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Related Experiment Video

Updated: May 11, 2026

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

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Published on: July 16, 2014

Authenticity and autonomy in deep-brain stimulation.

Alistair Wardrope

    Journal of Medical Ethics
    |May 24, 2013
    PubMed
    Summary

    Respecting patient autonomy requires considering authenticity, not just competence. This study argues that competence alone is insufficient for respecting autonomy, especially for those undergoing deep-brain stimulation (DBS).

    Area of Science:

    • Neuroethics
    • Bioethics
    • Philosophy of Medicine

    Background:

    • Deep-brain stimulation (DBS) raises complex ethical questions regarding patient autonomy.
    • Felicitas Kraemer's work highlights a potential conflict between respecting patient autonomy (as competence) and authenticity.
    • Existing frameworks for respecting autonomy in medical contexts may be incomplete.

    Purpose of the Study:

    • To critically evaluate the concept of respect for autonomy in light of DBS patient experiences.
    • To argue that authenticity is integral to a robust understanding of autonomy worthy of respect.
    • To propose an expanded conception of autonomy that incorporates relational aspects.

    Main Methods:

    • Philosophical analysis of ethical principles related to autonomy and respect.
    Keywords:
    AutonomyCompetence/incompetenceDeep Brain StimulationInformed ConsentNeuroethics

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  • Critique of existing interpretations of respect for autonomy.
  • Drawing upon relational accounts of autonomy.

    • Main Results:

    • Kraemer's argument reveals that competence alone is an inadequate measure of an individual's capacity for autonomy.
    • Authenticity is a crucial component of autonomy that is often overlooked in clinical practice.
    • Current applications of respect for autonomy may neglect essential dimensions of selfhood.

    Conclusions:

    • Respect for autonomy in the context of DBS and beyond necessitates a broader view that includes authenticity.
    • Relational accounts of autonomy offer a more comprehensive framework for ethical decision-making.
    • Clinical practices should integrate authenticity into assessments of patient autonomy.