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De légitimes questions éthiques

  • Marc Lévêque
Chapter

En résumé

La psychochirurgie réapparaît timidement, depuis quelques années, poussée par les succès de la stimulation cérébrale profonde. Cette dernière technique, réversible, éloigne un peu plus encore les risques de mutilation de la personnalité et d’atteinte à la dignité de la personne qui ont pu être déplorées au milieu du siècle dernier. Le retour de cette spécialité, qui s’adresse à une frange très réduite des pathologies psychiatriques, concerne des patients vulnérables. À ce titre, les principes d’autonomie, de bienfaisance, de non- malfaisance et de justice, fondements de la bioéthique moderne, doivent être respectés. Un respect d’autant plus strict que la psychochirurgie reste, encore, du domaine de la recherche clinique et que les dangers ne manquent pas: difficulté du consentement chez certaines populations de malades, conflits d’intérêts de la société, place du traitement des addictions ou des troubles agressifs, sort des enfants et des détenus… Afin de ne pas assister aux dérives passées et d’écarter les nouvelles menaces, les comités d’éthique ont édicté des règles de transparence, de multidisciplinarité, de surveillance et de bonnes pratiques visant à garantir le respect des principes fondamentaux de bioéthique. C’est dans le respect de ces principes que la psychochirurgie retrouvera la confiance des patients, des médecins et du reste de la société.

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Authors and Affiliations

  • Marc Lévêque
    • 1
  1. 1.Service de neurochirurgie Hôpital universitaire de la Pitié-Salpêtrière Assistance publiqueHôpitaux de ParisParisFrance

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