bioethical issues of human-animal chimeric brains. The results of online surveys showed that (1) people did not entirely reject chimeric brain research, but showed slightly more negative responses than ordinary animal testing; and that (2) their ethical concerns arose in connection with the perception that chimerism in the brain would humanize the animal. This means that people’s psychology was consistent with the ethical argument that crossing the human-animal boundary would bring moral confusion to our society. Meanwhile, it was not in line with another argument that moral status depended on having high capacities, and that chimerism would cause a problem if it enhanced animals’ capacities. Furthermore, this study analyzed additional psychological factors related to people’s moral judgment and the relationship among those factors. Several psychological factors, such as the perception that chimeric brain research is unnatural, were identified as mediating the relationship between perception of animal humanization and ethical concerns about creating and using chimeric brains. Introducing an empirical approach to the ethics of human-animal chimeric brains brought two findings: (1) this study informed us of socially shared intuition regarding this novel technology; and (2) it unveiled the psychological processes behind people’s ethical concerns in more detail than they spontaneously mentioned. These findings will help to build normative arguments and future policies that are understandable and acceptable to society.

本研究采用实证方法调查非专业人士对人兽嵌合脑生物伦理问题的态度。在线调查结果显示:(1)人们并不完全拒绝嵌合脑研究,但与普通动物试验相比,他们的负面反应略多;(2)他们的伦理担忧与大脑嵌合会使动物人性化的看法有关。这说明,人们的心理与 "跨越人与动物的界限会给社会带来道德混乱 "这一伦理论点是一致的。同时,人们的心理与另一种观点不一致,即道德地位取决于高能力,如果嵌合体增强了动物的能力,就会造成问题。此外,本研究还分析了与人们道德判断相关的其他心理因素以及这些因素之间的关系。研究发现,一些心理因素,如认为嵌合脑研究是不自然的,是动物人性化认知与对创造和使用嵌合脑的伦理担忧之间关系的中介因素。采用实证方法研究人兽嵌合脑的伦理问题带来了两个发现:(1) 这项研究让我们了解了社会对这项新技术的共同直觉;(2) 它揭示了人们伦理担忧背后的心理过程,比他们自发提及的更为详细。这些发现将有助于建立规范性论据和未来政策,使其能够为社会所理解和接受。
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引用次数: 0
Psychedelic Therapy as Form of Life 作为生命形式的迷幻疗法
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-03-16 DOI: 10.1007/s12152-024-09550-9
Nicolas Langlitz, Alex K. Gearin

In the historical context of a crisis in biological psychiatry, psychedelic drugs paired with psychotherapy are globally re-emerging in research clinics as a potential transdiagnostic therapy for treating mood disorders, addictions, and other forms of psychological distress. The treatments are poised to soon shift from clinical trials to widespread service delivery in places like Australia, North America, and Europe, which has prompted ethical questions by social scientists and bioethicists. Taking a broader view, we argue that the ethics of psychedelic therapy concerns not simply how psychotherapies are different when paired with psychedelic drugs, but how psychedelic therapies shape and are shaped by different values, norms, and metaphysical commitments. Drawing from the published literature and interviews with seven psychedelic therapists working in clinical trials in the United States, Germany, Switzerland, and Australia, this article opens the black box of the treatments to consider the values and informal debates currently animating the therapies. Considering questions of patient autonomy, mechanisms of therapeutic action, and which therapies are best suited to pair with psychedelic substances, we examine the ethics of psychedelic therapy as an emergent form of life. To bring this form of life out in fuller relief, we conclude by comparing and contrasting it with ayahuasca use in Amazonian shamanism.

