Neuroethics 4 (2):129-142 (2011)

Authors
Adrian Carter
Monash University
Wayne Hall
State University of New York (SUNY)
Abstract
Deep brain stimulation (DBS) has been proposed as a potential treatment of drug addiction on the basis of its effects on drug self-administration in animals and on addictive behaviours in some humans treated with DBS for other psychiatric or neurological conditions. DBS is seen as a more reversible intervention than ablative neurosurgery but it is nonetheless a treatment that carries significant risks. A review of preclinical and clinical evidence for the use of DBS to treat addiction suggests that more animal research is required to establish the safety and efficacy of the technology and to identify optimal treatment parameters before investigating its use in addicted persons. Severely addicted persons who try and fail to achieve abstinence may, however, be desperate enough to undergo such an invasive treatment if they believe that it will cure their addiction. History shows that the desperation for a cure of addiction can lead to the use of risky medical procedures before they have been rigorously tested. In the event that DBS is used in the treatment of addiction, we provide minimum ethical requirements for clinical trials of its use in the treatment of addiction. These include: restrictions of trials to severely intractable cases of addiction; independent oversight to ensure that patients have the capacity to consent and give that consent on the basis of a realistic appreciation of the potential benefits and risks of DBS; and rigorous assessments of the effectiveness and safety of this treatment compared to the best available treatments for addiction
Keywords Addiction  Deep brain stimulation  Treatment  Neurosurgery  Neuroethics  Consent  Coercion
Categories (categorize this paper)
ISBN(s)
DOI 10.1007/s12152-010-9091-3
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,172
Through your library

References found in this work BETA

View all 6 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Addicted to Food, Hungry for Drugs.Bennett Foddy - 2011 - Neuroethics 4 (2):79-89.
Understanding the Nature of Drug Addiction.Matthew Tieu - 2010 - Bioethics Research Notes 22 (1):7.

Analytics

Added to PP index
2010-11-18

Total views
100 ( #118,211 of 2,517,876 )

Recent downloads (6 months)
1 ( #409,482 of 2,517,876 )

How can I increase my downloads?

Downloads

My notes