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Analysis of Gene Expression Changes in the Rat Hippocampus After Deep Brain Stimulation of the Anterior Thalamic Nucleus
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Deep Brain Stimulation, Authenticity and Value.

Sven Nyholm, Elizabeth O'Neill

    Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees
    |September 23, 2017
    PubMed
    Summary

    Deep brain stimulation

    Area of Science:

    • Neuroscience and Philosophy
    • Cognitive Science
    • Medical Ethics

    Background:

    • Deep brain stimulation (DBS) raises complex questions about personal identity.
    • Understanding the 'true self' is crucial for interpreting DBS impacts.
    • Philosophical concepts like essentialism and existentialism offer frameworks for analysis.

    Purpose of the Study:

    • To explore the philosophical interpretations of the 'true self' in the context of DBS.
    • To analyze the interplay between essentialist and existentialist views of selfhood.
    • To examine the role of existentialist concepts like 'bad faith' and 'ambiguity' in patient autonomy.

    Main Methods:

    • Dialogue and critical engagement with existing philosophical literature (Pugh, Maslen, Savulescu).
    Keywords:
    anorexia nervosaauthenticitydeep brain stimulationessentialismexistentialismthe true selfvalues

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  • Application of existentialist philosophy (Sartre, de Beauvoir) to the concept of self.
  • Case study analysis, including a patient with anorexia nervosa.
  • Main Results:

    • The 'true self' is best understood as a combination of essentialist and existentialist components.
    • Patients can benefit from recognizing their freedom to define aspects of their true self.
    • Shared values in patient-family relationships are important, but patient autonomy in defining these values is critical.

    Conclusions:

    • A nuanced understanding of the self, integrating essentialist and existentialist perspectives, is vital for interpreting DBS.
    • Respecting patient autonomy in self-definition is crucial, particularly in therapeutic contexts.
    • Therapeutic interventions should empower patients to shape their sense of self rather than imposing external values.