在生物精神病学出现危机的历史背景下,迷幻药与心理疗法的搭配正在全球范围内重新出现在研究诊所中,成为治疗情绪障碍、成瘾和其他形式心理困扰的一种潜在的跨诊断疗法。在澳大利亚、北美和欧洲等地,这种疗法即将从临床试验转向广泛的服务提供,这引发了社会科学家和生物伦理学家的伦理质疑。从更广阔的视角来看,我们认为,迷幻疗法的伦理问题不仅涉及心理疗法与迷幻药物搭配后有何不同,还涉及迷幻疗法如何塑造不同的价值观、规范和形而上学承诺,以及这些价值观、规范和形而上学承诺如何塑造了迷幻疗法。本文根据已发表的文献以及对在美国、德国、瑞士和澳大利亚从事临床试验的七位迷幻治疗师的访谈,打开了治疗方法的黑匣子,对目前推动治疗方法的价值观和非正式辩论进行了思考。考虑到患者自主权、治疗作用机制以及哪种疗法最适合与迷幻剂搭配等问题,我们将迷幻疗法的伦理视为一种新兴的生命形式。最后,我们将迷幻疗法与亚马逊萨满教中使用的死藤水进行对比,以更全面地展现这种生命形式。
{"title":"Psychedelic Therapy as Form of Life","authors":"Nicolas Langlitz, Alex K. Gearin","doi":"10.1007/s12152-024-09550-9","DOIUrl":"https://doi.org/10.1007/s12152-024-09550-9","url":null,"abstract":"<p>In the historical context of a crisis in biological psychiatry, psychedelic drugs paired with psychotherapy are globally re-emerging in research clinics as a potential transdiagnostic therapy for treating mood disorders, addictions, and other forms of psychological distress. The treatments are poised to soon shift from clinical trials to widespread service delivery in places like Australia, North America, and Europe, which has prompted ethical questions by social scientists and bioethicists. Taking a broader view, we argue that the ethics of psychedelic therapy concerns not simply how psychotherapies are different when paired with psychedelic drugs, but how psychedelic therapies shape and are shaped by different values, norms, and metaphysical commitments. Drawing from the published literature and interviews with seven psychedelic therapists working in clinical trials in the United States, Germany, Switzerland, and Australia, this article opens the black box of the treatments to consider the values and informal debates currently animating the therapies. Considering questions of patient autonomy, mechanisms of therapeutic action, and which therapies are best suited to pair with psychedelic substances, we examine the ethics of psychedelic therapy as an emergent form of life. To bring this form of life out in fuller relief, we conclude by comparing and contrasting it with ayahuasca use in Amazonian shamanism.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"98 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Case Against Organoid Consciousness 反对类有机体意识的理由
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-03-14 DOI: 10.1007/s12152-024-09548-3
James Croxford, Tim Bayne

Neural organoids are laboratory-generated entities that replicate certain structural and functional features of the human brain. Most neural organoids are disembodied—completely decoupled from sensory input and motor output. As such, questions about their potential capacity for consciousness are exceptionally difficult to answer. While not disputing the need for caution regarding certain neural organoid types, this paper appeals to two broad constraints on any adequate theory of consciousness—the first involving the dependence of consciousness on embodiment; the second involving the dependence of consciousness on representations—to argue that disembodied neural organoids are not plausible candidates for consciousness.

神经有机体是实验室生成的实体,可复制人脑的某些结构和功能特征。大多数神经器官都是非实体的--与感觉输入和运动输出完全分离。因此,有关其潜在意识能力的问题异常难以回答。本文并不否认需要谨慎对待某些神经器官类型,但它呼吁对任何适当的意识理论进行两个广泛的限制--第一个限制涉及意识对体现的依赖;第二个限制涉及意识对表象的依赖--来论证非实体神经器官不是意识的可信候选者。
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引用次数: 0
Ethical Implications of the Impact of Fracking on Brain Health 压裂对大脑健康影响的伦理意义
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-02-28 DOI: 10.1007/s12152-024-09546-5
Ava Grier, Judy Illes

Environmental ethicists and experts in human health have raised concerns about the effects of hydraulic fracking to access natural oil and gas resources found deep in shale rock formations on surrounding ecosystems and communities. In this study, we analyzed the prevalence of discourse on brain and mental health, and ethics, in the peer-reviewed and grey literature in the five-year period between 2016 and 2022. A total of 84 articles met inclusion criteria for analysis. Seventy-six percent (76%) mentioned impacts on brain (e.g., neural tube defects, neurological symptoms), and mental health (e.g., negative psychological effects, stress, depression) briefly; 11 reports dedicated substantive discourse to either or both together. References to safety (77%) dominated the ethics context. Discussion of environmental injustices as fracking sites disproportionately affect vulnerable communities appeared in 38% of the papers. We examine the findings through the lens of environmental neuroethics that brings human-made changes to the environment, brain and mental health, and ethics together into three interwoven lines of inquiry.

