Cambridge Quarterly of Healthcare Ethics 26 (4):640-657 (2017)
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Abstract |
Deep brain stimulation has been of considerable interest to bioethicists, in large part because of the effects that the intervention can occasionally have on central features of the recipient’s personality. These effects raise questions regarding the philosophical concept of authenticity. In this article, we expand on our earlier work on the concept of authenticity in the context of deep brain stimulation by developing a diachronic, value-based account of authenticity. Our account draws on both existentialist and essentialist approaches to authenticity, and Laura Waddell Ekstrom’s coherentist approach to personal autonomy. In developing our account, we respond to Sven Nyholm and Elizabeth O’Neill’s synchronic approach to authenticity, and explain how the diachronic approach we defend can have practical utility, contrary to Alexandre Erler and Tony Hope’s criticism of autonomy-based approaches to authenticity. Having drawn a distinction between the authenticity of an individual’s traits and the authenticity of that person’s values, we consider how our conception of authenticity applies to the context of anorexia nervosa in comparison to other prominent accounts of authenticity. We conclude with some reflections on the prudential value of authenticity, and by highlighting how the language of authenticity can be invoked to justify covert forms of paternalism that run contrary to the value of individuality that seems to be at the heart of authenticity.
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Keywords | Deep Brain Stimulation Authenticity Anorexia Nervosa Well-Being Autonomy |
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DOI | 10.1017/S0963180117000147 |
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References found in this work BETA
“I Am Who I Am”: On the Perceived Threats to Personal Identity From Deep Brain Stimulation. [REVIEW]Françoise Baylis - 2013 - Neuroethics 6 (3):513-526.
Moral Enhancement: Do Means Matter Morally?Farah Focquaert & Maartje Schermer - 2015 - Neuroethics 8 (2):139-151.
The Ethics of Deep Brain Stimulation for the Treatment of Anorexia Nervosa.Hannah Maslen, Jonathan Pugh & Julian Savulescu - 2015 - Neuroethics 8 (3):215-230.
Autonomy and Authenticity of Enhanced Personality Traits.Jan Christoph Bublitz & Reinhard Merkel - 2009 - Bioethics 23 (6):360-374.
A Coherence Theory of Autonomy.Laura Waddell Ekstrom - 1993 - Philosophy and Phenomenological Research 53 (3):599-616.
View all 8 references / Add more references
Citations of this work BETA
Personality and Authenticity in Light of the Memory-Modifying Potential of Optogenetics.Przemysław Zawadzki & Agnieszka K. Adamczyk - 2021 - American Journal of Bioethics Neuroscience 12 (1):3-21.
The Memory-Modifying Potential of Optogenetics and the Need for Neuroethics.Agnieszka K. Adamczyk & Przemysław Zawadzki - 2020 - NanoEthics 14 (3):207-225.
Ethics of Digital Well-Being: A Multidisciplinary Approach.Christopher Burr & Luciano Floridi (eds.) - 2020 - Springer.
Losing Meaning: Philosophical Reflections on Neural Interventions and Their Influence on Narrative Identity.Muriel Leuenberger - 2021 - Neuroethics (3):491-505.
Mapping the Dimensions of Agency.Andreas Schönau, Ishan Dasgupta, Timothy Brown, Erika Versalovic, Eran Klein & Sara Goering - 2021 - American Journal of Bioethics Neuroscience 12 (2-3):172-186.
View all 27 citations / Add more citations
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