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Impact of Brain Interventions on Personal Identity

  • Thorsten GalertEmail author
Reference work entry

Abstract

Some of the main ethical concerns with brain interventions are related to psychological changes that may alter persons in morally significant ways. This chapter reviews neuroethical attempts at assessing brain interventions by describing them as having an impact on the identity of persons. By discussing clinical case reports involving deep brain stimulation in the treatment of Parkinson’s disease, different meanings attributed to the concept of personal identity in the bioethics literature are disentangled. The concept of forensic personhood is introduced to show that some possible effects of brain interventions are unambiguously detrimental in that they end the affected person’s existence in an important sense. The same holds true for changes in personal identity where a person has changed to such an extent that, eventually, one does not seem to be faced with a person with different characteristics, but with an altogether different person. As well, narrative accounts of personal identity are discussed in some detail as they have multiple normative implications for the assessment of the psychological effects of brain interventions, ranging from legal and ethical to clinical and methodological consequences.

Keywords

Deep Brain Stimulation Personal Identity Personality Change Narrative Approach Psychological Change 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Baylis, F. (2011). “I am who I am”: On the perceived threats to personal identity from deep brain stimulation. Neuroethics, 4. doi:10.1007/s12152-011-9137-1Google Scholar
  2. Boer, G. J. (1994). Ethical guidelines for the use of human embryonic or fetal tissue for experimental and clinical neurotransplantation and research. Journal of Neurology, 242, 1–13.CrossRefGoogle Scholar
  3. DeGrazia, D. (2005). Human identity and bioethics. New York: Cambridge University Press.CrossRefGoogle Scholar
  4. Focquaert, F. (2009). Direct intervention in the brain: Ethical issues concerning personal identity. Journal of Ethics in Mental Health, 4(2), 1–7.Google Scholar
  5. Glannon, W. (2009). Stimulating brains, altering minds. Journal of Medical Ethics, 35, 289–292.CrossRefGoogle Scholar
  6. Glannon, W. (2010). Consent to deep-brain stimulation for neurological and psychiatric disorders. The Journal of Clinical Ethics, 21, 105–112.Google Scholar
  7. Glover, J. (1988). I: The philosophy and psychology of personal identity. London: Penguin.Google Scholar
  8. Leentjens, A. F. G., Visser-Vandewalle, V., Temel, Y., & Verhey, F. R. J. (2004). Manipuleerbare wilsbekwaamheid: een ethisch probleem bij elektrostimulatie van de nucleus subthalamicus voor ernstige ziekte van Parkinson [Manipulation of mental competence: an ethical problem in case of electrical stimulation of the subthalamic nucleus for severe Parkinson’s disease]. Nederlands Tijdschrift voor Geneeskunde, 148, 1394–1398.Google Scholar
  9. Lipsman, N., Zener, R., & Bernstein, M. (2009). Personal identity, enhancement and neurosurgery: A qualitative study in applied neuroethics. Bioethics, 23(6), 375–383.CrossRefGoogle Scholar
  10. Locke, J. (1975). An essay concerning human understanding. In P. H. Nidditch (Ed.). Oxford: Clarendon.Google Scholar
  11. Merkel, R., Boer, G., Fegert, J., Galert, T., Hartmann, D., Nuttin, B., & Rosahl, S. (2007). Intervening in the brain. Changing psyche and society. Berlin: Springer.Google Scholar
  12. Müller, S., & Christen, M. (2011). Deep brain stimulation in Parkinsonian patients – Ethical evaluation of cognitive, affective, and behavioral sequelae. AJOB Neuroscience, 2(1), 3–13.CrossRefGoogle Scholar
  13. Schechtman, M. (1996). The constitution of selves. Ithaca: Cornell University Press.Google Scholar
  14. Schechtman, M. (2009). Getting our stories straight: Self-narrative and personal identity. In D. J. H. Mathews, H. Bok, & P. V. Rabins (Eds.), Personal identity and fractured selves: Perspectives from philosophy, ethics, and neuroscience (pp. 65–92). Baltimore: Johns Hopkins University Press.Google Scholar
  15. Schechtman, M. (2010). Philosophical reflections on narrative and deep brain stimulation. The Journal of Clinical Ethics, 21(2), 133–139.Google Scholar
  16. Schechtman, M. (2011). The narrative self. In S. Gallagher (Ed.), The Oxford Handbook of the self (pp. 394–416). Oxford: Oxford University Press.Google Scholar
  17. Schüpbach, M., Gargiulo, M., Welter, M. L., Mallet, L., Béhar, C., Houeto, J. L., Maltête, D., Mesnage, V., & Agid, Y. (2006). Neurosurgery in Parkinson disease: A distressed mind in a repaired body? Neurology, 66(12), 1811–1816.CrossRefGoogle Scholar
  18. Synofzik, M., & Schlaepfer, T. (2008). Stimulating personality: Ethical criteria for deep brain stimulation in psychiatric patients and for enhancement purposes. Biotechnology Journal, 3, 1511–1520.CrossRefGoogle Scholar
  19. Witt, K., Kuhn, J., Timmermann, L., Zurowski, M., & Woopen, C. (2011). Deep brain stimulation and the search for identity. Neuroethics, 4. doi:10.1007/s12152-011-9100-1Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  1. 1.German Reference Centre for Ethics in the Life SciencesBonnGermany

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