环境伦理学家和人类健康专家对水力压裂法获取页岩层深处的天然油气资源对周围生态系统和社区的影响表示担忧。在本研究中,我们分析了 2016 年至 2022 年这五年间同行评审文献和灰色文献中有关大脑和心理健康以及伦理道德的论述的流行程度。共有 84 篇文章符合纳入分析的标准。76%的文章(76%)简要提及了对大脑的影响(如神经管缺陷、神经症状)和对心理健康的影响(如负面心理影响、压力、抑郁);有11篇报道专门对其中一项或两项进行了实质性论述。有关安全的内容(77%)在伦理方面占主导地位。38%的论文讨论了环境不公正问题,因为压裂现场对弱势社区的影响尤为严重。我们通过环境神经伦理学的视角来审视研究结果,该视角将人为对环境的改变、大脑和心理健康以及伦理学整合为三个相互交织的研究方向。
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引用次数: 0
Giving Consent to the Ineffable 同意不可言传
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-02-15 DOI: 10.1007/s12152-024-09545-6
Daniel Villiger

A psychedelic renaissance is currently taking place in mental healthcare. The number of psychedelic-assisted therapy trials is growing steadily, and some countries already grant psychiatrists special permission to use psychedelics in non-research contexts under certain conditions. These clinical advances must be accompanied by ethical inquiry. One pressing ethical question involves whether patients can even give informed consent to psychedelic-assisted therapy: the treatment’s transformative nature seems to block its assessment, suggesting that patients are unable to understand what undergoing psychedelic-assisted therapy actually means for them and whether it aligns with their values. The present paper argues that patients often have sufficient knowledge to give informed consent because they know that they want to change their negative status quo and that psychedelic-assisted therapy offers an effective way to do so. Accordingly, patients can understand what the transformative nature of psychedelic-assisted therapy means for them and a make a value-aligned choice even if they are unable to anticipate the manifestation of a psychedelic experience.

目前,精神医疗领域正在掀起一场迷幻药复兴运动。迷幻药辅助治疗试验的数量正在稳步增长,一些国家已经授予精神科医生在特定条件下在非研究背景下使用迷幻药的特别许可。在取得这些临床进展的同时,还必须进行伦理调查。一个亟待解决的伦理问题涉及患者是否能对迷幻辅助治疗做出知情同意:治疗的变革性似乎阻碍了对其进行评估,这表明患者无法理解接受迷幻辅助治疗对他们究竟意味着什么,以及是否符合他们的价值观。本文认为,患者通常有足够的知识来做出知情同意,因为他们知道自己想要改变消极的现状,而迷幻辅助疗法为他们提供了一种有效的方法。因此,病人可以理解迷幻辅助疗法的变革性质对他们意味着什么,即使他们无法预知迷幻体验的表现形式,他们也可以做出与价值观相一致的选择。
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引用次数: 0
Safeguarding Users of Consumer Mental Health Apps in Research and Product Improvement Studies: an Interview Study 在研究和产品改进研究中保护消费者心理健康应用程序的用户:一项访谈研究
IF 1.4 4区 哲学 Q1 ETHICS Pub Date : 2024-01-29 DOI: 10.1007/s12152-024-09543-8

Abstract

Mental health-related data generated by app users during the routine use of Consumer Mental Health Apps (CMHAs) are being increasingly leveraged for research and product improvement studies. However, it remains unclear which ethical safeguards and practices should be implemented by researchers and app developers to protect users during these studies, and concerns have been raised over their current implementation in CMHAs. To better understand which ethical safeguards and practices are implemented, why and how, 17 app developers and researchers were interviewed who had been involved in using CMHA data for studies. Interviewees discussed the impact on stakeholder interests, sufficiency thresholds and procedural alterations of informed consent, data protection, gathering app user perspectives and representing users in app design and study conduct, and ensuring adequate support. Although the reasoning behind how and why these ethical safeguards and practices should be implemented showed considerable variability and several gaps, interviewees converged on various general lines of reasoning. This allowed for the development of a coherent and nuanced account that could prove useful for future CMHA studies and which could stimulate further normative investigation of the role of ethical safeguards and practices in these studies.

摘要 应用程序用户在日常使用消费者心理健康应用程序(CMHA)过程中产生的心理健康相关数据正越来越多地被用于研究和产品改进研究。然而,目前仍不清楚研究人员和应用程序开发人员应采取哪些伦理保障措施和实践来保护这些研究中的用户,也有人对这些措施和实践目前在 CMHA 中的实施情况表示担忧。为了更好地了解哪些伦理保障措施和实践得以实施、实施的原因和方式,我们采访了 17 位曾参与将 CMHA 数据用于研究的应用程序开发人员和研究人员。受访者讨论了对利益相关者利益的影响、知情同意的充分性阈值和程序变更、数据保护、收集应用程序用户观点、在应用程序设计和研究实施中代表用户以及确保充分支持等问题。尽管受访者对如何以及为什么要实施这些伦理保障措施和做法的推理存在相当大的差异和一些差距,但受访者对各种一般推理的看法趋于一致。这样就可以形成一个连贯而又细致入微的论述,这对未来的 CMHA 研究可能会有所帮助,并能促进对伦理保障措施和实践在这些研究中的作用进行进一步的规范性调查。
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引用次数: 0
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