脑深部刺激对自我威胁的维度:个人身份、真实性和自主性

IF 0.4 0 PHILOSOPHY Diametros Pub Date : 2021-06-04 DOI:10.33392/DIAM.1592
Przemysław Zawadzki
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引用次数: 1

摘要

脑深部刺激(DBS)是一种侵入性治疗方法,包括植入电极和对大脑特定区域进行电刺激以调节其活动。DBS带来治疗益处,但也可能产生不良副作用。最近,神经伦理学家已经认识到DBS对人类生存结构,即患者自身构成了威胁。本文回顾了研究这一问题的神经伦理学文献,并确定了DBS可能危害的与自我相关的关键维度——个人身份、真实性和自主性。本文分析了解释这些维度的最具影响力的理论,并认为这些理论中的大多数需要进一步完善。本文还论证了个人身份、真实性和自主性之间的相互关系,并得出结论,只有考虑到所有这些因素,人们才能完全理解DBS对自我的影响。
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Dimensions of the Threat to the Self Posed by Deep Brain Stimulation: Personal Identity, Authenticity, and Autonomy
Deep Brain Stimulation (DBS) is an invasive therapeutic method involving the implantation of electrodes and the electrical stimulation of specific areas of the brain to modulate their activity. DBS brings therapeutic benefits, but can also have adverse side effects. Recently, neuroethicists have recognized that DBS poses a threat to the very fabric of human existence, namely, to the selves of patients. This article provides a review of the neuroethical literature examining this issue, and identifies the crucial dimensions related to the self which DBS may endanger—personal identity, authenticity, and autonomy. The most influential theories accounting for these dimensions are analyzed herein, and it is argued that most of these theories require further refinement. This paper also demonstrates the interrelation between personal identity, authenticity, and autonomy, and concludes that one can only fully understand the impact of DBS on the self when all of these factors are taken into account.
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来源期刊
Diametros
Diametros PHILOSOPHY-
CiteScore
0.90
自引率
0.00%
发文量
10
审稿时长
16 weeks
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