“This is Why you’ve Been Suffering”: Reflections of Providers on Neuroimaging in Mental Health Care
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Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest that mental health providers have begun to re-conceptualize mental illness with a neuroscience gaze. They report an epistemic commitment to the value of a brain scan to provide a meaningful explanation of mental illness for their clients. If functional neuroimaging continues along its projected trajectory to translation, providers will ultimately have to negotiate its role in mental health. Their perspectives, therefore, enrich bioethical discourse surrounding neurotechnology and inform the translational pathway.
KeywordsNeuroethics Mental health Psychiatry Neuroimaging
Supported by NIH/NIMH 9RO1MH84282, the Canadian Institutes for Health Research, Institutes for Neuroscience, Mental Health and Addiction (CIHR-INMHA) CNE #85117, the British Columbia Knowledge Development Fund (BCKDF), the Canadian Foundation for Innovation (CFI), and the Vancouver Coastal Health Research Institute. Special thanks to Dr. Allan H. Young and members of the Institute of Mental Health, Department of Psychiatry, University of British Columbia, and to the anonymous reviewer for thoughtful remarks.
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