Neuroethics 6 (3):473-481 (2013)
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| Abstract |
The goal of this article is to shed light on Deep Brain Stimulation (DBS) postoperative suicidality risk factors within Treatment Resistant Depression (TRD) patients, in particular by focusing on the ethical concern of enrolling patient with history of self-estrangement, suicide attempts and impulsive–aggressive inclinations. In order to illustrate these ethical issues we report and review a clinical case associated with postoperative feelings of self-estrangement, self-harm behaviours and suicide attempt leading to the removal of DBS devices. Could prospectively identifying and excluding patients with suicidality risk factors from DBS experimental trials—such as history of self-estrangement, suicide attempts and impulsive–aggressive inclinations—lead to minimizing the risk of suicidality harm?
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| Keywords | Deep Brain Stimulation Eligibility Exclusion Experimental trial Feelings of self-estrangement Impulsive–aggressive disorder Suicide Treatment Resistant Depression |
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| DOI | 10.1007/s12152-013-9178-8 |
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References found in this work BETA
Me, Myself and My Brain Implant: Deep Brain Stimulation Raises Questions of Personal Authenticity and Alienation.Felicitas Kraemer - 2013 - Neuroethics 6 (3):483-497.
The Burden of Normality: From 'Chronically Ill' to 'Symptom Free'. New Ethical Challenges for Deep Brain Stimulation Postoperative Treatment.Frederic Gilbert - 2012 - Journal of Medical Ethics 38 (7):408-412.
Deep Brain Stimulation and Postoperative Suicidality Among Treatment Resistant Depression Patients: Should Eligibility Protocols Exclude Patients with a History of Suicide Attempts and Anger/Impulsivity?Frédéric Gilbert - 2013 - American Journal of Bioethics Neuroscience 4 (1):28-35.
Involuntary & Voluntary Invasive Brain Surgery: Ethical Issues Related to Acquired Aggressiveness. [REVIEW]Frederic Gilbert, Andrej Vranic & Samia Hurst - 2013 - Neuroethics 6 (1):115-128.
Deep Brain Stimulation in the Media: Over-Optimistic Media Portrayals Calls for a New Strategy Involving Journalists and Scientifics in the Ethical Debate.Frederic Gilbert & Ovadia Daniela - 2011 - Journal of Integrative in Neuroscience 5 (16).
View all 6 references / Add more references
Citations of this work BETA
I Miss Being Me: Phenomenological Effects of Deep Brain Stimulation.Frederic Gilbert, Eliza Goddard, John Noel M. Viaña, Adrian Carter & Malcolm Horne - 2017 - American Journal of Bioethics Neuroscience 8 (2):96-109.
Deflating the “DBS Causes Personality Changes” Bubble.Frederic Gilbert, J. N. M. Viaña & C. Ineichen - 2018 - Neuroethics 14 (Suppl 1):1-17.
A Threat to Autonomy? The Intrusion of Predictive Brain Implants.Frederic Gilbert - 2015 - American Journal of Bioethics Neuroscience 6 (4):4-11.
Embodiment and Estrangement: Results From a First-in-Human “Intelligent BCI” Trial.F. Gilbert, M. Cook, T. O’Brien & J. Illes - 2019 - Science and Engineering Ethics 25 (1):83-96.
What we (Should) Talk about when we Talk about Deep Brain Stimulation and Personal Identity.Robyn Bluhm, Laura Cabrera & Rachel McKenzie - 2020 - Neuroethics 13 (3):289-301.
View all 26 citations / Add more citations
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