精神分裂症患者的生命、身份和自由的神经伦理学方法。

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY CNS Spectrums Pub Date : 2024-12-12 DOI:10.1017/S1092852924000506
Alberto Carrara
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引用次数: 0

摘要

这篇文章提出了一个全面的神经伦理框架,旨在加深我们对人类意识和自由意志的理解,特别是在精神和神经疾病的背景下。通过将神经科学的见解与对自由和个人身份的哲学反思相结合,本文研究了从内感受到自我意识的各种意识状态如何影响个人的自主性和决策能力。讨论采用了多维度的、自下而上的方法来探索神经生物学过程如何构成不同层次的意识体验及其相应类型的自由,例如与身体内部状态相关的“内部自由”和与更高的自我意识相关的“自我自由”。这种分层揭示了神经系统疾病对患者选择自由的深刻影响以及其中的伦理含义。从这一分析中获得的见解旨在为精神病人提供更有针对性和更有效的治疗方法,强调恢复自主权和尊重他们固有的尊严。这项工作通过神经伦理学的镜头强调了人类的基本统一,倡导承认和加强那些有精神健康挑战的个人自由的医疗保健政策。
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A neuroethical approach to human life, identity, and liberty of schizophrenic patients.

This article presents a comprehensive neuroethical framework that seeks to deepen our understanding of human consciousness and free will, particularly in the context of psychiatric and neurological disorders. By integrating insights from neuroscience with philosophical reflections on freedom and personal identity, the paper examines how various states of consciousness from interoception to self-awareness influence an individual's autonomy and decision-making capabilities. The discussion utilizes a multidimensional, bottom-up approach to explore how neurobiological processes underlie different levels of conscious experience and their corresponding types of freedom, such as "intero-freedom" related to internal bodily states and "self-freedom" associated with higher self-awareness. This stratification reveals the profound impact of neurological conditions on patients' freedom of choice and the ethical implications therein. The insights gained from this analysis aim to inform more tailored and effective treatments for psychiatric patients, emphasizing the restoration of autonomy and respect for their inherent dignity. This work underscores the essential unity of the human person through the lens of neuroethics, advocating for healthcare policies that recognize and enhance the personal freedom of those with mental health challenges.

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来源期刊
CNS Spectrums
CNS Spectrums 医学-精神病学
CiteScore
6.20
自引率
6.10%
发文量
239
审稿时长
>12 weeks
期刊介绍: CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.
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