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Updated: May 14, 2026

Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
11:12

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Published on: July 16, 2014

Authenticity or autonomy? When deep brain stimulation causes a dilemma.

Felicitas Kraemer1

  • 1Department of Philosophy & Ethics, Eindhoven University of Technology, , Eindhoven, The Netherlands.

Journal of Medical Ethics
|January 29, 2013
PubMed
Summary

Deep brain stimulation (DBS) for Parkinson's disease introduces new ethical concerns beyond identity, focusing on patient authenticity. A case study highlights the tension between patient autonomy and authenticity when undergoing DBS.

Keywords:
AutonomyDeep Brain StimulationNeuroethicsPhilosophical EthicsTechnology/Risk Assessment

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Last Updated: May 14, 2026

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Area of Science:

  • Neuroscience
  • Bioethics
  • Medical Ethics

Background:

  • Deep brain stimulation (DBS) is a therapeutic intervention for Parkinson's disease.
  • Ethical discussions surrounding DBS have traditionally centered on autonomy, accountability, and personal identity.

Observation:

  • Recent research suggests incorporating patient authenticity and alienation into ethical considerations for DBS.
  • A case study involving a Dutch patient undergoing DBS illustrates a conflict between autonomy and authenticity.

Findings:

  • The case study reveals a significant ethical dilemma for patients experiencing a tension between maintaining their sense of self (authenticity) and their ability to make independent choices (autonomy) post-DBS.
  • This highlights a previously underexplored dimension in the ethical landscape of DBS.

Implications:

  • Ethical frameworks for DBS must evolve to encompass the subjective experience of authenticity.
  • Understanding the interplay between authenticity and autonomy is crucial for patient-centered care in neurodegenerative disease interventions.
  • Further research is needed to explore the long-term psychological impact of DBS on patient authenticity.